,i  #aah? ,,congress  #a/ ,session  ,h4 
,r4 #eede  ,,9 ,,! ,,h\se ,,(           
,,repres5tatives  ,septemb] #ah1        
#bjbc,ms4 ,m5g 7= h]self1 ,mr4          
,blum5au]1 & ,mr4 ,la,hood7 introduc$ ! 
foll[+ bill2 :i* 0 ref]r$ to !          
,committee on ,=eign ,affairs  ,a ,,bill
  ,to au?orize an ,action ,plan = ,unit$
 ,/ates =eign assi/ance to develop+     
c\ntries to increase access to su/a9able
 safe wat]1 sanitation1 & hygi5e 9      
heal?c>e facilities1 promote /rong]     
heal? sy/ems & su/a9able heal?          
infra/ructure1 build capacity ( heal?   
work]s1 & promote ! safety ( heal?      
work]s & pati5ts1 especially wom5 &     
girls1 & = o!r purposes4  #a4 ,%ort     
title ,?is ,act may be cit$ z ! ,global 
,,wa% 9 ,heal?c>e ,facilities ,act (    
#bjbc4  #b4 ,f9d+s ,congress f9ds !     
foll[+3 7#a7 ,wat]1 sanitation1 & hygi5e
 7,,wa%7 is critical to heal? security1 
prep>$ness & response ef=ts1 includ+ = !
 prev5tion ( ,,covid-#ai & future       
p&emics4  7#b7 ,,wa% 9 heal?c>e         

facilities is necess>y to ensure heal?  
security1 includ+ r$uc+ prev5table      
mat]nal1 newborn1 & *ild dea?s & r$uc+ !
 spread ( infecti\s diseases su* z      
*ol]a1 di>rhea1 & sepsis4  7#c7         
,globally1 #a out ( e #e heal?c>e       
facilities h no basic wat] s]vices1 & #a
 9 #b d n h adequate facilities to wa%  
h&s1 leav+ #c1hej1jjj1jjj p1 includ+    
heal? c>e work]s & pati5ts1 at great]   
risk ( infections4  7#d7 ,9             
lea/-develop$ c\ntries1 ab\t half (     
heal?c>e facilities lack basic wat]     
s]vices1 #gi p]c5t h no sanitation      
s]vices1 & #fh p]c5t lack basic hygi5e  
s]vices4  7#e7 ,heal?c>e acquir$        
infections arise f poor hygi5e1         
contribute to pati5t morbidity &        
mortality1 increase ! risk (            
antimicrobial resi/ance1 & contribute to
 increas$ co/s = pati5ts1 _! families & 
heal?c>e sy/ems4  7#f7 ,an e/imat$ #ae  
p]c5t ( pati5ts 9 l[- & middle-income   
c\ntries acquire "o or m infections dur+
 a typical hospital /ay4 ,infections    

associat$ ) unclean bir?s acc\nt = #bf  
p]c5t ( neonatal dea?s & #aa p]c5t (    
mat]nal dea?s2 toge!r !y acc\nt = m ?an 
#a1jjj1jjj dea?s ea* ye>4  #c4 ,/atem5t 
( policy2 s5se ( congress  7a7 ,/atem5t 
( policy objectives ,x is 9 ! national  
security int]e/ ( ! ,unit$ ,/ates to    
increase access to su/a9able & safe     
wat]1 sanitation1 & hygi5e 9 heal?c>e   
facilities1 ?r\gh global heal?1 mat]nal1
 newborn & *ild heal?1 & global wat]    
programs1 activities1 & initiatives t-- 
7#a7 increase access to safe wat] 9     
heal?c>e facilities2  7#b7 enable h&wa%+
 at all po9ts ( c>e2  7#c7 increase     
access to toilets 9 heal?c>e facilities1
 includ+ non-sew]$ sanitation solutions 
& a v>iety ( te*nologies = sanitation & 
heal?c>e wa/e treatm5t2  7#d7 provide = 
! safe segregation1 treatm5t1 & disposal
 ( heal?c>e wa/e & increas$ infection & 
prev5tion control measures2  7#e7       
promote ,,wa% social & behavior *ange to
 ensure ! safety ( heal? work]s &       
pati5ts to improve infection prev5tion &

