,,ii #aafth ,,congress #b;d ,session ,s4 #chbi ,,in ,,the ,,senate ,,of ,,the ,,united ,,states ,may #ba1 #bjbj,mr4 ,risch 7for himself1 ,mr4 ,murphy1 and ,mr4 ,cardin7 introduced the following bill2 which was read twice and referred to the ,committee on ,foreign ,relations ,a ,,bill ,to advance the global health security and diplomacy objectives of the ,united ,states1 improve coordination among the relevant ,federal departments and agencies implementing ,united ,states foreign assistance for global health security1 and more effectively enable partner countries to strengthen and sustain resilient health systems and supply chains with the resources1 capacity1 and personnel required to prevent1 detect1 mitigate1 and respond to infectious disease threats before they become pandemics1 and for other purposes4 #a4 ,short title ,this ,act may be cited as the ,global ,health ,security and ,diplomacy ,act of #bjbj4 #b4 ,definitions ,in this ,act3 7#a7 ,appropriate congressional committees ,the term appropriate congressional committees means-- 7,a7 the ,committee on ,foreign ,relations and the ,committee on ,appropriations of the ,senate2 and 7,b7 the ,committee on ,foreign ,affairs and the ,committee on ,appropriations of the ,house of ,representatives4 7#b7 ,global ,health ,security ,agenda ,the term ,global ,health ,security ,agenda means the multi-sectoral initiative launched in #bjad and renewed in #bjag that brings together countries1 regions1 international organizations1 nongovernmental organizations1 and the private sector to elevate global health security as a national-level priority1 share best practices1 and facilitate national capacity to comply with and adhere to the ,world ,health ,organization ,international ,health ,regulations1 the ,world ,organization for ,animal ,health international standards and guidelines1 ,united ,nations ,security ,council ,resolution #aedj 7#bjjd71 the ,biological ,weapons ,convention1 and other relevant frameworks that contribute to global health security4 7#c7 ,global ,health ,security ,agenda ,joint ,external ,evaluation ,the term ,global ,health ,security ,agenda ,joint ,external ,evaluation means the voluntary1 collaborative1 multi-sectoral process to assess country capacity to prevent1 detect1 and rapidly respond to public health risks occurring naturally or due to deliberate or accidental events1 assess progress in achieving the targets under the ,world ,health ,organization ,international ,health ,regulations1 and recommend priority actions4 7#d7 ,global ,health ,security ,index ,the term ,global ,health ,security ,index means the comprehensive assessment and benchmarking of health security and related capabilities across the #aie countries that make up the ,states ,parties to the ,world ,health ,organization ,international ,health ,regulations4 7#e7 ,key stakeholders ,the term key stakeholders means actors engaged in efforts to advance global health security programs and objectives1 including-- 7,a7 national and local governments in partner countries2 7,b7 other bilateral donors2 7,c7 international and regional organizations2 7,d7 international1 regional1 and local financial institutions2 7,e7 international1 regional1 and local private voluntary1 nongovernmental1 faith-based1 and civil society organizations2 7,f7 representatives of historically marginalized groups1 including women and youth2 7,g7 the private sector1 including medical device1 technology1 and pharmaceutical companies2 and 7,h7 public and private research and academic institutions4 7#f7 ,one ,health approach ,the term ,one ,health approach means the collaborative1 multi-sectoral1 and transdisciplinary approach toward achieving optimal health outcomes in a manner that recognizes the interconnection between people1 animals1 plants1 and their shared environment4 7#g7 ,relevant ,federal departments and agencies ,the term relevant ,federal departments and agencies means any ,federal department or agency operating under ,chief of ,mission authority and implementing ,united ,states foreign assistance relevant to the advancement of ,united ,states global health security and diplomacy overseas1 which may include-- 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 ,centers for ,disease ,control and ,prevention2 7,e7 the ,national ,institutes of ,health2 7,f7 the ,department of the ,treasury2 7,g7 the ,department of ,defense2 7,h7 the ,defense ,threat ,reduction ,agency2 7,i7 the ,millennium ,challenge ,corporation2 7,j7 the ,development ,finance ,corporation2 7,k7 the ,peace ,corps2 and 7,l7 any other department or agency that the ,president determines to be relevant for these purposes4 #c4 ,purpose ,the purpose of this ,act is to advance the global health security and diplomacy objectives of the ,united ,states1 improve coordination among the relevant ,federal departments and agencies implementing ,united ,states foreign assistance for global health security1 and more effectively enable partner countries to strengthen and