,,ii #aaf? ,,congress #b;d ,session ,s4 #ccjb ,,9 ,,! ,,s5ate ,,( ,,! ,,unit$ ,,/ates ,febru>y #ac1 #bjbj,mr4 ,k+ introduc$ ! foll[+ bill2 :i* 0 read twice & ref]r$ to ! ,committee on ,=eign ,relations ,a ,,bill ,to improve global heal? security1 & = o!r purposes4 #a4 ,%ort title ,?is ,act may be cit$ z ! ,global ,heal? ,security ,act ( #bjbj4 #b4 ,f9d+s ,congress makes ! foll[+ f9d+s3 7#a7 ,an infecti\s disease ?reat any:]e c become a ?reat ev]y:]e4 ,9 today's int]connect$ _w1 a pa?og5 c travel ar\nd ! globe to major cities 9 z few z #bd h\rs4 7#b7 ,infecti\s diseases h kill$ m humans ?an w> & conflict4 ,be=e its eradication1 smallpox kill$ at lea/ #cjj1jjj1jjj p 9 ! #bj? c5tury4 ,mosquito-borne illnesses are responsible = #ej p]c5t m human dea?s ea* ye> ?an dea?s caus$ by o!r humans1 includ+ w> & civil viol5ce4 ,! influ5za p&emic ( #aiah-ai caus$ ! dea?s ( #c times z _m p z all ( ^? kill$ 9 ,_w ,w> ,i4 7#c7 ,population gr[? has br\ght p clos] to "o ano!r & clos] to animals1 :i* has increas$ ! opportunities = pa?og5s to be transmitt$ betwe5 animals & humans4 7#d7 ,human heal? is intimately connect$ to animal & environm5tal heal? at ! national & int]national levels4 7#e7 ,zoonotic diseases are responsible =-- 7,a7 approximately #fj p]c5t ( all human infections2 7,b7 approximately #ge p]c5t ( rec5tly em]g+ infecti\s diseases affect+ humans2 & 7,c7 m ?an #hj p]c5t ( biological ag5ts t c\ld be int5tionally releas$ z biological weapons4 7#f7 ,environm5tal *ange has made x easy = disease vectors1 su* z mosquitoes1 to cov] m t]ritory4 7#g7 ,!re are _m rec5t examples ( new1 reem]g+1 & zoonotic pa?og5s quickly spread+ across ! globe1 includ+-- 7,a7 ,ebola virus disease1 :i* kill$ m ?an #aa1jjj p & infect$ m ?an #bh1jjj p 9 ,we/ ,africa betwe5 #bjad & #bjaf1 & :i* has infect$ & kill$ an unkn[n numb] ( p 9 ! ,democratic ,republic ( ! ,congo s9ce #bjah2 7,b7 novel coronavirus disease 7,,covid71 :i*1 z ( ,febru>y #ab1 #bjbj1 _h infect$ at lea/ #de1jjj p 9 at lea/ #be c\ntries1 result+ 9 m ?an #a1ajj dea?s 9 ,*9a2 7,c7 yell[ fev] virus2 7,d7 *ol]a2 7,e7 avian influ5za virus 7,h#g,n#i72 7,f7 novel ,middle ,ea/ ,respiratory ,syndrome 7,,m]s7 coronavirus2 & 7,g7 ,zika virus4 7#h7 ,! co/s ( new1 reem]g+1 & zoonotic infections are high 9 human & f9ancial t]ms4 ,= example-- 7,a7 ! an?rax attacks 9 ! ea/]n ,unit$ ,/ates 9 late #bjja infect$ #bb p1 kill$ #e1 & co/ m ?an #a1jjj1jjj1jjj to clean up2 7,b7 an outbreak ( sev]e acute respiratory syndrome 7,,s>s7 orig9at+ 9 s\!rn ,*9a 9 late #bjjb infect$ m ?an #h1jjj p1 result$ 9 #ggd dea?s1 & _h an economic impact e/imat$ at #cj1jjj1jjj1jjj 9 only a few mon?s2 7,c7 ! #bjji ,h#a,n#a influ5za p&emic kill$ an e/imat$ #bhd1jjj p 9 a s+le ye>2 & 7,d7 human immunodefici5cy virus 7,,hiv7 spread sil5tly = decades be=e detection1 has l$ to ! dea? ( #ce1jjj1jjj p1 & curr5tly affects #cg1jjj1jjj p :o are liv+ ) ! virus4 7#i7 ,! enorm\s co/s ( p&emics c be av]t$ ) /rategic inve/m5t 9 capacity build+ & prep>$ness4 7#aj7 ,! ,global ,heal? ,security ,ag5da1 :i* 0 laun*$ 9 ,febru>y #bjad 9 p>tn]%ip ) c\ntries f ar\nd ! _w1 is design$-- 7,a7 to measurably