,,ii #aac? ,,congress #b;d ,session ,s4 #bdjg ,,9 ,,! ,,s5ate ,,( ,,! ,,unit$ ,,/ates ,may #bb1 #bjad,mrs4 ,murray introduc$ ! foll[+ bill2 :i* 0 read twice & ref]r$ to ! ,committee on ,=eign ,relations ,a ,,bill ,to am5d ! ,=eign ,assi/ance ,act ( #aifa by au?oriz+ ! ,unit$ ,/ates ,ag5cy = ,int]national ,developm5t to cont9ue support+ ! developm5t ( te*nologies = global heal? "u ! ,heal? ,te*nologies ,program1 & = 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 7#b7 ,rese>* & innovation c help to break ! cycle ( aid dep5d5cy by provid+ su/a9able solutions to long-t]m problems4 7#c7 ,rese>* & developm5t = global heal? is crucial = meet+ new & em]g+ *all5ges1 creat+ effici5cies1 /r5g!n+ heal? sy/ems1 %ift+ tasks1 /r5g!n+ work=ces1 & increas+ access to heal? s]vices = ! mo/ vuln]able p4 7#d7 ,advances 9 heal? & m$ical te*nologies h be5 ! major driv]s beh9d massive improvem5ts 9 heal? worldwide dur+ ! pa/ c5tury1 result+ 9 an av]age increase 9 life expectancy ( #ba ye>s 9 l[- & middle-income c\ntries betwe5 #aifj & #bjjb4 7#e7 ,new heal? te*nologies h a high return on inve/m5t4 ,= example1 a new m5+itis ,a vacc9e develop$ 9 collaboration ) ! ,unit$ ,/ates ,ag5cy = ,int]national ,developm5t 7ref]r$ to 9 ?is section z ,,usaid71 ! ,c5t]s = ,disease ,control & ,prev5tion1 ! ,national ,in/itutes ( ,heal?1 & ! ,food & ,drug ,adm9i/ration1 w save an e/imat$ #egj1jjj1jjj 9 co/s t w\ld o!rwise be incurr$ = em]g5cy vacc9ation campaigns dur+ ! next decade1 free+ mu* ne$$ res\rces = use else:]e 9 ov]/ret*$ heal? sy/ems4 7#f7 ,,usaid1 ! ,c5t]s = ,disease ,control & ,prev5tion1 ! ,national ,in/itutes ( ,heal?1 ! ,food & ,drug ,adm9i/ration1 & ! ,dep>tm5t ( ,def5se provide significant contributions ea* ye> to global heal? rese>* & developm5t4 ,! ,unit$ ,/ates ,gov]nm5t is support+ ! developm5t ( #bjj ( ! #cfe products 9 ! global pipel9e ( products = neglect$ & pov]ty-relat$ diseases4 7#g7 ,?is commitm5t f ! ,unit$ ,/ates ,gov]nm5t has l$ to a rem>kable increase 9 global heal? products4 ,=ty-five new heal? tools 7 regi/]$ betwe5 #bjjj & #bjaj1 & ! ,unit$ ,/ates ,gov]nm5t 0 involv$ 9 #bd ( ^! new global heal? products 9 ! la/ decade1 includ+-- 7,a7 #f drugs = mal>ia2 7,b7 #b vacc9es = pneumonia2 7,c7 #f diagno/ics = tub]culosis2 & 7,d7 #b drugs = lei%maniasis4 7#h7 ,al?\gh inve/m5ts f ! ,unit$ ,/ates ,gov]nm5t h enabl$ trem5d\s progress 9 ! introduction ( new te*nologies = global heal?1 gaps /ill exi/ 9 br++ c]ta9 te*nologies ?r\gh ! developm5t process & rapidly scal+ !m up 9 ! field4 7#i7 ,bett] coord9ation is ne$$ betwe5 ,f$]al ag5cies-- 7,a7 to align rese>* /rategies2 7,b7 to id5tify & address gaps 9 product developm5t activity2 & 7,c7 to move products effici5tly along ! rese>*-to-introduction cont9uum4 7#aj7 ,infecti\s diseases disproportionately impact populations 9 l[-income nations across ,lat9 ,am]ica1 sub-,sah>an ,africa1 & ,asia4 ,poor & vuln]able communities 9 ! ,unit$ ,/ates are also at 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 