sustain resilient health systems and supply chains with the resources1 capacity1 and personnel required to prevent1 detect1 mitigate1 and respond to infectious disease threats before they become pandemics by-- 7#a7 establishing a comprehensive ,united ,states ,global ,health ,security ,strategy with a ,one ,health approach and clear goals1 objectives1 and benchmarks1 as well as instruments to monitor and evaluate outputs and outcomes1 measure impact1 and share data and learning2 7#b7 establishing a mechanism to coordinate ,united ,states global health security policies1 activities1 and assistance1 including efforts to advance the ,united ,states ,global ,health ,security ,strategy and the ,global ,health ,security ,agenda1 while fully utilizing the unique capabilities of the relevant ,federal departments and agencies2 7#c7 coordinating with key stakeholders and supporting partner country efforts to strengthen and sustain more resilient health systems and supply chains2 7#d7 accelerating progress under the ,united ,states ,global ,health ,security ,strategy1 the ,global ,health ,security ,agenda1 the ,world ,health ,organization ,international ,health ,regulations1 and other relevant frameworks that contribute to global health security2 7#e7 enhancing support for innovation and public-private partnerships for research1 development1 and deployment of effective and affordable disease tracking tools1 diagnostics1 therapeutics1 and vaccines2 7#f7 authorizing appropriations to advance the ,united ,states ,global ,health ,security ,strategy and provide for a global health security emergency reserve2 and 7#g7 authorizing the ,secretary of ,state1 in coordination with the ,secretary of the ,treasury1 to enter into negotiations for the establishment of the ,trust ,fund for ,global ,health ,security4 ,i ,united ,states ,global ,health ,security ,strategy and ,assistance #aja4 ,partner country defined ,in this title1 the term partner country means a country in which the relevant ,federal departments and agencies are implementing ,united ,states foreign assistance for global health security under this ,act4 #ajb4 ,global health security strategy 7a7 ,general ,the ,president shall maintain and advance a comprehensive strategy with a ,one ,health approach toward advancing the global health security and diplomacy objectives of the ,united ,states overseas1 which shall-- 7#a7 seek to strengthen ,united ,states diplomatic leadership and improve the effectiveness of ,united ,states foreign assistance for global health security to prevent1 detect1 and respond to infectious disease threats1 including through advancement of the ,global ,health ,security ,agenda2 7#b7 establish specific and measurable goals1 benchmarks1 timetables1 performance metrics1 and monitoring and evaluation plans for ,united ,states foreign assistance for global health security that promote learning and reflect international best practices relating to global health security1 transparency1 and accountability2 7#c7 establish mechanisms to improve coordination and performance by the relevant ,federal departments and agencies1 including by setting out clear roles and responsibilities that reflect the unique capabilities and resources of each such department and agency2 7#d7 establish mechanisms to improve coordination and avoid duplication of effort among the relevant ,federal departments and agencies1 partner countries1 donor countries1 multilateral organizations1 and other key stakeholders2 7#e7 prioritize working with partner countries with low scores on the ,global ,health ,security ,index classification of health systems and on the ,global ,health ,security ,agenda ,joint ,external ,evaluation2 7#f7 reduce long-term reliance upon ,united ,states foreign assistance for global health security by promoting partner country ownership1 improved domestic resource mobilization1 co-financing1 and appropriate national budget allocations for global health security and pandemic preparedness and response2 7#g7 assist partner countries in building the technical capacity of relevant ministries to prepare1 execute1 monitor1 and evaluate effective national action plans for health security1 including mechanisms to enhance budget and global health data transparency1 as necessary and appropriate2 7#h7 align ,united ,states foreign assistance for global health security with partner country national action plans for health security1 developed with input from key stakeholders1 to the greatest extent practicable and appropriate2 7#i7 create linkages between complementary bilateral and multilateral foreign assistance programs that contribute to the development of more resilient health systems and supply chains in partner countries with the capacity1 resources1 and personnel required to prevent1 detect1 and respond to infectious disease threats2 7#aj7 support innovation and public-private partnerships to improve pandemic preparedness and response1 including for the development and deployment of effective