,i #aafth ,,congress #ast ,session ,h4 ,r4 #dhdg ,,in ,,the ,,house ,,of ,,representatives ,october #bc1 #bjai,mr4 ,sherman introduced the following bill2 which was referred to the ,committee on ,foreign ,affairs1 and in addition to the ,committees on ,intelligence 7,permanent ,select71 and ,armed ,services1 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 establish a ,united ,states ,global ,health ,commission and a ,united ,states ,global ,health ,attach ,program1 and for other purposes4 #a4 ,short title ,this ,act may be cited as the ,global ,health ,act4 #b4 ,findings2 sense of ,congress2 and purposes 7a7 ,findings ,congress makes the following findings3 7#a7 ,of all foreign assistance provided by the ,united ,states1 global health appropriations are second only to security assistance4 7#b7 ,several ,federal agencies and departments execute global health activities1 including the ,united ,states ,agency for ,international ,development1 the ,department of ,health and ,human ,services1 the ,department of ,defense1 the ,department of ,agriculture1 and the ,department of ,state4 7#c7 ,global health assistance provided by the ,united ,states supports-- 7,a7 activities carried out by numerous private1 corporate1 and nongovernmental organizations worldwide2 and 7,b7 multilateral organizations1 such as the ,global ,fund to ,fight ,,aids1 ,tuberculosis1 and ,malaria and the ,world ,health ,organization4 7#d7 ,the ,united ,states provides foreign assistance to achieve national security1 commercial1 and humanitarian objectives while demonstrating global leadership4 7#e7 ,all ,united ,states funded foreign assistance programs1 regardless of the implementing agency1 support the objectives referred to in paragraph 7#d71 but the manner in which the programs achieve the objectives varies widely4 7#f7 ,the approach for global health assistance provided by the ,united ,states is largely program-based or disease-based and often does not allow agencies to work across the health system or on issues of greatest concern to the host country4 7#g7 ,such an approach hampers long-term stability1 diplomacy with key partnerships1 and sustainable capacity building4 7b7 ,sense of ,congress ,it is the sense of ,congress that-- 7#a7 each global health implementing agency should establish a program for the development of a cadre of health advisors who can serve as ,united ,states global health attachs2 7#b7 country or regional health teams and health development partners working groups should be established in all countries with significant ,united ,states health investments2 and 7#c7 all global health activities supported by the ,united ,states ,government should be implemented in a coordinated manner4 7c7 ,purposes ,the purposes of this ,act are-- 7#a7 to establish a governmental framework and national policy1 priorities1 and goals that ensure interagency coordination for global health assistance with the overall diplomacy1 development1 and defense efforts of the ,united ,states ,government2 7#b7 to establish the ,senior ,united ,states ,global ,health ,advisor and the ,united ,states ,global ,health ,commission at the level of the ,national ,security ,council to harmonize the global health goals and priorities of the ,united ,states and promote interagency coordination for global health assistance with the overall efforts of the ,united ,states ,government2 7#c7 to establish an ,interagency ,global ,health ,committee to implement the ,unified ,global ,health ,strategy and develop policies and frameworks to improve coordination and outcomes2 and 7#d7 to establish the ,united ,states ,global ,health ,attach ,program to field global health attachs as key interlocutors who coordinate the country or regional health team and ensure effective health assessment1 planning1 integration1 and implementation across all agencies in support of the interests of the ,united ,states4 #c4 ,definitions ,in this ,act3 7#a7 ,chief of mission ,the term chief of mission has the meaning given such term in section #ajb of the ,foreign ,service ,act of #aihj 7#bb ,u4,s4,c4 #cijb74 7#b7 ,commission ,the term ,commission means the ,united ,states ,global ,health ,commission established under section #d4 7#c7 ,committee ,the term ,committee means the ,interagency ,global ,health ,committee established under section #f4 7#d7 ,country or regional health team ,the term country or regional health team includes employees of global health implementing agencies operating in a country or designated geographic region4 7#e7 ,global health activities ,the term global health activities means activities conducted in coordination with ,united ,states and foreign entities1 including foreign governments-- 7,a7 to improve health care1 the provision of public health services1 responses to public health emergencies1 and global health security2 and 7,b7 to strengthen health systems and infrastructure1 