#aag? ,,congress  #a/ ,session  ,h4 ,r4 
#cia  ,,an ,,act  ,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 ( #bjba4  #b4     
,f9d+s ,congress f9ds ! foll[+3  7#a7 ,9
 ,decemb] #bjji1 ,presid5t ,obama       
releas$ ! ,national ,/rategy = ,c\nt]+  
,biological ,?reats1 :i* li/$ z "o (    
sev5 objectives ,promote global heal?   
security3 ,increase ! availability ( &  
access to k & products ( ! life sci5ces 
t c help r$uce ! impact f outbreaks (   
infecti\s disease :e!r ( natural1       
accid5tal1 or delib]ate orig94  7#b7 ,9 
,febru>y #bjad1 ! ,unit$ ,/ates & ne>ly 
#cj o!r nations laun*$ ! ,global ,heal? 
,security ,ag5da 7,,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
 ,goals 7,s,d,gs71 :i* include specific 
ref]5ce to ! importance ( global heal?  
security z "p ( ,,sdg #c ensure heal?y  
lives & promote well-be+ = all at all   
ages z foll[s3 /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] ,no4 #acgdg1    
,advanc+ ! ,global ,heal? ,security     
,ag5da to ,a*ieve a ,_w ,safe & ,secure 
f ,infecti\s ,disease ,?reats4  7#e7 ,9 
,octob] #bjag 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 outbreaks4     
7#g7 ,9 ,septemb] #bjah1 ,presid5t      
,trump releas$ ! ,national ,biodef5se   
,/rategy1 :i* includes objectives to    
/r5g!n global heal? security capacities 
to prev5t local bio9cid5ts f becom+     
epidemics1 & /r5g!n int]national        
prep>$ness to support int]national      
response & recov]y capabilities4  7#h7  
,9 ,janu>y #bjba1 ,presid5t ,bid5 issu$ 
,executive ,ord] #acihg 7#hf ,f$4 ,reg4 
#gjai2 relat+ to ,organiz+ & ,mobiliz+ !
 ,unit$ ,/ates ,gov]nm5t to ,provide a  
,unifi$ & ,effective ,response to       
,combat ,,covid-#ai & to ,provide ,unit$
 ,/ates ,lead]%ip on ,global ,heal? &   

,security71 z well z ,national ,security
 ,memor&um on ,unit$ ,/ates ,global     
,lead]%ip to ,/r5g!n ! ,int]national    
,,covid-#ai ,response & to ,advance     
,global ,heal? ,security & ,biological  
,prep>$ness1 :i* include objectives to  
/r5g!n & re=m ! ,_w ,heal?              
,organization1 increase ,unit$ ,/ates   
lead]%ip 9 ! global response to         
,,covid-#ai1 & to f9ance & advance      
global heal? security & p&emic          
prep>$ness4  #c4 ,/atem5t ( policy ,x is
 ! policy ( ! ,unit$ ,/ates to-- 7#a7   
promote & inve/ 9 global heal? security 
& p&emic prep>$ness z a core national   
security int]e/2  7#b7 advance ! aims ( 
! ,global ,heal? ,security ,ag5da2  7#c7
 collaborate ) o!r c\ntries to detect & 
mitigate outbreaks e>ly to prev5t !     
spread ( disease2  7#d7 enc\rage &      
support o!r c\ntries to advance p&emic  
prep>$ness by inve/+ 9 basic resili5t & 
su/a9able heal? c>e sy/ems2 &  7#e7     
/r5g!n global heal? security across !   
int]section ( human & animal heal? to   

prep>e = & prev5t infecti\s disease     
outbreaks & 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 79 ?is section ref]r$ to 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 ?an f\r 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 7,,ghsa7 goals1        
objectives1 & implem5tation1 & o!r      
int]national ef=ts to /r5g!n p&emic     
prep>$ness & response4  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+ !
 ,,ghsa1 & o!r int]national ef=ts to    
/r5g!n p&emic prep>$ness & response4    
7#d7  7,a7 ,review ! progress t[>d & "w 
to resolve *all5ges 9 a*iev+ ,unit$     
,/ates commitm5ts "u ! ,,ghsa1 includ+  
commitm5ts to assi/ o!r c\ntries 9      
a*iev+ ! ,,ghsa t>gets4  7,b7 ,! ,c\ncil
 %all consid]1 among o!r issues1 !      
foll[+3  7i7 ,! /atus ( ,unit$ ,/ates   
f9ancial commitm5ts to ! ,,ghsa 9 !     
context ( commitm5ts by o!r donors1 & ! 
contributions ( p>tn] c\ntries to a*ieve
 ! ,,ghsa t>gets4  7ii7 ,! 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+ !   
,,ghsa4  7iii7 ,! ext]nal evaluations ( 
,unit$ ,/ates & p>tn] c\ntry            
capabilities to address infecti\s       
disease ?reats1 includ+ ! ability to    

