,,ii #aaf? ,,congress #b;d ,session ,s4 #chbi ,,9 ,,! ,,s5ate ,,( ,,! ,,unit$ ,,/ates ,may #ba1 #bjbj,mr4 ,ris* 7= himself1 ,mr4 ,murphy1 & ,mr4 ,c>d97 introduc$ ! foll[+ bill2 :i* 0 read twice & ref]r$ to ! ,committee on ,=eign ,relations ,a ,,bill ,to advance ! global heal? security & diplomacy objectives ( ! ,unit$ ,/ates1 improve coord9ation among ! relevant ,f$]al dep>tm5ts & ag5cies implem5t+ ,unit$ ,/ates =eign assi/ance = global heal? security1 & m effectively enable p>tn] c\ntries to /r5g!n & su/a9 resili5t heal? sy/ems & supply *a9s ) ! res\rces1 capacity1 & p]sonnel requir$ to prev5t1 detect1 mitigate1 & respond to infecti\s disease ?reats be=e !y become p&emics1 & = o!r purposes4 #a4 ,%ort title ,?is ,act may be cit$ z ! ,global ,heal? ,security & ,diplomacy ,act ( #bjbj4 #b4 ,def9itions ,9 ?is ,act3 7#a7 ,appropriate congressional committees ,! t]m appropriate congressional committees means-- 7,a7 ! ,committee on ,=eign ,relations & ! ,committee on ,appropriations ( ! ,s5ate2 & 7,b7 ! ,committee on ,=eign ,affairs & ! ,committee on ,appropriations ( ! ,h\se ( ,repres5tatives4 7#b7 ,global ,heal? ,security ,ag5da ,! t]m ,global ,heal? ,security ,ag5da means ! multi-sectoral initiative laun*$ 9 #bjad & r5ew$ 9 #bjag t br+s toge!r c\ntries1 regions1 int]national organizations1 nongov]nm5tal organizations1 & ! private sector to elevate global heal? security z a national-level priority1 %>e be/ practices1 & facilitate national capacity to comply ) & adh]e to ! ,_w ,heal? ,organization ,int]national ,heal? ,regulations1 ! ,_w ,organization = ,animal ,heal? int]national /&>ds & guidel9es1 ,unit$ ,nations ,security ,c\ncil ,resolution #aedj 7#bjjd71 ! ,biological ,weapons ,conv5tion1 & o!r relevant frameworks t contribute to global heal? security4 7#c7 ,global ,heal? ,security ,ag5da ,jo9t ,ext]nal ,evaluation ,! t]m ,global ,heal? ,security ,ag5da ,jo9t ,ext]nal ,evaluation means ! volunt>y1 collaborative1 multi-sectoral process to assess c\ntry capacity to prev5t1 detect1 & rapidly respond to public heal? risks occurr+ naturally or due to delib]ate or accid5tal ev5ts1 assess progress 9 a*iev+ ! t>gets "u ! ,_w ,heal? ,organization ,int]national ,heal? ,regulations1 & recomm5d priority actions4 7#d7 ,global ,heal? ,security ,index ,! t]m ,global ,heal? ,security ,index means ! compreh5sive assessm5t & b5*m>k+ ( heal? security & relat$ capabilities across ! #aie c\ntries t make up ! ,/ates ,p>ties to ! ,_w ,heal? ,organization ,int]national ,heal? ,regulations4 7#e7 ,key /akehold]s ,! t]m key /akehold]s means actors engag$ 9 ef=ts to advance global heal? security programs & objectives1 includ+-- 7,a7 national & local gov]nm5ts 9 p>tn] c\ntries2 7,b7 o!r bilat]al donors2 7,c7 int]national & regional organizations2 7,d7 int]national1 regional1 & local f9ancial in/itutions2 7,e7 int]national1 regional1 & local private volunt>y1 nongov]nm5tal1 fai?-bas$1 & civil society organizations2 7,f7 repres5tatives ( hi/orically m>g9aliz$ gr\ps1 includ+ wom5 & y\?2 7,g7 ! private sector1 includ+ m$ical device1 te*nology1 & ph>maceutical companies2 & 7,h7 public & private rese>* & academic in/itutions4 7#f7 ,"o ,heal? approa* ,! t]m ,"o ,heal? approa* means ! collaborative1 multi-sectoral1 & transdiscipl9>y approa* t[>d a*iev+ optimal heal? outcomes 9 a mann] t recognizes ! int]connection betwe5 p1 animals1 plants1 & _! %>$ environm5t4 7#g7 ,relevant ,f$]al dep>tm5ts & ag5cies ,! t]m relevant ,f$]al dep>tm5ts & ag5cies means any ,f$]al dep>tm5t or ag5cy op]at+ "u ,*ief ( ,mission au?ority & implem5t+ ,unit$ ,/ates =eign assi/ance relevant to ! advancem5t ( ,unit$ ,/ates global heal? security & diplomacy ov]seas1 :i* may include-- 7,a7 ! ,dep>tm5t ( ,/ate2 7,b7 ! ,unit$ ,/ates ,ag5cy = ,int]national ,developm5t2 7,c7 ! ,dep>tm5t ( ,heal? & ,human ,s]vices2 7,d7 ! ,c5t]s = ,disease ,control & ,prev5tion2 7,e7 ! ,national ,in/itutes ( ,heal?2 7,f7 ! ,dep>tm5t ( ! ,treasury2 7,g7 ! ,dep>tm5t ( ,def5se2 7,h7 ! ,def5se ,?reat ,r$uction ,ag5cy2 7,i7 ! ,mill5nium ,*all5ge ,corporation2 7,j7 ! ,developm5t ,f9ance ,corporation2 7,k7 ! ,peace ,corps2 & 7,l7 any o!r dep>tm5t or ag5cy t ! ,presid5t det]m9es to be relevant = ^! purposes4 #c4 ,purpose ,! purpose ( ?is ,act is to advance ! global heal? security & diplomacy objectives ( ! ,unit$ ,/ates1 improve coord9ation among ! relevant ,f$]al