 control measures2  7#f7 improve !      
ability ( pati5ts & heal?c>e work]s1    
includ+ p]sons ) disabilities to access 
wat]1 sanitation1 & hygi5e1 includ+ = _!
 m5/rual heal? & hygi5e ne$s 9 prim>y1  
second>y1 & t]ti>y heal?c>e facilities2 
7#g7 promote heal? facility adm9i/ration
 managem5t & monitor+ ( wat]1           
sanitation1 & hygi5e s]vices 9 heal?c>e 
facilities = infection prev5tion &      
control & quality ( c>e outcomes1       
includ+-- 7,a7 ensur+ op]ations &       
ma9t5ance ( wat] & sanitation           
infra/ructure2 &  7,b7 provid+ support  
to pati5ts to adopt consi/5t sanitation1
 hygi5e1 & m5/rual heal? behaviors2     
7#h7 integrate wat]1 sanitation1 &      
hygi5e s]vices into p&emic prep>$ness & 
response & global heal? security        
initiatives1 includ+ prev5tive measures 
t help to conta9 infecti\s disease      
outbreaks at _! s\rce & support resili5t
 heal? facilities to ensure cont9u\s    
prim>y c>e dur+ an outbreak2 &  7#i7    
provide te*nical support to p>tn]       

gov]nm5ts1 p>ticul>ly ,m9i/ries (       
,heal?1 to improve wa% sy/ems & to      
incorporate safe wat]1 sanitation1 &    
hygi5e into national plans1 /rategies1 &
 budgets = new & exi/+ heal?c>e         
facilities4  7b7 ,s5se ( congress ,x is 
! s5se ( ,congress t ! ,adm9i/rator ( ! 
,unit$ ,/ates ,ag5cy = ,int]national    
,developm5t1 9 implem5t+ ! ,global ,,wa%
 9 ,heal?c>e ,facilities ,action ,plan  
describ$ 9 section #e1 %\ld-- 7#a7      
coord9ate 9 consultation ) ! ,,usaid    
,assi/ant ,adm9i/rator = ,global ,heal?1
 ! ,s5ior ,coord9ator = ,g5d] ,equality 
& ,wom5's ,emp[]m5t1 & ! ,global ,wat]  
,coord9ator1 to exp& safe wat]1         
sanitation1 & hygi5e 9 heal?c>e         
facilities2  7#b7 promote assi/ance to &
 build ! capacity ( national gov]nm5ts  
to include wat]1 sanitation1 & hygi5e   
indicators 9 national heal? sy/ems      
monitor+ & budgets2  7#c7 coord9ate     
implem5tation ( exi/+ ,unit$ ,/ates     
,gov]nm5t /rategies relat$ to ,,wa% 9   
heal?c>e facilities1 includ+ ! ,unit$   

,/ates ,global ,wat] ,/rategy & ,unit$  
,/ates ,int]national ,activities to     
,advance ,global ,heal? ,security &     
,diplomacy ,/rategy & ,report to a*ieve 
! objectives ( section #c7;a72  7#d7    
include policies t promote ! privacy1   
safety1 & dignity ( wom5 & girls1 &     
disability access 9 design1             
implem5tation1 & evaluation1 9          
accordance ) exi/+ ,,usaid policies = p 
) disabilities2  7#e7 promote !         
developm5t ( resili5t wat]1 sanitation1 
& hygi5e sy/ems 9 heal?c>e facilities2 &
  7#f7 prioritize high priority c\ntries
 :]e ! ne$s are greate/4  #d4           
,def9itions ,9 ?is ,act3 7#a7           
,appropriate congressional committees ,!
 t]m appropriate congressional          
committees means-- 7,a7 ! ,committee on 
,=eign ,affairs & ! ,committee on       
,appropriations ( ! ,h\se (             
,repres5tatives2 &  7,b7 ! ,committee on
 ,=eign ,relations & ! ,committee on    
,appropriations ( ! ,s5ate4  7#b7       
,su/a9able ,! t]m su/a9able means !     

