,,ii #aag? ,,congress #a/ ,session ,s4 #bbig ,,9 ,,! ,,s5ate ,,( ,,! ,,unit$ ,,/ates ,june #bd1 #bjba,mr4 ,ris* 7= himself & ,mr4 ,m55dez7 introduc$ ! foll[+ bill2 :i* 0 read twice & ref]r$ to ! ,committee on ,=eign ,relations ,a ,,bill ,to improve global heal?1 & = o!r purposes4 #a4 ,%ort title2 table ( cont5ts 7a7 ,%ort title ,?is ,act may be cit$ z ! ,int]national ,p&emic ,prep>$ness & ,,covid-#ai ,response ,act ( #bjba4 7b7 ,table ( cont5ts ,! table ( cont5ts = ?is ,act is z foll[s3 ,sec4 #a4 ,%ort title2 table ( cont5ts4,sec4 #b4 ,def9itions4,sec4 #c4 ,purpose4,,title ,i--,enhanc+ ! ,unit$ ,/ates int]national response to ,,covid-#ai & future pandemics,sec4 #aja4 ,/atem5t ( policy reg>d+ int]national coop]ation to end ! ,,covid-#ai p&emic4,sec4 #ajb4 ,ov]sight ( ,unit$ ,/ates =eign assi/ance to end ! ,,covid-#ai p&emic4,sec4 #ajc4 ,unit$ ,/ates contributions to ! ,global ,fund to ,fight ,,aids1 ,tub]culosis1 & ,mal>ia ,,covid-#ai response me*anism4,sec4 #ajd4 ,global ,,covid-#ai vacc9e di/ribution & deliv]y4,sec4 #aje4 ,lev]ag+ ,unit$ ,/ates bilat]al global heal? programs = ! int]national ,,covid-#ai response4,sec4 #ajf4 ,report on humanit>ian response to ! ,,covid-#ai p&emic4,sec4 #ajg4 ,safegu>d+ democracy & human rights dur+ ! ,,covid-#ai p&emic4,sec4 #ajh4 ,public diplomacy & combat+ dis9=mation & mis9=mation ab\t ,,covid-#ai4,sec4 #aji4 ,f9d+s & s5se ( ,congress reg>d+ ! ,unit$ ,/ates ,int]national ,developm5t ,f9ance ,corporation4,sec4 #aaj4 ,s5se ( ,congress reg>d+ int]national coop]ation to prev5t & respond to future p&emics4,sec4 #aaa4 ,roles ( ! ,dep>tm5t ( ,/ate1 ! ,unit$ ,/ates ,ag5cy = ,int]national ,developm5t1 & ! ,c5t]s = ,disease ,control & ,prev5tion 9 p&emic response4,sec4 #aab4 ,,usaid disa/] surge capacity4,sec4 #aac4 ,/atem5t ( policy on humanit>ian assi/ance to c\ntries affect$ by p&emics4,,title ,,ii--,int]national p&emic prev5tion & preparedness,sec4 #bja4 ,p>tn] c\ntry def9$4,sec4 #bjb4 ,global heal? security /rategy & report4,sec4 #bjc4 ,committee on ,global ,heal? ,security & ,p&emic & ,biological ,?reats4,sec4 #bjd4 ,unit$ ,/ates ov]seas global heal? security & diplomacy coord9ation & /rategy4,sec4 #bje4 ,resili5ce4,sec4 #bjf4 ,/r5g!n+ heal? sy/ems4,sec4 #bjg4 ,additional au?orities4,sec4 #bjh4 ,au?orization = ,unit$ ,/ates p>ticipation 9 ! ,coalition = ,epidemic ,prep>$ness ,innovations4,sec4 #bji4 ,national intellig5ce e/imate & brief+ reg>d+ novel diseases & p&emic ?reats4,sec4 #baj4 ,p&emic e>ly w>n+ network4,sec4 #baa4 ,int]national em]g5cy op]ations4,,title ,,iii--,f9anc+ me*anism = global heal? security & p&emic prev5tion & preparedness,sec4 #cja4 ,eligible p>tn] c\ntry def9$4,sec4 #cjb4 ,e/abli%m5t ( ,fund = ,global ,heal? ,security & ,p&emic ,prev5tion & ,prep>$ness4,sec4 #cjc4 ,au?orities4,sec4 #cjd4 ,adm9i/ration4,sec4 #cje4 ,advisory ,bo>d4,sec4 #cjf4 ,reports to ,congress4,sec4 #cjg4 ,unit$ ,/ates contributions4,sec4 #cjh4 ,compliance ) ! ,=eign ,aid ,transp>5cy & ,acc\ntability ,act ( #bjaf4 #b4 ,def9itions ,9 ?is ,act3 7#a7 ,appropriate congressional committees ,! t]m appropriate congressional committees means-- 7,a7 ! ,committee on ,=eign ,relations ( ! ,s5ate2 7,b7 ! ,committee on ,appropriations ( ! ,s5ate2 7,c7 ! ,committee on ,=eign ,affairs ( ! ,h\se ( ,repres5tatives2 & 7,d7 ! ,committee on ,appropriations ( ! ,h\se ( ,repres5tatives4 7#b7 ,global heal? security ag5da2 ,,ghsa ,! t]ms ,global ,heal? ,security ,ag5da & ,,ghsa mean ! multi-sectoral initiative laun*$ 9 #bjad & r5ew$ 9 #bjag t br+s toge!r c\ntries1 regions1 int]national organizations1 nongov]nm5tal organizations1 & ! private sector to elevate global heal? security z a national-level priority1 to %>e be/ practices1 & to facilitate national capacity to comply ) & adh]e to-- 7,a7 ! ,int]national ,heal? ,regulations 7#bjje72 7,b7 ! ,_w ,organisation = ,animal ,heal? int]national /&>ds & guidel9es2 7,c7 ,unit$ ,nations ,security ,c\ncil ,resolution #aedj 7#bjjd72 7,d7 ! ,conv5tion on ! ,prohibition ( ! ,developm5t1 ,production & ,/ockpil+ ( ,bact]iological & ,tox9 ,weapons & on _! ,de/ruction1 done at ,wa%+ton1 ,london1 & ,mosc[1 ,april #aj1 #aigb 7commonly ref]r$ to z ! ,biological ,weapons ,conv5tion72 7,e7 ! ,global ,heal? ,security ,ag5da #bjbd ,framework2 & 7,f7 o!r relevant frameworks t contribute to global heal? security4 7#c7 ,global heal? security index ,! t]m ,global ,heal? ,security ,index means ! compreh5sive assessm5t & b5*m>k+ ( heal? security & relat$ capabilities across ! c\ntries t make up ! ,/ates ,p>ties to ! ,int]national ,heal? ,regulations 7#bjje74 7#d7 ,global heal? security initiative ,! t]m ,global ,heal? ,security ,initiative means ! in=mal network ( c\ntries & organizations t came toge!r 9 #bjja to und]take conc]t$ global action to /r5g!n public heal? prep>$ness & response to *emical1 biological1 radiological1 & nucle> ?reats1 z well z p&emic influ5za4 7#e7 ,jo9t ext]nal evaluation ,! t]m ,jo9t ,ext]nal ,evaluation means ! ,_w ,heal? ,organization-facilitat$1 volunt>y1 collaborative1 multi-sectoral process to assess c\ntry capacity to prev5t1 detect1 & rapidly respond to public heal? risks occurr+ naturally or due to delib]ate or accid5tal ev5ts1 assess progress 9 a*iev+ ! t>gets "u ! ,int]national ,heal? ,regulations 7#bjje71 & recomm5d priority actions4 7#f7 ,key /akehold]s ,! t]m key /akehold]s means actors engag$ 9 ef=ts to advance global heal? security programs & objectives1 includ+-- 7,a7 national & local gov]nm5ts 9 p>tn] c\ntries2 7,b7 o!r bilat]al donors2 7,c7 int]national1 regional1 & local organizations1 includ+ private1 volunt>y1 nongov]nm5tal1 & civil society organizations2 7,d7 int]national1 regional1 & local f9ancial in/itutions2 7,e7 repres5tatives ( hi/orically m>g9aliz$ gr\ps1 includ+ wom51 y\?1 & indig5\s peoples2 7,f7 ! private sector1 includ+ m$ical device1 te*nology1 ph>maceutical1 manufactur+1 logi/ics1 & o!r relevant companies2 & 7,g7 public & private rese>* & academic in/itutions4 7#g7 ,"o heal? approa* ,! t]m ,"o ,heal? approa* means ! collaborative1 multi-sectoral1 & transdiscipl9>y approa* t[>d a*iev+ optimal heal? outcomes 9 a mann] t recognizes ! int]connection betwe5 p1 animals1 plants1 & _! %>$ environm5t4 7#h7 ,relevant f$]al dep>tm5ts & ag5cies ,! t]m relevant ,f$]al dep>tm5ts & ag5cies means any ,f$]al dep>tm5t or ag5cy implem5t+ ,unit$ ,/ates policies & programs relevant to ! advancem5t ( ,unit$ ,/ates global heal? security & diplomacy ov]seas1 :i* may include-- 7,a7 ! ,dep>tm5t ( ,/ate2 7,b7 ! ,unit$ ,/ates ,ag5cy = ,int]national ,developm5t2 7,c7 ! ,dep>tm5t ( ,heal? & ,human ,s]vices2 7,d7 ! ,c5t]s = ,disease ,control & ,prev5tion2 7,e7 ! ,national ,in/itutes ( ,heal?2 7,f7 ! ,dep>tm5t ( ! ,treasury2 7,g7 ! ,dep>tm5t ( ,agriculture2 7,h7 ! ,dep>tm5t ( ,def5se2 7,i7 ! ,def5se ,?reat ,r$uction ,ag5cy2 7,j7 ! ,mill5nium ,*all5ge ,corporation2 7,k7 ! ,developm5t ,f9ance ,corporation2 7,l7 ! ,peace ,corps2 & 7,m7 any o!r dep>tm5t or ag5cy t ! ,presid5t det]m9es to be relevant = ^! purposes4 7#i7 ,resili5ce ,! t]m resili5ce means ! ability ( p1 h\seholds1 communities1 sy/ems1 in/itutions1 c\ntries1 & regions to r$uce1 mitigate1 )/&1 adapt to1 & quickly recov] f /resses & %ocks 9 a mann] t r$uces *ronic vuln]ability & facilitates inclusive gr[?4 #c4 ,purpose ,! purpose ( ?is ,act is to accel]ate & enhance ! ,unit$ ,/ates int]national response to p&emics1 includ+ ! ,,covid-#ai p&emic1 & to op]ationalize lessons le>n$ f curr5t & prior em]g5cy responses 9 a mann] t-- 7#a7 advances ! global heal? security & diplomacy objectives ( ! ,unit$ ,/ates2 7#b7 improves coord9ation among ! relevant ,f$]al dep>tm5ts & ag5cies implem5t+ ,unit$ ,/ates =eign assi/ance = global heal? security2 & 7#c7 m effectively enables p>tn] c\ntries to /r5g!n & su/a9 resili5t heal? sy/ems & supply *a9s ) ! res\rces1 capacity1 & p]sonnel requir$ to prev5t1 prep>e =1 detect1 & respond to infecti\s disease ?reats be=e !y become p&emics4 ,i ,enhanc+ ! ,unit$ ,/ates int]national response to ,,covid-#ai & future p&emics #aja4 ,/atem5t ( policy reg>d+ int]national coop]ation to end ! ,,covid-#ai p&emic ,x %all be ! policy ( ! ,unit$ ,/ates to lead & implem5t a compreh5sive & coord9at$ int]national response to end ! ,,covid-#ai p&emic 9 a mann] t recognizes ! critical role t multilat]al & regional organizations c & %\ld play 9 p&emic response1 includ+ by-- 7#a7 seek+ adoption ( a ,unit$ ,nations ,security ,c\ncil resolution t-- 7,a7 decl>es p&emics1 includ+ ! ,,covid-#ai p&emic1 to be a ?reat to int]national peace & security2 & 7,b7 urges memb] /ates to address ?is ?reat by align+ _! heal? prep>$ness plans ) int]national be/ practices & ^? e/abli%$ by ! ,global ,heal? ,security ,ag5da to improve c\ntry capacity to prev5t1 detect1 & respond to infecti\s disease ?reats2 7#b7 advanc+ ef=ts to re=m ! ,_w ,heal? ,organization s t x s]ves z an effective normative & capable coord9at+ body emp[]$ to align memb] c\ntries ar\nd a s+le /rategic op]at+ plan to detect1 conta91 treat1 & det] ! fur!r spread ( ,,covid-#ai2 7#c7 provid+ timely1 appropriate levels ( f9ancial support to ,unit$ ,nations ag5cies respond+ to ! ,,covid-#ai p&emic2 7#d7 prioritiz+ ,unit$ ,/ates =eign assi/ance = ! ,,covid-#ai response 9 ! mo/ vuln]able c\ntries & regions2 7#e7 enc\rag+ o!r donor gov]nm5ts to simil>ly increase contributions to ! ,unit$ ,nations ag5cies respond+ to ! ,,covid-#ai p&emic 9 ! _w's poore/ & mo/ vuln]able c\ntries2 7#f7 work+ ) key /akehold]s to accel]ate progress t[>d meet+ & exce$+1 z practicable1 ! global ,,covid-#ai vacc9ation goals jo9tly propos$ by ! ,int]national ,monet>y ,fund1 ! ,_w ,heal? ,organization1 ! ,_w ,bank1 & ! ,_w ,trade ,organization1 :]eby-- 7,a7 at lea/ #dj p]c5t ( ! population 9 all c\ntries is vacc9at$ by ! end ( #bjba2 & 7,b7 at lea/ #fj p]c5t ( ! population 9 all c\ntries is vacc9at$ by ! fir/ half ( #bjbb2 7#g7 engag+ ) key /akehold]s1 includ+ ?r\gh multilat]al facilities su* z ! ,,covid-#ai ,vacc9es ,global ,access initiative 7ref]r$ to 9 ?is title z ,,covax7 & ! ,access to ,,covid-#ai ,tools 7,,act7 ,accel]ator initiative1 & exp&+ bilat]al ef=ts1 includ+ ?r\gh ! ,int]national ,developm5t ,f9ance ,corporation1 to accel]ate ! developm5t1 manufactur+1 local production1 & effici5t & equitable di/ribution (-- 7,a7 vacc9es & relat$ raw mat]ials to meet or exce$ ! vacc9ation goals "u p>agraph 7#f72 & 7,b7 global heal? commodities1 includ+ p]sonal protective equipm5t1 te/ kits1 m$ic9es & !rapeutics1 & o!r ess5tial supplies to combat ,,covid-#ai2 7#h7 support+ global ,,covid-#ai vacc9e di/ribution /rategies t /r5g!n und]ly+ heal? sy/ems & ensure t p liv+ 9 vuln]able & m>g9aliz$ communities1 includ+ wom51 d n face undue b>ri]s to vacc9ation2 7#i7 work+ ) key /akehold]s1 includ+ ?r\gh ! ,_w ,bank ,gr\p1 ! ,int]national ,monet>y ,fund1 ! ,_w ,trade ,organization1 ! ,int]national ,f9ance ,corporation1 & o!r relevant regional & bilat]al f9ancial in/itutions1 to address ! economic & f9ancial implications ( ! ,,covid-#ai p&emic1 :ile tak+ into acc\nt ! diff]5tiat$ ne$s ( disproportionately affect$1 vuln]able1 & m>g9aliz$ populations2 7#aj7 e/abli%+ cle> timel9es1 b5*m>ks1 & goals = ,,covid-#ai response /rategies & activities "u ?is section2 & 7#aa7 g5]at+ commitm5ts ( res\rces 9 support ( ! goals ref]r$ to 9 p>agraph 7#aj74 #ajb4 ,ov]sight ( ,unit$ ,/ates =eign assi/ance to end ! ,,covid-#ai p&emic 7a7 ,report+ requirem5ts ,n lat] ?an #fj days aft] ! date ( ! enactm5t ( ?is ,act1 ! ,secret>y ( ,/ate & ! ,adm9i/rator = ! ,unit$ ,/ates ,ag5cy = ,int]national ,developm5t %all jo9tly submit to ! appropriate congressional committees-- 7#a7 an unclassifi$ report conta9+ a description ( funds already obligat$ & exp5d$ "u title ,x ( ! ,am]ican ,rescue ,plan ,act ( #bjba 7,public ,law #aag-b72 & 7#b7 a plan t describes ! objectives & timel9e = ! obligation & exp5diture ( all rema9+ funds appropriat$ "u ! ,am]ican ,rescue ,plan ,act ( #bjba1 :i* %all be submitt$ 9 an unclassifi$ =m1 & %\ld include a description ( /eps tak5 pursuant to ea* objective specifi$ 9 ! plan4 7b7 ,congressional consultation ,n less frequ5tly ?an once e #fj days1 until ! completion or t]m9ation ( ! implem5tation plan requir$ "u subsection 7a77#b71 & ^u ! reque/ f "o or m ( ! appropriate congressional committees1 ! ,secret>y ( ,/ate & ! ,adm9i/rator = ! ,unit$ ,/ates ,ag5cy = ,int]national ,developm5t %all provide a brief+ to ! appropriate congressional committees reg>d+ ! report requir$ "u subsection 7a77#a7 & ! /atus ( ! implem5tation ( ! plan requir$ "u subsection 7a77#b74 7c7 ,br&+ ,9 provid+ assi/ance "u ?is title1 ! ,secret>y ( ,/ate & ! ,adm9i/rator ( ! ,unit$ ,/ates ,ag5cy = ,int]national ,developm5t1 ) due consid]ation = ! safety & security ( implem5t+ p>tn]s & b5efici>ies1 & pursuant to curr5t br&+ & m>k+ regulations & proc$ures %all prescribe ! use ( logos or o!r insignia1 :i* may include ! flag ( ! ,unit$ ,/ates1 to appropriately id5tify su* assi/ance z be+ f ! p ( ! ,unit$ ,/ates4 #ajc4 ,unit$ ,/ates contributions to ! ,global ,fund to ,fight ,,aids1 ,tub]culosis1 & ,mal>ia ,,covid-#ai response me*anism 7a7 ,unit$ ,/ates contributions to ! ,global ,fund ,to ,fight ,,aids1 ,tub]culosis1 & ,mal>ia ,,covid-#ai response me*anism ,unit$ ,/ates contributions to ! ,global ,fund to ,fight ,,aids1 ,tub]culosis1 & ,mal>ia ,,covid-#ai ,response ,me*anism "u section #ajjjc7;a77#b7 ( ! ,am]ican ,rescue ,plan ,act ( #bjba 7,public ,law #ajg-b7-- 7#a7 %all be mean+fully lev]ag$ 9 a mann] t inc5tivizes o!r public & private donor contributions2 & 7#b7 %all be subject to ! report+ & )hold+ requirem5ts "u subsections 7c71 7d77#d77;,a77ii71 7d77#d77;,c71 7d77#e71 7d77#f71 7f71 & 7g7 ( section #bjb ( ! ,unit$ ,/ates ,lead]%ip ,aga9/ ,,hiv_/,,aids1 ,tub]culosis1 & ,mal>ia ,act ( #bjjc 7#bb ,u4,s4,c4 #gfbb74 #ajd4 ,global ,,covid-#ai vacc9e di/ribution & deliv]y 7a7 ,accel]at+ global vacc9e di/ribution /rategy ,! ,secret>y ( ,/ate1 9 consultation ) ! ,secret>y ( ,heal? & ,human ,s]vices1 ! ,adm9i/rator ( ! ,unit$ ,/ates ,ag5cy = ,int]national ,developm5t1 ! ,*ief ,executive ,(fic] ( ! ,unit$ ,/ates ,int]national ,developm5t ,f9ance ,corporation1 & ! heads ( o!r relevant ,f$]al dep>tm5ts & ag5cies1 z det]m9$ by ! ,presid5t1 %all develop a /rategy to exp& access to1 & accel]ate ! global di/ribution (1 ,,covid-#ai vacc9es to o!r c\ntries1 :i* %all-- 7#a7 id5tify ! c\ntries t h ! highe/ infection & dea? rates due to ,,covid-#ai1 ! l[e/ ,,covid-#ai vacc9ation rates1 & face ! mo/ difficult1 political1 logi/ical1 & f9ancial *all5ges to obta9+ & deliv]+ ,,covid-#ai vacc9es1 & describe ! basis & metrics us$ to make su* det]m9ations2 7#b7 id5tify :i* c\ntries & regions w be prioritiz$ & t>get$ = ,,covid-#ai vacc9e deliv]y1 & ! rationale = su* prioritization2 7#c7 describe ef=ts t ! ,unit$ ,/ates is mak+ to increase ,,covid-#ai vacc9e manufactur+ capacity1 includ+ ?r\gh ! provision ( developm5t f9ance1 & e/imate :51 h[ _m1 & :i* types ( vacc9es w be provid$ by ! ,unit$ ,/ates ,gov]nm5t bilat]ally & ?r\gh ,,covax2 7#d7 describe ef=ts to enc\rage int]national p>tn]s to take actions simil> to ! ef=ts ref]r$ to 9 p>agraph 7#c72 7#e7 describe h[ ! ,unit$ ,/ates ,gov]nm5t w ensure effici5t deliv]y ( ,,covid-#ai vacc9es to int5d$ recipi5ts1 includ+ ,unit$ ,/ates citiz5s resid+ ov]seas1 & id5tify complem5t>y ,unit$ ,/ates =eign assi/ance t w facilitate vacc9e read9ess1 di/ribution1 deliv]y1 monitor+1 & adm9i/ration activities2 7#f7 describe ! roles1 responsibilities1 tasks1 &1 z appropriate1 ! au?orities ( ! ,secret>y ( ,/ate1 ! ,adm9i/rator ( ! ,unit$ ,/ates ,ag5cy = ,int]national ,developm5t1 ! ,secret>y ( ,heal? & ,human ,s]vices1 ! ,*ief ,executive ,(fic] ( ! ,unit$ ,/ates ,int]national ,developm5t ,f9ance ,corporation1 & ! heads ( o!r relevant ,f$]al dep>tm5ts & ag5cies ) respect to ! implem5tation ( su* /rategy2 & 7#g7 summ>ize ! ,unit$ ,/ates public diplomacy /rategies = br&+ & address+ vacc9e mis9=mation & hesitancy4 7b7 ,submission ( /rategy ,n lat] ?an #ij days aft] ! date ( ! enactm5t ( ?is ,act1 ! ,secret>y ( ,/ate %all submit ! /rategy describ$ 9 subsection 7a7 to ! appropriate congressional committees4 #aje4 ,lev]ag+ ,unit$ ,/ates bilat]al global heal? programs = ! int]national ,,covid-#ai response 7a7 ,au?orization = lev]ag+ bilat]al program activities ,am\nts au?oriz$ to be appropriat$ or o!rwise made available to c>ry out section #ajd ( ! ,=eign ,assi/ance ,act 7#bb ,u4,s4,c4 #baea;b7 may be us$ 9 c\ntries receiv+ ,unit$ ,/ates =eign assi/ance-- 7#a7 to combat ! ,,covid-#ai p&emic1 includ+ ?r\gh ! %>+ ( ,,covid-#ai vacc9es2 & 7#b7 to support relat$ activities1 includ+-- 7,a7 /r5g!n+ vacc9e read9ess2 7,b7 r$uc+ vacc9e hesitancy & mis9=mation2 7,c7 deliv]+ & adm9i/]+ ,,covid-#ai vacc9es2 7,d7 /r5g!n+ heal? sy/ems & supply *a9s2 7,e7 support+ heal? c>e work=ce plann+1 tra9+1 & managem5t2 7,f7 enhanc+ transp>5cy1 quality1 & reliability ( heal? data2 7,g7 increas+ bidirectional te/+2 & 7,h7 build+ lab capacity4 7b7 ,adju/m5t ( t>gets & goals ,! ,secret>y ( ,/ate1 9 coord9ation ) ! heads ( o!r relevant ,f$]al dep>tm5ts & ag5cies1 %all submit an annual report to ! appropriate congressional committees t id5tifies-- 7#a7 any adju/m5ts to orig9al program t>gets & goals t result f ! use ( funds = ! purposes au?oriz$ "u subsection 7a72 & 7#b7 ! am\nts ne$$ 9 ! foll[+ fiscal ye> to meet ! orig9al program goals4 #ajf4 ,report on humanit>ian response to ! ,,covid-#ai p&emic 7a7 ,9 g5]al ,n lat] ?an #abj days aft] ! date ( ! enactm5t ( ?is ,act1 ! ,secret>y ( ,/ate1 9 consultation ) ! ,adm9i/rator ( ! ,unit$ ,/ates ,ag5cy = ,int]national ,developm5t & ! ,secret>y ( ,heal? & ,human ,s]vices1 %all submit a report to ! appropriate congressional committees t-- 7#a7 assesses ! global humanit>ian response to ,,covid-#ai2 & 7#b7 outl9es specific elem5ts ( ! ,unit$ ,/ates ,gov]nm5t's c\ntry-level response to ! ,,covid-#ai p&emic4 7b7 ,elem5ts ,! report requir$ "u subsection 7a7 %all include-- 7#a7 = c\ntries receiv+ ,unit$ ,/ates assi/ance1 a description ( humanit>ian & heal?-work] access to crisis-affect$ areas1 includ+-- 7,a7 legal & bureaucratic re/rictions on ! entry ( humanit>ian work]s f abroad1 to include visa au?orizations t d n all[ adequate "t = humanit>ian work]s to qu>ant9e ^u arrival 9-l9e ) ho/ c\ntry regulations1 conduct ne$s assessm5ts1 & subsequ5tly implem5t multilat]al & ,unit$ ,/ates-fund$ programm+ 9 an effici5t1 effective1 & unre/rict$ mann]2 7,b7 re/rictions on travel by humanit>ian work]s )9 su* c\ntry to rea* ! areas ( op]ation :]e vuln]able & m>g9aliz$ populations reside2 7,c7 access to m$ical evacuation 9 ! ev5t ( a heal? em]g5cy2 7,d7 access to p]sonal protective equipm5t = ,unit$ ,/ates ,gov]nm5t implem5t+ p>tn]s2 & 7,e7 ef=ts to support access to ,,covid-#ai vacc9es = humanit>ian & heal?-work]s & crisis-affect$ communities2 7#b7 an analysis & description ( c\ntries 7reg>dless ( :e!r su* c\ntries h receiv$ direct ,unit$ ,/ates assi/ance7 t h expressly prev5t$ vuln]able populations f access+ necess>y assi/ance relat$ to ,,covid-#ai1 includ+-- 7,a7 ! omission ( vuln]able populations f national response plans2 7,b7 laws1 policies1 or practices t re/rict or preclude treatm5t ( vuln]able populations at public hospitals & heal? facilities2 & 7,c7 exclusion (1 or discrim9ation aga9/1 vuln]able populations 9 law1 policy1 or practice t prev5ts equal access to food1 %elt]1 & o!r basic assi/ance2 7#c7 a description ( ,unit$ ,/ates ,gov]nm5t ef=ts to facilitate great] humanit>ian access1 includ+-- 7,a7 advocacy & diplomatic ef=ts ) relevant =eign gov]nm5ts & multilat]al in/itutions to ensure t vuln]able & m>g9aliz$ populations are includ$ 9 national response plans & o!r relevant plans develop$ 9 response to ! ,,covid-#ai p&emic2 & 7,b7 advocacy & diplomatic ef=ts ) relevant =eign gov]nm5ts to ensure t appropriate visas1 "w p]mits1 & dome/ic travel exemptions are issu$ = humanit>ian & heal? work]s respond+ to ! ,,covid-#ai p&emic2 & 7#d7 a description ( ,unit$ ,/ates ,gov]nm5t plans & ef=ts to address ! second-ord] impacts ( ! ,,covid-#ai p&emic & an assessm5t ( ! res\rces requir$ to implem5t su* plans1 includ+ ef=ts to address-- 7,a7 fam9e & acute food insecurity2 7,b7 g5d]-bas$ viol5ce2 7,c7 m5tal heal? & psy*osocial support ne$s2 7,d7 *ild protection ne$s2 7,e7 heal?1 education1 & livelihoods2 7,f7 %elt]2 & 7,g7 attempts to close civil society space1 includ+ ?r\gh bureaucratic1 adm9i/rative1 & heal? or security relat$ imp$im5ts4 #ajg4 ,safegu>d+ democracy & human rights dur+ ! ,,covid-#ai p&emic 7a7 ,s5se ( ,congress ,x is ! s5se ( ,congress t-- 7#a7 gov]nm5ts may be requir$ to take appropriate extraord9>y measures dur+ public heal? em]g5cies to halt ! spread ( disease1 includ+ clos+ bus9esses & public ev5ts1 limit+ access to public spaces1 & re/rict+ ! movem5t ( p2 7#b7 c]ta9 =eign gov]nm5ts h tak5 measures 9 response to ,,covid-#ai t violate ! human rights ( _! citiz5s )\t cle> public heal? ju/ification1 ov]sight measures1 or sunset provisions2 7#c7 gov]nm5ts us+ ! ,,covid-#ai p&emic z a pretext = repression h und]m9$ democratic in/itutions1 debilitat$ in/itutions = transp>5cy & public integrity1 qua%$ legitimate diss5t1 & attack$ j\rnali/s1 civil society organizations1 activi/s1 indep5d5t voices1 & vuln]able & m>g9aliz$ populations1 includ+ refugees & migrants1 ) f>-rea*+ consequ5ces t w ext5d beyond ! curr5t crisis2 7#d7 ,,covid-#ai ?reat5s to roll back decades ( progress = wom5 & girls1 disproportionately affect+ wom5 economically1 educationally1 & ) respect to heal?1 :ile also lead+ to al>m+ rises 9 g5d] bas$ viol5ce2 & 7#e7 dur+ & aft] ! p&emic1 ! ,dep>tm5t ( ,/ate & ! ,unit$ ,/ates ,ag5cy = ,int]national ,developm5t %\ld directly1 & ?r\gh nongov]nm5tal organizations or int]national organizations1 provide assi/ance & implem5t programs t support democratic in/itutions1 civil society1 free m$ia1 & ! advancem5t ( int]nationally recogniz$ human rights4 7b7 ,fund+ = civil society & human rights def5d]s 7#a7 ,program priorities ,am\nts made available = ea* ( ! fiscal ye>s #bjbb ?r\gh #bjbf to c>ry out ! purposes ( sections #aja & #ajb ( ! ,=eign ,assi/ance ,act ( #aifa 7#bb ,u4,s4,c4 #baea & #baea-a71 includ+ programs to support democratic in/itutions1 human rights def5d]s1 civil society1 & fre$om ( ! press1 %\ld be t>get$1 to ! ext5t feasible1 t[>d civil society organizations 9 c\ntries 9 :i* em]g5cy gov]nm5t measures tak5 9 response to ! ,,covid-#ai p&emic h violat$ int]nationally recogniz$ human rights4 7#b7 ,eligible organizations ,civil society organizations op]at+ 9 c\ntries 9 :i* em]g5cy gov]nm5t measures tak5 9 response to ! ,,covid-#ai p&emic violat$ int]nationally recogniz$ human rights %all be eligible to receive funds made available to c>ry out ! purposes ( sections #aja & #ajb ( ! ,=eign ,assi/ance ,act ( #aifa = ea* ( ! fiscal ye>s #bjbb ?r\gh #bjbf1 =-- 7,a7 programs design$ to /r5g!n & support civil society1 human rights def5d]s1 fre$om ( association1 & ! fre$om ( ! press2 7,b7 programs to re/ore democratic in/itutions2 & 7,c7 peacebuild+ & conflict prev5tion to address ! impacts ( ,,covid-#ai on social cohesion1 public tru/1 & conflict dynamics by adapt+ exi/+ programs or inve/+ 9 new ones4 7#c7 ,f9al report ,n lat] ?an #ahj days aft] ! date ( ! enactm5t ( ?is ,act1 ! ,secret>y ( ,/ate %all submit a report to ! appropriate congressional committees t-- 7,a7 li/s ! c\ntries ^: em]g5cy measures limit+ int]nationally recogniz$ human rights 9 a mann] inconsi/5t ) ! pr9ciples ( limitation & d]ogation rema9 9 place2 7,b7 describes su* c\ntries' em]g5cy measures1 includ+-- 7i7 h[ su* proc$ures violate int]nationally recogniz$ human rights2 & 7ii7 an analysis ( ! impact ( su* measures on access to heal? & ef=ts to control ! ,,covid-#ai p&emic )9 ! c\ntry2 7,c7 describes-- 7i7 security & intellig5ce surveillance measures implem5t$ by c\ntries dur+ ! ,,covid-#ai p&emic2 7ii7 ! ext5t to :i* su* measures h be51 or h n be51 roll$ back2 & 7iii7 :e!r & h[ su* measures impact int]nationally recogniz$ human rights2 & 7,d7 includes a /rategic plan by ! ,dep>tm5t ( ,/ate & ! ,unit$ ,/ates ,ag5cy = ,int]national ,developm5t t addresses1 ?r\gh multilat]al & bilat]al diplomacy & =eign assi/ance1 ! p]si/5t issues relat$ to ! re/riction ( int]nationally recogniz$ human rights 9 ! ,,covid-#ai response4 #ajh4 ,public diplomacy & combat+ dis9=mation & mis9=mation ab\t ,,covid-#ai 7a7 ,unit$ ,/ates ,ag5cy = ,global ,m$ia 7#a7 ,f9d+ ,congress f9ds t ! ,unit$ ,/ates ,ag5cy = ,global ,m$ia 7ref]r$ to 9 ?is section z ,,usagm7 broadca/+ entities & grantees h prov5 valuable 9 provid+ timely & accurate in=mation1 p>ticul>ly 9 c\ntries 9 :i* ! free press is "u ?reat4 7#b7 ,s5se ( congress ,x is ! s5se ( ,congress t-- 7,a7 accurate1 inve/igative1 & sci5tific j\rnalism is critical = societies to effectively combat global heal? ?reats2 & 7,b7 ,congress supports-- 7i7 accurate & objective inve/igative & sci5tific report+ by ,,usagm networks & grantees reg>d+ ,,covid-#ai2 & 7ii7 plat=ms t help dispel & combat mis9=mation ab\t ! ,,covid-#ai p&emic4 7#c7 ,voice ( am]ica ,x is ! s5se ( ,congress t am\nts au?oriz$ to be appropriat$ or o!rwise made available to ,voice ( ,am]ica %\ld be us$-- 7,a7 to exp& programs su* z ,,polygraph4info2 7,b7 to provide critical tools = combat+ propag&a associat$ ) ,,covid-#ai2 & 7,c7 to assi/ j\rnali/s 9 provid+ accurate in=mation to local m$ia outlets4 7#d7 ,(fice ( cuba broadca/+ ,x is ! s5se ( ,congress t ,radio ,televisin ,m>t & ,digital ,m>t %\ld cont9ue to broadca/ programs t detect1 highlight1 & dispel dis9=mation4 