,,ii #aag? ,,congress #b;d ,session ,s4 #eced ,,9 ,,! ,,s5ate ,,( ,,! ,,unit$ ,,/ates ,decemb] #bb 7legislative day1 ,decemb] #ba71 #bjbb,mrs4 ,gillibr& introduc$ ! foll[+ bill2 :i* 0 read twice & ref]r$ to ! ,committee on ,heal?1 ,education1 ,labor1 & ,p5sions ,a ,,bill ,to assess1 prev5t1 prep>e =1 respond to1 recov]1 & mitigate biological ?reats by e/abli%+ ! ,"o ,heal? ,security ,c\ncil4 #a4 ,%ort title ,?is ,act may be cit$ z ! ,"o ,heal? ,security ,act4 #b4 ,f9d+s2 s5se ( ,congress 7a7 ,f9d+s ,congress f9ds ! foll[+3 7#a7 ,heal? ?reats at ! human-animal-plant-environm5t int]face pose risks to public heal?1 animal heal?1 environm5tal heal?1 plant heal?1 & global heal? security4 7#b7 ,population gr[?-- 7,a7 /ra9s food supplies1 ?reat5s food su/a9ability & nutrition1 & exac]bates ! consequ5ces ( int5sifi$ food production 9 ! plant & animal sectors2 7,b7 contributes to natural habitat loss1 biodiv]sity loss1 & exploitation ( wildlife1 :i* has l$ to ! clos] proximity ( wild animals to dome/icat$ animals & p2 7,c7 increases urbanization & population d5sity 9 c]ta9 regions2 & 7,d7 leads to ! increas$ movem5t ( humans1 animals1 plants1 & products made f plants & animals t increases risk ( disease transmission4 7#c7 ,diseases t are %>$ betwe5 animals & humans are responsible =-- 7,a7 approximately #fj p]c5t ( all human infections1 includ+ all p&emic outbreaks s9ce ! #aigjs2 7,b7 up to #ge p]c5t ( new or em]g+ infecti\s diseases affect+ humans2 & 7,c7 m ?an #hj p]c5t ( ! biological ag5ts t c\ld be int5tionally releas$ z biological weapons4 7#d7 ,plant diseases are responsible =-- 7,a7 e/imat$ worldwide yield losses on food crops ( betwe5 #aj & #bj p]c5t1 includ+ up to a #dj p]c5t loss on maize1 potato1 rice1 soybean1 & :eat crops2 & 7,b7 disrupt+ trade by contam9at+ commodities ) plant pa?og5s & insect pe/s4 7#e7 ,*anges 9 ! environm5t h increas$ ! risk ( food insecurity & zoonotic & plant diseases em]g+ 9 new geographic areas & diff]5t times ( ye> by creat+-- 7,a7 hospitable conditions =-- 7i7 _m zoonotic disease vectors1 su* z mosquitoes & ticks2 7ii7 plant diseases1 vectors1 viruses1 & pe/s1 su* z mildews1 aphids1 & nematodes2 & 7iii7 ! t]ritorial expansion ( su* diseases1 vectors1 & pe/s into places inhabit$ by humans & wildlife2 & 7,b7 an increase 9 extreme wea!r ev5ts1 su* z wildfires1 hurricanes1 floods1 & dr\ghts1 lead+ to-- 7i7 ! displacem5t ( animals t are seek+ refuge 9 new areas2 7ii7 mass ga!r+s ( p & dome/ic animals seek+ %elt]1 res\rces1 & m$ical att5tion2 7iii7 ! de/ruction ( fields ( plant crops & live/ock f>ms2 & 7iv7 ! displacem5t ( wildlife t (t5 fe$ on surviv+ agriculture4 7#f7 ,human conflict creates major risk = disease outbreaks & food insecurity due to-- 7,a7 ! movem5t ( displac$ p & animals2 & 7,b7 ! de/ruction & neglect ( agricultural products result+ 9 r$uc$ crop yields & ! inability to transport food4 7#g7 ,antimicrobial resi/ant bact]ia1 viruses1 fungi1 p>asites1 & o!r microbes impact ! ability ( heal? pr(essionals1 includ+ physicians1 vet]9>ians1 & plant disease speciali/s1 to manage infecti\s diseases ( humans1 animals1 & plants4 7#h7 ,antimicrobial resi/ant infections kill an e/imat$ #ce1jjj ,am]icans annually & m ?an #gjj1jjj p annually worldwide1 result+ 9 a long-t]m global p&emic ( resi/ant infections4 7#i7 ,address+ complex heal?-relat$ issues t span human1 animal1 plant1 & environm5tal heal? requires coord9at$ ef=ts1 int]ag5cy collaboration1 & fund+ me*anisms t are n con/ra9$ to ! n>r[ missions ( individual ,f$]al ag5cies4 7#aj7 ,:ile ,"o ,heal? ef=ts to mitigate ! em]g5ce & impact ( p&emics requires a global p]spective1 !re is a critical ne$ = inve/m5t 9 ,unit$ ,/ates national networks & disease surveillance 9 ord] to effectively pr$ict & mitigate local em]g5ce ( ?reats t may be miss$ by global surveillance4 7#aa7 ,! ,national ,biodef5se ,/rategy & ,implem5tation ,plan = ,c\nt]+ ,biological ,?reats1 ,enhanc+ ,p&emic ,prep>$ness1 & ,a*iev+ ,global ,heal? ,security /ates1 ,biological ?reats c affect humans1 animals1 plants1 & ! environm5t1 result+ 9 significant heal?1 economic1 social1 & national security impacts4 ,x is !re=e important to address biological ?reats us+ a ,"o ,heal? approa* t recognizes ! int]connections among p1 animals 7dome/ic & wildlife71 plants1 & ! environm5t44 7b7 ,s5se ( ,congress ,x is ! s5se ( ,congress t-- 7#a7 support+ global heal? security requires mobiliz+ an int]ag5cy c\ncil to op]ationalize ! ,"o ,heal? concept & approa*1 :i* l9ks human1 animal1 plant1 & environm5tal heal?2 & 7#b7 ! ,unit$ ,/ates ,gov]nm5t ne$s to create1 support1 & allocate funds to int]ag5cy projects ) effective outcomes1 includ+-- 7,a7 coord9at$ & well-fund$ surveillance & inve/igation programs design$ to id5tify em]g+ ,"o ,heal? *all5ges1 includ+ em]g+ infecti\s diseases & pa?og5 resi/ance to curr5t treatm5ts2 7,b7 compreh5sive ,"o ,heal? monitor+1 prev5tion1 