infectious disease tracking tools1 diagnostics1 therapeutics1 and vaccines2 7#aa7 support collaboration with and among relevant public and private research entities engaged in global health security2 and 7#ab7 support collaboration between ,united ,states universities and public and private institutions in partner countries that promote global health security and innovation4 7b7 ,fiscal year #bjba compliance ,the ,united ,states ,global ,health ,security ,strategy1 published on ,may #i1 #bjai1 in compliance with section #gjeh7;c77#c7 of the ,department of ,state1 ,foreign ,operations1 and ,related ,programs ,appropriations ,act1 #bjbj 7division ,k of ,public ,law #aae-ada71 shall be deemed to comply with the requirement under this section for fiscal year #bjba4 7c7 ,strategy updates 7#a7 ,in general ,concurrent with the submission of the report required by section #fcd of the ,foreign ,assistance ,act of #aifa 7#bb ,u4,s4,c4 #bcid7 for fiscal years #bjbb through #bjbe1 the ,president1 in consultation with the head of each relevant ,federal department and agency1 shall submit to the appropriate congressional committees updates to the ,united ,states ,global ,health ,security ,strategy1 including the agency-specific plans required under paragraph 7#b74 7#b7 ,agency-specific plans ,the strategy updates required under this subsection shall include specific implementation plans from each relevant ,federal department and agency that describe-- 7,a7 the anticipated staffing plans and 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 results4 #ajc4 ,global health security coordination 7a7 ,establishment ,there is established within the ,department of ,state a ,coordinator of ,united ,states ,government ,activities to ,advance ,global ,health ,security and ,diplomacy overseas1 who shall be appointed by the ,president1 by and with the advice and consent of the ,senate4 7b7 ,authorities ,the ,coordinator is authorized to-- 7#a7 operate internationally to carry out the purposes of this ,act2 7#b7 transfer and allocate ,united ,states foreign assistance resources for global health security to the relevant ,federal departments and agencies1 in coordination with the ,office of ,management and ,budget1 the ,united ,states ,agency for ,international ,development1 and the ,department of ,state ,office of ,foreign ,assistance ,resources2 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 as necessary and appropriate4 7c7 ,duties ,the ,coordinator shall have primary responsibility for the coordination1 management1 and oversight of ,united ,states diplomatic efforts and foreign assistance resources to advance the relevant elements of the ,united ,states ,global ,health ,security ,strategy under section #ajb and the duties described under subsection 7f77#b71 including the international programs1 projects1 and activities of the ,united ,states ,government relating to the ,global ,health ,security ,agenda and the ,trust ,fund for ,global ,health ,security established under title ,,ii1 including-- 7#a7 ensuring effective program coordination and implementation by the relevant ,federal departments and agencies1 including by-- 7,a7 managing the budget and planning of ,united ,states foreign assistance resources authorized to be appropriated or otherwise made available to carry out the purposes of chapters #a and #aj of part ,i and chapter #d of part ,,ii of the ,foreign ,assistance ,act of #aifa 7#bb ,u4,s4,c4 #baea et seq47 relating to infectious disease prevention1 detection1 mitigation1 and response1 including efforts to enable partner countries to strengthen and sustain resilient health systems and supply chains2 7,b7 formulating1 issuing1 and updating related program guidance2 7,c7 establishing unified auditing1 monitoring1 and evaluation plans2 7,d7 aligning resources and implementation plans under the strategy with the relevant ,federal departments and agencies with the greatest expertise1 technical capabilities1 comparative advantage1 and potential for success2 7,e7 working with and leveraging the expertise and activities of the ,office of the ,global ,,aids ,coordinator1 the ,president's ,malaria ,coordinator1 and similar or successor entities implementing ,united ,states global health assistance overseas2 and 7,f7 avoiding duplication of effort and working to resolve policy1 program1 and funding disputes among the relevant ,federal departments and agencies2 7#b7 leading diplomatic efforts to address current and emerging threats to global health security2 7#c7 ensuring effective representation of the ,united ,states in relevant international forums1 including at the ,world ,health ,assembly and meetings of the ,global ,health ,security ,agenda1 in coordination with the ,secretary of the ,department of ,health and ,human ,services1 as necessary and appropriate2 7#d7 promoting greater donor and partner country investment in building more resilient health systems and supply chains1 including through representation and participation in