SECTION 1. Short title.

SEC. 2. National toll-free number.

(1) in the section heading, by inserting before the period the following: “and Other Communication Capabilities”;

(2) by striking subsection (a) and inserting the following:

“(a) In general.—The Secretary—

“(1) shall provide coordination and assistance to poison control centers for the establishment and maintenance of a nationwide toll-free phone number, to be used to access such centers; and

“(2) may provide coordination and assistance to poison control centers and consult with professional organizations for the establishment, implementation, and maintenance of other communication technologies to be used to access such centers.”;

(3) by redesignating subsection (b) as subsection (c);

(4) by inserting after subsection (a) the following:

“(b) Routing contacts with poison control centers.—Not later than 18 months after the date of enactment of the Poison Center Network Enhancement Act of 2019, the Secretary shall coordinate with the Chairman of the Federal Communications Commission, to the extent technically and economically feasible, to ensure that communications with the national toll-free number are routed to the appropriate poison control center based on the physical location of the contact rather than the area code of the contact device.”; and

(5) in subsection (c), as so redesignated—

(A) by striking “2015 through 2019” and inserting “2020 through 2024”; and

(B) by striking “maintenance of the nationwide toll free phone number under subsection (a)” and inserting “establishment, implementation, and maintenance activities carried out under subsections (a) and (b)”.

SEC. 3. Nationwide media campaign.

(1) in the section heading, by striking “Nationwide media campaign to promote” and inserting “Promoting”;

(2) in subsection (a)—

(A) by inserting “and support outreach to” after “educate”;

(B) by striking “poison prevention” and inserting “poisoning and toxic exposure prevention”; and

(C) by striking “established under” and inserting “and other available communication technologies established, implemented, or maintained under”;

(3) in subsection (b)—

(A) in the matter preceding paragraph (1), by striking “nationwide poison prevention” and inserting “nationwide poisoning and toxic exposure prevention”; and

(B) in paragraph (1), by striking “poison prevention and poison control center” and inserting “poisoning and toxic exposure prevention awareness materials, applicable public health emergency preparedness and response information, and poison control center” after “distribution of”;

(4) by striking subsection (c);

(5) by redesignating subsection (d) as subsection (c); and

(6) in subsection (c) (as so redesignated), by striking “2015 through 2019” and inserting “2020 through 2024”.

SEC. 4. Maintenance of program.

(1) in subsection (a), by inserting “and toxic exposures” after “poisonings”;

(2) in subsection (b)—

(A) in paragraph (1)—

(i) by striking “for poison” and inserting “for poisoning and toxic exposure”; and

(ii) by striking “and preparedness” and inserting “preparedness and response”;

(B) in paragraph (3)—

(i) by striking “United States and” and inserting “United States,”; and

(ii) by inserting before the semicolon the following: “, and other government agencies as determined to be appropriate and nonduplicative by the Secretary”; and

(C) in paragraph (8), by striking “calls” and inserting “contacts”;

(3) in subsection (d), by striking paragraph (3) and inserting the following:

“(3) LIMITATION.—In no case may the sum of the number of years for a waiver under this subsection exceed 5 years. Notwithstanding any previous waivers, in the case of a poison control center whose accreditation is affected by a public health emergency declared pursuant to section 319, the Secretary may, as the circumstances of the emergency reasonably require, provide a waiver under paragraph (1) or a renewal under paragraph (2) for up to 2 years.”;

(4) by striking subsection (f) and inserting the following:

“(f) Maintenance of effort.—With respect to activities for which a grant is awarded under this section, the Secretary may require that poison control centers agree to maintain the expenditures of the center for such activities at a level that is not less than the level of expenditures maintained by the center for the fiscal year preceding the fiscal year for which the grant is received.”;

(5) In subsection (g), by striking “2015 through 2019” and inserting “2020 through 2024”; and

(6) by adding at the end the following:

“(h) Biennial report to Congress.—Not later than 2 years after the date of enactment of the Poison Center Network Enhancement Act of 2019, and every 2 years thereafter, the Secretary shall submit to the Committee on Health, Education, Labor, and Pensions of the Senate and Committee on Energy and Commerce of the House of Representatives a report concerning the operations of, and trends identified by, the Poison Control Network. Such report shall include—

“(1) descriptions of the activities carried out pursuant to sections 1271, 1272, and 1273, and the alignment of such activities with the purposes provided under subsection (a);

“(2) a description of trends in volume of contacts to poison control centers;

“(3) a description of trends in poisonings and toxic exposures reported to poison control centers, as applicable and appropriate;

“(4) an assessment of the impact of the public awareness campaign, including any geographic variations;

“(5) a description of barriers, if any, preventing poison control centers from achieving the purposes and programs under this section and sections 1271 and 1272;

“(6) a description of the standards for accreditation described in subsection (c), including any variations in those standards, and any efforts to create and maintain consistent standards across organizations that accredit poison control centers; and

“(7) the number of and reason for any waivers provided under subsection (d).”.