ability ( a t>get c\ntry1 community1    
implem5t+ p>tn]1 or int5d$ b5efici>y to 
ma9ta91 ov] "t1 ! programs au?oriz$ &   
outcomes a*iev$ pursuant to ?is ,act4   
7#c7 ,heal?c>e facility ,! t]m heal?c>e 
facility means a hospital1 cl9ic1 heal? 
c5t]1 or o!r location e/abli%$ = !      
purpose ( provid+ heal? c>e4  7#d7      
,heal?c>e work] ,! t]m heal?c>e work]   
includes doctors1 nurses1 lab           
te*nicians1 ph>maci/s1 janitors1        
heal?c>e adm9i/rators1 & o!r individuals
 work+ at or 9 p>tn]%ip ) heal?c>e      
facilities4  7#e7 ,high priority c\ntry 
,! t]m high priority c\ntry means a     
c\ntry designat$ pursuant to section    
#acf7;h7 ( ! ,=eign ,assi/ance ,act (   
#aifa 7#bb ,u4,s4,c4 #baea;h7h77 & any  
c\ntry id5tifi$ by ,,usaid z a high     
priority c\ntry = ! purposes ( ?is ,act4
  7#f7 ,key /akehold]s ,! t]m key       
/akehold]s means-- 7,a7 communities     
directly affect$ by ! lack ( access to  
safe wat]1 sanitation or hygi5e2  7,b7  
o!r appropriate nongov]nm5tal           

organizations2 &  7,c7 ag5cies or       
dep>tm5ts ( c\ntries affect$ by ! lack (
 access to safe wat]1 sanitation1 or    
hygi5e4  7#g7 ,,usaid ,! t]m ,,usaid    
means ! ,unit$ ,/ates ,ag5cy =          
,int]national ,developm5t4  7#h7 ,,wa%  
,! t]m ,,wa% means wat]1 sanitation1 &  
hygi5e4  #e4 ,global wa% 9 heal?c>e     
facilities action plan  7a7 ,action plan
 requir$ ,! ,adm9i/rator ( ! ,unit$     
,/ates ,ag5cy = ,int]national           
,developm5t1 9 coord9ation ) ! ,director
 ( ! ,c5t]s = ,disease ,control &       
,prev5tion & ! ,secret>y ( ,/ate1 %all  
develop & implem5t an action plan1 to be
 kn[n z ! ,global ,,wa% 9 ,heal?c>e     
,facilities ,action ,plan1 to accompli% 
! policy objectives li/$ 9 section      
#c7;a74 ,su* action plan %all-- 7#a7 set
 specific1 timeb\nd1 & measurable goals1
 & id5tify relevant p]=mance metrics    
draw+ f exi/+ & complem5t>y /rategies & 
plans2  7#b7 describe monitor+ &        
evaluation plans t reflect be/ practices
 relat+ to transp>5cy1 acc\ntability1   

localiz$ su/a9ability1 c\ntry capacity1 
budget>y support & own]%ip1 wat]1       
sanitation1 & hygi5e1 includ+           
appropriate use ( g5d] disaggregat$     
data2  7#c7 e/abli% cle> & transp>5t    
crit]ia = ,,wa% 9 heal?c>e facilities 9 
t>get c\ntries1 drawn f exi/+ wat]1     
sanitation & hygi5e1 ne$ = /rong heal?  
sy/ems1 infection prev5tion & control1  
p&emic prep>$ness & response1 mat]nal1  
newborn & *ild heal?1 & nutrition       
programs high priority c\ntries &       
assessm5ts1 & = select+ regions & int5d$
 b5efici>ies ( assi/ance2  7#d7 describe
 l9kages & coord9ation ) o!r relevant   
policies1 /rategies1 plans & initiatives
 includ+ ^? relat$ to g5d]1 resili5ce1  
global heal?1 & p&emic prep>$ness &     
response2  7#e7 describe measures &     
approa*es to address ! issues (         
infection prev5tion & control1 m5/rual  
heal? & hygi5e1 safe & equitable access 
to ,,wa% = heal? work]s1 gaps 9 curr5t  
data1 monitor+ & evaluation analysis &  
capacity1 consi/5t ) ! policy objectives

