,,ii  #aad? ,,congress  #a/ ,session    
,s4 #aiaa  ,,9 ,,! ,,s5ate ,,( ,,!      
,,unit$ ,,/ates  ,july #cj1 #bjae ,ms4  
,coll9s 7= h]self & ,mr4 ,coons7        
introduc$ ! foll[+ bill2 :i* 0 read     
twice & ref]r$ to ! ,committee on ,=eign
 ,relations  ,a ,,bill  ,to implem5t    
policies to end prev5table mat]nal1     
newborn1 & *ild dea?s globally4  #a4    
,%ort title  ,?is ,act may be cit$ z !  
,rea* ,e ,"m & ,*ild ,act ( #bjae4  #b4 
,purpose ,! purpose ( ?is ,act is to    
au?orize coord9ation ( a :ole-(-gov]nm5t
 /rategic approa* to accel]ate action by
 ! ,unit$ ,/ates to assi/ develop+      
c\ntries rea* ! goal ( end+ prev5table  
mat]nal1 newborn1 & *ild dea?s by #bjce4
  #c4 ,def9itions ,9 ?is ,act3 7#a7     
,adm9i/rator ,! t]m ,adm9i/rator means !
 ,adm9i/rator ( ! ,unit$ ,/ates ,ag5cy =
 ,int]national ,developm5t4  7#b7       
,appropriate congressional committees ,!
 t]m appropriate congressional          
committees means-- 7,a7 ! ,committee on 
,=eign ,relations & ! ,committee on     

,appropriations ( ! ,s5ate2 &  7,b7 !   
,committee on ,=eign ,affairs & !       
,committee on ,appropriations ( ! ,h\se 
( ,repres5tatives4  7#c7 ,coord9ator ,! 
t]m ,coord9ator means ! ,mat]nal & ,*ild
 ,survival ,coord9ator e/abli%$ "u      
section #f4  7#d7 ,t>get c\ntries ,! t]m
 t>get c\ntries means specific c\ntries 
h ! greate/ ne$ & highe/ burd5 = mat]nal
 & *ild heal? int]v5tions1 tak+ into    
consid]ation c\ntries t--  7,a7 h       
high-ne$ communities 9 fragile & poor   
,/ates2  7,b7 are locat$ 9 regions )    
weak heal? sy/ems2 &  7,c7 h gov]nm5ts t
 h demon/rat$ ! political w necess>y =  
mat]nal & *ild ef=ts to be su/a9able &  
effective4  #d4 ,/atem5t ( policy ,x is 
! policy ( ! ,unit$ ,/ates1 9 p>tn]%ip )
 develop+ gov]nm5ts1 o!r donor c\ntry   
gov]nm5ts1 int]national f9ancial        
in/itutions1 nongov]nm5tal              
organizations1 fai?-bas$ organizations1 
multilat]al organizations1 & ! private  
sector1 to e/abli% & implem5t a         
coord9at$1 integrat$1 :ole-(-gov]nm5t   

/rategy to combat ! lead+ causes (      
mat]nal1 newborn1 & *ild mortality by-- 
7#a7 build+ on progress & success to    
date2  7#b7 scal+ up ! mo/ effective1   
evid5ce-bas$ int]v5tions ) a focus on   
c\ntry own]%ip2  7#c7 design+1          
implem5t+1 monitor+1 & evaluat+ programs
 9 a way t increases ! su/a9ability &   
own]%ip ( ! programs & improves outcomes
 9 t>get c\ntries2  7#d7 focus+ on t>get
 c\ntries & o!r areas ( focus2  7#e7    
/reaml9+ exi/+ res\rces & scal+ up prov5
 int]v5tions2  7#f7 increas+ transp>5cy 
& acc\ntability2  7#g7 support+ !       
developm5t & scale up ( innovative tools
 & approa*es to accel]ate progress t[>d 
end+ prev5table mat]nal1 newborn1 & *ild
 dea?s2  7#h7 creat+ innovative         
public-private f9anc+ me*anisms2  7#i7  
requir+ t grants1 contracts1 &          
coop]ative agreem5ts = end+ prev5table  
mat]nal1 newborn1 & *ild dea?s include  
t>gets = increas$ implem5tation ( prov5 
int]v5tions & /r5g!n+ heal? sy/ems z    
appropriate1 includ+ ! e/abli%m5t (     