mitigation1 & outrea* programs2 7,c7 innovative rese>* & education ef=ts focus$ on address+ curr5t & future ,"o ,heal? *all5ges2 7,d7 organiz$ & fund$ crisis resili5ce ex]cises to v]ify crisis managem5t1 response1 & recov]y capabilities at ! ,f$]al1 ,/ate1 & local levels2 7,e7 /atutory au?ority = ,f$]al ag5cies to p>ticipate 9 multiag5cy ,"o ,heal? projects t are critical to national security2 7,f7 prioritiz$ project execution ?r\gh a ,"o ,heal? ,security ,c\ncil2 & 7,g7 compreh5sive1 equitable1 all-species inclusive1 & safe c>e 9 response to biological ?reats4 #c4 ,def9itions ,9 ?is ,act3 7#a7 ,animal ,! t]m animal includes companion1 dome/ic1 aquacultural & agricultural live/ock1 captive & free-rang+ wild animals1 includ+ inv]tebrates1 su* z poll9ators4 7#b7 ,antimicrobial resi/ance ,! t]m antimicrobial resi/ance means ! process by :i* microbes1 includ+ bact]ia1 viruses1 fungi1 p>asites1 & o!r microbes1 evolve resi/ance to ! effects ( a drug us$ to treat ! illnesses !y cause4 7#c7 ,comm]cial trade ,! t]m comm]cial trade means trade 9 animals1 plants1 o!r s\rces ( food1 & associat$ products1 includ+ production1 if-- 7,a7 ! purpose ( su* trade is to obta9 an economic b5efit1 :e!r 9 ca% or o!rwise2 & 7,b7 su* trade is direct$ t[>d ! sale1 resale1 or ex*ange ( wildlife1 or any o!r =m ( economic use or b5efit4 7#d7 ,c\ncil ,! t]m ,c\ncil means ! ,"o ,heal? ,security ,c\ncil e/abli%$ "u section #d4 7#e7 ,dual use biom$ical rese>* ,! t]m dual use biom$ical rese>* means biom$ical rese>* int5d$ = legitimate purposes1 b hav+ ! pot5tial = bo? b5evol5t & malevol5t applications4 7#f7 ,network ,! t]m ,network means ! ,"o ,heal? ,security & ,p&emic ,prep>$ness ,network4 7#g7 ,"o heal? ,! t]m ,"o ,heal?-- 7,a7 recognizes ! int]connection betwe5 p1 animals 7includ+ dome/ic & wildlife71 plants1 & _! %>$ environm5ts 7includ+ ecosy/ems72 7,b7 ref]s to a collaborative1 multisectoral1 & transdiscipl9>y approa*1 work+ at ! local1 regional1 national1 & global levels1 ) ! goal ( a*iev+ optimal heal? outcomes = ! l9k$ sy/ems describ$ 9 subp>agraph 7,a72 & 7,c7 includes matt]s relat$ to-- 7i7 zoonotic & vector-borne diseases2 7ii7 ! evolution ( antimicrobial resi/ance & /ew>d%ip ( antimicrobials aga9/ organisms1 includ+ viruses1 bact]ia1 fungi1 & p>asites 7bo? pa?og5ic & non-pa?og5ic72 7iii7 risks to animals1 plants1 o!r s\rces ( food1 & ! heal? ( ! natural environm5t1 includ+ soil1 air1 & wat]2 7iv7 ! use ( animals1 plants1 & ! environm5t z s5t9els = human & ecosy/em heal? risks2 7v7 non-zoonotic infecti\s diseases associat$ ) global trade2 7vi7 crises adv]sely affect+ dome/ic & global comm]ce 9 animal populations1 plant crops1 import$ food products1 & o!r s\rces ( safe & nutriti\s food2 7vii7 ! risks to biodiv]sity & ! well-be+ ( all life on ,e>?2 & 7viii7 o!r contexts relat$ to ! int]connect$ness & %>$ biological & social sy/ems f comp>ative m$ic9e & translational rese>* across diff]5t species ( animals & humans to noncommunicable diseases f exposure to environm5tal tox9s & contam9ants inevitably affect+ all life =ms4 7#h7 ,"o heal? security ,! t]m ,"o ,heal? ,security-- 7,a7 means ! op]ational & functional security ( ! ,nation's ,"o ,heal? sy/ems aga9/ naturally occurr+1 accid5tal1 & delib]ate biological ?reats1 includ+ id5tifi$ ?reats1 crim9al acts1 t]rori/ acts1 supply *a9 failure & sy/em failure1 cyb]attacks1 or o!r relevant ?reats affect+ ,"o ,heal? & national security2 & 7,b7 requires ! integration ( pr(essionals ) exp]tise 9 security1 law en=cem5t1 & intellig5ce to jo9 ! vet]9>y1 agricultural1 environm5tal1 ecological1 & human heal? exp]ts :o are ess5tial to ,"o ,heal? & national security4 7#i7 ,o!r s\rces ( food ,! t]m o!r s\rces ( food means any food t is n f a plant or animal s\rce1 su* z fungi & algae4 7#aj7 ,plant ,! t]m plant includes-- 7,a7 comm]cial1 local1 public1 & private plants us$ 9 agriculture1 =e/ry1 & nurs]ies2 & 7,b7 native1 import$1 & endang]$ plants1 includ+ we$s4 7#aa7 ,spillov] ,! t]m spillov] means a s+le ev5t dur+ :i* a pa?og5 9 #a species moves into ano!r species4 7#ab7 ,wildlife ,! t]m wildlife means mammals1 birds1 fi%1 reptiles1 & amphibians ( wild orig91 :e!r remov$ directly f ! wild or born or br$ 9 captivity4 7#ac7 ,wildlife m>ket ,! t]m wildlife m>ket-- 7,a7 means a comm]cial m>ket t sells1 processes1 or slaught]s wildlife or _! products = human consumption2 & 7,b7 does n include m>kets 9 areas :]e no o!r practical alt]native s\rces ( prote9 or meat exi/s1 su* z m>kets 9 rural areas t may trade 9 wildlife & on :i* indig5\s p rely to fe$ !mselves & _! families4 7#ad7 ,zoonotic disease ,! t]m zoonotic disease means any disease t is transmissible betwe5 animals & humans4 #d4 ,"o ,heal? ,security ,c\ncil 7a7 ,e/abli%m5t ,!re is h]eby e/abli%$1 9 ! ,executive ,(fice ( ! ,presid5t1 an int]ag5cy policy c\ncil1 :i* %all be kn[n z ! ,"o ,heal? ,security ,c\ncil4 7b7 ,functions ,! ,c\ncil %all-- 7#a7 advise ! ,presid5t ) respect to ! integration ( dome/ic1 =eign1 & milit>y policies relat+ to ,"o ,heal? ,security & to enable ,f$]al ag5cies to coop]ate m effectively 9 matt]s involv+ ,"o ,heal? ,security2 7#b7 assess & appraise-- 7,a7 ! objectives & commitm5ts ( ! ,unit$ ,/ates to protect+ ,"o ,heal? ,security2 7,b7 ! actual & pot5tial capacity ( ! ,unit$ ,/ates to protect ,"o ,heal? ,security2 7,c7 ! objectives & goals ( ! ,national ,biodef5se ,/rategy & ,implem5tation ,plan on ,c\nt]+ ,biological ,?reats1 ,enhanc+ ,p&emic ,prep>$ness1 & ,a*iev+ ,global ,heal? ,security2 & 7,d7 ! risks ( n fulfill+ relat$ objectives & commitm5ts2 7#c7 make recomm5dations to ! ,presid5t conc]n+-- 7,a7 ! matt]s describ$ 9 p>agraph 7#b72 & 7,b7 policies to effectively coord9ate on matt]s ( common int]e/ to ,f$]al ag5cies involv$ ) ,"o ,heal? ,security2 & 7#d7 coord9ate ! ,unit$ ,/ates ,gov]nm5t response to ,"o ,heal? ,security ?reats1 includ+ by-- 7,a7 r$uc+ ! ?reat ( zoonotic disease impacts on public heal? & national security2 7,b7 r$uc+ ! occurr5ce ( infecti\s diseases ( humans1 animals1 & plants & _! antimicrobial resi/ance to treatm5ts2 7,c7 address+ o!r cross-cutt+1 multi-sectoral ne$s1 includ+ p&emic prev5tion & non9fecti\s heal? ?reats1 su* z ecosy/em heal?1 *emicals1 tox9s1 & natural disa/]s2 7,d7 fo/]+ collaborative & innovative ef=ts among academic1 private1 & gov]nm5t entities to improve-- 7i7 ,"o ,heal? surveillance1 detection1 prev5tion1 response1 mitigation1 & recov]y ef=ts & capabilities2 & 7ii7 antimicrobial /ew>d%ip2 7,e7 coord9at+ ! acquisition1 analysis1 & dissem9ation ( in=mation relevant to novel & em]g+ heal? ?reats1 su* z m$ical intellig5ce & biosurveillance1 includ+-- 7i7 ! role & impact ( mis9=mation & dis9=mation on relevant in=mation to ,"o ,heal?2 7ii7 ! role ( risk communication2 7iii7 adaptive /rategies to improve communication & dissem9ation ( sci5tific & evid5ce-bas$ public heal? in=mation to ! public1 to improve su* communication betwe5 ,f$]al1 ,/ate1 local1 & ,tribal heal? (ficials1 &1 z appropriate1 to address mis9=mation & dis9=mation2 7iv7 ! mo/ effective me?ods = ! dissem9ation ( in=mation1 includ+ betwe5 ,f$]al ag5cies & memb]s ( ! ,c\ncil2 & 7v7 ! be/ practices = communicat+ in=mation to populations t may be impact$ by su* mis9=mation & dis9=mation2 7,f7 fo/]+ a su/a9able network ( heal? c>e in/itutions t is able to provide compreh5sive c>e to pati5ts infect$ ) zoonotic diseases1 :ile keep+ ! heal? c>e work=ce safe2 & 7,g7 promot+ a regulat$ & transp>5t rese>* network t c /udy em]g+ diseases1 ) a focus on r\tes ( transmission & m$ical c\nt]measures4 7c7 ,objectives ,! ,c\ncil %all ensure t ,f$]al1 ,/ate1 ,tribal1 & local gov]nm5ts are tak+ a :ole-(-c\ntry approa* to ,"o ,heal? ,security policies & programs = ! ,unit$ ,/ates t-- 7#a7 supports int]discipl9>y1 cross-sectoral collaboration design$ to address ! complex sy/ems und]ly+ heal? ?reats 9 humans1 animals1 plants1 & ! environm5t1 especially zoonosis & antimicrobial resi/ance1 food security1 & natural disa/]s2 7#b7 ensures alignm5t & /ructural balance among ag5cies1 academia & ! private sector 9 address+ ,"o ,heal? ,security *all5ges & opportunities2 7#c7 promotes integrat$ action = e>ly detection1 prev5tion1 mitigation1 & response to heal? ?reats1 especially zoonotic disease spillov] & outbreaks ar\nd ! _w2 7#d7 addresses ! coop]ative & timely dissem9ation ( data among ag5cies & in/itutions & ) ! public1 & ! h&l+ ( communications2 & 7#e7 ensures t all delib]ations1 discussions1 & meet+s involv+ ,f$]al ag5cies are subject to ! record+ provisions ( *apt] #e ( title #e1 ,unit$ ,/ates ,code 7commonly kn[n z ! ,adm9i/rative ,proc$ures ,act74 7d7 ,lead]%ip 7#a7 ,*air ,! ,national ,security ,advisor %all s]ve z ,*air ( ! ,c\ncil4 7#b7 ,vice *air ,!re %all be up to #c ,vice ,*airs ( ! ,c\ncil1 :o %all be select$ among ! repres5tatives ( ! ,f$]al ag5cies ref]r$ to 9 subp>agraphs 7,a71 7,b71 7,c71 7,d71 7,h71 & 7,m7 ( subsection 7e77#a74 ,vice ,*airs %all s]ve t]ms ( #c ye>s1 rotat+ 9 alphabetical ord] by "n ( dep>tm5t or ag5cy4 ,if ! ,*air is abs5t f a meet+ ( ! ,c\ncil1 a ,vice ,*air1 :o %all be designat$ by ! ,*air1 %all assume ! responsibilities ( ! ,*air dur+ su* abs5ce4 7e7 ,composition 7#a7 ,9 g5]al ,! ,c\ncil %all be compos$ ( ! heads (-- 7,a7 ! ,dep>tm5t ( ,/ate2 7,b7 ! ,dep>tm5t ( ,heal? & ,human ,s]vices2 7,c7 ! ,environm5tal ,protection ,ag5cy2 7,d7 ! ,dep>tm5t ( ,agriculture2 7,e7 ! ,dep>tm5t ( ,comm]ce2 7,f7 ! ,dep>tm5t ( ,def5se2 7,g7 ! ,dep>tm5t ( ! ,treasury2 7,h7 ! ,dep>tm5t ( ,homel& ,security2 7,i7 ! ,(fice ( ! ,director ( ,national ,intellig5ce2 7,j7 ! ,national ,sci5ce ,f\ndation2 7,k7 ! ,dep>tm5t ( ,en]gy2 7,l7 ! ,dep>tm5t ( ,ju/ice2 7,m7 ! ,dep>tm5t ( ! ,int]ior2 & 7,n7 su* o!r (fices ( ! ,unit$ ,/ates ,gov]nm5t z ! ,presid5t may designate4 7#b7 ,appo9tm5ts ,! head ( ea* ag5cy or organization