communities ) high pov]ty rates 9 ,/ates along ! ,unit$ ,/ates bord] ) ,mexico4 7#aa7 ,9 collaboration ) ! ,_w ,heal? ,organization & 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#ab7 ,because ( its pres5ce 9 ! field1 ,,usaid is uniquely plac$-- 7,a7 to assess local heal? conditions2 7,b7 to p>tn] ) public & private /akehold]s to ensure ! developm5t & timely introduction & scale-up ( tools t are culturally acceptable2 7,c7 to address s]i\s & all-too-common heal? problems2 & 7,d7 to contribute to ! /r5g!n+ ( heal? sy/ems4 7#ac7 ,9 a rec5t report to ,congress1 ,,usaid ass]ts t-- 7,a7 heal? rese>* is integral to its ability to a*ieve its heal? & developm5t objectives worldwide2 & 7,b7 innovation ?r\gh rese>* all[s ! ag5cy to develop & introduce af=dable heal? products & practices & contribute to policies appropriate = address+ heal?-relat$ conc]ns 9 ! develop+ _w4 7#ad7 7,a7 ,9 ,report to ,congress3 ,heal?-,relat$ ,rese>* & ,developm5t ,activities at ,,usaid 7,,hrrd71 ,may #bjaa1 ,,usaid analyz$ its activities f #bjjf ?r\gh #bjaj & set =? a #e-ye> heal? rese>* /rategy = ! next #e ye>s4 7,b7 ,! new /rategy is-- 7i7 an important s\rce ( in=mation on ,,usaid's programs = global heal? product developm5t2 & 7ii7 an effective tool = measur+ expect$ results f #bjaa ?r\gh #bjae4 7,c7 ,! /rategy does n articulate ,,usaid's inve/m5ts & programm+ = rese>* & developm5t 9 sev]al critical areas1 includ+-- 7i7 new tools to diagnose1 prev5t1 & treat neglect$ tropical diseases2 7ii7 rese>* address+ ! lead+ causes ( dea? & illness ( wom51 newborns1 & *ildr52 & 7iii7 new tub]culosis vacc9es4 7#ae7 ,,usaid has e/abli%$ a v>iety ( in/rum5ts to promote innovation & global heal?1 su* z-- 7,a7 ,gr& ,*all5ges = ,developm5t2 7,b7 ! ,innovation ,fund = ! ,am]icas2 7,c7 ,high] ,education ,solutions ,network 7,,hesn72 7,d7 univ]sity ,developm5t ,labs2 & 7,e7 ,rese>* & ,innovation ,fell[%ips4 7#af7 ,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 7#fd c5ts ( e ,unit$ ,/ates doll> inve/$ 9 global heal? rese>* b5efits ,unit$ ,/ates-bas$ rese>*]s72 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$uc+ ! risk ( p&emic disease2 & 7ii7 contribut+ to economic developm5t & /ability 9 develop+ c\ntries4 7#ag7 ,! ,unit$ ,/ates %\ld inve/ 9 af=dable1 appropriate heal? te*nologies1 includ+-- 7,a7 m$ical devices = mat]nal1 newborn1 & *ild c>e2 7,b7 new vacc9es2 7,c7 new vacc9e te*nologies & deliv]y tools2 7,d7 safe injection devices2 7,e7 diagno/ic te/s = infecti\s diseases2 7,f7 new tools = wat]1 sanitation1 & nutrition2 7,g7 multipurpose prev5tion te*nologies2 7,h7 in=mation sy/ems & mobile heal? & in=mation sy/ems2 & 7,i7 innovative disease prev5tion /rategies4 7#ah7 ,unit$ ,/ates inve/m5ts 9 ! heal? te*nologies set =? 