basel9e measurem5ts f :i* to quantify   
progress2 &  7#aj7 accel]at+ progress   
t[>ds self-suffici5cy = mat]nal1        
newborn1 & *ild heal? & survival        
programs 9 t>get c\ntries & o!r areas ( 
focus4  #e4 ,/rategy  7a7 ,9 g5]al ,!   
,presid5t %all e/abli% an int]-ag5cy    
work+ gr\p1 l$ by ! ,*ild & ,mat]nal    
,survival ,coord9ator at ! ,unit$ ,/ates
 ,ag5cy = ,int]national ,developm5t     
7,,usaid7 & e/abli% & implem5t1 n lat]  
?an "o ye> aft] ! date ( ! enactm5t (   
?is ,act1 a coord9at$1 :ole-(-gov]nm5t1 
t5-ye> /rategy to a*ieve1 ) p>tn]       
c\ntries & donors1 ! goal ( end+        
prev5table mat]nal1 newborn1 & *ild     
dea?s by #bjce4  7b7 ,elem5ts ,! /rategy
 e/abli%$ "u subsection 7a7 %all-- 7#a7 
set outcome-bas$ t>gets to a*ieve !     
goals ( ! /rategy & asc]ta9 basel9e data
 relevant = ea* t>get c\ntry & = all    
areas ( focus & programm+ z ( ! date ( !
 release ( ! /rategy2  7#b7 utilize     
exi/+1 reliable data & model+ to enable 
ag5cies to rea* su* t>gets2  7#c7       

include specific objectives1 programs1 &
 approa*es to utilize highe/ impact1    
evid5ce-bas$ int]v5tions to address !   
lead+ causes ( dea? among wom5 dur+     
pregnancy1 *ildbir?1 & po/-deliv]y2     
newborns 9 _! fir/ #bh days2 & *ildr5 "u
 ! age ( five1 build+ on ! evid5ce      
outl9$ 9 ,,usaid's ,act+ on ! ,call3    
,end+ ,prev5table ,*ild & ,mat]nal      
,dea?s2  7#d7 focus on t>get c\ntries2  
7#e7 include developm5t & scale-up ( new
 te*nologies & approa*es1 includ+ ^?    
support$ by public-private p>tn]%ips =  
rese>* & innovation2  7#f7 ensure       
coord9ation )9 & among/ ! relevant      
executive bran* ag5cies & initiatives1  
includ+ ! ,unit$ ,/ates ,ag5cy =        
,int]national ,developm5t1 ! ,dep>tm5t (
 ,/ate1 ! ,dep>tm5t ( ,heal? & ,human   
,s]vices1 ! ,c5t]s = ,disease ,control &
 ,prev5tion1 ! ,national ,in/itutes (   
,heal?1 ! ,mill5nium ,*all5ge           
,corporation1 ! ,peace ,corps1 !        
,dep>tm5t ( ! ,treasury1 ! ,(fice ( !   
,global ,,aids ,coord9ator1 & !         

,presid5t's ,mal>ia ,initiative2  7#g7  
improve coord9ation & effici5cy among   
relevant executive bran* ag5cies1 =eign 
gov]nm5ts1 & int]national organizations2
  7#h7 project g5]al levels ( res\rces  
ne$$ to a*ieve ! /rategy's /at$         
objectives2  7#i7 id5tify /rategies =   
lev]ag+ res\rces 9 new & innovative     
ways2  7#aj7 align ) c\ntry-driv5       
mat]nal1 newborn1 & *ild heal? &        
survival plans & plans ( int]national   
organizations t w support progress t[>ds
 self-su/a9ability by p>tn] c\ntries2 & 
7#aa7 outl9e consultations ) gov]nm5ts1 
int]national f9ancial in/itutions1      
nongov]nm5tal organizations1 fai?-bas$  
organizations1 local & int]national     
civil society gr\ps1 multilat]al        
organizations1 ! private sector1 & local
 heal? work]s & pr(essional             
associations1 z appropriate4  #f4       
,e/abli%m5t ( a ,*ild & ,mat]nal        
,survival ,coord9ator  7a7 ,9 g5]al ,!  
,presid5t1 act+ ?r\gh ! ,adm9i/rator1   
%all designate a curr5t ,,usaid employee