7#e7 ,radio free europe_/radio lib]ty 7,a7 ,f9d+ ,congress f9ds t ,radio ,free ,europe_/,radio ,lib]ty 7ref]r$ to 9 ?is section z ,,rfe_/,,rl7 op]ate 9 m$ia m>kets 9 :i* au?orit>ian /ate & non/ate actors1 includ+ ,russia1 heavily inve/ 9 mis9=mation & dis9=mation campaigns design$ to promote confusion & mi/ru/4 7,b7 ,s5se ( congress ,x is ! s5se ( ,congress t ,,rfe_/,,rl %\ld-- 7i7 increase inve/igative report+ reg>d+ ! impacts ( ,,covid-#ai1 ! political & social responses gov]nm5ts are tak+ 9 response to ,,covid-#ai1 & ! la/+ impacts su* actions w h on key political fre$oms2 & 7ii7 exp& its digital fir/ /rategy4 7#f7 ,radio free asia 7,a7 ,f9d+ ,congress f9ds t ,radio ,free ,asia 7,,rfa7 op]ates 9 a m$ia m>ket dom9at$ by p[]ful /ate-run m$ia t h inve/$ heavily 9 m$ia di/ortion & dis9=mation1 includ+ ab\t ,,covid-#ai4 7,b7 ,s5se ( congress ,x is ! s5se ( ,congress t ,,rfa %\ld-- 7i7 commission te*nical exp]ts to bol/] ef=ts to c\nt] social m$ia tools1 includ+ bots us$ by "s c\ntries to promote mis9=mation2 7ii7 exp& digital programm+ & local cov]age to expose ,*9a's m$ia manipulation te*niques2 & 7iii7 increase ,engli% language cont5t to help c\nt] ,*9a's propag&a direct$ t[>d ,engli%-speak+ audi5ces4 7#g7 ,middle ea/ broadca/+ networks 7,a7 ,f9d+ ,congress f9ds t ! ,middle ,ea/ ,broadca/+ ,networks op]ate l>gely 9 clos$ m$ia m>kets 9 :i* malign /ate & non/ate actors rema9 active4 7,b7 ,s5se ( congress ,x is ! s5se ( ,congress t ! ,middle ,ea/ ,broadca/+ ,networks %\ld-- 7i7 cont9ue plans to exp& an inve/igative news unit2 & 7ii7 "w to ensure t report+ cont9ues amid/ op]ational *all5ges on ! gr\nd4 7#h7 ,op5 te*nology fund 7,a7 ,f9d+ ,congress f9ds t ! ,op5 ,te*nology ,fund works to advance int]net fre$om 9 repressive environm5ts by support+ te*nologies t-- 7i7 provide secure & unc5sor$ access to ,,usagm's cont5t & ! broad] int]net2 & 7ii7 c\nt] attempts by au?orit>ian gov]nm5ts to control ! int]net & re/rict fre$om onl9e4 7,b7 ,s5se ( congress ,x is ! s5se ( ,congress t ! ,op5 ,te*nology ,fund %\ld-- 7i7 support a broad range ( te*nologies to respond to increas+ly aggressive & sophi/icat$ c5sor%ip & surveillance ?reats & provide m compreh5sive & tailor$ support to ,,usagm's networks2 & 7ii7 provide direct assi/ance to ,,usagm's networks to improve ! digital security ( report+ op]ations & j\rnali/s4 7b7 ,dep>tm5t ( /ate public diplomacy programs 7#a7 ,f9d+s ,congress f9ds ! foll[+3 7,a7 ,! ,dep>tm5t ( ,/ate's public diplomacy programs build global networks t c address %>$ *all5ges1 su* z ! ,,covid-#ai p&emic1 includ+ ?r\gh ex*anges ( rese>*]s1 public heal? exp]ts1 & sci5ti/s4 7,b7 ,! programs ref]r$ to 9 subp>agraph 7,a7 play a critical role 9 creat+ op5 & resili5t in=mation environm5ts :]e democracies c ?rive1 z articulat$ 9 ! #bjbj ,public ,diplomacy ,/rategic ,plan1 includ+ by-- 7i7 improv+ m$ia quality ) j\rnali/ tra9+ & report+ t\rs2 7ii7 conduct+ m$ia lit]acy programs2 & 7iii7 support+ m$ia access activities4 7,c7 ,! ,int]national ,visitor ,lead]%ip ,program & ,digital ,communications ,network engag$ j\rnali/s ar\nd ! _w to combat ,,covid-#ai dis9=mation1 promote unbias$ report+1 & /r5g!n m$ia lit]acy4 7,d7 ,m ?an #ab1jjj physicians hold+ ,j-#a visas f #acj c\ntries-- 7i7 are engag$ 9 resid5cy or fell[%ip tra9+ at approximately #gej hospitals ?r\gh\t ! ,unit$ ,/ates1 ! majority ( :om are s]v+ 9 ,/ates t h be5 ! h>de/ hit by ,,covid-#ai2 & 7ii7 ?r\gh\t ! p&emic1 h s]v$ on ! front l9es ( ! m$ical work=ce & 9 ,unit$ ,/ates univ]sity labs rese>*+ ways to detect & treat ! virus4 7#b7 ,visa process+ brief+ ,n lat] ?an #cj days aft] ! date ( ! enactm5t ( ?is ,act1 ! ,assi/ant ,secret>y = ,consul> ,affairs %all brief ! appropriate congressional committees by provid+-- 7,a7 a timel9e = increas+ visa process+ capacities at embassies ar\nd ! _w1 notably :]e !re are-- 7i7 _m ,am]ican citiz5s1 includ+ dual nationals2 & 7ii7 _m visa applicants = educational & cultural ex*ange programs t promote ,unit$ ,/ates =eign policy objectives & economic /ability to small bus9esses1 univ]sities1 & communities across ! ,unit$ ,/ates2 & 7,b7 a detail$ plan = us+ exi/+ au?orities to waive 9-p]son appo9tm5ts & int]views4 7#c7 ,global engagem5t c5t] 7,a7 ,f9d+ ,congress f9ds t s9ce ! beg9n+ ( ! ,,covid-#ai p&emic1 publications1 websites1 & plat=ms associat$ ) ,*9a1 ,russia1 & ,iran h sponsor$ dis9=mation campaigns relat$ to ! ,,covid-#ai p&emic1 includ+ falsely blam+ ! ,unit$ ,/ates = ! disease4 7,b7 ,s5se ( congress ,x is ! s5se ( ,congress t ! ,global ,engagem5t ,c5t] %\ld cont9ue its ef=ts to expose & c\nt] /ate & non-/ate-sponsor$ dis9=mation relat$ to ,,covid-#ai1 ! orig9s ( ,,covid-#ai1 & ,,covid-#ai vacc9ations4 #aji4 ,f9d+s & s5se ( ,congress reg>d+ ! ,unit$ ,/ates ,int]national ,developm5t ,f9ance ,corporation 7a7 ,f9d+s ,congress f9ds ! foll[+3 7#a7 ,! ,,covid-#ai p&emic is caus+ a global economic recession1 z evid5c$ by ! global economic indicators describ$ 9 p>agraphs 7#b7 ?r\gh 7#d74 7#b7 ,! ,unit$ ,nations ,conf]5ce on ,trade & ,developm5t det]m9$ t ! ,,covid-#ai p&emic pu%$ ! global economy into recession 9 #bjbj on a scale t has n be5 witness$ s9ce ! #aicjs4 7#c7 ,develop$ c\ntries are expect$ to exp]i5ce a relatively m significant reb\nd 9 gross dome/ic product gr[? dur+ #bjba ?an is expect$ to be exp]i5c$ 9 develop+ c\ntries1 lead+ to conc]ns ab\t a fur!r expansion 9 ! gap betwe5 ri* & poor c\ntries1 p>ticul>ly if ?is tr5d cont9ues into #bjbb4 7#d7 ,global m>kets h suff]$ losses rang+ betwe5 #e p]c5t & ov] #aj p]c5t s9ce ! beg9n+ ( ! p&emic4 ,:ile m>kets are recov]+ 9 #bjba1 global job losses & unemploym5t rates rema9 high1 )-- 7,a7 approximately #cc1jjj1jjj labor h\rs h be5 lo/ globally 7#ac p] c5t ( ! total h\rs lo/7 due to outright unemploym5t2 & 7,b7 an e/imat$ additional #ha1jjj1jjj labor h\rs h be5 lo/ due to inactivity or und]employm5t4 7#e7 ,giv5 ! prolong$ nature ( ! ,,covid-#ai p&emic1 ,african f9ance m9i/]s h reque/$ cont9u$ ef=ts to provide-- 7,a7 additional liquidity2 7,b7 bett] m>ket access2 7,c7 m concessional res\rces2 & 7,d7 an ext5sion 9 ! ,debt ,s]vice ,susp5sion ,initiative e/abli%$ by ! ,gr\p ( #bj4 7b7 ,s5se ( ,congress ,x is ! s5se ( ,congress t-- 7#a7 ev5 :5 m>kets beg9 to recov] 9 ! future1 x is likely t access to capital w be especially *all5g+ = develop+ c\ntries1 :i* /ill w be /ruggl+ ) ! conta9m5t (1 & ! recov]y f1 ! ,,covid-#ai p&emic2 7#b7 economic unc]ta9ty & ! inability ( individuals & h\seholds to g5]ate income are major driv]s ( political in/ability & social discord1 :i* creates conditions = insecurity2 7#c7 x is 9 ! security & economic int]e/s ( ! ,unit$ ,/ates to assi/ 9 ! economic recov]y ( develop+ c\ntries t are made m vuln]able & un/able f ! public heal? & economic impacts ( ! ,,covid-#ai p&emic2 7#d7 ,unit$ ,/ates =eign assi/ance & developm5t f9ance in/itutions %\ld seek to blunt ! impacts ( a ,,covid-#ai relat$ economic recession by support+ inve/m5ts 9 sectors critical to ma9ta9+ economic /ability & resili5ce 9 l[ & middle income c\ntries2 7#e7 ! ne$ = ! ,unit$ ,/ates ,int]national ,developm5t ,f9ance ,corporation's support = advanc+ developm5t outcomes 9 less develop$ c\ntries1 z m&at$ by ! ,bett] ,utilization ( ,inve/m5ts ,lead+ to ,developm5t ,act ( #bjah 7#bb ,u4,s4,c4 #ifja et seq471 is critical to ensur+ la/+ & resili5t economic gr[? 9 light ( ! ,,covid-#ai p&emic's exac]bation ( economic h>d%ips & *all5ges2 7#f7 ! ,unit$ ,/ates ,int]national ,developm5t ,f9ance ,corporation %\ld adju/ its view ( risk v]sus return by tak+ sm>t risks t may produce a l[] rate ( f9ancial return1 b produce significant developm5t outcomes 9 respond+ to ! economic effects ( ,,covid-#ai2 & 7#g7 to mitigate ! economic impacts ( ! ,,covid-#ai recession1 ! ,unit$ ,/ates ,int]national ,developm5t ,f9ance ,corporation %\ld use its res\rces & au?orities1 among o!r ?+s-- 7,a7 to ensure loan support = small- & m$ium-siz$ ent]prises2 7,b7 to (f] local curr5cy loans to borr[]s = work+ capital ne$s2 7,c7 to create d$icat$ f9anc+ opportunities = new cu/om]s t are exp]i5c+ f9ancial h>d%ip due to ! ,,covid-#ai p&emic2 & 7,d7 to "w ) o!r developm5t f9ance in/itutions to create co-f9anc+ facilities to support cu/om]s exp]i5c+ h>d%ip due to ! ,,covid-#ai p&emic4 #aaj4 ,s5se ( ,congress reg>d+ int]national coop]ation to prev5t & respond to future p&emics ,x is ! s5se ( ,congress t-- 7#a7 global p&emic prep>$ness & response requires int]national & regional coop]ation & action2 7#b7 ! ,unit$ ,/ates %\ld lead ef=ts 9 multilat]al =a1 su* z ! ,gr\p ( #g1 ! ,gr\p ( #bj1 & ! ,unit$ ,nations1 by collaborat+ & coop]at+ ) o!r c\ntries & int]national & regional organizations1 includ+ ! ,_w ,heal? ,organization & o!r key /akehold]s1 to implem5t int]national /rategies1 tools1 & agreem5ts to bett] prev5t1 detect1 & respond to future infecti\s disease ?reats be=e !y become p&emics2 & 7#c7 ! ,unit$ ,/ates %\ld enhance & exp& coord9ation & collaboration among ! relevant ,f$]al dep>tm5ts & ag5cies1 ! ,food & ,agriculture ,organization ( ! ,unit$ ,nations1 ! ,_w ,heal? ,organization1 & ! ,_w ,organization = ,animal ,heal?1 to advance a ,"o ,heal? approa* t[>d prev5t+1 detect+1 & respond+ to zoonotic ?reats 9 ! human-animal int]face4 #aaa4 ,roles ( ! ,dep>tm5t ( ,/ate1 ! ,unit$ ,/ates ,ag5cy = ,int]national ,developm5t1 & ! ,c5t]s = ,disease ,control & ,prev5tion 9 p&emic response 7a7 ,designation ( lead ag5cies = coord9ation ( ! ,unit$ ,/ates response to infecti\s disease outbreaks ) sev]e or p&emic pot5tial ,9 ! ev5t ( an infecti\s disease outbreak outside ( ! ,unit$ ,/ates ) p&emic pot5tial1 ! ,presid5t %\ld designate ag5cies to lead specific aspects ( ! response ef=ts1 includ+-- 7#a7 designat+ ! ,dep>tm5t ( ,/ate to s]ve z ! lead = diplomatic engagem5t1 & relat$ =eign policy ef=ts1 includ+-- 7,a7 enhanc$ coord9ation ( engagem5t ) multilat]al organizations & c\ntries1 & mobilization ( donor contributions2 & 7,b7 support = ,unit$ ,/ates citiz5s abroad2 7#b7 designat+ ! ,unit$ ,/ates ,ag5cy = ,int]national ,developm5t to s]ve z ! key lead ag5cy = design & implem5tation ( ! ,unit$ ,/ates int]national response1 relief1 & recov]y assi/ance associat$ ) ! pot5tial p&emic outbreak by lead+ programmatic activities1 z necess>y & appropriate1 includ+-- 7,a7 imm$iate heal?1 disa/] assi/ance1 & humanit>ian response ne$s & prev5tion & prep>$ness activities 9 neighbor+ at-risk c\ntries2 7,b7 te/+1 treatm5t1 & assi/ance ) prev5tative c>e units & community c>e facilities2 7,c7 surveillance1 case inve/igation1 & rapid response capability2 7,d7 provid+ supplies1 su* z p]sonal protective1 scre5+1 & treatm5t equipm5t2 7,e7 conduct+ community outrea* & communication & mobilization ef=ts2 7,f7 logi/ics support2 & 7,g7 s]v+ z lead ag5cy = disease outbreak response abroad2 & 7#c7 designat+ ! ,c5t]s = ,disease ,control & ,prev5tion to s]ve z ! public heal? lead = ! int]national response to ! pot5tial p&emic outbreak by conduct+ activities1 su* z-- 7,a7 infection prev5tion & control1 contact trac+1 & laboratory surveillance & tra9+2 7,b7 build+ up1 9 coord9ation ) ! ,unit$ ,/ates ,ag5cy = ,int]national ,developm5t1 em]g5cy op]ation c5t]s2 7,c7 provid+ education & outrea*2 & 7,d7 assess+ ! safety & efficacy ( vacc9e & treatm5t c&idates 9 ! conduct ( cl9ical trials 9 affect$ c\ntries4 #aab4 ,,usaid disa/] surge capacity 7a7 ,surge capacity ,am\nts au?oriz$ to be appropriat$ or o!rwise made available to c>ry out "p ,i & *apt] #d ( "p ,,ii ( ! ,=eign ,assi/ance ,act ( #aifa 7#bb ,u4,s4,c4 #baea et seq471 includ+ funds made available = ,assi/ance = ,europe1 ,eurasia & ,c5tral ,asia1 may be us$1 9 addition to am\nts o!rwise made available = su* purposes1 = ! co/ 7includ+ support co/s7 ( individuals detail$ to or employ$ by ! ,unit$ ,/ates ,ag5cy = ,int]national ,developm5t ^: prim>y responsibility is to c>ry out programs 9 response to global heal? em]g5cies & natural or man-made disa/]s4 7b7 ,notification ,n lat] ?an #ae days be=e mak+ funds available to address man-made disa/]s pursuant to subsection 7a71 ! ,secret>y ( ,/ate or ! ,adm9i/rator ( ! ,unit$ ,/ates ,ag5cy = ,int]national ,developm5t %all notify ! appropriate congressional committees ( su* action4 #aac4 ,/atem5t ( policy on humanit>ian assi/ance to c\ntries affect$ by p&emics 7a7 ,/atem5t ( policy ,x %all be ! policy ( ! ,unit$ ,/ates-- 7#a7 to ensure t ,unit$ ,/ates assi/ance to address p&emics1 includ+ ! provision ( vacc9es1 rea*es vuln]able & m>g9aliz$ populations1 includ+ racial & religi\s m9orities1 refugees1 int]nally displac$ p]sons1 migrants1 /ateless p]sons1 wom51 *ildr51 ! eld]ly1 & p]sons ) disabilities2 7#b7 to ensure t ,unit$ ,/ates assi/ance1 includ+ developm5t f9ance1 addresses ! second ord] effects ( a p&emic1 includ+ acute food insecurity2 & 7#c7 to protect & support humanit>ian actors :o are ess5tial work]s 9 prev5t+1 mitigat+ & respond+ to ! spread ( a p&emic among vuln]able & m>g9aliz$ gr\ps describ$ 9 p>agraph 7#a71 includ+ ensur+ t su* humanit>ian actors-- 7,a7 are exempt$ f unreasonable travel re/rictions to ensure t !y c effectively provide life-sav+ assi/ance2 & 7,b7 are prioritiz$ z frontl9e work]s 9 c\ntry vacc9e di/ribution plans4 7b7 ,facilitat+ effective & safe humanit>ian assi/ance ,! ,secret>y ( ,/ate1 9 coord9ation ) ! ,adm9i/rator ( ! ,unit$ ,/ates ,ag5cy = ,int]national ,developm5t1 %\ld c>ry out actions t accompli% ! policies set =? 