,,ii #aagth ,,congress #ast ,session ,s4 #bief ,,in ,,the ,,senate ,,of ,,the ,,united ,,states ,october #g1 #bjba,mr4 ,coons 7for himself1 ,mr4 ,wicker1 ,mr4 ,kaine1 and ,mr4 ,boozman7 introduced the following bill2 which was read twice and referred to the ,committee on ,foreign ,relations ,a ,,bill ,to advance targeted1 high-impact1 and evidence-based interventions for the prevention and treatment of global malnutrition1 to improve the coordination of such programs1 and for other purposes4 #a4 ,short title ,this ,act may be cited as the ,global ,malnutrition ,prevention and ,treatment ,act of #bjba4 #b4 ,nutrition programs 7a7 ,in general ,the ,administrator of the ,united ,states ,agency for ,international ,development1 in coordination with relevant ,federal departments and agencies1 is authorized and encouraged to scale up the prevention and treatment of global malnutrition1 including by supporting efforts-- 7#a7 to target high-impact and evidence-based resources and nutrition interventions to support the most vulnerable populations1 including children younger than #e years of age and pregnant and lactating women1 susceptible to severe malnutrition1 including both stunting and wasting2 7#b7 to increase coverage1 particularly within priority countries1 of high-impact and evidence-based nutrition interventions that include coordinated deployment of prenatal vitamins1 breastfeeding support1 vitamin ,a supplementation1 emergency therapeutic food1 and other evidence-based interventions as appropriate2 7#c7 to increase the use of context and country-appropriate fortification of staples and condiments with essential nutrients2 7#d7 to advance evidence-based programs and interventions carried out using data-driven approaches1 best practices1 and targeted to country-specific contexts and needs2 7#e7 to support the development of country-specific policies to prevent and treat malnutrition2 7#f7 to leverage investments to strengthen primary health systems and support community health workers in order to advance improved nutrition outcomes2 and 7#g7 to ensure rigorous monitoring and evaluation of all nutrition programs and interventions4 7b7 ,coordination ,the ,administrator of the ,united ,states ,agency for ,international ,development1 in coordination with relevant ,federal departments and agencies1 should coordinate with bilateral and multilateral donors1 partner country governments1 ,united ,nations agencies1 civil society1 nongovernmental organizations1 including faith-based organizations1 and the private sector to scale up efforts to prevent and treat global malnutrition1 including by-- 7#a7 building the capacity of local and community-based organizations and partner country governments to expand coverage and ensure sustainability of nutrition interventions2 7#b7 expanding research and innovation to identify and scale effective and evidence-based nutrition interventions based on country-specific contexts2 7#c7 improving the coordination of nutrition interventions1 including within the ,united ,nations2 7#d7 leveraging additional resources and ensuring appropriate burden-sharing to support nutrition interventions in priority countries2 7#e7 expanding domestic resource mobilization and domestic financing for nutrition interventions2 and 7#f7 encouraging investment into innovative and multistakeholder finance partnerships4 #c4 ,priority countries 7a7 ,designation ,the ,administrator1 in coordination with the ,nutrition ,leadership ,council1 shall-- 7#a7 designate certain countries as priority countries for the purposes of prioritizing programs to prevent and treat malnutrition2 and 7#b7 not later than #e years after the date of the enactment of this ,act1 review and update such designations based on the criteria described in subsection 7b74 7b7 ,criteria ,in selecting priority countries under subsection 7a71 the ,administrator should consider-- 7#a7 the prevalence of severe malnutrition among children younger than #e years of age and pregnant and lactating women2 7#b7 the presence of high-need1 underserved1 marginalized1 vulnerable1 or impoverished communities2 7#c7 the enabling environment for improved nutrition1 including the presence of national nutrition plans and the demonstration of strong political commitment2 and 7#d7 other appropriate factors4 7c7 ,sense of ,congress ,it is the sense of ,congress that the ,administrator should continue to undertake nutrition interventions in countries that are not selected as priority countries1 particularly if opportunities are identified to advance multi-sectoral development programming and to integrate efforts to prevent and treat global malnutrition with other priority areas and program objectives4 #d4 ,coordination 7a7 ,nutrition ,leadership ,council ,there is established at the ,united ,states ,agency for ,international ,development 7referred to in this section as ,,usaid71 the ,nutrition ,leadership ,council 7referred to in this section as the ,council71 which shall coordinate efforts by ,,usaid to prevent and treat malnutrition globally4 7b7 ,duties ,the ,council shall-- 7#a7 advance efforts by ,,usaid to prevent and treat malnutrition globally2 7#b7 ensure that nutrition interventions1 particularly within priority countries1 are carried out in close coordination with and aligned with existing ,united ,states ,government and ,,usaid strategies1 including-- 7,a7 the ,senator ,paul ,simon ,water for the ,world ,act of #bjad 7,public ,law #aac-bhi72 7,b7 the ,global ,food ,security ,act of #bjaf 7#bb ,u4,s4,c4 #icja et seq472 7,c7 the ,global ,fragility ,act of #bjai 7#bb ,u4,s4,c4 #ihja et seq472 and 7,d7 the ,global ,child ,thrive ,act of #bjbj 7subtitle ,i of title ,,xii of division ,a of ,public ,law #aaf-bhc72 and 7#c7 ensure that nutrition programs and interventions are coordinated with nutrition programs carried out by other relevant ,federal departments and agencies4 7c7 ,membership ,the ,council shall include representatives of-- 7#a7 the ,bureau for ,global ,health2 7#b7 the ,bureau for ,resilience and ,food ,security2 7#c7 the ,bureau for ,humanitarian ,assistance2 and 7#d7 other appropriate ,,usaid bureaus and offices4 7d7 ,interagency