a*ieve ! t>gets outl9$ )9 ! ,,:o ,jo9t  
,ext]nal ,evaluation tool1 z well z gaps
 id5tifi$ by su* ext]nal evaluations4   
7d7 ,p>ticipation ,! ,c\ncil %all be    
head$ by ! ,assi/ant to ! ,presid5t =   
,national ,security ,affairs1 9         
coord9ation ) ! heads ( relevant ,f$]al 
ag5cies4 ,! ,c\ncil %all consi/ (       
repres5tatives f ! foll[+ ag5cies3  7#a7
 ,! ,dep>tm5t ( ,/ate4  7#b7 ,!         
,dep>tm5t ( ,def5se4  7#c7 ,! ,dep>tm5t 
( ,ju/ice4  7#d7 ,! ,dep>tm5t (         
,agriculture4  7#e7 ,! ,dep>tm5t (      
,heal? & ,human ,s]vices4  7#f7 ,!      
,dep>tm5t ( ! ,treasury4  7#g7 ,!       
,dep>tm5t ( ,labor4  7#h7 ,! ,dep>tm5t (
 ,homel& ,security4  7#i7 ,! ,(fice (   
,managem5t & ,budget4  7#aj7 ,! ,(fice (
 ! ,director ( ,national ,intellig5ce4  
7#aa7 ,! ,unit$ ,/ates ,ag5cy =         
,int]national ,developm5t4  7#ab7 ,!    
,environm5tal ,protection ,ag5cy4  7#ac7
 ,! ,c5t]s = ,disease ,control &        
,prev5tion4  7#ad7 ,! ,(fice ( ,sci5ce &
 ,te*nology ,policy4  7#ae7 ,! ,national

 ,in/itutes ( ,heal?4  7#af7 ,!         
,national ,in/itute ( ,all]gy &         
,infecti\s ,diseases4  7#ag7 ,su* o!r   
ag5cies z ! ,c\ncil det]m9es to be      
appropriate4  7e7 ,specific roles &     
responsibilities  7#a7 ,9 g5]al ,! heads
 ( ag5cies describ$ 9 subsection 7d7    
%all--  7,a7 make ! ,,ghsa & its        
implem5tation & global p&emic prep>$ness
 a high priority )9 _! respective       
ag5cies1 & include ,,ghsa- & global     
p&emic prep>$ness-relat$ activities )9  
_! respective ag5cies' /rategic plann+ &
 budget processes2  7,b7 designate a    
s5ior-level (ficial to be responsible = 
! implem5tation ( ?is ,act2  7,c7       
designate1 9 accordance ) subsection    
7d71 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 national heal? security
 action plans & ) ,,ghsa & o!r p>tn]s1 z
 appropriate1 to :i* ! ,unit$ ,/ates is 
provid+ assi/ance4  7#b7 ,additional    
roles & responsibilities ,9 addition to 
! roles & responsibilities describ$ 9   
p>agraph 7#a71 ! heads ( ag5cies        
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?     
,security1 :o %all be responsible = !   
coord9ation ( ! int]ag5cy process =     
respond+ to global heal? security       
em]g5cies4 ,z appropriate1 ! designee   
%all coord9ate ) ! ,presid5t's ,special 
,coord9ator = ,int]national ,disa/]     
,assi/ance4  7b7 ,congressional brief+  
,n less frequ5tly ?an twice ea* ye>1 !  
employee designat$ "u ?is section %all  
provide to ! appropriate congressional  
committees a brief+ on !                
responsibilities & activities ( !       
individual "u ?is section4  #f4 ,s5se ( 
,congress ,x is ! s5se ( ! ,congress t1 
giv5 ! complex & multisectoral nature ( 
global heal? ?reats to ! ,unit$ ,/ates1 
! ,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 z requir$ by 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 z necess>y &           
appropriate4  #g4 ,/rategy & reports    
7a7 ,/rategy ,! ,presid5t %all coord9ate
 ! developm5t & implem5tation ( a       
/rategy to implem5t ! policy aims       
describ$ 9 section #c1 :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 ,ag5da 7,,ghsa71 !     
,int]national ,heal? ,regulations       
7#bjje71 & o!r relevant frameworks t    
contribute to global heal? security &   
p&emic prep>$ness2  7#b7 e/abli%        
specific & measurable goals1 b5*m>ks1   
timetables1 p]=mance metrics1 & monitor+
 & evaluation plans = ,unit$ ,/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 & avoid duplication ( ef=t  
betwe5 ! ,unit$ ,/ates ,gov]nm5t & p>tn]
 c\ntries1 donor c\ntries1 ! private    
sector1 multilat]al organizations1 & o!r
 key /akehold]s2  7#d7 prioritize work+ 
) p>tn] c\ntries ) demon/rat$-- 7,a7    
ne$1 z id5tifi$ ?r\gh ! ,jo9t ,ext]nal  

