; (5) ensuring equitable distribution of healthcare resources, particularly across low-income and other underserved groups; and (6) that integrate with existing State and local systems as appropriate. 7. Reporting Not later than 2 years after the date of the enactment of this Act, and every 2 years thereafter, the Director of Pandemic and Biodefense Preparedness and Response, in consultation with the Director of the Office of Management and Budget, shall submit to the President and the Congress a report that describes progress made in the implementation of the National Pandemic and Biodefense Preparedness and Response Strategy and in fulfilment of its objectives.