,i #aafth ,,congress #ast ,session ,h4 ,r4 #baff ,,in ,,the ,,house ,,of ,,representatives ,april #i1 #bjai,mr4 ,connolly 7for himself1 ,mr4 ,chabot1 ,mr4 ,bera1 ,mr4 ,fitzpatrick1 ,mr4 ,larsen of ,washington1 and ,mrs4 ,wagner7 introduced the following bill2 which was referred to the ,committee on ,foreign ,affairs1 and in addition to the ,committees on ,armed ,services1 and ,intelligence 7,permanent ,select71 for a period to be subsequently determined by the ,speaker1 in each case for consideration of such provisions as fall within the jurisdiction of the committee concerned ,a ,,bill ,to authorize a comprehensive1 strategic approach for ,united ,states foreign assistance to developing countries to strengthen global health security1 and for other purposes4 #a4 ,short title ,this ,act may be cited as the ,global ,health ,security ,act of #bjai4 #b4 ,findings ,congress finds the following3 7#a7 ,in #bjje1 each of the #aif ,world ,health ,organization member states signed the ,international ,health ,regulations to improve the world's ability to prevent1 detect1 and respond to public health events4 7#b7 ,in ,december #bjji1 ,president ,obama released the ,national ,strategy for ,countering ,biological ,threats1 which listed as one of seven objectives ,promote global health security3 ,increase the availability of and access to knowledge and products of the life sciences that can help reduce the impact from outbreaks of infectious disease whether of natural1 accidental1 or deliberate origin4 7#c7 ,in ,september #bjaa1 the ,united ,states and the ,world ,health ,organization signed a memorandum of understanding to help developing countries strengthen their capabilities to meet the ,international ,health ,regulations4 7#d7 ,in ,february #bjad1 the ,united ,states and nearly #cj other nations launched the ,global ,health ,security ,agenda 7,,ghsa7 to address several high-priority1 global infectious disease threats4 ,the ,,ghsa is a multi-faceted1 multi-country initiative intended to accelerate partner countries' measurable capabilities to achieve specific targets to prevent1 detect1 and respond to infectious disease threats1 whether naturally occurring1 deliberate1 or accidental4 7#e7 ,the ,,ghsa was funded with a #a1jjj1jjj1jjj1 one-time1 #e-year supplemental appropriation that expires at the end of fiscal year #bjai4 7#f7 ,as of #bjad1 approximately #fg percent of nations have not fully implemented the ,international ,health ,regulations and built appropriate core capacities to detect1 assess1 report1 and respond to public health emergencies4 7#g7 ,in #bjae1 the ,united ,nations adopted the ,sustainable ,development ,goals 7,s,d,gs71 which include specific reference to the importance of global health security as part of ,,sdg #c ensure healthy lives and promote well-being for all at all ages as follows3 strengthen the capacity of all countries1 in particular developing countries1 for early warning1 risk reduction and management of national and global health risks4 7#h7 ,on ,november #d1 #bjaf1 ,president ,obama signed ,executive ,order #acgdg1 ,advancing the ,global ,health ,security ,agenda to ,achieve a ,world ,safe and ,secure from ,infectious ,disease ,threats4 7#i7 ,in ,october #bjag at the ,,ghsa ,ministerial ,meeting in ,uganda1 the ,united ,states and more than #dj ,,ghsa member countries supported the ,kampala ,declaration to extend the ,,ghsa for an additional #e years to #bjbd4 7#aj7 ,in ,december #bjag1 ,president ,trump released the ,national ,security ,strategy1 which includes the priority action3 ,detect and contain biothreats at their source3 ,we will work with other countries to detect and mitigate outbreaks early to prevent the spread of disease4 ,we will encourage other countries to invest in basic health care systems and to strengthen global health security across the intersection of human and animal health to prevent infectious disease outbreaks4 7#aa7 ,in ,february #bjah1 the ,director of ,national ,intelligence1 ,daniel ,r4 ,coats1 released the ,worldwide ,threat ,assessment of the ,u4,s4 ,intelligence ,community1 which said ,the increase in frequency and diversity of reported disease outbreaks--such as dengue and ,zika--probably will continue through #bjah1 including the potential for a severe global health emergency that could lead to major economic and societal disruptions1 strain governmental and international resources1 and increase calls on the ,united ,states for support4 7#ab7 ,in the ,consolidated ,appropriations ,act1 #bjah 7,public ,law #aae-ada71 ,congress provided #agb1fjj1jjj for global health security and required the ,president to submit a global health security strategy to ,congress not later than #ahj days after the date of the enactment of that ,act4 7#ac7 ,in ,september #bjah1 ,president ,trump released the ,national ,biodefense ,strategy1 which includes objectives to strengthen global health security capacities to prevent local bioincidents from becoming epidemics1 and strengthen international preparedness to support international response and recovery capabilities4 7#ad7 ,in ,december #bjah1 ,president ,trump released the ,national ,strategy for ,countering ,weapons of ,mass ,destruction ,terrorism1 which states