9 p>agraph 7#ag7 w\ld-- 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 result 9 significant co/ sav+s = developm5t assi/ance funds4 7#ai7 ,9 circum/ances :]e m>kets fail1 public-private p>tn]%ips are an effective way to develop1 introduce & scale up new heal? te*nologies4 7#bj7 7,a7 ,product developm5t p>tn]%ips 7ref]r$ to 9 ?is p>agraph z ,p,d,ps7 are a model ( public-private p>tn]%ip t is successfully accel]at+ rese>* to b5efit ! develop+ _w4 7,b7 ,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 7,c7 ,p,d,ps typically 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 7,d7 ,,usaid has play$ a significant role 9 advanc+ ! ,,pdp model ?r\gh its f9ancial support4 7,e7 ,betwe5 #bjjd & #bjac1 ! 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#ba7 ,,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#bb7 7,a7 ,a ,c5t] = ,accel]at+ ,innovation & ,impact 7ref]r$ to 9 ?is p>agraph z ! ,c5t]7 has be5 e/abli%$ at ,,usaid to address te*nical1 supply1 & policy b>ri]s 9 ! developm5t1 introduction1 & scale-up ( new products & te*nologies = global heal?4 7,b7 ,= diseases & conditions 9 :i* 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 7,c7 ,! ,c5t] also catalyzes p>tn]%ips ) ! public & private sectors to develop & rapidly deploy new products4 7#bc7 ,s9ce #aihb1 ,,usaid has c>ri$ out a program to support ! developm5t ( heal? te*nologies ?r\gh :i* ,,usaid-- 7,a7 has maximiz$ ! limit$ res\rces available = global heal?2 7,b7 has ensur$ t products & m$ic9es develop$ = use 9 l[-res\rce sett+s h rea*$ ! p t ne$ su* products & m$ic9es2 7,c7 has inv5t$1 design$1 develop$1 or co-develop$ #he heal? te*nologies2 & 7,d7 has collaborat$ ) m ?an #ajj private-sector organizations1 :i* h mat*$ ! funds receiv$ f ,,usaid by a #b3a ratio4 7#bd7 ,! rese>* & developm5t activities ( ,,usaid are complem5t>y to ! "w ( o!r ,f$]al ag5cies4 #c4 ,purposes ,! purposes ( ?is ,act are-- 7#a7 to ackn[l$ge ! role ( ! ,unit$ ,/ates ,ag5cy = ,int]national ,developm5t 7ref]r$ to 9 ?is section z ,,usaid7 9 product developm5t1 introduction1 & scale-up ( new global heal? tools2 & 7#b7 to e/abli% ! ,te*nologies = ,heal? ,program )9 ,,usaid to support ! developm5t ( te*nologies = global heal? t w-- 7,a7 improve global heal?2 7,b7 r$uce mat]nal1 newborn1 & *ild mortality rates2 7,c7 improve heal? & nutrition2 7,d7 rev]se ! incid5ce ( ,,hiv_/,,aids1 mal>ia1 tub]culosis1 & o!r infecti\s diseases2 7,e7 r$uce ! burd5 ( *ronic diseases2 7,f7 ov]come te*nical1 supply1 & policy hurdles to product introduction & scale-up2 & 7,g7 support rese>* & developm5t t is consi/5t ) a global developm5t /rategy & o!r relat$ /rategies develop$ by ,,usaid4 #d4 ,e/abli%m5t ( ,heal? ,te*nologies ,program 7a7 ,9 g5]al ,section #ajg ( ! ,=eign ,assi/ance ,act ( #aifa 7#bb ,u4,s4,c4 #baea;e7 is am5d$ by add+ at ! end ! foll[+3 7c7 ,te*nologies = ,heal? 7#a7 ,e/abli%m5t ,!re is e/abli%$1 )9 ! ,heal? & ,infecti\s ,diseases & ,nutrition ,section ( ! ,global ,heal? ,bureau ( ! ,unit$ ,/ates ,ag5cy = ,int]national ,developm5t 7ref]r$ to 9 ?is subsection z ,,usaid71 ! ,te*nologies = ,heal? ,program 7ref]r$ to 9 ?is subsection z ! ,program74 7#b7 ,functions ,! ,program %all develop1 advance1 & introduce af=dable1 available1 & appropriate & prim>ily