 s]v+ 9 a c>e] or non-c>e] position 9 ! 
,s5ior ,executive ,s]vice or at ! level 
( a ,deputy ,assi/ant ,adm9i/rator or   
high] to s]ve concurr5tly z ! ,mat]nal &
 ,*ild ,survival ,coord9ator1 :o %all be
 responsible = ov]see+ mat]nal & *ild   
heal? & nutrition fund+ manag$ by !     
,bureau ( ,global ,heal? ( ,,usaid &    
lead ! int]-ag5cy work+ gr\p e/abli%$ "u
 section #e4  7b7 ,duties ,! ,coord9ator
 %all-- 7#a7 direct ! budget1 plann+1 & 
/aff+ to implem5t ! projects & programs 
( mat]nal & *ild heal? & nutrition      
acc\nts manag$ by ! ,bureau ( ,global   
,heal? at ,,usaid = ! purpose ( a*iev+  
r$uctions 9 prev5table mat]nal1 newborn1
 & *ild dea?s2  7#b7 lead implem5tation 
& revision1 n less frequ5tly ?an once e 
#aj ye>s1 ( ! /rategy e/abli%$ "u       
section #e2  7#c7 coop]ate ) relevant   
executive bran* ag5cies1 gov]nm5ts (    
p>tn] c\ntries1 nongov]nm5tal           
organizations 7includ+ fai?-bas$1       
community-bas$ & civil society          
organizations71 & private sector        

entities to c>ry out ! /rategy & to     
align curr5t & future in/rum5ts )       
high-impact1 evid5ce-bas$ int]v5tions to
 save lives2  7#d7 provide direction to 
& ov]see grants1 contracts1 & coop]ative
 agreem5ts ) nongov]nm5tal organizations
 7includ+ fai?-bas$1 community-bas$ &   
civil society organizations7 & private  
sector entities = ! purpose ( c>ry+ out 
! /rategy2 &  7#e7 report to !          
,adm9i/rator reg>d+ implem5tation ( !   
/rategy4  7c7 ,re/riction on additional 
or supplem5tal comp5sation ,!           
responsibilities & specific duties ( !  
,coord9ator %all be 9 addition to any   
o!r responsibilities or specific duties 
assign$ to ! individual4 ,! ,coord9ator 
%all receive no additional or           
supplem5tal comp5sation z a result (    
c>ry+ out responsibilities & duties "u  
?is ,act4  #g4 ,annual report+ on       
mat]nal1 newborn1 & *ild survival ,!    
,presid5t %all update ,congress on      
progress made to a*ieve ! /rategy       
e/abli%$ "u section #e z well z progress

 t[>ds ! goals set =? 9 ,,usaid's #bjad 
,act+ on ! ,call report by submitt+ an  
annual report to ! ,committee on ,=eign 
,relations ( ! ,s5ate & ! ,committee on 
,=eign ,affairs ( ! ,h\se (             
,repres5tatives & publi% all report data
 on ! ,int]net website1                 
www4=eignassi/ance4gov 7also kn[n z !   
,=eign ,assi/ance ,da%bo>d74 ,! report  
%all include ! foll[+ elem5ts3  7#a7    
,indicators ( progress made by ,unit$   
,/ates ,gov]nm5t programs c>ri$ out "u  
mat]nal & *ild heal? & nutrition acc\nts
 manag$ by ! ,bureau ( ,global ,heal?   
t[>d improv+ mat]nal1 newborn1 & *ild   
heal? 9 ea* t>get c\ntry & ov]all1      
includ+--  7,a7 numb] ( mat]nal dea?s   
av]t$2  7,b7 numb] ( dea?s av]t$ (      
newborns 9 _! fir/ #bh days2  7,c7 numb]
 ( dea?s av]t$ ( *ild be=e _! fif?      
bir?day2  7,d7 mat]nal mortality ratio  
7p] #ajj1jjj live bir?s72  7,e7 "u five 
mortality rate2  7,f7 bir?s att5d$ by   
skill$ heal? p]sonnel2  7,g7 d5sity (   
heal? work=ce 7numb] ( heal?            

pr(essionals p] population72  7,h7      
descriptions ( ! measur$ or e/imat$     
impact on mat]nal1 newborn1 & *ild      
mortality ( ea* on-go+ program or       
project2 &  7,i7 any o!r t>gets id5tifi$
 by ! ,coord9ator or ! int]-ag5cy work+ 
gr\p z ess5tial to meet+ ! goals ( !    
,presid5t's /rategy = end+ prev5table   
mat]nal1 newborn1 & *ild dea?s4  7#b7   
,descriptions ( h[ ! int]v5tions are    
design$-- 7,a7 to increase activities 9 
t>get c\ntries2  7,b7 to rea* und]s]v$1 
m>g9aliz$1 & impov]i%$ populations2     
7,c7 to address causes ( mat]nal1       
newborn1 & *ild mortality ) innovative  
ef=ts & int]v5tions pos$ to g to scale2 
7,d7 to inve/ 9 activities t emp[] wom51
 support volunt>ism1 & provide          
respectful mat]nity c>e2  7,e7 to       
improve transp>5cy & acc\ntability at   
all levels & include common metrics =   
track+ progress2  7,f7 to ensure t high 
impact1 evid5ce-bas$ int]v5tions are    
prioritiz$2 &  7,g7 to exp& access to   
quality s]vices ?r\gh community-bas$    