address global vuln]ability to infecti\s diseases2 7,b7 to /r5g!n sy/ems2 & 7,c7 to ensure t a tra9$ work=ce has ! tools ne$$ to prev5t1 detect1 & respond rapidly & effectively to infecti\s disease ?reats4 7#aa7 ,/opp+ an outbreak at its s\rce1 :e!r naturally occurr+1 delib]ate1 or accid5tal1 requires close collaboration among ! heal?1 animal1 agriculture1 def5se1 security1 developm5t1 comm]cial1 & o!r sectors4 #c4 ,s5se ( ,congress ,x is ! s5se ( ,congress t-- 7#a7 advanc+ global heal? security is a core t5et ( our national /rategy = c\nt]+ biological ?reats2 7#b7 support+ global heal? security requires op]ationaliz+ ! ,"o ,heal? concept l9k+ human1 animal1 & environm5tal heal?2 7#c7 ! ,unit$ ,/ates mu/ be prep>$ to prev5t1 detect1 & respond to ! ?reat pos$ by biot]rorism1 z well z accid5tal releases f a laboratory2 7#d7 x is 9 ! national int]e/ ( ! ,unit$ ,/ates-- 7,a7 to promote global heal? security2 & 7,b7 to accel]ate ef=ts to build ! capacity ( c\ntries-- 7i7 to prev5t1 detect1 & respond to infecti\s diseases2 & 7ii7 to a*ieve ! core capacities requir$ by ! ,_w ,heal? ,organization's ,int]national ,heal? ,regulations1 adopt$ at ,g5eva ,may #bc1 #bjje2 7#e7 no s+le nation c be prep>$ or protect$ if o!r nations rema9 unprep>$ to c\nt] biological ?reats2 7#f7 national & int]national multi-sectoral coop]ation & prep>$ness are at ! core ( effective control ( infecti\s diseases ?r\gh /r5g!n$ heal? sy/ems & prep>$ness2 7#g7 global heal? security dep5ds ^u collaborations across all societal sectors1 includ+ human & animal heal?1 agriculture1 developm5t1 environm5tal1 national security & def5se1 sci5ce & te*nology1 academic & rese>* communities1 nongov]nm5tal organizations1 & ! private sector1 to meet ! policy objective set =? 9 section #d7c7 ( /r5g!n+ heal? sy/ems & p&emic prep>$ness2 7#h7 an effective global heal? security /rategy %\ld include-- 7,a7 prev5t+ avoidable incid5ts & cata/rophes1 su* z antimicrobial resi/ance1 zoonotic diseases1 outbreaks1 brea*es ( biosafety & security1 & immunization-prev5table dea?s2 7,b7 detect+ ?reats e>ly ?r\gh-- 7i7 build+ & su/a9+ national & global laboratory sy/ems2 7ii7 improv+ disease surveillance2 7iii7 enhanc+ ! report+ ( infecti\s disease outbreaks2 & 7iv7 develop+ ! heal? work=ce2 & 7,c7 respond+ to ?reats rapidly & effectively ?r\gh-- 7i7 em]g5cy op]ations c5t]s2 7ii7 l9k+ public heal? ) multisectoral rapid response2 & 7iii7 m$ical c\nt]measures & p]sonnel deploym5t2 7#i7 /rategic global heal? security action requires ,unit$ ,/ates coord9ation & collaboration ) int]national gov]nance entities1 includ+-- 7,a7 ! ,_w ,heal? ,organization2 7,b7 ! ,food & ,agriculture ,organization ( ! ,unit$ ,nations2 7,c7 ! ,_w ,organization = ,animal ,heal?2 7,d7 ! ,global ,p>tn]%ip ,aga9/ ! ,spread ( ,weapons & ,mat]ials ( ,mass ,de/ruction2 7,e7 ! ,int]national ,crim9al ,police ,organization 7commonly kn[n z ,,int]pol72 7,f7 ! ,economic ,community ( ,we/ ,african ,/ates2 7,g7 ! ,unit$ ,nations ,(fice = ,disa/] ,risk ,r$uction2 7,h7 ! ,global ,alliance = ,vacc9es & ,immunization 7commonly kn[n z ,,gavi72 & 7,i7 o!r relevant