,,ii  #aag? ,,congress  #a/ ,session    
,s4 #bief  ,,9 ,,! ,,s5ate ,,( ,,!      
,,unit$ ,,/ates  ,octob] #g1 #bjba,mr4  
,coons 7= himself1 ,mr4 ,wick]1 ,mr4    
,ka9e1 & ,mr4 ,boozman7 introduc$ !     
foll[+ bill2 :i* 0 read twice & ref]r$  
to ! ,committee on ,=eign ,relations  ,a
 ,,bill  ,to advance t>get$1            
high-impact1 & evid5ce-bas$ int]v5tions 
= ! prev5tion & treatm5t ( global       
malnutrition1 to improve ! coord9ation (
 su* programs1 & = o!r purposes4  #a4   
,%ort title ,?is ,act may be cit$ z !   
,global ,malnutrition ,prev5tion &      
,treatm5t ,act ( #bjba4  #b4 ,nutrition 
programs  7a7 ,9 g5]al ,! ,adm9i/rator (
 ! ,unit$ ,/ates ,ag5cy = ,int]national 
,developm5t1 9 coord9ation ) relevant   
,f$]al dep>tm5ts & ag5cies1 is au?oriz$ 
& enc\rag$ to scale up ! prev5tion &    
treatm5t ( global malnutrition1 includ+ 
by support+ ef=ts-- 7#a7 to t>get       
high-impact & evid5ce-bas$ res\rces &   
nutrition int]v5tions to support ! mo/  
vuln]able populations1 includ+ *ildr5   

y\ng] ?an #e ye>s ( age & pregnant &    
lactat+ wom51 susceptible to sev]e      
malnutrition1 includ+ bo? /unt+ & wa/+2 
7#b7 to increase cov]age1 p>ticul>ly )9 
priority c\ntries1 ( high-impact &      
evid5ce-bas$ nutrition int]v5tions t    
include coord9at$ deploym5t ( pr5atal   
vitam9s1 brea/fe$+ support1 vitam9 ,a   
supplem5tation1 em]g5cy !rapeutic food1 
& o!r evid5ce-bas$ int]v5tions z        
appropriate2  7#c7 to increase ! use (  
context & c\ntry-appropriate =tification
 ( /aples & condim5ts ) ess5tial        
nutri5ts2  7#d7 to advance evid5ce-bas$ 
programs & int]v5tions c>ri$ out us+    
data-driv5 approa*es1 be/ practices1 &  
t>get$ to c\ntry-specific contexts &    
ne$s2  7#e7 to support ! developm5t (   
c\ntry-specific policies to prev5t &    
treat malnutrition2  7#f7 to lev]age    
inve/m5ts to /r5g!n prim>y heal? sy/ems 
& support community heal? work]s 9 ord] 
to advance improv$ nutrition outcomes2 &
  7#g7 to ensure rigor\s monitor+ &     
evaluation ( all nutrition programs &   

int]v5tions4  7b7 ,coord9ation ,!       
,adm9i/rator ( ! ,unit$ ,/ates ,ag5cy = 
,int]national ,developm5t1 9 coord9ation
 ) relevant ,f$]al dep>tm5ts & ag5cies1 
%\ld coord9ate ) bilat]al & multilat]al 
donors1 p>tn] c\ntry gov]nm5ts1 ,unit$  
,nations ag5cies1 civil society1        
nongov]nm5tal organizations1 includ+    
fai?-bas$ organizations1 & ! private    
sector to scale up ef=ts to prev5t &    
treat global malnutrition1 includ+ by-- 
7#a7 build+ ! capacity ( local &        
community-bas$ organizations & p>tn]    
c\ntry gov]nm5ts to exp& cov]age &      
ensure su/a9ability ( nutrition         
int]v5tions2  7#b7 exp&+ rese>* &       
innovation to id5tify & scale effective 
& evid5ce-bas$ nutrition int]v5tions    
bas$ on c\ntry-specific contexts2  7#c7 
improv+ ! coord9ation ( nutrition       
int]v5tions1 includ+ )9 ! ,unit$        
,nations2  7#d7 lev]ag+ additional      
res\rces & ensur+ appropriate burd5-%>+ 
to support nutrition int]v5tions 9      
priority c\ntries2  7#e7 exp&+ dome/ic  