approa*es & include community           
acc\ntability measures4  7#c7           
,assessm5ts ( progress made ov] !       
report+ p]iod t[>ds improv+ ! indicators
 set =? "u p>agraph 7#a74  7#d7 ,report+
 on ea* aspect ( ! /rategy e/abli%$ "u  
section #e1 includ+-- 7,a7              
multi-sectoral approa*es1 specific      
/rategies1 & programm+ utiliz+ high     
impact1 evid5ce-bas$ int]v5tions to     
address ! lead+ causes ( prev5table     
mat]nal1 newborn1 & *ild dea?s2  7,b7   
activities to develop & scale up new    
te*nologies1 int]v5tions1 or approa*es1 
includ+ ^? id5tifi$ by public-private   
p>tn]%ips = rese>* & innovation2  7,c7  
coord9ation & effici5cy )9 & among ea*  
ag5cy 9 ! int]-ag5cy work+ gr\p1 =eign  
gov]nm5ts1 nongov]nm5tal organizations1 
& int]national organizations2  7,d7     
me?ods us$ to lev]age new f9ancial & o!r
 public & private res\rces 9 innovative 
ways2 &  7,e7 be/ practices id5tifi$ by 
! executive bran* & its int]-ag5cy work+
 gr\p4  7#e7 ,report+ on grants1        

contracts1 & coop]ative agreem5ts aw>d$1
 includ+--  7,a7 a compreh5sive li/ (   
,,usaid grants1 contracts & coop]ative  
agreem5ts aw>d$ 9 implem5tation ( !     
/rategy creat$ "u ?is ,act2 &  7,b7 7i7 
a description (-- 7,i7 ! t>gets =       
int]v5tions or s]vices & ! basel9e aga9/
 :i* !y are measur$2 &  7,,ii7 ! /atus (
 progress 9 meet+ ! t>gets2 or  7ii7 9  
exceptional circum/ances :]e ,,usaid    
det]m9es t inclusion ( t>gets or basel9e
 measurem5ts is n reasonably possible1  
an explanation ( h[ ! impact ( ! grant1 
contract1 agreem5t or result+ program is
 be+ measur$4  7#f7 ,compreh5sive &     
disaggregat$ in=mation consi/5t ) !     
,unit$ ,/ates ,gov]nm5t's commitm5t to  
implem5t transp>5cy measures4  #h4      
,e/abli%m5t ( an innovative             
public-private f9anc+ me*anism  7a7     
,e/abli%m5t ( f9anc+ framework ,! ,unit$
 ,/ates ,gov]nm5t1 ?r\gh ,,usaid & o!r  
relevant executive bran* ag5cies        
id5tifi$ by ! ,coord9ator & ! int]-ag5cy
 work+ gr\p1 %all develop a f9anc+      

framework to lev]age public & private   
capital to exp& deliv]y ( high-impact1  
evid5ce-bas$ int]v5tions = mat]nal1     
newborn1 & *ild heal?4 ,! framework %all
 also set cle> expectations = co-f9anc+1
 :]e appropriate1 to increase dome/ic   
inve/m5t 9 mat]nal1 newborn1 & *ild     
survival ) ! goal ( assi/+ c\ntries 9   
mov+ t[>ds f9ancial self-suffici5cy =   
su* programs4  7b7 ,use ( framework     
7#a7 ,9 g5]al ,9 addition to exi/+      
bilat]al & multilat]al assi/ance =      
mat]nal1 newborn1 & *ild survival1 !    
,unit$ ,/ates ,gov]nm5t is au?oriz$ to  
utilize ! tools outl9$ 9 ! framework1 z 
well z o!r innovative f9anc+ me*anisms  
id5tifi$ & approv$ by ! int]-ag5cy work+
 gr\p1 to help c\ntries a*ieve cle>     
results1 exhibit transp>5cy 9 ! use (   
funds1 enc\rage new dome/ic &           
int]national f9anc+ entities1 & lev]age 
new & additional public1 private1 &     
philan?ropic funds = mat]nal1 newborn1 &
 *ild heal? & survival 9 p>tn] c\ntries4
  7#b7 ,tools & approa*es ,^! tools &   

