This bill aims to reauthorize and enhance the existing State medical stockpile pilot program, which is administered by the Office of the Assistant Secretary for Preparedness and Response (ASPR). The reauthorization extends the program's funding through fiscal year 2030 , ensuring continued support for states in establishing and maintaining medical stockpiles. Key improvements include a new requirement for the program to facilitate the sharing of best practices among states receiving funding for medical stockpiles. It also mandates that award recipients coordinate with relevant health care and emergency management officials within their jurisdictions. Furthermore, the bill expands the program's focus to explicitly support State or regional efforts in stockpiling, and it amends the PREVENT Pandemics Act to require a Government Accountability Office (GAO) report on the impact of these regional stockpiling approaches.