li/$ "u p>agraph 7#a7-- 7,a7 %all-- 7i7 repres5t su* ag5cy on ! ,c\ncil2 or 7ii7 appo9t a s5ior-level /aff memb] to repres5t su* ag5cy on ! ,c\ncil2 & 7,b7 may modify an appo9tm5t "u subp>agraph 7,a77ii7 at any "t o!r ?an dur+ a ,c\ncil meet+4 7#c7 ,involvem5t ( o!r f$]al ag5cies ,c\ncil memb]s %all actively invite ! ,f$]al ag5cies & subag5cies t h ,"o ,heal? ,security responsibilities-- 7,a7 to p>ticipate1 9 a nonvot+ capacity1 9 ,c\ncil meet+s & activities1 z appropriate2 & 7,b7 to rema9 actively engag$ ) ! ,c\ncil on an ongo+ basis1 includ+ by %>+ & discuss+ ,"o ,heal? ,security-relat$ rese>*1 programm+1 policy1 & fund+4 7#d7 ,/aff 7,a7 ,9 g5]al ,! ,c\ncil may hire /aff memb]s to assi/ 9 c>ry+ out its responsibilities "u ?is section4 7,b7 ,exp]tise ,c\ncil memb]s %all /rive to hire /aff :o h-- 7i7 v>i$1 cross-cutt+ exp]tise 9 a v>iety ( global ,"o ,heal? topics1 includ+ human1 animal1 plant1 & environm5tal heal?1 cons]vation1 epidemiology1 biodiv]sity1 food security1 ecology1 economics1 sociology1 data analysis1 & m$ical sci5ces2 7ii7 exp]tise specific to ! ecological det]m9ants & prev5tion ( zoonotic & vector-borne disease spillov]1 amplification1 & spread2 7iii7 exp]tise specific to heal? communication2 7iv7 ,"o ,heal? education2 & 7v7 national security & intellig5ce4 7f7 ,meet+s 7#a7 ,9 g5]al ,! ,c\ncil %all meet n less frequ5tly ?an qu>t]ly to review progress1 %>e new in=mation & k1 & att5d to o!r bus9ess4 7#b7 ,ag5da ,! ,*air ( ! ,c\ncil1 9 consultation ) ! ,vice ,*airs1 is au?oriz$ to conv5e ,c\ncil meet+s & set ! ag5da = su* meet+s4 ,meet+ ag5das %all be made available to ! public4 7#c7 ,remote att5dance au?oriz$ ,c\ncil memb]s may p>ticipate 9 ,c\ncil meet+s f remote locations4 7#d7 ,p>ticipation ) /akehold]s ,9 ord] to facilitate ! coord9ation ( ,"o ,heal? ,security ef=ts1 repres5tatives ( key /akehold]s %all be invit$ to att5d n few] ?an #b ,c\ncil meet+s p] ye> 9 a nonvot+ role4 ,su* /akehold]s may include-- 7,a7 ! ,food & ,agriculture ,organization ( ! ,unit$ ,nations2 7,b7 ! ,unit$ ,nations ,environm5t ,programme2 7,c7 ! ,_w ,organisation = ,animal ,heal?2 7,d7 ! ,_w ,heal? ,organization2 7,e7 ! ,int]national ,monet>y ,fund2 7,f7 ! ,_w ,bank2 7,g7 nongov]nm5tal organizations2 7,h7 academic in/itutions2 7,i7 pr(essional organizations repres5t+ vet]9>ians1 physical & m5tal heal? pr(essionals1 plant pa?ologi/s1 environm5tal sci5ti/s1 p ) disabilities1 & o!r relevant exp]ts2 7,j7 national laboratories1 f\ndations1 or o!r private sector gr\ps2 & 7,k7 ,/ate1 t]ritories1 ,tribes1 & local gov]nm5ts4 7g7 ,major activities ,! ,c\ncil %all-- 7#a7 develop a compreh5sive ,"o ,heal? ,security ,/rategy2 7#b7 beg9n+ #a ye> aft] ! date ( ! enactm5t ( ?is ,act1 provide annual recomm5dations to ,congress reg>d+ ! optimal di/ribution ( ,"o ,heal? ,security fund+1 includ+ ! disbursem5t ( appropriat$ funds ?r\gh int]ag5cy agreem5ts1 to support-- 7,a7 ,"o ,heal? educational activities & programs-- 7i7 = prim>y & second>y education /ud5ts ?r\gh ! ,dep>tm5t ( ,education2 & 7ii7 prim>y1 second>y1 & t]ti>y education /ud5ts ?r\gh ! ,national ,sci5ce ,f\ndation2 7,b7 ! ,national ,plant ,diagno/ics ,network2 7,c7 ! ,national ,animal ,heal? ,laboratory ,network2 7,d7 ,"o ,heal? educational programs = ! public1 includ+ sponsor$ annual conf]5ces & read9ess ex]cises1 :i* %all be conduct$ n m frequ5tly ?an semiannually by ! ,national ,p>k ,s]vice1 ! ,army ,educational ,outrea* ,s]vice1 & ! ,fi% & ,wildlife ,s]vice to a*ieve ! global ,"o ,heal? goals & ! ,unit$ ,nations ,su/a9able ,developm5t ,goals2 & 7,e7 intramural & extramural programs int5d$ to a*ieve ! purposes set =? 9 ! ,"o ,heal? ,security ,/rategy t are l$ by int]national organizations1 su* z ! /akehold]s li/$ 9 subp>agraphs 7,a7 ?r\gh 7,k7 ( subsection 7f77#d7 & ! ,conv5tion on ,int]national ,trade 9 ,endang]$ ,species ( ,wild ,fauna & ,flora ,secret>iat2 7#c7 provide cont9u\s updates on int]nationally reportable high-risk incid5ts adv]sely affect+ ! security & /ability ( ,"o ,heal? ,security programs & ef=ts2 7#d7 analyze ! scope & context ( all ,"o ,heal? ,security-relat$ activities receiv+ ,f$]al fund+1 includ+ activities p>tially fund$ ) non-,f$]al funds1 to id5tify opportunities1 gaps1 duplications1 exi/+ relation%ips1 organizational /r5g?s1 & ! degree to :i* su* activities align ) ! goals id5tifi$ by ! ,c\ncil & ! ,"o ,heal? ,security ,/rategy2 7#e7 make recomm5dations to ,congress & relevant executive bran* ag5cies reg>d+ ! scope & context ( ,"o ,heal? ,security-relat$ activities receiv+ ,f$]al fund+1 includ+ ! role & impact ( mis9=mation & dis9=mation relat$ to ,"o ,heal? ,security-relat$ activities2 7#f7 facilitate public-private p>tn]%ips1 includ+ zoological & aquatic p>ks1 & gov]nm5t-univ]sity p>tn]%ips to accel]ate impact1 increase co/-effectiv5ess1 & bett] address ! root driv]s ( spillov] & spread2 7#g7 regul>ly consult ) =eign