,,ii #aagth ,,congress #ast ,session ,s4 #bbig ,,in ,,the ,,senate ,,of ,,the ,,united ,,states ,june #bd1 #bjba,mr4 ,risch 7for himself and ,mr4 ,menendez7 introduced the following bill2 which was read twice and referred to the ,committee on ,foreign ,relations ,a ,,bill ,to improve global health1 and for other purposes4 #a4 ,short title2 table of contents 7a7 ,short title ,this ,act may be cited as the ,international ,pandemic ,preparedness and ,,covid-#ai ,response ,act of #bjba4 7b7 ,table of contents ,the table of contents for this ,act is as follows3 ,sec4 #a4 ,short title2 table of contents4,sec4 #b4 ,definitions4,sec4 #c4 ,purpose4,,title ,i--,enhancing the ,united ,states international response to ,,covid-#ai and future pandemics,sec4 #aja4 ,statement of policy regarding international cooperation to end the ,,covid-#ai pandemic4,sec4 #ajb4 ,oversight of ,united ,states foreign assistance to end the ,,covid-#ai pandemic4,sec4 #ajc4 ,united ,states contributions to the ,global ,fund to ,fight ,,aids1 ,tuberculosis1 and ,malaria ,,covid-#ai response mechanism4,sec4 #ajd4 ,global ,,covid-#ai vaccine distribution and delivery4,sec4 #aje4 ,leveraging ,united ,states bilateral global health programs for the international ,,covid-#ai response4,sec4 #ajf4 ,report on humanitarian response to the ,,covid-#ai pandemic4,sec4 #ajg4 ,safeguarding democracy and human rights during the ,,covid-#ai pandemic4,sec4 #ajh4 ,public diplomacy and combating disinformation and misinformation about ,,covid-#ai4,sec4 #aji4 ,findings and sense of ,congress regarding the ,united ,states ,international ,development ,finance ,corporation4,sec4 #aaj4 ,sense of ,congress regarding international cooperation to prevent and respond to future pandemics4,sec4 #aaa4 ,roles of the ,department of ,state1 the ,united ,states ,agency for ,international ,development1 and the ,centers for ,disease ,control and ,prevention in pandemic response4,sec4 #aab4 ,,usaid disaster surge capacity4,sec4 #aac4 ,statement of policy on humanitarian assistance to countries affected by pandemics4,,title ,,ii--,international pandemic prevention and preparedness,sec4 #bja4 ,partner country defined4,sec4 #bjb4 ,global health security strategy and report4,sec4 #bjc4 ,committee on ,global ,health ,security and ,pandemic and ,biological ,threats4,sec4 #bjd4 ,united ,states overseas global health security and diplomacy coordination and strategy4,sec4 #bje4 ,resilience4,sec4 #bjf4 ,strengthening health systems4,sec4 #bjg4 ,additional authorities4,sec4 #bjh4 ,authorization for ,united ,states participation in the ,coalition for ,epidemic ,preparedness ,innovations4,sec4 #bji4 ,national intelligence estimate and briefing regarding novel diseases and pandemic threats4,sec4 #baj4 ,pandemic early warning network4,sec4 #baa4 ,international emergency operations4,,title ,,iii--,financing mechanism for global health security and pandemic prevention and preparedness,sec4 #cja4 ,eligible partner country defined4,sec4 #cjb4 ,establishment of ,fund for ,global ,health ,security and ,pandemic ,prevention and ,preparedness4,sec4 #cjc4 ,authorities4,sec4 #cjd4 ,administration4,sec4 #cje4 ,advisory ,board4,sec4 #cjf4 ,reports to ,congress4,sec4 #cjg4 ,united ,states contributions4,sec4 #cjh4 ,compliance with the ,foreign ,aid ,transparency and ,accountability ,act of #bjaf4 #b4 ,definitions ,in this ,act3 7#a7 ,appropriate congressional committees ,the term appropriate congressional committees means-- 7,a7 the ,committee on ,foreign ,relations of the ,senate2 7,b7 the ,committee on ,appropriations of the ,senate2 7,c7 the ,committee on ,foreign ,affairs of the ,house of ,representatives2 and 7,d7 the ,committee on ,appropriations of the ,house of ,representatives4 7#b7 ,global health security agenda2 ,,ghsa ,the terms ,global ,health ,security ,agenda and ,,ghsa mean 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 to share best practices1 and to facilitate national capacity to comply with and adhere to-- 7,a7 the ,international ,health ,regulations 7#bjje72 7,b7 the ,world ,organisation for ,animal ,health international standards and guidelines2 7,c7 ,united ,nations ,security ,council ,resolution #aedj 7#bjjd72 7,d7 the ,convention on the ,prohibition of the ,development1 ,production and ,stockpiling of ,bacteriological and ,toxin ,weapons and on their ,destruction1 done at ,washington1 ,london1 and ,moscow1 ,april #aj1 #aigb 7commonly referred to as the ,biological ,weapons ,convention72 7,e7 the ,global ,health ,security ,agenda #bjbd ,framework2 and 7,f7 other relevant frameworks that contribute to global health security4 7#c7 ,global health security index ,the term ,global ,health ,security ,index means the comprehensive assessment and benchmarking of health security and related capabilities across the countries that make up the ,states ,parties to the ,international ,health ,regulations 7#bjje74 7#d7 ,global health security initiative ,the term ,global ,health ,security ,initiative means the informal network of countries and organizations that came together in #bjja to undertake concerted global action to strengthen public health preparedness and response to chemical1 biological1 radiological1 and nuclear threats1 as well as pandemic influenza4 7#e7 ,joint external evaluation ,the term ,joint ,external ,evaluation means the ,world ,health ,organization-facilitated1 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 ,international ,health ,regulations 7#bjje71 and recommend priority actions4 7#f7 ,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 international1 regional1 and local organizations1 including private1 voluntary1 nongovernmental1 and civil society organizations2 7,d7 international1 regional1 and local financial institutions2 7,e7 representatives of historically marginalized groups1 including women1 youth1 and indigenous peoples2 7,f7 the private sector1 including medical device1 technology1 pharmaceutical1 manufacturing1 logistics1 and other relevant companies2 and 7,g7 public and private research and academic institutions4 7#g7 ,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#h7 ,relevant federal departments and agencies ,the term relevant ,federal departments and agencies means any ,federal department or agency implementing ,united ,states policies and programs 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 ,agriculture2 7,h7 the ,department of ,defense2 7,i7 the ,defense ,threat ,reduction ,agency2 7,j7 the ,millennium ,challenge ,corporation2 7,k7 the ,development ,finance ,corporation2 7,l7 the ,peace ,corps2 and 7,m7 any other department or agency that the ,president determines to be relevant for these purposes4 7#i7 ,resilience ,the term resilience means the ability of people1 households1 communities1 systems1 institutions1 countries1 and regions to reduce1 mitigate1 withstand1 adapt to1 and quickly recover from stresses and shocks in a manner that reduces chronic vulnerability and facilitates inclusive growth4 #c4 ,purpose ,the purpose of this ,act is to accelerate and enhance the ,united ,states international response to pandemics1 including the ,,covid-#ai pandemic1 and to operationalize lessons learned from current and prior emergency responses in a manner that-- 7#a7 advances the global health security and diplomacy objectives of the ,united ,states2 7#b7 improves coordination among the relevant ,federal departments and agencies implementing ,united ,states foreign assistance for global health security2 and 7#c7 more effectively enables partner countries to strengthen and sustain resilient health systems and supply chains with the resources1 capacity1 and personnel required to prevent1 prepare for1 detect1 and respond to infectious disease threats before they become pandemics4 ,i ,enhancing the ,united ,states international response to ,,covid-#ai and future pandemics #aja4 ,statement of policy regarding international cooperation to end the ,,covid-#ai pandemic ,it shall be the policy of the ,united ,states to lead and implement a comprehensive and coordinated international response to end the ,,covid-#ai pandemic in a manner that recognizes the critical role that multilateral and regional organizations can and should play in pandemic response1 including by-- 7#a7 seeking adoption of a ,united ,nations ,security ,council resolution that-- 7,a7 declares pandemics1 including the ,,covid-#ai pandemic1 to be a threat to international peace and security2 and 7,b7 urges member states to address this threat by aligning their health preparedness plans with international best practices and those established by the ,global ,health ,security ,agenda to improve country capacity to prevent1 detect1 and respond to infectious disease threats2 7#b7 advancing efforts to reform the ,world ,health ,organization so that it serves as an effective normative and capable coordinating body empowered to align member countries around a single strategic operating plan to detect1 contain1 treat1 and deter the further spread of ,,covid-#ai2 7#c7 providing timely1 appropriate levels of financial support to ,united ,nations agencies responding to the ,,covid-#ai pandemic2 7#d7 prioritizing ,united ,states foreign assistance for the ,,covid-#ai response in the most vulnerable countries and regions2 7#e7 encouraging other donor governments to similarly increase contributions to the ,united ,nations agencies responding to the ,,covid-#ai pandemic in the world's poorest and most vulnerable countries2 7#f7 working with key stakeholders to accelerate progress toward meeting and exceeding1 as practicable1 the global ,,covid-#ai vaccination goals jointly proposed by the ,international ,monetary ,fund1 the ,world ,health ,organization1 the ,world ,bank1 and the ,world ,trade ,organization1 whereby-- 7,a7 at least #dj percent of the population in all countries is vaccinated by the end of #bjba2 and 7,b7 at least #fj percent of the population in all countries is vaccinated by the first half of #bjbb2 7#g7 engaging with key stakeholders1 including through multilateral facilities such as the ,,covid-#ai ,vaccines ,global ,access initiative 7referred to in this title as ,,covax7 and the ,access to ,,covid-#ai ,tools 7,,act7 ,accelerator initiative1 and expanding bilateral efforts1 including through the ,international ,development ,finance ,corporation1 to accelerate the development1 manufacturing1 local production1 and efficient and equitable distribution of-- 7,a7 vaccines and related raw materials to meet or exceed the vaccination goals under paragraph 7#f72 and 7,b7 global health commodities1 including personal protective equipment1 test kits1 medicines and therapeutics1 and other essential supplies to combat ,,covid-#ai2 7#h7 supporting global ,,covid-#ai vaccine distribution strategies that strengthen underlying health systems and ensure that people living in vulnerable and marginalized communities1 including women1 do not face undue barriers to vaccination2 7#i7 working with key stakeholders1 including through the ,world ,bank ,group1 the ,international ,monetary ,fund1 the ,world ,trade ,organization1 the ,international ,finance ,corporation1 and other relevant regional and bilateral financial institutions1 to address the economic and financial implications of the ,,covid-#ai pandemic1 while taking into account the differentiated needs of disproportionately affected1 vulnerable1 and marginalized populations2 7#aj7 establishing clear timelines1 benchmarks1 and goals for ,,covid-#ai response strategies and activities under this section2 and 7#aa7 generating commitments of resources in support of the goals referred to in paragraph 7#aj74 #ajb4 ,oversight of ,united ,states foreign assistance to end the ,,covid-#ai pandemic 7a7 ,reporting requirements ,not later than #fj days after the date of the enactment of this ,act1 the ,secretary of ,state and the ,administrator for the ,united ,states ,agency for ,international ,development shall jointly submit to the appropriate congressional committees-- 7#a7 an unclassified report containing a description of funds already obligated and expended under title ,x of the ,american ,rescue ,plan ,act of #bjba 7,public ,law #aag-b72 and 7#b7 a plan that describes the objectives and timeline for the obligation and expenditure of all remaining funds appropriated under the ,american ,rescue ,plan ,act of #bjba1 which shall be submitted in an unclassified form1 and should include a description of steps taken pursuant to each objective specified in the plan4 7b7 ,congressional consultation ,not less frequently than once every #fj days1 until the completion or termination of the implementation plan required under subsection 7a77#b71 and upon the request from one or more of the appropriate congressional committees1 the ,secretary of ,state and the ,administrator for the ,united ,states ,agency for ,international ,development shall provide a briefing to the appropriate congressional committees regarding the report required under subsection 7a77#a7 and the status of the implementation of the plan required under subsection 7a77#b74 7c7 ,branding ,in providing assistance under this title1 the ,secretary of ,state and the ,administrator of the ,united ,states ,agency for ,international ,development1 with due consideration for the safety and security of implementing partners and beneficiaries1 and pursuant to current branding and marking regulations and procedures shall prescribe the use of logos or other insignia1 which may include the flag of the ,united ,states1 to appropriately identify such assistance as being from the people of the ,united ,states4 #ajc4 ,united ,states contributions to the ,global ,fund to ,fight ,,aids1 ,tuberculosis1 and ,malaria ,,covid-#ai response