,evaluation process1 ! ,global ,heal?   
,security ,index classification ( heal? 
sy/ems1 national action plans = heal?   
security1 ,,ghsa ,action ,packages1 &   
o!r complem5t>y or successor indicators 
( global heal? security & p&emic        
prep>$ness2 &  7,b7 commitm5t to        
transp>5cy1 includ+ budget & global     
heal? data transp>5cy1 comply+ ) !      
,int]national ,heal? ,regulations       
7#bjje71 inve/+ 9 dome/ic heal? sy/ems1 
& a*iev+ measurable results2  7#e7 r$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#f7     
assi/ p>tn] c\ntries 9 build+ ! te*nical
 capacity ( relevant m9i/ries1 sy/ems1 &
 networks 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#g7 support & be align$ )
 c\ntry-own$ global heal? security      
policy & inve/m5t plans develop$ ) input
 f key /akehold]s1 z appropriate2  7#h7 
facilitate communication &              
collaboration1 z appropriate1 among     
local /akehold]s 9 support ( a          
multi-sectoral approa* to global heal?  
security2  7#i7 support ! long-t]m      
success ( programs by build+ ! capacity 
( local organizations & in/itutions 9   
t>get c\ntries & communities2  7#aj7    
develop community resili5ce to infecti\s
 disease ?reats & em]g5cies2  7#aa7     
support global heal? budget & work=ce   
plann+ 9 p>tn] c\ntries1 includ+ tra9+ 9
 f9ancial managem5t & budget & global   
heal? data transp>5cy2  7#ab7 align     
,unit$ ,/ates =eign assi/ance = global  
heal? security ) national action plans =
 heal? security 9 p>tn] c\ntries1       
develop$ ) input f key /akehold]s1      
includ+ ! private sector1 to ! greate/  
ext5t practicable & appropriate2  7#ac7 

/r5g!n l9kages betwe5 complem5t>y       
bilat]al & multilat]al =eign assi/ance  
programs1 includ+ ef=ts ( ! ,_w ,bank1 !
 ,_w ,heal? ,organization1 ! ,global    
,fund to ,fight ,,aids1 ,tub]culosis1 & 
,mal>ia1 & ,gavi1 ! ,vacc9e ,alliance1 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#ad7 support innovation &              
public-private p>tn]%ips to improve     
p&emic prep>$ness & response1 includ+ = 
! developm5t & deploym5t ( effective1   
accessible1 & af=dable infecti\s disease
 track+ tools1 diagno/ics1 !rapeutics1 &
 vacc9es2  7#ae7 support collaboration )
 & among relevant public & private      
rese>* entities engag$ 9 global heal?   
security2 &  7#af7 support collaboration
 betwe5 ,unit$ ,/ates univ]sities &     
public & private in/itutions 9 p>tn]    
c\ntries t promote global heal? security
 & innovation4  7b7 ,/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 7a7 t provides 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  7c7 ,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  
7b71 & n lat] ?an ,octob] #a ( ea* ye>  
!reaft]1 ! ,presid5t %all submit to !   
appropriate congressional committees a  
report 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     
programs & bilat]al & multilat]al       
in/itutions2  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$ & *all5ges conc]n+ !  
,unit$ ,/ates ,gov]nm5t's ability to    
advance ,,ghsa & p&emic prep>$ness1     
includ+ data disaggregat$ by priority   
c\ntry us+ indicators t are consi/5t on 
a ye>-to-ye> basis & recomm5dations to  
resolve1 mitigate1 or o!rwise address ! 
*all5ges id5tifi$ !re94  7d7 ,=m ,!     
/rategy requir$ "u subsection 7a7 & !   
report requir$ "u subsection 7c7 %all be
 submitt$ 9 unclassifi$ =m b may conta9 
a classifi$ annex4  #h4 ,e/abli%m5t (   
fund = global heal? security & p&emic   
prep>$ness  7a7 ,negotiations =         