res\rce mobilization & dome/ic f9anc+ = 
nutrition int]v5tions2 &  7#f7 enc\rag+ 
inve/m5t into innovative &              
multi/akehold] f9ance p>tn]%ips4  #c4   
,priority c\ntries  7a7 ,designation ,! 
,adm9i/rator1 9 coord9ation ) !         
,nutrition ,lead]%ip ,c\ncil1 %all--    
7#a7 designate c]ta9 c\ntries z priority
 c\ntries = ! purposes ( prioritiz+     
programs to prev5t & treat malnutrition2
 &  7#b7 n lat] ?an #e ye>s aft] ! date 
( ! enactm5t ( ?is ,act1 review & update
 su* designations bas$ on ! crit]ia     
describ$ 9 subsection 7b74  7b7 ,crit]ia
 ,9 select+ priority c\ntries "u        
subsection 7a71 ! ,adm9i/rator %\ld     
consid]-- 7#a7 ! preval5ce ( sev]e      
malnutrition among *ildr5 y\ng] ?an #e  
ye>s ( age & pregnant & lactat+ wom52   
7#b7 ! pres5ce ( high-ne$1 und]s]v$1    
m>g9aliz$1 vuln]able1 or impov]i%$      
communities2  7#c7 ! enabl+ environm5t =
 improv$ nutrition1 includ+ ! pres5ce ( 
national nutrition plans & !            
demon/ration ( /rong political          

commitm5t2 &  7#d7 o!r appropriate      
factors4  7c7 ,s5se ( ,congress ,x is ! 
s5se ( ,congress t ! ,adm9i/rator %\ld  
cont9ue to und]take nutrition           
int]v5tions 9 c\ntries t are n select$ z
 priority c\ntries1 p>ticul>ly if       
opportunities are id5tifi$ to advance   
multi-sectoral developm5t programm+ & to
 integrate ef=ts to prev5t & treat      
global malnutrition ) o!r priority areas
 & program objectives4  #d4 ,coord9ation
  7a7 ,nutrition ,lead]%ip ,c\ncil ,!re 
is e/abli%$ at ! ,unit$ ,/ates ,ag5cy = 
,int]national ,developm5t 7ref]r$ to 9  
?is section z ,,usaid71 ! ,nutrition    
,lead]%ip ,c\ncil 7ref]r$ to 9 ?is      
section z ! ,c\ncil71 :i* %all coord9ate
 ef=ts by ,,usaid to prev5t & treat     
malnutrition globally4  7b7 ,duties ,!  
,c\ncil %all-- 7#a7 advance ef=ts by    
,,usaid to prev5t & treat malnutrition  
globally2  7#b7 ensure t nutrition      
int]v5tions1 p>ticul>ly )9 priority     
c\ntries1 are c>ri$ out 9 close         
coord9ation ) & align$ ) exi/+ ,unit$   

,/ates ,gov]nm5t & ,,usaid /rategies1   
includ+-- 7,a7 ! ,s5ator ,paul ,simon   
,wat] = ! ,_w ,act ( #bjad 7,public ,law
 #aac-bhi72  7,b7 ! ,global ,food       
,security ,act ( #bjaf 7#bb ,u4,s4,c4   
#icja et seq472  7,c7 ! ,global         
,fragility ,act ( #bjai 7#bb ,u4,s4,c4  
#ihja et seq472 &  7,d7 ! ,global ,*ild 
,?rive ,act ( #bjbj 7subtitle ,i ( title
 ,,xii ( division ,a ( ,public ,law     
#aaf-bhc72 &  7#c7 ensure t nutrition   
programs & int]v5tions are coord9at$ )  
nutrition programs c>ri$ out by o!r     
relevant ,f$]al dep>tm5ts & ag5cies4    
7c7 ,memb]%ip ,! ,c\ncil %all include   
repres5tatives (-- 7#a7 ! ,bureau =     
,global ,heal?2  7#b7 ! ,bureau =       
,resili5ce & ,food ,security2  7#c7 !   
,bureau = ,humanit>ian ,assi/ance2 &    
7#d7 o!r appropriate ,,usaid bureaus &  
(fices4  7d7 ,int]ag5cy ef=ts ,9 c>ry+  
out ! activities describ$ 9 section #b1 
! ,adm9i/rator1 9 coord9ation ) relevant
 ,f$]al dep>tm5ts & ag5cies1 %all seek  
to lev]age additional private sector    

