,i #aac? ,,congress #a/ ,session ,h4 ,r4 #aeae ,,9 ,,! ,,h\se ,,( ,,repres5tatives ,april #aa1 #bjac ,mr4 ,sires 7= himself & ,mr4 ,diaz-,bal>t7 introduc$ ! foll[+ bill2 :i* 0 ref]r$ to ! ,committee on ,=eign ,affairs ,a ,,bill ,to am5d ! ,=eign ,assi/ance ,act ( #aifa to codify ! coop]ative agreem5t1 kn[n z ! ,heal? ,te*nologies program1 "u :i* ! ,unit$ ,/ates ,ag5cy = ,int]national ,developm5t supports ! developm5t ( te*nologies = global heal?1 & = o!r purposes4 #a4 ,%ort title ,?is ,act may be cit$ z ! #ba/ ,c5tury ,global ,heal? ,te*nology ,act4 #b4 ,f9d+s ,congress makes ! foll[+ f9d+s3 7#a7 ,rese>* & developm5t is a critical compon5t ( ,unit$ ,/ates lead]%ip 9 global heal?4 ,rese>* & innovation c help to break ! cycle ( aid dep5d5cy by provid+ su/a9able solutions to long-t]m problems4 ,rese>* & developm5t = global heal? is crucial = meet+ new & em]g+ *all5ges1 creat+ effici5cies1 /r5g!n+ heal? sy/ems1 %ift+ tasks & /r5g!n+ work=ces1 & increas+ access to heal? s]vices = ! mo/ vuln]able4 ,rese>* sugge/s t advances 9 heal? & m$ical te*nologies h be5 ! major driv]s beh9d massive improvem5ts 9 heal? worldwide ov] ! pa/ c5tury1 result+ 9 an av]age increase 9 life expectancies ( #ba ye>s 9 l[- & middle-income c\ntries betwe5 #aifj & #bjjb4 ,additionally1 new heal? te*nologies h a high return on inve/m5t4 ,= example1 x is e/imat$ t a new m5+itis ,a vacc9e develop$ 9 collaboration ) ! ,unit$ ,/ates ,ag5cy = ,int]national ,developm5t 7,,usaid71 ! ,c5t]s = ,disease ,control & ,prev5tion 7,,cdc71 ! ,national ,in/itutes ( ,heal? 7,,nih71 & ! ,food & ,drug ,adm9i/ration 7,,fda71 w save #egj1jjj1jjj ov] ! next decade 9 co/s t w\ld o!rwise be incurr$ = em]g5cy vacc9ation campaigns1 free+ mu* ne$$ res\rces = use else:]e 9 ov]/ret*$ heal? sy/ems4 7#b7 ,five ,f$]al ag5cies--,,nih1 ,,usaid1 ! ,dep>tm5t ( ,def5se1 ,,cdc1 & ,,fda--provide significant contributions ea* ye> to global heal? rese>* & developm5t4 ,! ,unit$ ,/ates ,gov]nm5t is support+ ! developm5t ( #bjj--ee p]c5t--( ! #cfe products 9 ! global pipel9e ( products = neglect$ & pov]ty-relat$ diseases4 7#c7 ,?is commitm5t f ! ,unit$ ,/ates ,gov]nm5t & its ,f$]al ag5cies has l$ to a rem>kable increase 9 global heal? products4 ,=ty-five new heal? tools 7 regi/]$ betwe5 #bjjj & #bjaj1 & ! ,unit$ ,/ates ,gov]nm5t 0 involv$ 9 #bd1 or #ec p]c5t1 ( ^! new global heal? products 9 ! la/ decade includ+ #f drugs = mal>ia1 #b vacc9es = pneumonia1 #f diagno/ics = tub]culosis1 & #b drugs = lei%maniasis4 7#d7 ,unit$ ,/ates inve/m5ts h enabl$ trem5d\s progress 9 ! introduction ( new te*nologies = global heal?2 h[ev]1 gaps exi/ 9 br++ c]ta9 te*nologies ?r\gh ! developm5t process & rapidly scal+ !m up 9 ! field4 ,bett] coord9ation is ne$$ betwe5 ,f$]al ag5cies to align rese>* /rategies1 id5tify & address gaps 9 product developm5t activity & move products effici5tly along ! rese>*-to-introduction cont9uum4 7#e7 ,infecti\s diseases disproportionately impact populations 9 l[-income nations across ,lat9 ,am]ica1 sub-,sah>an ,africa1 & ,asia4 ,h[ev]1 ev5 9 ! ,unit$ ,/ates1 poor & vuln]able communities are at mu* great] risk = contract+ diseases usually consid]$ to be diseases ( ! develop+ _w4 ,= example1 cases ( ,*agas disease1 :i* is f\nd ?r\gh\t ,lat9 ,am]ica1 & d5gue fev]1 endemic to ,mexico & ,c5tral ,am]ica1 h be5 detect$ 9 s\!rn ,/ates along ! ,unit$ ,/ates bord] ) ,mexico1 9 communities :]e pov]ty rates are high4 7#f7 ,9 collaboration ) ! ,_w ,heal? ,organization 7,,:o7 & its memb] /ates1 ! ,unit$ ,/ates is a lead+ p>ticipant 9 discussions to improve coord9ation & f9anc+ ( global heal? rese>* & developm5t4 ,?is process w e/abli% me*anisms to map rese>* ne$s1 id5tify res\rce gaps1 & set priorities to ensure t ! mo/ crucial global heal? products are develop$ & deliv]$ = maximum global heal? impact4 7#g7 ,because ( its pres5ce 9 ! field1 ,,usaid is uniquely plac$ to assess local heal? conditions1 !n p>tn] ) public & private /akehold]s to ensure ! developm5t & timely introduction & scale-up ( tools t are culturally acceptable1 address s]i\s & all-too-common heal? problems1 & contribute to ! /r5g!n+ ( heal? sy/ems4 ,9 a rec5t report to ,congress1 ,,usaid calls heal? rese>* integral to its ability to a*ieve its heal? & developm5t objectives worldwide & /ates t innovation ?r\gh rese>* all[s ! ag5cy to develop & introduce af=dable heal? products & practices & contribute to policies appropriate = address+ heal?-relat$ conc]ns 9 ! develop+ _w4 ,! elevation ( ! ,(fice ( ,sci5ce & ,te*nology w\ld assi/ ,,usaid 9 a*iev+ its global heal? & developm5t goals4 ,9 #bjaa1 ,,usaid outl9$ a #e-ye> heal? rese>* /rategy3 ,report to ,congress3 ,heal?-,relat$ ,rese>* & ,developm5t ,activities at ,,usaid 7,,hrrd71 ,may #bjaa1 ) a timel9e ?r\gh #bjaj4 ,?is /rategy is an important s\rce ( in=mation on ,,usaid's programs = global heal? product developm5t & is an effective tool = measur+ expect$ results f #bjaa ?r\gh #bjae4 ,! /rategy does n articulate ,,usaid's inve/m5ts & programm+ = rese>* & developm5t 9 sev]al critical areas su* z-- 7,a7 new tools to diagnose1 prev5t & treat neglect$ tropical diseases2 7,b7 biom$ical products1 te*nologies & devices = conditions & diseases impact+ mat]nal heal?1 newborns1 & *ildr51 includ+ rese>* = vacc9es = ! lead+ causes ( dea? 9 *ildr52 & 7,c7 new tub]culosis vacc9es4 7#h7 ,congress notes ! int]relat$ initiatives t ,,usaid has tak5 to advance sci5ce1 te*nology1 & innovation = developm5t1 includ+ ! ,gr& ,developm5t ,*all5ges1 ! ,innovation ,fund1 ,high] ,education ,sci5ce ,network1 ! ,developm5t ,lab1 & ! ,innovation ,fell[%ip4 7#i7 ,rese>* & developm5t at ,,usaid-- 7,a7 facilitates public-private collaboration 9 ! developm5t ( global heal? te*nologies2 7,b7 lev]ages public & private sector support = e>ly /age rese>* & developm5t ( heal? te*nologies to enc\rage private sector inve/m5t 9 late-/age te*nology developm5t & product introduction 9 develop+ c\ntries2 7,c7 b5efits ! ,unit$ ,/ates economy by inve/+ 9 ! gr[+ ,unit$ ,/ates global heal? te*nology sector1 :i*-- 7i7 provides skill$ jobs = ,am]ican work]s = example1 #fd c5ts ( e ,unit$ ,/ates doll> inve/$ 9 global heal? rese>* b5efits ,unit$ ,/ates-bas$ rese>*]s2 7ii7 creates opportunities = ,unit$ ,/ates bus9esses 9 ! developm5t & production ( new te*nologies2 & 7iii7 enhances ,unit$ ,/ates competitiv5ess 9 ! increas+ly te*nological & k-bas$ global economy2 & 7,d7 enhances ,unit$ ,/ates national security by-- 7i7 r$uc+ ! risk ( p&emic disease2 & 7ii7 contribut+ to economic developm5t & /ability 9 develop+ c\ntries4 7#aj7 ,inve/m5ts by ! ,unit$ ,/ates 9 af=dable1 appropriate heal? te*nologies1 su* z m$ical devices = mat]nal1 newborn1 & *ild c>e2 new vacc9es2 new vacc9e te*nologies & deliv]y tools2 safe injection devices2 diagno/ic te/s = infecti\s diseases2 new tools = wat]1 sanitation1 & nutrition2 multipurpose prev5tion te*nologies2 