dep>tm5ts & ag5cies implem5t+ ,unit$ ,/ates =eign assi/ance = global heal? security1 & m effectively enable p>tn] c\ntries to /r5g!n & su/a9 resili5t heal? sy/ems & supply *a9s ) ! res\rces1 capacity1 & p]sonnel requir$ to prev5t1 detect1 mitigate1 & respond to infecti\s disease ?reats be=e !y become p&emics by-- 7#a7 e/abli%+ a compreh5sive ,unit$ ,/ates ,global ,heal? ,security ,/rategy ) a ,"o ,heal? approa* & cle> goals1 objectives1 & b5*m>ks1 z well z in/rum5ts to monitor & evaluate outputs & outcomes1 measure impact1 & %>e data & le>n+2 7#b7 e/abli%+ a me*anism to coord9ate ,unit$ ,/ates global heal? security policies1 activities1 & assi/ance1 includ+ ef=ts to advance ! ,unit$ ,/ates ,global ,heal? ,security ,/rategy & ! ,global ,heal? ,security ,ag5da1 :ile fully utiliz+ ! unique capabilities ( ! relevant ,f$]al dep>tm5ts & ag5cies2 7#c7 coord9at+ ) key /akehold]s & support+ p>tn] c\ntry ef=ts to /r5g!n & su/a9 m resili5t heal? sy/ems & supply *a9s2 7#d7 accel]at+ progress "u ! ,unit$ ,/ates ,global ,heal? ,security ,/rategy1 ! ,global ,heal? ,security ,ag5da1 ! ,_w ,heal? ,organization ,int]national ,heal? ,regulations1 & o!r relevant frameworks t contribute to global heal? security2 7#e7 enhanc+ support = innovation & public-private p>tn]%ips = rese>*1 developm5t1 & deploym5t ( effective & af=dable disease track+ tools1 diagno/ics1 !rapeutics1 & vacc9es2 7#f7 au?oriz+ appropriations to advance ! ,unit$ ,/ates ,global ,heal? ,security ,/rategy & provide = a global heal? security em]g5cy res]ve2 & 7#g7 au?oriz+ ! ,secret>y ( ,/ate1 9 coord9ation ) ! ,secret>y ( ! ,treasury1 to ent] into negotiations = ! e/abli%m5t ( ! ,tru/ ,fund = ,global ,heal? ,security4 ,i ,unit$ ,/ates ,global ,heal? ,security ,/rategy & ,assi/ance #aja4 ,p>tn] c\ntry def9$ ,9 ?is title1 ! t]m p>tn] c\ntry means a c\ntry 9 :i* ! relevant ,f$]al dep>tm5ts & ag5cies are implem5t+ ,unit$ ,/ates =eign assi/ance = global heal? security "u ?is ,act4 #ajb4 ,global heal? security /rategy 7a7 ,g5]al ,! ,presid5t %all ma9ta9 & advance a compreh5sive /rategy ) a ,"o ,heal? approa* t[>d advanc+ ! global heal? security & diplomacy objectives ( ! ,unit$ ,/ates ov]seas1 :i* %all-- 7#a7 seek to /r5g!n ,unit$ ,/ates diplomatic lead]%ip & improve ! effectiv5ess ( ,unit$ ,/ates =eign assi/ance = global heal? security to prev5t1 detect1 & respond to infecti\s disease ?reats1 includ+ ?r\gh advancem5t ( ! ,global ,heal? ,security ,ag5da2 7#b7 e/abli% specific & measurable goals1 b5*m>ks1 timetables1 p]=mance metrics1 & monitor+ & evaluation plans = ,unit$ ,/ates =eign assi/ance = global heal? security t promote le>n+ & reflect int]national be/ practices relat+ to global heal? security1 transp>5cy1 & acc\ntability2 7#c7 e/abli% me*anisms to improve coord9ation & p]=mance by ! relevant ,f$]al dep>tm5ts & ag5cies1 includ+ by sett+ out cle> roles & responsibilities t reflect ! unique capabilities & res\rces ( ea* su* dep>tm5t & ag5cy2 7#d7 e/abli% me*anisms to improve coord9ation & avoid duplication ( ef=t among ! relevant ,f$]al dep>tm5ts & ag5cies1 p>tn] c\ntries1 donor c\ntries1 multilat]al organizations1 & o!r key /akehold]s2 7#e7 prioritize work+ ) p>tn] c\ntries ) l[ scores on ! ,global ,heal? ,security ,index classification ( heal? sy/ems & on ! ,global ,heal? ,security ,ag5da ,jo9t ,ext]nal ,evaluation2 7#f7 r$uce long-t]m reliance ^u ,unit$ ,/ates =eign assi/ance = global heal? security by promot+ p>tn] c\ntry own]%ip1 improv$ dome/ic res\rce mobilization1 co-f9anc+1 & appropriate national budget allocations = global heal? security & p&emic prep>$ness & response2 7#g7 assi/ p>tn] c\ntries 9 build+ ! te*nical capacity ( relevant m9i/ries to prep>e1 execute1 monitor1 & evaluate effective national action plans = heal? security1 includ+ me*anisms to enhance budget & global heal? data transp>5cy1 z necess>y & appropriate2 7#h7 align ,unit$ ,/ates =eign assi/ance = global heal? security ) p>tn] c\ntry national action plans = heal? security1 develop$ ) input f key /akehold]s1 to ! greate/ ext5t practicable & appropriate2 7#i7 create l9kages betwe5 complem5t>y bilat]al & multilat]al =eign assi/ance programs t contribute to ! developm5t ( m resili5t heal? sy/ems & supply *a9s 9 p>tn] c\ntries ) ! capacity1 res\rces1 & p]sonnel requir$ to prev5t1 detect1 & respond to infecti\s disease ?reats2 7#aj7 support innovation & public-private p>tn]%ips to improve p&emic prep>$ness & response1 includ+ = ! developm5t & deploym5t ( effective infecti\s disease track+ tools1 diagno/ics1 !rapeutics1 & vacc9es2 7#aa7 support collaboration ) & among relevant public & private rese>* entities engag$ 9 global heal? security2 & 7#ab7 support collaboration betwe5 ,unit$ ,/ates univ]sities & public & private in/itutions 9 p>tn] c\ntries t promote global heal? security & innovation4 7b7 ,fiscal ye> #bjba compliance ,! ,unit$ ,/ates ,global ,heal? ,security ,/rategy1 publi%$ on ,may #i1 #bjai1 9 compliance ) section #gjeh7;c77#c7 ( ! ,dep>tm5t ( ,/ate1 ,=eign ,op]ations1 & ,relat$ ,programs ,appropriations ,act1 #bjbj 7division ,k ( ,public ,law #aae-ada71 %all be deem$ to comply ) ! requirem5t "u ?is section = fiscal ye> #bjba4 7c7 ,/rategy updates 7#a7 ,9 g5]al ,concurr5t ) ! submission ( ! report requir$ by section #fcd ( ! ,=eign ,assi/ance ,act ( #aifa 7#bb ,u4,s4,c4 #bcid7 = fiscal ye>s #bjbb ?r\gh #bjbe1 ! ,presid5t1 9 consultation ) ! head ( ea* relevant ,f$]al dep>tm5t & ag5cy1 %all submit to ! appropriate congressional committees updates to ! ,unit$ ,/ates ,global ,heal? ,security ,/rategy1 includ+ ! ag5cy-specific plans requir$ "u p>agraph 7#b74 7#b7 ,ag5cy-specific plans ,! /rategy updates requir$ "u ?is subsection %all include specific implem5tation plans f ea* relevant ,f$]al dep>tm5t & ag5cy t describe-- 7,a7 ! anticipat$ /aff+ plans & 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 results4 #ajc4 ,global heal? security coord9ation 7a7 ,e/abli%m5t ,!re is e/abli%$ )9 ! ,dep>tm5t ( ,/ate a ,coord9ator ( ,unit$ ,/ates ,gov]nm5t ,activities to ,advance ,global ,heal? ,security & ,diplomacy ov]seas1 :o %all be appo9t$ by ! ,presid5t1 by & ) ! advice & cons5t ( ! ,s5ate4 7b7 ,au?orities ,! ,coord9ator is au?oriz$ to-- 7#a7 op]ate int]nationally to c>ry out ! purposes ( ?is ,act2 7#b7 transf] & allocate ,unit$ ,/ates =eign assi/ance res\rces = global heal? security to ! relevant ,f$]al dep>tm5ts & ag5cies1 9 coord9ation ) ! ,(fice ( ,managem5t & ,budget1 ! ,unit$ ,/ates ,ag5cy = ,int]national ,developm5t1 & ! ,dep>tm5t ( ,/ate ,(fice ( ,=eign ,assi/ance ,res\rces2 & 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 z necess>y & appropriate4 7c7 ,duties ,! ,coord9ator %all h prim>y responsibility = ! coord9ation1 managem5t1 & ov]sight ( ,unit$ ,/ates diplomatic ef=ts & =eign assi/ance res\rces to advance ! relevant elem5ts ( ! ,unit$ ,/ates ,global ,heal? ,security ,/rategy "u section #ajb & ! duties describ$ "u subsection 7f77#b71 includ+ ! int]national programs1 projects1 & activities ( ! ,unit$ ,/ates ,gov]nm5t relat+ to ! ,global ,heal? ,security ,ag5da & ! ,tru/ ,fund = ,global ,heal? ,security e/abli%$ "u title ,,ii1 includ+-- 7#a7 ensur+ effective program coord9ation & implem5tation by ! relevant ,f$]al dep>tm5ts & ag5cies1 includ+ by-- 7,a7 manag+ ! budget & plann+ ( ,unit$ ,/ates =eign assi/ance res\rces au?oriz$ to be appropriat$ or o!rwise made available to c>ry out ! purposes ( *apt]s #a & #aj ( "p ,i & *apt] #d ( "p ,,ii ( ! ,=eign ,assi/ance ,act ( #aifa 7#bb ,u4,s4,c4 #baea et seq47 relat+ to infecti\s disease prev5tion1 detection1 mitigation1 & response1 includ+ ef=ts to enable p>tn] c\ntries to /r5g!n & su/a9 resili5t heal? sy/ems & supply *a9s2 7,b7 =mulat+1 issu+1 & updat+ relat$ program guidance2 7,c7 e/abli%+ unifi$ audit+1 monitor+1 & evaluation plans2 7,d7 align+ res\rces & implem5tation plans "u ! /rategy ) ! relevant ,f$]al dep>tm5ts & ag5cies ) ! greate/ exp]tise1 te*nical capabilities1 comp>ative advantage1 & pot5tial = success2 7,e7 work+ ) & lev]ag+ ! exp]tise & activities ( ! ,(fice ( ! ,global ,,aids ,coord9ator1 ! ,presid5t's ,mal>ia ,coord9ator1 & simil> or successor entities implem5t+ ,unit$ ,/ates global heal? assi/ance ov]seas2 & 7,f7 avoid+ duplication ( ef=t & work+ to resolve policy1 program1 & fund+ disputes among ! relevant ,f$]al dep>tm5ts & ag5cies2 7#b7 lead+ diplomatic ef=ts to address curr5t & em]g+ ?reats to global heal? security2 7#c7 ensur+ effective repres5tation ( ! ,unit$ ,/ates 9 relevant int]national =ums1 includ+ at ! ,_w ,heal? ,assembly & meet+s ( ! ,global ,heal? ,security ,ag5da1 9 coord9ation ) ! ,secret>y ( ! ,dep>tm5t ( ,heal? & ,human ,s]vices1 z necess>y & appropriate2 7#d7 promot+ great] donor & p>tn] c\ntry inve/m5t 9 build+ m