,,ii #aah? ,,congress #b;d ,session ,s4 #ebgh ,,9 ,,! ,,s5ate ,,( ,,! ,,unit$ ,,/ates ,septemb] #be1 #bjbd,mr4 ,book] introduc$ ! foll[+ bill2 :i* 0 read twice & ref]r$ to ! ,committee on ,=eign ,relations ,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 titles2 table ( cont5ts 7a7 ,%ort titles ,?is ,act may be cit$ z ! ,support+ ,innovative ,global ,heal? ,te*nologies ,act ( #bjbd or ! ,,sight ,act4 7b7 ,table ( cont5ts ,! table ( cont5ts = ?is ,act is z foll[s3 ,sec4 #a4 ,%ort titles2 table ( cont5ts4,sec4 #b4 ,f9d+s4,sec4 #c4 ,/atem5t ( policy4,sec4 #d4 ,def9itions4,sec4 #e4 ,*ief ,innovation ,(fic] = ,heal?4,sec4 #f4 ,global ,heal? ,rese>* & ,developm5t ,advisory ,c\ncil4,sec4 #g4 ,global ,heal? ,rese>* & ,developm5t program area activities & budget4,sec4 #h4 ,grant program = exp&$ use ( global heal? rese>* & developm5t4,sec4 #i4 ,/rategy & reports4 #b4 ,f9d+s ,congress f9ds ! foll[+3 7#a7 ,! ,unit$ ,/ates ,ag5cy = ,int]national ,developm5t has-- 7,a7 a unique role 9 ! rese>* & developm5t ( heal? te*nologies = global heal? t complem5ts ! "w ( o!r dep>tm5ts & ag5cies ( ! ,unit$ ,/ates ,gov]nm5t2 & 7,b7 bo? an advantage & a unique m&ate = ! developm5t ( heal? te*nologies to be us$ 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 to be us$ 9 l[- & middle-income c\ntries4 7#c7 ,inve/m5ts by ! ,unit$ ,/ates ,gov]nm5t 9 global heal? rese>* & developm5t %\ld be coord9at$ )1 & lev]age inve/m5ts f1 p>tn] c\ntry gov]nm5ts1 o!r gov]nm5t donors1 & ! private sector4 7#d7 ,human immunodefici5cy virus 7,,hiv71 tub]culosis 7,,tb71 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 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 ,,usaid has be5 a cataly/ 9 ! global heal? innovation ecosy/em4 ,:ile o!r ,f$]al dep>tm5ts & ag5cies1 includ+ ! ,national ,in/itutes ( ,heal?1 ! ,c5t]s = ,disease ,control & ,prev5tion1 & ! ,dep>tm5t ( ,def5se1 provide support = global heal? te*nologies1 ,,usaid is ! only ,f$]al ag5cy t provides broad support = ! late-/age developm5t ( new heal? te*nologies to combat neglect$ tropical diseases1 em]g+ infecti\s diseases1 & o!r heal? conditions = l[-res\rce sett+s4 7#ab7 ,:ile ! ne$ = new tools to tackle disease ?reats has gr[n 9 rec5t ye>s1 inve/m5ts by ,,usaid 9 rese>* & developm5t h %runk z a proportion ( its ov]all global heal? sp5d+ & h be5 squeez$ by /agnant budgets & gr[+ ne$s4 7#ac7 ,innovation at ,,usaid is prim>ily support$ f silo$ disease- & population-specific appropriations acc\nts1 result+ 9 ! limitation ( its ability to seek %>$ value across heal? sectors or heal? ?reats4 7#ad7 ,,usaid 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-- 7,a7 is ess5tial = ! success ( ! global heal? programs ( ! ,unit$ ,/ates ,gov]nm5t2 & 7,b7 provides = ! 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$ =-- 7,a7 exi/+ & ongo+ global heal? rese>* & developm5t ( ! ,unit$ ,/ates ,gov]nm5t2 or 7,b7 activities relat+ to ! implem5tation ( ! global heal? programs ( ! ,unit$ ,/ates ,gov]nm5t4 #d4 ,def9itions ,9 ?is ,act3 7#a7 ,adm9i/rator ,! t]m ,adm9i/rator means ! ,adm9i/rator ( ! ,unit$ ,/ates ,ag5cy = ,int]national ,developm5t4 7#b7 ,appropriate congressional committees ,! t]m appropriate congressional committees means-- 7,a7 ! ,committee on ,=eign ,relations ( ! ,s5ate2 & 7,b7 ! ,committee on ,=eign ,affairs ( ! ,h\se ( ,repres5tatives4 7#c7 ,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#d7 ,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#e7 ,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$4 7#f7 ,l[-res\rce sett+ ,! t]m l[-res\rce sett+ means a location ) limit$ 