mechanism 7a7 ,united ,states contributions to the ,global ,fund ,to ,fight ,,aids1 ,tuberculosis1 and ,malaria ,,covid-#ai response mechanism ,united ,states contributions to the ,global ,fund to ,fight ,,aids1 ,tuberculosis1 and ,malaria ,,covid-#ai ,response ,mechanism under section #ajjjc7;a77#b7 of the ,american ,rescue ,plan ,act of #bjba 7,public ,law #ajg-b7-- 7#a7 shall be meaningfully leveraged in a manner that incentivizes other public and private donor contributions2 and 7#b7 shall be subject to the reporting and withholding requirements under subsections 7c71 7d77#d77;,a77ii71 7d77#d77;,c71 7d77#e71 7d77#f71 7f71 and 7g7 of section #bjb of the ,united ,states ,leadership ,against ,,hiv_/,,aids1 ,tuberculosis1 and ,malaria ,act of #bjjc 7#bb ,u4,s4,c4 #gfbb74 #ajd4 ,global ,,covid-#ai vaccine distribution and delivery 7a7 ,accelerating global vaccine distribution strategy ,the ,secretary of ,state1 in consultation with the ,secretary of ,health and ,human ,services1 the ,administrator of the ,united ,states ,agency for ,international ,development1 the ,chief ,executive ,officer of the ,united ,states ,international ,development ,finance ,corporation1 and the heads of other relevant ,federal departments and agencies1 as determined by the ,president1 shall develop a strategy to expand access to1 and accelerate the global distribution of1 ,,covid-#ai vaccines to other countries1 which shall-- 7#a7 identify the countries that have the highest infection and death rates due to ,,covid-#ai1 the lowest ,,covid-#ai vaccination rates1 and face the most difficult1 political1 logistical1 and financial challenges to obtaining and delivering ,,covid-#ai vaccines1 and describe the basis and metrics used to make such determinations2 7#b7 identify which countries and regions will be prioritized and targeted for ,,covid-#ai vaccine delivery1 and the rationale for such prioritization2 7#c7 describe efforts that the ,united ,states is making to increase ,,covid-#ai vaccine manufacturing capacity1 including through the provision of development finance1 and estimate when1 how many1 and which types of vaccines will be provided by the ,united ,states ,government bilaterally and through ,,covax2 7#d7 describe efforts to encourage international partners to take actions similar to the efforts referred to in paragraph 7#c72 7#e7 describe how the ,united ,states ,government will ensure efficient delivery of ,,covid-#ai vaccines to intended recipients1 including ,united ,states citizens residing overseas1 and identify complementary ,united ,states foreign assistance that will facilitate vaccine readiness1 distribution1 delivery1 monitoring1 and administration activities2 7#f7 describe the roles1 responsibilities1 tasks1 and1 as appropriate1 the authorities of the ,secretary of ,state1 the ,administrator of the ,united ,states ,agency for ,international ,development1 the ,secretary of ,health and ,human ,services1 the ,chief ,executive ,officer of the ,united ,states ,international ,development ,finance ,corporation1 and the heads of other relevant ,federal departments and agencies with respect to the implementation of such strategy2 and 7#g7 summarize the ,united ,states public diplomacy strategies for branding and addressing vaccine misinformation and hesitancy4 7b7 ,submission of strategy ,not later than #ij days after the date of the enactment of this ,act1 the ,secretary of ,state shall submit the strategy described in subsection 7a7 to the appropriate congressional committees4 #aje4 ,leveraging ,united ,states bilateral global health programs for the international ,,covid-#ai response 7a7 ,authorization for leveraging bilateral program activities ,amounts authorized to be appropriated or otherwise made available to carry out section #ajd of the ,foreign ,assistance ,act 7#bb ,u4,s4,c4 #baea;b7 may be used in countries receiving ,united ,states foreign assistance-- 7#a7 to combat the ,,covid-#ai pandemic1 including through the sharing of ,,covid-#ai vaccines2 and 7#b7 to support related activities1 including-- 7,a7 strengthening vaccine readiness2 7,b7 reducing vaccine hesitancy and misinformation2 7,c7 delivering and administering ,,covid-#ai vaccines2 7,d7 strengthening health systems and supply chains2 7,e7 supporting health care workforce planning1 training1 and management2 7,f7 enhancing transparency1 quality1 and reliability of health data2 7,g7 increasing bidirectional testing2 and 7,h7 building lab capacity4 7b7 ,adjustment of targets and goals ,the ,secretary of ,state1 in coordination with the heads of other relevant ,federal departments and agencies1 shall submit an annual report to the appropriate congressional committees that identifies-- 7#a7 any adjustments to original program targets and goals that result from the use of funds for the purposes authorized under subsection 7a72 and 7#b7 the amounts needed in the following fiscal year to meet the original program goals4 #ajf4 ,report on humanitarian response to the ,,covid-#ai pandemic 7a7 ,in general ,not later than #abj days after the date of the enactment of this ,act1 the ,secretary of ,state1 in consultation with the ,administrator of the ,united ,states ,agency for ,international ,development and the ,secretary of ,health and ,human ,services1 shall submit a report to the appropriate congressional committees that-- 7#a7 assesses the global humanitarian response to ,,covid-#ai2 and 7#b7 outlines specific elements of the ,united ,states ,government's country-level response to the ,,covid-#ai pandemic4 7b7 ,elements ,the report required under subsection 7a7 shall include-- 7#a7 for countries receiving ,united ,states assistance1 a description of humanitarian and health-worker access to crisis-affected areas1 including-- 7,a7 legal and bureaucratic restrictions on the entry of humanitarian workers from abroad1 to include visa authorizations that do not allow adequate time for humanitarian workers to quarantine upon arrival in-line with host country regulations1 conduct needs assessments1 and subsequently implement multilateral and ,united ,states-funded programming in an efficient1 effective1 and unrestricted manner2 7,b7 restrictions on travel by humanitarian workers within such country to reach the areas of operation where vulnerable and marginalized populations reside2 7,c7 access to medical evacuation in the event of a health emergency2 7,d7 access to personal protective equipment for ,united ,states ,government implementing partners2 and 7,e7 efforts to support access to ,,covid-#ai vaccines for humanitarian and health-workers and crisis-affected communities2 7#b7 an analysis and description of countries 7regardless of whether such countries have received direct ,united ,states assistance7 that have expressly prevented vulnerable populations from accessing necessary assistance related to ,,covid-#ai1 including-- 7,a7 the omission of vulnerable populations from national response plans2 7,b7 laws1 policies1 or practices that restrict or preclude treatment of vulnerable populations at public hospitals and health facilities2 and 7,c7 exclusion of1 or discrimination against1 vulnerable populations in law1 policy1 or practice that prevents equal access to food1 shelter1 and other basic assistance2 7#c7 a description of ,united ,states ,government efforts to facilitate greater humanitarian access1 including-- 7,a7 advocacy and diplomatic efforts with relevant foreign governments and multilateral institutions to ensure that vulnerable and marginalized populations are included in national response plans and other relevant plans developed in response to the ,,covid-#ai pandemic2 and 7,b7 advocacy and diplomatic efforts with relevant foreign governments to ensure that appropriate visas1 work permits1 and domestic travel exemptions are issued for humanitarian and health workers responding to the ,,covid-#ai pandemic2 and 7#d7 a description of ,united ,states ,government plans and efforts to address the second-order impacts of the ,,covid-#ai pandemic and an assessment of the resources required to implement such plans1 including efforts to address-- 7,a7 famine and acute food insecurity2 7,b7 gender-based violence2 7,c7 mental health and psychosocial support needs2 7,d7 child protection needs2 7,e7 health1 education1 and livelihoods2 7,f7 shelter2 and 7,g7 attempts to close civil society space1 including through bureaucratic1 administrative1 and health or security related impediments4 #ajg4 ,safeguarding democracy and human rights during the ,,covid-#ai pandemic 7a7 ,sense of ,congress ,it is the sense of ,congress that-- 7#a7 governments may be required to take appropriate extraordinary measures during public health emergencies to halt the spread of disease1 including closing businesses and public events1 limiting access to public spaces1 and restricting the movement of people2 7#b7 certain foreign governments have taken measures in response to ,,covid-#ai that violate the human rights of their citizens without clear public health justification1 oversight measures1 or sunset provisions2 7#c7 governments using the ,,covid-#ai pandemic as a pretext for repression have undermined democratic institutions1 debilitated institutions for transparency and public integrity1 quashed legitimate dissent1 and attacked journalists1 civil society organizations1 activists1 independent voices1 and vulnerable and marginalized populations1 including refugees and migrants1 with far-reaching consequences that will extend beyond the current crisis2 7#d7 ,,covid-#ai threatens to roll back decades of progress for women and girls1 disproportionately affecting women economically1 educationally1 and with respect to health1 while also leading to alarming rises in gender based violence2 and 7#e7 during and after the pandemic1 the ,department of ,state and the ,united ,states ,agency for ,international ,development should directly1 and through nongovernmental organizations or international organizations1 provide assistance and implement programs that support democratic institutions1 civil society1 free media1 and the advancement of internationally recognized human rights4 7b7 ,funding for civil society and human rights defenders 7#a7 ,program priorities ,amounts made available for each of the fiscal years #bjbb through #bjbf to carry out the purposes of sections #aja and #ajb of the ,foreign ,assistance ,act of #aifa 7#bb ,u4,s4,c4 #baea and #baea-a71 including programs to support democratic institutions1 human rights defenders1 civil society1 and freedom of the press1 should be targeted1 to the extent feasible1 toward civil society organizations in countries in which emergency government measures taken in response to the ,,covid-#ai pandemic have violated internationally recognized human rights4 7#b7 ,eligible organizations ,civil society organizations operating in countries in which emergency government measures taken in response to the ,,covid-#ai pandemic violated internationally recognized human rights shall be eligible to receive funds made available to carry out the purposes of sections #aja and #ajb of the ,foreign ,assistance ,act of #aifa for each of the fiscal years #bjbb through #bjbf1 for-- 7,a7 programs designed to strengthen and support civil society1 human rights defenders1 freedom of association1 and the freedom of the press2 7,b7 programs to restore democratic institutions2 and 7,c7 peacebuilding and conflict prevention to address the impacts of ,,covid-#ai on social cohesion1 public trust1 and conflict dynamics by adapting existing programs or investing in new ones4 7#c7 ,final report ,not later than #ahj days after the date of the enactment of this ,act1 the ,secretary of ,state shall submit a report to the appropriate congressional committees that-- 7,a7 lists the countries whose emergency measures limiting internationally recognized human rights in a manner inconsistent with the principles of limitation and derogation remain in place2 7,b7 describes such countries' emergency measures1 including-- 7i7 how such procedures violate internationally recognized human rights2 and 7ii7 an analysis of the impact of such measures on access to health and efforts to control the ,,covid-#ai pandemic within the country2 7,c7 describes-- 7i7 security and intelligence surveillance measures implemented by countries during the ,,covid-#ai pandemic2 7ii7 the extent to which such measures have been1 or have not been1 rolled back2 and 7iii7 whether and how such measures impact internationally recognized human rights2 and 7,d7 includes a strategic plan by the ,department of ,state and the ,united ,states ,agency for ,international ,development that addresses1 through multilateral and bilateral diplomacy and foreign assistance1 the persistent issues related to the restriction of internationally recognized human rights in the ,,covid-#ai response4 #ajh4 ,public diplomacy and combating disinformation and misinformation about ,,covid-#ai 7a7 ,united ,states ,agency for ,global ,media 7#a7 ,finding ,congress finds that the ,united ,states ,agency for ,global ,media 7referred to in this section as ,,usagm7 broadcasting entities and grantees have proven valuable in providing timely and accurate information1 particularly in countries in which the free press is under threat4 7#b7 ,sense of congress ,it is the sense of ,congress that-- 7,a7 accurate1 investigative1 and scientific journalism is critical for societies to effectively combat global health threats2 and 7,b7 ,congress supports-- 7i7 accurate and objective investigative and scientific reporting by ,,usagm networks and grantees regarding ,,covid-#ai2 and 7ii7 platforms that help dispel and combat misinformation about the ,,covid-#ai pandemic4 7#c7 ,voice of america ,it is