,,ii #aaf? ,,congress #b;d ,session ,s4 #cfef ,,9 ,,! ,,s5ate ,,( ,,! ,,unit$ ,,/ates ,may #g1 #bjbj,mr4 ,murphy 7= himself & ,mr4 ,romney7 introduc$ ! foll[+ bill2 :i* 0 read twice & ref]r$ to ! ,committee on ,heal?1 ,education1 ,labor1 & ,p5sions ,a ,,bill ,to au?orize a compreh5sive1 /rategic approa* = ,unit$ ,/ates =eign assi/ance to develop+ c\ntries to /r5g!n global heal? security1 & = o!r purposes4 #a4 ,%ort title ,?is ,act may be cit$ z ! ,global ,heal? ,security ,act ( #bjbj4 #b4 ,f9d+s ,congress f9ds ! foll[+3 7#a7 ,9 ,decemb] #bjji1 ,presid5t ,obama releas$ ! ,national ,/rategy = ,c\nt]+ ,biological ,?reats1 :i* li/$1 z #a ( #g objectives1 ,promote global heal? security3 ,increase ! availability ( & access to k & products ( ! life sci5ces t c help r$uce ! impact f outbreaks ( infecti\s disease :e!r ( natural1 accid5tal1 or delib]ate orig944 7#b7 ,9 ,febru>y #bjad1 ! ,unit$ ,/ates & ne>ly #cj o!r nations laun*$ ! ,global ,heal? ,security ,ag5da 7ref]r$ to 9 ?is section z ,,ghsa7 to address sev]al high-priority1 global infecti\s disease ?reats4 ,! ,,ghsa is a multi-facet$1 multi-c\ntry initiative int5d$ to accel]ate 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 accid5tal4 7#c7 ,9 #bjae1 ! ,unit$ ,nations adopt$ ! ,su/a9able ,developm5t ,goals1 :i* specifically ref]5ce ! importance ( global heal? security z "p ( ,goal #c1 ensure heal?y lives & promote well-be+ = all at all ages1 by /r5g!n+ ! capacity ( all c\ntries1 9 p>ticul> develop+ c\ntries1 = e>ly w>n+1 risk r$uction & managem5t ( national & global heal? risks4 7#d7 ,on ,novemb] #d1 #bjaf1 ,presid5t ,obama sign$ ,executive ,ord] #acgdg 7#ha ,f$4 ,reg4 #ghgja2 relat+ to ,advanc+ ! ,global ,heal? ,security ,ag5da to ,a*ieve a ,_w ,safe & ,secure f ,infecti\s ,disease ,?reats74 7#e7 ,9 ,octob] #bjag1 at ! ,,ghsa ,m9i/]ial ,meet+ 9 ,ug&a1 ! ,unit$ ,/ates & m ?an #dj ,,ghsa memb] c\ntries support$ ! ,kampala ,decl>ation to ext5d ! ,,ghsa = an additional #e ye>s to #bjbd4 7#f7 ,9 ,decemb] #bjag1 ,presid5t ,trump releas$ ! ,national ,security ,/rategy1 :i* includes ! priority action3 ,,detect ,,& ,,conta9 ,,bio?reats ,,at ,,_! ,,s\rce3 ,we w "w ) o!r c\ntries to detect & mitigate outbreaks e>ly to prev5t ! spread ( disease4 ,we w enc\rage o!r c\ntries to inve/ 9 basic heal? c>e sy/ems & to /r5g!n global heal? security across ! int]section ( human & animal heal? to prev5t infecti\s disease outbreaks44 7#g7 ,9 ,septemb] #bjah1 ,presid5t ,trump releas$ ! ,national ,biodef5se ,/rategy1 :i* includes ! foll[+ objectives3 7,a7 ,/r5g!n global heal? security capacities to prev5t local bio9cid5ts f becom+ epidemics44 7,b7 ,/r5g!n int]national prep>$ness to support int]national response & recov]y capabilities44 #c4 ,/atem5t ( policy ,x is ! policy ( ! ,unit$ ,/ates-- 7#a7 promote global heal? security z a core national security int]e/2 7#b7 advance ! aims ( ! ,global ,heal? ,security ,ag5da2 7#c7 collaborate ) o!r c\ntries to detect & mitigate outbreaks e>ly to prev5t ! spread ( disease2 7#d7 enc\rage o!r c\ntries to inve/ 9 basic resili5t & su/a9able heal? c>e sy/ems2 & 7#e7 /r5g!n global heal? security across ! int]section ( human & animal heal?