,i #aah? ,,congress #a/ ,session ,h4 ,r4 #fdbd ,,9 ,,! ,,h\se ,,( ,,repres5tatives ,novemb] #ae1 #bjbc,mr4 ,fitzpatrick 7= himself1 ,ms4 ,h\lahan1 & ,ms4 ,salaz>7 introduc$ ! foll[+ bill2 :i* 0 ref]r$ to ! ,committee on ,=eign ,affairs ,a ,,bill ,to provide additional au?orities = ! lead]%ip ( ! ,unit$ ,/ates ,ag5cy = ,int]national ,developm5t 9 heal? te*nology innovation = global heal? 9 l[-res\rce sett+s1 & = o!r purposes4 #a4 ,%ort title ,?is ,act may be cit$ z ! ,support+ ,innovative ,global ,heal? ,te*nologies ,act ( #bjbc or ! ,,sight ,act4 #b4 ,f9d+s ,congress f9ds ! foll[+3 7#a7 ,! ,unit$ ,/ates ,ag5cy = ,int]national ,developm5t has a unique role 9 ! rese>* & developm5t ( heal? te*nologies = global heal? t complem5ts ! "w ( o!r dep>tm5ts & ag5cies ( ! ,unit$ ,/ates ,gov]nm5t1 hav+ bo? an advantage & unique m&ate = developm5t ( heal? te*nologies = use 9 l[-res\rce sett+s4 7#b7 ,x is 9 ! national int]e/ ( ! ,unit$ ,/ates to build great] c\ntry capacity = rese>* & developm5t ( new heal? te*nologies 9 l[ & middle-income c\ntries4 7#c7 ,inve/m5ts by ! ,unit$ ,/ates ,gov]nm5t 9 global heal? rese>* & developm5t %\ld be coord9at$ ) & lev]age inve/m5ts f p>tn] c\ntry gov]nm5ts1 o!r gov]nm5t donors1 & ! private sector4 7#d7 ,human immunodefici5cy virus1 tub]culosis1 mal>ia1 neglect$ tropical diseases1 em]g+ infecti\s diseases 7su* z ,,covid-#ai1 ,ebola1 & ,zika71 & _m o!r heal? conditions 7su* z complications 9 pregnancy7 h a disproportionate public heal? burd5 9 l[- & middle-income c\ntries4 7#e7 ,heal? te*nologies t 7 develop$ = use 9 high-income c\ntries (t5 _c be implem5t$ 9 l[-res\rce sett+s 9 l[- & middle-income c\ntries or require adaptation to be effective4 7#f7 ,due to pov]ty or to l[ incid5ce1 _m neglect$ tropical diseases & em]g+ infecti\s diseases ei!r lack or h limit$ comm]cial m>kets to drive heal? te*nology innovation4 7#g7 ,a*iev+ ! ambiti\s goals set ?r\gh initiatives su* z ! ,presid5t's ,em]g5cy ,plan = ,,aids ,relief 7commonly ref]r$ to z ,,pepf>7 & ! ,presid5t's ,mal>ia ,initiative 7commonly ref]r$ to z ,,pmi7 w n be possible )\t ! developm5t & scale-up ( new heal? te*nologies design$ = use 9 l[-res\rce sett+s1 :i* are ne$$ to address bo? long-/&+ endemic diseases & prep>e = pot5tial p&emic ?reats4 7#h7 ,public fund+ has prov5 highly successful at inc5tiviz+ ! developm5t ( heal? te*nologies = global heal? t are high-impact1 accessible1 & co/-sav+4 7#i7 ,,covid-#ai has demon/rat$ ! importance ( global access to heal? te*nologies design$ = l[-res\rce sett+s4 7#aj7 ,support = ! developm5t ( accessible heal? te*nologies = l[-res\rce sett+s c h reciprocal value & produce tools t r$uce heal? c>e co/s1 improve public heal?1 & /r5g!n heal? security = ! ,unit$ ,/ates4 7#aa7 ,= decades1 ! ,unit$ ,/ates ,ag5cy = ,int]national ,developm5t has be5 a cataly/ 9 ! global heal? innovation ecosy/em4 ,:ile o!r ,f$]al dep>tm5ts & ag5cies1 includ+ ! ,national ,in/itutes ( ,heal?1 ! ,c5t]s = ,disease ,control & ,prev5tion1 & ! ,dep>tm5t ( ,def5se1 provide support = global heal? te*nologies1 ! ,unit$ ,/ates ,ag5cy = ,int]national ,developm5t is ! only ,f$]al ag5cy t provides broad support = ! late-/age developm5t ( new heal? te*nologies to combat neglect$ tropical diseases & em]g+ infecti\s diseases & o!r heal? conditions = l[-res\rce sett+s specifically4 7#ab7 ,:ile ! ne$ = new tools to tackle disease ?reats has gr[n1 9 rec5t ye>s1 inve/m5ts by ! ,unit$ ,/ates ,ag5cy = ,int]national ,developm5t 9 rese>* & developm5t h %runk z a proportion ( its ov]all global heal? sp5d+1 squeez$ by bo? /agnant budgets & gr[+ ne$s4 7#ac7 ,innovation at ! ,unit$ ,/ates ,ag5cy = ,int]national ,developm5t is prim>ily support$ f silo$ disease- & population-specific appropriations acc\nts1 result+ 9 ! limitation ( its ability to seek %>$ value across heal? sectors or heal? ?reats4 7#ad7 ,! ,unit$ ,/ates ,ag5cy = ,int]national ,developm5t is compell$ to prioritize support = imm$iate program ne$s ) imp]fect tools at ! exp5se ( support = te*nologies t c improve cl9ical effectiv5ess1 increase access to c>e1 save co/s1 & build capacity & own]%ip by p>tn] c\ntries4 #c4 ,/atem5t ( policy ,x is ! policy ( ! ,unit$ ,/ates t-- 7#a7 rese>* & developm5t = new heal? te*nologies is ess5tial = ! success ( ! global heal? programs ( ! ,unit$ ,/ates ,gov]nm5t1 by provid+ = ! improv$ effectiv5ess1 co/-effectiv5ess1 & su/a9ability ( su* programs2 & 7#b7 fund+ & o!r support = global heal? rese>* & developm5t "u ?is ,act %all be additional & complem5t>y to1 & may n replace1 displace1 or o!rwise compromise1 fund+ o!rwise provid$ = exi/+ & ongo+ global heal? rese>* & developm5t ( ! ,unit$ ,/ates ,gov]nm5t or activities relat+ to ! implem5tation ( ! global heal? programs ( ! ,unit$ ,/ates ,gov]nm5t4 #d4 ,*ief ,innovation ,(fic] = ,heal? 7a7 ,e/abli%m5t ,!re is e/abli%$ )9 ! ,bureau = ,global ,heal? ( ! ,ag5cy ! position ( ,*ief ,innovation ,(fic] = ,heal?4 ,su* position is at ! level ( ,deputy ,assi/ant ,adm9i/rator or equival5t4 7b7 ,appo9tm5t ,! ,adm9i/rator %all appo9t ! ,*ief ,innovation ,(fic] = ,heal? f among su* individuals z ! ,adm9i/rator det]m9es h relevant exp]i5ce )9 private sector indu/ry & an exp]t und]/&+ ( heal? f9ance & ( ! rese>*1 developm5t1 te/+1 evaluation1 deploym5t1 & implem5tation ( new heal? te*nology4 7c7 ,relation%ip to ,assi/ant ,adm9i/rator = ,global ,heal? ,! ,*ief ,innovation ,(fic] = ,heal? %all-- 7#a7 s]ve z ! pr9cipal advisor to ! ,assi/ant ,adm9i/rator = ,global ,heal? on global heal? rese>* & developm5t necess>y to meet ! requirem5ts ( ! ,unit$ ,/ates ,gov]nm5t & ! gov]nm5ts ( p>tn] c\ntries = improv+ global heal?2 & 7#b7 report directly to ! ,assi/ant ,adm9i/rator = ,global ,heal?4 7d7 ,duties ,! ,*ief ,innovation ,(fic] = ,heal? %all be responsible = ! foll[+3 7#a7 ,ensur+ cross-sector1 ,ag5cy-wide coop]ation1 support1 & programm+ = global heal? rese>* & developm5t1 = ! purpose ( increas+ ! effectiv5ess ( int]national developm5t programs ( ! ,ag5cy & support+ ! =eign policy & developm5t goals ( ! ,unit$ ,/ates ,gov]nm5t4 7#b7 ,draw+ on ! exp]tise ( o!r dep>tm5ts & ag5cies ( ! ,unit$ ,/ates ,gov]nm5t & ( nongov]nm5tal organizations 7includ+ affect$ communities & in/itutions 9 l[- or middle-income c\ntries1 bus9esses1 heal? & sci5ce rese>* organizations1 & in/itutions ( high] education7 t pursue global heal?-relat$ rese>* & developm5t1 to id5tify ! mo/ press+ requirem5ts = ! developm5t ( heal? te*nologies to improve global heal? & programs ( ! ,ag5cy relat+ to global heal?4 7#c7 ,lev]ag+ rese>* & inve/m5ts by o!r elem5ts ( ! ,ag5cy1 o!r dep>tm5ts & ag5cies ( ! ,unit$ ,/ates ,gov]nm5t1 & nongov]nm5tal organizations 7includ+ bus9esses1 heal? & sci5ce rese>* organizations1 in/itutions ( high] education1 & gov]nm5ts or o!r in/itutions ( p>tn] c\ntries7 to support ! rese>* & developm5t ( new heal? te*nologies by ! ,*ief ,innovation ,(fic] ( ,heal?4 7#d7 ,adm9i/]+ ! processes = ! aw>d ( grants1 entry into p>tn]%ips1 & jo9t e/abli%m5t ( o!r arrangem5ts1 to support global heal? rese>* & developm5t 7includ+ by adm9i/]+ ! grant program "u section #g74 7#e7 ,s]v+ z ! ,*airp]son ( ! ,global ,heal? ,rese>* & ,developm5t ,advisory ,c\ncil e/abli%$ "u section #e4 7e7 ,au?orities ,! ,assi/ant ,adm9i/rator = ,global ,heal? %all take su* /eps z may be necess>y to ensure t ! ,*ief ,innovation ,(fic] = ,heal? has suffici5t au?ority )9 ! ,bureau = ,global ,heal? to c>ry out ! duties "u subsection 7d74 #e4 ,global ,heal? ,rese>* & ,developm5t ,advisory ,c\ncil 7a7 ,e/abli%m5t ,! ,adm9i/rator %all e/abli% an advisory c\ncil to be kn[n z ! ,global ,heal? ,rese>* & ,developm5t ,advisory ,c\ncil 79 ?is section ref]r$ to z ! ,c\ncil74 7b7 ,memb]%ip ,! ,c\ncil %all be compos$ ( ! foll[+3 7#a7 ,! ,*ief ,innovation ,(fic] = ,heal? ( ! ,ag5cy "u section #d1 :o %all s]ve z ! ,*airp]son ( ! ,c\ncil 79 ?is section ref]r$ to z ! ,*airp]son74 7#b7 ,n m ?an #h o!r memb]s appo9t$ by ! ,adm9i/rator f among individuals-- 7,a7 recomm5d$ = su* appo9tm5t by ! ,*airp]son2 & 7,b7 :o are sci5ti/s or o!r exp]ts ) exp]i5ce 9 global heal? rese>* & developm5t ?r\gh or on behalf (-- 7i7 ! ,ag5cy2 7ii7 any o!r dep>tm5t or ag5cy ( ! ,unit$ ,/ates ,gov]nm5t2 7iii7 affect$ communities 9 l[- or middle-income c\ntries2 & 7iv7 nongov]nm5tal organizations1 includ+ nonpr(it organizations1 bus9esses1 & in/itutes ( high] education4 7c7 ,t]ms 7#a7 ,9 g5]al ,ea* memb] o!r ?an ! ,*airp]son %all be appo9t$ = a t]m ( #f ye>s4 7#b7 ,vacancies ,any memb] appo9t$ to fill a vacancy