the sense of ,congress that amounts authorized to be appropriated or otherwise made available to ,voice of ,america should be used-- 7,a7 to expand programs such as ,,polygraph4info2 7,b7 to provide critical tools for combating propaganda associated with ,,covid-#ai2 and 7,c7 to assist journalists in providing accurate information to local media outlets4 7#d7 ,office of cuba broadcasting ,it is the sense of ,congress that ,radio ,televisin ,mart and ,digital ,mart should continue to broadcast programs that detect1 highlight1 and dispel disinformation4 7#e7 ,radio free europe_/radio liberty 7,a7 ,finding ,congress finds that ,radio ,free ,europe_/,radio ,liberty 7referred to in this section as ,,rfe_/,,rl7 operate in media markets in which authoritarian state and nonstate actors1 including ,russia1 heavily invest in misinformation and disinformation campaigns designed to promote confusion and mistrust4 7,b7 ,sense of congress ,it is the sense of ,congress that ,,rfe_/,,rl should-- 7i7 increase investigative reporting regarding the impacts of ,,covid-#ai1 the political and social responses governments are taking in response to ,,covid-#ai1 and the lasting impacts such actions will have on key political freedoms2 and 7ii7 expand its digital first strategy4 7#f7 ,radio free asia 7,a7 ,finding ,congress finds that ,radio ,free ,asia 7,,rfa7 operates in a media market dominated by powerful state-run media that have invested heavily in media distortion and disinformation1 including about ,,covid-#ai4 7,b7 ,sense of congress ,it is the sense of ,congress that ,,rfa should-- 7i7 commission technical experts to bolster efforts to counter social media tools1 including bots used by some countries to promote misinformation2 7ii7 expand digital programming and local coverage to expose ,china's media manipulation techniques2 and 7iii7 increase ,english language content to help counter ,china's propaganda directed toward ,english-speaking audiences4 7#g7 ,middle east broadcasting networks 7,a7 ,finding ,congress finds that the ,middle ,east ,broadcasting ,networks operate largely in closed media markets in which malign state and nonstate actors remain active4 7,b7 ,sense of congress ,it is the sense of ,congress that the ,middle ,east ,broadcasting ,networks should-- 7i7 continue plans to expand an investigative news unit2 and 7ii7 work to ensure that reporting continues amidst operational challenges on the ground4 7#h7 ,open technology fund 7,a7 ,finding ,congress finds that the ,open ,technology ,fund works to advance internet freedom in repressive environments by supporting technologies that-- 7i7 provide secure and uncensored access to ,,usagm's content and the broader internet2 and 7ii7 counter attempts by authoritarian governments to control the internet and restrict freedom online4 7,b7 ,sense of congress ,it is the sense of ,congress that the ,open ,technology ,fund should-- 7i7 support a broad range of technologies to respond to increasingly aggressive and sophisticated censorship and surveillance threats and provide more comprehensive and tailored support to ,,usagm's networks2 and 7ii7 provide direct assistance to ,,usagm's networks to improve the digital security of reporting operations and journalists4 7b7 ,department of state public diplomacy programs 7#a7 ,findings ,congress finds the following3 7,a7 ,the ,department of ,state's public diplomacy programs build global networks that can address shared challenges1 such as the ,,covid-#ai pandemic1 including through exchanges of researchers1 public health experts1 and scientists4 7,b7 ,the programs referred to in subparagraph 7,a7 play a critical role in creating open and resilient information environments where democracies can thrive1 as articulated in the #bjbj ,public ,diplomacy ,strategic ,plan1 including by-- 7i7 improving media quality with journalist training and reporting tours2 7ii7 conducting media literacy programs2 and 7iii7 supporting media access activities4 7,c7 ,the ,international ,visitor ,leadership ,program and ,digital ,communications ,network engaged journalists around the world to combat ,,covid-#ai disinformation1 promote unbiased reporting1 and strengthen media literacy4 7,d7 ,more than #ab1jjj physicians holding ,j-#a visas from #acj countries-- 7i7 are engaged in residency or fellowship training at approximately #gej hospitals throughout the ,united ,states1 the majority of whom are serving in ,states that have been the hardest hit by ,,covid-#ai2 and 7ii7 throughout the pandemic1 have served on the front lines of the medical workforce and in ,united ,states university labs researching ways to detect and treat the virus4 7#b7 ,visa processing briefing ,not later than #cj days after the date of the enactment of this ,act1 the ,assistant ,secretary for ,consular ,affairs shall brief the appropriate congressional committees by providing-- 7,a7 a timeline for increasing visa processing capacities at embassies around the world1 notably where there are-- 7i7 many ,american citizens1 including dual nationals2 and 7ii7 many visa applicants for educational and cultural exchange programs that promote ,united ,states foreign policy objectives and economic stability to small businesses1 universities1 and communities across the ,united ,states2 and 7,b7 a detailed plan for using existing authorities to waive in-person appointments and interviews4 7#c7 ,global engagement center 7,a7 ,finding ,congress finds that since the beginning of the ,,covid-#ai pandemic1 publications1 websites1 and platforms associated with ,china1 ,russia1 and ,iran have sponsored disinformation campaigns related to the ,,covid-#ai pandemic1 including falsely blaming the ,united ,states for the disease4 7,b7 ,sense of congress ,it is the sense of ,congress that the ,global ,engagement ,center should continue its efforts to expose and counter state and non-state-sponsored disinformation related to ,,covid-#ai1 the origins of ,,covid-#ai1 and ,,covid-#ai vaccinations4 #aji4 ,findings and sense of ,congress regarding the ,united ,states ,international ,development ,finance ,corporation 7a7 ,findings ,congress finds the following3 7#a7 ,the ,,covid-#ai pandemic is causing a global economic recession1 as evidenced by the global economic indicators described in paragraphs 7#b7 through 7#d74 7#b7 ,the ,united ,nations ,conference on ,trade and ,development determined that the ,,covid-#ai pandemic pushed the global economy into recession in #bjbj on a scale that has not been witnessed since the #aicjs4 7#c7 ,developed countries are expected to experience a relatively more significant rebound in gross domestic product growth during #bjba than is expected to be experienced in developing countries1 leading to concerns about a further expansion in the gap between rich and poor countries1 particularly if this trend continues into #bjbb4 7#d7 ,global markets have suffered losses ranging between #e percent and over #aj percent since the beginning of the pandemic4 ,while markets are recovering in #bjba1 global job losses and unemployment rates remain high1 with-- 7,a7 approximately #cc1jjj1jjj labor hours have been lost globally 7#ac per cent of the total hours lost7 due to outright unemployment2 and 7,b7 an estimated additional #ha1jjj1jjj labor hours have been lost due to inactivity or underemployment4 7#e7 ,given the prolonged nature of the ,,covid-#ai pandemic1 ,african finance ministers have requested continued efforts to provide-- 7,a7 additional liquidity2 7,b7 better market access2 7,c7 more concessional resources2 and 7,d7 an extension in the ,debt ,service ,suspension ,initiative established by the ,group of #bj4 7b7 ,sense of ,congress ,it is the sense of ,congress that-- 7#a7 even when markets begin to recover in the future1 it is likely that access to capital will be especially challenging for developing countries1 which still will be struggling with the containment of1 and the recovery from1 the ,,covid-#ai pandemic2 7#b7 economic uncertainty and the inability of individuals and households to generate income are major drivers of political instability and social discord1 which creates conditions for insecurity2 7#c7 it is in the security and economic interests of the ,united ,states to assist in the economic recovery of developing countries that are made more vulnerable and unstable from the public health and economic impacts of the ,,covid-#ai pandemic2 7#d7 ,united ,states foreign assistance and development finance institutions should seek to blunt the impacts of a ,,covid-#ai related economic recession by supporting investments in sectors critical to maintaining economic stability and resilience in low and middle income countries2 7#e7 the need for the ,united ,states ,international ,development ,finance ,corporation's support for advancing development outcomes in less developed countries1 as mandated by the ,better ,utilization of ,investments ,leading to ,development ,act of #bjah 7#bb ,u4,s4,c4 #ifja et seq471 is critical to ensuring lasting and resilient economic growth in light of the ,,covid-#ai pandemic's exacerbation of economic hardships and challenges2 7#f7 the ,united ,states ,international ,development ,finance ,corporation should adjust its view of risk versus return by taking smart risks that may produce a lower rate of financial return1 but produce significant development outcomes in responding to the economic effects of ,,covid-#ai2 and 7#g7 to mitigate the economic impacts of the ,,covid-#ai recession1 the ,united ,states ,international ,development ,finance ,corporation should use its resources and authorities1 among other things-- 7,a7 to ensure loan support for small- and medium-sized enterprises2 7,b7 to offer local currency loans to borrowers for working capital needs2 7,c7 to create dedicated financing opportunities for new customers that are experiencing financial hardship due to the ,,covid-#ai pandemic2 and 7,d7 to work with other development finance institutions to create co-financing facilities to support customers experiencing hardship due to the ,,covid-#ai pandemic4 #aaj4 ,sense of ,congress regarding international cooperation to prevent and respond to future pandemics ,it is the sense of ,congress that-- 7#a7 global pandemic preparedness and response requires international and regional cooperation and action2 7#b7 the ,united ,states should lead efforts in multilateral fora1 such as the ,group of #g1 the ,group of #bj1 and the ,united ,nations1 by collaborating and cooperating with other countries and international and regional organizations1 including the ,world ,health ,organization and other key stakeholders1 to implement international strategies1 tools1 and agreements to better prevent1 detect1 and respond to future infectious disease threats before they become pandemics2 and 7#c7 the ,united ,states should enhance and expand coordination and collaboration among the relevant ,federal departments and agencies1 the ,food and ,agriculture ,organization of the ,united ,nations1 the ,world ,health ,organization1 and the ,world ,organization for ,animal ,health1 to advance a ,one ,health approach toward preventing1 detecting1 and responding to zoonotic threats in the human-animal interface4 #aaa4 ,roles of the ,department of ,state1 the ,united ,states ,agency for ,international ,development1 and the ,centers for ,disease ,control and ,prevention in pandemic response 7a7 ,designation of lead agencies for coordination of the ,united ,states response to infectious disease outbreaks with severe or pandemic potential ,in the event of an infectious disease outbreak outside of the ,united ,states with pandemic potential1 the ,president should designate agencies to lead specific aspects of the response efforts1 including-- 7#a7 designating the ,department of ,state to serve as the lead for diplomatic engagement1 and related foreign policy efforts1 including-- 7,a7 enhanced coordination of engagement with multilateral organizations and countries1 and mobilization of donor contributions2 and 7,b7 support for ,united ,states citizens abroad2 7#b7 designating the ,united ,states ,agency for ,international ,development to serve as the key lead agency for design and implementation of the ,united ,states international response1 relief1 and recovery assistance associated with the potential pandemic outbreak by leading programmatic activities1 as necessary and appropriate1 including-- 7,a7 immediate health1 disaster assistance1 and humanitarian response needs and prevention and preparedness activities in neighboring at-risk countries2 7,b7 testing1 treatment1 and assistance with preventative care units and community care facilities2 7,c7 surveillance1 case investigation1 and rapid response capability2 7,d7 providing supplies1 such as personal protective1 screening1 and treatment equipment2 7,e7 conducting community outreach and communication and mobilization efforts2 7,f7 logistics support2 and 7,g7 serving as lead agency for disease outbreak response abroad2 and 7#c7 designating the ,centers for ,disease ,control and ,prevention to serve as the public health lead for the international response to the potential pandemic outbreak by conducting activities1 such as-- 7,a7 infection prevention and control1 contact tracing1 and laboratory surveillance and training2 7,b7 building up1 in coordination with the ,united ,states ,agency for ,international ,development1 emergency operation centers2 7,c7 providing education and outreach2 and 7,d7 assessing the safety and efficacy of vaccine and treatment candidates in the conduct of clinical trials in affected countries4 #aab4 ,,usaid disaster surge capacity 7a7 ,surge capacity ,amounts authorized to be appropriated or otherwise made available to carry out