,,ii #aag? ,,congress #a/ ,session ,s4 #aigf ,,9 ,,! ,,s5ate ,,( ,,! ,,unit$ ,,/ates ,june #h1 #bjba,mr4 ,m]kley 7= himself & ,ms4 ,w>r57 introduc$ ! foll[+ bill2 :i* 0 read twice & ref]r$ to ! ,committee on ,=eign ,relations ,a ,,bill ,to e/abli% a program to ov]see ! global ,,covid-#ai response & prep>e = future p&emics1 & = o!r purposes4 #a4 ,%ort title ,?is ,act may be cit$ z ! ,nullify+ ,opportunities = ,v>iants to ,infect & ,decimate ,act or ! ,,novid ,act4 #b4 ,s5se ( ,congress ,x is ! s5se ( ,congress t-- 7#a7 ! ,unit$ ,/ates has made trem5d\s progress t[>ds end+ ! ,,covid-#ai p&emic )9 its bord]s1 ?anks to an unprec$5t$ & highly successful vacc9ation campaign spe>head$ by ! ,bid5 ,adm9i/ration2 7#b7 ! ,,covid-#ai p&emic cont9ues to rage un*eck$ across mu* ( ! _w z global vacc9ation ef=ts h /ruggl$ to keep pace2 7#c7 if curr5t tr5ds cont9ue1 _m middle-income c\ntries may n a*ieve widespread vacc9ation until late #bjbb1 & ! _w's poore/ nations w n rea* widespread vacc9ation cov]age be=e #bjbc1 if at all2 7#d7 ! situation ov]seas ?reat5s progress t[>d end+ ! ,,covid-#ai p&emic 9 ! ,unit$ ,/ates1 s9ce un*eck$ transmission ( ,,covid-#ai gives rise to new v>iants1 _m ( :i* %[ vacc9e resi/ance2 7#e7 ! mo/ conc]n+ ( ^! v>iants has be5 %[n to r$uce vacc9e efficacy by z mu* z #bj to #dj p]c5t2 & 7#f7 ! ,unit$ ,/ates %\ld take up ! mantle ( global lead]%ip 9 ! fight to end ! ,,covid-#ai p&emic-- 7,a7 to protect ,unit$ ,/ates citiz5s f ! em]g5ce ( new vacc9e-resi/ant coronavirus v>iants2 & 7,b7 to prev5t ! k9d ( humanit>ian cata/rophe curr5tly occurr+ 9 ,s\? ,asia1 ,s\? ,am]ica1 & else:]e4 #c4 ,p&emic ,prep>$ness & ,response ,program 7a7 ,e/abli%m5t ,!re is e/abli%$ ! ,p&emic ,prep>$ness & ,response ,program 7ref]r$ to 9 ?is z ! ,program7-- 7#a7 to ov]see ! ,unit$ ,/ates gov]nm5t-wide global heal? response to ! ,,covid-#ai p&emic2 & 7#b7 to protect ,am]icans f ! em]g5ce ( ,,covid-#ai v>iants & o!r pa?og5s ) p&emic pot5tial4 7b7 ,director ,! ,presid5t %all appo9t ! ,director ( ! ,program 7ref]r$ to 9 ?is ,act z ! ,director71 :o %all be responsible = coord9at+ among ! ,f$]al dep>tm5ts & ag5cies li/$ 9 subsection 7c77#a7 & coord9at+ ! role ( ! ,unit$ ,/ates 9 ! "w ( int]national nongov]nm5tal organizations1 developm5t banks1 civil society1 & =eign gov]nm5ts1 ) respect to ! global heal? response to ! ,,covid-#ai p&emic & ! prev5tion ( ! em]g5ce ( v>iants or ( o!r pa?og5s ) p&emic pot5tial4 7c7 ,f$]al dep>tm5ts & ag5cies ,! ,f$]al dep>tm5ts & ag5cies li/$ 9 ?is subsection are-- 7#a7 ! ,dep>tm5t ( ,/ate2 7#b7 ! ,unit$ ,/ates ,ag5cy = ,int]national ,developm5t2 7#c7 ! ,c5t]s = ,disease ,control & ,prev5tion2 7#d7 ! ,food & ,drug ,adm9i/ration2 7#e7 ! ,biom$ical ,advanc$ ,rese>* & ,developm5t ,au?ority & ! ,heal? ,res\rces & ,s]vices ,adm9i/ration ( ! ,dep>tm5t ( ,heal? & ,human ,s]vices2 7#f7 ! ,dep>tm5t ( ,def5se2 7#g7 ! ,peace ,corps2 7#h7 ! ,dep>tm5t ( ,labor2 & 7#i7 any o!r dep>tm5t or ag5cy ! ,presid5t det]m9es appropriate4 7d7 ,compreh5sive /rategy 7#a7 ,9 g5]al ,n lat] ?an #cj days aft] ! date ( ! enactm5t ( ?is ,act1 ! ,director %all develop a compreh5sive /rategy to end ! ,,covid-#ai p&emic worldwide & to prev5t future p&emics1 :i* %all include