1. Short title This Act may be cited as the State Strategic Stockpile Act of 2023 . 2. Pilot program to support State medical stockpiles (a) In general Section 319F–2(i) of the Public Health Service Act (42 U.S.C. 247d–6b(i)) is amended— (1) in paragraph (2)(B)(i)— (A) in subclause (I), by striking and 2024 and inserting through 2025 ; and (B) in subclause (II), by striking 2025 and inserting 2026 ; (2) in paragraph (4)(H), by striking State efforts and inserting State or regional efforts ; (3) by redesignating paragraphs (5) through (9) as paragraphs (6) through (10), respectively; (4) by inserting after paragraph (4) the following: (5) Coordination An entity in receipt of an award under paragraph (1) shall— (A) carry out activities under this section in coordination with health care entities, health officials, and emergency management officials within the jurisdiction of such State or States, as appropriate; and (B) identify opportunities to coordinate with other States in receipt of an award under paragraph (1) to facilitate the sharing of best practices between such States or with other States related to establishing and maintaining a stockpile of medical products. ; and (5) in paragraph (10), as so redesignated, by striking $3,500,000,000 for each of fiscal years 2023 and 2024 and inserting such sums as may be necessary for each of fiscal years 2024 through 2028 . (b) GAO report Section 2409(b) of the PREVENT Pandemics Act ( Public Law 117–328 ) is amended— (1) in paragraph (2), by striking ; and and inserting a semicolon; (2) in paragraph (3), by striking the period and inserting ; and ; and (3) by adding at the end the following: (4) the impact of any regional stockpiling approaches carried out under such subsection (i)(1) of section 319F–2 of the Public Health Service Act ( 42 U.S.C. 247d–6b ). . 3. Public health emergency medical countermeasures enterprise Section 2811–1(c)(2) of the Public Health Service Act (42 U.S.C. 300hh–10a(c)(2)) is amended by striking , as appropriate .