,,ii #aaf? ,,congress #a/ ,session ,s4 #agff ,,9 ,,! ,,s5ate ,,( ,,! ,,unit$ ,,/ates ,june #aj1 #bjai,ms4 ,coll9s 7= h]self1 ,mr4 ,coons1 ,mr4 ,rob]ts1 ,ms4 ,duckwor?1 ,mr4 ,sullivan1 ,mr4 ,van ,holl51 ,mrs4 ,capito1 ,mr4 ,m>key1 ,mr4 ,isakson1 ,mr4 ,m]kley1 ,mr4 ,moran1 ,mr4 ,c>d91 ,mr4 ,cornyn1 ,ms4 ,ros51 ,mr4 ,"y1 ,ms4 ,/ab5[1 ,mr4 ,enzi1 ,mr4 ,wyd51 ,mr4 ,cram]1 ,mr4 ,murphy1 ,mr4 ,rubio1 & ,mr4 ,re$7 introduc$ ! 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 ( #bjai4 #b4 ,assi/ance to end prev5table mat]nal1 newborn1 & *ild dea?s globally ,! ,=eign ,assi/ance ,act ( #aifa 7#bb ,u4,s4,c4 #baea et seq47 is am5d$ by add+ at ! end ( *apt] ,i ( "p ,i ! foll[+ new section3 #acg4 ,assi/ance to end prev5table mat]nal1 newborn1 & *ild dea?s globally 7a7 ,purpose ,! purpose ( ?is section is to implem5t a /rategic approa* = provid+ =eign assi/ance 9 ord] to end prev5table *ild & mat]nal dea?s globally by #bjcj4 7b7 ,def9itions ,9 ?is section3 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 ! ,*ild & ,mat]nal ,survival ,coord9ator e/abli%$ "u subsection 7e74 7#d7 ,int]national mat]nal & *ild heal? & nutrition programs ,! t]m int]national mat]nal & *ild heal? & nutrition programs means all programs c>ri$ out us+ funds appropriat$ or o!rwise made available = int]national mat]nal & *ild heal? & nutrition t are manag$ by ! ,unit$ ,/ates ,ag5cy = ,int]national ,developm5t ,bureau ( ,global ,heal?4 7#e7 ,relevant p>tn] entities ,! t]m relevant p>tn] entities means ea* ( ! foll[+3 7,a7 ,! gov]nm5ts ( o!r donor c\ntries4 7,b7 ,int]national f9ancial in/itutions4 7,c7 ,nongov]nm5tal organizations4 7,d7 ,fai?-bas$ organizations4 7,e7 ,pr(essional organizations4 7,f7 ,! private sector4 7,g7 ,multilat]al organizations4 7,h7 ,local & int]national civil society gr\ps4 7,i7 ,local heal? work]s4 7,j7 ,int]national organizations4 7#f7 ,t>get c\ntries ,! t]m t>get c\ntries means specific c\ntries t h ! greate/ ne$ & highe/ burd5 ( *ild & mat]nal dea?s1 tak+ into consid]ation c\ntries t-- 7,a7 h high-ne$ communities 9 fragile /ates or conflict-affect$ /ates2 7,b7 are l[- or middle-income c\ntries2 or 7,c7 are locat$ 9 regions ) weak heal? sy/ems4 7c7 ,/atem5t ( policy ,x is ! policy ( ! ,unit$ ,/ates1 9 p>tn]%ip ) t>get c\ntries & relevant p>tn] entities1 to e/abli% & implem5t a coord9at$1 integrat$1 & compreh5sive /rategy to combat ! lead+ causes ( mat]nal1 newborn1 & *ild mortality globally & ensure heal?y & productive lives by-- 7#a7 focus+ on br++ to scale1 specific to ea* c\ntry's ne$s1 ! highe/ impact1 evid5ce-bas$ int]v5tions1 includ+ = ! mo/ vuln]able populations1 ) a focus on c\ntry & community own]%ip2 7#b7 design+1 implem5t+1 monitor+1 & evaluat+ programs 9 a way t enhances transp>5cy & acc\ntability1 increases su/a9ability1 & improves outcomes 9 t>get c\ntries2 & 7#c7 support+ ! rese>*1 developm5t1 & introduction ( innovative tools & approa*es to accel]ate progress t[>d end+ prev5table *ild & mat]nal dea?s4 7d7 ,/rategy 7#a7 ,9 g5]al ,n lat] ?an "o ye> aft] ! date ( ! enactm5t ( ! ,rea* ,e ,"m & ,*ild ,act ( #bjai1 ! ,presid5t %all e/abli% & implem5t a compreh5sive five-ye>1 :ole-(-gov]nm5t /rategy1 toge!r ) t>get c\ntries & donors1 to contribute t[>d ! global goal ( end+ prev5table *ild & mat]nal dea?s by #bjcj z a f\ndation = ensur+ heal?y & productive lives4 7#b7 ,elem5ts ,! /rategy e/abli%$ "u p>agraph 7#a7 %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 ,unit$ ,/ates ,gov]nm5t /rategies & frameworks relevant to end+ prev5table *ild & mat]nal dea?s1 includ+ specific objectives1 programs1 & approa*es to a*ieve ! highe/-impact1 evid5ce-bas$ int]v5tions to address ! lead+ causes ( dea?1 p>ticul>ly among ! mo/ vuln]able populations1 (-- 7i7 wom5 relat$ to pregnancy1 *ildbir?1 & po/-deliv]y2 7ii7 newborns 9 _! fir/ #bh days2 & 7iii7 infants & *ildr5 "u ! age ( five ye>s old2 7,c7 include developm5t & scale up ( new te*nologies & approa*es1 includ+ ^? support$ by public-private p>tn]%ips1 = rese>* & innovation2 7,d7 promote coord9ation & effici5cy )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,e7 project g5]al levels ( res\rces ne$$ to a*ieve ! /rategy's /at$ objectives2 7,f7 id5tify /rategies = lev]ag+ res\rces 9 new & innovative ways2 7,g7 align ) c\ntry- & community-driv5 mat]nal1 newborn1 & *ild heal? & survival plans & improve coord9ation ) =eign gov]nm5ts & int]national organizations2 7,h7 outl9e consultations ) relevant p>tn] entities z appropriate2 7,i7 implem5t results-bas$ contract+ 7su* z pay-=-success7 & f9ancial & op]ational risk r$uction2 7,j7 promote a %ift t[>ds inve/m5ts t support inclusive & su/a9able bus9ess models2 & 7,k7 support ! transition to dome/ic su/a9ably f9anc$ heal? sy/ems4 7#c7 ,initial /rategy ,= ! purposes ( ?is section1 a /rategy meet+ ! crit]ia describ$ 9 p>agraph 7#b7 t is 9 effect z ( ! date ( enactm5t ( ?is section may be deem$ to fulfill ! e/abli%m5t requirem5t 9 p>agraph 7#a74 7e7 ,e/abli%m5t ( *ild & mat]nal survival coord9ator 7#a7 ,9 g5]al ,! ,presid5t %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 ! ,*ild & ,mat]nal ,survival ,coord9ator4 ,! ,coord9ator %all be responsible =-- 7,a7 ov]see+ ! /rategy e/abli%$ "u subsection 7d72 & 7,b7 int]national mat]nal & *ild heal? & nutrition programs4 7#b7 ,duties ,! ,coord9ator %all-- 7,a7 h ! prim>y responsibility = ! ov]sight & coord9ation ( all res\rces & int]national activities1 z det]m9$ appropriate by ! ,adm9i/rator ( ! ,unit$ ,/ates ,ag5cy = ,int]national ,developm5t1 ( ! ,unit$ ,/ates ,gov]nm5t appropriat$ or us$ = int]national mat]nal & *ild heal? & nutrition programs2 7,b7 direct ! budget1 plann+1 & /aff+ to implem5t int]national mat]nal & *ild heal? & nutrition programs = ! purpose ( end+ prev5table *ild & mat]nal dea?s2 7,c7 lead implem5tation & revision1 n less frequ5tly ?an once e #e ye>s1 ( ! /rategy e/abli%$ "u subsection 7d77#a72 7,d7 coord9ate ) relevant executive bran* ag5cies1 t>get c\ntries1 & relevant p>tn] entities z appropriate1 to c>ry out ! /rategy e/abli%$ "u section #e7;a7 & to align curr5t & future inve/m5ts ) high-impact1 evid5ce-bas$ int]v5tions to save lives2 7,e7 provide guidance on ! design & ov]sight ( grants1 contracts1 & coop]ative agreem5ts ) nongov]nm5tal organizations 7includ+ community1 fai?