part ,i and chapter #d of part ,,ii 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 amounts otherwise made available for such purposes1 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 ,not later than #ae days before making funds available to address man-made disasters pursuant to subsection 7a71 the ,secretary of ,state or the ,administrator of the ,united ,states ,agency for ,international ,development shall notify the appropriate congressional committees of such action4 #aac4 ,statement of policy on humanitarian assistance to countries affected by pandemics 7a7 ,statement of policy ,it shall be the policy of the ,united ,states-- 7#a7 to ensure that ,united ,states assistance to address pandemics1 including the provision of vaccines1 reaches vulnerable and marginalized populations1 including racial and religious minorities1 refugees1 internally displaced persons1 migrants1 stateless persons1 women1 children1 the elderly1 and persons with disabilities2 7#b7 to ensure that ,united ,states assistance1 including development finance1 addresses the second order effects of a pandemic1 including acute food insecurity2 and 7#c7 to protect and support humanitarian actors who are essential workers in preventing1 mitigating and responding to the spread of a pandemic among vulnerable and marginalized groups described in paragraph 7#a71 including ensuring that such humanitarian actors-- 7,a7 are exempted from unreasonable travel restrictions to ensure that they can effectively provide life-saving assistance2 and 7,b7 are prioritized as frontline workers in country vaccine distribution plans4 7b7 ,facilitating effective and safe humanitarian assistance ,the ,secretary of ,state1 in coordination with the ,administrator of the ,united ,states ,agency for ,international ,development1 should carry out actions that accomplish the policies set forth in subsection 7a71 including by-- 7#a7 taking steps to ensure that travel restrictions implemented to help contain the spread of a pandemic are not applied to individuals authorized by the ,united ,states ,government to travel to1 or reside in1 a designated country to provide assistance related to1 or otherwise impacted by1 an outbreak2 7#b7 approving the usage of foreign assistance funding for the procurement of personal protective equipment by ,united ,states ,government implementing partners from businesses within or nearby the country receiving foreign assistance on an urgent basis and in a manner consistent with efforts to respond to the spread of a pandemic in the ,united ,states2 and 7#c7 waiving certain travel restrictions implemented to help contain the spread of a pandemic in order to facilitate the medical evacuation of ,united ,states ,government implementing partners1 regardless of nationality4 ,,ii ,international pandemic prevention and preparedness #bja4 ,partner country defined ,in this title1 the term partner country means a foreign country in which the relevant ,federal departments and agencies are implementing ,united ,states assistance for global health security and pandemic prevention and preparedness under this ,act4 #bjb4 ,global health security strategy and report 7a7 ,in general ,the ,president shall develop1 update1 maintain1 and advance a comprehensive strategy for improving global health security and pandemic prevention1 preparedness1 and response that-- 7#a7 clearly articulates the policy goals related to pandemic prevention1 preparedness1 and response1 and actions necessary to elevate and strengthen ,united ,states diplomatic leadership in global health security and pandemic preparedness1 including by building the expertise of the diplomatic corps2 7#b7 improves the effectiveness of ,united ,states foreign assistance to prevent1 detect1 and respond to infectious disease threats1 through a ,one ,health approach1 including through the advancement of the ,global ,health ,security ,agenda1 the ,international ,health ,regulations 7#bjje71 and other relevant frameworks and programs that contribute to global health security and pandemic preparedness2 7#c7 establishes specific and measurable goals1 benchmarks1 timetables1 performance metrics1 and monitoring and evaluation plans for ,united ,states foreign policy and assistance for global health security that promote learning and adaptation and reflect international best practices relating to global health security1 transparency1 and accountability2 7#d7 establishes transparent means to improve coordination and performance by the relevant ,federal departments and agencies and sets out clear roles and responsibilities that reflect the unique capabilities and resources of each such department and agency2 7#e7 establishes mechanisms to improve coordination and avoid duplication of effort among the relevant ,federal departments and agencies1 partner countries1 donor countries1 the private sector1 multilateral organizations1 and other key stakeholders1 and ensures collaboration at the country level2 7#f7 supports1 and is aligned with1 partner country-led1 global health security policy and investment plans1 developed with input from key stakeholders1 as appropriate2 7#g7 prioritizes working with partner countries with-- 7,a7 demonstrated need1 as identified through the ,joint ,external ,evaluation process1 the ,global ,health ,security ,index classification of health systems1 national action plans for health security1 ,global ,health ,security ,agenda ,action ,packages1 other risk-based assessments1 and other complementary or successor indicators of global health security and pandemic preparedness2 and 7,b7 demonstrated commitment to transparency1 including budget and global health data transparency1 complying with the ,international ,health ,regulations 7#bjje71 investing in domestic health systems1 and achieving measurable results2 7#h7 reduces long-term reliance upon ,united ,states foreign assistance for global health security by-- 7,a7 helping build and enhance community resilience to infectious disease emergencies and threats1 such as ,,covid-#ai and ,ebola2 7,b7 ensuring that ,united ,states global health assistance is strategically planned and coordinated in a manner that contributes to the strengthening of overall health systems and builds the capacity of local organizations and institutions2 7,c7 promoting improved domestic resource mobilization1 co-financing1 and appropriate national budget allocations for strong health systems1 global health security1 and pandemic preparedness and response in partner countries2 and 7,d7 ensuring partner country ownership of global health security strategies1 data1 programs1 and outcomes2 7#i7 supports health budget and workforce planning in partner countries1 including training in public financial management and budget data transparency2 7#aj7 works to ensure that-- 7,a7 partner countries have national action plans for health security that are developed with input from key stakeholders1 including communities and the private sector2 and 7,b7 ,united ,states foreign assistance for global health security is aligned with existing national action plans for health security in partner countries1 developed with input from key stakeholders1 including communities and the private sector1 to the greatest extent practicable and appropriate2 7#aa7 strengthens linkages between complementary bilateral and multilateral foreign assistance programs1 including efforts of the ,world ,bank1 the ,world ,health ,organization1 the ,global ,fund to ,fight ,,aids1 ,tuberculosis1 and ,malaria1 ,gavi1 the ,vaccine ,alliance1 and regional health organizations1 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 and 7#ab7 supports innovation and partnerships with the private sector1 health organizations1 civil society1 nongovernmental organizations1 and health research and academic institutions to improve pandemic preparedness and response1 including for the prevention and detection of infectious disease1 and the development and deployment of effective1 accessible1 and affordable infectious disease tracking tools1 diagnostics1 therapeutics1 and vaccines4 7b7 ,submission of strategy ,not later than #abj days after the date of the enactment of this ,act1 the ,president shall submit the strategy required under subsection 7a7 to the appropriate congressional committees4 7c7 ,annual report 7#a7 ,in general ,not later than #a year after the submission of the strategy to the appropriate congressional committees under subsection 7b71 and not later than ,october #a of each year thereafter for the following #d fiscal years1 the ,president shall submit a report to the appropriate congressional committees that describes-- 7,a7 the status of the implementation of the strategy required under subsection 7a72 7,b7 any necessary updates to the strategy2 7,c7 the progress made in implementing the strategy1 with specific information related to the progress toward improving countries' ability to detect1 respond and prevent the spread of infectious disease threats1 such as ,,covid-#ai and ,ebola2 and 7,d7 details on the status of funds made available to carry out the purposes of this title4 7#b7 ,agency-specific plans ,the reports required under paragraph 7#a7 shall include specific implementation plans from each relevant ,federal department and agency that describe-- 7,a7 how updates to the strategy may have impacted the agency's plan during the preceding calendar year2 7,b7 the progress made in meeting the goals1 objectives1 and benchmarks under implementation plans during the preceding year2 7,c7 the anticipated staffing plans and contributions of the department or agency1 including technical1 financial1 and in-kind contributions1 to implement the strategy2 7,d7 a transparent1 open1 and detailed accounting of obligations by each of the relevant ,federal departments and agencies to implement the strategy1 including-- 7i7 the statutory source of obligated funds2 7ii7 the amounts obligated2 7iii7 implementing partners2 7iv7 targeted beneficiaries2 and 7v7 activities supported2 7,e7 the efforts of the relevant ,federal department or agency to ensure that the activities and programs carried out pursuant to the strategy are designed to achieve maximum impact and enduring returns1 including through specific activities to strengthen health systems1 as appropriate2 and 7,f7 a plan for regularly reviewing and updating programs and partnerships1 and for sharing lessons learned with a wide range of stakeholders in an open1 transparent manner4 7#c7 ,form ,the reports required under paragraph 7#a7 shall be submitted in unclassified form1 but may contain a classified annex4 #bjc4 ,committee on ,global ,health ,security and ,pandemic and ,biological ,threats 7a7 ,statement of policy ,it shall be the policy of the ,united ,states-- 7#a7 to promote global health security as a core national and security interest2 and 7#b7 to ensure effective coordination and collaboration between the relevant ,federal departments and agencies engaged domestically and internationally in efforts to advance the global health security of the ,united ,states1 in accordance with paragraph 7#a74 7b7 ,coordination 7#a7 ,defined term ,in this subsection1 the term pandemic threat means any infectious disease that-- 7,a7 has an aggregation of cases in a community that rises above what is normally expected in that population in that area2 7,b7 has the potential to spread over several countries or continents2 and 7,c7 could1 if not addressed1 threaten the national security of the ,united ,states4 7#b7 ,committee on global health security and pandemic and biological threats ,there is authorized to be established1 within the ,national ,security ,council1 the ,committee on ,global ,health ,security and ,pandemic and ,biological ,threats 7referred to in this subsection as the ,committee71 whose day to day operations should be led by the ,special ,advisor for ,global ,health ,security4 7#c7 ,special advisor for global health security ,the ,special ,advisor for ,global ,health ,security referred to in paragraph 7#b7-- 7,a7 should serve as part of the staff of the ,national ,security ,council2 and 7,b7 may also be the ,senior ,director for a ,global ,health ,security and ,biodefense ,directorate within the ,executive ,office of the ,president1 who reports to the ,assistant to the ,president for ,national ,security ,affairs4 7#d7 ,composition ,the ,committee should include the following members3 7,a7 ,the ,director of ,national ,intelligence4 7,b7 ,the ,secretary of ,state4 7,c7 ,the ,secretary of ,defense4 7,d7 ,the ,secretary of ,health and ,human ,services4 7,e7 ,the ,administrator of the ,united ,states ,agency for ,international ,development4 7,f7 ,the ,secretary of ,agriculture4 7,g7 ,the ,secretary of the ,treasury4 7,h7 ,the ,attorney ,general4 7,i7 ,the ,secretary of ,homeland ,security4 7,j7 ,the ,office of ,management and ,budget4 7,k7 ,the ,administrator of the ,environmental ,protection ,agency4 7,l7 ,the ,director of the ,centers for ,disease ,control and ,prevention4 7,m7 ,the ,director of the ,office of ,science and ,technology ,policy4 7,n7 ,the ,assistant to the ,president for ,national ,security ,affairs1 who should serve as the chairperson of the ,committee4 7,o7 ,such other members as the ,president may designate4 7#e7 ,functions 7,a7 ,in general ,the functions of the ,committee should be-- 7i7 to provide strategic guidance for the development of a policy framework for activities of the ,united ,states ,government relating to global health security1 including pandemic prevention1 preparedness and response2 and 7ii7 to ensure policy coordination between ,united ,states ,government agencies1 especially coordination between-- 7,i7 agencies with a primarily domestic