occurr+ be=e ! expiration ( ! t]m = :i* ! pr$ecessor ( ! memb] 0 appo9t$ %all be appo9t$ only = ! rema9d] ( t t]m4 ,a vacancy 9 ! ,c\ncil %all be fill$ 9 ! mann] 9 :i* ! orig9al appo9tm5t 0 made4 7d7 ,comp5sation 7#a7 ,prohibition ( comp5sation ( ,f$]al employees ,except z provid$ 9 p>agraph 7#b71 memb]s ( ! ,c\ncil :o are full-"t (fic]s or employees ( ! ,unit$ ,/ates may n receive additional pay1 all[ances1 or b5efits by reason ( _! s]vice on ! ,c\ncil4 7#b7 ,travel exp5ses ,ea* memb] ( ! ,c\ncil %all receive travel exp5ses1 includ+ p] diem 9 lieu ( subsi/5ce1 9 accordance ) applicable provisions "u sub*apt] ,i ( *apt] #eg ( title #e1 ,unit$ ,/ates ,code4 7e7 ,meet+s ,! ,c\ncil %all meet at ! call ( ! ,*airp]son4 7f7 ,duties ,! ,c\ncil %all be responsible = advis+ ! ,adm9i/rator reg>d+ ! priorities & objectives = ! ,ag5cy ) respect to global heal? rese>* & developm5t1 includ+ by provid+ su* advice on an individual memb] basis or z a collective ,c\ncil1 z ! ,*airp]son may direct4 7g7 ,nonapplicability ( ,f$]al ,advisory ,committee ,act ,*apt] #aj ( title #e1 ,unit$ ,/ates ,code1 %all n apply to ! ,c\ncil4 #f4 ,global ,heal? ,rese>* & ,developm5t program area activities & budget 7a7 ,9 g5]al ,! ,adm9i/rator %all c>ry out global heal? rese>* & developm5t activities ) respect to new heal? te*nologies ) ! pot5tial to advance ! effectiv5ess & su/a9ability ( ! global heal? programs ( ! ,ag5cy1 includ+ ! pot5tial to advance-- 7#a7 heal? te*nologies ) *>act]i/ics id5tifi$ or o!rwise prioritiz$ by affect$ communities & p>tn] c\ntries2 7#b7 heal? te*nologies ) *>act]i/ics t facilitate introduction & access ( ! respective te*nology1 to ensure use by ^? 9 ne$2 & 7#c7 support = capacity-build+ )9 p>tn] c\ntries & ! transition by su* c\ntries to great] c\ntry-level own]%ip1 responsibility1 & decision-mak+ ) respect to global heal?4 7b7 ,budget ,! ,adm9i/rator %all-- 7#a7 n lat] ?an #ij days aft] ! date ( ! enactm5t ( ?is ,act1 e/abli% a s+le1 sep>ate budget l9e = ! activities "u subsection 7a71 "u :i* funds au?oriz$ to be appropriat$ or o!rwise made available to ! ,adm9i/rator = ! purpose ( c>ry+ out su* activities %all be categoriz$2 & 7#b7 include in=mation reg>d+ am\nts exp5d$ & reque/$ to be exp5d$ "u su* budget l9e 9 ! budget ju/ification mat]ials submitt$ 9 support ( ! budget ( ! ,presid5t = any fiscal ye> beg9n+ on or aft] ! date ( su* e/abli%m5t4 #g4 ,grant program = exp&$ use ( global heal? rese>* & developm5t 7a7 ,grant program ,! ,adm9i/rator1 act+ ?r\gh ! ,*ief ,innovation ,(fic] = ,heal? "u section #d1 %all c>ry out a grant program "u :i* ! ,adm9i/rator may aw>d grants on a competitive basis to nongov]nm5tal organizations t are det]m9$ eligible by ! ,adm9i/rator4 7b7 ,use ( am\nts ,grant am\nts aw>d$ "u ?is section may only be us$ = ! foll[+ purposes3 7#a7 ,develop+ new