late-/age te*nologies specifically design$-- 7,a7 to improve ! heal? & nutrition ( populations 9 develop+ c\ntries2 7,b7 to r$uce mat]nal1 newborn1 & *ild mortality 9 su* c\ntries2 & 7,c7 to improve ! diagnosis1 prev5tion1 & r$uction ( disease1 especially ,,hiv_/,,aids1 mal>ia1 tub]culosis1 & o!r infecti\s diseases1 9 su* c\ntries4 7#c7 ,agreem5t ,! ,program %all be c>ri$ out "u a coop]ative agreem5t betwe5 ,,usaid & #a 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 7d7 ,action plans ,! ,adm9i/rator ( ,,usaid %all-- 7#a7 e/abli% & implem5t action plans to incorporate global heal? rese>* & product developm5t )9 ea* ( ! global heal? & developm5t programs1 ) support f coord9at+ ag5cies2 7#b7 e/abli% metrics to measure progress 9 implem5t+ ! action plans2 & 7#c7 consid] all options 9 implem5t+ ! action plans1 includ+ ! use ( public-private p>tn]%ips4 7e7 ,priority global heal? int]v5tions ,! ,c5t] = ,accel]at+ ,innovation & ,impact ( ,,usaid %all cont9ue its "w to spe$ ! developm5t1 introduction1 & scale-up ( priority global heal? int]v5tions4 4 7b7 ,sav+s provision ,section #ajg7;c7 ( ! ,=eign ,assi/ance ,act ( #aifa1 z add$ by subsection 7a7-- 7#a7 au?orizes ! ,unit$ ,/ates ,ag5cy = ,int]national ,developm5t 7ref]r$ to 9 ?is subsection & section #e z ,,usaid7 to cont9ue ! heal? te*nologies rese>* & developm5t activities c>ri$ out by ,,usaid be=e ! date ( ! enactm5t ( ?is ,act2 & 7#b7 does n e/abli% a new program = su* purposes4 #e4 ,annual report on rese>* & developm5t activities at ,,usaid 7a7 ,9 g5]al ,n lat] ?an #a ye> aft] ! date ( ! enactm5t ( ?is ,act1 & annually !reaft] = ! foll[+ #d ye>s1 ! ,adm9i/rator ( ! ,unit$ ,/ates ,ag5cy = ,int]national ,developm5t1 aft] consultation ) ! ,c5t]s = ,disease ,control & ,prev5tion1 ! ,dep>tm5t ( ,def5se1 ! ,food & ,drug ,adm9i/ration1 & ! ,national ,in/itutes ( ,heal?1 %all submit a sep>ate report to ,congress on ! rese>* & developm5t activities c>ri$ out by ,,usaid4 7b7 ,matt]s ,to be includ$ ,ea* report submitt$ "u subsection 7a7 %all include-- 7#a7 updates on ! implem5tation ( ,,usaid's /rategy = us+ rese>* funds to /imulate ! developm5t & introduction ( products 9 ea* ( its global heal? & developm5t programs2 7#b7 a description ( ,,usaid's collaborations & coord9ation ) o!r ,f$]al dep>tm5ts & ag5cies 9 support ( translational & appli$ global heal? rese>* & developm5t2 7#c7 a description ( ,,usaid's collaborations & coord9ation ) p>tn] gov]nm5ts1 bilat]al & multilat]al donors1 & o!r relevant gov]nm5tal entities 9 support ( translational & appli$ global heal? rese>* & developm5t2 7#d7 a description ( ,,usaid inve/m5ts 9 sci5ce1 te*nology1 & innovation2 7#e7 an explanation ( h[ te*nologies & rese>* products develop$ by ,,usaid complem5t "w be+ done by o!r ,f$]al dep>tm5ts & ag5cies2 & 7#f7 a li/ ( te*nologies & rese>* products t h be5 introduc$ into field trials or use4 7c7 ,consultation ,! ,adm9i/rator ( ,,usaid %all annually consult ) ! 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