gov]nm5ts1 nongov]nm5tal organizations1 f\ndations1 & int]national organizations1 includ+ ! ,_w ,bank1 ! ,int]national ,monet>y ,fund1 ! ,_w ,heal? ,organization1 ! ,_w ,organisation = ,animal ,heal?1 ! ,food & ,agriculture ,organization1 & ! ,unit$ ,nations ,environm5tal ,programme t c>ry out ,"o ,heal? ,security-relat$ activities2 7#h7 provide guidance to ! ,(fice ( ,managem5t & ,budget reg>d+ ! types ( activities t %\ld be classifi$ z relat$ to ,"o ,heal? ,security & global ,"o ,heal?2 7#i7 id5tify rese>* gaps & opportunities1 p>ticul>ly ^? t c be address$ by rese>*]s & rese>* organizations 9 ! ,unit$ ,/ates2 & 7#aj7 id5tify specific crisis response & incid5t response capabilities ( ea* ,/ate = spillov] ev5ts & o!r heal? ?reats & submit semiannual reports to ,congress describ+ ea* ,/ate's ,"o ,heal? crisis read9ess4 7h7 ,decision ,mak+ 7#a7 ,"o heal? security /rategy 7,a7 ,comm5t p]iod ,! ,c\ncil %all-- 7i7 provide a #fj-;day public comm5t p]iod be=e f9aliz+ ! ,"o ,heal? ,security ,/rategy2 & 7ii7 incorporate ! input receiv$ f ! public dur+ su* p]iod1 z appropriate4 7,b7 ,vot+ & resolv+ disagreem5ts ,if ! ,c\ncil requires a vote or _c rea* cons5sus reg>d+ any elem5t 9 ! ,"o ,heal? ,security ,/rategy1 includ+ /rategic goals1 programm+ priorities1 & fund+ priorities1 ! ,c\ncil memb]s %all vote on ! compet+ options1 ) ! presid+ ,*air ca/+ ! decid+ vote1 if necess>y4 ,! option support$ by a simple majority ( ,c\ncil memb]s %all be includ$ 9 ! ,"o ,heal? ,security ,/rategy4 ,:5 ca/+ votes1 ,c\ncil memb]s %all consult ) _! relevant subag5cies1 z ne$$4 ,ea* dep>tm5t or ag5cy w be all[$ only #a vote reg>dless ( ! am\nt ( repres5tation or /akehold]s pres5t at ! meet+4 7#b7 ,quorum ,if #a or m ,c\ncil memb]s imp$e ! ability ( ! ,c\ncil to p]=m its duties by repeat$ly fail+ to att5d ,c\ncil meet+s or refus+ to vote on ,c\ncil matt]s1 a majority ( ,c\ncil memb]s :o are pres5t & vot+ %all con/itute a quorum & may approve previ\sly notic$ decision items ?r\gh a simple majority4 ,c\ncil meet+s may n comm5ce )\t ! p>ticipation ( a quorum ( at lea/ #h vot+ memb]s4 7#c7 ,,omb obs]v] ,! ,director ( ! ,(fice ( ,managem5t & ,budget may s5d an obs]v] to any ,c\ncil meet+ at :i* ! ,c\ncil is expect$ to make a decision reg>d+ ! di/ribution ( ,f$]al fund+ to a project4 ,su* obs]v] may n vote on ,c\ncil matt]s4 #e4 ,"o ,heal? ,security ,/rategy 7a7 ,9 g5]al ,! ,"o ,heal? ,security ,/rategy requir$ "u section #d7;g77#a7 %all build f1 l9k )1 & contribute to exi/+ dome/ic & int]national ,"o ,heal? ,security-relat$ ef=ts1 includ+-- 7#a7 ef=ts outl9$ by ! ,global ,heal? ,security ,ag5da1 ! int]ag5cy ,task ,=ce = ,combat+ ,antibiotic-,resi/ant ,bact]ia1 ! ,presid5tial ,advisory ,c\ncil on ,combat+ ,antibiotic-,resi/ant ,bact]ia1 & ! ,presid5tial ,task ,=ce to ,combat ,wildlife ,traffick+2 7#b7 exi/+ /rategies1 su* z ! ,national ,security ,/rategy1 ! ,global ,heal? ,security ,/rategy1 ! ,national ,heal? ,security ,/rategy1 ! ,national ,/rategy = ,combat+ ,wildlife ,traffick+1 & ! ,national ,biodef5se ,/rategy & ,implem5tation ,plan = ,c\nt]+ ,biological ,?reats1 ,enhanc+ ,p&emic ,prep>$ness1 & ,a*iev+ ,global ,heal? ,security2 7#c7 ,f$]al inve/m5ts relat$ to su* ef=ts & /rategies1 su* z ! ,biom$ical & ,advanc$ ,rese>* & ,developm5t ,au?ority1 ! ,adm9i/ration = ,/rategic ,prep>$ness & ,response1 ! ,_w ,heal? ,organization1 ! ,_w ,organisation = ,animal ,heal?1 ! ,food & ,agriculture ,organization1 & ! ,unit$ ,nations ,environm5tal ,programme2 & 7#d7 ! programs & activities describ$ 9 ! inv5tory & capabilities assessm5t c>ri$ out pursuant to section #g7;b74 7b7 ,elem5ts ,! ,"o ,heal? ,security ,/rategy %all include-- 7#a7 a def9ition ( ! scope ( ,"o ,heal? ,security t-- 7,a7 aligns ) exi/+ practices by ! memb] ag5cies ( ! ,"o ,heal? ,security ,c\ncil to ! ext5t possible & consid]s gov]nm5tal & nongov]nm5tal def9itions = ,"o ,heal?1 su* z def9itions (f]$ by ! ,_w ,heal? ,organization's ,"o ,heal? ,high-,level ,exp]t ,panel1 ! ,quadrip>tite organization's ,"o ,heal? ,jo9t ,plan ( ,action1 & ! ,national ,biodef5se ,/rategy & ,implem5tation ,plan = ,c\nt]+ ,biological ,?reats1 ,enhanc+ ,p&emic ,prep>$ness1 & ,a*iev+ ,global ,heal? ,security1 publi%$ 9 ,octob] #bjbb2 & 7,b7 includes-- 7i7 zoonotic disease & vector-borne disease prev5tion1 detection1 & response & all aspects ( prev5tion ( resi/ance to pa?og5 treatm5ts2 7ii7 issues relat$ to ! matt]s describ$ 9 clause 7i71 su* z-- 7,i7 legal & illegal wildlife traffick+ & comm]cial trade1 includ+ wildlife m>kets1 animal husb&ry1 habitat de/ruction1 & degradation2 7,,ii7 biodiv]sity loss2 & 7,,iii7 climate *ange2 7iii7 plant disease prev5tion1 detection1 response1 & surveillance2 7iv7 risk ( int5tional misuse ( advances 9 biote*nology2 7v7 accid5tal release ( biological ag5ts2 & 7vi7 ?reats pos$ by t]rori/ gr\ps or adv]s>ies seek+ to use biological weapons2 7#b7 %ort-t]m 7#a ye>7 objectives1 