heal? te*nologies design$ = use 9 l[-res\rce sett+s to improve global heal?4 7#b7 ,evaluat+ & improv+ ! implem5tation1 production1 & scale-up ( heal? te*nologies 9 l[-res\rce sett+s 9 p>tn] c\ntries4 7#c7 ,inve/+ 9 ! rese>* capacity ( in/itutions 9 l[- & middle-income p>tn] c\ntries to lead & contribute to ! developm5t ( heal? te*nologies4 7c7 ,conditions on grant aw>d ,! ,adm9i/rator may n aw>d a grant to an entity "u ?is section unless-- 7#a7 ! entity submits to ! ,adm9i/rator a proposal demon/rat+ suffici5t te*nical /&>ds1 z det]m9$ by ! ,adm9i/rator1 = any ( ! purposes li/$ 9 p>agraphs 7#a7 ?r\gh 7#c7 ( subsection 7b7 = :i* ! entity int5ds to use su* grant am\nts2 7#b7 ! entity agrees1 z a condition ( su* aw>d1 to report to ! ,adm9i/rator reg>d+ ! use ( su* grant am\nts on a basis t is n less frequ5t ?an annually = ! duration ( ! grant p]iod2 & 7#c7 ! ,adm9i/rator c]tifies to ! appropriate congressional committees t su* aw>d is 9 compliance ) section #c7b7 ( ?is ,act4 7d7 ,additional nature ( au?ority ,! au?ority to aw>d grants "u ?is section is 9 addition to1 & n 9 lieu (1 any o!r au?ority ( ! ,adm9i/rator1 includ+ any su* au?ority "u "p ,i or ,,ii ( ! ,=eign ,assi/ance ,act ( #aifa 7#bb ,u4,s4,c4 #baea et seq474 #h4 ,/rategy & reports 7a7 ,report on progress ,n lat] ?an #ahj days aft] ! date ( ! enactm5t ( ?is ,act1 & prior to ! submission ( ! budget ju/ification mat]ials 9 support ( ! budget ( ! ,presid5t = ! fir/ fiscal ye> foll[+ ! date ( ! enactm5t ( ?is ,act1 ! ,adm9i/rator %all submit to ! appropriate congressional committees1 & publi% on a publicly available website ( ! ,ag5cy1 a report t conta9s ! foll[+3 7#a7 ,a detail$ description ( ! /atus ( ! ,global ,heal? ,rese>* & ,developm5t ,advisory ,c\ncil "u section #e4 7#b7 ,recomm5dations by su* ,global ,heal? ,rese>* & ,developm5t ,advisory ,c\ncil4 7#c7 ,solicitations = grant aw>ds "u section #g4 7#d7 ,compreh5sive acc\nt+ ( aw>ds & objectives to be includ$ )9 ! annual report to ,congress on ! heal?-relat$ rese>* & developm5t /rategy ( ! ,ag5cy requir$ pursuant to ! ,dep>tm5t ( ,/ate1 ,=eign ,op]ations1 & ,relat$ ,programs ,appropriations ,act 7or ! report accompany+ su* appropriations bill report$ by ! ,committees on ,appropriations ( ! ,h\se or ,repres5tatives or ,s5ate7 = ! respective fiscal ye>4 7#e7 ,a detail$ description ( h[ ! plann$ inve/m5ts by ! ,ag5cy 9 ! activities "u section #f7;a7 align ) ! multiye> /rategy ( ! ,ag5cy titl$ ,global ,heal? ,rese>* & ,developm5t ,/rategy #bjbc-bjbh & develop$ pursuant to section #gjai7;e7 ( division ,k ( ! ,consolidat$ ,appropriations ,act1 #bjbb 7,public ,law #aag-ajc74 7#f7 ,a detail$ description ( h[ inve/m5ts made by ! ,ag5cy 9 su* activities advance ! o!r heal?