-bas$1 & civil society organizations7 & private sector entities = ! purpose ( c>ry+ out ! /rategy e/abli%$ "u subsection 7d77#a72 & 7,f7 report directly to ! ,adm9i/rator reg>d+ implem5tation ( ! /rategy e/abli%$ "u subsection 7d77#a74 7#c7 ,re/riction on additional or supplem5tal comp5sation ,! ,coord9ator %all receive no additional or supplem5tal comp5sation z a result ( c>ry+ out responsibilities & duties "u ?is section4 7f7 ,au?ority ,to assi/ 9 implem5tation ( ! /rategy 7#a7 ,9 g5]al ,! ,presid5t %all provide assi/ance to implem5t ! /rategy e/abli%$ "u subsection 7d77#a74 7#b7 ,focus on impact 7,a7 ,t>gets = increas$ implem5tation requir$ ,consi/5t ) ! requirem5ts = =eign assi/ance programs includ$ 9 ! ,=eign ,aid ,transp>5cy & ,acc\ntability ,act ( #bjaf 7,public ,law #aad-aai71 ,,usaid grants1 contracts1 & coop]ative agreem5ts = ! purposes ( ! /rategy e/abli%$ "u subsection 7d77#a7 %all be requir$ to include t>gets = increas$ implem5tation ( high-impact1 evid5ce-bas$ int]v5tions & /r5g!n+ heal? sy/ems1 z appropriate1 includ+ ! e/abli%m5t ( basel9e measurem5ts f :i* to quantify progress4 7,b7 ,exception ,9 exceptional circum/ances :]e ,,usaid det]m9es t inclusion ( cov]age t>gets or basel9e measures are n reasonable or practicable = ! grant1 contract1 or coop]ative agreem5t1 ! fund+ me*anism %all include an explanation ( ! omission & explicitly /ate h[ measurable impact w be t>get$ & track$4 7g7 ,reports 7#a7 ,report requir$ ,n lat] ?an "o ye> aft] ! date ( ! enactm5t ( ?is section1 & annually !reaft] = #e additional ye>s1 ! ,presid5t %all submit to ! appropriate congressional committees a report on progress made to a*ieve ! /rategy e/abli%$ "u subsection 7d77#a7 z well z progress t[>d ! goal to end prev5table *ild & mat]nal dea?s globally4 ,! report %all be made publicly available4 7#b7 ,in=mation includ$ 9 report ,! report requir$ "u p>agraph 7#a7 %all include ! foll[+ elem5ts3 7,a7 ,indicators ( progress made by ,unit$ ,/ates ,gov]nm5t programs c>ri$ out "u int]national mat]nal & *ild heal? & nutrition programs = ! purposes ( improv+ mat]nal1 newborn1 & *ild heal? & survival1 p>ticul>ly among ! mo/ vuln]able populations1 9 ea* t>get c\ntry & ov]all1 includ+-- 7i7 mat]nal mortality ratio p] #ajj1jjj live bir?s & "u-#e mortality ratio p] #a1jjj live bir?s2 7ii7 numb] ( mat]nal1 newborn1 & *ild dea?s av]t$2 7iii7 p]c5tage ( bir?s att5d$ by skill$ heal? p]sonnel2 7iv7 an analysis ( gaps 9 ! heal? work=ce requir$ to end prev5table *ild & mat]nal dea?s1 includ+ an analysis ( heal? work=ce d5sity 7numb] ( c]tifi$ heal? work]s1 includ+ community-bas$ heal? work]s1 p] population72 7v7 a description ( ! measur$ or e/imat$ impact on mat]nal1 newborn1 & *ild survival ( ea* ongo+ program or project2 7vi7 progress t[>ds a*iev+ ! goal to save #ae1jjj1jjj *ildr5's lives & #fjj1jjj wom5's lives1 & any subsequ5t goals e/abli%$ "u ! /rategy requir$ "u subsection 7d72 & 7vii7 any