 describ$ 9 section #c7;a72  7#f7       
support p>tn] gov]nm5ts to /r5g!n supply
 *a9s &1 z appropriate1 e/abli% & ma9ta9
 /rategic /ockpiles ( critical wat]1    
sanitation1 hygi5e & m5/rual heal?      
products1 clean1 op]ational & ma9t5ance 
inputs1 & relat$ h>dw>e = resili5t      
heal?c>e2  7#g7 address wom5's & girls' 
specific ne$s = wat]1 sanitation1 &     
hygi5e access 9 heal?c>e facilities1 9  
p>ticul>1 p]sonal safety1 privacy1      
dignity1 & m5/rual heal? & hygi5e &     
mat]nal heal?2  7#h7 support ! long-t]m 
su/a9ability ( wat]1 sanitation1 &      
hygi5e access 9 heal?c>e facilities     
especially at po9ts ( c>e1 ?r\gh heal?  
sy/ems resili5cy approa*es includ+      
capacity build+2  7#i7 lev]age new &    
exi/+ wat]1 sanitation1 & hygi5e        
te*nologies1 includ+ non-sew]$          
sanitation solutions1 & a v>iety (      
te*nologies = sanitation & heal?c>e wa/e
 treatm5t2  7#aj7 9 support ( su/a9ably 
increas$ ,,wa% access 9 heal?c>e        
facilities & increas$ local own]%ip1    

id5tify crit]ia1 & me?odology = graduat+
 c\ntries f ,unit$ ,/ates assi/ance     
provid$ = ! policy objectives li/$ 9    
section #c7;a72 &  7#aa7 anticipate     
res\rce ne$s to implem5t ! ,action      
,plan1 includ+ su* am\nts to be         
transf]r$ by ! ,secret>y ( ,/ate to !   
,adm9i/rator ( ,,usaid pursuant to      
section #f7;a74  7b7 ,inclusion 9 o!r   
/rategies1 policies1 plans1 &           
initiatives ,! ,adm9i/rator may include 
! ,action ,plan requir$ by subsection   
7a7 z a compon5t ( ! ,,usaid            
,ag5cy-,specific ,plan = ! ,unit$ ,/ates
 ,int]national ,activities to ,advance  
,global ,heal? ,security & ,diplomacy   
,/rategy requir$ by ! ,global ,heal?    
,security & ,int]national ,p&emic1      
,prep>$ness & ,response ,act 7subtitle  
,d ( title ,,lv ( ! ,national ,def5se   
,au?orization ,act = ,fiscal ,ye>       
#bjbc71 or z a compon5t ( o!r ,,usaid   
/rategies1 policies1 plans or           
initiatives1 z appropriate4  7c7 ,action
 plan submission ,n lat] ?an #a ye> aft]

 ! date ( ! enactm5t ( ?is ,act1 !      
,adm9i/rator ( ,,usaid %all submit to ! 
appropriate congressional committees a  
report consi/+ (-- 7#a7 ! ,global ,,wa% 
9 ,heal?c>e ,facilities ,action ,plan   
requir$ "u subsection 7a72 &  7#b7 a    
description ( ! mann] 9 :i* !           
,adm9i/rator int5ds to advance ! policy 
objectives li/$ 9 section #c7;a7 ?r\gh  
su* action plan4  #f4 ,assi/ance to     
implem5t ! global wa% 9 heal?c>e        
facilities action plan  7a7             
,au?orization ( appropriations ,am\nts  
appropriat$ pursuant to ! au?orization  
"u section #eefd ( ! ,national ,def5se  
,au?orization ,act = ,fiscal ,ye> #bjbc 
are also au?oriz$ to be made available  
dur+ fiscal ye>s #bjbd ?r\gh #bjbg to   
c>ry out ! ,global ,,wa% 9 ,heal? ,c>e  
,facilities ,action ,plan describ$ 9    
section #e 9 support ( ! ,unit$ ,/ates  
,int]national ,activities to ,advance ! 
,global ,,wa% 9 ,heal?c>e ,facilities   
,action ,plan4  7b7 ,au?orization (     
transf]s ,subject to ! availability (   

funds appropriat$ pursuant to !         
au?orization "u section #eefd ( !       
,national ,def5se ,au?orization ,act =  
,fiscal ,ye> #bjbc & 9 accordance )     
subsection 7a71 ! ,secret>y ( ,/ate is  
au?oriz$ to transf] to ! ,adm9i/rator ( 
! ,,usaid su* sums z may be necess>y to 
implem5t ! ,global ,,wa% 9 ,heal? ,c>e  
,facilities ,action ,plan describ$ 9    
section #e ( ?is ,act4  7c7 ,monitor+ & 
evaluation ,! ,adm9i/rator %all seek to 
ensure t assi/ance to implem5t ! ,global
 ,,wa% 9 ,heal?c>e ,facilities ,action  
,plan is provid$ "u e/abli%$ p>amet]s = 
a rigor\s acc\ntability sy/em to monitor
 & evaluate progress & impact ( ! action
 plan1 includ+ by report+ to !          
appropriate congressional committees & !
 public on an annual basis1 9 accordance
 ) section #g4  #g4 ,reports  7a7       
,initial report ,n lat] ?an #a ye> aft] 
! date ( ! submission ( ! ,global ,,wa% 
9 ,heal?c>e ,facilities ,action ,plan   
requir$ "u section #e1 ! ,adm9i/rator   
%all submit to ! appropriate            