int]national /akehold]s & organizations2 & 7#aj7 ! /rategic goals describ$ 9 p>agraph 7#h7 mu/ be subject to measurem5t1 assessm5t1 & analysis4 #d4 ,def9$ t]m ,9 ?is ,act1 ! t]m global heal? security means ! activities requir$ to m9imize ! dang] & impact ( acute public heal? ev5ts t endang] ! collective heal? ( populations liv+ across geographical regions & int]national b\nd>ies4 #e4 ,policy objectives ,x is ! policy ( ! ,unit$ ,/ates-- 7#a7 to advance global heal? security ?r\gh engagem5t 9 a multi-facet$1 multi-c\ntry1 multi-sectoral framework to accel]ate t>get$ p>tn] c\ntries' measurable capabilities to a*ieve specific t>gets to prev5t1 detect1 & respond to infecti\s disease ?reats1 :e!r naturally occurr+1 delib]ate1 or accid5tal2 7#b7 to enc\rage gov]nm5ts & multilat]al ag5cies1 developm5t banks1 nongov]nm5tal organizations1 & private sector /akehold]s ?r\gh\t ! _w to make =tify+ heal? security a national priority & a key commitm5t2 & 7#c7 to emphasize improv+ coord9ation & collaboration across gov]nm5tal & societal sectors to help /r5g!n heal? sy/ems & p&emic prep>$ness4 #f4 ,global ,heal? ,security ,special ,advisor 7a7 ,9 g5]al ,!re is e/abli%$1 )9 ! ,executive ,(fice ( ! ,presid5t1 ! position ( ,special ,advisor = ,global ,heal? ,security 7ref]r$ to 9 ?is ,act z ! ,advisor71 :o %all be appo9t$ by ! ,presid5t1 at a level n l[] ?an t ( a ,s5ior ,director4 7b7 ,g5]al duties ,! ,advisor %all-- 7#a7 s]ve z ! ,presid5t's pr9cipal advisor on global heal? security & global heal? em]g5cies2 7#b7 coord9ate ! ,unit$ ,/ates ,gov]nm5t's ef=ts to c>ry out global heal? security activities1 includ+ p>ticipation 9 ! ,global ,heal? ,security ,ag5da2 7#c7 conv5e & *air ! ,global ,heal? ,security ,int]ag5cy ,review ,c\ncil describ$ 9 section #g2 & 7#d7 submit a report to ,congress n less frequ5tly ?an twice p] ye> t describes ! activities & accompli%m5ts ( ! ,advisor dur+ ! report+ p]iod4 7c7 ,specific duties ,! duties ( ! ,advisor %all also include-- 7#a7 ensur+ program & policy coord9ation among ! relevant executive bran* ag5cies & nongov]nm5tal organizations1 includ+ audit+1 monitor+1 & evaluation ( all su* programs2 7#b7 ensur+ t ea* relevant executive bran* ag5cy und]takes programs prim>ily 9 areas 9 :i* ! ag5cy has ! greate/ exp]tise1 te*nical capabilities1 & pot5tial = success2 7#c7 avoid+ duplication ( ef=t2 7#d7 ensur+1 ?r\gh int]ag5cy & int]national coord9ation1 t global heal? security programs ( ! ,unit$ ,/ates are coord9at$ )1 & complem5t>y to1 ! deliv]y ( relat$ global heal?1 food security1 developm5t1 & education programs2 7#e7 e/abli%+ due dilig5ce crit]ia = all recipi5ts ( funds appropriat$ by ! ,f$]al ,gov]nm5t = global heal? security assi/ance2 7#f7 develop+ policy t w prioritize global heal? security1 especially ! role ( build+ l[- & middle-income c\ntry capacity to conta9 p&emic ?reats1 9 all relevant future global & national heal?1 rese>* & developm5t1 & biodef5se /rategies1 includ+ ! ,national ,heal? ,security ,/rategy1 ! ,national ,security ,/rategy1 & ! ,national ,biodef5se ,/rategy2 & 7#g7 articulat+ assessm5t /&>ds t-- 7,a7 measure c\ntries' individual /atus & progress 9 build+ ! necess>y capacities to prev5t1 detect1 & respond to infecti\s disease ?reats1 9 accordance ) agre$ bilat]al or multilat]al t>gets & 9 support ( full implem5tation ( ! ,int]national ,heal? ,regulations1 adopt$ at ,g5eva ,may #bc1 #bjje2 7,b7 are bas$ on a pe]-to-pe] model 9 :i* ext]nal exp]ts are invit$ to "w ) ! c\ntry to evaluate capacity2 7,c7 ensure an objective approa* & facilitate cross-sectoral le>n+2 & 7,d7 are "p ( ! capacity build+ cycle design$ to in=m national priority sett+1 t>get res\rces1 & track progress4 7d7 ,coord9ation ,9 c>ry+ out ! duties set =? 9 subsection 7b71 ! ,advisor %all ensure ! coord9ation ( ,unit$ ,/ates ,gov]nm5t ef=ts ref]r$ to 9 subsection 7b77#b7 ) relevant int]national /akehold]s & organizations4 7e7 ,monitor+ ,to ensure t adequate measures are e/abli%$ & implem5t$1 ! ,c5t]s = ,disease ,control & ,prev5tion %\ld-- 7#a7 advise ! ,advisor on monitor+1 surveillance1 & evaluation activities2 & 7#b7 be a key implem5t] ( su* activities "u ?is section4 7f7 ,=m ,! reports requir$ "u subsection 7b77#d7 %all be submitt$ 9 unclassifi$ =m1 b may conta9 a classifi$ annex4 #g4 ,int]ag5cy ,review ,c\ncil 7a7 ,e/abli%m5t ,! ,global ,heal? ,security ,int]ag5cy ,review ,c\ncil 7ref]r$ to 9 ?is section z ! ,c\ncil7 %all be compos$ ( repres5tatives (-- 7#a7 ! ,dep>tm5t ( ,/ate2 7#b7 ! ,c5t]s = ,disease ,control & ,prev5tion2 7#c7 ! ,unit$ ,/ates ,ag5cy = ,int]national ,developm5t2 7#d7 ! ,dep>tm5t ( ,agriculture1 includ+ ! ,animal ,plant ,heal? ,inspection ,s]vice & ! ,food ,safety & ,inspection ,s]vice2 7#e7 ! ,dep>tm5t ( ,def5se1 includ+ ! ,assi/ant ,secret>y ( ,def5se = ,heal? ,affairs2 7#f7 ! ,dep>tm5t ( ,heal? & ,human ,s]vices1 includ+ ! ,national ,in/itutes ( ,heal?2 7#g7 ! ,dep>tm5t ( ,homel& ,security2 7#h7 ! ,dep>tm5t ( ,ju/ice1 includ+ ! ,f$]al ,bureau ( ,inve/igation2 7#i7 ! ,environm5tal ,protection ,ag5cy2 7#aj7 ! ,(fice ( ,managem5t & ,budget2 7#aa7 ! ,(fice ( ,sci5ce & ,te*nology ,policy2 & 7#ab7 any o!r ag5cy t ! repres5tatives ( ! ag5cies set =? 9 p>agraphs 7#a7 ?r\gh 7#aa7 det]m9e1 by cons5sus1 to be appropriate4 7b7 ,meet+s ,! ,c\ncil %all meet at lea/ #d times p] ye> to advance its mission & fulfill its responsibilities "u ?is section4 7c7 ,functions ,! ,c\ncil %all-- 7#a7 provide policy-level guidance to p>ticipat+ ag5cies on global heal? security goals1 objectives1 & implem5tation2 7#b7 facilitate int]ag5cy1 multi-sectoral engagem5t to c>ry out global heal? security activities1 includ+ ! ,global ,heal? ,security ,ag5da2 7#c7 provide a =um = rais+ & work+ to resolve int]ag5cy disagreem5ts conc]n+ ! global heal? security goals1 objectives1 & b5*m>ks2 7#d7 develop & set b5*m>ks =-- 7,a7 assess+1 measur+1 & improv+ global heal? security outcomes2 & 7,b7 id5tify+ crit]ia = designat+ priority p>tn] c\ntries2 7#e7 review ! progress t[>d1 & "w to resolve *all5ges to1 a*iev+ ,unit$ ,/ates ,gov]nm5t commitm5ts to global heal? security activities1 agreem5ts1 & organizations1 includ+ ! ,global ,heal? ,security ,ag5da & o!r commitm5ts to assi/ o!r c\ntries 9 a*iev+ agre$-^u global heal? security t>gets2 & 7#f7 consid]1 among o!r issues-- 7,a7 ! /atus ( ,unit$ ,/ates f9ancial commitm5ts to global heal? security 9 ! context ( commitm5ts by o!r donors1 & ! contributions ( p>tn] c\ntries to a*ieve global heal? security t>gets1 includ+ ! ,global ,heal? ,security ,ag5da2 7,b7 progress t[>d ! mile/ones outl9$ 9 global heal? security national plans = ^? c\ntries :]e ! ,unit$ ,/ates ,gov]nm5t has committ$ to assi/ 9 global heal? security activities & 9 annual "w plans outl9+ ag5cy priorities = implem5t+ global heal? security /rategies1 includ+ ! ,global ,heal? ,security ,ag5da2 & 7,c7 ext]nal evaluations ( ! capabilities ( ! ,unit$ ,/ates & p>tn] c\ntries to address infecti\s disease ?reats1 includ+-- 7i7 ! ability to a*ieve ! t>gets outl9$ 9 ! ,jo9t ,ext]nal ,evaluation process2 & 7ii7 gaps id5tifi$ by su* ext]nal evaluations4 7d7 ,specific roles & responsibilities 7#a7 ,9 g5]al ,! heads ( ! ag5cies ref]r$ to 9 subsection 7a7 %all-- 7,a7 make ! implem5tation ( ! ,global ,heal? ,security ,ag5da 7ref]r$ to 9 ?is subsection z ,,ghsa7 & successor activities a high priority )9 _! respective ag5cies1 & include ,,ghsa-relat$ activities )9 _! respective ag5cies' /rategic plann+ & budget processes2 7,b7 designate a s5ior level (ficial to be responsible = ! implem5tation ( ?is section2 7,c7 designate an appropriate repres5tative1 at ! ,assi/ant ,secret>y level or high]1 to repres5t ! ag5cy on ! ,c\ncil2 7,d7 keep ! ,c\ncil appris$ ( global heal? security-relat$ activities1 includ+ ! ,global ,heal? ,security ,ag5da1 und]tak5 )9 _! respective ag5cies2 7,e7 ma9ta9 responsibility = ag5cy-relat$ programmatic functions1 9 coord9ation ) ho/ gov]nm5ts1 c\ntry teams1 & global heal? security 9 c\ntry teams1 & 9 conjunction ) o!r relevant ag5cies2 7,f7 coord9ate ) o!r ag5cies ref]r$ to 9 subsection 7a7 to satisfy programmatic goals1 & fur!r facilitate coord9ation ( c\ntry teams1 implem5t]s1 & donors 9 ho/ c\ntries2 & 7,g7 coord9ate across ,,ghsa national plans & ) ,,ghsa p>tn]s to :i* ! ,unit$ ,/ates is provid+ assi/ance4 7#b7 ,additional roles & responsibilities ,9 addition to ! roles & responsibilities describ$ 9 p>agraph 7#a71 ! heads ( ag5cies ref]r$ to 9 subsection 7a7 %all c>ry out _! respective roles & responsibilities describ$ 9 subsections 7b7 ?r\gh 7i7 ( section #c ( ,executive ,ord] #acgdg 7#ha ,f$4 ,reg4 #ghgja2 relat+ to ,advanc+ ! ,global ,heal? ,security ,ag5da to ,a*ieve a ,_w ,safe & ,secure f ,infecti\s ,disease ,?reats71 z 9 effect on ! day be=e ! date ( ! enactm5t ( ?is ,act4 7e7 ,limitations ,! ,c\ncil may n p]=m any activities or functions t int]f]e ) ! =eign affairs responsibilities ( ! ,secret>y ( ,/ate1 includ+ ! responsibility to ov]see ! implem5tation ( programs & policies t advance ! global heal? security activities )9 =eign c\ntries4 #h4 ,/rategy & reports 7a7 ,/rategy ,! ,special ,advisor = ,global ,heal? ,security appo9t$ "u section #f %all coord9ate ! developm5t & implem5tation ( a /rategy to implem5t ! policy describ$ 9 section #e1 :i* %all-- 7#a7 set specific & measurable goals1 b5*m>ks1 timetables1 p]=mance metrics1 & monitor+ & evaluation plans t