Sec. 206. Pre-election reports on voting system usage. Sec. 207. Streamlining collection of election information. Title III—Use of Voting Machines Manufactured in the United States Sec. 301. Use of voting machines manufactured in the United States. Title IV—Severability Sec. 401. Severability. I Financial Support for Election Infrastructure A Voting System Security Improvement Grants 1 Promoting Accuracy, Integrity, and Security Through Voter-Ver­i­fi­a­ble Permanent Paper Ballot 101. Short title This subtitle may be cited as the Voter Confidence and Increased Accessibility Act of 2019 . 102. Paper ballot and manual counting requirements (a) In general Section 301(a)(2) of the Help America Vote Act of 2002 ( 52 U.S.C. 21081(a)(2) ) is amended to read as follows: (2) Paper ballot requirement (A) Voter-verifiable paper ballots (i) Paper ballot requirement (I) In general The voting system shall require the use of an individual, durable, voter-verifiable pa­per ballot of the voter’s vote selections that shall be marked and made available for inspection and ver­i­fi­ca­tion by the voter before the voter’s ballot is cast and counted. For purposes of this subclause, the term individual, durable, voter-verifiable paper ballot means a paper ballot marked by the voter by hand or a paper ballot marked through the use of a nontabulating ballot marking device, so long as the voter shall have the option to mark his or her ballot by hand. (II) Requirements for ballot marking devices Except as required to meet the accessibility requirements under paragraph (3), in the case of a ballot marking device— (aa) the printed or marked paper ballot shall be presented to the voter for physical inspection and verification before the ballot is counted and preserved in accordance with clause (ii)