resili5t heal? sy/ems & supply *a9s1 includ+ ?r\gh repres5tation & p>ticipation 9 a multilat]al tru/ fund = global heal? security1 consi/5t ) title ,,ii2 7#e7 work+ to enhance coord9ation ) & transp>5cy among p>tn] c\ntries & key /akehold]s1 includ+ ! private sector2 & 7#f7 regul>ly updat+ ! appropriate congressional committees4 7d7 ,o!r global heal? assi/ance ,?is section %all n apply to funds au?oriz$ to be appropriat$ or o!rwise made available to c>ry out ! purposes ( *apt]s #a & #aj ( "p ,i & *apt] #d ( "p ,,ii ( ! ,=eign ,assi/ance ,act ( #aifa 7#bb ,u4,s4,c4 #baea et seq47 relat+ to global heal? t are-- 7#a7 apportion$ directly to ! ,dep>tm5t ( ,/ate to c>ry out programs au?oriz$ pursuant to ! ,unit$ ,/ates ,lead]%ip ,aga9/ ,,hiv_/,,aids1 ,tub]culosis1 & ,mal>ia ,act ( #bjjc 7,public ,law #ajh-be72 or 7#b7 apportion$ directly to ! ,unit$ ,/ates ,ag5cy = ,int]national ,developm5t to c>ry out programs t are n directly relat$ to new or em]g+ infecti\s disease ?reats4 7e7 ,unit$ ,/ates ,ag5cy = ,int]national ,developm5t ,! ,coord9ator %\ld be support$ by a deputy1 :o %\ld be an employee ( ! ,unit$ ,/ates ,ag5cy = ,int]national ,developm5t s]v+ 9 a c>e] or nonc>e] position 9 ! ,s5ior ,executive ,s]vice or at ! level ( a ,deputy ,assi/ant ,adm9i/rator or high]1 :o s]ves concurr5tly z ! deputy & p]=ms ! functions ascrib$ to ! ag5cy by section #c7;b7 ( ,executive ,ord] #acgdg ( ,novemb] #d1 #bjaf4 7f7 ,s5se ( ,congress ,x is ! s5se ( ,congress t-- 7#a7 ,executive ,ord] #acdgd ( ,novemb] #d1 #bjaf1 & ! ,unit$ ,/ates ,global ,heal? ,security ,/rategy1 deliv]$ to ,congress on ,may #i1 #bjai1 set out lead]%ip & int]ag5cy coord9at+ roles = ! ,national ,security ,c\ncil relat+ to global heal? security & ! ,global ,heal? ,security ,ag5da2 7#b7 ! ,coord9ator %\ld p]=m ! functions 9 ,executive ,ord] #acgdg ascrib$ to ! ,dep>tm5t ( ,/ate 9 section #c7;b7 ( su* executive ord]2 7#c7 ! ,int]ag5cy ,review ,c\ncil describ$ 9 ,executive ,ord] #acgdg %\ld p]=m ! functions ascrib$ to x 9 section #b ( su* executive ord]2 & 7#d7 ! ,presid5t %\ld consid] appo9t+ an individual s]v+ on ! ,national ,security ,c\ncil1 at ! s5ior director level or high] & ) significant backgr\nd & exp]tise 9 public heal?1 heal? security1 or em]g5cy biological response managem5t1 to conv5e & coord9ate-- 7,a7 ! int]ag5cy process ( ! ,f$]al dep>tm5ts & ag5cies implem5t+ ! functions describ$ 9 section #c ( ,executive ,ord] #acgdg2 & 7,b7 ! int]ag5cy process to ensure cont9uity ( ef=t across ! ,f$]al dep>tm5ts & ag5cies engag$ 9 dome/ic & int]national global heal? security prep>$ness & response4 #ajd4 ,global heal? em]g5cies ,9 respond+ to an int]national infecti\s disease outbreak t is su/a9$1 sev]e1 & is spread+ int]nationally1 :i* may include a decl>ation "u ! ,_w ,heal? ,organization ,int]national ,heal? ,regulations ( a ,public ,heal? ,em]g5cy ( ,int]national ,conc]n ov]seas-- 7#a7 ! ,secret>y ( ,/ate1 act+ ?r\gh ! ,coord9ator ( ,unit$ ,/ates ,gov]nm5t ,activities to ,advance ,global ,heal? ,security & ,diplomacy1 z appropriate1 %all be repres5t$ at all relevant int]ag5cy meet+s & lead ,unit$ ,/ates diplomatic & coord9ation ef=ts ) ! relevant int]national organizations & key /akehold]s2 & 7#b7 ! ,adm9i/rator ( ! ,unit$ ,/ates ,ag5cy = ,int]national ,developm5t %all be repres5t$ at all relevant int]ag5cy meet+s & s]ve z ! program lead on int]national em]g5cy humanit>ian response1 z well ef=ts to address second ord] developm5t impacts ( su* an em]g5cy )9 p>tn] c\ntries4 #aje4 ,,usaid disa/] surge capacity 7a7 ,9 g5]al ,funds au?oriz$ to be appropriat$ or o!rwise made available to c>ry out "p ,i ( ! ,=eign ,assi/ance ,act ( #aifa 7#bb ,u4,s4,c4 #baea et seq471 includ+ funds made available = ,assi/ance = ,europe1 ,eurasia & ,c5tral ,asia1 may be us$1 9 addition to funds o!rwise made available = su* proposes1 = ! co/ 7includ+ support co/s7 ( individuals detail$ to or employ$ by ! ,unit$ ,/ates ,ag5cy = ,int]national ,developm5t ^: prim>y responsibility is to c>ry out programs 9 response to global heal? em]g5cies & natural or man-made disa/]s4 7b7 ,notification ,! ,adm9i/rator %all notify ! appropriate congressional committees n lat] ?an #ae days be=e mak+ funds available "u ?is section4 #ajf4 ,au?orization = ,unit$ ,/ates p>ticipation 9 ,coalition = ,epidemic ,prep>$ness ,innovations 7a7 ,9 g5]al ,! ,unit$ ,/ates is au?oriz$ to p>ticipate 9 ! ,coalition = ,epidemic ,prep>$ness ,innovations 7,,cepi74 7b7 ,bo>d ( directors ,! ,adm9i/rator ( ! ,unit$ ,/ates ,ag5cy = ,int]national ,developm5t is au?oriz$ to designate an employee ( su* ag5cy to s]ve on ! ,inve/ors ,c\ncil ( ,,cepi z a repres5tative ( ! ,unit$ ,/ates4 7c7 ,consultation ,n lat] ?an #fj days aft] ! date ( ! enactm5t ( ?is ,act1 ! ,secret>y %all consult ) ! appropriate congressional committees on-- 7#a7 ! mann] & ext5t to :i* ! ,unit$ ,/ates plans to p>ticipate 9 ,,cepi1 includ+ ?r\gh gov]nance ( ,,cepi2 7#b7 any plann$ f9ancial contributions to ,,cepi2 & 7#c7 h[ p>ticipation 9 ,,cepi is expect$ to support ! ,unit$ ,/ates ,global ,heal? ,security ,/rategy & any o!r relevant programs relat+ to global heal? security & biodef5se4 7d7 ,unit$ ,/ates contributions ,! ,presid5t is au?oriz$ to make available funds au?oriz$ to be appropriat$ "u section #ajg = ,unit$ ,/ates contributions to ,,cepi4 7e7 ,notification ,n lat] ?an #ae days be=e mak+ a contribution to ,,cepi1 ! ,secret>y ( ,/ate %all notify ! appropriate congressional committees ( ! am\nt1 purposes1 & national int]e/s s]v$ by su* plann$ contribution4 #ajg4 ,au?orizations ( appropriations 7a7 ,9 g5]al ,!re is au?oriz$ to be appropriat$1 = fiscal ye>s #bjba ?r\gh #bjbe1 #c1jjj1jjj1jjj to advance ! ,global ,heal? ,security ,/rategy ( ! ,unit$ ,/ates ov]seas1 includ+ support =-- 7#a7 ! ,em]g5cy ,res]ve ,fund e/abli%$ pursuant to section #gjeh7;c77#a7 ( ! ,dep>tm5t ( ,/ate1 ,=eign ,op]ations1 & ,relat$ ,programs ,appropriations ,act1 #bjag 7division ,j ( ,public ,law #aae-ca7 to address em]g+ global heal? ?reats2 & 7#b7 ,unit$ ,/ates contributions to ! ,fund e/abli%$ "u title ,,ii ( ?is ,act4 7b7 ,exception ,section #aaj ( ! ,traffick+ ,victims ,protection ,act ( #bjjj 7#bb ,u4,s4,c4 #gajg7 %all n apply to assi/ance made available pursuant to ?is section4 7c7 ,applicability ,section #ajd7;f7 ( ! ,=eign ,assi/ance ,act ( #aifa 7#bb ,u4,s4,c4 #baea;b7f77 %all apply to assi/ance made available pursuant to ?is section4 ,,ii ,tru/ ,fund = ,global ,heal? ,security #bja4 ,def9ition ,9 ?is title1 ! t]m p>tn] c\ntry means a develop+ c\ntry ) demon/rat$ ne$ & commitm5t to transp>5cy1 includ+ budget & global heal? data transp>5cy1 9 :i* ! ,tru/ ,fund = ,global ,heal? ,security e/abli%$ "u section #bjb is work+ to design1 implem5t1 & evaluate global heal? security assi/ance programs "u ?is ,act4 #bjb4 ,e/abli%m5t ( ,tru/ ,fund = ,global ,heal? ,security 7a7 ,negotiations = e/abli%m5t ( a ,tru/ ,fund = ,global ,heal? ,security ,! ,secret>y ( ,/ate %\ld seek to ent] into negotiations ) ! ,_w ,bank or ! ,int]national ,developm5t ,association1 9 coord9ation ) ! ,secret>y ( ! ,treasury1 ! ,adm9i/rator ( ! ,unit$ ,/ates ,ag5cy = ,int]national ,developm5t1 & ! heads ( o!r relevant ,f$]al dep>tm5ts & ag5cies1 & ) ! memb] nations ( ! ,_w ,bank or ! ,int]national ,developm5t ,association & ) o!r int]e/$ p>ties1 = ! e/abli%m5t )9 ! ,_w ,bank (-- 7#a7 a ,tru/ ,fund = ,global ,heal? ,security 79 ?is subtitle ref]r$ to z ! ,fund7 9 accordance ) ! provisions ( ?is section2 & 7#b7 an ,advisory ,bo>d to ! ,fund 9 accordance ) section #bje4 7b7 ,purpose ,! purpose ( ! ,fund %\ld be to advance global heal? security by catalyz+ public & private inve/m5ts 9 global heal? security1 infecti\s disease control1 & p&emic prep>$ness & response 9 develop+ c\ntries ) demon/rat$ ne$1 commitm5t to transp>5cy1 includ+ budget & global heal? data transp>5cy1 & evid5ce-bas$ outcomes4 7c7 ,composition 7#a7 ,9 g5]al ,! ,fund %\ld be gov]n$ by a ,bo>d ( ,tru/ees1 to be compos$ ( repres5tatives ( ,_w ,bank memb] /ates t are donors & p>ticipants 9 ! ,fund4 ,! ,bo>d ( ,tru/ees %\ld include-- 7,a7 #e p]man5t memb] c\ntries1 :o qualify bas$ ^u meet+ an e/abli%$ initial contribution ?re%old1 :i* %\ld be n less ?an #aj p]c5t ( total contributions1 & by meet+ m9imum /&>ds = uphold+ ! ,int]national ,heal? ,regulations1 & :o %\ld hold veto p[] ov] programs & projects2 7,b7 #e t]m memb]s1 :o are select$ by ! p]man5t memb]s on ! basis ( _! commitm5t to innovation1 be/ practices1 & ! advancem5t ( global heal? security objectives 9 p>tn] c\ntries2 & 7,c7 #i develop+ c\ntry memb]s1 :o s]ve a p]iod t]m1 & :o demon/rate a commitm5t to prioritiz+ global heal? security = _! citiz5s & to ! purposes & pr9ciples ( ! ,fund4 7#b7 ,qualifications ,individuals