specific a*ievable goals to accompli% ! objectives describ$ 9 p>agraph 7#b7 ) respect to ! ,,covid-#ai p&emic4 7#b7 ,objectives ,! /rategy develop$ pursuant to p>agraph 7#a7 %all address issues relat+ to-- 7,a7 ! %ortages ( vacc9es1 vacc9e compon5ts1 any raw mat]ials necess>y to produc+ su* articles1 & o!r supplies necess>y to c>ry+ out a global vacc9ation campaign1 to ensure t !re is an adequate supply ( vacc9es & o!r necess>y articles = all c\ntries2 7,b7 ! end-to-end deliv]y & adm9i/ration ( vacc9es 9 l[- & middle-income c\ntries to ensure t at lea/ #fj p]c5t ( ! populations 9 ! #ib l[- & middle-income c\ntries id5tifi$ by ! ,,covax initiative are vacc9at$ z soon z possible & n lat] ?an ! beg9n+ ( ! second qu>t] ( #bjbb2 & 7,c7 prev5t+ future p&emics by coord9at+ & integrat+ disease surveillance & e>ly-w>n+ sy/ems1 h>moniz+ e>ly crisis response measures ar\nd ! _w1 & limit+ ! pot5tial = spillov] ev5ts be=e !y happ54 7e7 ,au?orization ( appropriations 7#a7 ,au?orization ,!re is au?oriz$ to be appropriat$ #cd1jjj1jjj1jjj to c>ry out ! ,program e/abli%$ "u ?is section4 7#b7 ,coord9ation ,am\nts made available to any ,f$]al dep>tm5t or ag5cy = provid+ global heal? assi/ance or o!r =ms ( =eign assi/ance may be made available to ! ,program1 subject to ! ov]sight & coord9ation ( ! ,director4 7#c7 ,s5se ( ,congress ,x is ! s5se ( ,congress t-- 7,a7 approximately #be1jjj1jjj1jjj ( ! am\nt appropriat$ pursuant to p>agraph 7#a7 %\ld be made available to scale vacc9e manufactur+ capacity & produce vacc9es2 7,b7 approximately #h1ejj1jjj1jjj ( su* funds %\ld be made available to cov] ! co/ ( end-to-end deliv]y & adm9i/ration ( vacc9es 9 t>get c\ntries2 & 7,c7 approximately #ejj1jjj1jjj %\ld be made available to e/abli% a global disease surveillance network to protect aga9/ future p&emics4 #d4 ,implem5tation ( compreh5sive /rategy 7a7 ,implem5tation ,9 implem5t+ ! /rategy develop$ pursuant to section #c7;d7-- 7#a7 ! ,director %all-- 7,a7 ensure ! imm$iate release ( ! #hj1jjj1jjj doses ( vacc9e t ! ,unit$ ,/ates has already committ$ to s5d abroad2 7,b7 reassess ! ,unit$ ,/ates vacc9e /ockpile ) reg>d to dome/ic vacc9ation objectives & tr5ds to det]m9e :e!r fur!r vacc9es c be s5t abroad2 7,c7 coord9ate ) ! ,biom$ical ,advanc$ ,rese>* & ,developm5t ,au?ority ( ! ,dep>tm5t ( ,heal? & ,human ,s]vices 7ref]r$ to 9 ?is section z ,,b>da7 to rapidly scale manufactur+ capacity 9 ! ,unit$ ,/ates & 9 regional manufactur+ hubs to :atev] degree necess>y & :]ev] necess>y1 to produce #h1jjj1jjj1jjj vacc9e doses z soon z possible1 9 addition to exi/+ manufactur+ capacity2 7,d7 consid] ! pot5tial b5efit ( regional manufactur+ hubs 9 ,s\? ,am]ica1 ,africa1 & ,s\? ,asia = ! future ( global heal?1 especially ! pot5tial b5efit = address+ future p&emics ?r\gh ! global disease surveillance network implem5t$ pursuant to p>agraph 7#c72 7,e7 enc\rage & facilitate te*nology %>+ & ! lic5s+ ( intellectual prop]ty z mu* z is necess>y to ensure an adequate & timely supply ( necess>y articles2 7,f7 9 collaboration ) ,,covax1 ensure equitable access to vacc9es1 especially vacc9es produc$ ?r\gh ! ef=ts ( ,,b>da & ! ,program describ$ 9 subp>agraph 7,c7 & p>agraph 7#b72 7,g7 "w ) int]national p>tn]s