a multilateral trust fund for global health security1 consistent with title ,,ii2 7#e7 working to enhance coordination with and transparency among partner countries and key stakeholders1 including the private sector2 and 7#f7 regularly updating the appropriate congressional committees4 7d7 ,other global health assistance ,this section shall not apply to funds authorized to be appropriated or otherwise made available to carry out the purposes of chapters #a and #aj of part ,i and chapter #d of part ,,ii of the ,foreign ,assistance ,act of #aifa 7#bb ,u4,s4,c4 #baea et seq47 relating to global health that are-- 7#a7 apportioned directly to the ,department of ,state to carry out programs authorized pursuant to the ,united ,states ,leadership ,against ,,hiv_/,,aids1 ,tuberculosis1 and ,malaria ,act of #bjjc 7,public ,law #ajh-be72 or 7#b7 apportioned directly to the ,united ,states ,agency for ,international ,development to carry out programs that are not directly related to new or emerging infectious disease threats4 7e7 ,united ,states ,agency for ,international ,development ,the ,coordinator should be supported by a deputy1 who should be an employee of the ,united ,states ,agency for ,international ,development serving in a career or noncareer position in the ,senior ,executive ,service or at the level of a ,deputy ,assistant ,administrator or higher1 who serves concurrently as the deputy and performs the functions ascribed to the agency by section #c7;b7 of ,executive ,order #acgdg of ,november #d1 #bjaf4 7f7 ,sense of ,congress ,it is the sense of ,congress that-- 7#a7 ,executive ,order #acdgd of ,november #d1 #bjaf1 and the ,united ,states ,global ,health ,security ,strategy1 delivered to ,congress on ,may #i1 #bjai1 set out leadership and interagency coordinating roles for the ,national ,security ,council relating to global health security and the ,global ,health ,security ,agenda2 7#b7 the ,coordinator should perform the functions in ,executive ,order #acgdg ascribed to the ,department of ,state in section #c7;b7 of such executive order2 7#c7 the ,interagency ,review ,council described in ,executive ,order #acgdg should perform the functions ascribed to it in section #b of such executive order2 and 7#d7 the ,president should consider appointing an individual serving on the ,national ,security ,council1 at the senior director level or higher and with significant background and expertise in public health1 health security1 or emergency biological response management1 to convene and coordinate-- 7,a7 the interagency process of the ,federal departments and agencies implementing the functions described in section #c of ,executive ,order #acgdg2 and 7,b7 the interagency process to ensure continuity of effort across the ,federal departments and agencies engaged in domestic and international global health security preparedness and response4 #ajd4 ,global health emergencies ,in responding to an international infectious disease outbreak that is sustained1 severe1 and is spreading internationally1 which may include a declaration under the ,world ,health ,organization ,international ,health ,regulations of a ,public ,health ,emergency of ,international ,concern overseas-- 7#a7 the ,secretary of ,state1 acting through the ,coordinator of ,united ,states ,government ,activities to ,advance ,global ,health ,security and ,diplomacy1 as appropriate1 shall be represented at all relevant interagency meetings and lead ,united ,states diplomatic and coordination efforts with the relevant international organizations and key stakeholders2 and 7#b7 the ,administrator of the ,united ,states ,agency for ,international ,development shall be represented at all relevant interagency meetings and serve as the program lead on international emergency humanitarian response1 as well efforts to address second order development impacts of such an emergency within partner countries4 #aje4 ,,usaid disaster surge capacity 7a7 ,in general ,funds authorized to be appropriated or otherwise made available to carry out part ,i of the ,foreign ,assistance ,act of #aifa 7#bb ,u4,s4,c4 #baea et seq471 including funds made available for ,assistance for ,europe1 ,eurasia and ,central ,asia1 may be used1 in addition to funds otherwise made available for such proposes1 for the cost 7including support costs7 of individuals detailed to or employed by the ,united ,states ,agency for ,international ,development whose primary responsibility is to carry out programs in response to global health emergencies and natural or man-made disasters4 7b7 ,notification ,the ,administrator shall notify the appropriate congressional committees not later than #ae days before making funds available under this section4 #ajf4 ,authorization for ,united ,states participation in ,coalition for ,epidemic ,preparedness ,innovations 7a7 ,in general ,the ,united ,states is authorized to participate in the ,coalition for ,epidemic ,preparedness ,innovations 7,,cepi74 7b7 ,board of directors ,the ,administrator of the ,united ,states ,agency for ,international ,development is authorized to designate an employee of such agency to serve on the ,investors ,council of ,,cepi as a representative of the ,united ,states4 7c7 ,consultation ,not later than #fj days after the date of the enactment of this ,act1 the ,secretary shall consult with the appropriate congressional committees on-- 7#a7 the manner and extent to which the ,united ,states plans to participate in ,,cepi1 including through governance of ,,cepi2 7#b7 any planned financial contributions to ,,cepi2 and 7#c7 how participation in ,,cepi is expected to support the ,united ,states ,global ,health ,security ,strategy and any other relevant programs relating to global health security and biodefense4 7d7 ,united ,states contributions ,the ,president is authorized to make available funds authorized to be appropriated under section #ajg for ,united ,states contributions to ,,cepi4 7e7 ,notification ,not later than #ae days before making a contribution to ,,cepi1 the ,secretary of ,state shall notify the appropriate congressional committees of the amount1 purposes1 and national interests served by such planned contribution4 #ajg4 ,authorizations of appropriations 7a7 ,in general ,there is authorized to be appropriated1 for fiscal years #bjba through #bjbe1 #c1jjj1jjj1jjj to advance the ,global ,health ,security ,strategy of the ,united ,states overseas1 including support for-- 7#a7 the ,emergency ,reserve ,fund established pursuant to section #gjeh7;c77#a7 of the ,department of ,state1 ,foreign ,operations1 and ,related ,programs ,appropriations ,act1 #bjag 7division ,j of ,public ,law #aae-ca7 to address emerging global health threats2 and 7#b7 ,united ,states contributions to the ,fund established under title ,,ii of this ,act4 7b7 ,exception ,section #aaj of the ,trafficking ,victims ,protection ,act of #bjjj 7#bb ,u4,s4,c4 #gajg7 shall not apply to assistance made available pursuant to this section4 7c7 ,applicability ,section #ajd7;f7 of the ,foreign ,assistance ,act of #aifa 7#bb ,u4,s4,c4 #baea;b7f77 shall apply to assistance made available pursuant to this section4 ,,ii ,trust ,fund for ,global ,health ,security #bja4 ,definition ,in this title1 the term partner country means a developing country with demonstrated need and commitment to transparency1 including budget and global health data transparency1 in which the ,trust ,fund for ,global ,health ,security established under section #bjb is working to design1 implement1 and evaluate global health security assistance programs under this ,act4 #bjb4 ,establishment of ,trust ,fund for ,global ,health ,security 7a7 ,negotiations for establishment of a ,trust ,fund for ,global ,health ,security ,the ,secretary of ,state should seek to enter into negotiations with the ,world ,bank or the ,international ,development ,association1 in coordination with the ,secretary of the ,treasury1 the ,administrator of the ,united ,states ,agency for ,international ,development1 and the heads of other relevant ,federal departments and agencies1 and with the member nations of the ,world ,bank or the ,international ,development ,association and with other interested parties1 for the establishment within the ,world ,bank of-- 7#a7 a ,trust ,fund for ,global ,health ,security 7in this subtitle referred to as the ,fund7 in accordance with the provisions of this section2 and 7#b7 an ,advisory ,board to the ,fund in accordance with section #bje4 7b7 ,purpose ,the purpose of the ,fund should be to advance global health security by catalyzing public and private investments in global health security1 infectious disease control1 and pandemic preparedness and response in developing countries with demonstrated need1 commitment to transparency1 including budget and global health data transparency1 and evidence-based outcomes4 7c7 ,composition 7#a7 ,in general ,the ,fund should be governed by a ,board of ,trustees1 to be composed of representatives of ,world ,bank member states that are donors and participants in the ,fund4 ,the ,board of ,trustees should include-- 7,a7 #e permanent member countries1 who qualify based upon meeting an established initial contribution threshold1 which should be not less than #aj percent of total contributions1 and by meeting minimum standards for upholding the ,international ,health ,regulations1 and who should hold veto power over programs and projects2 7,b7 #e term members1 who are selected by the permanent members on the basis of their commitment to innovation1 best practices1 and the advancement of global health security objectives in partner countries2 and 7,c7 #i developing country members1 who serve a period term1 and who demonstrate a commitment to prioritizing global health security for their citizens and to the purposes and principles of the ,fund4 7#b7 ,qualifications ,individuals appointed to the ,board shall have demonstrated knowledge and experience in the fields of public health1 epidemiology1 supply chain