in=mation sy/ems & mobile heal? & in=mation sy/ems2 & innovative disease prev5tion /rategies-- 7,a7 r$uce ! risk ( disease transmission2 7,b7 accel]ate access to life-sav+ global heal? int]v5tions = ! _w's poor2 7,c7 r$uce ! burd5 on local heal? sy/ems2 & 7,d7 h be5 f\nd by ! ,unit$ ,/ates ,gov]nm5t & ,,:o to result 9 significant co/ sav+s = developm5t assi/ance funds4 7#aa7 ,:]e m>kets fail1 public-private p>tn]%ips are an effective way to develop1 introduce & scale up new heal? te*nologies4 ,product developm5t p>tn]%ips 7,p,d,ps7 are "o model ( public private p>tn]%ip t is successfully accel]at+ rese>* to b5efit ! develop+ _w4 ,p,d,ps are non-pr(it1 nongov]nm5tal entities t "w to accel]ate ! developm5t ( new tools to fight diseases 9 res\rce-poor sett+s4 ,typically1 ,p,d,ps manage res\rces & p>tn]%ips f across public1 private1 & philan?ropic sectors to drive ! developm5t ( a full pipel9e ( pot5tial new products t c\ld save & improve lives 9 ! develop+ _w4 ,,usaid has play$ a significant role 9 advanc+ ! ,,pdp model ?r\gh its f9ancial support4 ,ov] ! pa/ decade1 ! a*ievem5ts ( ,p,d,ps h become increas+ly successful at advanc+ new products ?r\gh ! developm5t pipel9e t[>ds regi/ration1 product introduction1 & use4 7#ab7 ,,usaid supports rese>* & introduction activities along a rese>*-to-use cont9uum includ+-- 7,a7 evid5ce reviews & heal? assessm5ts 9 develop+ c\ntries2 & 7,b7 ! developm5t1 te/+1 adaptation1 & introduction ( appropriate products & int]v5tions )9 ! context ( /r5g!n+ heal? sy/ems4 7#ac7 ,a ,c5t] = ,accel]at+ ,innovation & ,impact has be5 e/abli%$ at ,,usaid to address te*nical1 supply & policy b>ri]s 9 ! developm5t1 introduction & scale-up ( new products & te*nologies = global heal?4 ,= diseases & conditions :]e m>ket =ces h prov5 insuffici5t to g5]ate & rapidly deliv] new te*nologies1 ! ,c5t] promotes & re9=ces solutions to ov]come ob/acles su* z regulatory ineffici5cies 9 develop+ c\ntries1 limit$ us] dem&1 gaps 9 m>ket data & supply *a9 hurdles4 ,! ,c5t] also catalyzes p>tn]%ips ) ! public & private sectors to develop & rapidly deploy new products4 7#ad7 ,?r\gh a coop]ative agreem5t1 kn[n z ! ,heal? ,te*nologies program1 ,,usaid supports ! developm5t ( te*nologies t-- 7,a7 maximize ! limit$ res\rces available = global heal?2 & 7,b7 ensure t products & m$ic9es develop$ = use 9 l[-res\rce sett+s rea* ! p t ne$ su* products & m$ic9es4 ,?r\gh ! ,heal? ,te*nologies program1 #he te*nologies h be5 inv5t$1 design$1 develop$ or co-develop$ & m ?an #ajj private-sector collaborators h be5 involv$ 9 ! ,heal? ,te*nologies program1 mat*+ ,,usaid doll>s at lea/ two to "o4 ,ov] its #be-ye> hi/ory1 m ?an #ie private-sector collaborators h be5 involv$ 9 ! ,heal? ,te*nologies program1 mat*+ ,,usaid doll>s two to "o4 7#ae7 ,,usaid's rese>* & developm5t is complem5t>y to ! "w ( o!r ag5cies4 #c4 ,purposes ,! purpose ( ?is ,act is to ackn[l$ge ,,usaid's role 9 product developm5t1 introduction & scale-up ( new global heal? tools & au?orize ,,usaid's ,heal? ,te*nologies program1 9 effect z ( ! date ( ! enactm5t ( ?is ,act1 "u :i* ! ,unit$ ,/ates ,ag5cy = ,int]national ,developm5t supports ! developm5t ( te*nologies = global heal? to-- 7#a7 improve global heal?2 7#b7 r$uce mat]nal1 newborn1 & *ild mortality rates2 7#c7 rev]se ! incid5ce ( ,,hiv_/,,aids1 mal>ia1 tub]culosis1 & o!r infecti\s diseases2 7#d7 r$uce ! burd5 ( *ronic diseases2 7#e7 ov]come te*nical1 supply & policy hurdles