of qualified pandemic or epidemic products to Indian programs and facilities In the case that the Secretary distributes qualified pandemic or epidemic products (as defined in section 319F–3(i)(7)) to States or other entities, the Secretary shall ensure, in coordination with the applicable States and programs and facilities, that, as appropriate, such products are distributed directly to health programs or facilities operated by the Indian Health Service, an Indian tribe, a tribal organization (as those terms are defined in section 4 of the Indian Self-Determination and Education Assistance Act ( 25 U.S.C. 5304 )), or an inter-tribal consortium (as defined in section 501 of the Indian Self-Determination and Education Assistance Act ( 25 U.S.C. 5381 )) or through an urban Indian organization (as defined in section 4 of the Indian Health Care Improvement Act), while avoiding duplicative distributions to such programs or facilities. . C Medical product supply chain improvements 70531. Shortages of essential devices Chapter V of the Federal Food, Drug, and Cosmetic Act ( 21 U.S.C. 351 et seq.) is amended by inserting after section 520 the following: 520A. Discontinuance or interruption in the production of essential devices during public health emergencies (a) Notification (1) In general A manufacturer or contract terminal sterilizer of an essential device shall notify the Secretary— (A) in accordance with paragraph (3), when such manufacturer or sterilizer becomes aware of— (i) a permanent discontinuance in the manufacture of the device (except for a permanent discontinuance as a result of an approved modification of the device)