mandate2 and 7,,ii7 agencies with an international mandate relating to global health security and pandemic threats4 7,b7 ,activities ,in carrying out the functions described in subparagraph 7,a71 the ,committee should-- 7i7 conduct1 in coordination with the heads of relevant ,federal agencies1 a review of existing ,united ,states health security policies and strategies and develop recommendations for how the ,federal ,government may regularly update and harmonize such policies and strategies to ensure the timely development of a comprehensive coordinated strategy to enable the ,united ,states ,government to respond to pandemic threats and to monitor the implementation of such strategies2 7ii7 develop a plan for-- 7,i7 establishing an interagency ,national ,center for ,epidemic ,forecasting and ,outbreak ,analytics2 and 7,,ii7 modernizing global early warning and trigger systems for scaling action to prevent1 detect1 respond to1 and recover from emerging biological threats2 7iii7 provide policy-level recommendations to participating agencies regarding the ,global ,health ,security ,agenda goals1 objectives1 and implementation1 and other international efforts to strengthen pandemic prevention1 preparedness and response2 7iv7 review the progress toward1 and working to resolve challenges in1 achieving ,united ,states commitments under the ,,ghsa2 7v7 develop protocols for coordinating and deploying a global response to emerging high-consequence infectious disease threats that outline the respective roles for relevant ,federal agencies in facilitating and supporting such response operations that should facilitate the operational work of ,federal agencies1 and of the ,special ,advisor for ,global ,health ,security2 7vi7 make recommendations regarding appropriate responses to specific pandemic threats and ensure the coordination of domestic and international agencies regarding the ,federal ,government's efforts to prevent1 detect1 respond to1 and recover from biological events2 and 7vii7 take steps to strengthen the global pandemic supply chain and address any barriers to the timely delivery of supplies in response to a pandemic1 including through engagement with the private sector1 as appropriate2 7,c7 develop policies and procedures to ensure the effective sharing of information from domestic and international sources about pandemic threats among the relevant ,federal departments and agencies1 ,state and local governments1 and international partners and organizations2 and 7,d7 develop guidelines to enhance and improve the operational coordination between ,state and local governments and ,federal agencies with respect to pandemic threats4 7#f7 ,foreign affairs responsibilities ,the ,committee should not assume any foreign affairs responsibilities of the ,secretary of ,state1 including the responsibility to oversee the implementation of programs and policies that advance global health security within foreign countries4 7#g7 ,specific roles and responsibilities 7,a7 ,in general ,the heads of the agencies listed in paragraph 7#d7 should-- 7i7 make global health security and pandemic threat reduction a high priority within their respective agencies1 and include global health security and pandemic threat reduction-related activities within their respective agencies' strategic planning and budget processes2 7ii7 designate a senior-level official to be responsible for global health security and pandemic threat reduction at each of their respective agencies2 7iii7 designate1 in accordance with paragraph 7#d71 an appropriate representative at the ,assistant ,secretary level or higher to participate on the ,committee in instances where the head of the agency cannot participate2 7iv7 keep the ,committee apprised of ,global ,health ,security and pandemic threat reduction-related activities undertaken within their respective agencies2 7v7 ensure interagency cooperation and collaboration and maintain responsibility for agency-related programmatic functions including1 as applicable1 in coordination with host governments1 country teams1 and global health security in-country teams2 and 7vi7 keep the ,committee apprised of ,,ghsa-related activities undertaken within their respective agencies4 7,b7 ,additional roles and responsibilities ,in addition to the roles and responsibilities described in subparagraph 7,a71 the heads of the agencies described in paragraph 7#d7 should carry out their respective roles and responsibilities described in ,executive ,order #acgdg 7#ha ,fed4 ,reg4 #ghgja2 relating to ,advancing the ,global ,health ,security ,agenda to ,achieve a ,world ,safe and ,secure from ,infectious ,disease ,threats7 and the ,national ,security ,memorandum-#a on ,united ,states ,global ,leadership to ,strengthen the ,international ,,covid-#ai ,response and to ,advance ,global ,health ,security and ,biological ,preparedness1 as in effect on the day before the date of the enactment of this ,act4 #bjd4 ,united ,states overseas global health security and diplomacy coordination and strategy 7a7 ,establishment ,there is established1 within the ,department of ,state1 a ,special ,representative for ,united ,states ,international ,activities to ,advance ,global ,health ,security and ,diplomacy ,overseas 7referred to in this section as the ,special ,representative74 7b7 ,appointment2 qualifications ,the ,special ,representative-- 7#a7 shall be appointed by the ,president1 by and with the advice and consent of the ,senate2 7#b7 shall report to the ,secretary of ,state2 and 7#c7 shall have-- 7,a7 demonstrated knowledge and experience in the fields of development and public health1 epidemiology1 or medicine2 and 7,b7 relevant diplomatic1 policy1 and political expertise4 7c7 ,authorities ,the ,special ,representative is authorized-- 7#a7 to operate internationally to carry out the purposes of this title2 7#b7 to lead in developing a global pandemic prevention1 preparedness and response framework to support global pandemic prevention1 preparedness1 responses and recovery efforts1 including through-- 7,a7 diplomatic engagement and related foreign policy efforts1 such as multilateral and bilateral arrangements1 enhanced coordination of engagement with multilateral organizations and countries1 and the mobilization of donor contributions2 and 7,b7 support for ,united ,states citizens living abroad1 including consular support2 7#c7 to serve as the representative of the ,secretary of the ,state on the ,committee on ,global ,health ,security and ,pandemic and ,biological ,threats under section #bjb2 7#d7 to represent the ,united ,states on the ,fund for ,global ,health ,security and ,pandemic ,prevention and ,preparedness established pursuant to section #cjb7;a72 7#e7 to transfer and allocate ,united ,states foreign assistance funding authorized to be appropriated pursuant to subsection 7f7 to the relevant ,federal departments and agencies implementing the strategy required under section #bjb1 in coordination with the ,office of ,management and ,budget1 the ,united ,states ,agency for ,international ,development1 the ,department of ,health and ,human ,services1 and the ,office of ,foreign ,assistance ,resources in the ,department of ,state2 7#f7 to utilize detailees1 on a reimbursable or nonreimbursable basis1 from the relevant ,federal departments and agencies and hire personal service contractors1 who may operate domestically and internationally1 to ensure that the ,office of the ,special ,representative has access to the highest quality experts available to the ,united ,states ,government to carry out the functions under this ,act2 and 7#g7 to perform such other functions as the ,secretary of ,state may assign4 7d7 ,duties ,the ,special ,representative shall coordinate1 manage1 and oversee ,united ,states foreign policy1 diplomatic efforts1 and foreign assistance funded with amounts appropriated pursuant to subsection 7f7 to advance the ,united ,states ,global ,health ,security and ,diplomacy ,strategy developed pursuant to section #bjb1 including by-- 7#a7 developing and coordinating a global pandemic prevention1 preparedness and response framework to support pandemic preparedness1 responses and recovery efforts1 and related foreign policy measures1 such as multilateral and bilateral arrangements2 7#b7 enhancing engagement with multilateral organizations and partner countries1 including through the mobilization of donor support2 7#c7 enhancing coordination of consular services for ,united ,states citizens abroad in the event of a global health emergency2 7#d7 ensuring effective program coordination and implementation by the relevant ,federal departments and agencies by-- 7,a7 formulating1 issuing1 and updating related policy guidance2 7,b7 establishing1 in consultation with the ,united ,states ,agency for ,international ,development and the ,centers for ,disease ,control and ,prevention1 unified auditing1 monitoring1 and evaluation plans2 7,c7 aligning1 in coordination with ,united ,states chiefs of mission and country teams in partner countries-- 7i7 the foreign assistance resources funded with amounts appropriated pursuant to subsection 7f72 and 7ii7 the implementation plans required under section #bjb7;c77#b7 with the relevant ,federal departments and agencies in a manner that-- 7,i7 is consistent with ,executive ,order #acgdg 7#ha ,fed4 ,reg4 #ghgja2 relating to ,advancing the ,global ,health ,security ,agenda to ,achieve a ,world ,safe and ,secure from ,infectious ,disease ,threats72 7,,ii7 is consistent with the ,national ,security ,memorandum on ,united ,states ,global ,leadership to ,strengthen the ,international ,,covid-#ai ,response and to ,advance ,global ,health ,security and ,biological ,preparedness1 issued by ,president ,biden on ,january #ba1 #bjba2 and 7,,iii7 reflects and leverages the unique capabilities of each such department and agency2 7,d7 convening1 as appropriate1 an interagency working group on pandemic prevention and preparedness1 headed by the ,special ,representative and including representatives from the relevant ,federal departments and agencies1 to facilitate coordination of activities relating to pandemic prevention and preparedness in partner countries under this ,act2 7,e7 working with1 and leveraging the expertise and activities of1 the ,office of the ,united ,states ,global ,,aids ,coordinator1 the ,office of the ,united ,states ,global ,malaria ,coordinator1 and similar or successor entities that are 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#e7 leading diplomatic efforts to identify and address current and emerging threats to global health security2 7#f7 ensuring1 in coordination with the ,secretary of ,health and ,human ,services and the ,administrator of the ,united ,states ,agency for ,international ,development1 effective representation of the ,united ,states in relevant international forums1 including at the ,world ,health ,organization1 the ,world ,health ,assembly1 and meetings of the ,global ,health ,security ,agenda and of the ,global ,health ,security ,initiative2 7#g7 working to enhance coordination with1 and transparency among1 the governments of partner countries and key stakeholders1 including the private sector2 7#h7 promoting greater donor and national investment in partner countries to build more resilient health systems and supply chains1 including through representation and participation in a multilateral1 catalytic financing mechanism for global health security and pandemic prevention and preparedness1 consistent with title ,,iii2 7#i7 securing bilateral and multilateral financing commitments to advance the ,global ,health ,security ,agenda1 including through funding for the financing mechanism described in title ,,iii2 and 7#aj7 providing regular updates to the appropriate congressional committees regarding the fulfillment of the duties described in this subsection4 7e7 ,deputy ,representative ,the ,special ,representative should be supported by a deputy1 who-- 7#a7 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 higher2 7#b7 should have demonstrated knowledge and experience in the fields of development and public health1 epidemiology1 or medicine2 and 7#c7 serves concurrently as the deputy and performs the functions described in section #c7;h7 of ,executive ,order #acgdg 7#ha ,fed4 ,reg4 #ghgja74 7f7 ,authorization of appropriations 7#a7 ,in general ,there is authorized to be appropriated #c1jjj1jjj1jjj1 for the #e-year period beginning on ,october #a1 #bjbb1 to carry out the purposes of this section and title ,,iii1 which1 in consultation with the appropriate congressional committees and subject to the requirements under chapters #a and #aj of part ,i and section #fcd;,a of the ,foreign ,assistance ,act of #aifa 7#bb ,u4,s4,c4 #baea et seq471 may include support for-- 7,a7 enhancing preparedness in partner countries through implementation of the ,global ,health ,security ,strategy developed pursuant to section #bjb2 7,b7 replenishing the ,emergency ,reserve ,fund at the ,united ,states ,agency for ,international ,development1 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 new or emerging infectious disease threats1 as necessary and appropriate2 7,c7 ,united ,states contributions to the ,world ,bank ,health ,emergency ,preparedness and ,response ,multi-,donor ,fund2 and 7,d7 ,united ,states contributions to a multilateral1 catalytic financing mechanism for global health security and pandemic prevention and preparedness described in section #cjb4 7#b7 ,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 subsection4 #bje4 ,resilience ,it shall be the policy of the ,united ,states to support the growth of healthier1 more stable societies1 while advancing the global health security interests of