approa*es include developm5t impact     
bonds1 loan gu>antees1 revolv+ funds1   
work+ capital funds1 p]=mance-bas$      
f9anc+ me*anisms1 public-private        
p>tn]%ips1 & o!r simil> f9anc+ or       
monetization me*anisms t lev]age fund+  
to exp& int]v5tions t save lives &      
improve heal? & survival4  7#c7         
,au?orities ,9 addition to curr5tly held
 au?orities1 ,,usaid & o!r relevant     
executive bran* ag5cies ( ! ,unit$      
,/ates ,gov]nm5t1 act+ on _! own or 9   
p>tn]%ip ) develop+ c\ntries1 o!r donor 
c\ntries1 nongov]nm5tal organizations1  
int]national organizations1 or          
multilat]al f9ancial in/itutions1 is    
au?oriz$--  7,a7 to grant loans2  7,b7  
to set aside funds = use 9 !            
implem5tation ( f9anc+ me*anisms "u     
subsection 7a72  7,c7 to use a f9ancial 
int]m$i>y to implem5t a pay-=-p]=mance  
f9anc+ me*anism1 subject to !           
eligibility requirem5ts set =? "u       
subsection 7c72  7,d7 to issue sov]eign 
level gu>antees2 &  7,e7 to make equity 

inve/m5ts4  7c7 ,eligibility =          
p>ticipation ,9 ord] to p>ticipate 9 !  
pay-=-p]=mance program1 p>tn] c\ntries  
%all be requir$ by ! ,unit$ ,/ates      
,gov]nm5t to commit to--  7#a7 fully    
b5*m>k$ plans to increase nom9al & p]   
capita heal? sp5d+2 &  7#b7 fully       
develop$ & budget$ mat]nal & *ild       
survival plans4  7d7 ,project           
qualification ,9 ord] to h a project    
qualify "u subsection 7c71 ! p>tn]      
c\ntry or its designat$ implem5t+ p>tn] 
mu/ produce--  7#a7 specific outcome    
goals = ! project2  7#b7 a description (
 ea* int]v5tion & project$ outcome = !  
project2  7#c7 rigor\s evid5ce          
demon/rat+ t ! int]v5tions c be expect$ 
to produce ! project$ outcomes2  7#d7 an
 e/imate ( project$ gov]nm5t co/s &     
sav+s to conduct ! project2  7#e7 a     
description ( h[ ! outcomes are monetiz$
 & secur$ aga9/ fix$ co/s2  7#f7 a      
description ( ! t>get population or     
populations t w be s]v$ by ! project2   
7#g7 a description ( ! expect$ social   

b5efits to p>ticipants :o receive !     
int]v5tions1 z well z o!rs :o may be    
impact$2  7#h7 ! metrics t w be us$ to  
det]m9e :e!r ! outcomes h be5 a*iev$ & !
 me?ods to be us$ to measure ^? metrics2
 &  7#i7 a plan = su/a9ability ( ef=ts4 
7e7 ,e/abli%m5t ( ,developm5t ,impact   
,p>tn]%ip ,! ,unit$ ,/ates ,gov]nm5t    
%all support ! creation ( a developm5t  
impact p>tn]%ip to act z a f9ancial     
int]m$i>y & facilitate ! f9anc+ me*anism
 e/abli%$ "u ?is section4 ,! p>tn]%ip   
%all be design$ to all[ = !             
incorporation ( private s\rces & o!r    
nongov]nm5tal s\rces ( capital to       
lev]age ,unit$ ,/ates ,gov]nm5t         
inve/m5ts1 fo/] public-private          
p>tn]%ips1 & engage private sector      
actors 9 develop+ c\ntries to a*ieve    
measurable progress t[>ds ! /rategy     
e/abli%$ "u section #e4  #i4            
,au?orization ( fund+  7a7 ,au?orization
 ,!re are au?oriz$ to be appropriat$ su*
 sums z may be necess>y to c>ry out !   
mat]nal & *ild /rategy1 f9anc+          

framework1 & ,developm5t ,impact        
,p>tn]%ip4  7b7 ,application ,f$]al     
funds appropriat$ to c>ry out activities
 "u ?is act %all be subject to all      
applicable re/rictions "u ,f$]al law4