res\rces to prev5t & treat malnutrition 
9 priority c\ntries by-- 7#a7 increas+  
coop]ation betwe5 ,,usaid1 ! ,mill5nium 
,*all5ge ,corporation1 ! ,unit$ ,/ates  
,int]national ,developm5t ,f9ance       
,corporation1 & o!r relevant ,f$]al     
dep>tm5ts & ag5cies to bett] lev]age !  
full spectrum ( grants1 te*nical        
assi/ance1 debt1 equity1 loan gu>anty   
tools1 & public-private p>tn]%ips to    
prev5t & treat global malnutrition2     
7#b7 utiliz+ ! ,adm9i/rator's role z    
,developm5t ,f9ance ,corporation ,vice  
,*air to consid] opportunities )9 !     
,developm5t ,f9ance ,corporation's      
developm5t impact framework t support   
improv$ nutrition outcomes2 &  7#c7     
explor+ opportunities to advance        
burd5-%>+ 9 nutrition-relat$ assi/ance4 
#e4 ,implem5tation plan  7a7 ,9 g5]al ,n
 lat] ?an #bfj days aft] ! date ( !     
enactm5t ( ?is ,act1 ! ,adm9i/rator1 9  
coord9ation ) o!r relevant ,f$]al       
dep>tm5ts & ag5cies1 %all develop &     
submit to ! appropriate congressional   

committees an implem5tation plan to     
prev5t & treat global malnutrition &    
c>ry out ! activities au?oriz$ "u       
section #b4  7b7 ,cont5ts ,!            
implem5tation plan requir$ "u subsection
 7a7 %all-- 7#a7 e/abli% specific &     
measurable goals1 objectives1 & p]=mance
 metrics t[>ds prev5tion & treatm5t (   
global malnutrition1 includ+ cle>       
b5*m>ks & int5d$ timel9es = a*iev+ su*  
goals & objectives2  7#b7 e/abli%       
basel9e measurem5ts & "t-b\nd t>gets =  
increas+ cov]age ( key nutrition        
int]v5tions 9 priority c\ntries1 :i* may
 include scal+ up to-- 7,a7 #hj-p]c5t   
cov]age =-- 7i7 vitam9 ,a 7to be measur$
 by ! proportion ( *ildr5 #f to #ei     
mon?s old receiv+ #b high-dose vitam9 ,a
 supplem5ts 9 a giv5 ye>72  7ii7 pr5atal
 vitam9s 7measur$ by ! proportion (     
pregnant wom5 :o receiv$ multiple       
micronutri5t supplem5tation daily72 &   
7iii7 brea/fe$+ 7z measur$ by proportion
 ( mo!rs ( *ildr5 betwe5 #j & #e mon?s (
 age rea*$ by promotion ( brea/fe$+     

activities72 &  7,b7 #ej-p]c5t cov]age =
 treatm5t ( wa/+ 7z measur$ by !        
proportion ( *ildr5 #f to #ei mon?s )   
sev]e acute malnutrition receiv+        
!rapeutic fe$+ treatm5t72  7#c7 require 
monitor+ & evaluation plans = all       
nutrition programs & activities1 z      
appropriate2  7#d7 9 c\ntries t 7       
select$ z priority c\ntries1 ensure t   
nutrition is adequately address$ )9 !   
,c\ntry ,developm5t ,coop]ation ,/rategy
 to ! ext5t practicable & id5tify       
opportunities to exp& ef=ts to prev5t & 
treat malnutrition1 includ+ ?r\gh       
lev]ag+ exi/+ heal? & developm5t        
programs & o!r ongo+ activities2 &  7#e7
 require all ,,usaid grants1 contracts1 
& coop]ative agreem5ts = ! purposes ( ! 
treatm5t or prev5tion ( sev]e           
malnutrition to include t>gets =        
increas$ cov]age ( high-impact nutrition
 int]v5tions1 includ+ ! e/abli%m5t (    
basel9e measurem5ts f :i* to quantify   
progress4  7c7 ,/akehold] consultation  
,! implem5tation plan requir$ "u ?is    