-relat$ programm+ goals ( ! ,ag5cy4 7b7 ,annual reports ,n lat] ?an #a ye> aft] ! date ( ! enactm5t ( ?is ,act1 & annually !reaft] = ! next #e ye>s z "p ( ! annual report specifi$ 9 subsection 7a77#d71 ! ,adm9i/rator %all submit to ! appropriate congressional committees1 & publi% on a publicly available website ( ! ,ag5cy1 a report t conta9s1 ) respect to ! ye> cov]$ by ! report1 ! foll[+3 7#a7 ,in=mation on any grants aw>d$1 or o!r assi/ance provid$1 by ! ,adm9i/rator dur+ su* ye> pursuant to an au?ority "u ?is ,act or any o!r relevant provision ( law = ! support ( global heal? rese>* & developm5t 9 support ( programs ( ! ,ag5cy4 7#b7 ,! prim>y1 second>y1 & t]ti>y purposes (-- 7,a7 any su* grants aw>d$2 & 7,b7 any inve/m5ts 9 ! activities "u section #f7;a7 made or propos$ by ! ,adm9i/rator dur+ su* ye>4 7#c7 ,a summ>y ( h[ affect$ communities & rese>*]s bas$ 9 p>tn] c\ntries h be5 consult$ ) respect to any su* inve/m5ts4 7#d7 ,a description ( ! outcomes & /atus ( ! activities "u section #f7;a7 c>ri$ out or o!rwise support$ by ! ,adm9i/rator dur+ su* ye>4 7#e7 ,an id5tification ( any am\nts obligat$ or exp5d$ dur+ su* ye> by ! ,adm9i/rator1 f any appropriations acc\nt1 to support global heal? rese>* & developm5t4 ,su* in=mation %all be pres5t$ bo? z a summ>y & 9 a table del9eat$ by-- 7,a7 heal? area2 7,b7 type ( rese>* or developm5t activity2 & 7,c7 appropriations acc\nt4 7#f7 ,a description ( relevant objectives & expect$ outcomes = ! subsequ5t ye>4 #i4 ,def9itions ,9 ?is ,act3 7#a7 ,adm9i/rator ,! t]m ,adm9i/rator means ! ,adm9i/rator = ! ,unit$ ,/ates ,ag5cy = ,int]national ,developm5t4 7#b7 ,ag5cy ,! t]m ,ag5cy means ! ,unit$ ,/ates ,ag5cy = ,int]national ,developm5t4 7#c7 ,appropriate congressional committees ,! t]m appropriate congressional committees means-- 7,a7 ! ,committee on ,=eign ,affairs ( ! ,h\se ( ,repres5tatives2 & 7,b7 ! ,committee on ,=eign ,relations ( ! ,s5ate4 7#d7 ,global heal? ,! t]m global heal? includes ef=ts to combat & prep>e =-- 7,a7 neglect$ tropical diseases2 7,b7 em]g+ infecti\s diseases2 7,c7 antimicrobial resi/ance2 & 7,d7 any o!r condition t may n be easily treat$1 diagnos$1 or prev5t$ 9 l[-res\rce sett+s4 7#e7 ,global heal? rese>* & developm5t ,! t]m global heal? rese>* & developm5t includes an activity1 or ! support = su* an activity1 relat$ to rese>*1 developm5t1 te/+1 evaluation1 deploym5t1 or implem5tation ( any new heal? te*nology4 7#f7 ,heal? te*nology ,! t]m heal? te*nology-- 7,a7 means a vacc9e1 !rapeutic1 diagno/ic1 device1 or o!r tool design$1 modifi$1 or adapt$ = use 9 l[-res\rce sett+s to improve global heal?2 & 7,b7 includes p]sonal protective equipm5t & insecticide s us$4 7#g7 ,l[-res\rce sett+ ,! t]m l[-res\rce sett+ means a location ) limit$ or inconsi/5t access to runn+ wat]1 electricity1 refrig]ation1 supply *a9s1 lab s]vices1 m$ical equipm5t1 tra9$ heal? c>e p]sonnel1 or o!r res\rces important = global heal?4