to provide en\gh vacc9es to l[]- & middle-income c\ntries to fully vacc9ate at lea/ #fj p]c5t ( _! respective populations1 ) special att5tion to ! #ib l[]- & middle-income c\ntries id5tifi$ by ! ,,covax initiative z be+ ! mo/ 9 ne$ ( assi/ance2 & 7,h7 consid] ! c5tral & necess>y role t community engagem5t & public aw>5ess w play 9 ensur+ ! volunt>y uptake ( vacc9es by at lea/ #fj p]c5t ( ! populations 9 t>get c\ntries2 7#b7 ! ,program %all-- 7,a7 "w closely ) ho/ gov]nm5ts1 int]national p>tn]s1 & o!r nongov]nm5tal organizations to develop 9-c\ntry infra/ructure1 p]sonnel1 & o!r assets suffici5t to deliv] vacc9es :]e !y are ne$$ & :5 !y are ne$$1 & to adm9i/] ! vacc9es to appropriate t>get populations2 7,b7 build on exi/+ heal?c>e deliv]y infra/ructure & relation%ips develop$ ?r\gh ! ,presid5t's ,em]g5cy ,plan ,= ,,aids ,relief & o!r pre-exi/+1 bilat]al humanit>ian aid programs betwe5 ! ,unit$ ,/ates & ! t>get c\ntries1 & ?r\gh pre-exi/+ multilat]al relation%ips & initiatives 9 t>get c\ntries2 7,c7 develop c\ntry op]ational plans t>get$ prim>ily at l[]- & middle-income c\ntries )\t ! infra/ructure to manufacture1 acquire1 or adm9i/] vacc9es2 7,d7 monitor h[ _m p 9 su* t>get c\ntries receiv$ inoculations1 ! infection rate1 & vacc9e manufacture /atus1 includ+ z a result ( ! activities ( ! ,program2 & 7,e7 monitor & prep>e daily updates reg>d+ ! ov]all progress 9 non-t>get$ c\ntries t[>d vacc9at+ _! populations & end+ ! ,,covid-#ai p&emic )9 _! bord]s1 to ensure t ! ,director rema9s aw>e ( ov]all global progress t[>d vacc9at+ ! global population & end+ ! ,,covid-#ai p&emic worldwide2 & 7#c7 foll[+ ! end or ! abatem5t ( ! ,,covid-#ai p&emic1 ! ,program %\ld %ift to protect aga9/ future p&emics by coord9at+ a global disease surveillance network to id5tify & /op pa?og5s ) p&emic pot5tial be=e !y spread uncontrollably by-- 7,a7 build+ on exi/+ surveillance & prev5tion infra/ructure & relation%ips develop$ ?r\gh ! ,national ,security ,c\ncil ,directorate on ,global ,heal? ,security & ,biodef5se & o!r pre-exi/+ surveillance & prev5tion programs2 7,b7 work+ ) int]national p>tn]s to e/abli% a coord9at$ disease surveillance sy/em1 directly l9k$ to decision mak]s 9 =eign gov]nm5ts & nongov]nm5tal organizations1 s t c]ta9 agre$ e>ly-w>n+ metrics w\ld trigg] timely & op5 communication betwe5 relevant decision mak]s ar\nd ! _w2 & 7,c7 9 addition to monitor+ = e>ly w>n+ signs ( pot5tial future p&emics1 consid]+ h[ to prev5t or limit ! pot5tial = new spillov] ev5ts by :i* new pa?og5s ) p&emic pot5tial are fir/ transmitt$ to humans4 7b7 ,s5se ( ,congress ,x is ! s5se ( ,congress t-- 7#a7 ! ,unit$ ,/ates ,gov]nm5t play$ a crucial role 9 ! unprec$5t$ rapid developm5t ( ! ,,covid-#ai vacc9es1 sub/antially fund+ sev]al vacc9e c&idates & closely collaborat+ ) ,mod]na on ! ,,nih-,mod]na vacc9e2 & 7#b7 9 ! face ( a global heal? em]g5cy1 ! ,unit$ ,/ates ,gov]nm5t has broad au?ority1 includ+ "u ! ,def5se ,production ,act 7#ej ,u4,s4,c4 #deja et seq47 & *apt] #ah ( title #ce1 ,unit$ ,/ates ,code 7commonly ref]r$ to z ! ,bayh-,dole ,act71 to ensure adequate supply ( vacc9es1 necess>y compon5ts1 & raw mat]ials ?r\gh te*nology %>+ & direct collaboration ) manufactur]s ar\nd ! _w4