appo9t$ to ! ,bo>d %all h demon/rat$ k & exp]i5ce 9 ! fields ( public heal?1 epidemiology1 supply *a9 managem5t1 heal? deliv]y sy/ems1 & developm5t4 7#c7 ,unit$ ,/ates repres5tation 7,a7 ,9 g5]al 7i7 ,f\nd+ p]man5t memb] ,! ,secret>y ( ,/ate %all seek to e/abli% ! ,unit$ ,/ates z a f\nd+ p]man5t memb] ( ! ,fund4 7ii7 ,coord9ator ( ,unit$ ,/ates ,gov]nm5t ,activities to ,advance ,global ,heal? ,security ,! ,unit$ ,/ates %all be repres5t$ on ! ,bo>d ( ,tru/ees by ! ,coord9ator ( ,unit$ ,/ates ,gov]nm5t ,activities to ,advance ,global ,heal? ,security & ,diplomacy e/abli%$ "u section #ajc4 7,b7 ,effective & t]m9ation dates 7i7 ,effective date ,?is p>agraph %all take effect ^u ! date ! ,secret>y ( ,/ate1 9 coord9ation ) ! ,secret>y ( ! ,treasury1 c]tifies & transmits to ,congress an agreem5t e/abli%+ ! ,fund4 7ii7 ,t]m9ation date ,! memb]%ip e/abli%$ pursuant to subp>agraph 7,a7 %all t]m9ate ^u ! date ( t]m9ation ( ! ,fund4 7#d7 ,removal proc$ures ,! ,fund %all e/abli% proc$ures = ! removal ( memb]s ( ! ,bo>d :o engage 9 a consi/5t patt]n ( human rights abuses1 fail to uphold global heal? data transp>5cy requirem5ts1 or o!rwise violate ! e/abli%$ /&>ds ( ! ,fund4 #bjc4 ,grant au?orities 7a7 ,program objectives 7#a7 ,9 g5]al ,9 c>ry+ out ! purpose set =? 9 section #bjb7;b71 ! ,fund1 act+ ?r\gh ! ,bo>d ( ,tru/ees1 %\ld provide grants1 includ+ *all5ge grants1 te*nical assi/ance1 concessional l5d+1 catalytic inve/m5t funds1 & o!r innovative fund+ me*anisms1 z appropriate1 to support measures t enable develop+ c\ntries1 at bo? national & sub-national levels1 & 9 p>tn]%ip ) civil society & ! private sector1 to /r5g!n & su/a9 resili5t heal? sy/ems & supply *a9s ) ! res\rces1 capacity1 & p]sonnel requir$ to prev5t1 detect1 mitigate1 & respond to infecti\s disease ?reats be=e !y become p&emics4 7#b7 ,activities support$ ,activities to be support$ by ! ,fund %\ld include ef=ts to-- 7,a7 enable p>tn] c\ntries ) l[ scores on ! ,global ,heal? ,security ,index classification ( heal? sy/ems & on ! ,global ,heal? ,security ,ag5da ,jo9t ,ext]nal ,evaluation to improve su* scores & adopt & uphold commitm5ts "u ! ,global ,heal? ,security ,ag5da1 ! ,_w ,heal? ,organization ,int]national ,heal? ,regulations1 & o!r relat$ int]national heal? agreem5ts2 7,b7 support global heal? budget & work=ce plann+ 9 p>tn] c\ntries1 includ+ tra9+ 9 f9ancial managem5t & budget & global heal? data transp>5cy2 7,c7 advance rese>*1 developm5t1 & deploym5t ( effective infecti\s disease track+ tools1 diagno/ics1 !rapeutics1 & vacc9es1 includ+ by e/abli%+ & lev]ag+ public-private p>tn]%ips & support+ advance pur*ase agreem5ts1 z necess>y & appropriate2 7,d7 improve infection control )9 heal?c>e sett+s2 7,e7 combat ! ?reat ( antimicrobial resi/ance2 7,f7 exp& lab capacity ?r\gh ! provision ( mat]ial & te*nical assi/ance2 7,g7 build te*nical capacity to manage global heal? supply *a9s ?r\gh effective =eca/+1 procurem5t1 w>eh\s+1 & deliv]y f c5tral w>eh\ses to po9ts ( s]vice2 7,h7 enable bilat]al & regional p>tn]%ips & coop]ation to id5tify & address transnational infecti\s disease ?reats exac]bat$ by natural & man-made disa/]s1 human displacem5t1 & zoonotic infection2 7,i7 e/abli% p>tn]%ips to develop m$ical int]v5tions to detect1 treat1 & prev5t ! spread ( neglect$ tropical diseases2 7,j7 build ! te*nical capacity ( p>tn] c\ntries to prep>e = & respond to second ord] developm5t impacts ( infecti\s disease outbreaks1 :ile acc\nt+ = ! diff]5tiat$ ne$s & vuln]abilities ( m>g9aliz$ populations2 7,k7 develop & utilize metrics to monitor & evaluate program p]=mance & id5tify be/ practices2 & 7,l7 develop & deploy me*anisms to enhance ! transp>5cy & acc\ntability ( global heal? security programs & data1 includ+ ?r\gh ! %>+ ( tr5ds1 risks1 & lessons le>n$4 7#c7 ,implem5tation ( program objectives ,9 c>ry+ out ! objectives ( p>agraph 7#a71 ! ,fund %all "w to elim9ate duplication & wa/e by uphold+ /rict transp>5cy & acc\ntability /&>ds & coord9at+ its programs & activities ) key p>tn]s work+ to advance global heal? security1 includ+1 at a m9imum-- 7,a7 gov]nm5ts1 civil society & nongov]nm5tal organizations1 rese>* & academic in/itutions1 & private sector entities 9 p>tn] c\ntries2 7,b7 ! ,global ,heal? ,security ,ag5da2 7,c7 ! ,global ,fund to ,fight ,,aids1 ,tub]culosis1 & ,mal>ia2 7,d7 ! ,vacc9e ,alliance1 ,,gavi2 7,e7 ! ,coalition = ,epidemic ,prep>$ness ,innovations 7,,cepi72 7,f7 ! ,global ,polio ,eradication ,initiative2 & 7,g7 ! ,coord9ator ( ,unit$ ,/ates ,gov]nm5t ,activities to ,advance ,global ,heal? ,security & ,diplomacy1 e/abli%$ pursuant to section #ajc4 7b7 ,priority ,9 provid+ assi/ance "u ?is section1 ! ,fund %\ld give priority to l[ & l[]-middle income c\ntries1 z classifi$ 9 ! mo/ rec5t edition ( ! ,_w ,developm5t ,report = ,recon/ruction & ,developm5t publi%$ by ! ,int]national ,bank = ,recon/ruction & ,developm5t1 ) l[ scores on ! ,global ,heal? ,security ,index classification ( heal? sy/ems & on ! ,global ,heal? ,security ,ag5da ,jo9t ,ext]nal ,evaluation1 & demon/rat$ commitm5t to uphold+ global heal? budget & data transp>5cy & acc\ntability /&>ds & inve/+ 9 _! own heal? sy/ems4 7c7 ,eligible grant recipi5ts ,gov]nm5ts & nongov]nm5tal organizations %\ld be eligible to receive grants "u ?is section4 #bjd4 ,adm9i/ration 7a7 ,appo9tm5t ( an adm9i/rator ,! ,bo>d ( ,tru/ees1 9 consultation ) ! appropriate (ficials ( ! ,bank1 %\ld appo9t an ,adm9i/rator :o %\ld be responsible = manag+ ! day-to-day op]ations ( ! ,fund4 7b7 ,au?ority ,to solicit & accept contributions ,! ,fund %\ld be au?oriz$ to solicit & accept contributions f gov]nm5ts1 ! private sector1 & nongov]nm5tal entities ( all k9ds4 7c7 ,acc\ntability ( funds & crit]ia = programs ,z "p ( ! negotiations describ$ 9 section #bjb7;a71 ! ,secret>y ( ! ,/ate1 9 coord9ation ) ! ,secret>y ( ! ,treasury1 %all1 consi/5t ) subsection 7d7-- 7#a7 take su* actions z are necess>y to ensure t ! ,bank or ! ,association w h 9 effect adequate proc$ures & /&>ds to acc\nt = & monitor ! use ( funds contribut$ to ! ,fund1 includ+ ! co/ ( adm9i/]+ ! ,fund2 & 7#b7 seek agreem5t on ! crit]ia t %\ld be us$ to det]m9e ! programs & activities t %\ld be assi/$ by ! ,fund4 7d7 ,selection ( p>tn] c\ntries1 projects1 & recipi5ts ,! ,bo>d ( ,tru/ees %\ld e/abli%-- 7#a7 p>tn] c\ntry selection crit]ia1 to include transp>5t metrics to measure & assess global heal? security /r5g?s & vuln]abilities 9 develop+ c\ntries seek+ assi/ance2 7#b7 m9imum /&>ds = ensur+ p>tn] c\ntry own]%ip & commitm5t to long-t]m results1 includ+ requirem5ts = dome/ic budget+1 res\rce mobilization1 & co-inve/m5t2 7#c7 crit]ia = ! selection ( projects to receive support f ! ,fund2 7#d7 /&>ds & crit]ia reg>d+ qualifications ( recipi5ts ( su* support2 7#e7 su* rules & proc$ures z may be necess>y = co/-effective managem5t ( ! ,fund2 & 7#f7 su* rules & proc$ures z may be necess>y to ensure transp>5cy & acc\ntability 9 ! grant-mak+ process4 7e7 ,additional transp>5cy & acc\ntability requirem5ts 7#a7 ,inspector ,g5]al 7,a7 ,9 g5]al ,! ,secret>y ( ,/ate %all ensure t ! ,fund ma9ta9s an indep5d5t ,(fice ( ! ,inspector ,g5]al & ensure t ! (fice has ! requisite res\rces & capacity to regul>ly conduct & publi%1 on a publicly accessible website1 rigor\s f9ancial1 programmatic1 & report+ audits & inve/igations ( ! ,fund & its grantees4 7,b7 ,s5se ( ,congress on corruption ,x is ! s5se ( ,congress t-- 7i7 corruption )9 global heal? programs contribute directly to ! loss ( human life & _c be tol]at$2 & 7ii7 9 mak+ f9ancial recov]ies relat+ to a corrupt act or crim9al conduct "u a grant1 z det]m9$ by ! ,inspector ,g5]al1 ! responsible grant recipi5t %\ld be assess$ at a recov]y rate ( #aej p]c5t ( su* loss4 7#b7 ,adm9i/rative exp5ses ,! ,secret>y ( ,/ate %all ensure ! ,fund e/abli%es1 ma9ta9s1 & makes publicly available a sy/em to track ! adm9i/rative & managem5t co/s ( ! ,fund on a qu>t]ly basis4 7#c7 ,grant track+ sy/ems ,! ,secret>y ( ,/ate %all ensure t ! ,fund e/abli%es1 ma9ta9s1 & makes publicly available a sy/em to track ! am\nt ( funds disburs$ to ea* grant recipi5t & sub-recipi5t dur+ a grant's fiscal cycle4 7#d7 ,exemption f duties & taxes ,! ,secret>y %\ld ensure t ! ,fund adopts rules t condition grants ^u agreem5t by ! relevant national au?orities 9 a p>tn] c\ntry to exempt f duties & taxes all products f9anc$ by su* grants1 includ+ procurem5ts by any pr9cipal or sub-recipi5t = ! purpose ( c>ry+ out su* grants4 #bje4 ,advisory ,bo>d 7a7 ,9 g5]al ,!re %\ld be an ,advisory ,bo>d to ! ,fund4 7b7 ,appo9tm5ts ,! memb]s ( ! ,advisory ,bo>d %\ld be compos$ (-- 7#a7 individuals ) exp]i5ce & lead]%ip 9 ! fields ( developm5t1 global heal?1 epidemiology1 m$ic9e1 biom$ical rese>*1 & social sci5ces2 & 7#b7 repres5tatives ( relevant ,unit$ ,nations ag5cies & nongov]nm5tal organizations ) on-!