that ,although securing dangerous biological agents1 controlled chemical precursors1 and nuclear and radiological materials is principally the responsibility of the states that hold them1 it is manifestly in the ,united ,states interest that these states have both the political will and the ability to discharge this responsibility4 ,consequently1 we will work with partner nations and international organizations to improve their capacity to secure dangerous materials1 in particular by sharing expertise to establish effective and sustainable infrastructure1 human capital1 and regulatory frameworks to counter the ,,wmd threat44 #c4 ,statement of policy2 sense of ,congress 7a7 ,statement of policy ,it is the policy of the ,united ,states to-- 7#a7 promote global health security as a core national security interest2 7#b7 advance the ,global ,health ,security ,agenda2 7#c7 collaborate with other countries to detect and mitigate outbreaks early to prevent the spread of disease2 7#d7 encourage other countries to invest in basic resilient and sustainable health care systems2 and 7#e7 strengthen global health security across the intersection of human and animal health to prevent infectious disease outbreaks and combat the growing threat of antimicrobial resistance4 7b7 ,sense of congress ,it is the sense of the ,congress that the ,president1 in providing assistance to implement the strategy required under section #f7;a71 should-- 7#a7 coordinate1 through a whole-of-government approach1 the efforts of relevant ,federal departments and agencies to implement the strategy2 7#b7 seek to fully utilize the unique capabilities of each relevant ,federal department and agency while collaborating with and leveraging the contributions of other key stakeholders2 and 7#c7 utilize open and streamlined solicitations to allow for the participation of a wide range of implementing partners through the most appropriate procurement mechanisms1 which may include grants1 contracts1 cooperative agreements1 and other instruments as necessary and appropriate4 #d4 ,global ,health ,security ,agenda ,interagency ,review ,council 7a7 ,establishment ,the ,president shall establish a ,global ,health ,security ,agenda ,interagency ,review ,council 7in this section referred to as the ,council7 to perform the general responsibilities described in subsection 7d7 and the specific roles and responsibilities described in subsection 7f74 7b7 ,chair ,the ,president shall appoint an employee of the ,national ,security ,council1 serving at the senior director level or higher1 to serve as ,chair for the ,council4 7c7 ,meetings ,the ,council shall meet not less than four times per year to advance its mission and fulfill its responsibilities4 7d7 ,general responsibilities 7#a7 ,in general ,the ,council shall be responsible for the following activities3 7,a7 ,provide policy-level recommendations to participating agencies on ,global ,health ,security ,agenda 7,,ghsa7 goals1 objectives1 and implementation4 7,b7 ,facilitate interagency1 multi-sectoral engagement to carry out ,,ghsa implementation4 7,c7 ,provide a forum for raising and working to resolve interagency disagreements concerning the ,,ghsa4 7,d7 7i7 ,review the progress toward and work to resolve challenges in achieving ,united ,states commitments under the ,,ghsa1 including commitments to assist other countries in achieving the ,,ghsa targets4 7ii7 ,the ,council shall consider1 among other issues1 the following3 7,i7 ,the status of ,united ,states financial commitments to the ,,ghsa in the context of commitments by other donors1 and the contributions of partner countries to achieve the ,,ghsa targets4 7,,ii7 ,the progress toward the milestones outlined in ,,ghsa national plans for those countries where the ,united ,states ,government has committed to assist in implementing the ,,ghsa and in annual work-plans outlining agency priorities for implementing the ,,ghsa4 7,,iii7 ,the external evaluations of ,united ,states and partner country capabilities to address infectious disease threats1 including the ability to achieve the targets outlined within the ,,who ,joint ,external ,evaluation 7,,jee7 tool1 as well as gaps identified by such external evaluations4 7,e7 ,develop a report on an annual basis regarding the progress achieved and challenges concerning the ,united ,states ,government's ability to advance the ,,ghsa across priority countries4 ,the data included in the report shall be disaggregated by priority country using indicators that are consistent on a year-to-year basis4 ,the report shall include recommendations to resolve1 mitigate1 or otherwise address the challenges identified therein4 ,the report shall be transmitted to the ,president and the appropriate congressional committees and1 to the extent possible1 made publicly available4 7,f7 ,conduct an overall review of the ,,ghsa for submission to the ,president and the appropriate congressional committees by not later than #ahj days after the date of the enactment of this ,act4 ,the review should include an evaluation of the progress achieved during the first #e years of this initiative1 as well as any challenges faced4 ,the report should also provide recommendations on the future direction