management1 health delivery systems1 and development4 7#c7 ,united ,states representation 7,a7 ,in general 7i7 ,founding permanent member ,the ,secretary of ,state shall seek to establish the ,united ,states as a founding permanent member of the ,fund4 7ii7 ,coordinator of ,united ,states ,government ,activities to ,advance ,global ,health ,security ,the ,united ,states shall be represented on the ,board of ,trustees by the ,coordinator of ,united ,states ,government ,activities to ,advance ,global ,health ,security and ,diplomacy established under section #ajc4 7,b7 ,effective and termination dates 7i7 ,effective date ,this paragraph shall take effect upon the date the ,secretary of ,state1 in coordination with the ,secretary of the ,treasury1 certifies and transmits to ,congress an agreement establishing the ,fund4 7ii7 ,termination date ,the membership established pursuant to subparagraph 7,a7 shall terminate upon the date of termination of the ,fund4 7#d7 ,removal procedures ,the ,fund shall establish procedures for the removal of members of the ,board who engage in a consistent pattern of human rights abuses1 fail to uphold global health data transparency requirements1 or otherwise violate the established standards of the ,fund4 #bjc4 ,grant authorities 7a7 ,program objectives 7#a7 ,in general ,in carrying out the purpose set forth in section #bjb7;b71 the ,fund1 acting through the ,board of ,trustees1 should provide grants1 including challenge grants1 technical assistance1 concessional lending1 catalytic investment funds1 and other innovative funding mechanisms1 as appropriate1 to support measures that enable developing countries1 at both national and sub-national levels1 and in partnership with civil society and the private sector1 to strengthen and sustain resilient health systems and supply chains with the resources1 capacity1 and personnel required to prevent1 detect1 mitigate1 and respond to infectious disease threats before they become pandemics4 7#b7 ,activities supported ,activities to be supported by the ,fund should include efforts to-- 7,a7 enable partner countries with low scores on the ,global ,health ,security ,index classification of health systems and on the ,global ,health ,security ,agenda ,joint ,external ,evaluation to improve such scores and adopt and uphold commitments under the ,global ,health ,security ,agenda1 the ,world ,health ,organization ,international ,health ,regulations1 and other related international health agreements2 7,b7 support global health budget and workforce planning in partner countries1 including training in financial management and budget and global health data transparency2 7,c7 advance research1 development1 and deployment of effective infectious disease tracking tools1 diagnostics1 therapeutics1 and vaccines1 including by establishing and leveraging public-private partnerships and supporting advance purchase agreements1 as necessary and appropriate2 7,d7 improve infection control within healthcare settings2 7,e7 combat the threat of antimicrobial resistance2 7,f7 expand lab capacity through the provision of material and technical assistance2 7,g7 build technical capacity to manage global health supply chains through effective forecasting1 procurement1 warehousing1 and delivery from central warehouses to points of service2 7,h7 enable bilateral and regional partnerships and cooperation to identify and address transnational infectious disease threats exacerbated by natural and man-made disasters1 human displacement1 and zoonotic infection2 7,i7 establish partnerships to develop medical interventions to detect1 treat1 and prevent the spread of neglected tropical diseases2 7,j7 build the technical capacity of partner countries to prepare for and respond to second order development impacts of infectious disease outbreaks1 while accounting for the differentiated needs and vulnerabilities of marginalized populations2 7,k7 develop and utilize metrics to monitor and evaluate program performance and identify best practices2 and 7,l7 develop and deploy mechanisms to enhance the transparency and accountability of global health security programs and data1 including through the sharing of trends1 risks1 and lessons learned4 7#c7 ,implementation of program objectives ,in carrying out the objectives of paragraph 7#a71 the ,fund shall work to eliminate duplication and waste by upholding strict transparency and accountability standards and coordinating its programs and activities with key partners working to advance global health security1 including1 at a minimum-- 7,a7 governments1 civil society and nongovernmental organizations1 research and academic institutions1 and private sector entities in partner countries2 7,b7 the ,global ,health ,security ,agenda2 7,c7 the ,global ,fund to ,fight ,,aids1 ,tuberculosis1 and ,malaria2 7,d7 the ,vaccine ,alliance1 ,,gavi2 7,e7 the ,coalition for ,epidemic ,preparedness ,innovations 7,,cepi72 7,f7 the ,global ,polio ,eradication ,initiative2 and 7,g7 