-- 7,a7 to prev5t infecti\s disease outbreaks2 & 7,b7 to combat ! gr[+ ?reat ( antimicrobial resi/ance4 #d4 ,global ,heal? ,security ,ag5da ,int]ag5cy ,review ,c\ncil 7a7 ,e/abli%m5t ,! ,presid5t %all e/abli% a ,global ,heal? ,security ,ag5da ,int]ag5cy ,review ,c\ncil 7ref]r$ to 9 ?is section z ! ,c\ncil7 to p]=m ! g5]al responsibilities describ$ 9 subsection 7c7 & ! specific roles & responsibilities describ$ 9 subsection 7e74 7b7 ,meet+s ,! ,c\ncil %all meet n less frequ5tly ?an #d times p] ye> to advance its mission & fulfill its responsibilities4 7c7 ,g5]al responsibilities ,! ,c\ncil %all be responsible = ! foll[+ activities3 7#a7 ,provide policy-level recomm5dations to p>ticipat+ ag5cies on ,global ,heal? ,security ,ag5da 7ref]r$ to 9 ?is section z ,,ghsa7 goals1 objectives1 & implem5tation4 7#b7 ,facilitate int]ag5cy1 multi-sectoral engagem5t to c>ry out ,,ghsa implem5tation4 7#c7 ,provide a =um = rais+ & work+ to resolve int]ag5cy disagreem5ts conc]n+ ! ,,ghsa4 7#d7 ,review ! progress t[>d & "w to resolve *all5ges 9 a*iev+ ,unit$ ,/ates commitm5ts "u ! ,,ghsa1 includ+ commitm5ts to assi/ o!r c\ntries 9 a*iev+ ! ,,ghsa t>gets4 7#e7 ,9 c>ry+ out ! responsibilities "u ?is subsection1 ! ,c\ncil %all consid]1 among o!r issues-- 7,a7 ! /atus ( ,unit$ ,/ates f9ancial commitm5ts to ! ,,ghsa 9 ! context ( commitm5ts by o!r donors1 & ! contributions ( p>tn] c\ntries to a*ieve ! ,,ghsa t>gets2 7,b7 ! progress t[>d ! mile/ones outl9$ 9 ! ,,ghsa national plans = ^? c\ntries :]e ! ,unit$ ,/ates ,gov]nm5t has committ$ to assi/ 9 implem5t+ ! ,,ghsa & 9 annual "w-plans outl9+ ag5cy priorities = implem5t+ ! ,,ghsa2 & 7,c7 ! ext]nal evaluations ( ,unit$ ,/ates & p>tn] c\ntry capabilities to address infecti\s disease ?reats1 includ+-- 7i7 ! ability to a*ieve ! t>gets outl9$ )9 ! ,_w ,heal? ,organization's ,jo9t ,ext]nal ,evaluation tool2 & 7ii7 gaps id5tifi$ by su* ext]nal evaluations4 7d7 ,p>ticipation ,! ,c\ncil %all consi/ ( repres5tatives1 s]v+ at ! ,assi/ant ,secret>y level or high]1 f ! foll[+ ag5cies3 7#a7 ,! ,dep>tm5t ( ,/ate4 7#b7 ,! ,dep>tm5t ( ,def5se4 7#c7 ,! ,dep>tm5t ( ,ju/ice4 7#d7 ,! ,dep>tm5t ( ,agriculture4 7#e7 ,! ,dep>tm5t ( ,heal? & ,human ,s]vices4 7#f7 ,! ,dep>tm5t ( ,labor4 7#g7 ,! ,dep>tm5t ( ,homel& ,security4 7#h7 ,! ,(fice ( ,managem5t & ,budget4 7#i7 ,! ,unit$ ,/ates ,ag5cy = ,int]national ,developm5t4 7#aj7 ,! ,environm5tal ,protection ,ag5cy4 7#aa7 ,! ,c5t]s = ,disease ,control & ,prev5tion4 7#ab7 ,! ,(fice ( ,sci5ce & ,te*nology ,policy4 7#ac7 ,! ,national ,in/itutes ( ,heal?4 7#ad7 ,! ,national ,in/itute ( ,all]gy & ,infecti\s ,diseases4 7#ae7 ,su* o!r ag5cies z ! ,c\ncil det]m9es to be appropriate4 7e7 ,specific roles & responsibilities 7#a7 ,9 g5]al ,! heads ( ag5cies ref]r$ to 9 subsection 7d7 %all-- 7,a7 make ! ,,ghsa & its implem5tation a high priority )9 _! respective ag5cies & include ,,ghsa-relat$ activities )9 _! respective ag5cies' /rategic plann+ & budget processes2 7,b7 designate a s5ior-level (ficial to be responsible = ! implem5tation ( ?is ,act2 7,c7 designate an appropriate repres5tative at ! ,assi/ant ,secret>y level or high] to p>ticipate on ! ,c\ncil2 