the ,united ,states by working with key stakeholders-- 7#a7 in developing countries that are highly vulnerable to the emergence1 reemergence1 and spread of infectious diseases with pandemic potential1 including diseases resulting from natural and manmade disasters1 human displacement1 loss of natural habitat1 poor access to water1 sanitation1 and hygiene1 and other political1 security1 economic1 and climatic shocks and stresses2 7#b7 to develop effective tools to identify1 analyze1 forecast1 and mitigate the risks that make such countries vulnerable2 7#c7 to better integrate short-1 medium-1 and long-term recovery efforts into global health emergency response and disaster relief2 and 7#d7 to ensure that international assistance and financing tools are effectively designed1 objectively informed1 strategically targeted1 carefully coordinated1 reasonably adapted1 and rigorously monitored and evaluated in a manner that advances the policy objectives under this section4 #bjf4 ,strengthening health systems 7a7 ,statement of policy ,it shall be the policy of the ,united ,states to ensure that bilateral global health assistance programs are effectively managed and coordinated to contribute to the strengthening of health systems in each country in which such programs are carried out1 as necessary and appropriate4 7b7 ,coordination ,the ,administrator of the ,united ,states ,agency for ,international ,development 7referred to in this section as ,,usaid7 shall work with the ,director of the ,centers for ,disease ,control and ,prevention1 the ,global ,malaria ,coordinator1 and the ,united ,states ,global ,,aids ,coordinator and ,special ,representative for ,global ,health ,diplomacy at the ,department of ,state to identify areas of collaboration and coordination in countries with global health programs and activities undertaken by ,,usaid pursuant to the ,united ,states ,leadership ,against ,,hiv_/,,aids1 ,tuberculosis1 and ,malaria ,act of #bjjc 7,public ,law #ajh-be7 and other relevant statutes to ensure that such activities contribute to health systems strengthening4 7c7 ,pilot program 7#a7 ,in general ,the ,administrator of ,,usaid should identify not fewer than #e countries in which the ,united ,states has significant bilateral investments in global health to develop an integrated approach toward health systems strengthening that takes advantage of all sources of funding for global health in such country1 with the aim of establishing a model for coordinating health systems strengthening activities in additional countries in the future4 7#b7 ,assessment ,in the countries selected under paragraph 7#a71 ,,usaid missions1 in consultation with ,,usaid's ,office of ,health ,systems ,strengthening1 should conduct an assessment that-- 7,a7 takes a comprehensive view of the constraints in the country's health system that prevent the achievement of desired outcomes of ,united ,states ,government-supported health programs2 7,b7 identifies the best opportunities for improving health systems to achieve improved outcomes1 including obstacles to health service delivery2 7,c7 maps the resources of the country and other donors in the health sector with a focus on investment in health system strengthening2 and 7,d7 develops and implements a new or revised #e-year strategy for ,united ,states assistance1 based on the results of the assessment described in subparagraph 7,a71 to strengthen the country's health system that-- 7i7 provides a framework for implementing such strategy2 7ii7 identifies key areas for ,united ,states ,government investments to strengthen the health system in alignment with other donors2 7iii7 specifies the anticipated role of health programs undertaken by each of the relevant ,federal departments and agencies operating in the country in implementing such strategy2 and 7iv7 includes clear goals1 benchmarks1 outputs1 desired outcomes1 a means of measuring progress and a cost analysis4 7#c7 ,strategies to strengthen health systems ,,usaid missions in countries identified pursuant paragraph 7#a7 should develop a strategy to strengthen health systems based on the assessment developed pursuant to paragraph 7#b7 that-- 7,a7 ensures complementarity with priorities identified under any other action plan focused on strengthening a country's health system1 such as the ,world ,health ,organization's ,joint ,external ,evaluation and ,national ,action ,plans for ,health ,security2 7,b7 identifies bureaucratic barriers and inefficiencies1 including poor linkages between government ministries and between ministries and donor agencies and the extent of any corruption1 and identify actions to overcome such barriers2 7,c7 identifies potential obstacles to the implementation of the strategy1 such as issues relating to lack of political will or poor governance of an effective health system at all levels of the country's public health systems1 especially with respect to governing bodies and councils at the provincial1 district1 and community levels2 7,d7 includes proposals for mobilizing sufficient and durable financing for health systems2 7,e7 identifies barriers to building and retaining an effective frontline health workforce with key global health security capacities1 informed by the ,international ,health ,regulations 7#bjje71 including-- 7i7 strengthened data collection and analysis2 7ii7 data driven decisionmaking capacity2 and 7iii7 recommendations for partner country actions to achieve a workforce that conforms with the ,world ,health ,organization's recommendation for at least #dd4e doctors1 nurses1 and midwives for every #aj1jjj people2 7,f7 identifies deficiencies in information systems and communication technologies that prevent linkages at all levels of the health system delivery and medical supply systems and promotes interoperability across data systems with real time data1 while protecting data security2 7,g7 identifies weaknesses in supply chain and procurement systems and practices1 and recommends ways to improve the efficiency1 transparency1 and effectiveness of such systems and practices2 7,h7 identifies obstacles to health service access and quality and improved health outcomes for women and girls1 and for the poorest and most vulnerable1 including a lack of social support and other underlying causes1 and recommendations for how to overcome such obstacles2 7,i7 includes plans for integrating innovations in health technologies1 services1 and systems2 7,j7 identifies barriers to health literacy1 community engagement1 and patient empowerment1 and recommendations for overcoming such barriers2 7,k7 includes proposals for strengthening community health systems and the community-based health workforce informed by the ,world ,health ,organization guideline on health policy and system support to optimize community health worker programmes 7#bjah71 including the professionalization of community health workers2 and 7,l7 describes the role of the private sector and nongovernmental health providers1 including community groups engaged in health promotion and mutual assistance and other institutions engaged in health delivery1 including the extent to which the local population utilizes such health services4 7#d7 ,consultation ,in developing a strategy pursuant to paragraph 7#c71 each ,,usaid mission should consult with a wide variety of stakeholders1 including-- 7,a7 relevant partner government institutions2 7,b7 professional associations2 7,c7 patient groups2 7,d7 civil society organizations 7including international nongovernmental organizations with relevant expertise in program implementation72 and 7,e7 the private sector4 7d7 ,international efforts 7#a7 ,coordination ,the ,secretary of ,state1 in coordination with the ,administrator of ,,usaid1 should work with the ,global ,fund to ,fight ,,aids1 ,tuberculosis1 and ,malaria1 ,gavi1 the ,vaccine ,alliance1 bilateral donors1 and other relevant multilateral and international organizations and stakeholders to develop-- 7,a7 shared core indicators for strengthened health systems2 7,b7 agreements among donors that reporting requirements for health systems come from country systems to reduce the burden placed on partner countries2 7,c7 structures for joint assessments1 plans1 auditing1 and consultations2 and 7,d7 a regularized approach to coordination on health systems strengthening4 7e7 ,public private partnerships ,to improve health systems strengthening 7#a7 ,inclusion in country strategies ,the country strategies developed under subsection 7c77#c7 should include a section that-- 7,a7 discusses the role of the private sector 7including corporate1 local1 and international organizations with relevant expertise72 and 7,b7 identifies relevant opportunities for the private sector-- 7i7 to accelerate research and development of innovative health and information technology1 and to offer training related to its use2 7ii7 to contribute to improvements in health administration and management processes2 7iii7 to improve system efficiency2 7iv7 to develop training related to clinical practice guidelines2 and 7v7 to help countries develop systems for documenting outcomes and achievements related to activities undertaken to strengthen the health sector4 7f7 ,authorization for use of funds ,amounts authorized to be appropriated or otherwise made available to carry out section #ajd of the ,foreign ,assistance ,act of #aifa 7#bb ,u4,s4,c4 #baea;b7 may be made available to carry out this section4 #bjg4 ,additional authorities 7a7 ,foreign ,assistance ,act of #aifa ,chapter #a of part ,i of the ,foreign ,assistance ,act of #aifa 7#bb ,u4,s4,c4 #baea et seq47 is amended-- 7#a7 in section #ajd7;c77#a7 7#bb ,u4,s4,c4 #baea;b7c77#a771 by inserting 7emphasizing health systems strengthening1 as appropriate7 after health services2 7#b7 in section #ajd;,a 7#bb ,u4,s4,c4 #baea;b-#b7-- 7,a7 in subsection 7b77#c77;,d71 by striking including health care systems1 under other international donor support and inserting including through support for health systems strengthening1 under other donor support2 and 7,b7 in subsection 7f77#c77,q71 by inserting the ,office of the ,united ,states ,global ,,aids ,coordinator1 partner countries1 and the ,global ,fund to ,fight ,,aids1 ,tuberculosis1 and ,malaria to ensure that their actions support the activities taken to strengthen the overall health systems in recipient countries1 and efforts by after efforts by2 and 7#c7 in section #ajd;,b7g77#b7 7#bb ,u4,s4,c4 #baea;b-#c7;g77#b771 by inserting strengthening the health system of the country and after contribute to4 7b7 ,united ,states ,leadership against ,,hiv_/,,aids1 ,tuberculosis1 and ,malaria ,act of #bjjc ,section #bjd of the ,united ,states ,leadership ,against ,,hiv_/,,aids1 ,tuberculosis1 and ,malaria ,act of #bjjc 7#bb ,u4,s4,c4 #gfbc7 is amended-- 7#a7 in subsection 7a7-- 7,a7 in paragraph 7#a77;,a71 by inserting in a manner that is coordinated with1 and contributes to1 efforts through other assistance activities being carried out to strengthen national health systems and health policies after systems2 and 7,b7 in paragraph 7#b7-- 7i7 in subparagraph 7,c71 by inserting as part of a strategy to improve overall health before the semicolon at the end2 7ii7 in subparagraph 7,d71 by striking and at the end2 7iii7 in subparagraph 7,e71 by striking the period at the end and inserting 2 and2 and 7iv7 by adding at the end the following3 7,f7 to contribute to efforts that build health systems capable of preventing1 detecting and responding to ,,hiv_/,,aids1 tuberculosis1 malaria and other infectious diseases with pandemic potential4 2 and 7#b7 in subsection 7b71 by striking receive funding to carry out programs to combat ,,hiv_/,,aids1 tuberculosis1 and malaria and inserting more effectively budget for and receive funding to carry out programs to strengthen health systems such that countries are able to more effectively combat ,,hiv_/,,aids1 tuberculosis1 and malaria1 to prevent1 respond and detect other diseases with pandemic potential14 #bjh4 ,authorization for ,united ,states participation in the ,coalition for ,epidemic ,preparedness ,innovations 7a7 ,in general ,the ,united ,states is authorized to participate in the ,coalition for ,epidemic ,preparedness ,innovations 7referred to in this section as ,,cepi74 7b7 ,investors ,council and ,board of ,directors 7#a7 ,initial designation ,the ,president shall designate an employee of the ,united ,states ,agency for ,international ,development to serve on the ,investors ,council and1 if nominated1 on the ,board of ,directors of ,,cepi1 as a representative of the ,united ,states during the period beginning on the date of such designation and ending on ,september #cj1 #bjbb4 7#b7 ,ongoing designations ,the ,president may designate an employee of the relevant ,federal department or agency with fiduciary responsibility for ,united ,states contributions to ,,cepi to serve on the ,investors ,council and1 if nominated1 on the ,board of ,directors of ,,cepi1 as a representative of the ,united ,states4 7#c7 ,qualifications ,any employee designated pursuant to paragraph 7#a7 or 7#b7 shall have demonstrated knowledge and experience in the fields of development and public health1 epidemiology1 or medicine1 from the ,federal department or agency with primary fiduciary responsibility for ,united ,states contributions pursuant to subsection 7c74 7c7 ,consultation ,not later than #fj days after the date of the enactment of this ,act1 the employee designated pursuant to subsection 7b77#a7 shall consult with the appropriate congressional committees regarding-- 7#a7 the manner and extent to which the ,united ,states plans to participate in ,,cepi1 including through the governance of ,,cepi2 7#b7 any planned financial