including the training and education of health workers4 7#f7 ,global health implementing agencies ,the term global health implementing agencies means-- 7,a7 the ,department of ,state2 7,b7 the ,united ,states ,agency for ,international ,development2 7,c7 the ,department of ,health and ,human ,services2 7,d7 the ,department of ,defense2 7,e7 the ,department of ,agriculture2 and 7,f7 the ,department of ,commerce4 7#g7 ,regional ,the term regional refers to a geographic region as designated by a global health implementing agency4 7#h7 ,strategy ,the term ,strategy means the ,unified ,global ,health ,strategy formulated under section #e4 #d4 ,united ,states ,global ,health ,commission 7a7 ,establishment ,not later than #ij days after the date of the enactment of this ,act1 the ,president1 working through the ,national ,security ,council1 shall establish a commission to improve the interagency coordination1 stewardship1 accountability1 outcomes1 and impact of global health investment by the ,united ,states4 7b7 ,designation ,the commission established under subsection 7a7 shall be known as the ,united ,states ,global ,health ,commission4 7c7 ,chairperson2 advisor ,the ,president shall appoint a noncabinet-level senior staff member to the ,national ,security ,council to serve as-- 7#a7 the ,chairperson of the ,commission2 and 7#b7 the ,senior ,united ,states ,global ,health ,advisor4 7d7 ,membership 7#a7 ,in general ,the ,commission shall be composed of-- 7,a7 the ,chairperson2 7,b7 a commissioners group 7referred to in this section as the principal group72 7,c7 a staff group2 and 7,d7 any working group that the principal group determines to be necessary to carry out the duties under this section4 7#b7 ,principal group ,the principal group shall be composed of-- 7,a7 #ab voting members1 of whom-- 7i7 #a shall be appointed from each global health implementing agency by the head of the respective agency from among senior officials responsible for global health1 emergency assistance1 development1 or a similar area2 7ii7 #c shall be appointed by the ,president from among individuals from academic or research institutions with expertise in global health policy1 foreign relations1 or public health emergencies2 and 7iii7 #c shall be appointed by the ,president from among individuals from the international development community with expertise in health1 community1 or economic development2 and 7,b7 #b nonvoting1 ex officio members1 of whom-- 7i7 #a shall be the ,president of the ,national ,academy of ,medicine2 and 7ii7 #a shall be an employee of the ,government ,accountability ,office who shall be appointed by the ,comptroller ,general of the ,united ,states4 7#c7 ,staff group 7,a7 ,composition ,the staff group described in paragraph 7#a77;,c7 shall be composed of representatives of the ,national ,security ,council1 the global health implementing agencies1 the ,government ,accountability ,office1 and the ,national ,academy of ,medicine1 as designated by the head of the respective agency4 7,b7 ,function ,the staff group shall advise1 provide subject-matter expertise to1 and support the activities of1 the ,commission4 7e7 ,periods of appointment2 vacancies 7#a7 ,periods of appointment 7,a7 ,governmental officials ,each member of the principal group appointed under subsection 7d77#b77;,a77i7 shall serve at the discretion of the head of the respective agency4 7,b7 ,nongovernmental officials ,each member of the principal group appointed under clause 7ii7 or 7iii7 of subsection 7d77#b77;,a7 shall serve for a period of not fewer than #b years and not more than #e years4 7#b7 ,vacancies ,a vacancy in the ,commission-- 7,a7 shall not affect the powers of the ,commission2 and 7,b7 shall be filled in the same manner as the original appointment4 7f7 ,meetings 7#a7 ,in general ,the ,commission shall meet at the call of the ,chairperson4 7#b7 ,initial meeting ,not later than #ahj days after the date of the enactment of this ,act1 the ,commission shall hold its initial meeting4 7#c7 ,principal group ,the principal group shall meet not less frequently than twice each year4 7#d7 ,staff group ,the staff group described in subsection 7d77#a77;,c7 shall meet as determined by the ,chairperson based on the activities of the ,commission4 7g7 ,bylaws 7#a7 ,in general ,not later than #ahj days after the date of the enactment of this ,act1 the ,commission shall develop bylaws for the operation of the ,commission4 7#b7 ,elements ,the bylaws developed under paragraph 7#a7 shall include-- 7,a7 information on the membership of the ,commission2 7,b7 the number of annual meetings required for the principal group and the staff group2 7,c7 the decision-making process of the ,commission2 7,d7 the process by which disputes are resolved2 and 7,e7 such other information and policies as the ,commission considers appropriate4 7h7 ,primary responsibilities ,the ,commission shall-- 