e/abli%m5t ( a fund = global heal?      
security & p&emic prep>$ness ,!         
,secret>y ( ,/ate1 9 coord9ation ) !    
,secret>y ( ! ,treasury1 ! ,adm9i/rator 
( ! ,unit$ ,/ates ,ag5cy = ,int]national
 ,developm5t1 ! ,secret>y ( ,heal? &    
,human ,s]vices1 & ! heads ( o!r        
relevant ,f$]al dep>tm5ts & ag5cies z   
necess>y & appropriate1 %\ld seek to    
ent] into negotiations ) donors1        
relevant ,unit$ ,nations ag5cies1       
includ+ ! ,_w ,heal? ,organization1 &   
o!r key multilat]al /akehold]s1 = !     
e/abli%m5t (-- 7#a7 a multilat]al1      
catalytic f9anc+ me*anism = global heal?
 security & p&emic prep>$ness1 :i* may  
be kn[n z ! ,fund = ,global ,heal?      
,security & ,p&emic ,prep>$ness 79 ?is  
title ref]r$ to z ! ,fund71 9 accordance
 ) ! provisions ( ?is section2 &  7#b7  
an ,advisory ,bo>d to ! ,fund 9         
accordance ) section #i4  7b7 ,purpose  
,! purpose ( ! ,fund %\ld be to close   
critical gaps 9 global heal? security & 
p&emic prep>$ness & build capacity 9    

eligible p>tn] c\ntries 9 ! areas (     
global heal? security1 infecti\s disease
 control1 & p&emic prep>$ness1 su* t x--
  7#a7 prioritizes capacity build+ &    
f9anc+ availability 9 eligible p>tn]    
c\ntries2  7#b7 inc5tivizes c\ntries to 
prioritize ! use ( dome/ic res\rces =   
global heal? security & p&emic          
prep>$ness2  7#c7 lev]ages gov]nm5t1    
nongov]nm5t1 & private sector inve/m5ts2
  7#d7 regul>ly responds to & evaluates 
progress bas$ on cle> metrics & b5*m>ks1
 su* z ! ,jo9t ,ext]nal ,evaluation &   
,global ,heal? ,security ,index2  7#e7  
aligns ) & complem5ts ongo+ bilat]al &  
multilat]al ef=ts & f9anc+1 includ+     
?r\gh ! ,_w ,bank1 ! ,_w ,heal?         
,organization1 ! ,global ,fund to ,fight
 ,,aids1 ,tub]culosis1 & ,mal>ia1 &     
,gavi1 ! ,vacc9e ,alliance2 &  7#f7     
accel]ates c\ntry compliance ) !        
,int]national ,heal? ,regulations       
7#bjje7 & fulfillm5t ( ! ,global ,heal? 
,security ,ag5da #bjbd ,framework1 9    
coord9ation ) ! ongo+ ,jo9t ,ext]nal    

,evaluation national action plann+      
process4  7c7 ,executive bo>d  7#a7 ,9  
g5]al ,! ,fund %\ld be gov]n$ by an     
,executive ,bo>d1 :i* %\ld be compos$ ( 
n m ?an #bj repres5tatives ( donor      
gov]nm5ts1 f\ndations1 academic         
in/itutions1 civil society1 & ! private 
sector t meet a m9imum ?re%old 9 annual 
contributions & agree to uphold         
transp>5cy measures4  7#b7 ,duties ,!   
,executive ,bo>d %\ld be *>g$ ) approv+ 
/rategies1 op]ations1 & grant-mak+      
au?orities1 su* t x is able to conduct  
effective fiduci>y1 monitor+1 &         
evaluation ef=ts1 & o!r ov]sight        
functions4 ,9 addition1 ! ,executive    
,bo>d %\ld--  7,a7 be compris$ only (   
contributors to ! ,fund at n less ?an ! 
m9imum ?re%old to be e/abli%$ pursuant  
to p>agraph 7#a72  7,b7 det]m9e         
op]ational proc$ures su* t ! ,fund is   
able to effectively fulfill its mission2
 &  7,c7 provide ov]sight &             
acc\ntability = ! ,fund 9 collaboration 
) ! ,inspector ,g5]al to be e/abli%$    

