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On July 10, 2023, ASTHO submitted comments on the Senate Health, Education, Labor, and Pensions bipartisan discussion draft to reauthorize the Pandemic and All-Hazards Preparedness Act.

On Oct. 20, 2023, ASTHO submitted a response to a Request for Information from the U.S. Senate's Health, Education, Labor, and Pensions Committee on the modernization of CDC.

On March 29, 2023, ASTHO submitted comments in response to the Senate's request for information during their deliberations to reauthorize the Pandemic and All-Hazards Preparedness Act.