9 subsection 7a71 includ+ by-- 7#a7 tak+ /eps to ensure t travel re/rictions implem5t$ to help conta9 ! spread ( a p&emic are n appli$ to individuals au?oriz$ by ! ,unit$ ,/ates ,gov]nm5t to travel to1 or reside 91 a designat$ c\ntry to provide assi/ance relat$ to1 or o!rwise impact$ by1 an outbreak2 7#b7 approv+ ! usage ( =eign assi/ance fund+ = ! procurem5t ( p]sonal protective equipm5t by ,unit$ ,/ates ,gov]nm5t implem5t+ p>tn]s f bus9esses )9 or ne>by ! c\ntry receiv+ =eign assi/ance on an urg5t basis & 9 a mann] consi/5t ) ef=ts to respond to ! spread ( a p&emic 9 ! ,unit$ ,/ates2 & 7#c7 waiv+ c]ta9 travel re/rictions implem5t$ to help conta9 ! spread ( a p&emic 9 ord] to facilitate ! m$ical evacuation ( ,unit$ ,/ates ,gov]nm5t implem5t+ p>tn]s1 reg>dless ( nationality4 ,,ii ,int]national p&emic prev5tion & prep>$ness #bja4 ,p>tn] c\ntry def9$ ,9 ?is title1 ! t]m p>tn] c\ntry means a =eign c\ntry 9 :i* ! relevant ,f$]al dep>tm5ts & ag5cies are implem5t+ ,unit$ ,/ates assi/ance = global heal? security & p&emic prev5tion & prep>$ness "u ?is ,act4 #bjb4 ,global heal? security /rategy & report 7a7 ,9 g5]al ,! ,presid5t %all develop1 update1 ma9ta91 & advance a compreh5sive /rategy = improv+ global heal? security & p&emic prev5tion1 prep>$ness1 & response t-- 7#a7 cle>ly articulates ! policy goals relat$ to p&emic prev5tion1 prep>$ness1 & response1 & actions necess>y to elevate & /r5g!n ,unit$ ,/ates diplomatic lead]%ip 9 global heal? security & p&emic prep>$ness1 includ+ by build+ ! exp]tise ( ! diplomatic corps2 7#b7 improves ! effectiv5ess ( ,unit$ ,/ates =eign assi/ance to prev5t1 detect1 & respond to infecti\s disease ?reats1 ?r\gh a ,"o ,heal? approa*1 includ+ ?r\gh ! advancem5t ( ! ,global ,heal? ,security ,ag5da1 ! ,int]national ,heal? ,regulations 7#bjje71 & o!r relevant frameworks & programs t contribute to global heal? security & p&emic prep>$ness2 7#c7 e/abli%es specific & measurable goals1 b5*m>ks1 timetables1 p]=mance metrics1 & monitor+ & evaluation plans = ,unit$ ,/ates =eign policy & assi/ance = global heal? security t promote le>n+ & adaptation & reflect int]national be/ practices relat+ to global heal? security1 transp>5cy1 & acc\ntability2 7#d7 e/abli%es transp>5t means to improve coord9ation & p]=mance by ! relevant ,f$]al dep>tm5ts & ag5cies & sets out cle> roles & responsibilities t reflect ! unique capabilities & res\rces ( ea* su* dep>tm5t & ag5cy2 7#e7 e/abli%es me*anisms to improve coord9ation & avoid duplication ( ef=t among ! relevant ,f$]al dep>tm5ts & ag5cies1 p>tn] c\ntries1 donor c\ntries1 ! private sector1 multilat]al organizations1 & o!r key /akehold]s1 & ensures collaboration at ! c\ntry level2 7#f7 supports1 & is align$ )1 p>tn] c\ntry-l$1 global heal? security policy & inve/m5t plans1 develop$ ) input f key /akehold]s1 z appropriate2 7#g7 prioritizes work+ ) p>tn] c\ntries )-- 7,a7 demon/rat$ ne$1 z id5tifi$ ?r\gh ! ,jo9t ,ext]nal ,evaluation process1 ! ,global ,heal? ,security ,index classification ( heal? sy/ems1 national action plans = heal? security1 ,global ,heal? ,security ,ag5da ,action ,packages1 o!r risk-bas$ assessm5ts1 & o!r complem5t>y or successor indicators ( global heal? security & p&emic prep>$ness2 & 7,b7 demon/rat$ commitm5t to transp>5cy1 includ+ budget & global heal? data transp>5cy1 comply+ ) ! ,int]national ,heal? ,regulations 7#bjje71 inve/+ 9 dome/ic heal? sy/ems1 & a*iev+ measurable results2 7#h7 r$uces long-t]m reliance ^u ,unit$ ,/ates =eign assi/ance = global heal? security by-- 7,a7 help+ build & enhance community resili5ce to infecti\s disease em]g5cies & ?reats1 su* z ,,covid-#ai & ,ebola2 7,b7 ensur+ t ,unit$ ,/ates global heal? assi/ance is /rategically plann$ & coord9at$ 9 a mann] t contributes to ! /r5g!n+ ( ov]all heal? sy/ems & builds ! capacity ( local organizations & in/itutions2 7,c7 promot+ improv$ dome/ic res\rce mobilization1 co-f9anc+1 & appropriate national budget allocations = /rong heal? sy/ems1 global heal? security1 & p&emic prep>$ness & response 9 p>tn] c\ntries2 & 7,d7 ensur+ p>tn] c\ntry own]%ip ( global heal? security /rategies1 data1 programs1 & outcomes2 7#i7 supports heal? budget & work=ce plann+ 9 p>tn] c\ntries1 includ+ tra9+ 9 public f9ancial managem5t & budget data transp>5cy2 7#aj7 works to ensure t-- 7,a7 p>tn] c\ntries h national action plans = heal? security t are develop$ ) input f key /akehold]s1 includ+ communities & ! private sector2 & 7,b7 ,unit$ ,/ates =eign assi/ance = global heal? security is align$ ) exi/+ national action plans = heal? security 9 p>tn] c\ntries1 develop$ ) input f key /akehold]s1 includ+ communities & ! private sector1 to ! greate/ ext5t practicable & appropriate2 7#aa7 /r5g!ns l9kages betwe5 complem5t>y bilat]al & multilat]al =eign assi/ance programs1 includ+ ef=ts ( ! ,_w ,bank1 ! ,_w ,heal? ,organization1 ! ,global ,fund to ,fight ,,aids1 ,tub]culosis1 & ,mal>ia1 ,gavi1 ! ,vacc9e ,alliance1 & regional heal? organizations1 t contribute to ! developm5t ( m resili5t heal? sy/ems & supply *a9s 9 p>tn] c\ntries ) ! capacity1 res\rces1 & p]sonnel requir$ to prev5t1 detect1 & respond to infecti\s disease ?reats2 & 7#ab7 supports innovation & p>tn]%ips ) ! private sector1 heal? organizations1 civil society1 nongov]nm5tal organizations1 & heal? rese>* & academic in/itutions to improve p&emic prep>$ness & response1 includ+ = ! prev5tion & detection ( infecti\s disease1 & ! developm5t & deploym5t ( effective1 accessible1 & af=dable infecti\s disease track+ tools1 diagno/ics1 !rapeutics1 & vacc9es4 7b7 ,submission ( /rategy ,n lat] ?an #abj days aft] ! date ( ! enactm5t ( ?is ,act1 ! ,presid5t %all submit ! /rategy requir$ "u subsection 7a7 to ! appropriate congressional committees4 7c7 ,annual report 7#a7 ,9 g5]al ,n lat] ?an #a ye> aft] ! submission ( ! /rategy to ! appropriate congressional committees "u subsection 7b71 & n lat] ?an ,octob] #a ( ea* ye> !reaft] = ! foll[+ #d fiscal ye>s1 ! ,presid5t %all submit a report to ! appropriate congressional committees t describes-- 7,a7 ! /atus ( ! implem5tation ( ! /rategy requir$ "u subsection 7a72 7,b7 any necess>y updates to ! /rategy2 7,c7 ! progress made 9 implem5t+ ! /rategy1 ) specific in=mation relat$ to ! progress t[>d improv+ c\ntries' ability to detect1 respond & prev5t ! spread ( infecti\s disease ?reats1 su* z ,,covid-#ai & ,ebola2 & 7,d7 details on ! /atus ( funds made available to c>ry out ! purposes ( ?is title4 7#b7 ,ag5cy-specific plans ,! reports requir$ "u p>agraph 7#a7 %all include specific implem5tation plans f ea* relevant ,f$]al dep>tm5t & ag5cy t describe-- 7,a7 h[ updates to ! /rategy may h impact$ ! ag5cy's plan dur+ ! prec$+ cal5d> ye>2 7,b7 ! progress made 9 meet+ ! goals1 objectives1 & b5*m>ks "u implem5tation plans dur+ ! prec$+ ye>2 7,c7 ! anticipat$ /aff+ plans & contributions ( ! dep>tm5t or ag5cy1 includ+ te*nical1 f9ancial1 & 9-k9d contributions1 to implem5t ! /rategy2 7,d7 a transp>5t1 op51 & detail$ acc\nt+ ( obligations by ea* ( ! relevant ,f$]al dep>tm5ts & ag5cies to implem5t ! /rategy1 includ+-- 7i7 ! /atutory s\rce ( obligat$ funds2 7ii7 ! am\nts obligat$2 7iii7 implem5t+ p>tn]s2 7iv7 t>get$ b5efici>ies2 & 7v7 activities support$2 7,e7 ! ef=ts ( ! relevant ,f$]al dep>tm5t or ag5cy to ensure t ! activities & programs c>ri$ out pursuant to ! /rategy are design$ to a*ieve maximum impact & endur+ returns1 includ+ ?r\gh specific activities to /r5g!n heal? sy/ems1 z appropriate2 & 7,f7 a plan = regul>ly review+ & updat+ programs & p>tn]%ips1 & = %>+ lessons le>n$ ) a wide range ( /akehold]s 9 an op51 transp>5t mann]4 7#c7 ,=m ,! reports requir$ "u p>agraph 7#a7 %all be submitt$ 9 unclassifi$ =m1 b may conta9 a classifi$ annex4 #bjc4 ,committee on ,global ,heal? ,security & ,p&emic & ,biological ,?reats 7a7 ,/atem5t ( policy ,x %all be ! policy ( ! ,unit$ ,/ates-- 7#a7 to promote global heal? security z a core national & security int]e/2 & 7#b7 to ensure effective coord9ation & collaboration betwe5 ! relevant ,f$]al dep>tm5ts & ag5cies engag$ dome/ically & int]nationally 9 ef=ts to advance ! global heal? security ( ! ,unit$ ,/ates1 9 accordance ) p>agraph 7#a74 7b7 ,coord9ation 7#a7 ,def9$ t]m ,9 ?is subsection1 ! t]m p&emic ?reat means any infecti\s disease t-- 7,a7 has an aggregation ( cases 9 a community t rises above :at is normally expect$ 9 t population 9 t area2 7,b7 has ! pot5tial to spread ov] sev]al c\ntries or cont95ts2 & 7,c7 c\ld1 if n address$1 ?reat5 ! national security ( ! ,unit$ ,/ates4 7#b7 ,committee on global heal? security & p&emic & biological ?reats ,!re is au?oriz$ to be e/abli%$1 )9 ! ,national ,security ,c\ncil1 ! ,committee on ,global ,heal? ,security & ,p&emic & ,biological ,?reats 7ref]r$ to 9 ?is subsection z ! ,committee71 ^: day to day op]ations %\ld be l$ by ! ,special ,advisor = ,global ,heal? ,security4 7#c7 ,special advisor = global heal? security ,! ,special ,advisor = ,global ,heal? ,security ref]r$ to 9 p>agraph 7#b7-- 7,a7 %\ld s]ve z "p ( ! /aff ( ! ,national ,security ,c\ncil2 & 7,b7 may also be ! ,s5ior ,director = a ,global ,heal? ,security & ,biodef5se ,directorate )9 ! ,executive ,(fice ( ! ,presid5t1 :o reports to ! ,assi/ant to ! ,presid5t = ,national ,security ,affairs4 7#d7 ,composition ,! ,committee %\ld include ! foll[+ memb]s3 7,a7 ,! ,director ( ,national ,intellig5ce4 7,b7 ,! ,secret>y ( ,/ate4 7,c7 ,! ,secret>y ( ,def5se4 7,d7 ,! ,secret>y ( ,heal? & ,human ,s]vices4 7,e7 ,! ,adm9i/rator ( ! ,unit$ ,/ates ,ag5cy = ,int]national ,developm5t4 7,f7 ,! ,secret>y ( ,agriculture4 7,g7 ,! ,secret>y ( ! ,treasury4 7,h7 ,! ,attorney ,g5]al4 7,i7 ,! ,secret>y ( ,homel& ,security4 7,j7 ,! ,(fice ( ,managem5t & ,budget4 7,k7 ,! ,adm9i/rator ( ! ,environm5tal ,protection ,ag5cy4 7,l7 ,! ,director ( ! ,c5t]s = ,disease ,control & ,prev5tion4 7,m7 ,! ,director ( ! ,(fice ( ,sci5ce & ,te*nology ,policy4 7,n7 ,! ,assi/ant to ! ,presid5t = ,national ,security ,affairs1 :o %\ld s]ve z ! *airp]son ( ! ,committee4 7,o7 ,su* o!r memb]s z ! ,presid5t may designate4 7#e7 ,functions 7,a7 ,9 g5]al ,! functions ( ! ,committee %\ld be-- 7i7 to provide /rategic guidance = ! developm5t ( a policy framework = activities ( ! ,unit$ ,/ates ,gov]nm5t relat+ to global heal? security1 includ+ p&emic prev5tion1 prep>$ness & response2 & 7ii7 to ensure policy coord9ation betwe5 ,unit$ ,/ates ,gov]nm5t ag5cies1 especially coord9ation betwe5-- 7,i7 ag5cies ) a prim>ily dome/ic m&ate2 & 7,,ii7 ag5cies ) an int]national m&ate relat+ to global heal? security & p&emic ?reats4 7,b7 ,activities ,9 c>ry+ out ! functions describ$ 9 subp>agraph 7,a71 ! ,committee %\ld-- 7i7 conduct1 9 coord9ation ) ! heads ( relevant ,f$]al ag5cies1 a review ( exi/+ ,unit$ ,/ates heal? security policies & /rategies & develop recomm5dations = h[ ! ,f$]al ,gov]nm5t may regul>ly update & h>monize su* policies & /rategies to ensure ! timely developm5t ( a compreh5sive coord9at$ /rategy to enable ! ,unit$ ,/ates ,gov]nm5t to respond to p&emic ?reats & to monitor ! implem5tation ( su* /rategies2 7ii7 develop a plan =-- 7,i7 e/abli%+ an int]ag5cy ,national ,c5t] = ,epidemic ,=eca/+ & ,outbreak ,analytics2 & 7,,ii7 mod]niz+ global e>ly w>n+ & trigg] sy/ems = scal+ action to prev5t1 detect1 respond to1 & recov] f em]g+ biological ?reats2 7iii7 provide policy-level recomm5dations to p>ticipat+ ag5cies reg>d+ ! ,global ,heal? ,security ,ag5da goals1 objectives1 & implem5tation1 & o!r int]national ef=ts to /r5g!n p&emic prev5tion1 prep>$ness & response2 7iv7 review ! progress t[>d1 & work+ to resolve *all5ges 91 a*iev+ ,unit$ ,/ates commitm5ts "u ! ,,ghsa2 7v7 develop protocols = coord9at+ & deploy+ a global response to em]g+ high-consequ5ce infecti\s disease ?reats t outl9e ! respective roles = relevant ,f$]al ag5cies 9 facilitat+ & support+ su* response op]ations t %\ld facilitate ! op]ational "w ( ,f$]al ag5cies1 & ( ! ,special ,advisor = ,global ,heal? ,security2 7vi7 make recomm5dations reg>d+ appropriate responses to specific p&emic ?reats & ensure ! coord9ation ( dome/ic & int]national ag5cies reg>d+ ! ,f$]al ,gov]nm5t's ef=ts to prev5t1 detect1 respond to1 & recov] f biological ev5ts2 & 7vii7 take /eps to /r5g!n ! global p&emic supply *a9 & address any b>ri]s to ! timely deliv]y ( supplies 9 response to a p&emic1 includ+ ?r\gh engagem5t ) ! private sector1 z appropriate2 7,c7 develop policies & proc$ures to ensure ! effective %>+ ( in=mation f dome/ic & int]national s\rces ab\t p&emic ?reats among ! relevant ,f$]al dep>tm5ts & ag5cies1 ,/ate & local gov]nm5ts1 & int]national p>tn]s & organizations2 & 7,d7 develop guidel9es to enhance & improve ! op]ational coord9ation betwe5 ,/ate & local gov]nm5ts & ,f$]al ag5cies ) respect to p&emic ?reats4 7#f7 ,=eign affairs responsibilities ,! ,committee %\ld n assume any =eign affairs responsibilities ( ! ,secret>y ( ,/ate1 includ+ ! responsibility to ov]see ! implem5tation ( programs & policies t advance global heal? security )9 =eign c\ntries4 7#g7 ,specific roles & responsibilities 7,a7 ,9 g5]al ,! heads ( ! ag5cies li/$ 9 p>agraph 7#d7 %\ld-- 7i7 make global heal? security & p&emic ?reat r$uction a high priority )9 _! respective ag5cies1 & include global heal? security & p&emic ?reat r$uction-relat$ activities )9 _! respective ag5cies' /rategic plann+ & budget processes2 7ii7 designate a s5ior-level (ficial to be responsible = global heal? security & p&emic ?reat r$uction at ea* ( _! respective ag5cies2 7iii7 designate1 9 accordance ) p>agraph 7#d71 an appropriate repres5tative at ! ,assi/ant ,secret>y level or high] to p>ticipate on ! ,committee 9 in/ances :]e ! head ( ! ag5cy _c p>ticipate2 7iv7 keep ! ,committee appris$ ( ,global ,heal? ,security & p&emic ?reat r$uction-relat$ activities und]tak5 )9 _! respective ag5cies2 7v7 ensure int]ag5cy coop]ation & collaboration & ma9ta9 responsibility = ag5cy-relat$ programmatic functions includ+1 z applicable1 9 coord9ation ) ho/ gov]nm5ts1 c\ntry teams1 & global heal? security 9-c\ntry teams2 & 7vi7 keep ! ,committee appris$ ( ,,ghsa-relat$ activities und]tak5 )9 _! respective ag5cies4 7,b7 ,additional roles & responsibilities ,9 addition to ! roles & responsibilities describ$ 9 subp>agraph 7,a71 ! heads ( ! ag5cies describ$ 9 p>agraph 7#d7 %\ld c>ry out _! respective roles & responsibilities describ$ 9 ,executive ,ord] #acgdg 7#ha ,f$4 ,reg4 #ghgja2 relat+ to ,advanc+ ! ,global ,heal? ,security ,ag5da to ,a*ieve a ,_w ,safe & ,secure f ,infecti\s ,disease ,?reats7 & ! ,national ,security ,memor&um-#a on ,unit$ ,/ates ,global ,lead]%ip to ,/r5g!n ! ,int]national ,,covid-#ai ,response & to ,advance ,global ,heal? ,security & ,biological ,prep>$ness1 z 9 effect on ! day be=e ! date ( ! enactm5t ( ?is ,act4 #bjd4 ,unit$ ,/ates ov]seas global heal? security & diplomacy coord9ation & /rategy 7a7 ,e/abli%m5t ,!re is e/abli%$1 )9 ! ,dep>tm5t ( ,/ate1 a ,special ,repres5tative = ,unit$ ,/ates ,int]national ,activities to ,advance ,global ,heal? ,security & ,diplomacy ,ov]seas 7ref]r$ to 9 ?is section z ! ,special ,repres5tative74 7b7 ,appo9tm5t2 qualifications ,! ,special ,repres5tative-- 7#a7 %all be appo9t$ by ! ,presid5t1 by & ) ! advice & cons5t ( ! ,s5ate2 7#b7 %all report to ! ,secret>y ( ,/ate2 & 7#c7 %all h-- 7,a7 demon/rat$ k & exp]i5ce 9 ! fields ( developm5t & public heal?1 epidemiology1 or m$ic9e2 & 7,b7 relevant diplomatic1 policy1 & political exp]tise4 7c7 ,au?orities ,! ,special ,repres5tative is au?oriz$-- 7#a7 to op]ate int]nationally to c>ry out ! purposes ( ?is title2 7#b7 to lead 9 develop+ a global p&emic prev5tion1 prep>$ness & response framework to support global p&emic prev5tion1 prep>$ness1 responses & recov]y ef=ts1 includ+ ?r\gh-- 7,a7 diplomatic engagem5t & relat$ =eign policy ef=ts1 su* z multilat]al & bilat]al arrangem5ts1 enhanc$ coord9ation ( engagem5t ) multilat]al organizations & c\ntries1 & ! mobilization ( donor contributions2 & 7,b7 support = ,unit$ ,/ates citiz5s liv+ abroad1 includ+ consul> support2 7#c7 to s]ve z ! repres5tative ( ! ,secret>y ( ! ,/ate on ! ,committee on ,global ,heal? ,security & ,p&emic & ,biological ,?reats "u section #bjb2 7#d7 to repres5t ! ,unit$ ,/ates on ! ,fund = ,global ,heal? ,security & ,p&emic ,prev5tion & ,prep>$ness e/abli%$ pursuant to section #cjb7;a72 7#e7 to transf] & allocate ,unit$ ,/ates =eign assi/ance fund+ au?oriz$ to be appropriat$ pursuant to subsection 7f7 to ! relevant ,f$]al dep>tm5ts & ag5cies implem5t+ ! /rategy requir$ "u section #bjb1 9 coord9ation ) ! ,(fice ( ,managem5t & ,budget1 ! ,unit$ ,/ates ,ag5cy = ,int]national ,developm5t1 ! ,dep>tm5t ( ,heal? & ,human ,s]vices1 & ! ,(fice ( ,=eign ,assi/ance ,res\rces 9 ! ,dep>tm5t ( ,/ate2 7#f7 to utilize detailees1 on a reimbursable or nonreimbursable basis1 f ! relevant ,f$]al dep>tm5ts & ag5cies & hire p]sonal s]vice contractors1 :o may op]ate dome/ically & int]nationally1 to ensure t ! ,(fice ( ! ,special ,repres5tative has access to ! highe/ quality exp]ts available to ! ,unit$ ,/ates ,gov]nm5t to c>ry out ! functions "u ?is ,act2 & 7#g7 to p]=m su* o!r functions z ! ,secret>y ( ,/ate may assign4 7d7 ,duties ,! ,special ,repres5tative %all coord9ate1 manage1 & ov]see ,unit$ ,/ates =eign policy1 diplomatic ef=ts1 & =eign assi/ance fund$ ) am\nts appropriat$ pursuant to subsection 7f7 to advance ! ,unit$ ,/ates ,global ,heal? ,security & ,diplomacy ,/rategy develop$ pursuant to section #bjb1 includ+ by-- 7#a7 develop+ & coord9at+ a global p&emic prev5tion1 prep>$ness & response framework to support p&emic prep>$ness1 responses & recov]y ef=ts1 & relat$ =eign policy measures1 su* z multilat]al & bilat]al arrangem5ts2 7#b7 enhanc+ engagem5t ) multilat]al organizations & p>tn] c\ntries1 includ+ ?r\gh ! mobilization ( donor support2 7#c7 enhanc+ coord9ation ( consul> s]vices = ,unit$ ,/ates citiz5s abroad 9 ! ev5t ( a global heal? em]g5cy2 7#d7 ensur+ effective program coord9ation & implem5tation by ! relevant ,f$]al dep>tm5ts & ag5cies by-- 7,a7 =mulat+1 issu+1 & updat+ relat$ policy guidance2 7,b7 e/abli%+1 9 consultation ) ! ,unit$ ,/ates ,ag5cy = ,int]national ,developm5t & ! ,c5t]s = ,disease ,control & ,prev5tion1 unifi$ audit+1 monitor+1 & evaluation plans2 7,c7 align+1 9 coord9ation ) ,unit$ ,/ates *iefs ( mission & c\ntry teams 9 p>tn] c\ntries-- 7i7 ! =eign assi/ance res\rces fund$ ) am\nts appropriat$ pursuant to subsection 7f72 & 7ii7 ! implem5tation plans requir$ "u section #bjb7;c77#b7 ) ! relevant ,f$]al dep>tm5ts & ag5cies 9 a mann] t-- 7,i7 is consi/5t ) ,executive ,ord] #acgdg 7#ha ,f$4 ,reg4 #ghgja2 relat+ to ,advanc+ ! ,global ,heal? ,security ,ag5da to ,a*ieve a ,_w ,safe & ,secure f ,infecti\s ,disease ,?reats72 7,,ii7 is consi/5t ) ! ,national ,security ,memor&um on ,unit$ ,/ates ,global ,lead]%ip to ,/r5g!n ! ,int]national ,,covid-#ai ,response & to ,advance ,global ,heal? ,security & ,biological ,prep>$ness1 issu$ by ,presid5t ,bid5 on ,janu>y #ba1 #bjba2 & 7,,iii7 reflects & lev]ages ! unique capabilities ( ea* su* dep>tm5t & ag5cy2 7,d7 conv5+1 z appropriate1 an int]ag5cy work+ gr\p on p&emic prev5tion & prep>$ness1 head$ by ! ,special ,repres5tative & includ+ repres5tatives f ! relevant ,f$]al dep>tm5ts & ag5cies1 to facilitate coord9ation ( activities relat+ to p&emic prev5tion & prep>$ness 9 p>tn] c\ntries "u ?is ,act2 7,e7 work+ )1 & lev]ag+ ! exp]tise & activities (1 ! ,(fice ( ! ,unit$ ,/ates ,global ,,aids ,coord9ator1 ! ,(fice ( ! ,unit$ ,/ates ,global ,mal>ia ,coord9ator1 & simil> or successor entities t are implem5t+ ,unit$ ,/ates global heal? assi/ance ov]seas2 & 7,f7 avoid+ duplication ( ef=t & work+ to resolve policy1 program1 & fund+ disputes among ! relevant ,f$]al dep>tm5ts & ag5cies2 7#e7 lead+ diplomatic ef=ts to id5tify & address curr5t & em]g+ ?reats to global heal? security2 7#f7 ensur+1 9 coord9ation ) ! ,secret>y ( ,heal? & ,human ,s]vices & ! ,adm9i/rator ( ! ,unit$ ,/ates ,ag5cy = ,int]national ,developm5t1 effective repres5tation ( ! ,unit$ ,/ates 9 relevant int]national =ums1 includ+ at ! ,_w ,heal? ,organization1 ! ,_w ,heal? ,assembly1 & meet+s ( ! ,global ,heal? ,security ,ag5da & ( ! ,global ,heal? ,security ,initiative2 7#g7 work+ to enhance coord9ation )1 & transp>5cy among1 ! gov]nm5ts ( p>tn] c\ntries & key /akehold]s1 includ+ ! private sector2 7#h7 promot+ great] donor & national inve/m5t 9 p>tn] c\ntries to build m resili5t heal? sy/ems & supply *a9s1 includ+ ?r\gh repres5tation & p>ticipation 9 a multilat]al1 catalytic f9anc+ me*anism = global heal? security & p&emic prev5tion & prep>$ness1 consi/5t ) title ,,iii2 7#i7 secur+ bilat]al & multilat]al f9anc+ commitm5ts to advance ! ,global ,heal? ,security ,ag5da1 includ+ ?r\gh fund+ = ! f9anc+ me*anism describ$ 9 title ,,iii2 & 7#aj7 provid+ regul> updates to ! appropriate congressional committees reg>d+ ! fulfillm5t ( ! duties describ$ 9 ?is subsection4 7e7 ,deputy ,repres5tative ,! ,special ,repres5tative %\ld be support$ by a deputy1 :o-- 7#a7 %\ld be an employee ( ! ,unit$ ,/ates ,ag5cy = ,int]national ,developm5t s]v+ 9 a c>e] or nonc>e] position 9 ! ,s5ior ,executive ,s]vice or at ! level ( a ,deputy ,assi/ant ,adm9i/rator or high]2 7#b7 %\ld h demon/rat$ k & exp]i5ce 9 ! fields ( developm5t & public heal?1 epidemiology1 or m$ic9e2 & 7#c7 s]ves concurr5tly z ! deputy & p]=ms ! functions describ$ 9 section #c7;h7 ( ,executive ,ord] #acgdg 7#ha ,f$4 ,reg4 #ghgja74 7f7 ,au?orization ( appropriations 7#a7 ,9 g5]al ,!re is au?oriz$ to be appropriat$ #c1jjj1jjj1jjj1 = ! #e-ye> p]iod beg9n+ on ,octob] #a1 #bjbb1 to c>ry out ! purposes ( ?is section & title ,,iii1 :i*1 9 consultation ) ! appropriate congressional committees & subject to ! requirem5ts "u *apt]s #a & #aj ( "p ,i & section #fcd;,a ( ! ,=eign ,assi/ance ,act ( #aifa 7#bb ,u4,s4,c4 #baea et seq471 may include support =-- 7,a7 enhanc+ prep>$ness 9 p>tn] c\ntries ?r\gh implem5tation ( ! ,global ,heal? ,security ,/rategy develop$ pursuant to section #bjb2 7,b7 repl5i%+ ! ,em]g5cy ,res]ve ,fund at ! ,unit$ ,/ates ,ag5cy = ,int]national ,developm5t1 e/abli%$ pursuant to section #gjeh7;c77#a7 ( ! ,dep>tm5t ( ,/ate1 ,=eign ,op]ations1 & ,relat$ ,programs ,appropriations ,act1 #bjag 7division ,j ( ,public ,law #aae-ca7 to address new or em]g+ infecti\s disease ?reats1 z necess>y & appropriate2 7,c7 ,unit$ ,/ates contributions to ! ,_w ,bank ,heal? ,em]g5cy ,prep>$ness & ,response ,multi-,donor ,fund2 & 7,d7 ,unit$ ,/ates contributions to a multilat]al1 catalytic f9anc+ me*anism = global heal? security & p&emic prev5tion & prep>$ness describ$ 9 section #cjb4 7#b7 ,exception ,section #aaj ( ! ,traffick+ ,victims ,protection ,act ( #bjjj 7#bb ,u4,s4,c4 #gajg7 %all n apply to assi/ance made available pursuant to ?is subsection4 #bje4 ,resili5ce ,x %all be ! policy ( ! ,unit$ ,/ates to support ! gr[? ( heal?i]1 m /able societies1 :ile advanc+ ! global heal? security int]e/s ( ! ,unit$ ,/ates by work+ ) key /akehold]s-- 7#a7 9 develop+ c\ntries t are highly vuln]able to ! em]g5ce1 reem]g5ce1 & spread ( infecti\s diseases ) p&emic pot5tial1 includ+ diseases result+ f natural & manmade disa/]s1 human displacem5t1 loss ( natural habitat1 poor access to wat]1 sanitation1 & hygi5e1 & o!r political1 security1 economic1 & climatic %ocks & /resses2 7#b7 to develop effective tools to id5tify1 analyze1 =eca/1 & mitigate ! risks t make su* c\ntries vuln]able2 7#c7 to bett] integrate %ort-1 m$ium-1 & long-t]m recov]y ef=ts into global heal? em]g5cy response & disa/] relief2 & 7#d7 to ensure t int]national assi/ance & f9anc+ tools are effectively design$1 objectively in=m$1 /rategically t>get$1 c>efully coord9at$1 reasonably adapt$1 & rigor\sly monitor$ & evaluat$ 9 a mann] t advances ! policy objectives "u ?is section4 #bjf4 ,/r5g!n+ heal? sy/ems 7a7 ,/atem5t ( policy ,x %all be ! policy ( ! ,unit$ ,/ates to ensure t bilat]al global heal? assi/ance programs are effectively manag$ & coord9at$ to contribute to ! /r5g!n+ ( heal? sy/ems 9 ea* c\ntry 9 :i* su* programs are c>ri$ out1 z necess>y & appropriate4 7b7 ,coord9ation ,! ,adm9i/rator ( ! ,unit$ ,/ates ,ag5cy = ,int]national ,developm5t 7ref]r$ to 9 ?is section z ,,usaid7 %all "w ) ! ,director ( ! ,c5t]s = ,disease ,control & ,prev5tion1 ! ,global ,mal>ia ,coord9ator1 & ! ,unit$ ,/ates ,global ,,aids ,coord9ator & ,special ,repres5tative = ,global ,heal? ,diplomacy at ! ,dep>tm5t ( ,/ate to id5tify areas ( collaboration & coord9ation 9 c\ntries ) global heal? programs & activities und]tak5 by ,,usaid pursuant to ! ,unit$ ,/ates ,lead]%ip ,aga9/ ,,hiv_/,,aids1 ,tub]culosis1 & ,mal>ia ,act ( #bjjc 7,public ,law #ajh-be7 & o!r relevant /atutes to ensure t su* activities contribute to heal? sy/ems /r5g!n+4 7c7 ,pilot program 7#a7 ,9 g5]al ,! ,adm9i/rator ( ,,usaid %\ld id5tify n few] ?an #e c\ntries 9 :i* ! ,unit$ ,/ates has significant bilat]al inve/m5ts 9 global heal? to develop an integrat$ approa* t[>d heal? sy/ems /r5g!n+ t takes advantage ( all s\rces ( fund+ = global heal? 9 su* c\ntry1 ) ! aim ( e/abli%+ a model = coord9at+ heal? sy/ems /r5g!n+ activities 9 additional c\ntries 9 ! future4 7#b7 ,assessm5t ,9 ! c\ntries select$ "u p>agraph 7#a71 ,,usaid missions1 9 consultation ) ,,usaid's ,(fice ( ,heal? ,sy/ems ,/r5g!n+1 %\ld conduct an assessm5t t-- 7,a7 takes a compreh5sive view ( ! con/ra9ts 9 ! c\ntry's heal? sy/em t prev5t ! a*ievem5t ( desir$ outcomes ( ,unit$ ,/ates ,gov]nm5t-support$ heal? programs2 7,b7 id5tifies ! be/ opportunities = improv+ heal? sy/ems to a*ieve improv$ outcomes1 includ+ ob/acles to heal? s]vice deliv]y2 7,c7 maps ! res\rces ( ! c\ntry & o!r donors 9 ! heal? sector ) a focus on inve/m5t 9 heal? sy/em /r5g!n+2 & 7,d7 develops & implem5ts a new or revis$ #e-ye> /rategy = ,unit$ ,/ates assi/ance1 bas$ on ! results ( ! assessm5t describ$ 9 subp>agraph 7,a71 to /r5g!n ! c\ntry's heal? sy/em t-- 7i7 provides a framework = implem5t+ su* /rategy2 7ii7 id5tifies key areas = ,unit$ ,/ates ,gov]nm5t inve/m5ts to /r5g!n ! heal? sy/em 9 alignm5t ) o!r donors2 7iii7 specifies ! anticipat$ role ( heal? programs und]tak5 by ea* ( ! relevant ,f$]al dep>tm5ts & ag5cies op]at+ 9 ! c\ntry 9 implem5t+ su* /rategy2 & 7iv7 includes cle> goals1 b5*m>ks1 outputs1 desir$ outcomes1 a means ( measur+ progress & a co/ analysis4 7#c7 ,/rategies to /r5g!n heal? sy/ems ,,usaid missions 9 c\ntries id5tifi$ pursuant p>agraph 7#a7 %\ld develop a /rategy to /r5g!n heal? sy/ems bas$ on ! assessm5t develop$ pursuant to p>agraph 7#b7 t-- 7,a7 ensures complem5t>ity ) priorities id5tifi$ "u any o!r action plan focus$ on /r5g!n+ a c\ntry's heal? sy/em1 su* z ! ,_w ,heal? ,organization's ,jo9t ,ext]nal ,evaluation & ,national ,action ,plans = ,heal? ,security2 7,b7 id5tifies bureaucratic b>ri]s & ineffici5cies1 includ+ poor l9kages betwe5 gov]nm5t m9i/ries & betwe5 m9i/ries & donor ag5cies & ! ext5t ( any corruption1 & id5tify actions to ov]come su* b>ri]s2 7,c7 id5tifies pot5tial ob/acles to ! implem5tation ( ! /rategy1 su* z issues relat+ to lack ( political w or poor gov]nance ( an effective heal? sy/em at all levels ( ! c\ntry's public heal? sy/ems1 especially ) respect to gov]n+ bodies & c\ncils at ! prov9cial1 di/rict1 & community levels2 7,d7 includes proposals = mobiliz+ suffici5t & durable f9anc+ = heal? sy/ems2 7,e7 id5tifies b>ri]s to build+ & reta9+ an effective frontl9e heal? work=ce ) key global heal? security capacities1 in=m$ by ! ,int]national ,heal? ,regulations 7#bjje71 includ+-- 7i7 /r5g!n$ data collection & analysis2 7ii7 data driv5 decisionmak+ capacity2 & 7iii7 recomm5dations = p>tn] c\ntry actions to a*ieve a work=ce t con=ms ) ! ,_w ,heal? ,organization's recomm5dation = at lea/ #dd4e doctors1 nurses1 & midwives = e #aj1jjj p2 7,f7 id5tifies defici5cies 9 in=mation sy/ems & communication te*nologies t prev5t l9kages at all levels ( ! heal? sy/em deliv]y & m$ical supply sy/ems & promotes int]op]ability across data sy/ems ) real "t data1 :ile protect+ data security2 7,g7 id5tifies weaknesses 9 supply *a9 & procurem5t sy/ems & practices1 & recomm5ds ways to improve ! effici5cy1 transp>5cy1 & effectiv5ess ( su* sy/ems & practices2 7,h7 id5tifies ob/acles to heal? s]vice access & quality & improv$ heal? outcomes = wom5 & girls1 & = ! poore/ & mo/ vuln]able1 includ+ a lack ( social support & o!r und]ly+ causes1 & recomm5dations = h[ to ov]come su* ob/acles2 7,i7 includes plans = integrat+ innovations 9 heal? te*nologies1 s]vices1 & sy/ems2 7,j7 id5tifies b>ri]s to heal? lit]acy1 community engagem5t1 & pati5t emp[]m5t1 & recomm5dations = ov]com+ su* b>ri]s2 7,k7 includes proposals = /r5g!n+ community heal? sy/ems & ! community-bas$ heal? work=ce in=m$ by ! ,_w ,heal? ,organization guidel9e on heal? policy & sy/em support to optimize community heal? work] programmes 7#bjah71 includ+ ! pr(essionalization ( community heal? work]s2 & 7,l7 describes ! role ( ! private sector & nongov]nm5tal heal? provid]s1 includ+ community gr\ps engag$ 9 heal? promotion & mutual assi/ance & o!r in/itutions engag$ 9 heal? deliv]y1 includ+ ! ext5t to :i* ! local population utilizes su* heal? s]vices4 7#d7 ,consultation ,9 develop+ a /rategy pursuant to p>agraph 7#c71 ea* ,,usaid mission %\ld consult ) a wide v>iety ( /akehold]s1 includ+-- 7,a7 relevant p>tn] gov]nm5t in/itutions2 7,b7 pr(essional associations2 7,c7 pati5t gr\ps2 7,d7 civil society organizations 7includ+ int]national nongov]nm5tal organizations ) relevant exp]tise 9 program implem5tation72 & 7,e7 ! private sector4 7d7 ,int]national ef=ts 7#a7 ,coord9ation ,! ,secret>y ( ,/ate1 9 coord9ation ) ! ,adm9i/rator ( ,,usaid1 %\ld "w ) ! ,global ,fund to ,fight ,,aids1 ,tub]culosis1 & ,mal>ia1 ,gavi1 ! ,vacc9e ,alliance1 bilat]al donors1 & o!r relevant multilat]al & int]national organizations & /akehold]s to develop-- 7,a7 %>$ core indicators = /r5g!n$ heal? sy/ems2 7,b7 agreem5ts among donors t report+ requirem5ts = heal? sy/ems come f c\ntry sy/ems to r$uce ! burd5 plac$ on p>tn] c\ntries2 7,c7 /ructures = jo9t assessm5ts1 plans1 audit+1 & consultations2 & 7,d7 a regul>iz$ approa* to coord9ation on heal? sy/ems /r5g!n+4 7e7 ,public private p>tn]%ips ,to improve heal? sy/ems /r5g!n+ 7#a7 ,inclusion 9 c\ntry /rategies ,! c\ntry /rategies develop$ "u subsection 7c77#c7 %\ld include a section t-- 7,a7 discusses ! role ( ! private sector 7includ+ corporate1 local1 & int]national organizations ) relevant exp]tise72 & 7,b7 id5tifies relevant opportunities = ! private sector-- 7i7 to accel]ate rese>* & developm5t ( innovative heal? & in=mation te*nology1 & to (f] tra9+ relat$ to its use2 7ii7 to contribute to improvem5ts 9 heal? adm9i/ration & managem5t processes2 7iii7 to improve sy/em effici5cy2 7iv7 to develop tra9+ relat$ to cl9ical practice guidel9es2 & 7v7 to help c\ntries develop sy/ems = docum5t+ outcomes & a*ievem5ts relat$ to activities und]tak5 to /r5g!n ! heal? sector4 7f7 ,au?orization = use ( funds ,am\nts au?oriz$ to be appropriat$ or o!rwise made available to c>ry out section #ajd ( ! ,=eign ,assi/ance ,act ( #aifa 7#bb ,u4,s4,c4 #baea;b7 may be made available to c>ry out ?is section4 #bjg4 ,additional au?orities 7a7 ,=eign ,assi/ance ,act ( #aifa ,*apt] #a ( "p ,i ( ! ,=eign ,assi/ance ,act ( #aifa 7#bb ,u4,s4,c4 #baea et seq47 is am5d$-- 7#a7 9 section #ajd7;c77#a7 7#bb ,u4,s4,c4 #baea;b7c77#a771 by ins]t+ 7emphasiz+ heal? sy/ems /r5g!n+1 z appropriate7 aft] heal? s]vices2 7#b7 9 section #ajd;,a 7#bb ,u4,s4,c4 #baea;b-#b7-- 7,a7 9 subsection 7b77#c77;,d71 by /rik+ includ+ heal? c>e sy/ems1 "u o!r int]national donor support & ins]t+ includ+ ?r\gh support = heal? sy/ems /r5g!n+1 "u o!r donor support2 & 7,b7 9 subsection 7f77#c77,q71 by ins]t+ ! ,(fice ( ! ,unit$ ,/ates ,global ,,aids ,coord9ator1 p>tn] c\ntries1 & ! ,global ,fund to ,fight ,,aids1 ,tub]culosis1 & ,mal>ia to ensure t _! actions support ! activities tak5 to /r5g!n ! ov]all heal? sy/ems 9 recipi5t c\ntries1 & ef=ts by aft] ef=ts by2 & 7#c7 9 section #ajd;,b7g77#b7 7#bb ,u4,s4,c4 #baea;b-#c7;g77#b771 by ins]t+ /r5g!n+ ! heal? sy/em ( ! c\ntry & aft] contribute to4 7b7 ,unit$ ,/ates ,lead]%ip aga9/ ,,hiv_/,,aids1 ,tub]culosis1 & ,mal>ia ,act ( #bjjc ,section #bjd ( ! ,unit$ ,/ates ,lead]%ip ,aga9/ ,,hiv_/,,aids1 ,tub]culosis1 & ,mal>ia ,act ( #bjjc 7#bb ,u4,s4,c4 #gfbc7 is am5d$-- 7#a7 9 subsection 7a7-- 7,a7 9 p>agraph 7#a77;,a71 by ins]t+ 9 a mann] t is coord9at$ )1 & contributes to1 ef=ts ?r\gh o!r assi/ance activities be+ c>ri$ out to /r5g!n national heal? sy/ems & heal? policies aft] sy/ems2 & 7,b7 9 p>agraph 7#b7-- 7i7 9 subp>agraph 7,c71 by ins]t+ z "p ( a /rategy to improve ov]all heal? be=e ! semicolon at ! end2 7ii7 9 subp>agraph 7,d71 by /rik+ & at ! end2 7iii7 9 subp>agraph 7,e71 by /rik+ ! p]iod at ! end & ins]t+ 2 &2 & 7iv7 by add+ at ! end ! foll[+3 7,f7 to contribute to ef=ts t build heal? sy/ems capable ( prev5t+1 detect+ & respond+ to ,,hiv_/,,aids1 tub]culosis1 mal>ia & o!r infecti\s diseases ) p&emic pot5tial4 2 & 7#b7 9 subsection 7b71 by /rik+ receive fund+ to c>ry out programs to combat ,,hiv_/,,aids1 tub]culosis1 & mal>ia & ins]t+ m effectively budget = & receive fund+ to c>ry out programs to /r5g!n heal? sy/ems su* t c\ntries are able to m effectively combat ,,hiv_/,,aids1 tub]culosis1 & mal>ia1 to prev5t1 respond & detect o!r diseases ) p&emic pot5tial14 #bjh4 ,au?orization = ,unit$ ,/ates p>ticipation 9 ! ,coalition = ,epidemic ,prep>$ness ,innovations 7a7 ,9 g5]al ,! ,unit$ ,/ates is au?oriz$ to p>ticipate 9 ! ,coalition = ,epidemic ,prep>$ness ,innovations 7ref]r$ to 9 ?is section z ,,cepi74 7b7 ,inve/ors ,c\ncil & ,bo>d ( ,directors 7#a7 ,initial designation ,! ,presid5t %all designate an employee ( ! ,unit$ ,/ates ,ag5cy = ,int]national ,developm5t to s]ve on ! ,inve/ors ,c\ncil &1 if nom9at$1 on ! ,bo>d ( ,directors ( ,,cepi1 z a repres5tative ( ! ,unit$ ,/ates dur+ ! p]iod beg9n+ on ! date ( su* designation & end+ on ,septemb] #cj1 #bjbb4 7#b7 ,ongo+ designations ,! ,presid5t may designate an employee ( ! relevant ,f$]al dep>tm5t or ag5cy ) fiduci>y responsibility = ,unit$ ,/ates contributions to ,,cepi to s]ve on ! ,inve/ors ,c\ncil &1 if nom9at$1 on ! ,bo>d ( ,directors ( ,,cepi1 z a repres5tative ( ! ,unit$ ,/ates4 7#c7 ,qualifications ,any employee designat$ pursuant to p>agraph 7#a7 or 7#b7 %all h demon/rat$ k & exp]i5ce 9 ! fields ( developm5t & public heal?1 epidemiology1 or m$ic9e1 f ! ,f$]al dep>tm5t or ag5cy ) prim>y fiduci>y responsibility = ,unit$ ,/ates contributions pursuant to subsection 7c74 7c7 ,consultation ,n lat] ?an #fj days aft] ! date ( ! enactm5t ( ?is ,act1 ! employee designat$ pursuant to subsection 7b77#a7 %all consult ) ! appropriate congressional committees reg>d+-- 7#a7 ! mann] & ext5t to :i* ! ,unit$ ,/ates plans to p>ticipate 9 ,,cepi1 includ+ ?r\gh ! gov]nance ( ,,cepi2 7#b7 any plann$ f9ancial contributions f ! ,unit$ ,/ates to ,,cepi2 & 7#c7 h[ p>ticipation 9 ,,cepi is expect$ to support-- 7,a7 ! ,unit$ ,/ates ,global ,heal? ,security ,/rategy requir$ "u ?is ,act2 7,b7 ! applicable revision ( ! ,national ,biodef5se ,/rategy requir$ "u section #ajhf ( ! ,national ,def5se ,au?orization ,act = ,fiscal ,ye> #bjag 7#f ,u4,s4,c4 #ajd72 & 7,c7 any o!r relevant programs relat+ to global heal? security & biodef5se4 7d7 ,unit$ ,/ates contributions 7#a7 ,s5se ( congress ,x is ! s5se ( ,congress t ! ,presid5t1 consi/5t ) ! provisions "u section #ajjjc7;a77#a7 ( ! ,am]ican ,rescue ,plan ,act ( #bjba1 %\ld make an imm$iate contribution to ,,cepi 9 ! am\nt ( #cjj1jjj1jjj1 to exp& rese>* & developm5t ( vacc9es to combat ! spread ( ,,covid-#ai v>iants4 7#b7 ,notification ,n lat] ?an #ae days be=e a contribution is made available pursuant to p>agraph 7#a71 ! ,presid5t %all notify ! appropriate congressional committees ( ! details ( ! am\nt1 purposes1 & national int]e/s s]v$ by su* contribution4 #bji4 ,national intellig5ce e/imate & brief+ reg>d+ novel diseases & p&emic ?reats 7a7 ,def9$ t]m ,9 ?is section1 ! t]m appropriate committees ( ,congress means-- 7#a7 ! ,committee on ,=eign ,relations ( ! ,s5ate2 7#b7 ! ,select ,committee on ,intellig5ce ( ! ,s5ate2 7#c7 ! ,committee on ,heal?1 ,education1 ,labor1 & ,p5sions ( ! ,s5ate2 7#d7 ! ,committee on ,=eign ,affairs ( ! ,h\se ( ,repres5tatives2 7#e7 ! ,p]man5t ,select ,committee on ,intellig5ce ( ! ,h\se ( ,repres5tatives2 & 7#f7 ! ,committee on ,en]gy & ,comm]ce ( ! ,h\se ( ,repres5tatives4 7b7 ,national ,intellig5ce ,e/imates 7#a7 ,9 g5]al ,n lat] ?an #a ye> aft] ! date ( ! enactm5t ( ?is ,act1 & annually !reaft] = ! foll[+ #d ye>s1 ! ,national ,intellig5ce ,c\ncil %all submit to ! appropriate committees ( ,congress a ,national ,intellig5ce ,e/imate reg>d+ ! risks pos$ to ! national security int]e/s ( ! ,unit$ ,/ates by ! em]g5ce1 reem]g5ce1 & ov]seas transmission ( pa?og5s ) p&emic pot5tial4 7#b7 ,elem5ts ,! ,national ,intellig5ce ,e/imate submitt$ pursuant to p>agraph 7#a7 %all-- 7,a7 id5tify ! c\ntries or regions mo/ vuln]able to ! em]g5ce or reem]g5ce ( a pa?og5 ) p&emic pot5tial1 includ+ ! mo/ likely s\rces & pa?ways ( su* em]g5ce or reem]g5ce1 :e!r naturally occurr+1 accid5tal1 or delib]ate2 7,b7 assess ! likelihood t a pa?og5 describ$ 9 subp>agraph 7,a7 w spread to ! ,unit$ ,/ates1 ! ,unit$ ,/ates ,arm$ ,=ces1 diplomatic or developm5t p]sonnel ( ! ,unit$ ,/ates /ation$ abroad1 or citiz5s ( ! ,unit$ ,/ates liv+ abroad 9 a mann] t c\ld lead to an epidemic 9 ! ,unit$ ,/ates or o!rwise affect ! national security or economic prosp]ity ( ! ,unit$ ,/ates2 7,c7 assess ! prep>$ness ( c\ntries ar\nd ! _w1 p>ticul>ly ^? id5tifi$ pursuant to subp>agraph 7,a71 to prev5t1 detect1 & respond to p&emic ?reats2 & 7,d7 id5tify any sci5tific1 capacity1 or gov]nance gaps 9 ! prep>$ness ( c\ntries id5tifi$ pursuant to subp>agraph 7,a71 includ+ an analysis ( ! capacity & p]=mance ( any c\ntry or entity describ$ 9 subp>agraph 7,c7 