to product introduction & scale-up2 & 7#f7 support rese>* & developm5t t is consi/5t ) a global developm5t /rategy & o!r relat$ /rategies develop$ by ,,usaid4 #d4 ,codification ( ,heal? ,te*nologies program ,section #ajg ( ! ,=eign ,assi/ance ,act ( #aifa 7#bb ,u4,s4,c4 #baea;e7 is am5d$ by add+ at ! end ! foll[+3 7c7 ,heal? te*nologies program 7#a7 ,!re is e/abli%$ 9 ! ,unit$ ,/ates ,ag5cy = ,int]national ,developm5t 7,,usaid7 a heal? te*nologies program 7ref]r$ to 9 ?is subsection z ! program74 7#b7 ,! program %all develop1 advance1 & introduce af=dable1 available1 & appropriate & prim>ily late-/age te*nologies specifically design$ to-- 7,a7 improve ! heal? & nutrition ( populations 9 develop+ c\ntries2 7,b7 r$uce mat]nal1 newborn1 & *ild mortality 9 su* c\ntries2 & 7,c7 improve ! diagnosis1 prev5tion1 & r$uction ( disease1 especially ,,hiv_/,,aids1 mal>ia1 tub]culosis1 & o!r infecti\s diseases1 9 su* c\ntries4 7#c7 ,! program %all be c>ri$ out "u a coop]ative agreem5t betwe5 ,,usaid & "o or m in/itutions ) a successful record (-- 7,a7 advanc+ ! te*nologies describ$ 9 p>agraph 7#b72 & 7,b7 integrat+ practical field exp]i5ce into ! rese>* & developm5t process 9 ord] to introduce ! mo/ appropriate te*nologies4 7#d7 ,! provisions ( ?is subsection codify ! coop]ative agreem5t1 kn[n z ! ,heal? ,te*nologies program1 9 effect z ( ! date ( ! enactm5t ( ?is subsection1 "u :i* ,,usaid supports ! developm5t ( te*nologies = global heal?4 ,! provisions ( ?is subsection d n e/abli% a new coop]ative agreem5t or program = su* purposes4 7d7 ,action plans ,! ,adm9i/rator ( ! ,unit$ ,/ates ,ag5cy = ,int]national ,developm5t 7,,usaid7 %all e/abli% & implem5t action plans to incorporate global heal? rese>* & product developm5t )9 ea* ( ! global heal? & developm5t programs1 ) support f coord9at+ ag5cies1 & %all e/abli% metrics to measure progress4 ,9 implem5t+ ! action plans1 ! ,adm9i/rator %all consid] all options1 includ+ ! use ( public private p>tn]%ips4 7e7 ,priority global heal? int]v5tions ,! ,c5t] = ,accel]at+ ,innovation & ,impact ( ! ,unit$ ,/ates ,ag5cy = ,int]national ,developm5t %all cont9ue its "w to spe$ ! developm5t1 introduction1 & scale-up ( priority global heal? int]v5tions4 4 #e4 ,report on rese>* & developm5t activities at ,,usaid 7a7 ,9 g5]al ,! ,adm9i/rator ( ! ,unit$ ,/ates ,ag5cy = ,int]national ,developm5t 7ref]r$ to 9 ?is section z ,,usaid7 %all submit to ,congress an annual report on rese>* & developm5t activities at ,,usaid4 7b7 ,matt]s ,to be includ$ ,! report requir$ by subsection 7b7 %all describe-- 7#a7 updates on ! implem5tation ( its /rategy = us+ rese>* funds to /imulate ! developm5t & introduction ( products 9 ea* ( its global heal? & developm5t programs2 7#b7 ,,usaid's collaborations & coord9ation ) o!r ,f$]al dep>tm5ts & ag5cies 9 support ( translational & appli$ global heal? rese>* & developm5t2 7#c7 its inve/m5ts = ! fiscal ye> 9 sci5ce1 te*nology1 & innovation2 7#d7 h[ ^! te*nologies & rese>* products complem5t ! "w be+ done by o!r ,f$]al dep>tm5ts & ag5cies1 if applicable2 & 7#e7 te*nologies & rese>* products t h be5 introduc$ into field trials or use4 7c7 ,consultation ,! ,adm9i/rator ( ,,usaid %all consult on an annual basis ) ! heads ( o!r ,f$]al dep>tm5ts & ag5cies to improve alignm5t ( ,,usaid's heal?-relat$ rese>* /rategy ) o!r simil> ag5cy /rategies1 ) ! int5t ( work+ t[>ds a :ole-(-gov]nm5t /rategy = global heal? rese>* & developm5t4