7,d7 keep ! ,c\ncil appris$ ( ,,ghsa-relat$ activities und]tak5 )9 _! respective ag5cies2 7,e7 ma9ta9 responsibility = ag5cy-relat$ programmatic functions 9 coord9ation ) ho/ gov]nm5ts1 c\ntry teams1 & ,,ghsa 9-c\ntry teams1 & 9 conjunction ) o!r relevant ag5cies2 7,f7 coord9ate ) o!r ag5cies t are id5tifi$ 9 ?is section 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 ( ! dep>tm5ts & ag5cies describ$ 9 subsection 7d7 %all c>ry out _! respective roles & responsibilities describ$ 9 subsections 7b7 ?r\gh 7i7 ( section #c ( ,executive ,ord] #acgdg 7#ha ,f$4 ,reg4 #ghgja2 relat+ to ,advanc+ ! ,global ,heal? ,security ,ag5da to ,a*ieve a ,_w ,safe & ,secure f ,infecti\s ,disease ,?reats71 z 9 effect on ! day be=e ! date ( ! enactm5t ( ?is ,act4 #e4 ,unit$ ,/ates ,coord9ator = ,global ,heal? ,security 7a7 ,9 g5]al ,! ,presid5t %all appo9t an individual to ! position ( ,unit$ ,/ates ,coord9ator = ,global ,heal? ,security 7ref]r$ to 9 ?is section z ! ,coord9ator74 7b7 ,responsibilities ,! ,coord9ator %all be responsible = coord9at+ ! int]ag5cy process = respond+ to global heal? security em]g5cies1 9 coord9ation ) ! ,presid5t's ,special ,coord9ator = ,int]national ,disa/] ,assi/ance1 z appropriate4 7c7 ,congressional brief+ ,n less frequ5tly ?an twice ea* ye>1 ! ,coord9ator %all provide a brief+ to ! appropriate congressional committees t describes h[ ! ,coord9ator has be5 c>ry+ out 8 or h] responsibilities & activities "u ?is section4 #f4 ,s5se ( ,congress ,x is ! s5se ( ! ,congress1 giv5 ! complex & multisectoral nature ( global heal? ?reats to ! ,unit$ ,/ates1 t ! ,presid5t-- 7#a7 %\ld consid] appo9t+ an individual ) significant backgr\nd & exp]tise 9 public heal? or em]g5cy response managem5t to ! position ( ,unit$ ,/ates ,coord9ator = ,global ,heal? ,security1 9 accordance ) section #e7;a71 :o is an employee ( ! ,national ,security ,c\ncil at ! level ( ,deputy ,assi/ant to ! ,presid5t or high]2 & 7#b7 9 provid+ assi/ance to implem5t ! /rategy requir$ "u section #g7;a71 %\ld-- 7,a7 coord9ate1 ?r\gh a :ole-(-gov]nm5t approa*1 ! ef=ts ( relevant ,f$]al dep>tm5ts & ag5cies to implem5t ! /rategy2 7,b7 seek to fully utilize ! unique capabilities ( ea* relevant ,f$]al dep>tm5t & ag5cy :ile collaborat+ ) & lev]ag+ ! contributions ( o!r key /akehold]s2 & 7,c7 utilize op5 & /reaml9$ solicitations to all[ = ! p>ticipation ( a wide range ( implem5t+ p>tn]s ?r\gh ! mo/ appropriate procurem5t me*anisms1 :i* may include grants1 contracts1 coop]ative agreem5ts1 & o!r in/rum5ts to ! ext5t necess>y & appropriate4 #g4 ,/rategy & reports 7a7 ,/rategy ,! ,unit$ ,/ates ,coord9ator = ,global ,heal? ,security appo9t$ pursuant to section #e7;a7 %all coord9ate ! developm5t & implem5tation ( a /rategy to implem5t ! policy describ$ 9 section #c4 ,?is /rategy %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 ! ,unit$ ,/ates ,coord9ator = ,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-- 7#a7 e/abli%+ monitor+ & evaluation sy/ems1 coh]5ce1 & coord9ation across relevant ,f$]al dep>tm5ts & ag5cies2 & 7#b7 e/abli%+ plat=ms = regul> consultation & collaboration ) key /akehold]s & ! appropriate congressional committees4 7c7 ,/rategy submission 7#a7 ,9 g5]al ,n lat] ?an #ahj days aft] ! date ( ! enactm5t ( ?is ,act1 ! ,presid5t1 9 consultation ) ! head ( ea* relevant ,f$]al dep>tm5t & ag5cy1 %all submit to ! appropriate congressional committees ! /rategy requir$ "u subsection 7a71 :i* %all include a detail$ description ( h[ ! ,unit$ ,/ates int5ds to advance ! policy set =? 