the ,coordinator of ,united ,states ,government ,activities to ,advance ,global ,health ,security and ,diplomacy1 established pursuant to section #ajc4 7b7 ,priority ,in providing assistance under this section1 the ,fund should give priority to low and lower-middle income countries1 as classified in the most recent edition of the ,world ,development ,report for ,reconstruction and ,development published by the ,international ,bank for ,reconstruction and ,development1 with low scores on the ,global ,health ,security ,index classification of health systems and on the ,global ,health ,security ,agenda ,joint ,external ,evaluation1 and demonstrated commitment to upholding global health budget and data transparency and accountability standards and investing in their own health systems4 7c7 ,eligible grant recipients ,governments and nongovernmental organizations should be eligible to receive grants under this section4 #bjd4 ,administration 7a7 ,appointment of an administrator ,the ,board of ,trustees1 in consultation with the appropriate officials of the ,bank1 should appoint an ,administrator who should be responsible for managing the day-to-day operations of the ,fund4 7b7 ,authority ,to solicit and accept contributions ,the ,fund should be authorized to solicit and accept contributions from governments1 the private sector1 and nongovernmental entities of all kinds4 7c7 ,accountability of funds and criteria for programs ,as part of the negotiations described in section #bjb7;a71 the ,secretary of the ,state1 in coordination with the ,secretary of the ,treasury1 shall1 consistent with subsection 7d7-- 7#a7 take such actions as are necessary to ensure that the ,bank or the ,association will have in effect adequate procedures and standards to account for and monitor the use of funds contributed to the ,fund1 including the cost of administering the ,fund2 and 7#b7 seek agreement on the criteria that should be used to determine the programs and activities that should be assisted by the ,fund4 7d7 ,selection of partner countries1 projects1 and recipients ,the ,board of ,trustees should establish-- 7#a7 partner country selection criteria1 to include transparent metrics to measure and assess global health security strengths and vulnerabilities in developing countries seeking assistance2 7#b7 minimum standards for ensuring partner country ownership and commitment to long-term results1 including requirements for domestic budgeting1 resource mobilization1 and co-investment2 7#c7 criteria for the selection of projects to receive support from the ,fund2 7#d7 standards and criteria regarding qualifications of recipients of such support2 7#e7 such rules and procedures as may be necessary for cost-effective management of the ,fund2 and 7#f7 such rules and procedures as may be necessary to ensure transparency and accountability in the grant-making process4 7e7 ,additional transparency and accountability requirements 7#a7 ,inspector ,general 7,a7 ,in general ,the ,secretary of ,state shall ensure that the ,fund maintains an independent ,office of the ,inspector ,general and ensure that the office has the requisite resources and capacity to regularly conduct and publish1 on a publicly accessible website1 rigorous financial1 programmatic1 and reporting audits and investigations of the ,fund and its grantees4 7,b7 ,sense of ,congress on corruption ,it is the sense of ,congress that-- 7i7 corruption within global health programs contribute directly to the loss of human life and cannot be tolerated2 and 7ii7 in making financial recoveries relating to a corrupt act or criminal conduct under a grant1 as determined by the ,inspector ,general1 the responsible grant recipient should be assessed at a recovery rate of #aej percent of such loss4 7#b7 ,administrative expenses ,the ,secretary of ,state shall ensure the ,fund establishes1 maintains1 and makes publicly available a system to track the administrative and management costs of the ,fund on a quarterly basis4 7#c7 ,grant tracking systems ,the ,secretary of ,state shall ensure that the ,fund establishes1 maintains1 and makes publicly available a system to track the amount of funds disbursed to each grant recipient and sub-recipient during a grant's fiscal cycle4 7#d7 ,exemption from duties and taxes ,the ,secretary should ensure that the ,fund adopts rules that condition grants upon agreement by the relevant national authorities in a partner country to exempt from duties and taxes all products financed by such grants1 including procurements by any principal or sub-recipient for the purpose of carrying out such grants4 #bje4 ,advisory ,board 7a7 ,in general ,there should be an ,advisory ,board to the ,fund4 7b7 ,appointments ,the members of the ,advisory ,board should be composed of-- 7#a7 individuals with experience and leadership in the fields of development1 global health1 epidemiology1 medicine1 biomedical research1 and social sciences2 and 7#b7 representatives of relevant ,united ,nations agencies