pursuant to section #aj7;e77#a77;,a74   
7#c7 ,composition ,! ,executive ,bo>d   
%\ld include--  7,a7 repres5tatives ( ! 
gov]nm5ts ( f\nd+ p]man5t memb] c\ntries
 :o1 9 addition to ! requirem5ts 9      
p>agraph 7#a71 qualify bas$ ^u meet+ an 
e/abli%$ initial contribution ?re%old1  
:i* %\ld be n less ?an #aj p]c5t ( total
 initial contributions1 & a demon/rat$  
commitm5t to support+ ! ,int]national   
,heal? ,regulations 7#bjje72  7,b7 t]m  
memb]s1 :o are f academic in/itutions1  
civil society1 & ! private sector & are 
select$ by ! p]man5t memb]s on ! basis (
 _! exp]i5ce & commitm5t to innovation1 
be/ practices1 & ! advancem5t ( global  
heal? security objectives2 &  7,c7      
repres5tatives ( ! ,_w ,heal?           
,organization1 & ! *air ( ! ,global     
,heal? ,security ,/e]+ ,gr\p4  7#d7     
,qualifications ,individuals appo9t$ to 
! ,executive ,bo>d %\ld h demon/rat$ k &
 exp]i5ce across a v>iety ( sectors1    
includ+ human & animal heal?1           
agriculture1 developm5t1 def5se1 f9ance1

 rese>*1 & academia4  7#e7 ,conflicts ( 
int]e/  7,a7 ,te*nical exp]ts ,!        
,executive ,bo>d may include indep5d5t  
te*nical exp]ts1 provid$ !y are n       
affiliat$ ) or employ$ by a recipi5t    
c\ntry or organization4  7,b7           
,multilat]al bodies & in/itutions       
,executive ,bo>d memb]s appo9t$ "u      
p>agraph 7#c77;,c7 %\ld recuse !mselves 
f matt]s pres5t+ conflicts ( int]e/1    
includ+ f9anc+ decisions relat+ to su*  
bodies & in/itutions4  7#f7 ,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 ,unit$ ,/ates repres5tation
 ,! ,unit$ ,/ates %all be repres5t$ on !
 ,executive ,bo>d by an (fic] or        
employee ( ! ,unit$ ,/ates appo9t$ by ! 
,presid5t4  7,b7 ,effective & t]m9ation 
dates  7i7 ,effective date ,?is p>agraph
 %all take effect ^u ! date ! ,secret>y 
( ,/ate 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#g7 ,removal proc$ures ,! ,fund
 %\ld e/abli% proc$ures = ! removal (   
memb]s ( ! ,executive ,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 ( ! ,fund1     
includ+ 9 relation to corruption4  7#h7 
,en=ceability ,any agreem5t conclud$ "u 
! au?orities provid$ by ?is section %all
 be legally effective & b9d+ ^u ! ,unit$
 ,/ates1 z may be provid$ 9 ! agreem5t1 
^u--  7,a7 ! enactm5t ( appropriate     
implem5t+ legislation :i* provides = !  
approval ( ! specific agreem5t or       
agreem5ts1 includ+ atta*m5ts1 annexes1 &
 support+ docum5tation1 z appropriate2  
or  7,b7 if conclud$ & submitt$ z a     
treaty1 receiv+ ! necess>y cons5t ( !   
,s5ate4  7#i7 ,eligible p>tn] c\ntry    
def9$ ,9 ?is section1 ! t]m eligible    
p>tn] c\ntry means a c\ntry )           