7#a7 develop an integrated1 comprehensive global health strategy1 in accordance with section #e and in cooperation with global health implementing agencies1 to ensure that global health activities and programs supported by the ,united ,states are consistent with the strategic priorities and policies of the ,united ,states2 7#b7 recommend methods to improve alignment1 coordination1 planning1 and implementation to ensure the greatest possible impact and overall effectiveness of ,united ,states global health efforts and programs2 7#c7 in coordination with the ,committee1 advise the ,national ,security ,council on global health issues that potentially impact the domestic health status1 defense operations1 development programs1 diplomacy efforts1 and strategic interests of the ,united ,states2 7#d7 advise the ,committee on country and regional challenges2 7#e7 based on the priorities of the ,united ,states1 recommend countries or regions that would greatly benefit from-- 7,a7 receiving a global health attach under section #g2 and 7,b7 the establishment of a country or regional health development implementation plan under section #h2 7#f7 recommend agenda items and provide other recommendations and advice to the ,committee2 and 7#g7 facilitate cooperation between the ,united ,states ,government and academic and research institutions1 civil society1 international nongovernmental organizations1 and other public and private entities4 7i7 ,reports 7#a7 ,initial report ,not later than #a year after the date of the enactment of this ,act1 the ,commission shall submit to the ,president and ,congress an initial report that includes-- 7,a7 the bylaws and membership of the ,commission2 7,b7 a description of the methodology for the development of the ,strategy2 and 7,c7 a description of progress made toward developing the ,strategy4 7#b7 ,biennial report 7,a7 ,in general ,not later than #a year after the submission of the initial report under paragraph 7#a71 and biennially thereafter1 the ,commission shall submit to the ,president and ,congress a report on the activities of the ,commission during the period covered by the report4 7,b7 ,elements ,each report submitted under subparagraph 7,a7 shall include-- 7i7 any updates to the ,strategy since the submission of the most recent report2 7ii7 a description of major global health threats of concern to the ,united ,states ,government2 7iii7 recommendations for improving alignment1 coordination1 planning1 and implementation to ensure the greatest possible impact and overall effectiveness of ,united ,states global health efforts and programs2 and 7iv7 a description of opportunities for future engagement on global health4 7j7 ,personnel matters 7#a7 ,senior ,united ,states ,global ,health ,advisor ,section #ecac of title #e1 ,united ,states ,code1 is amended by adding at the end the following3 ,senior ,united ,states ,global ,health ,advisor4 4 7#b7 ,compensation of members ,a member of the ,commission who is not an officer or employee of the ,federal ,government shall be compensated at a rate equal to the daily equivalent of the annual rate of basic pay prescribed for level ,,iv of the ,executive ,schedule under section #ecae of title #e1 ,united ,states ,code1 for each day 7including travel time7 during which the member is engaged in the performance of the duties of the ,commission4 7#c7 ,travel expenses ,a member of the ,commission shall be allowed travel expenses1 including per diem in lieu of subsistence1 at rates authorized for employees of agencies under subchapter ,i of chapter #eg of title #e1 ,united ,states ,code1 while away from their homes or regular places of business in the performance of services for the ,commission4 7k7 ,nonapplicability of ,,faca ,the ,federal ,advisory ,committee ,act 7#e ,u4,s4,c4 ,app47 shall not apply to the ,commission4 #e4 ,unified ,global ,health ,strategy 7a7 ,in general ,not later than #ah months after the date of the enactment of this ,act1 the ,commission shall formulate an integrated1 comprehensive global health strategy1 to be known as the ,unified ,global ,health ,strategy1 that communicates to ,federal agencies1 nongovernmental organizations1 and allied partners of the ,united ,states the overall health assistance priorities of the ,united ,states4 ,the ,strategy shall be-- 7#a7 aligned with the ,national ,security ,strategy of the ,united ,states2 and 7#b7 based on-- 7,a7 highest-impact1 evidence-based outcomes and the mission1 strategy1 assessment1 planning1 and guidance documents of each global health implementing agency2 and 7,b7 recommendations from the ,national ,security ,council on issues that impact national security4 7b7 ,requirements ,the ,strategy shall-- 7#a7 describe the overarching1 integrated strategic vision for health-related foreign assistance vertically and horizontally across the global health implementing agencies and to implementing