section %all be develop$ 9 consultation 
)1 z appropriate1 repres5tatives (      
nongov]nm5tal organizations1 includ+    
fai?-bas$ organizations1 civil society  
gr\ps1 multilat]al organizations &      
donors1 relevant private1 academic1 &   
philan?ropic entities1 & ! appropriate  
congressional committees4  #f4 ,report+ 
requirem5ts  7a7 ,annual report ,n lat] 
?an #a ye> aft] ! date ( ! enactm5t (   
?is ,act1 & annually !reaft] = #e       
additional ye>s1 ! ,adm9i/rator %all    
submit a report to ! appropriate        
congressional committees t describes !  
progress made t[>ds prev5t+ & treat+    
malnutrition1 includ+-- 7#a7 a summ>y ( 
! progress made t[>ds a*iev+ ! specific 
& measurable goals1 objectives1 &       
p]=mance metrics t[>ds end+ global      
malnutrition id5tifi$ z requir$ "u      
section #e7;b77#a72  7#b7 9 c\ntries    
id5tifi$ z priority c\ntries-- 7,a7 a   
detail$ summ>y ( nutrition programs &   
activities 9 ! previ\s fiscal ye>1      
includ+-- 7i7 a breakd[n ( ! c\ntries to

 :i* nutrition res\rces h be5 allocat$2 
&  7ii7 ! e/imat$ numb] ( p rea*$ ?r\gh 
nutrition int]v5tions2 &  7,b7 an       
assessm5t ( ! coord9ation ( nutrition   
programs ) o!r heal? & developm5t       
programs & priorities2  7#c7 a summ>y ( 
ef=ts to exp& rese>* & innovation to    
developm5t & scale up new tools to      
prev5t & treat global malnutrition2     
7#d7 an assessm5t ( ! collaboration &   
coord9ation ( ,,usaid nutrition ef=ts ) 
! ,unit$ ,nations ag5cies1 ! ,_w ,bank1 
o!r donor gov]nm5ts1 ho/ c\ntry         
gov]nm5ts1 civil society1 ! private     
sector1 & o!r ef=ts1 z appropriate2     
7#e7 a description ( o!r donor & ho/    
c\ntry f9ancial commitm5ts & ef=ts to   
prev5t & treat malnutrition2 &  7#f7 !  
con/ra9ts on implem5tation ( programs & 
key lessons le>n$ f programs &          
activities f ! previ\s fiscal ye>s4  7b7
 ,use ( in=mation ,! ,adm9i/rator may   
*oose to include ! report requir$ 9 ?is 
section z a compon5t ( o!r              
congressionally m&at$ reports provid$ to

 appropriate congressional committees1 z
 appropriate4  #g4 ,compliance ) !      
,=eign ,aid ,transp>5cy & ,acc\ntability
 ,act ( #bjaf ,section #b7c7 ( ! ,=eign 
,aid ,transp>5cy & ,acc\ntability ,act (
 #bjaf 7,public ,law #aad-aia2 #bb      
,u4,s4,c4 #bcid;c note7 is am5d$-- 7#a7 
9 subp>agraph 7,c71 by /rik+ & at ! end2
  7#b7 9 subp>agraph 7,d71 by /rik+ !   
p]iod at ! end & ins]t+ 2 &2 &  7#c7 by 
add+ at ! end ! foll[+3  7,e7 ! ,global 
,malnutrition ,prev5tion & ,treatm5t    
,act ( #bjba4  4  #h4 ,sunset ,?is ,act 
%all cease to h =ce or effect beg9n+ on 
! date t is #g ye>s aft] ! date ( !     
enactm5t ( ?is ,act4