9 comply+ ) biosecurity /&>ds1 z applicable4 7c7 ,congressional brief+s ,! ,national ,intellig5ce ,c\ncil %all provide an annual brief+ to ! appropriate committees ( ,congress reg>d+-- 7#a7 ! mo/ rec5t ,national ,intellig5ce ,e/imate submitt$ pursuant to subsection 7b77#a72 & 7#b7 ! em]g5ce or reem]g5ce ( pa?og5s ) p&emic pot5tial t c\ld lead to an epidemic describ$ 9 subsection 7b77#b77;,b74 7d7 ,public availability ,! ,director ( ,national ,intellig5ce %all make publicly available an unclassifi$ v]sion ( ea* ,national ,intellig5ce ,e/imate submitt$ pursuant to subsection 7b77#a74 #baj4 ,p&emic e>ly w>n+ network 7a7 ,9 g5]al ,! ,secret>y ( ,/ate1 9 coord9ation ) ! ,adm9i/rator ( ! ,unit$ ,/ates ,ag5cy = ,int]national ,developm5t1 ! ,secret>y ( ,heal? & ,human ,s]vices1 & ! heads ( ! o!r relevant ,f$]al dep>tm5ts & ag5cies1 %all "w ) ! ,_w ,heal? ,organization & o!r key /akehold]s to e/abli% or /r5g!n effective e>ly w>n+ sy/ems1 at ! p>tn] c\ntry1 regional1 & int]national levels1 t utilize innovative in=mation & analytical tools & robu/ review processes to track1 docum5t1 analyze1 & =eca/ infecti\s disease ?reats ) epidemic & p&emic pot5tial4 7b7 ,report ,n lat] ?an #a ye> aft] ! date ( ! enactm5t ( ?is ,act1 ! ,secret>y ( ,/ate1 9 coord9ation ) ! ,secret>y ( ,heal? & ,human ,s]vices & ! heads ( ! o!r relevant ,f$]al dep>tm5ts & ag5cies1 %all submit a report to ! appropriate congressional committees t describes ,unit$ ,/ates ,gov]nm5t ef=ts & opportunities to e/abli% or /r5g!n effective e>ly w>n+ sy/ems = infecti\s disease ?reats4 #baa4 ,int]national em]g5cy op]ations 7a7 ,s5se ( ,congress ,x is ! s5se ( ,congress t x is ess5tial to enhance ! capacity ( key /akehold]s to effectively op]ationalize e>ly w>n+ & execute multi-sectoral em]g5cy op]ations dur+ an infecti\s disease outbreak1 p>ticul>ly 9 c\ntries & areas t delib]ately )hold critical global heal? data & delay access dur+ an infecti\s disease outbreak 9 advance ( ! next infecti\s disease outbreak ) p&emic pot5tial4 7b7 ,public heal? em]g5cies ( int]national conc]n ,! ,secret>y ( ,/ate1 9 coord9ation ) ! ,secret>y ( ,heal? & ,human ,s]vices1 %\ld "w ) ! ,_w ,heal? ,organization & l-m9d$ memb] /ates to adopt an approa* t[>d assess+ infecti\s disease ?reats "u ! ,int]national ,heal? ,regulations 7#bjje7 = ! ,_w ,heal? ,organization to id5tify & transp>5tly communicate1 on an ongo+ basis1 v>y+ levels ( risk lead+ up to a decl>ation by ! ,director ,g5]al ( ! ,_w ,heal? ,organization ( a ,public ,heal? ,em]g5cy ( ,int]national ,conc]n = ! duration & 9 ! aft]ma? ( su* decl>ation4 7c7 ,em]g5cy op]ations ,! ,secret>y ( ,/ate1 9 coord9ation ) ! ,unit$ ,/ates ,ag5cy = ,int]national ,developm5t & o!r relevant ,f$]al dep>tm5ts & ag5cies & consi/5t ) ! requirem5ts "u ! ,int]national ,heal? ,regulations 7#bjje7 & ! objectives ( ! ,_w ,heal? ,organization's ,heal? ,em]g5cies ,programme1 ! ,global ,heal? ,security ,ag5da1 & national actions plans = heal? security1 %all "w1 9 coord9ation ) ! ,_w ,heal? ,organization1 ) p>tn] c\ntries & o!r key /akehold]s to support ! e/abli%m5t1 /r5g!n+1 & rapid response capacity ( global heal? em]g5cy op]ations c5t]s1 at ! national & int]national levels1 includ+ ef=ts-- 7#a7 to collect & %>e data1 assess risk1 & op]ationalize e>ly w>n+2 7#b7 to secure1 includ+ ?r\gh utilization ( /&-by arrangem5ts & em]g5cy fund+ me*anisms1 ! /aff1 sy/ems1 & res\rces necess>y to execute cross-sectoral em]g5cy op]ations dur+ ! #dh-;h\r p]iod imm$iately foll[+ an infecti\s disease outbreak ) p&emic pot5tial2 & 7#c7 to organize & conduct em]g5cy simulations4 ,,iii ,f9anc+ me*anism = global heal? security & p&emic prev5tion & prep>$ness #cja4 ,eligible p>tn] c\ntry def9$ ,9 ?is title1 ! t]m eligible p>tn] c\ntry means a c\ntry 9 :i* ! ,fund = ,global ,heal? ,security & ,p&emic ,prev5tion & ,prep>$ness to be e/abli%$ "u section #cjb may f9ance global heal? security & p&emic prev5tion & prep>$ness assi/ance programs "u ?is ,act bas$ on ! c\ntry's demon/rat$-- 7#a7 ne$1 z id5tifi$ ?r\gh ! ,jo9t ,ext]nal ,evaluation process1 ! ,global ,heal? ,security ,index classification ( heal? sy/ems1 national action plans = heal? security1 & o!r complem5t>y or successor indicators ( global heal? security & p&emic prev5tion & prep>$ness2 & 7#b7 commitm5t to transp>5cy1 includ+-- 7,a7 budget & global heal? data transp>5cy2 7,b7 comply+ ) ! ,int]national ,heal? ,regulations 7#bjje72 7,c7 inve/+ 9 dome/ic heal? sy/ems2 & 7,d7 a*iev+ measurable results4 #cjb4 ,e/abli%m5t ( ,fund = ,global ,heal? ,security & ,p&emic ,prev5tion & ,prep>$ness 7a7 ,negotiations = e/abli%m5t ( ,fund = ,global ,heal? ,security & ,p&emic ,prev5tion & ,prep>$ness ,! ,secret>y ( ,/ate1 9 coord9ation ) ! ,secret>y ( ! ,treasury1 ! ,adm9i/rator ( ! ,unit$ ,/ates ,ag5cy = ,int]national ,developm5t1 ! ,secret>y ( ,heal? & ,human ,s]vices1 & ! heads ( o!r relevant ,f$]al dep>tm5ts & ag5cies1 z necess>y & appropriate1 %\ld seek to ent] into negotiations ) donors1 relevant ,unit$ ,nations ag5cies1 includ+ ! ,_w ,heal? ,organization1 & o!r key multilat]al /akehold]s1 to e/abli%-- 7#a7 a multilat]al1 catalytic f9anc+ me*anism = global heal? security & p&emic prev5tion & prep>$ness1 :i* may be kn[n z ! ,fund = ,global ,heal? ,security & ,p&emic ,prev5tion & ,prep>$ness 79 ?is title ref]r$ to z ! ,fund71 to address ! ne$ = & secure durable f9anc+ 9 accordance ) ! provisions ( ?is section2 & 7#b7 an ,advisory ,bo>d to ! ,fund 9 accordance ) section #cje4 7b7 ,purposes ,! purposes ( ! ,fund %\ld be-- 7#a7 to close critical gaps 9 global heal? security & p&emic prev5tion & prep>$ness2 & 7#b7 to build capacity 9 eligible p>tn] c\ntries 9 ! areas ( global heal? security1 infecti\s disease control1 & p&emic prev5tion & prep>$ness1 9 a mann] t-- 7,a7 prioritizes capacity build+ & f9anc+ availability 9 eligible p>tn] c\ntries2 7,b7 inc5tivizes c\ntries to prioritize ! use ( dome/ic res\rces = global heal? security & p&emic prev5tion & prep>$ness2 7,c7 lev]ages gov]nm5t1 nongov]nm5t1 & private sector inve/m5ts2 7,d7 regul>ly responds to & evaluates progress bas$ on cle> metrics & b5*m>ks1 su* z ! ,jo9t ,ext]nal ,evaluation & ! ,global ,heal? ,security ,index2 7,e7 aligns ) & complem5ts ongo+ bilat]al & multilat]al ef=ts & f9anc+1 includ+ ?r\gh ! ,_w ,bank1 ! ,_w ,heal? ,organization1 ! ,global ,fund to ,fight ,,aids1 ,tub]culosis1 & ,mal>ia1 ! ,coalition = ,epidemic ,prep>$ness & ,innovation1 & ,gavi1 ! ,vacc9e ,alliance2 & 7,f7 helps c\ntries accel]ate & a*ieve compliance ) ! ,int]national ,heal? ,regulations 7#bjje7 & ! fulfillm5t ( ! ,global ,heal? ,security ,ag5da #bjbd ,framework n lat] ?an #e ye>s aft] ! date on :i* ! ,fund is e/abli%$1 9 coord9ation ) ! ongo+ ,jo9t ,ext]nal ,evaluation national action plann+ process4 7c7 ,executive ,bo>d 7#a7 ,9 g5]al ,! ,fund %\ld be gov]n$ by a transp>5t & acc\ntable body 7ref]r$ to 9 ?is title z ! ,executive ,bo>d71 :i* %\ld be compos$ ( n m ?an #bj repres5tatives ( donor gov]nm5ts1 f\ndations1 academic in/itutions1 civil society1 indig5\s p1 & ! private sector t meet a m9imum ?re%old 9 annual contributions & agree to uphold transp>5cy measures4 7#b7 ,duties ,! ,executive ,bo>d %\ld-- 7,a7 be *>g$ ) approv+ /rategies1 op]ations1 & grant mak+ au?orities 9 ord] to conduct effective fiduci>y1 monitor+1 & evaluation ef=ts1 & o!r ov]sight functions2 7,b7 be compris$ only ( contributors to ! ,fund at n less ?an ! m9imum ?re%old to be e/abli%$ pursuant to p>agraph 7#a72 7,c7 det]m9e op]ational proc$ures su* t ! ,fund is able to effectively fulfill its mission2 7,d7 provide ov]sight & acc\ntability = ! ,fund 9 collaboration ) ! ,inspector ,g5]al to be e/abli%$ pursuant to section #cjd7;e77#a77;,a72 & 7,e7 develop & utilize a me*anism to obta9 =mal input f p>tn] c\ntries relative to lessons le>n$ ) reg>d to program implem5tation4 7#c7 ,composition ,! ,executive ,bo>d %\ld include-- 7,a7 repres5tatives ( ! gov]nm5ts ( f\nd+ p]man5t memb] c\ntries :o1 9 addition to ! requirem5ts "u p>agraph 7#a71 qualify bas$ ^u meet+ an e/abli%$ initial contribution ?re%old1 :i* %\ld be n less ?an #aj p]c5t ( total initial contributions1 & a demon/rat$ commitm5t to support+ ! ,int]national ,heal? ,regulations 7#bjje72 7,b7 a geographically div]se gr\p ( t]m memb]s :o-- 7i7 come f academic in/itutions1 civil society1 includ+ indig5\s organizations1 & ! private sector2 & 7ii7 are select$ by ! p]man5t memb]s on ! basis ( _! exp]i5ce & commitm5t to innovation1 be/ practices1 & ! advancem5t ( global heal? security objectives2 7,c7 repres5tatives ( ! ,_w ,heal? ,organization2 7,d7 ! *air ( ! ,global ,heal? ,security ,/e]+ ,gr\p2 & 7,e7 repres5tatives f l[- & middle-income c\ntries t are or w be implem5t+ a national p&emic prev5tion plan4 7#d7 ,qualifications ,individuals appo9t$ to ! ,executive ,bo>d %\ld h demon/rat$ k & exp]i5ce across a v>iety ( sectors1 includ+ human & animal heal?1 agriculture1 developm5t1 def5se1 f9ance1 rese>*1 & academia4 7#e7 ,conflicts ( int]e/ 7,a7 ,te*nical exp]ts ,! ,executive ,bo>d may include indep5d5t te*nical exp]ts :o are n affiliat$ )1 or employ$ by1 a recipi5t c\ntry or organization4 7,b7 ,multilat]al bodies & in/itutions ,executive ,bo>d memb]s appo9t$ pursuant to p>agraph 7#c77;,c7 %\ld recuse !mselves f matt]s pres5t+ conflicts ( int]e/1 includ+ f9anc+ decisions relat+ to su* bodies & in/itutions4 7#f7 ,unit$ /ates repres5tation 7,a7 ,f\nd+ p]man5t memb] ,! ,secret>y ( ,/ate %\ld seek-- 7i7 to e/abli% ! ,unit$ ,/ates z a f\nd+ p]man5t memb] ( ! ,fund2 & 7ii7 to ensure t ! ,unit$ ,/ates is repres5t$ on ! ,executive ,bo>d by an (fic] or employee ( ! ,unit$ ,/ates1 :o %all be appo9t$ by ! ,presid5t4 7,b7 ,effective & t]m9ation dates 7i7 ,effective date ,?is p>agraph %all take effect ^u ! date on :i* ! ,secret>y ( ,/ate c]tifies & submits to ,congress an agreem5t e/abli%+ ! ,fund4 7ii7 ,t]m9ation date ,! memb]%ip e/abli%$ pursuant to subp>agraph 7,a7 %all t]m9ate ^u ! date ( t]m9ation ( ! ,fund4 7#g7 ,removal proc$ures ,! ,fund %\ld e/abli% proc$ures = ! removal ( memb]s ( ! ,executive ,bo>d :o-- 7,a7 engage 9 a consi/5t patt]n ( human rights abuses2 7,b7 fail to uphold global heal? data transp>5cy requirem5ts2 or 7,c7 o!rwise violate ! e/abli%$ /&>ds ( ! ,fund1 includ+ 9 relation to corruption4 #cjc4 ,au?orities 7a7 ,program objectives 7#a7 ,9 g5]al ,9 c>ry+ out ! purpose set =? 9 section #cjb1 ! ,fund1 act+ ?r\gh ! ,executive ,bo>d1 %\ld-- 7,a7 provide grants1 includ+ *all5ge grants1 te*nical assi/ance1 concessional l5d+1 catalytic inve/m5t funds1 & o!r innovative fund+ me*anisms1 z appropriate-- 7i7 to help eligible p>tn] c\ntries close critical gaps 9 heal? security1 z id5tifi$ ?r\gh ! ,jo9t ,ext]nal ,evaluation process1 ! ,global ,heal? ,security ,index classification ( heal? sy/ems1 & national action plans = heal? security & o!r complem5t>y or successor indicators ( global heal? security & p&emic prev5tion & prep>$ness2 & 7ii7 to support measures t enable su* c\ntries1 at ! national & subnational levels1 & 9 p>tn]%ip ) civil society & ! private sector1 to /r5g!n & su/a9 resili5t heal? sy/ems & supply *a9s ) ! res\rces1 capacity1 & p]sonnel requir$ to prev5t1 detect1 mitigate1 & respond to infecti\s disease ?reats1 includ+ zoonotic spillov]1 be=e !y become p&emics2 & 7,b7 develop recomm5dations = a me*anism = assi/+ c\ntries t are at high risk = zoonotic spillov] ev5ts ) p&emic pot5tial to p>ticipate 9 ! ,global ,heal? ,security ,ag5da & ! ,jo9t ,ext]nal ,evaluations4 7#b7 ,activities support$ ,! activities to be support$ by ! ,fund %\ld include ef=ts-- 7,a7 to enable eligible p>tn] c\ntries to =mulate & implem5t national heal? security & p&emic prev5tion & prep>$ness action plans1 advance action packages "u ! ,global ,heal? ,security ,ag5da1 & adopt & uphold commitm5ts "u ! ,int]national ,heal? ,regulations 7#bjje7 & o!r relat$ int]national heal? agreem5ts & arrangem5ts1 z appropriate2 7,b7 to support heal? security budget plann+ 9 eligible p>tn] c\ntries1 includ+ tra9+ 9 public f9ancial managem5t & budget & heal? data transp>5cy2 7,c7 to /r5g!n ! heal? work=ce1 includ+ hir+1 tra9+1 & deploy+ exp]ts to improve frontl9e prev5tion (1 & monitor+ & prep>$ness =1 unkn[n1 new1 em]g+1 or reem]g+ pa?og5s1 epidemics1 & p&emic ?reats2 7,d7 to improve infection prev5tion & control & ! protection ( heal?c>e work]s )9 heal?c>e sett+s2 7,e7 to combat ! ?reat ( antimicrobial resi/ance2 7,f7 to /r5g!n laboratory capacity & promote biosafety & biosecurity ?r\gh ! provision ( mat]ial & te*nical assi/ance2 7,g7 to r$uce ! risk ( biot]rorism1 zoonotic disease spillov]1 & accid5tal biological release2 7,h7 to build te*nical capacity to manage heal? supply *a9s = commodities1 equipm5t1 & supplies1 includ+ = p]sonal protective equipm5t1 te/+ reag5ts1 & o!r lifesav+ supplies1 ?r\gh effective =eca/+1 procurem5t1 w>eh\s+1 & deliv]y f c5tral w>eh\ses to po9ts ( s]vice 9 bo? ! public & private sectors2 7,i7 to enable bilat]al1 regional1 & int]national p>tn]%ips & coop]ation1 includ+ ?r\gh p&emic e>ly w>n+ sy/ems & em]g5cy op]ations c5t]s1 to id5tify & address transnational infecti\s disease ?reats exac]bat$ by natural & man-made disa/]s1 human displacem5t1 & zoonotic infection2 7,j7 to e/abli% p>tn]%ips = ! %>+ ( be/ practices & enabl+ eligible c\ntries to meet t>gets & indicators "u ! ,jo9t ,ext]nal ,evaluation process1 ! ,global ,heal? ,security ,index classification ( heal? sy/ems1 & national action plans = heal? security relat+ to ! prev5tion1 detection1 & treatm5t ( neglect$ tropical diseases2 7,k7 to build ! te*nical capacity ( eligible p>tn] c\ntries to prep>e = & respond to second ord] developm5t impacts ( infecti\s disease outbreaks1 :ile acc\nt+ = ! diff]5tiat$ ne$s & vuln]abilities ( m>g9aliz$ populations2 7,l7 to develop & utilize metrics to monitor & evaluate programmatic p]=mance & id5tify be/ practices1 includ+ 9 accordance ) ,jo9t ,ext]nal ,evaluation b5*m>ks1 ,global ,heal? ,security ,ag5da t>gets1 & ,global ,heal? ,security ,index indicators2 7,m7 to develop & deploy me*anisms to enhance ! transp>5cy & acc\ntability ( global heal? security & p&emic prev5tion & prep>$ness programs & data1 9 compliance ) ! ,int]national ,heal? ,regulations 7#bjje71 includ+ ?r\gh ! %>+ ( tr5ds1 risks1 & lessons le>n$2 7,n7 to develop & implem5t simulation ex]cises1 produce & release aft] action reports1 & address relat$ gaps2 7,o7 to support c\ntries 9 conduct+ ,jo9t ,ext]nal ,evaluations2 & 7,p7 to improve surveillance capacity 9 p>tn] c\nties su* t ^? c\ntries are bett] able to detect & respond to kn[n & unkn[n pa?og5s & zoonotic infecti\s diseases4 7#c7 ,implem5tation ( program objectives ,9 c>ry+ out ! objectives "u p>agraph 7#a71 ! ,fund %\ld "w to elim9ate duplication & wa/e by uphold+ /rict transp>5cy & acc\ntability /&>ds & coord9at+ its programs & activities ) key p>tn]s work+ to advance global heal? security & p&emic prev5tion & prep>$ness1 includ+-- 7,a7 gov]nm5ts1 civil society1 nongov]nm5tal organizations1 rese>* & academic in/itutions1 & private sector entities 9 eligible p>tn] c\ntries2 7,b7 ! p&emic e>ly w>n+ sy/ems & int]national em]g5cy op]ations c5t]s to be e/abli%$ "u sections #baj & #baa2 7,c7 ! ,_w ,heal? ,organization2 7,d7 ! ,global ,heal? ,security ,ag5da2 7,e7 ! ,global ,heal? ,security ,initiative2 7,f7 ! ,global ,fund to ,fight ,,aids1 ,tub]culosis1 & ,mal>ia2 7,g7 ! ,unit$ ,nations ,(fice = ! ,coord9ation ( ,humanit>ian ,affairs1 ,,unicef1 & o!r relevant funds1 programs1 & specializ$ ag5cies ( ! ,unit$ ,nations2 7,h7 ,gavi1 ! ,vacc9e ,alliance2 7,i7 ! ,coalition = ,epidemic ,prep>$ness ,innovations 7,,cepi72 & 7,j7 ! ,global ,polio ,eradication ,initiative4 7b7 ,priority ,9 provid+ assi/ance "u ?is section1 ! ,fund %\ld give priority to l[-& l[] middle income c\ntries )-- 7#a7 l[ scores on ! ,global ,heal? ,security ,index classification ( heal? sy/ems2 7#b7 measurable gaps 9 global heal? security & p&emic prev5tion & prep>$ness id5tifi$ "u ,jo9t ,ext]nal ,evaluations & national action plans = heal? security2 7#c7 demon/rat$ political & f9ancial commitm5t to p&emic prev5tion & prep>$ness2 & 7#d7 demon/rat$ commitm5t to uphold+ global heal? budget & data transp>5cy & acc\ntability /&>ds1 comply+ ) ! ,int]national ,heal? ,regulations 7#bjje71 inve/+ 9 dome/ic heal? sy/ems1 & a*iev+ measurable results4 7c7 ,eligible grant recipi5ts ,gov]nm5ts & nongov]nm5tal organizations %\ld be eligible to receive grants z describ$ 9 ?is section4 #cjd4 ,adm9i/ration 7a7 ,appo9tm5t ( ,adm9i/rator ,! ,executive ,bo>d %\ld appo9t an ,adm9i/rator1 :o %\ld be responsible = manag+ ! day-to-day op]ations ( ! ,fund4 7b7 ,au?ority ,to accept & solicit contributions ,! ,fund %\ld be au?oriz$ to solicit & accept contributions f gov]nm5ts1 ! private sector1 f\ndations1 individuals1 & nongov]nm5tal entities4 7c7 ,acc\ntability ( funds & crit]ia = programs ,z "p ( ! negotiations describ$ 9 section #cjb7;a71 ! ,secret>y ( ! ,/ate1 consi/5t ) subsection 7d71 %all-- 7#a7 take su* actions z are necess>y to ensure t ! ,fund w h 9 effect adequate proc$ures & /&>ds to acc\nt = & monitor ! use ( funds contribut$ to ! ,fund1 includ+ ! co/ ( adm9i/]+ ! ,fund2 & 7#b7 seek agreem5t on ! crit]ia t %\ld be us$ to det]m9e ! programs & activities t %\ld be assi/$ by ! ,fund4 7d7 ,selection ( p>tn] c\ntries1 projects1 & recipi5ts ,! ,executive ,bo>d %\ld e/abli%-- 7#a7 eligible p>tn] c\ntry selection crit]ia1 to include transp>5t metrics to measure & assess global heal? security & p&emic prev5tion & prep>$ness /r5g?s & vuln]abilities 9 c\ntries seek+ assi/ance2 7#b7 m9imum /&>ds = ensur+ eligible p>tn] c\ntry own]%ip & commitm5t to long-t]m results1 includ+ requirem5ts = dome/ic budget+1 res\rce mobilization1 & co-inve/m5t2 7#c7 crit]ia = ! selection ( projects to receive support f ! ,fund2 7#d7 /&>ds & crit]ia reg>d+ qualifications ( recipi5ts ( su* support2 7#e7 su* rules & proc$ures z may be necess>y = co/-effective managem5t ( ! ,fund2 & 7#f7 su* rules & proc$ures z may be necess>y to ensure transp>5cy & acc\ntability 9 ! grant-mak+ process4 7e7 ,additional transp>5cy & acc\ntability requirem5ts 7#a7 ,inspector g5]al 7,a7 ,9 g5]al ,! ,secret>y ( ,/ate %all seek to ensure t-- 7i7 ! ,fund ma9ta9s an indep5d5t ,(fice ( ! ,inspector ,g5]al2 & 7ii7 su* (fice has ! requisite res\rces & capacity to regul>ly conduct & publi%1 on a publicly accessible website1 rigor\s f9ancial1 programmatic1 & report+ audits & inve/igations ( ! ,fund & its grantees4 7,b7 ,s5se ( congress on corruption ,x is ! s5se ( ,congress t-- 7i7 corruption )9 global heal? programs contribute directly to ! loss ( human life & _c be tol]at$2 & 7ii7 9 mak+ f9ancial recov]ies relat+ to a corrupt act or crim9al conduct "u a grant1 z det]m9$ by ! ,inspector ,g5]al1 ! responsible grant recipi5t %\ld be assess$ at a recov]y rate ( up to #aej p]c5t ( su* loss4 7#b7 ,adm9i/rative exp5ses ,! ,secret>y ( ,/ate %all seek to ensure ! ,fund e/abli%es1 ma9ta9s1 & makes publicly available a sy/em to track ! adm9i/rative & managem5t co/s ( ! ,fund on a qu>t]ly basis4 7#c7 ,f9ancial track+ sy/ems ,! ,secret>y ( ,/ate %all ensure t ! ,fund e/abli%es1 ma9ta9s1 & makes publicly available a sy/em to track ! am\nt ( funds disburs$ to ea* grant recipi5t & sub-recipi5t dur+ a grant's fiscal cycle4 7#d7 ,exemption f duties & taxes ,! ,secret>y %\ld ensure t ! ,fund adopts rules t condition grants ^u agreem5t by ! relevant national au?orities 9 an eligible p>tn] c\ntry to exempt f duties & taxes all products f9anc$ by su* grants1 includ+ procurem5ts by any pr9cipal or sub-recipi5t = ! purpose ( c>ry+ out su* grants4 #cje4 ,advisory ,bo>d 7a7 ,9 g5]al ,!re %\ld be an ,advisory ,bo>d to ! ,fund4 7b7 ,appo9tm5ts ,! memb]s ( ! ,advisory ,bo>d %\ld be compos$ (-- 7#a7 a geographically div]se gr\p ( individuals t includes repres5tation f l[- & middle-income c\ntries2 7#b7 individuals ) exp]i5ce & lead]%ip 9 ! fields ( developm5t1 global heal?1 epidemiology1 m$ic9e1 biom$ical rese>*1 & social sci5ces2 & 7#c7 repres5tatives ( relevant ,unit$ ,nations ag5cies1 includ+ ! ,_w ,heal? ,organization1 & nongov]nm5tal organizations ) on-!-gr\nd exp]i5ce 9 implem5t+ global heal? programs 9 l[ & l[]-middle income c\ntries4 7c7 ,responsibilities ,! ,advisory ,bo>d %\ld provide advice & guidance to ! ,executive ,bo>d ( ! ,fund on ! developm5t & implem5tation ( programs & projects to be assi/$ by ! ,fund & on lev]ag+ donations to ! ,fund4 7d7 ,prohibition on paym5t ( comp5sation 7#a7 ,9 g5]al ,except = travel exp5ses 7includ+ p] diem 9 lieu ( subsi/5ce71 no memb] ( ! ,advisory ,bo>d %\ld receive comp5sation = s]vices p]=m$ z a memb] ( ! ,bo>d4 7#b7 ,unit$ /ates repres5tative ,not)/&+ any o!r provision ( law 7includ+ an int]national agreem5t71 a repres5tative ( ! ,unit$ ,/ates on ! ,advisory ,bo>d may n accept comp5sation = s]vices p]=m$ z a memb] ( ! ,bo>d1 except t su* repres5tative may accept travel exp5ses1 includ+ p] diem 9 lieu ( subsi/5ce1 :ile away f ! repres5tative's home or regul> place ( bus9ess 9 ! p]=mance ( s]vices = ! ,bo>d4 7e7 ,conflicts ( int]e/ ,memb]s ( ! ,advisory ,bo>d %\ld be requir$ to disclose any pot5tial conflicts ( int]e/ prior to s]v+ on ! ,advisory ,bo>d &1 9 ! ev5t ( any conflicts ( int]e/1 recuse !mselves f su* matt]s dur+ _! s]vice on ! ,advisory ,bo>d4 #cjf4 ,reports to ,congress 7a7 ,/atus report ,n lat] ?an #ahj days aft] ! date ( ! enactm5t ( ?is ,act1 ! ,secret>y ( ,/ate1 9 coord9ation ) ! ,adm9i/rator ( ! ,unit$ ,/ates ,ag5cy = ,int]national ,developm5t1 & ! heads ( o!r relevant ,f$]al dep>tm5ts & ag5cies1 %all submit a report to ! appropriate congressional committees t describes ! progress ( int]national negotiations to e/abli% ! ,fund4 7b7 ,annual report 7#a7 ,9 g5]al ,n lat] ?an #a ye> aft] ! date ( ! e/abli%m5t ( ! ,fund1 & annually !reaft] = ! duration ( ! ,fund1 ! ,secret>y ( ,/ate1 %all submit a report to ! appropriate congressional committees reg>d+ ! adm9i/ration ( ! ,fund4 7#b7 ,report elem5ts ,! report requir$ "u p>agraph 7#a7 %all describe-- 7,a7 ! goals ( ! ,fund2 7,b7 ! programs1 projects1 & activities support$ by ! ,fund2 7,c7 private & gov]nm5tal contributions to ! ,fund2 & 7,d7 ! crit]ia utiliz$ to det]m9e ! programs & activities t %\ld be assi/$ by ! ,fund1 includ+ basel9es1 t>gets1 desir$ outcomes1 measurable goals1 & ext5t to :i* ^? goals are be+ a*iev$4 7c7 ,,gao report on effectiv5ess ,n lat] ?an #b ye>s aft] ! date on :i* ! ,fund is e/abli%$1 ! ,comptroll] ,g5]al ( ! ,unit$ ,/ates %all submit a report to ! appropriate congressional committees t evaluates ! effectiv5ess ( ! ,fund1 includ+ ! effectiv5ess ( ! programs1 projects1 & activities support$ by ! ,fund1 z describ$ 9 section #cjc7;a74 #cjg4 ,unit$ ,/ates contributions 7a7 ,9 g5]al ,subject to submission ( ! c]tification "u ?is section1 ! ,presid5t is au?oriz$ to make available = ,unit$ ,/ates contributions to ! ,fund su* funds z may be appropriat$ or o!rwise made available = su* purpose4 7b7 ,notification ,! ,secret>y ( ,/ate %all notify ! appropriate congressional committees n lat] ?an #ae days 9 advance ( mak+ a contribution to ! ,fund1 includ+-- 7#a7 ! am\nt ( ! propos$ contribution2 7#b7 ! total ( funds contribut$ by o!r donors2 & 7#c7 ! national int]e/s s]v$ by ,unit$ ,/ates p>ticipation 9 ! ,fund4 7c7 ,limitation ,dur+ ! #e-ye> p]iod beg9n+ on ! date ( ! enactm5t ( ?is ,act1 a ,unit$ ,/ates contribution to ! ,fund may n cause ! cumulative total ( ,unit$ ,/ates contributions to ! ,fund to exce$ #cc p]c5t ( ! total contributions to ! ,fund f all s\rces4 7d7 ,)hold+s 7#a7 ,support = acts ( int]national t]rorism ,if ! ,secret>y ( ,/ate det]m9es t ! ,fund has provid$ assi/ance to a c\ntry1 ! gov]nm5t ( :i* ! ,secret>y ( ,/ate has det]m9$1 = purposes ( section #fbj;,a ( ! ,=eign ,assi/ance ,act ( #aifa 7#bb ,u4,s4,c4 #bcga7 has repeat$ly provid$ support = acts ( int]national t]rorism1 ! ,unit$ ,/ates %all )hold f its contribution to ! ,fund = ! next fiscal ye> an am\nt equal to ! am\nt exp5d$ by ! ,fund to ! gov]nm5t ( su* c\ntry4 7#b7 ,excessive sal>ies ,dur+ ! #e-ye> p]iod beg9n+ on ! date ( ! enactm5t ( ?is ,act1 if ! ,secret>y ( ,/ate det]m9es t ! sal>y ( any individual employ$ by ! ,fund exce$s ! sal>y ( ! ,vice ,presid5t ( ! ,unit$ ,/ates = su* fiscal ye>1 ! ,unit$ ,/ates %\ld )hold f its contribution = ! next fiscal ye> an am\nt equal to ! aggregate am\nt by :i* ! sal>y ( ea* su* individual exce$s ! sal>y ( ! ,vice ,presid5t ( ! ,unit$ ,/ates4 7#c7 ,acc\ntability c]tification requirem5t ,! ,secret>y ( ,/ate may )hold n m ?an #bj p]c5t ( plann$ ,unit$ ,/ates contributions to ! ,fund until ! ,secret>y c]tifies to ! appropriate congressional committees t ! ,fund has e/abli%$ proc$ures to provide access by ! ,(fice ( ,inspector ,g5]al ( ! ,dep>tm5t ( ,/ate1 z cognizant ,inspector ,g5]al1 ! ,inspector ,g5]al ( ! ,dep>tm5t ( ,heal? & ,human ,s]vices1 ! ,inspector ,g5]al ( ! ,unit$ ,/ates ,ag5cy = ,int]national ,developm5t1 & ! ,comptroll] ,g5]al ( ! ,unit$ ,/ates to ! ,fund's f9ancial data & o!r in=mation relevant to ,unit$ ,/ates contributions to ! ,fund 7z det]m9$ by ! ,inspector ,g5]al ( ! ,dep>tm5t ( ,/ate1 9 consultation ) ! ,secret>y ( ,/ate74 #cjh4 ,compliance ) ! ,=eign ,aid ,transp>5cy & ,acc\ntability ,act ( #bjaf ,section #b7c7 ( ! ,=eign ,aid ,transp>5cy & ,acc\ntability ,act ( #bjaf 7,public ,law #aad-aia2 #bb ,u4,s4,c4 #bcid;c note7 is am5d$-- 7#a7 9 subp>agraph 7,d71 by /rik+ & at ! end2 7#b7 9 subp>agraph 7,e71 by /rik+ ! p]iod at ! end & ins]t+ 2 &2 & 7#c7 by add+ at ! end ! foll[+3 7,f7 ! ,int]national ,p&emic ,prep>$ness & ,,covid-#ai ,response ,act ( #bjba4 4