partners2 7#b7 establish and communicate the global health goals and priorities of the ,united ,states ,government for the purpose of improving the coordination1 partnerships1 and implementation of global health and foreign assistance effectiveness2 7#c7 communicate the role of global health with respect to the overall foreign development goals of the ,united ,states2 7#d7 provide consensus on global health efforts across the global health implementing agencies regarding foreign assistance health policy that demonstrates the collective commitment of all interagency partners to transparency1 accountability1 and a unified approach to maximizing the impact of ,united ,states investments2 and 7#e7 ensure that the health programs of the ,united ,states ,government align1 to the maximum extent possible1 with country and regional health and development priorities to achieve long-term sustainability1 security1 and stability4 7c7 ,effective date 7#a7 ,in general ,the ,strategy shall take effect upon approval by the ,president4 7#b7 ,approval by ,president 7,a7 ,sense of ,congress ,it is the sense of ,congress that the ,president should approve the ,strategy not later than #ij days after receiving the ,strategy from the ,commission4 7,b7 ,explanation to ,congress ,if the ,president has not approved the ,strategy within #ij days after receiving it from the ,commission1 the ,president shall submit to ,congress a written statement explaining the reason for the delay and a timeline for approval of the ,strategy4 7#c7 ,prohibition on delegation ,the ,president may not delegate the responsibilities under this subsection4 7d7 ,updates 7#a7 ,in general ,the ,commission shall update the ,strategy not less frequently than once every #e years4 7#b7 ,consideration of country-level plans ,in updating the ,strategy pursuant to paragraph 7#a71 the ,commission shall consider the country or regional health development implementation plans developed under section #h4 #f4 ,interagency ,global ,health ,committee 7a7 ,in general ,not later than #ahj days after the date of the enactment of this ,act1 the ,president shall establish the ,interagency ,global ,health ,committee to implement the ,strategy1 improve the coordination of global health efforts1 and oversee the ,united ,states ,global ,health ,attach ,program4 7b7 ,chairperson 7#a7 ,in general ,the ,president shall appoint1 by and with the advice and consent of the ,senate1 the ,chairperson of the ,committee4 7#b7 ,ambassador-at-,large for ,global ,health ,the ,chairperson shall have the rank of ,ambassador-at-,large for ,global ,health4 7#c7 ,responsibilities ,the ,chairperson shall-- 7,a7 chair the ,committee and ensure that the responsibilities of the ,committee are carried out2 7,b7 be impartial with respect to any global health implementing agency2 and 7,c7 ensure coordination and synergy of effort in global health programming and policies among the relevant global health implementing agencies4 7c7 ,membership of ,committee ,the ,committee shall be composed of-- 7#a7 the ,chairperson2 and 7#b7 representatives from each global health implementing agency1 who shall be appointed by the head of the applicable agency2 and 7#c7 representatives from any other ,federal agency1 as the ,chairperson considers appropriate to implement the ,strategy and oversee the ,united ,states ,global ,health ,attach ,program4 7d7 ,subcommittees 7#a7 ,global ,health ,attach ,board 7,a7 ,in general ,the ,committee shall establish a permanent subcommittee1 to be known as the ,global ,health ,attach ,board1 to advise and oversee the ,united ,states ,global ,health ,attach ,program1 in accordance with subsection 7e77#d7 and section #g4 7,b7 ,chairperson ,the ,secretary of ,state shall designate the ,chairperson of the ,global ,health ,attach ,board from among employees of the ,bureau of ,oceans and ,international ,environmental and ,scientific ,affairs of the ,department of ,state4 7#b7 ,subcommittees and working groups ,the ,chairperson of the ,committee may establish such other subcommittees and working groups as the ,chairperson considers necessary to carry out the responsibilities of the ,committee4 7e7 ,responsibilities ,the ,committee shall-- 7#a7 develop a #e-year plan of actions and milestones to implement the ,unified ,global ,health ,strategy2 7#b7 develop and establish integrated national policies for global health that will guide ,federal agencies in development1 programming1 and implementation of global health efforts2 7#c7 coordinate the global health assistance efforts of the ,united ,states ,government to ensure greater alignment1 programmatic impact1 and overall effectiveness2 7#d7 develop1 design1 and oversee all aspects of the ,united ,states ,global ,health ,attach ,program1 in accordance with section #g1 including with respect to the selection of the countries or regions in which global health attachs will