int]m$iate-t]m 7#b to #c ye>s7 objectives1 & long-t]m 7#d ye>s or m7 objectives2 7#c7 prioritiz$ areas = fur!r /udy & t>get$ te*nological inve/m5ts1 su* z-- 7,a7 t>get$ vacc9es1 ! developm5t ( novel vacc9e pipel9es1 & judici\s antimicrobial usage = p1 plants1 & animals to r$uce antimicrobial resi/ance2 7,b7 new diagno/ic te/ pipel9es to rapidly detect & monitor pa?og5s 9 animals1 plants1 & humans2 7,c7 advanc$ te*nologies = animal1 human1 & plant disease surveillance1 cons]vation & o!r relat$ surveillance1 & actionable data1 includ+ wa/ewat] surveillance & use ( pr$ictive analytics1 us] behavior analytics1 or c]ta9 o!r advanc$ data analytics me?ods t extract value f l>ge & multiple data sets to improve & t>get surveillance2 7,d7 data %>+ be/ practices among ,f$]al ag5cies & p>tn]s t c utilize data 9 disease surveillance2 7,e7 rese>* networks1 su* z ! ,national ,em]g+ ,special ,pa?og5s ,tra9+ & ,education ,c5t]'s ,special ,pa?og5s ,rese>* ,network1 to /udy novel c\nt]measures = em]g+ zoonotic pa?og5s2 7,f7 ! manufactur+ & timely di/ribution ( vacc9es1 !rapeutics1 & rem$ies to biological ?reats2 & 7,g7 o!r rese>* priorities id5tifi$ by ! ,c\ncil2 7#d7 prioritiz$ activities to prev5t & address ,"o ,heal? ,security ?reats1 includ+ zoonotic1 vector-borne1 & plant disease amplification & spread1 includ+-- 7,a7 pa?og5 & risk id5tification & mitigation 9 advance ( spillov]2 7,b7 surveillance & conta9m5t activities1 includ+ ef=ts to inc5tivize & enc\rage e>ly report+ ( risk al]ts1 spillov] ev5ts1 localiz$ outbreaks1 & r\t9e surveillance2 7,c7 global ef=ts to coord9ate antimicrobial resi/ance response 9 humans & animals2 7,d7 ef=ts to elim9ate wildlife traffick+2 7,e7 ef=ts to /op habitat de/ruction or degradation1 de=e/ation1 & biodiv]sity loss2 7,f7 ef=ts to promote food security & safety ?r\gh animal1 plant1 & o!r s\rces ( food disease & heal? surveillance1 includ+ 9 populations dep5d5t on wildlife = prote92 7,g7 ef=ts to r$uce consum] dem& = wildlife1 wildlife products1 & re/rict$ & endang]$ plants1 includ+ protect$ wood & o!r tree products1 id5tifi$ 9 ,app5dix ,i ( ! ,conv5tion on ,int]national ,trade 9 ,endang]$ ,species ( ,wild ,fauna & ,flora1 done at ,wa%+ton ,m>* #c1 #aigc 7#bg ,,u/ #ajhg2 ,,tias #hdbi72 7,h7 ef=ts to support integrat$ em]g5cy response to id5tifi$ spillov] crises & relat$ ?reats2 7,i7 protocol developm5t to improve holi/ic response to & recov]y f disease outbreaks 9 animals1 plants1 & humans2 7,j7 ,"o ,heal? work=ce developm5t to prev5t & respond to disease outbreaks & o!r heal? ?reats affect+ animals1 plants1 humans1 & ! environm5t2 7,k7 ef=ts to id5tify & mitigate dissem9ation ( mis9=mation & dis9=mation relat$ to ,"o ,heal?2 7,l7 o!r ef=ts to protect ! collective heal? ( animals1 humans1 plants1 & ! environm5t1 especially ^? conduct$ ?r\gh global collaborations & p>tn]%ips2 7,m7 enhanc$ p>tn]%ips ) academia to tea* plant heal? & disease surveillance 9 univ]sities to address work=ce gaps2 & 7,n7 prep>+ & equipp+ heal? c>e in/itutions = manag+ pati5ts ) em]g+ zoonotic diseases 9 a safe & equitable mann]2 7#e7 a description ( propos$ inc5tives to enc\rage national & subnational engagem5t 9 ,"o ,heal? ,security ef=ts1 p>ticul>ly community education & mobilization activities & p>ticipation 9 data collection & report+ activities 9 support ( ! ,"o ,heal? ,security ,/rategy2 7#f7 anticipat$ measures ( success1 includ+ b5*m>ks to monitor progress ( %ort-1 m$ium-1 & long-t]m objectives2 7#g7 a description ( h[ ! /rategy reflects & builds f exi/+ ,f$]al organizational activities1 relation%ips1 & capabilities2 7#h7 a description ( h[ ! /rategy addresses gaps1 especially ^? id5tifi$ 9 ! inv5tory & capabilities assessm5t c>ri$ out pursuant to section #g7;b72 7#i7 direction1 ov]sight1 & coord9ation ( ! ,"o ,heal? ,security & ,p&emic ,prep>$ness ,network2 & 7#aj7 semiannual read9ess ex]cises to te/1 validate1 & improve ! em]g5cy response op]ations ( ! ,"o ,heal? ,security & ,p&emic ,prep>$ness ,network4 #f4 ,advisory committees 7a7 ,te*nical ,advisory ,committee 7#a7 ,9 g5]al ,! ,c\ncil %all e/abli% & semiannually conv5e a ,te*nical ,advisory ,committee1 :i* %all be compos$ ( ,unit$ ,/ates ,gov]nm5t ,"o ,heal? ,security exp]ts :o repres5t a v>iety ( sectors1 includ+ exp]ts 9 human1 animal1 plant & environm5tal heal?1 cons]vation1 em]g+ pa?og5s1 & ecology4 7#b7 ,memb] selection priorities ,! ,c\ncil %all prioritize ! selection ( committee memb]s ) exi/+ exp]tise t w help advance ! objectives ( ! ,"o ,heal? ,security ,/rategy1 includ+ exp]ts f academia1 nongov]nm5tal organizations1 indu/ry1 & ,/ate1 local1 t]ritorial1 & ,tribal gov]nm5ts4 7#c7 ,guidance ,! ,te*nical ,advisory ,committee %all provide te*nical & programmatic guidance to ! ,c\ncil relat+ to ! implem5tation ( ,"o ,heal? ,security programs1 :i* %all be includ$ 9 annual reports t are available to ! public4 7#d7 ,additional