reflect int]national be/ practices relat+ to transp>5cy1 acc\ntability1 & global heal? security2 7#b7 support & be align$ ) c\ntry-own$ global heal? security policy & inve/m5t plans develop$ ) input f key /akehold]s1 z appropriate2 7#c7 facilitate communication & collaboration1 z appropriate1 among local /akehold]s 9 support ( a multi-sectoral approa* to global heal? security2 7#d7 support ! long-t]m success ( programs by build+ ! capacity ( local organizations & in/itutions 9 t>get c\ntries & communities2 7#e7 develop community resili5ce to infecti\s disease ?reats & em]g5cies2 7#f7 lev]age res\rces & exp]tise ?r\gh p>tn]%ips ) ! private sector1 heal? organizations1 civil society1 nongov]nm5tal organizations1 & heal? rese>* & academic in/itutions2 & 7#g7 support collaboration1 z appropriate1 betwe5 ,unit$ ,/ates univ]sities1 & public & private in/itutions 9 t>get c\ntries & communities to promote heal? security & innovation4 7b7 ,coord9ation ,! ,presid5t1 act+ ?r\gh ! ,special ,advisor = ,global ,heal? ,security1 %all coord9ate1 ?r\gh a :ole-(-gov]nm5t approa*1 ! ef=ts ( relevant ,f$]al dep>tm5ts & ag5cies 9 ! implem5tation ( ! /rategy requir$ "u subsection 7a7 by e/abli%+-- 7#a7 monitor+ & evaluation sy/ems1 coh]5ce1 & coord9ation across relevant ,f$]al dep>tm5ts & ag5cies2 & 7#b7 plat=ms = regul> consultation & collaboration ) key /akehold]s & ! appropriate congressional committees4 7c7 ,/rategy submission 7#a7 ,9 g5]al ,n lat] ?an #f mon?s aft] ! date ( ! enactm5t ( ?is ,act1 ! ,presid5t1 9 consultation ) ! head ( ea* relevant ,f$]al dep>tm5t & ag5cy1 %all submit1 to ! appropriate congressional committees-- 7,a7 ! /rategy requir$ "u subsection 7a72 & 7,b7 a detail$ description ( h[ ! ,unit$ ,/ates int5ds to advance ! policy set =? 9 section #e & ! ag5cy-specific plans describ$ 9 p>agraph 7#b74 7#b7 ,ag5cy-specific plans ,! /rategy requir$ "u subsection 7a7 %all include specific implem5tation plans f ea* relevant ,f$]al dep>tm5t & ag5cy t describes-- 7,a7 ! anticipat$ contributions ( ! dep>tm5t or ag5cy1 includ+ te*nical1 f9ancial1 & 9-k9d contributions1 to implem5t ! /rategy2 & 7,b7 ! ef=ts ( ! dep>tm5t or ag5cy to ensure t ! activities & programs c>ri$ out pursuant to ! /rategy are design$ to a*ieve maximum impact & long-t]m su/a9ability4 7d7 ,report 7#a7 ,9 g5]al ,n lat] ?an #a ye> aft] ! date on :i* ! /rategy requir$ "u subsection 7a7 is submitt$ to ! appropriate congressional committees "u subsection 7c71 & n lat] ?an ,octob] #a ( ea* ye> !reaft]1 ! ,presid5t %all submit a report to ! appropriate congressional committees t describes ! /atus ( ! implem5tation ( ! /rategy4 7#b7 ,cont5t ,! report requir$ "u p>agraph 7#a7 %all-- 7,a7 conta9 a summ>y ( ! /rategy z an app5dix2 7,b7 id5tify any sub/antial *anges made 9 ! /rategy dur+ ! prec$+ cal5d> ye>2 7,c7 describe ! progress made 9 implem5t+ ! /rategy2 7,d7 id5tify ! indicators us$ to e/abli% b5*m>ks & measure results ov] "t1 z well z ! me*anisms = report+ su* results 9 an op5 & transp>5t mann]2 7,e7 conta9 a transp>5t1 op51 & detail$ acc\nt+ ( exp5ditures by relevant ,f$]al dep>tm5ts & ag5cies to implem5t ! /rategy1 includ+1 = ea* ,f$]al dep>tm5t & ag5cy1 ! /atutory s\rce ( exp5ditures1 am\nts exp5d$1 implem5t+ p>tn]s1 t>get$ b5efici>ies1 & activities support$2 7,f7 describe h[ ! /rategy lev]ages o!r ,unit$ ,/ates global heal? & developm5t assi/ance programs2 7,g7 assess ef=ts to coord9ate ,unit$ ,/ates global heal? security programs1 activities1 & initiatives ) key /akehold]s2 & 7,h7 incorporate a plan = regul>ly review+ & updat+ /rategies1 p>tn]%ips1 & programs & %>+ lessons le>n$ ) a wide range ( /akehold]s1 includ+ key /akehold]s1 9 an op51 transp>5t mann]4 7e7 ,=m ,! /rategy requir$ "u subsection 7a7 & ! report requir$ "u subsection 7d7 %all be submitt$ 9 unclassifi$ =m1 b may conta9 a classifi$ annex4 #i4 ,coord9ation ( ,f$]al response to global heal? em]g5cies 7a7 ,lead]%ip ,! ,secret>y ( ,/ate1 9 consultation ) o!r appropriate ,f$]al dep>tm5ts1 includ+ ! ,dep>tm5t ( ,agriculture1 ! ,dep>tm5t ( ,def5se1 ! ,dep>tm5t ( ,heal? & ,human ,s]vices1 & ! ,dep>tm5t ( ,homel& ,security1 %all coord9ate & facilitate int]ag5cy1 multi-sectoral activities outside ( ! ,unit$ ,/ates 9 response to a decl>$ global heal? em]g5cy4 ,! ,presid5t may designate ano!r ,f$]al (ficial to coord9ate dome/ic & extra-t]ritorial activities relat$ to a global heal? em]g5cy4 7b7 ,coord9ation ) int]national organizations ,9 respond+ to a decl>$ global heal? em]g5cy "u subsection 7a71 ! ,secret>y ( ,/ate %all coord9ate ,unit$ ,/ates ,gov]nm5t's ef=ts ) ! ef=ts & programs ( relevant int]national organizations & /akehold]s1 includ+-- 7#a7 ! ,_w ,heal? ,organization2 7#b7 ! ,food & ,agriculture ,organization ( ! ,unit$ ,nations2 7#c7 ! ,_w ,organization = ,animal ,heal?2 7#d7 ! ,global ,p>tn]%ip ,aga9/ ! ,spread ( ,weapons & ,mat]ials ( ,mass ,de/ruction2 7#e7 ,,int]pol2 7#f7 ! ,economic ,community ( ,we/ ,african ,/ates2 7#g7 ! ,unit$ ,nations ,(fice = ,disa/] ,risk ,r$uction2 7#h7 ,,gavi1 ,! ,vacc9e ,alliance2 & 7#i7 o!r relevant int]national ag5cies & organizations4 7c7 ,int]ag5cy coord9ation ,! ,secret>y ( ,/ate %all ensure t global heal? security programs support$ by ! ,unit$ ,/ates ,gov]nm5t are coord9at$ )1 & complem5t>y to1 relat$ programs 9 global food security1 developm5t1 & education4 #aj4 ,au?orization ( appropriations ,!re are au?oriz$ to be appropriat$1 = ea* ( ! fiscal ye>s #bjba ?r\gh #bjbe-- 7#a7 to ! ,c5t]s = ,disease ,control & ,prev5tion1 #aij1jjj1jjj = ! ,global ,disease ,detection & ,em]g5cy ,response & ,global ,public ,heal? ,capacity & ,developm5t ,acc\nts1 :i* %all be us$ to support activities t-- 7,a7 are consi/5t ) ,unit$ ,/ates global heal? security policy1 goals1 & priorities2 7,b7 h measurable b5*m>ks2 & 7,c7 focus on prev5t+ avoidable cata/rophes1 detect+ ?reats e>ly1 & respond+ rapidly & effectively2 & 7#b7 to ! ,unit$ ,/ates ,ag5cy = ,int]national ,developm5t1 #aaj1jjj1jjj = ! ,global ,heal? ,security ,acc\nt1 :i* %all be us$ to support activities t-- 7,a7 are consi/5t ) ,unit$ ,/ates global heal? security policy1 goals1 & priorities2 7,b7 h measurable b5*m>ks2 & 7,c7 focus on prev5t+ avoidable cata/rophes1 detect+ ?reats e>ly1 & respond+ rapidly & effectively4