of the initiative4 7#b7 ,form ,the report required under paragraph 7#a77;,e7 and the review required under paragraph 7#a77;,f7 shall be submitted in unclassified form but may contain a classified annex4 7e7 ,participation ,the ,council shall consist of representatives1 serving at the ,assistant ,secretary level or higher1 from the following agencies3 7#a7 ,the ,department of ,state4 7#b7 ,the ,department of ,defense4 7#c7 ,the ,department of ,justice4 7#d7 ,the ,department of ,agriculture4 7#e7 ,the ,department of ,health and ,human ,services4 7#f7 ,the ,department of ,labor4 7#g7 ,the ,department of ,homeland ,security4 7#h7 ,the ,office of ,management and ,budget4 7#i7 ,the ,united ,states ,agency for ,international ,development4 7#aj7 ,the ,environmental ,protection ,agency4 7#aa7 ,the ,centers for ,disease ,control and ,prevention4 7#ab7 ,the ,office of ,science and ,technology ,policy4 7#ac7 ,the ,national ,institutes of ,health4 7#ad7 ,the ,national ,institute of ,allergy and ,infectious ,diseases4 7#ae7 ,such other agencies as the ,chair for the ,council determines to be appropriate4 7f7 ,specific roles and responsibilities 7#a7 ,in general ,the heads of agencies described in subsection 7e7 shall-- 7,a7 make the ,,ghsa and its implementation a high priority within their respective agencies1 and include ,,ghsa-related activities within their respective agencies' strategic planning and budget processes2 7,b7 designate a senior-level official to be responsible for the implementation of this ,act2 7,c7 designate1 in accordance with subsection 7e71 an appropriate representative at the ,assistant ,secretary level or higher to participate on the ,council2 7,d7 keep the ,council apprised of ,,ghsa-related activities undertaken within their respective agencies2 7,e7 maintain responsibility for agency-related programmatic functions in coordination with host governments1 country teams1 and ,,ghsa in-country teams1 and in conjunction with other relevant agencies2 7,f7 coordinate with other agencies that are identified in this section to satisfy programmatic goals1 and further facilitate coordination of country teams1 implementers1 and donors in host countries2 and 7,g7 coordinate across ,,ghsa national plans and with ,,ghsa partners to which the ,united ,states is providing assistance4 7#b7 ,additional roles and responsibilities ,in addition to the roles and responsibilities described in paragraph 7#a71 the heads of agencies described in subsection 7e7 shall carry out their respective roles and responsibilities described in subsections 7b7 through 7i7 of section #c of ,executive ,order #acgdg 7#ha ,fed4 ,reg4 #ghgja2 relating to ,advancing the ,global ,health ,security ,agenda to ,achieve a ,world ,safe and ,secure from ,infectious ,disease ,threats71 as in effect on the day before the date of the enactment of this ,act4 #e4 ,special ,advisor to the ,president for ,global ,health ,security ,section #aja of the ,national ,security ,act of #aidg 7#ej ,u4,s4,c4 #cjba7 is amended-- 7#a7 in subsection 7b7-- 7,a7 in paragraph 7#c71 by striking and at the end2 7,b7 in paragraph 7#d71 by striking the period and inserting 2 and2 and 7,c7 by adding at the end the following new paragraph3 7#e7 coordinate1 without assuming operational authority1 the ,united ,states ,government response to global health security emergencies4 2 and 7#b7 by adding at the end the following new subsection3 7i7 ,special ,advisor to the ,president for ,global ,health ,security 7#a7 ,in general ,the ,president shall designate an employee of the ,national ,security ,council1 at the level of ,deputy ,assistant to the ,president or higher1 to be responsible for the coordination of the interagency process for responding to global health security emergencies4 7#b7 ,congressional briefing ,not less frequently than twice each year1 the employee designated under this subsection shall provide to the appropriate congressional committees a briefing on the responsibilities and activities of the individual under this subsection4 7#c7 ,appropriate congressional committees defined ,in this subsection1 the term appropriate congressional committees has the meaning given such term in section #i of the ,global ,health ,security ,act of #bjai4 4 #f4 ,strategy and reports 7a7 ,strategy ,the ,special ,advisor to the ,president for ,global ,health ,security 7designated under subsection 7i7 of section #aja of the ,national ,security ,act of #aidg 7#ej ,u4,s4,c4 #cjba71 as added by section #f of this ,act7 shall coordinate the development and implementation of a strategy to implement the policy described in section #c7;a71 which shall-- 7#a7 set specific and measurable goals1 benchmarks1 timetables1 performance metrics1 and monitoring and evaluation plans that reflect international best practices relating to transparency1 accountability1 and global health security2 7#b7 support and be aligned with country-owned global health security policy and investment plans developed with input from key stakeholders1 as appropriate2 7#c7 facilitate communication and collaboration1 as appropriate1 among local stakeholders in support of a multi-sectoral approach to global health security2 7#d7 support the long-term success of