demon/rat$-- 7,a7 ne$1 z id5tifi$ ?r\gh 
! ,jo9t ,ext]nal ,evaluation process1 ! 
,global ,heal? ,security ,index         
classification ( heal? sy/ems1 national 
action plans = heal? security1 & o!r    
complem5t>y or successor indicators (   
global heal? security & p&emic          
prep>$ness2 &  7,b7 commitm5t to        
transp>5cy1 includ+ budget & global     
heal? data transp>5cy1 comply+ ) !      
,int]national ,heal? ,regulations       
7#bjje71 inve/+ 9 dome/ic heal? sy/ems1 
& a*iev+ measurable results1 & 9 :i* !  
,fund = ,global ,heal? ,security &      
,p&emic ,prep>$ness e/abli%$ "u ?is     
section may f9ance global heal? security
 & p&emic prep>$ness assi/ance programs 
"u ?is ,act4  #i4 ,fund au?orities  7a7 
,program objectives  7#a7 ,9 g5]al ,9   
c>ry+ out ! purpose set =? 9 section #h1
 ! ,fund1 act+ ?r\gh ! ,executive ,bo>d1
 %\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--  7,a7 help eligible   
p>tn] c\ntries close critical gaps 9    
heal? security1 z id5tifi$ ?r\gh ! ,jo9t
 ,ext]nal ,evaluation process1 ! ,global
 ,heal? ,security ,index classification 
( heal? sy/ems1 & national action plans 
= heal? security & o!r complem5t>y or   
successor indicators ( global heal?     
security & p&emic prep>$ness2 &  7,b7   
support measures t enable su* c\ntries1 
at bo? national & sub-national levels1 &
 9 p>tn]%ip ) civil society & ! private 
sector1 to /r5g!n & su/a9 resili5t heal?
 sy/ems & supply *a9s ) ! res\rces1     
capacity1 & p]sonnel requir$ 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 eligible p>tn]   
c\ntries to =mulate & implem5t national 
heal? security & p&emic prep>$ness      
action plans1 advance action packages "u
 ! ,global ,heal? ,security ,ag5da1 &   
adopt & uphold commitm5ts "u !          

,int]national ,heal? ,regulations       
7#bjje7 & o!r relat$ int]national heal? 
agreem5ts1 z appropriate2  7,b7 support 
global heal? security budget plann+ 9   
eligible p>tn] c\ntries1 includ+ tra9+ 9
 f9ancial managem5t & budget & global   
heal? data transp>5cy2  7,c7 /r5g!n !   
heal? security work=ce1 includ+ hir+1   
tra9+1 & deploy+ exp]ts to improve      
frontl9e prep>$ness = em]g+ epidemic &  
p&emic ?reats2  7,d7 improve infection  
control & ! protection ( heal?c>e work]s
 )9 heal?c>e sett+s2  7,e7 combat !     
?reat ( antimicrobial resi/ance2  7,f7  
/r5g!n laboratory capacity & promote    
biosafety & biosecurity ?r\gh !         
provision ( mat]ial & te*nical          
assi/ance2  7,g7 r$uce ! risk (         
biot]rorism1 zoonotic disease spillov]1 
& accid5tal biological release2  7,h7   
build te*nical capacity to manage global
 heal? security relat$ supply *a9s1     
includ+ = p]sonal protective equipm5t1  
oxyg51 te/+ reag5ts1 & o!r lifesav+     
supplies1 ?r\gh effective =eca/+1       