recomm5dations ,9 addition to ! guidance describ$ 9 p>agraph 7#c71 ! ,te*nical ,advisory ,committee may provide additional recomm5dations to ,congress1 ,f$]al ag5cies1 or int]national organizations t are outside ! scope ( ! ,c\ncil's responsibilities "u ?is ,act4 7b7 ,sci5tific ,advisory ,committee 7#a7 ,9 g5]al ,! ,c\ncil %all e/abli% a /&+ ,sci5tific ,advisory ,committee1 :i* %all be compos$ ( global ,"o ,heal? academics bas$ at in/itutions ( high] le>n+1 includ+-- 7,a7 individuals ) exp]tise 9 human1 animal1 plant1 & environm5tal heal?1 cons]vation1 & ecology2 & 7,b7 exp]ts f =eign c\ntries1 z appropriate4 7#b7 ,memb] selection priorities ,! ,c\ncil %all prioritize ! selection ( committee memb]s ) exi/+ exp]tise t w help advance ! objectives ( ! ,"o ,heal? ,security ,/rategy1 includ+ exp]ts f academia1 nongov]nm5tal organizations1 indu/ry1 & ,/ate1 local1 t]ritorial1 & tribal gov]nm5ts4 7#c7 ,guidance ,! ,sci5tific ,advisory ,committee %all-- 7,a7 provide regul> updates to ! ,c\ncil reg>d+ rec5t sci5tific advances & opportunities2 7,b7 provide sci5tific guidance to ! ,c\ncil to in=m /rategic direction2 7,c7 provide sci5tific guidance to ! ,task ,=ce = ,combat+ ,antibiotic-,resi/ant ,bact]ia reg>d+ ! op]ation ( ! ,"o ,heal? ,security & ,p&emic ,prep>$ness ,network2 & 7,d7 n lat] ?an ! la/ day ( ea* fiscal ye>1 submit an annual ,spillov] ,?reat ,report outl9+ rem$ial & corrective actions relevant to ! effective op]ation ( ! ,"o ,heal? ,security ,sy/em to ! ,task ,=ce = ,combat+ ,antibiotic-,resi/ant ,bact]ia4 #g4 ,reports 7a7 ,initial "w plan ,n lat] ?an #f mon?s aft] ! date ( ! enactm5t ( ?is ,act1 ! ,c\ncil %all submit ! initial #ab-mon? "w plan to-- 7#a7 ! ,committee on ,=eign ,relations ( ! ,s5ate2 7#b7 ! ,committee on ,heal?1 ,education1 ,labor1 & ,p5sions ( ! ,s5ate2 7#c7 ! ,committee on ,environm5t & ,public ,works ( ! ,s5ate2 7#d7 ! ,committee on ,agriculture1 ,nutrition1 & ,=e/ry ( ! ,s5ate2 7#e7 ! ,committee on ,homel& ,security & ,gov]nm5tal ,affairs ( ! ,s5ate2 7#f7 ! ,committee on ,arm$ ,s]vices ( ! ,s5ate2 7#g7 ! ,committee on ,=eign ,affairs ( ! ,h\se ( ,repres5tatives2 7#h7 ! ,committee on ,en]gy & ,comm]ce ( ! ,h\se ( ,repres5tatives2 7#i7 ! ,committee on ,sci5ce1 ,space1 & ,te*nology ( ! ,h\se ( ,repres5tatives2 7#aj7 ! ,committee on ,agriculture ( ! ,h\se ( ,repres5tatives2 7#aa7 ! ,committee on ,homel& ,security ( ! ,h\se ( ,repres5tatives2 & 7#ab7 ! ,committee on ,arm$ ,s]vices ( ! ,h\se ( ,repres5tatives4 7b7 ,inv5tory & capabilities assessm5t 7#a7 ,9 g5]al ,! ,c\ncil %all c>ry out a syn!siz$ inv5tory & capabilities assessm5t t includes-- 7,a7 an inv5tory ( curr5t ,"o ,heal? ,security-relat$ activities by ea* ,f$]al ag5cy2 7,b7 a description ( ea* ,f$]al ag5cy's exi/+ capabilities & au?orizations2 7,c7 a description ( ! int]ag5cy collaboration )9 ea* p>ticipat+ ,f$]al ag5cy to a*ieve ,"o ,heal? ,security goals2 & 7,d7 a collective gap analysis ( ,f$]al ag5cy crisis response read9ess issues4 7#b7 ,report ,n lat] ?an #a ye> aft] ! date ( ! enactm5t ( ?is ,act1 ! ,c\ncil %all submit a report to ! congressional committees li/$ 9 subsection 7a7 t conta9s ! in=mation describ$ 9 p>agraph 7#a74 7c7 ,"o ,heal? ,security ,/rategy ,n lat] ?an #a ye> aft] ! date ( ! enactm5t ( ?is ,act1 ! ,c\ncil %all submit ! ,"o ,heal? ,security ,/rategy to ! congressional committees ref]r$ to 9 subsection 7a74 7d7 ,annual reports ,n lat] ?an #a ye> aft] ! date ( ! enactm5t ( ?is ,act1 & annually !reaft]1 ! ,c\ncil %all submit a report to ! congressional committees li/$ 9 subsection 7a7 t includes-- 7#a7 an updat$ ,"o ,heal? ,security ,/rategy1 z appropriate2 7#b7 an implem5tation plan = ! upcom+ #ab-mon? p]iod2 7#c7 a f9ancial report t includes an acc\nt+ ( funds appropriat$ to c>ry out ?is ,act2 7#d7 ! late/ v]sion ( ! ,c\ncil's monitor+ & evaluation plan2 7#e7 a monitor+ & evaluation report = ! report+ p]iod2 7#f7 summ>ies ( ! m9utes f ,c\ncil meet+s held dur+ ! report+ p]iod2 7#g7 ! /atus ( ,"o ,heal? ,security-relat$ activities receiv+ ,f$]al fund+2 7#h7 prevail+ /rategic guidance & priorities2 7#i7 an executive summ>y ( ! *all5ges & a*ievem5ts ( ! ,c\ncil dur+ ! report+ p]iod2 7#aj7 a summ>y ( ! progress made t[>d build+ ! ,"o ,heal? ,security & ,p&emic ,prep>$ness ,network 9 accordance ) section #h1 includ+-- 7,a7 ! total funds appropriat$1 obligat$1 & exp5d$ to build ! ,"o ,heal? ,security & ,p&emic ,prep>$ness ,network2 7,b7 an assessm5t ( ! efficacy ( ,"o ,heal? ,security & ,p&emic ,prep>$ness ,network programs receiv+ ,f$]al fund+2 & 7,c7 o!r activities und]tak5 by ! ,"o ,heal? ,security & ,p&emic ,prep>$ness ,network2 7#aa7 a summ>y ( additional p]sonnel hir$ ) fund+ appropriat$ pursuant to section #h1 disaggregat$ by ,f$]al ag5cy2 7#ab7 a description ( ! p>tn]%ips develop$ ) o!r in/itutions ( high] le>n+ & nongov]nm5tal organizations to c>ry out ! ,"o ,heal? ,security ,/rategy2 & 7#ac7 