programs by building the capacity of local organizations and institutions in target countries and communities2 7#e7 develop community resilience to infectious disease threats and emergencies2 7#f7 leverage resources and expertise through partnerships with the private sector1 health organizations1 civil society1 nongovernmental organizations1 and health research and academic institutions2 and 7#g7 support collaboration1 as appropriate1 between ,united ,states universities1 and public and private institutions in target countries and communities to promote health security and innovation4 7b7 ,coordination ,the ,president1 acting through the ,special ,advisor for ,global ,health ,security1 shall coordinate1 through a whole-of-government approach1 the efforts of relevant ,federal departments and agencies in the implementation of the strategy required under subsection 7a7 by-- 7#a7 establishing monitoring and evaluation systems1 coherence1 and coordination across relevant ,federal departments and agencies2 and 7#b7 establishing platforms for regular consultation and collaboration with key stakeholders and the appropriate congressional committees4 7c7 ,strategy submission 7#a7 ,in general ,not later than #ahj days after the date of the enactment of this ,act1 the ,president1 in consultation with the head of each relevant ,federal department and agency1 shall submit to the appropriate congressional committees the strategy required under subsection 7a7 that provides a detailed description of how the ,united ,states intends to advance the policy set forth in section #c7;a7 and the agency-specific plans described in paragraph 7#b74 7#b7 ,agency-specific plans ,the strategy required under subsection 7a7 shall include specific implementation plans from each relevant ,federal department and agency that describes-- 7,a7 the anticipated contributions of the department or agency1 including technical1 financial1 and in-kind contributions1 to implement the strategy2 and 7,b7 the efforts of the department or agency to ensure that the activities and programs carried out pursuant to the strategy are designed to achieve maximum impact and long-term sustainability4 7d7 ,report 7#a7 ,in general ,not later than #a year after the date on which the strategy required under subsection 7a7 is submitted to the appropriate congressional committees under subsection 7c71 and not later than ,october #a of each year thereafter1 the ,president shall submit to the appropriate congressional committees a report that describes the status of the implementation of the strategy4 7#b7 ,content ,the report required under paragraph 7#a7 shall-- 7,a7 identify any substantial changes made in the strategy during the preceding calendar year2 7,b7 describe the progress made in implementing the strategy2 7,c7 identify the indicators used to establish benchmarks and measure results over time1 as well as the mechanisms for reporting such results in an open and transparent manner2 7,d7 contain a transparent1 open1 and detailed accounting of expenditures by relevant ,federal departments and agencies to implement the strategy1 including1 for each ,federal department and agency1 the statutory source of expenditures1 amounts expended1 implementing partners1 targeted beneficiaries1 and activities supported2 7,e7 describe how the strategy leverages other ,united ,states global health and development assistance programs2 7,f7 assess efforts to coordinate ,united ,states global health security programs1 activities1 and initiatives with key stakeholders2 and 7,g7 incorporate a plan for regularly reviewing and updating strategies1 partnerships1 and programs and sharing lessons learned with a wide range of stakeholders1 including key stakeholders1 in an open1 transparent manner4 7e7 ,form ,the strategy required under subsection 7a7 and the report required under subsection 7d7 shall be submitted in unclassified form but may contain a classified annex4 #g4 ,compliance with the ,foreign ,aid ,transparency and ,accountability ,act of #bjaf ,section #b7c7 of the ,foreign ,aid ,transparency and ,accountability ,act of #bjaf 7,public ,law #aad-aia2 #bb ,u4,s4,c4 #bcid;c note7 is amended-- 7#a7 in subparagraph 7,c71 by striking and at the end2 7#b7 in subparagraph 7,d71 by striking the period at the end and inserting 2 and2 and 7#c7 by adding at the end the following3 7,e7 the ,global ,health ,security ,act of #bjah4 4 #h4 ,definitions ,in this ,act3 7#a7 ,appropriate congressional committees ,the term appropriate congressional committees means-- 7,a7 the ,committee on ,foreign ,affairs and the ,committee on ,appropriations of the ,house of ,representatives2 and 7,b7 the ,committee on ,foreign ,relations and the ,committee on ,appropriations of the ,senate4 7#b7 ,global health security ,the term global health security means activities supporting epidemic and pandemic preparedness and capabilities at the country and global levels in order to minimize vulnerability to acute public health events that can endanger the health of populations across geographical regions and international boundaries4 #i4 ,sunset ,this ,act1 and the amendments made by this ,act 7other than section #e71 shall cease to be effective on ,december #ca1 #bjbd4