procurem5t1 w>eh\s+1 & deliv]y f c5tral 
w>eh\ses to po9ts ( s]vice 9 bo? !      
public & private sectors2  7,i7 enable  
bilat]al1 regional1 & int]national      
p>tn]%ips & coop]ation1 includ+ ?r\gh   
p&emic e>ly w>n+ sy/ems & em]g5cy       
op]ations c5t]s1 to id5tify & address   
transnational infecti\s disease ?reats  
exac]bat$ by natural & man-made disa/]s1
 human displacem5t1 & zoonotic          
infection2  7,j7 e/abli% p>tn]%ips = !  
%>+ ( be/ practices & enabl+ eligible   
c\ntries to meet t>gets & indicators "u 
! ,jo9t ,ext]nal ,evaluation process1 ! 
,global ,heal? ,security ,index         
classification ( heal? sy/ems1 &        
national action plans = heal? security  
relat+ to ! detection1 treatm5t1 &      
prev5tion ( neglect$ tropical diseases2 
7,k7 build ! te*nical capacity (        
eligible 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,l7 develop & utilize metrics to       
monitor & evaluate programmatic p]=mance
 & id5tify be/ practices1 includ+ 9     
accordance ) ,jo9t ,ext]nal ,evaluation 
b5*m>ks1 ,global ,heal? ,security ,ag5da
 t>gets1 & ,global ,heal? ,security     
,index indicators2  7,m7 develop &      
deploy me*anisms to enhance ! transp>5cy
 & acc\ntability ( global heal? security
 & p&emic prep>$ness programs & data1 9 
compliance ) ! ,int]national ,heal?     
,regulations 7#bjje71 includ+ ?r\gh !   
%>+ ( tr5ds1 risks1 & lessons le>n$2 &  
7,n7 develop & implem5t simulation      
ex]cises1 produce & release aft] action 
reports1 & address relat$ gaps4  7#c7   
,implem5tation ( program objectives ,9  
c>ry+ out ! objectives ( p>agraph 7#a71 
! ,fund %\ld "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? security &     
p&emic prep>$ness1 includ+--  7,a7      
gov]nm5ts1 civil society1 fai?-bas$1 &  

nongov]nm5tal organizations1 rese>* &   
academic in/itutions1 & private sector  
entities 9 eligible p>tn] c\ntries2     
7,b7 ! p&emic e>ly w>n+ sy/ems & em]g5cy
 op]ations c5t]s to be e/abli%$ "u      
section #i2  7,c7 ! ,_w ,heal?          
,organization2  7,d7 ! ,global ,heal?   
,security ,ag5da2  7,e7 ! ,global ,heal?
 ,security ,initiative2  7,f7 ! ,global 
,fund to ,fight ,,aids1 ,tub]culosis1 & 
,mal>ia2  7,g7 ! ,unit$ ,nations ,(fice 
= ! ,coord9ation ( ,humanit>ian         
,affairs1 ,,unicef1 & o!r relevant      
funds1 programs1 & specializ$ ag5cies ( 
! ,unit$ ,nations2  7,h7 ,gavi1 !       
,vacc9e ,alliance2  7,i7 ! ,coalition = 
,epidemic ,prep>$ness ,innovations      
7,,cepi72  7,j7 ! ,global ,polio        
,eradication ,initiative2 &  7,k7 !     
,unit$ ,/ates ,coord9ator = ,global     
,heal? ,security & ,diplomacy e/abli%$  
"u section #e4  7b7 ,priority ,9 provid+
 assi/ance "u ?is section1 ! ,fund %\ld 
give priority to l[-& l[]-middle income 
c\ntries )--  7#a7 l[ scores on !       