and nongovernmental organizations with on-the-ground experience in implementing global health programs in low and lower-middle income countries4 7c7 ,responsibilities ,the ,advisory ,board should provide advice and guidance to the ,board of ,trustees on the development and implementation of programs and projects to be assisted by the ,fund and on leveraging donations to the ,fund4 7d7 ,prohibition on payment of compensation 7#a7 ,in general ,except for travel expenses 7including per diem in lieu of subsistence71 no member of the ,advisory ,board should receive compensation for services performed as a member of the ,board4 7#b7 ,united ,states representative ,notwithstanding any other provision of law 7including an international agreement71 a representative of the ,united ,states on the ,advisory ,board may not accept compensation for services performed as a member of the ,board1 except that such representative may accept travel expenses1 including per diem in lieu of subsistence1 while away from the representative's home or regular place of business in the performance of services for the ,board4 #bjf4 ,reports to ,congress 7a7 ,annual report 7#a7 ,in general ,not later than #a year after the date of the enactment of this ,act1 and annually thereafter for the duration of the ,fund1 the ,secretary of ,state1 in coordination with the ,secretary of the ,treasury1 shall submit to the appropriate congressional committees a report on the ,fund4 7#b7 ,report elements ,the report shall include a description of-- 7,a7 the goals of the ,fund2 7,b7 the programs1 projects1 and activities supported by the ,fund2 7,c7 private and governmental contributions to the ,fund2 and 7,d7 the criteria utilized to determine the programs and activities that should be assisted by the ,fund4 7b7 ,,gao report on ,trust ,fund effectiveness ,not later than #b years after the date that the ,fund is formally established1 the ,comptroller ,general of the ,united ,states shall submit to the appropriate congressional committees a report evaluating the effectiveness of the ,fund1 including-- 7#a7 the effectiveness of the programs1 projects1 and activities supported by the ,fund2 and 7#b7 an assessment of the merits of continued ,united ,states participation in the ,fund4 #bjg4 ,united ,states contributions 7a7 ,in general ,subject to submission of the certification under section #bjb7;c77#c77;,b77i71 the ,president is authorized to make available funds authorized to be appropriated pursuant to section #ajg for ,united ,states contributions to the ,fund4 7b7 ,notification ,the ,secretary of ,state shall notify the appropriate congressional committees not later than #ae days in advance of making a contribution to the ,fund1 including-- 7#a7 the amount of the proposed contribution2 7#b7 the total of funds contributed by other donors2 and 7#c7 the national interests served by ,united ,states participation in the ,fund4 7c7 ,limitation ,at no point during fiscal years #bjba through #bjbe shall a ,united ,states contribution cause the cumulative total of ,united ,states contributions to exceed #cc percent of the total contributions to the ,fund from all sources4 7d7 ,withholdings 7#a7 ,support for acts of international terrorism ,if at any time the ,secretary of ,state determines that the ,fund has provided assistance to a country1 the government of which the ,secretary of ,state has determined1 for purposes of section #fbj;,a of the ,foreign ,assistance ,act of #aifa 7#bb ,u4,s4,c4 #bcga7 has repeatedly provided support for acts of international terrorism1 the ,united ,states shall withhold from its contribution for the next fiscal year an amount equal to the amount expended by the ,fund to the government of such country4 7#b7 ,excessive salaries ,if at any time during any of the fiscal years #bjba through #bjbe1 the ,secretary of ,state determines that the salary of any individual employed by the ,fund exceeds the salary of the ,vice ,president of the ,united ,states for that fiscal year1 then the ,united ,states should withhold from its contribution for the next fiscal year an amount equal to the aggregate amount by which the salary of each such individual exceeds the salary of the ,vice ,president of the ,united ,states4 7#c7 ,accountability certification requirement ,the ,secretary of ,state shall withhold not less than #bj percent of planned ,united ,states contributions to the ,fund until the ,secretary certifies to the appropriate congressional committees that the ,fund has established procedures to provide access by the ,office of ,inspector ,general of the ,department of ,state1 as cognizant ,inspector ,general1 the ,inspector ,general of the ,department of ,health and ,human ,services1 and the ,inspector ,general of the ,united ,states ,agency for ,international ,development1 to the ,fund's financial data and other information relevant to ,united ,states contributions 7as determined by the ,inspector ,general1 in consultation with the ,secretary of ,state74