congressional committees a report t     
describes ! /atus ( ! implem5tation ( ! 
,action ,plan4  7b7 ,cont5t ,! report   
requir$ "u subsection 7a7 %all-- 7#a7   
conta9 a summ>y ( ! ,global ,,wa% 9     
,heal?c>e ,facilities ,action ,plan z an
 app5dix2  7#b7 describe ! progress made
 9 implem5t+ ! ,action ,plan2  7#c7     
id5tify ! indicators & measure results  
ov] "t1 z well z ! me*anisms = report+  
su* results 9 an op5 & transp>5t mann]1 
includ+ disaggregat$ data on heal?c>e   
facilities ) basic or safe access to    
wat]1 sanitation & hygi5e def9$ by ! ,_w
 ,heal? ,organization & ,,unicef2  7#d7 
conta9 a transp>5t & detail$ acc\nt+ (  
,,usaid sp5d+ to implem5t ! ,global     
,,wa% 9 ,heal?c>e ,facilities ,action   
,plan & relat$ activities2  7#e7        
describe h[ ! ,global ,,wa% 9 ,heal?c>e 
,facilities ,action ,plan lev]ages o!r  
,unit$ ,/ates global heal? programs     
includ+ b n limit$ to mat]nal & *ild    
heal?1 heal? sy/ems1 & global heal?     
security2  7#f7 describe ! impact ( !   

,global ,,wa% 9 ,heal?c>e ,facilities   
,action ,plan on o!r global heal?       
programs1 includ+ progress 9 ! promotion
 ( infection prev5tion & control1       
/r5g!n+ global heal? security & p&emic  
prep>$ness1 prev5tion & response & r$uc+
 prev5table mat]nal & *ild dea?s2  7#g7 
assess ef=ts to coord9ate ,unit$ ,/ates 
global heal? programs1 activities1 &    
initiatives ) key /akehold]s2  7#h7     
assess ,unit$ ,/ates                    
,gov]nm5t-facilitat$ private inve/m5t 9 
relat$ sectors & ! impact ( private     
sector inve/m5t 9 t>get c\ntries &      
communities2  7#i7 assess ! increas$    
access to safe sanitation & h& wa%+     
/ations 9 heal?c>e facilities1 includ+  
to address m5/rual heal? & hygi5e ne$s2 
7#aj7 incorporate a plan = regul>ly %>+ 
lessons le>n$ ) a wide range (          
/akehold]s1 includ+ local civil society 
organizations 9 an op51 transp>5t mann] 
& ?r\gh bi5nial /akehold] consultation2 
&  7#aa7 e/abli% me*anisms = receiv+    
fe$back f /akehold]s & incorporat+      

fe$back into updates ( relevant         
congressionally m&at$ /rategies & action
 plans4  7c7 ,subsequ5t reports ,= !    
five-ye> p]iod beg9n+ on ! date ( !     
submission ( ! initial report requir$ "u
 subsection 7a71 ! ,adm9i/rator %all    
annually submit to ! appropriate        
congressional committees a report on !  
/atus ( ! implem5tation ( ! action plan1
 ! progress made 9 a*iev+ ! elem5ts     
describ$ 9 section #e1 & any *anges to !
 action plan s9ce ! date ( ! submission 
( ! mo/ rec5t prior report4  7d7        
,inclusion 9 o!r reports ,! ,adm9i/rator
 may include ! report requir$ by        
subsection 7a7 z a compon5t ( ! ,unit$  
,/ates ,int]national ,activities to     
,advance ,global ,heal? ,security &     
,diplomacy ,/rategy report or z a       
compon5t ( o!r ,,usaid reports1 z       
appropriate4  7e7 ,public availability (
 in=mation ,! in=mation ref]r$ to 9     
subsections 7a7 & 7b7 %all be timely    
made available on ! public website (    
,,usaid 9 a consolidat$1 d[nloadable1 & 

ma*9e-se>*able =mat4