,global ,heal? ,security ,index         
classification ( heal? sy/ems2  7#b7    
measurable gaps 9 global heal? security 
& p&emic prep>$ness id5tifi$ "u ,jo9t   
,ext]nal ,evaluations & national action 
plans = heal? security2  7#c7 demon/rat$
 political & f9ancial commitm5t to      
p&emic prep>$ness2 &  7#d7 demon/rat$   
commitm5t to uphold+ global heal? budget
 & data transp>5cy & acc\ntability      
/&>ds1 comply+ ) ! ,int]national ,heal? 
,regulations 7#bjje71 inve/+ 9 dome/ic  
heal? sy/ems1 & a*iev+ measurable       
results4  7c7 ,eligible grant recipi5ts 
,gov]nm5ts & nongov]nm5tal organizations
 %\ld be eligible to receive grants z   
describ$ 9 ?is section4  #aj4 ,fund     
adm9i/ration  7a7 ,appo9tm5t ( an       
adm9i/rator ,! ,executive ,bo>d ( !     
,fund %\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 f\ndations1
 individuals1 & nongov]nm5tal entities (
 all k9ds4  7c7 ,acc\ntability ( funds &
 crit]ia = programs ,z "p ( !           
negotiations describ$ 9 section #h7;a71 
! ,secret>y ( ! ,/ate1 %all1 consi/5t ) 
subsection 7d7--  7#a7 take su* actions 
z are necess>y to ensure t ! ,fund 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 ,!      
,executive ,bo>d %\ld e/abli%-- 7#a7    
eligible p>tn] c\ntry selection crit]ia1
 to include transp>5t metrics to measure
 & assess global heal? security & p&emic
 prep>$ness /r5g?s & vuln]abilities 9   
c\ntries seek+ assi/ance2  7#b7 m9imum  
/&>ds = ensur+ eligible 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 seek to 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 ( up to #aej p]c5t ( su*   
loss4  7#b7 ,adm9i/rative exp5ses ,!    
,secret>y ( ,/ate %all seek to 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 ,f9ancial     
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  #aa4 ,fund       
,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 ag5cies1    
includ+ ! ,_w ,heal? ,organization1 &   
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 ! ,executive ,bo>d ( ! ,fund
 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  7e7 ,conflicts ( int]e/ ,memb]s 
( ! ,advisory ,bo>d %\ld be requir$ to  
disclose any pot5tial conflicts ( int]e/
 prior to s]v+ on ! ,advisory ,bo>d4    
#ab4 ,reports to ,congress on ! ,fund   
7a7 ,/atus report ,n lat] ?an #f mon?s  
aft] ! date ( enactm5t ( ?is ,act1 !    
,secret>y ( ,/ate1 9 coord9ation ) !    
,adm9i/rator ( ! ,unit$ ,/ates ,ag5cy = 
,int]national ,developm5t1 & ! heads (  
o!r relevant ,f$]al dep>tm5ts & ag5cies1
 %all submit to ! appropriate           
congressional committees a report       
detail+ ! progress ( int]national       
negotiations to e/abli% ! ,fund4  7b7   
,annual report  7#a7 ,9 g5]al ,n lat]   
?an #a ye> aft] ! date ( ! e/abli%m5t ( 
! ,fund1 & annually !reaft] = ! duration
 ( ! ,fund1 ! ,secret>y ( ,/ate1 %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  7c7 ,,gao report 
on effectiv5ess ,n lat] ?an #b ye>s aft]
 ! date t ! ,fund comes into effect1 !  
,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  #ac4    
,unit$ ,/ates contributions  7a7 ,9     
g5]al ,subject to submission ( !        
c]tification "u ?is section1 ! ,presid5t
 is au?oriz$ to make available = ,unit$ 
,/ates contributions to ! ,fund su*     
funds z may be au?oriz$ to be made      
available = su* purpose4  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+ ! five ye>s aft]      
enactm5t ( ?is ,act %all a ,unit$ ,/ates
 contribution to ! ,fund cause !        
cumulative total ( ,unit$ ,/ates        
contributions to ! ,fund 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 to 
! ,fund = ! 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+ ! five ye>s  
aft] enactm5t ( ?is ,act1 ! ,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 may )hold n m ?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 & ! 
,comptroll] ,g5]al ( ! ,unit$ ,/ates to 
! ,fund's f9ancial data & o!r in=mation 
relevant to ,unit$ ,/ates contributions 
to ! ,fund 7z det]m9$ by ! ,inspector   
,g5]al ( ! ,dep>tm5t ( ,/ate1 9         
consultation ) ! ,secret>y ( ,/ate74    
#ad4 ,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,c71 by /rik+ & at ! end2
  7#b7 9 subp>agraph 7,d71 by /rik+ !   
p]iod at ! end & ins]t+ 2 &2 &  7#c7 by 
add+ at ! end ! foll[+3  7,e7 ! ,global 
,heal? ,security ,act ( #bjba4  4  #ae4 
,def9itions ,9 ?is ,act3  7#a7          
,appropriate congressional committees ,!
 t]m appropriate congressional          
,committees means-- 7,a7 ! ,committee on
 ,=eign ,affairs & ! ,committee on      

,appropriations ( ! ,h\se (             
,repres5tatives2 &  7,b7 ! ,committee on
 ,=eign ,relations & ! ,committee on    
,appropriations ( ! ,s5ate4  7#b7       
,global heal? security ,! t]m global    
heal? security means activities support+
 epidemic & p&emic prep>$ness &         
capabilities at ! c\ntry & global levels
 9 ord] to m9imize vuln]ability to acute
 public heal? ev5ts t c endang] ! heal? 
( populations across geographical       
regions & int]national b\nd>ies4  #af4  
,sunset ,?is ,act1 & ! am5dm5ts made by 
?is ,act %all cease to be effective #e  
fiscal ye>s aft] ! enactm5t ( ?is ,act4 
,pass$ ! ,h\se ( ,repres5tatives ,june  
#bh1 #bjba4;,cl]k4