o!r t>gets id5tifi$ by ! ,coord9ator z ess5tial to meet+ ! goals ( ! /rategy = end+ prev5table *ild & mat]nal dea?s4 7,b7 ,assessm5ts ( progress made t[>d a*iev+ ! t>gets set =? "u subp>agraph 7,a74 7,c7 ,a description ( h[ ! int]v5tions or programs are design$ to-- 7i7 increase activities 9 t>get c\ntries2 7ii7 rea* und]s]v$1 m>g9aliz$1 vuln]able1 "u n\ri%$ or maln\ri%$1 & impov]i%$ populations2 7iii7 address causes ( mat]nal1 newborn1 & *ild mortality ) innovative ef=ts & int]v5tions pos$ to g to scale2 7iv7 inve/ 9 activities t emp[] wom51 support volunt>ism1 & provide respectful mat]nity c>e2 7v7 improve transp>5cy & acc\ntability at all levels & include common metrics = track+ progress2 7vi7 ensure t high-impact1 evid5ce-bas$ int]v5tions are prioritiz$2 & 7vii7 exp& access to quality s]vices ?r\gh community-bas$ approa*es & include community acc\ntability measures4 7,d7 ,report+ on ea* aspect ( ! /rategy e/abli%$ "u subsection 7d77#a71 includ+-- 7i7 multi-sectoral approa*es1 specific /rategies1 & programm+ utiliz+ high-impact1 evid5ce-bas$ int]v5tions to address ! lead+ causes ( prev5table *ild & mat]nal dea?s2 7ii7 activities to develop & scale up new te*nologies & approa*es1 includ+ ^? id5tifi$ by public-private p>tn]%ips1 = rese>* & innovation2 7iii7 coord9ation ) ,unit$ ,/ates ag5cies1 =eign gov]nm5ts1 nongov]nm5tal organizations1 & int]national organizations2 7iv7 me?ods us$ to lev]age new f9ancial & o!r public & private res\rces 9 innovative ways2 & 7v7 be/ practices id5tifi$ by ! executive bran*4 7,e7 ,report+ on grants1 contracts1 & coop]ative agreem5ts aw>d$1 includ+-- 7i7 a compreh5sive li/ ( ,,usaid grants1 contracts1 & coop]ative agreem5ts aw>d$ 9 implem5tation ( ! /rategy e/abli%$ "u subsection 7d77#a72 & 7ii7 a description (-- 7,i7 ! t>gets = cov]age ( int]v5tions or s]vices & ! basel9e aga9/ :i* !y are measur$ & ! /atus ( progress 9 meet+ ! t>gets2 or 7,,ii7 9 ! case ( exceptional circum/ances :]e ,,usaid det]m9es t inclusion ( t>gets or basel9e measurem5ts is n reasonable or practicable1 an explanation ( h[ ! impact ( ! grant1 contract1 agreem5t1 or result+ program is be+ measur$4 7,f7 ,report+ on ! innovative public-private f9anc+ tools1 includ+ an analysis ( ! feasibility & pot5tial effectiv5ess ( new f9anc+ tools t c\ld be us$ to fund ef=ts to end prev5table *ild & mat]nal dea?s globally4 7h7 ,au?orization ( appropriations 7#a7 ,au?orization ,= ea* ( fiscal ye>s #bjbj & #bjba1 !re is au?oriz$ to be appropriat$ to ! ,secret>y ( ,/ate & ! ,adm9i/rator ( ! ,unit$ ,/ates ,ag5cy = ,int]national ,developm5t to c>ry out ?is section-- 7,a7 #ede1jjj1jjj = bilat]al mat]nal & *ild heal?2 7,b7 #bij1jjj1jjj = ,gavi1 ! ,vacc9e ,alliance2 & 7,c7 #ade1jjj1jjj = nutrition4 7#b7 ,application ,funds appropriat$ or o!rwise made available to c>ry out activities "u ?is section %all be subject to all applicable re/rictions "u ,f$]al law4 7#c7 ,expiration ( funds ,am\nts appropriat$ or o!rwise made available to c>ry out activities "u ?is section %all rema9 available = obligation = a p]iod ( #e ye>s4 4