9 section #c & ! 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$]al dep>tm5t & ag5cy t describe-- 7,a7 ! anticipat$ 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 ,annual 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 ,cont5ts ,! report requir$ "u p>agraph 7#a7 %all-- 7,a7 id5tify any sub/antial *anges made 9 ! /rategy dur+ ! prec$+ cal5d> ye>2 7,b7 describe ! progress made 9 implem5t+ ! /rategy2 7,c7 id5tify ! indicators us$ 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,d7 conta9 a transp>5t1 op51 & detail$ acc\nt+ ( exp5ditures by relevant ,f$]al dep>tm5ts & ag5cies to implem5t ! /rategy1 includ+1 to ! ext5t practicable1 = ea* ,f$]al dep>tm5t & ag5cy1 ! /atutory s\rce ( exp5ditures1 am\nts exp5d$1 p>tn]s1 t>get$ populations1 & types ( activities support$2 7,e7 describe h[ ! /rategy lev]ages o!r ,unit$ ,/ates global heal? & developm5t assi/ance programs2 7,f7 assess ef=ts to coord9ate ,unit$ ,/ates global heal? security programs1 activities1 & initiatives ) key /akehold]s2 7,g7 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]2 & 7,h7 describe ! progress a*iev$ & any *all5ges conc]n+ ! ,unit$ ,/ates ,gov]nm5t's ability to advance ! ,global ,heal? ,security ,ag5da across priority c\ntries1 includ+-- 7i7 data disaggregat$ by priority c\ntry us+ indicators t are consi/5t on a ye>-to-ye> basis2 & 7ii7 recomm5dations to resolve1 mitigate1 or o!rwise address ! *all5ges id5tifi$ "u ?is subp>agraph4 7e7 ,=m ,! /rategy requir$ "u subsection 7a7 & ! report requir$ "u subsection 7d7 %all be submitt$ 9 unclassifi$ =m b may conta9 a classifi$ annex4 #h4 ,compliance ) ! ,=eign ,aid ,transp>5cy & ,acc\ntability ,act ( #bjaf ,section #b7c7 ( ! ,=eign ,aid ,transp>5cy & ,acc\ntability ,act ( #bjaf 7,public ,law #aad-aia2 #bb ,u4,s4,c4 #bcid;c note7 is am5d$-- 7#a7 9 subp>agraph 7,d71 by /rik+ & at ! end2 7#b7 9 subp>agraph 7,e71 by /rik+ ! p]iod at ! end & ins]t+ 2 &2 & 7#c7 by add+ at ! end ! foll[+3 7,f7 ! ,global ,heal? ,security ,act ( #bjbj4 4 #i4 ,def9itions ,9 ?is ,act3 7#a7 ,appropriate congressional committees ,! t]m appropriate congressional committees means-- 7,a7 ! ,committee on ,=eign ,relations ( ! ,s5ate2 7,b7 ! ,committee on ,appropriations ( ! ,s5ate2 7,c7 ! ,committee on ,=eign ,affairs ( ! ,h\se ( ,repres5tatives2 & 7,d7 ! ,committee on ,appropriations ( ! ,h\se ( ,repres5tatives4 7#b7 ,global heal? security ,! t]m global heal? security means activities support+ epidemic & p&emic prep>$ness & capabilities at ! c\ntry & global levels 9 ord] to m9imize vuln]ability to acute public heal? ev5ts t c endang] ! heal? ( populations across geographical regions & int]national b\nd>ies4 #aj4 ,sunset ,?is ,act 7except = section #e7 & ! am5dm5ts made by ?is ,act %all cease to be effective on ,decemb] #ca1 #bjbd4