-gr\nd exp]i5ce 9 implem5t+ global heal? programs 9 l[ & l[]-middle income c\ntries4 7c7 ,responsibilities ,! ,advisory ,bo>d %\ld provide advice & guidance to ! ,bo>d ( ,tru/ees on ! developm5t & implem5tation ( programs & projects to be assi/$ by ! ,fund & on lev]ag+ donations to ! ,fund4 7d7 ,prohibition on paym5t ( comp5sation 7#a7 ,9 g5]al ,except = travel exp5ses 7includ+ p] diem 9 lieu ( subsi/5ce71 no memb] ( ! ,advisory ,bo>d %\ld receive comp5sation = s]vices p]=m$ z a memb] ( ! ,bo>d4 7#b7 ,unit$ ,/ates repres5tative ,not)/&+ any o!r provision ( law 7includ+ an int]national agreem5t71 a repres5tative ( ! ,unit$ ,/ates on ! ,advisory ,bo>d may n accept comp5sation = s]vices p]=m$ z a memb] ( ! ,bo>d1 except t su* repres5tative may accept travel exp5ses1 includ+ p] diem 9 lieu ( subsi/5ce1 :ile away f ! repres5tative's home or regul> place ( bus9ess 9 ! p]=mance ( s]vices = ! ,bo>d4 #bjf4 ,reports to ,congress 7a7 ,annual report 7#a7 ,9 g5]al ,n lat] ?an #a ye> aft] ! date ( ! enactm5t ( ?is ,act1 & annually !reaft] = ! duration ( ! ,fund1 ! ,secret>y ( ,/ate1 9 coord9ation ) ! ,secret>y ( ! ,treasury1 %all submit to ! appropriate congressional committees a report on ! ,fund4 7#b7 ,report elem5ts ,! report %all include a description (-- 7,a7 ! goals ( ! ,fund2 7,b7 ! programs1 projects1 & activities support$ by ! ,fund2 7,c7 private & gov]nm5tal contributions to ! ,fund2 & 7,d7 ! crit]ia utiliz$ to det]m9e ! programs & activities t %\ld be assi/$ by ! ,fund4 7b7 ,,gao report on ,tru/ ,fund effectiv5ess ,n lat] ?an #b ye>s aft] ! date t ! ,fund is =mally e/abli%$1 ! ,comptroll] ,g5]al ( ! ,unit$ ,/ates %all submit to ! appropriate congressional committees a report evaluat+ ! effectiv5ess ( ! ,fund1 includ+-- 7#a7 ! effectiv5ess ( ! programs1 projects1 & activities support$ by ! ,fund2 & 7#b7 an assessm5t ( ! m]its ( cont9u$ ,unit$ ,/ates p>ticipation 9 ! ,fund4 #bjg4 ,unit$ ,/ates contributions 7a7 ,9 g5]al ,subject to submission ( ! c]tification "u section #bjb7;c77#c77;,b77i71 ! ,presid5t is au?oriz$ to make available funds au?oriz$ to be appropriat$ pursuant to section #ajg = ,unit$ ,/ates contributions to ! ,fund4 7b7 ,notification ,! ,secret>y ( ,/ate %all notify ! appropriate congressional committees n lat] ?an #ae days 9 advance ( mak+ a contribution to ! ,fund1 includ+-- 7#a7 ! am\nt ( ! propos$ contribution2 7#b7 ! total ( funds contribut$ by o!r donors2 & 7#c7 ! national int]e/s s]v$ by ,unit$ ,/ates p>ticipation 9 ! ,fund4 7c7 ,limitation ,at no po9t dur+ fiscal ye>s #bjba ?r\gh #bjbe %all a ,unit$ ,/ates contribution cause ! cumulative total ( ,unit$ ,/ates contributions to exce$ #cc p]c5t ( ! total contributions to ! ,fund f all s\rces4 7d7 ,)hold+s 7#a7 ,support = acts ( int]national t]rorism ,if at any "t ! ,secret>y ( ,/ate det]m9es t ! ,fund has provid$ assi/ance to a c\ntry1 ! gov]nm5t ( :i* ! ,secret>y ( ,/ate has det]m9$1 = purposes ( section #fbj;,a ( ! ,=eign ,assi/ance ,act ( #aifa 7#bb ,u4,s4,c4 #bcga7 has repeat$ly provid$ support = acts ( int]national t]rorism1 ! ,unit$ ,/ates %all )hold f its contribution = ! next fiscal ye> an am\nt equal to ! am\nt exp5d$ by ! ,fund to ! gov]nm5t ( su* c\ntry4 7#b7 ,excessive sal>ies ,if at any "t dur+ any ( ! fiscal ye>s #bjba ?r\gh #bjbe1 ! ,secret>y ( ,/ate det]m9es t ! sal>y ( any individual employ$ by ! ,fund exce$s ! sal>y ( ! ,vice ,presid5t ( ! ,unit$ ,/ates = t fiscal ye>1 !n ! ,unit$ ,/ates %\ld )hold f its contribution = ! next fiscal ye> an am\nt equal to ! aggregate am\nt by :i* ! sal>y ( ea* su* individual exce$s ! sal>y ( ! ,vice ,presid5t ( ! ,unit$ ,/ates4 7#c7 ,acc\ntability c]tification requirem5t ,! ,secret>y ( ,/ate %all )hold n less ?an #bj p]c5t ( plann$ ,unit$ ,/ates contributions to ! ,fund until ! ,secret>y c]tifies to ! appropriate congressional committees t ! ,fund has e/abli%$ proc$ures to provide access by ! ,(fice ( ,inspector ,g5]al ( ! ,dep>tm5t ( ,/ate1 z cognizant ,inspector ,g5]al1 ! ,inspector ,g5]al ( ! ,dep>tm5t ( ,heal? & ,human ,s]vices1 & ! ,inspector ,g5]al ( ! ,unit$ ,/ates ,ag5cy = ,int]national ,developm5t1 to ! ,fund's f9ancial data & o!r in=mation relevant to ,unit$ ,/ates contributions 7z det]m9$ by ! ,inspector ,g5]al1 9 consultation ) ! ,secret>y ( ,/ate74