be posted2 7#e7 develop guidance for the country and regional health development implementation plans under section #h2 7#f7 facilitate cooperation between ,federal agencies and international counterparts for planning and implementation of global health programs and efforts2 and 7#g7 promote ,federal interagency coordination and planning across all global health activities1 including logistical planning and coordination and the sharing of data and information associated with global health programs1 development1 and information that may impact investment outcomes4 7f7 #e-,year plan ,not later than #bgj days after the date on which the ,strategy takes effect1 the ,committee shall submit to ,congress the #e-year plan of actions and milestones developed under subsection 7e77#a74 7g7 ,reports 7#a7 ,initial report ,not later than #ah months after the date of the enactment of this ,act1 the ,committee shall submit to the ,president and ,congress an initial report that includes-- 7,a7 the structure1 membership1 and bylaws of the ,committee2 7,b7 a statement of the activities and accomplishments of the ,committee since the establishment of the ,committee2 and 7,c7 an update on the development and implementation of the ,united ,states ,global ,health ,attach ,program established under section #g4 7#b7 ,biennial report ,not less frequently than biennially1 the ,committee shall submit to ,congress through the ,president a concise report containing-- 7,a7 a description of progress on or setbacks or updates to the plan of actions and milestones developed under subsection 7e77#a72 7,b7 a statement of the activities and accomplishments of the ,committee since the submission of the most recent report2 7,c7 a statement detailing with particularity the recommendations of the ,committee with respect to improving coordination1 accountability1 outcomes1 and impact of global health investment by the ,united ,states2 and 7,d7 an update on the development and implementation of the ,united ,states ,global ,health ,attach ,program established under section #g1 including post locations for and training of global health attachs1 outcome measures1 and recommendations to increase the impact of the program4 #g4 ,united ,states ,global ,health ,attach ,program 7a7 ,establishment of ,program ,there is established a ,united ,states ,global ,health ,attach ,program 7referred to in this section as the ,program74 7b7 ,program management ,the ,secretary of ,health and ,human ,services shall manage the ,program under the oversight and direction of the ,committee4 7c7 ,global health attachs 7#a7 ,in general ,each global health attach shall serve on behalf of a chief of mission and the global health implementing agencies to assist in the coordination1 strategic planning1 and implementation of all global health assistance in the country or region in which the global health attach is posted4 7#b7 ,eligibility ,an individual is eligible to serve as a global health attach if the individual-- 7,a7 is an employee of the ,federal ,government1 such as a member of the uniformed services or the ,foreign ,service1 or other civilian ,federal employee1 in a position at1 or with promotion potential to1 level #ae of the ,general ,schedule 7or equivalent72 7,b7 has expertise and experience in public health or global health2 7,c7 has leadership experience within one or more of the global health implementing agencies2 7,d7 is a ,united ,states citizen2 and 7,e7 has a security clearance at the secret level or above4 7#c7 ,global health attach education and training 7,a7 ,requirements 7i7 ,in general ,the ,committee shall establish requirements for a global health attach education and training program 7referred to in this section as the education and training program74 7ii7 ,elements ,the requirements established under clause 7i7 shall ensure that each global health attach-- 7,i7 receives education and training on-- 7aa7 the strategic planning process of the ,united ,states ,government2 7bb7 the role of the global health implementing agencies in foreign assistance1 and the organizational structure and global health and development programs of such agencies2 7cc7 effective communication with foreign and domestic media1 including strategic communication2 7dd7 the impact of international affairs2 7ee7 the public health issues affecting host countries and regions2 and 7ff7 such other health-related training that the ,committee considers necessary to create highly effective global health diplomats2 7,,ii7 completes the training for ,foreign ,service officers described in section #gjh of the ,foreign ,service ,act of #aihj 7#bb ,u4,s4,c4 #djbh71 or equivalent training2 and 7,,iii7 meets foreign language proficiency requirements established by the ,secretary of ,state for ,foreign ,service officers under section #gjb of the ,foreign ,service ,act of #aihj 7#bb ,u4,s4,c4 #djbb7 and receives