efforts ,in carrying out the activities described in section #b1 the ,administrator1 in coordination with relevant ,federal departments and agencies1 shall seek to leverage additional private sector resources to prevent and treat malnutrition in priority countries by-- 7#a7 increasing cooperation between ,,usaid1 the ,millennium ,challenge ,corporation1 the ,united ,states ,international ,development ,finance ,corporation1 and other relevant ,federal departments and agencies to better leverage the full spectrum of grants1 technical assistance1 debt1 equity1 loan guaranty tools1 and public-private partnerships to prevent and treat global malnutrition2 7#b7 utilizing the ,administrator's role as ,development ,finance ,corporation ,vice ,chair to consider opportunities within the ,development ,finance ,corporation's development impact framework that support improved nutrition outcomes2 and 7#c7 exploring opportunities to advance burden-sharing in nutrition-related assistance4 #e4 ,implementation plan 7a7 ,in general ,not later than #bfj days after the date of the enactment of this ,act1 the ,administrator1 in coordination with other relevant ,federal departments and agencies1 shall develop and submit to the appropriate congressional committees an implementation plan to prevent and treat global malnutrition and carry out the activities authorized under section #b4 7b7 ,contents ,the implementation plan required under subsection 7a7 shall-- 7#a7 establish specific and measurable goals1 objectives1 and performance metrics towards prevention and treatment of global malnutrition1 including clear benchmarks and intended timelines for achieving such goals and objectives2 7#b7 establish baseline measurements and time-bound targets for increasing coverage of key nutrition interventions in priority countries1 which may include scaling up to-- 7,a7 #hj-percent coverage for-- 7i7 vitamin ,a 7to be measured by the proportion of children #f to #ei months old receiving #b high-dose vitamin ,a supplements in a given year72 7ii7 prenatal vitamins 7measured by the proportion of pregnant women who received multiple micronutrient supplementation daily72 and 7iii7 breastfeeding 7as measured by proportion of mothers of children between #j and #e months of age reached by promotion of breastfeeding activities72 and 7,b7 #ej-percent coverage for treatment of wasting 7as measured by the proportion of children #f to #ei months with severe acute malnutrition receiving therapeutic feeding treatment72 7#c7 require monitoring and evaluation plans for all nutrition programs and activities1 as appropriate2 7#d7 in countries that were selected as priority countries1 ensure that nutrition is adequately addressed within the ,country ,development ,cooperation ,strategy to the extent practicable and identify opportunities to expand efforts to prevent and treat malnutrition1 including through leveraging existing health and development programs and other ongoing activities2 and 7#e7 require all ,,usaid grants1 contracts1 and cooperative agreements for the purposes of the treatment or prevention of severe malnutrition to include targets for increased coverage of high-impact nutrition interventions1 including the establishment of baseline measurements from which to quantify progress4 7c7 ,stakeholder consultation ,the implementation plan required under this section shall be developed in consultation with1 as appropriate1 representatives of nongovernmental organizations1 including faith-based organizations1 civil society groups1 multilateral organizations and donors1 relevant private1 academic1 and philanthropic entities1 and the appropriate congressional committees4 #f4 ,reporting requirements 7a7 ,annual report ,not later than #a year after the date of the enactment of this ,act1 and annually thereafter for #e additional years1 the ,administrator shall submit a report to the appropriate congressional committees that describes the progress made towards preventing and treating malnutrition1 including-- 7#a7 a summary of the progress made towards achieving the specific and measurable goals1 objectives1 and performance metrics towards ending global malnutrition identified as required under section #e7;b77#a72 7#b7 in countries identified as priority countries-- 7,a7 a detailed summary of nutrition programs and activities in the previous fiscal year1 including-- 7i7 a breakdown of the countries to which nutrition resources have been allocated2 and 7ii7 the estimated number of people reached through nutrition interventions2 and 7,b7 an assessment of the coordination of nutrition programs with other health and development programs and priorities2 7#c7 a summary of efforts to expand research and innovation to development and scale up new tools to prevent and treat global malnutrition2 7#d7 an assessment of the collaboration and coordination of ,,usaid nutrition efforts with the ,united ,nations agencies1 the ,world ,bank1 other donor governments1 host country governments1 civil society1 the private sector1 and other efforts1 as appropriate2 7#e7 a description of other donor and host country financial commitments and efforts to prevent and treat malnutrition2 and 7#f7 the constraints on implementation of programs and key lessons learned from programs and activities from the previous fiscal years4 7b7 ,use of information ,the ,administrator may choose to include the report required in this section as a component of other congressionally mandated reports provided to appropriate congressional committees1 as appropriate4 #g4 ,compliance with the ,foreign ,aid ,transparency and ,accountability ,act of #bjaf ,section #b7c7 of the ,foreign ,aid ,transparency and ,accountability ,act of #bjaf 7,public ,law #aad-aia2 #bb ,u4,s4,c4 #bcid;c note7 is amended-- 7#a7 in subparagraph 7,c71 by striking and at the end2 7#b7 in subparagraph 7,d71 by striking the period at the end and inserting 2 and2 and 7#c7 by adding at the end the following3 7,e7 the ,global ,malnutrition ,prevention and ,treatment ,act of #bjba4 4 #h4 ,sunset ,this ,act shall cease to have force or effect beginning on the date that is #g years after the date of the enactment of this ,act4