contributions from the ,united ,states to ,,cepi2 and 7#c7 how participation in ,,cepi is expected to support-- 7,a7 the ,united ,states ,global ,health ,security ,strategy required under this ,act2 7,b7 the applicable revision of the ,national ,biodefense ,strategy required under section #ajhf of the ,national ,defense ,authorization ,act for ,fiscal ,year #bjag 7#f ,u4,s4,c4 #ajd72 and 7,c7 any other relevant programs relating to global health security and biodefense4 7d7 ,united ,states contributions 7#a7 ,sense of congress ,it is the sense of ,congress that the ,president1 consistent with the provisions under section #ajjjc7;a77#a7 of the ,american ,rescue ,plan ,act of #bjba1 should make an immediate contribution to ,,cepi in the amount of #cjj1jjj1jjj1 to expand research and development of vaccines to combat the spread of ,,covid-#ai variants4 7#b7 ,notification ,not later than #ae days before a contribution is made available pursuant to paragraph 7#a71 the ,president shall notify the appropriate congressional committees of the details of the amount1 purposes1 and national interests served by such contribution4 #bji4 ,national intelligence estimate and briefing regarding novel diseases and pandemic threats 7a7 ,defined term ,in this section1 the term appropriate committees of ,congress means-- 7#a7 the ,committee on ,foreign ,relations of the ,senate2 7#b7 the ,select ,committee on ,intelligence of the ,senate2 7#c7 the ,committee on ,health1 ,education1 ,labor1 and ,pensions of the ,senate2 7#d7 the ,committee on ,foreign ,affairs of the ,house of ,representatives2 7#e7 the ,permanent ,select ,committee on ,intelligence of the ,house of ,representatives2 and 7#f7 the ,committee on ,energy and ,commerce of the ,house of ,representatives4 7b7 ,national ,intelligence ,estimates 7#a7 ,in general ,not later than #a year after the date of the enactment of this ,act1 and annually thereafter for the following #d years1 the ,national ,intelligence ,council shall submit to the appropriate committees of ,congress a ,national ,intelligence ,estimate regarding the risks posed to the national security interests of the ,united ,states by the emergence1 reemergence1 and overseas transmission of pathogens with pandemic potential4 7#b7 ,elements ,the ,national ,intelligence ,estimate submitted pursuant to paragraph 7#a7 shall-- 7,a7 identify the countries or regions most vulnerable to the emergence or reemergence of a pathogen with pandemic potential1 including the most likely sources and pathways of such emergence or reemergence1 whether naturally occurring1 accidental1 or deliberate2 7,b7 assess the likelihood that a pathogen described in subparagraph 7,a7 will spread to the ,united ,states1 the ,united ,states ,armed ,forces1 diplomatic or development personnel of the ,united ,states stationed abroad1 or citizens of the ,united ,states living abroad in a manner that could lead to an epidemic in the ,united ,states or otherwise affect the national security or economic prosperity of the ,united ,states2 7,c7 assess the preparedness of countries around the world1 particularly those identified pursuant to subparagraph 7,a71 to prevent1 detect1 and respond to pandemic threats2 and 7,d7 identify any scientific1 capacity1 or governance gaps in the preparedness of countries identified pursuant to subparagraph 7,a71 including an analysis of the capacity and performance of any country or entity described in subparagraph 7,c7 in complying with biosecurity standards1 as applicable4 7c7 ,congressional briefings ,the ,national ,intelligence ,council shall provide an annual briefing to the appropriate committees of ,congress regarding-- 7#a7 the most recent ,national ,intelligence ,estimate submitted pursuant to subsection 7b77#a72 and 7#b7 the emergence or reemergence of pathogens with pandemic potential that could lead to an epidemic described in subsection 7b77#b77;,b74 7d7 ,public availability ,the ,director of ,national ,intelligence shall make publicly available an unclassified version of each ,national ,intelligence ,estimate submitted pursuant to subsection 7b77#a74 #baj4 ,pandemic early warning network 7a7 ,in general ,the ,secretary of ,state1 in coordination with the ,administrator of the ,united ,states ,agency for ,international ,development1 the ,secretary of ,health and ,human ,services1 and the heads of the other relevant ,federal departments and agencies1 shall work with the ,world ,health ,organization and other key stakeholders to establish or strengthen effective early warning systems1 at the partner country1 regional1 and international levels1 that utilize innovative information and analytical tools and robust review processes to track1 document1 analyze1 and forecast infectious disease threats with epidemic and pandemic potential4 7b7 ,report ,not later than #a year after the date of the enactment of this ,act1 the ,secretary of ,state1 in coordination with the ,secretary of ,health and ,human ,services and the heads of the other relevant ,federal departments and agencies1 shall submit a report to the appropriate congressional committees that describes ,united ,states ,government efforts and opportunities to establish or strengthen effective early warning systems for infectious disease threats4 #baa4 ,international emergency operations 7a7 ,sense of ,congress ,it is the sense of ,congress that it is essential to enhance the capacity of key stakeholders to effectively operationalize early warning and execute multi-sectoral emergency operations during an infectious disease outbreak1 particularly in countries and areas that deliberately withhold critical global health data and delay access during an infectious disease outbreak in advance of the next infectious disease outbreak with pandemic potential4 7b7 ,public health emergencies of international concern ,the ,secretary of ,state1 in coordination with the ,secretary of ,health and ,human ,services1 should work with the ,world ,health ,organization and like-minded member states to adopt an approach toward assessing infectious disease threats under the ,international ,health ,regulations 7#bjje7 for the ,world ,health ,organization to identify and transparently communicate1 on an ongoing basis1 varying levels of risk leading up to a declaration by the ,director ,general of the ,world ,health ,organization of a ,public ,health ,emergency of ,international ,concern for the duration and in the aftermath of such declaration4 7c7 ,emergency operations ,the ,secretary of ,state1 in coordination with the ,united ,states ,agency for ,international ,development and other relevant ,federal departments and agencies and consistent with the requirements under the ,international ,health ,regulations 7#bjje7 and the objectives of the ,world ,health ,organization's ,health ,emergencies ,programme1 the ,global ,health ,security ,agenda1 and national actions plans for health security1 shall work1 in coordination with the ,world ,health ,organization1 with partner countries and other key stakeholders to support the establishment1 strengthening1 and rapid response capacity of global health emergency operations centers1 at the national and international levels1 including efforts-- 7#a7 to collect and share data1 assess risk1 and operationalize early warning2 7#b7 to secure1 including through utilization of stand-by arrangements and emergency funding mechanisms1 the staff1 systems1 and resources necessary to execute cross-sectoral emergency operations during the #dh-;hour period immediately following an infectious disease outbreak with pandemic potential2 and 7#c7 to organize and conduct emergency simulations4 ,,iii ,financing mechanism for global health security and pandemic prevention and preparedness #cja4 ,eligible partner country defined ,in this title1 the term eligible partner country means a country in which the ,fund for ,global ,health ,security and ,pandemic ,prevention and ,preparedness to be established under section #cjb may finance global health security and pandemic prevention and preparedness assistance programs under this ,act based on the country's demonstrated-- 7#a7 need1 as identified through the ,joint ,external ,evaluation process1 the ,global ,health ,security ,index classification of health systems1 national action plans for health security1 and other complementary or successor indicators of global health security and pandemic prevention and preparedness2 and 7#b7 commitment to transparency1 including-- 7,a7 budget and global health data transparency2 7,b7 complying with the ,international ,health ,regulations 7#bjje72 7,c7 investing in domestic health systems2 and 7,d7 achieving measurable results4 #cjb4 ,establishment of ,fund for ,global ,health ,security and ,pandemic ,prevention and ,preparedness 7a7 ,negotiations for establishment of ,fund for ,global ,health ,security and ,pandemic ,prevention and ,preparedness ,the ,secretary of ,state1 in coordination with the ,secretary of the ,treasury1 the ,administrator of the ,united ,states ,agency for ,international ,development1 the ,secretary of ,health and ,human ,services1 and the heads of other relevant ,federal departments and agencies1 as necessary and appropriate1 should seek to enter into negotiations with donors1 relevant ,united ,nations agencies1 including the ,world ,health ,organization1 and other key multilateral stakeholders1 to establish-- 7#a7 a multilateral1 catalytic financing mechanism for global health security and pandemic prevention and preparedness1 which may be known as the ,fund for ,global ,health ,security and ,pandemic ,prevention and ,preparedness 7in this title referred to as the ,fund71 to address the need for and secure durable financing in accordance with the provisions of this section2 and 7#b7 an ,advisory ,board to the ,fund in accordance with section #cje4 7b7 ,purposes ,the purposes of the ,fund should be-- 7#a7 to close critical gaps in global health security and pandemic prevention and preparedness2 and 7#b7 to build capacity in eligible partner countries in the areas of global health security1 infectious disease control1 and pandemic prevention and preparedness1 in a manner that-- 7,a7 prioritizes capacity building and financing availability in eligible partner countries2 7,b7 incentivizes countries to prioritize the use of domestic resources for global health security and pandemic prevention and preparedness2 7,c7 leverages government1 nongovernment1 and private sector investments2 7,d7 regularly responds to and evaluates progress based on clear metrics and benchmarks1 such as the ,joint ,external ,evaluation and the ,global ,health ,security ,index2 7,e7 aligns with and complements ongoing bilateral and multilateral efforts and financing1 including through the ,world ,bank1 the ,world ,health ,organization1 the ,global ,fund to ,fight ,,aids1 ,tuberculosis1 and ,malaria1 the ,coalition for ,epidemic ,preparedness and ,innovation1 and ,gavi1 the ,vaccine ,alliance2 and 7,f7 helps countries accelerate and achieve compliance with the ,international ,health ,regulations 7#bjje7 and the fulfillment of the ,global ,health ,security ,agenda #bjbd ,framework not later than #e years after the date on which the ,fund is established1 in coordination with the ongoing ,joint ,external ,evaluation national action planning process4 7c7 ,executive ,board 7#a7 ,in general ,the ,fund should be governed by a transparent and accountable body 7referred to in this title as the ,executive ,board71 which should be composed of not more than #bj representatives of donor governments1 foundations1 academic institutions1 civil society1 indigenous people1 and the private sector that meet a minimum threshold in annual contributions and agree to uphold transparency measures4 7#b7 ,duties ,the ,executive ,board should-- 7,a7 be charged with approving strategies1 operations1 and grant making authorities in order to conduct effective fiduciary1 monitoring1 and evaluation efforts1 and other oversight functions2 7,b7 be comprised only of contributors to the ,fund at not less than the minimum threshold to be established pursuant to paragraph 7#a72 7,c7 determine operational procedures such that the ,fund is able to effectively fulfill its mission2 7,d7 provide oversight and accountability for the ,fund in collaboration with the ,inspector ,general to be established pursuant to section #cjd7;e77#a77;,a72 and 7,e7 develop and utilize a mechanism to obtain formal input from partner countries relative to lessons learned with regard to program implementation4 7#c7 ,composition ,the ,executive ,board should include-- 7,a7 representatives of the governments of founding permanent member countries who1 in addition to the requirements under paragraph 7#a71 qualify based upon meeting an established initial contribution threshold1 which should be not less than #aj percent of total initial contributions1 and a demonstrated commitment to supporting the ,international ,health ,regulations 7#bjje72 7,b7 a geographically diverse group of term members who-- 7i7 come from academic institutions1 civil society1 including indigenous organizations1 and the private sector2 and 7ii7 are selected by the permanent members on the basis of their experience and commitment to innovation1 best practices1 and the advancement of global health security objectives2 7,c7 representatives of the ,world ,health ,organization2 7,d7 the chair of the ,global ,health ,security ,steering ,group2 and 7,e7 representatives from low- and middle-income countries that are or will be implementing a national pandemic prevention plan4 7#d7 ,qualifications ,individuals appointed to the ,executive ,board should have demonstrated knowledge and experience across a variety of sectors1 