a copy ( ! annual ,spillov] ,?reat ,report prep>$ by ! ,sci5tific ,advisory ,committee pursuant to section #f7;b77#c77;,d74 7e7 ,monitor+ & inve/igations ,if ! ,c\ncil det]m9es t a =eign c\ntry or syndicate is engag$ 9 illegal de=e/ation or illegal trade or traffick+ ( wildlife1 or t increas+ or decreas+ exi/+ or pot5tial sanctions or law en=cem5t actions ) respect to su* c\ntry w\ld exp$ite ! a*ievem5t ( ,c\ncil goals1 ! ,c\ncil %all submit a report to ! ,presid5t & ,congress t describes ! evid5ce support+ su* det]m9ation1 :i* may include recomm5d$ sanctions or law en=cem5t actions aga9/ su* c\ntry4 7f7 ,dual-,use rese>* ,ov]sight ( f$]ally conduct$ or f$]ally support$ dual use biom$ical rese>*1 su* z ! review ( policies or frameworks us$ to assess & appropriately manage safety & security risks associat$ ) su* rese>*1 tak+ into consid]ation national security conc]ns1 ! pot5tial b5efits ( su* rese>*1 consid]ations relat$ to ! rese>* community1 transp>5cy1 & public availability ( in=mation1 & int]national rese>* collaboration4 7g7 ,public availability ,all ( ! reports requir$ "u ?is section %all be made available to ! public & may include a classifi$ annex1 z necess>y4 #h4 ,au?orization ( appropriations 7a7 ,/>tup fund+ ,!re is au?oriz$ to be appropriat$ #ee1jjj1jjj to ! ,(fice ( ,managem5t & ,budget 7ref]r$ to 9 ?is subsection z ,,omb7 = fiscal ye> #bjbc1 ( :i*-- 7#a7 #de1jjj1jjj %all be allocat$ by ! ,c\ncil among ! appropriate ,f$]al ag5cies-- 7,a7 to collect key in=mation2 7,b7 to conduct key rese>*2 & 7,c7 to initiate o!r key activities1 z det]m9$ by ! ,"o ,heal? ,security ,c\ncil2 & 7#b7 #aj1jjj1jjj may be us$ to c>ry out ! int]nal op]ations ( ! ,c\ncil1 includ+ /aff+1 travel1 & o!r adm9i/rative exp5ses4 7b7 ,second-,ye> fund+ 7#a7 ,9 g5]al ,!re is au?oriz$ to be appropriat$ #ejj1jjj1jjj to ! ,,omb = fiscal ye> #bjbd4 ,! ,c\ncil is au?oriz$ to allocate su* fund+ among ! appropriate ,f$]al ag5cies to c>ry ! functions ( ! ,c\ncil4 ,( su* am\nts-- 7,a7 #ge p]c5t may be sp5t = new or exp&$ ,"o ,heal? ,security activities2 & 7,b7 #be p]c5t may be sp5t to flexibly respond to develop+ ev5ts & fill gaps left by congressional & ag5cy decisions4 7#b7 ,recomm5dations ,n lat] ?an ,septemb] #cj1 #bjbc1 ! ,c\ncil %all submit a report to ! congressional committees li/$ 9 section #g7;a71 ! ,committee on ,appropriations ( ! ,s5ate1 & ! ,committee on ,appropriations ( ! ,h\se ( ,repres5tatives t conta9s recomm5dations t-- 7,a7 describe ! optimal allocation ( am\nts appropriat$ pursuant to p>agraph 7#a72 7,b7 reflect ! ,f$]al ag5cy compet5cies id5tifi$ 9 ! inv5tory & capabilities assessm5t c>ri$ out pursuant to section #g7;b71 includ+ ! utilization ( exi/+ bilat]al & multilat]al me*anisms1 z appropriate2 & 7,c7 are made 9 accordance ) ! decision-mak+ p>amet]s describ$ 9 section #d7;h74 7c7 ,ongo+ fund+ 7#a7 ,9 g5]al ,!re is au?oriz$ to be appropriat$ #ijj1jjj1jjj to ! ,,omb = fiscal ye> #bjbe1 & = ea* fiscal ye> !reaft]4 ,! ,c\ncil is au?oriz$ to allocate su* fund+ among ! appropriate ,f$]al ag5cies to c>ry out ! functions ( ! ,c\ncil4 ,( su* am\nts-- 7,a7 #fge1jjj1jjj may be exp5d$ ea* fiscal ye> = new or exp&$ ,global ,"o ,heal? activities2 & 7,b7 #bbe1jjj1jjj may be exp5d$ ea* fiscal ye> to flexibly respond to develop+ ev5ts & fill gaps left by congressional & ag5cy decisions4 7#b7 ,recomm5dations ,n lat] ?an ,septemb] #cj1 #bjbd1 & n lat] ?an ! la/ day ( ea* subsequ5t fiscal ye>1 ! ,c\ncil %all submit a report to ! congressional committees li/$ 9 section #g7;a71 ! ,committee on ,appropriations ( ! ,s5ate1 & ! ,committee on ,appropriations ( ! ,h\se ( ,repres5tatives t conta9s recomm5dations describ+ ! optimal allocation ( am\nts appropriat$ pursuant to p>agraph 7#a7 = ! foll[+ fiscal ye>4 7d7 ,disbursem5t ,am\nts appropriat$ pursuant to ?is section-- 7#a7 may be disburs$ ?r\gh ! appropriate ,f$]al ag5cies to nongov]nm5tal organizations & int]national organizations = approv$ ,"o ,heal? ,security activities2 or 7#b7 may be exp5d$ = programs conduct$ by ,f$]al ag5cies 9 accordance ) appropriations ,acts & ! approv$ ,"o ,heal? ,security ,/rategy4 7e7 ,supplem5t & n supplant ,am\nts appropriat$ pursuant to ?is section %all supplem5t1 & may n supplant1 any exi/+ fund+ = global ,"o ,heal? ,security-relat$ activities4 7f7 ,cross-,cutt+ budget code ,! ,director ( ! ,,omb1 9 accordance ) ! guidance receiv$ f ! ,c\ncil pursuant to section #d7;g77#aj71 %all e/abli% a cross-cutt+ budget code to id5tify exi/+ & new ,"o ,heal? ,security-relat$ activities & fund+ levels by ,f$]al ag5cy4 7g7 ,compliance ) recomm5dations ,any ,f$]al ag5cy engag$ 9 ,"o ,heal? ,security-relat$ activities %all-- 7#a7 comply ) ,c\ncil recomm5dations :5 mak+ fund+ decisions = su* activities2 & 7#b7 use ,c\ncil recomm5dations to guide fund+ decisions p]ta9+ to ,"o ,heal? ,security-relat$ activities fund$ outside ( ! jurisdiction ( ! ,c\ncil4