,,ii #aafth ,,congress #b;d ,session ,s4 #cfef ,,in ,,the ,,senate ,,of ,,the ,,united ,,states ,may #g1 #bjbj,mr4 ,murphy 7for himself and ,mr4 ,romney7 introduced the following bill2 which was read twice and referred to the ,committee on ,health1 ,education1 ,labor1 and ,pensions ,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 #bjbj4 #b4 ,findings ,congress finds the following3 7#a7 ,in ,december #bjji1 ,president ,obama released the ,national ,strategy for ,countering ,biological ,threats1 which listed1 as #a of #g objectives1 ,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 origin44 7#b7 ,in ,february #bjad1 the ,united ,states and nearly #cj other nations launched the ,global ,health ,security ,agenda 7referred to in this section as ,,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#c7 ,in #bjae1 the ,united ,nations adopted the ,sustainable ,development ,goals1 which specifically reference the importance of global health security as part of ,goal #c1 ensure healthy lives and promote well-being for all at all ages1 by strengthening the capacity of all countries1 in particular developing countries1 for early warning1 risk reduction and management of national and global health risks4 7#d7 ,on ,november #d1 #bjaf1 ,president ,obama signed ,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 ,threats74 7#e7 ,in ,october #bjag1 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#f7 ,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 outbreaks44 7#g7 ,in ,september #bjah1 ,president ,trump released the ,national ,biodefense ,strategy1 which includes the following objectives3 7,a7 ,strengthen global health security capacities to prevent local bioincidents from becoming epidemics44 7,b7 ,strengthen international preparedness to support international response and recovery capabilities44 #c4 ,statement of policy ,it is the policy of the ,united ,states-- 7#a7 promote global health security as a core national security interest2 7#b7 advance the aims of 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-- 7,a7 to prevent infectious disease outbreaks2 and 7,b7 to combat the growing threat of antimicrobial resistance4 #d4 ,global ,health ,security ,agenda ,interagency ,review ,council 7a7 ,establishment ,the ,president shall establish a ,global ,health ,security ,agenda ,interagency ,review ,council 7referred to in this section as the ,council7 to perform the general responsibilities described in subsection 7c7 and the specific roles and responsibilities described in subsection 7e74 7b7 ,meetings ,the ,council shall meet not less frequently than #d times per year to advance its mission and fulfill its responsibilities4 7c7 ,general responsibilities ,the ,council shall be responsible for the following activities3 7#a7 ,provide policy-level recommendations to participating agencies on ,global ,health ,security ,agenda 7referred to in this section as ,,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 ,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 7#e7 ,in carrying out the responsibilities under this subsection1 the ,council shall consider1 among other issues-- 7,a7 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 targets2 7,b7 the progress toward the milestones outlined in the ,,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 ,,ghsa2 and 7,c7 the external evaluations of ,united ,states and partner country capabilities to address infectious disease threats1 including-- 7i7 the ability to achieve the targets outlined within the ,world ,health ,organization's ,joint ,external ,evaluation tool2 and 7ii7 gaps identified by such external evaluations4 7d7 ,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 ,council determines to be appropriate4 7e7 ,specific roles and responsibilities 7#a7 ,in general ,the heads of agencies referred to in subsection 7d7 shall-- 7,a7 make the ,,ghsa and its implementation a high priority within their respective agencies 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 designate 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 the departments and agencies described in subsection 7d7 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 ,united ,states ,coordinator for ,global ,health ,security 7a7 ,in general ,the ,president shall appoint an individual to the position of ,united ,states ,coordinator for ,global ,health ,security 7referred to in this section as the ,coordinator74 7b7 ,responsibilities ,the ,coordinator shall be responsible for coordinating the interagency process for responding to global health security emergencies1 in coordination with the ,president's ,special ,coordinator for ,international ,disaster ,assistance1 as appropriate4 7c7 ,congressional briefing ,not less frequently than twice each year1 the ,coordinator shall provide a briefing to the appropriate congressional committees that describes how the ,coordinator has been carrying out his or her responsibilities and activities under this section4 #f4 ,sense of ,congress ,it is the sense of the ,congress1 given the complex and multisectoral nature of global health threats to the ,united ,states1 that the ,president-- 7#a7 should consider appointing an individual with significant background and expertise in public health or emergency response management to the position of ,united ,states ,coordinator for ,global ,health ,security1 in accordance with section #e7;a71 who is an employee of the ,national ,security ,council at the level of ,deputy ,assistant to the ,president or higher2 and 7#b7 in providing assistance to implement the strategy required under section #g7;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 to the extent necessary and appropriate4 #g4 ,strategy and reports 7a7 ,strategy ,the ,united ,states ,coordinator for ,global ,health ,security appointed pursuant to section #e7;a7 shall coordinate the development and implementation of a strategy to implement the policy described in section #c4 ,this strategy 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 ,united ,states ,coordinator 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 7a71 which shall include a detailed description of how the ,united ,states intends to advance the policy set forth in section #c 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 describe-- 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 ,annual 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 a report to the appropriate congressional committees that describes the status of the implementation of the strategy4 7#b7 ,contents ,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 to the extent practicable1 for each ,federal department and agency1 the statutory source of expenditures1 amounts expended1 partners1 targeted populations1 and types of 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 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 manner2 and 7,h7 describe the progress achieved and any challenges concerning the ,united ,states ,government's ability to advance the ,global ,health ,security ,agenda across priority countries1 including-- 7i7 data disaggregated by priority country using indicators that are consistent on a year-to-year basis2 and 7ii7 recommendations to resolve1 mitigate1 or otherwise address the challenges identified under this subparagraph4 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 #h4 ,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,d71 by striking and at the end2 7#b7 in subparagraph 7,e71 by striking the period at the end and inserting 2 and2 and 7#c7 by adding at the end the following3 7,f7 the ,global ,health ,security ,act of #bjbj4 4 #i4 ,definitions ,in this ,act3 7#a7 ,appropriate congressional committees ,the term appropriate congressional committees means-- 7,a7 the ,committee on ,foreign ,relations of the ,senate2 7,b7 the ,committee on ,appropriations of the ,senate2 7,c7 the ,committee on ,foreign ,affairs of the ,house of ,representatives2 and 7,d7 the ,committee on ,appropriations of the ,house of ,representatives4 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 #aj4 ,sunset ,this ,act 7except for section #e7 and the amendments made by this ,act shall cease to be effective on ,december #ca1 #bjbd4