including human and animal health1 agriculture1 development1 defense1 finance1 research1 and academia4 7#e7 ,conflicts of interest 7,a7 ,technical experts ,the ,executive ,board may include independent technical experts who are not affiliated with1 or employed by1 a recipient country or organization4 7,b7 ,multilateral bodies and institutions ,executive ,board members appointed pursuant to paragraph 7#c77;,c7 should recuse themselves from matters presenting conflicts of interest1 including financing decisions relating to such bodies and institutions4 7#f7 ,united states representation 7,a7 ,founding permanent member ,the ,secretary of ,state should seek-- 7i7 to establish the ,united ,states as a founding permanent member of the ,fund2 and 7ii7 to ensure that the ,united ,states is represented on the ,executive ,board by an officer or employee of the ,united ,states1 who shall be appointed by the ,president4 7,b7 ,effective and termination dates 7i7 ,effective date ,this paragraph shall take effect upon the date on which the ,secretary of ,state certifies and submits 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#g7 ,removal procedures ,the ,fund should establish procedures for the removal of members of the ,executive ,board who-- 7,a7 engage in a consistent pattern of human rights abuses2 7,b7 fail to uphold global health data transparency requirements2 or 7,c7 otherwise violate the established standards of the ,fund1 including in relation to corruption4 #cjc4 ,authorities 7a7 ,program objectives 7#a7 ,in general ,in carrying out the purpose set forth in section #cjb1 the ,fund1 acting through the ,executive ,board1 should-- 7,a7 provide grants1 including challenge grants1 technical assistance1 concessional lending1 catalytic investment funds1 and other innovative funding mechanisms1 as appropriate-- 7i7 to help eligible partner countries close critical gaps in health security1 as identified through the ,joint ,external ,evaluation process1 the ,global ,health ,security ,index classification of health systems1 and national action plans for health security and other complementary or successor indicators of global health security and pandemic prevention and preparedness2 and 7ii7 to support measures that enable such countries1 at the national and subnational 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 threats1 including zoonotic spillover1 before they become pandemics2 and 7,b7 develop recommendations for a mechanism for assisting countries that are at high risk for zoonotic spillover events with pandemic potential to participate in the ,global ,health ,security ,agenda and the ,joint ,external ,evaluations4 7#b7 ,activities supported ,the activities to be supported by the ,fund should include efforts-- 7,a7 to enable eligible partner countries to formulate and implement national health security and pandemic prevention and preparedness action plans1 advance action packages under the ,global ,health ,security ,agenda1 and adopt and uphold commitments under the ,international ,health ,regulations 7#bjje7 and other related international health agreements and arrangements1 as appropriate2 7,b7 to support health security budget planning in eligible partner countries1 including training in public financial management and budget and health data transparency2 7,c7 to strengthen the health workforce1 including hiring1 training1 and deploying experts to improve frontline prevention of1 and monitoring and preparedness for1 unknown1 new1 emerging1 or reemerging pathogens1 epidemics1 and pandemic threats2 7,d7 to improve infection prevention and control and the protection of healthcare workers within healthcare settings2 7,e7 to combat the threat of antimicrobial resistance2 7,f7 to strengthen laboratory capacity and promote biosafety and biosecurity through the provision of material and technical assistance2 7,g7 to reduce the risk of bioterrorism1 zoonotic disease spillover1 and accidental biological release2 7,h7 to build technical capacity to manage health supply chains for commodities1 equipment1 and supplies1 including for personal protective equipment1 testing reagents1 and other lifesaving supplies1 through effective forecasting1 procurement1 warehousing1 and delivery from central warehouses to points of service in both the public and private sectors2 7,i7 to enable bilateral1 regional1 and international partnerships and cooperation1 including through pandemic early warning systems and emergency operations centers1 to identify and address transnational infectious disease threats exacerbated by natural and man-made disasters1 human displacement1 and zoonotic infection2 7,j7 to establish partnerships for the sharing of best practices and enabling eligible countries to meet targets and indicators under the ,joint ,external ,evaluation process1 the ,global ,health ,security ,index classification of health systems1 and national action plans for health security relating to the prevention1 detection1 and treatment of neglected tropical diseases2 7,k7 to build the technical capacity of eligible 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,l7 to develop and utilize metrics to monitor and evaluate programmatic performance and identify best practices1 including in accordance with ,joint ,external ,evaluation benchmarks1 ,global ,health ,security ,agenda targets1 and ,global ,health ,security ,index indicators2 7,m7 to develop and deploy mechanisms to enhance the transparency and accountability of global health security and pandemic prevention and preparedness programs and data1 in compliance with the ,international ,health ,regulations 7#bjje71 including through the sharing of trends1 risks1 and lessons learned2 7,n7 to develop and implement simulation exercises1 produce and release after action reports1 and address related gaps2 7,o7 to support countries in conducting ,joint ,external ,evaluations2 and 7,p7 to improve surveillance capacity in partner counties such that those countries are better able to detect and respond to known and unknown pathogens and zoonotic infectious diseases4 7#c7 ,implementation of program objectives ,in carrying out the objectives under paragraph 7#a71 the ,fund should 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 security and pandemic prevention and preparedness1 including-- 7,a7 governments1 civil society1 nongovernmental organizations1 research and academic institutions1 and private sector entities in eligible partner countries2 7,b7 the pandemic early warning systems and international emergency operations centers to be established under sections #baj and #baa2 7,c7 the ,world ,health ,organization2 7,d7 the ,global ,health ,security ,agenda2 7,e7 the ,global ,health ,security ,initiative2 7,f7 the ,global ,fund to ,fight ,,aids1 ,tuberculosis1 and ,malaria2 7,g7 the ,united ,nations ,office for the ,coordination of ,humanitarian ,affairs1 ,,unicef1 and other relevant funds1 programs1 and specialized agencies of the ,united ,nations2 7,h7 ,gavi1 the ,vaccine ,alliance2 7,i7 the ,coalition for ,epidemic ,preparedness ,innovations 7,,cepi72 and 7,j7 the ,global ,polio ,eradication ,initiative4 7b7 ,priority ,in providing assistance under this section1 the ,fund should give priority to low-and lower middle income countries with-- 7#a7 low scores on the ,global ,health ,security ,index classification of health systems2 7#b7 measurable gaps in global health security and pandemic prevention and preparedness identified under ,joint ,external ,evaluations and national action plans for health security2 7#c7 demonstrated political and financial commitment to pandemic prevention and preparedness2 and 7#d7 demonstrated commitment to upholding global health budget and data transparency and accountability standards1 complying with the ,international ,health ,regulations 7#bjje71 investing in domestic health systems1 and achieving measurable results4 7c7 ,eligible grant recipients ,governments and nongovernmental organizations should be eligible to receive grants as described in this section4 #cjd4 ,administration 7a7 ,appointment of ,administrator ,the ,executive ,board should appoint an ,administrator1 who should be responsible for managing the day-to-day operations of the ,fund4 7b7 ,authority ,to accept and solicit contributions ,the ,fund should be authorized to solicit and accept contributions from governments1 the private sector1 foundations1 individuals1 and nongovernmental entities4 7c7 ,accountability of funds and criteria for programs ,as part of the negotiations described in section #cjb7;a71 the ,secretary of the ,state1 consistent with subsection 7d71 shall-- 7#a7 take such actions as are necessary to ensure that the ,fund 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 ,executive ,board should establish-- 7#a7 eligible partner country selection criteria1 to include transparent metrics to measure and assess global health security and pandemic prevention and preparedness strengths and vulnerabilities in countries seeking assistance2 7#b7 minimum standards for ensuring eligible 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 seek to ensure that-- 7i7 the ,fund maintains an independent ,office of the ,inspector ,general2 and 7ii7 such 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 up to #aej percent of such loss4 7#b7 ,administrative expenses ,the ,secretary of ,state shall seek to 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 ,financial 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 an eligible 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 #cje4 ,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 a geographically diverse group of individuals that includes representation from low- and middle-income countries2 7#b7 individuals with experience and leadership in the fields of development1 global health1 epidemiology1 medicine1 biomedical research1 and social sciences2 and 7#c7 representatives of relevant ,united ,nations agencies1 including the ,world ,health ,organization1 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 ,executive ,board of the ,fund 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 7e7 ,conflicts of interest ,members of the ,advisory ,board should be required to disclose any potential conflicts of interest prior to serving on the ,advisory ,board and1 in the event of any conflicts of interest1 recuse themselves from such matters during their service on the ,advisory ,board4 #cjf4 ,reports to ,congress 7a7 ,status report ,not later than #ahj days after the date of the enactment of this ,act1 the ,secretary of ,state1 in coordination with the ,administrator of the ,united ,states ,agency for ,international ,development1 and the heads of other relevant ,federal departments and agencies1 shall submit a report to the appropriate congressional committees that describes the progress of international negotiations to establish the ,fund4 7b7 ,annual report 7#a7 ,in general ,not later than #a year after the date of the establishment of the ,fund1 and annually thereafter for the duration of the ,fund1 the ,secretary of ,state1 shall submit a report to the appropriate congressional committees regarding the administration of the ,fund4 7#b7 ,report elements ,the report required under paragraph 7#a7 shall describe-- 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 ,fund1 including baselines1 targets1 desired outcomes1 measurable goals1 and extent to which those goals are being achieved4 7c7 ,,gao report on effectiveness ,not later than #b years after the date on which the ,fund is established1 the ,comptroller ,general of the ,united ,states shall submit a report to the appropriate congressional committees that evaluates the effectiveness of the ,fund1 including the effectiveness of the programs1 projects1 and activities supported by the ,fund1 as described in section #cjc7;a74 #cjg4 ,united ,states contributions 7a7 ,in general ,subject to submission of the certification under this section1 the ,president is authorized to make available for ,united ,states contributions to the ,fund such funds as may be appropriated or otherwise made available for such purpose4 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 ,during the #e-year period beginning on the date of the enactment of this ,act1 a ,united ,states contribution to the ,fund may not cause the cumulative total of ,united ,states contributions to the ,fund 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 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 to the ,fund 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 ,during the #e-year period beginning on the date of the enactment of this ,act1 if 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 such fiscal year1 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 may withhold not more 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 the ,inspector ,general of the ,united ,states ,agency for ,international ,development1 and the ,comptroller ,general of the ,united ,states to the ,fund's financial data and other information relevant to ,united ,states contributions to the ,fund 7as determined by the ,inspector ,general of the ,department of ,state1 in consultation with the ,secretary of ,state74 #cjh4 ,compliance with the ,foreign ,aid ,transparency and ,accountability ,act of #bjaf ,section #b7c7 of the ,foreign ,aid ,transparency and ,accountability ,act of #bjaf 7,public ,law #aad-aia2 #bb ,u4,s4,c4 #bcid;c note7 is amended-- 7#a7 in subparagraph 7,d71 by striking and at the end2 7#b7 in subparagraph 7,e71 by striking the period at the end and inserting 2 and2 and 7#c7 by adding at the end the following3 7,f7 the ,international ,pandemic ,preparedness and ,,covid-#ai ,response ,act of #bjba4 4