; 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)