appropriate language training consistent with such section4 7,b7 ,curriculum development ,the institution described in section #gja of the ,foreign ,service ,act of #aihj 7#bb ,u4,s4,c4 #djba7 7commonly known as the ,foreign ,service ,institute7 and the ,uniformed ,services ,university of the ,health ,sciences1 in cooperation with appropriate ,federal agencies1 academic institutions1 and other entities1 shall-- 7i7 develop a comprehensive curriculum for the education and training program1 consistent with the requirements established pursuant to subparagraph 7,a72 and 7ii7 submit such curriculum to the ,committee for approval4 7,c7 ,administration ,the education and training program shall be administered by one or more training institutions1 as determined by the ,committee4 7,d7 ,eligibility for participation by other individuals ,an individual who is not a candidate for the position of global health attach may participate in some or all of the education and training program if such individual is-- 7i7 a health official of a global health implementing agency2 or 7ii7 an in-country staff member of a global health implementing agency4 7#d7 ,credentials ,the ,secretary of ,state shall-- 7,a7 notify the receiving state of each global health attach posted to such state1 in accordance with ,article #aj of the ,vienna ,convention on ,diplomatic ,relations1 done at ,vienna ,april #ah1 #aifa2 and 7,b7 provide the appropriate diplomatic credentials to each global health attach1 at the request of the ,committee4 7#e7 ,postings and accreditations 7,a7 ,in general ,each global health attach-- 7i7 shall be posted in a country as determined by the ,committee2 and 7ii7 may be accredited to one or more countries in a region as determined by the ,committee4 7,b7 ,criteria to establish a global health attach office ,the ,committee shall make determinations about where to establish global health attachs based on-- 7i7 the strategic interests and priorities of the ,united ,states2 7ii7 large development and humanitarian assistance investments made by the ,united ,states2 7iii7 the strategic importance of health to the security and stability of the country or region2 and 7iv7 such other criteria as the ,committee considers appropriate4 7#f7 ,responsibilities ,each global health attach shall-- 7,a7 serve as the senior health advisor to the diplomatic mission of the ,united ,states in the country or region in which the global health attach is posted2 7,b7 convene and coordinate the country or regional health team on behalf of the chief of mission of the country or region in which the global health attach is posted2 7,c7 oversee the development of the country or regional health development implementation plan for the country or region in which the global health attach is posted2 7,d7 represent the ,united ,states ,government regarding health matters to foreign governments1 multilateral and international organizations1 and public and private entities2 and 7,e7 perform such other duties that align with advancing the global health interests of the ,united ,states1 as determined by the chief of mission and the ,committee4 7#g7 ,periodic reports 7,a7 ,in general ,each global health attach shall periodically submit country or regional updates to regional and headquarters components of the global health implementing agencies1 through the chief of mission1 as determined by the ,committee4 7,b7 ,elements ,each report submitted under subparagraph 7,a7 shall include a description of any health-related threats or critical concerns that may affect the national security1 development efforts1 or commercial interests of the ,united ,states4 7,c7 ,headquarters component defined ,in this paragraph1 the term headquarters component means the senior leadership and policymaking section of a global health implementing agency4 7#h7 ,supervision ,each global health attach shall work under the supervision of-- 7,a7 the chief of mission of the country in which the global health attach is posted2 and 7,b7 the chiefs of mission of the countries to which the global health attach is accredited4 7#i7 ,employment 7,a7 ,salary and benefits ,the employer of each global health attach at the time the global health attach applies for the position of global health attach shall continue to provide the salary and benefits for the global health attach4 7,b7 ,other expenses ,the ,secretary of ,state shall provide to each global health attach-- 7i7 allowances comparable to those provided by the ,secretary to ,foreign ,service officers under sections #eibb through #eibd of title #e1 ,united ,states ,code2 7ii7 reimbursement for travel and related expenses set forth in section #ija of the ,foreign ,service ,act of #aihj 7#bb ,u4,s4,c4 #djha72 and 7iii7 reimbursement for administrative services consistent with the ,international ,cooperative ,administrative ,support ,services ,handbook4 7#aj7 ,impartiality ,in carrying out their responsibilities under this section1 global health attachs-- 7,a7 shall represent the interests and the priorities of the ,united ,states ,government2 and 7,b7 may not show favoritism to any particular ,federal agency4 #h4 ,country or regional health development implementation plans 7a7 ,in general ,each country or regional health team1 under the direction of the global health attach for the country or region1 shall develop a country or regional health development implementation plan for the respective country or region4 7b7 ,guidance ,the ,committee shall develop guidance for the country and regional health development implementation plans1 including with respect to-- 7#a7 the elements of and templates for the plans2 and 7#b7 policies and processes relating to plan approval1 consultation1 and submission4 7c7 ,plan described 7#a7 ,in general ,each country or regional health development implementation plan developed under subsection 7a7 shall be a country- or regional-level operational plan-- 7,a7 for supporting the health goals of the host country or countries2 and 7,b7 for ensuring that the national security priorities of the ,united ,states are met4 7#b7 ,contents ,each country or regional health development implementation plan developed under subsection 7a7 shall include-- 7,a7 a comprehensive assessment of the health sector in the applicable country or region1 including the strengths and weaknesses of the health system2 7,b7 an analysis of the key funders and stakeholders within the health system2 7,c7 a plan of action with milestones describing how global health activities will be implemented during the period covered by the country or regional health development implementation plan2 7,d7 health links to non-health-related activities1 such as military assistance and infrastructure projects2 7,e7 metrics for measuring the impact of the plan2 7,f7 opportunities for increased engagement of the ,united ,states and any consequences of failing to increase engagement2 7,g7 a determination of the role of each agency in the execution of the plan2 7,h7 a request for resources needed to ensure-- 7i7 the success of the plan2 and 7ii7 the sustainability of the health sector of the host country2 and 7,i7 such other content as the ,committee considers appropriate4 7#c7 ,objectives ,each country health development implementation plan shall-- 7,a7 align with and support the ,integrated ,country ,strategy and the ,mission ,resource ,request for the country2 and 7,b7 align the ,president's ,emergency ,plan for ,,aids ,relief 7commonly known as ,,pepfar7 and all other global health plans of the ,united ,states ,government with the overall goals of the country or region-- 7i7 to mitigate redundancy of resources2 and 7ii7 to improve the impact of efforts4 7d7 ,submission2 updates 7#a7 ,submission to chief of mission ,not later than #bgj days after a global health attach is first posted to a country or region1 the global health attach shall submit a country or regional health development implementation plan developed under subsection 7a7 to the appropriate chief of mission4 7#b7 ,approval2 submission to ,committee ,if the chief of mission approves the plan submitted under paragraph 7#a71 the chief of mission shall submit the plan to the ,committee4 7#c7 ,updates ,not less frequently than once every #b years1 the country or regional health team shall update the country or regional health development implementation plan4 7e7 ,health development partners working group 7#a7 ,in general ,not later than #ahj days after a global health attach is first posted to a country or region1 the country or regional health team shall establish a health development partners working group in each country or region with a global health attach to support implementation of country or regional health development implementation plans and to improve synergy with respect to such implementation4 7#b7 ,membership ,each working group established pursuant to paragraph 7#a7 shall be composed of representatives from-- 7,a7 the country or regional health team2 7,b7 civil society partners of the ,united ,states2 7,c7 international organizations to which the ,united ,states provides funding2 7,d7 the government of each host country2 and 7,e7 one or more allied partners of the ,united ,states1 as the chief of mission considers appropriate4 7f7 ,integration of global health activities ,the country or regional health team in each country or region with a global health attach shall integrate global health activities within the country or region with other development programs and activities1 as appropriate-- 7#a7 to advance the interests of the ,united ,states2 and 7#b7 to create sustainable capacity for the host country or region4 #i4 ,authorization of appropriations ,there are authorized to be appropriated such sums as may be necessary to carry out this ,act4