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 7#g7 ,,usaid ,! t]m ,,usaid means ! ,unit$ ,/ates ,ag5cy = ,int]national ,developm5t4 #e4 ,*ief ,innovation ,(fic] = ,heal? 7a7 ,e/abli%m5t ,!re is e/abli%$1 )9 ! ,,usaid ,bureau = ,global ,heal?1 ! position ( ,*ief ,innovation ,(fic] = ,heal?1 :i* %all be classifi$ 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-- 7#a7 relevant exp]i5ce )9 private sector indu/ry2 & 7#b7 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 ! ,,usaid ,assi/ant ,adm9i/rator = ,global ,heal? reg>d+ 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 ! ,,usaid ,assi/ant ,adm9i/rator = ,global ,heal?4 7d7 ,duties ,! ,*ief ,innovation ,(fic] = ,heal? %all-- 7#a7 ensure cross-sector1 ,,usaid-wide coop]ation1 support1 & programm+ = global heal? rese>* & developm5t-- 7,a7 to increase ! effectiv5ess ( ,,usaid int]national developm5t programs2 & 7,b7 to support ! =eign policy & developm5t goals ( ! ,unit$ ,/ates ,gov]nm5t2 7#b7 draw on ! exp]tise ( o!r ,f$]al dep>tm5ts & ag5cies & ( nongov]nm5tal organizations 7includ+ affect$ 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>* & developm5t to id5tify ! mo/ press+ requirem5ts = ! developm5t ( heal? te*nologies t w improve global heal? & ,,usaid programs relat+ to global heal?2 7#c7 lev]age rese>* & inve/m5ts by o!r ,,usaid compon5ts1 o!r ,f$]al dep>tm5ts & ag5cies1 & nongov]nm5tal organizations 7includ+ bus9esses1 heal? & sci5ce rese>* organizations1 in/itutions ( high] education1 & gov]nm5ts or o!r in/itutions ( p>tn] c\ntries7 to support ! rese>* & developm5t ( new heal? te*nologies by ! ,*ief ,innovation ,(fic] = ,heal?2 7#d7 adm9i/] ! processes = aw>d+ grants1 ent]+ into p>tn]%ips1 & jo9tly e/abli%+ o!r arrangem5ts to support global heal? rese>* & developm5t 7includ+ by adm9i/]+ ! grant program requir$ "u section #h72 & 7#e7 s]ve z ! ,*airp]son ( ! ,global ,heal? ,rese>* & ,developm5t ,advisory ,c\ncil e/abli%$ pursuant to section #f4 7e7 ,au?orities ,! ,,usaid ,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 describ$ 9 subsection 7d74 #f4 ,global ,heal? ,rese>* & ,developm5t ,advisory ,c\ncil 7a7 ,e/abli%m5t ,! ,adm9i/rator %all e/abli% an advisory c\ncil1 :i* %all be kn[n z ! ,global ,heal? ,rese>* & ,developm5t ,advisory ,c\ncil 7ref]r$ to 9 ?is section z ! ,c\ncil74 7b7 ,memb]%ip ,! ,c\ncil %all be compos$ (-- 7#a7 ! ,,usaid ,*ief ,innovation ,(fic] = ,heal?1 :o %all s]ve z ! ,*air ( ! ,c\ncil 7ref]r$ to 9 ?is section z ! ,*air72 7#b7 n m ?an #h additional memb]s1 :o %all be appo9t$ by ! ,adm9i/rator f among individuals :o-- 7,a7 h be5 recomm5d$ = su* appo9tm5t by ! ,*air2 & 7,b7 are sci5ti/s or o!r exp]ts ) exp]i5ce 9 global heal? rese>* & developm5t ?r\gh or on behalf (-- 7i7 ,,usaid2 7ii7 any o!r ,f$]al dep>tm5t or ag5cy2 7iii7 affect$ communities 9 l[- or middle-income c\ntries2 or 7iv7 nongov]nm5tal organizations1 includ+ nonpr(it organizations1 bus9esses1 & in/itutes ( high] education4 7c7 ,t]ms 7#a7 ,9 g5]al ,ea* memb] ( ! ,c\ncil o!r ?an ! ,*air %all be appo9t$ = a #f-ye> t]m4 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] ( su* 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 ( ! ,*air4 7f7 ,duties ,! ,c\ncil %all be responsible = advis+ ! ,adm9i/rator reg>d+ ,,usaid priorities & objectives ) respect to global heal? rese>* & developm5t1 includ+ by provid+ su* advice on an individual memb] basis or z a collective ,c\ncil1 z ! ,*air may direct4 7g7 ,nonapplicability ( ,f$]al ,advisory ,committee ,act ,*apt] #aj ( title #e1 ,unit$ ,/ates ,code 7commonly ref]r$ to z ! ,f$]al ,advisory ,committee ,act71 %all n apply to ! ,c\ncil4 #g4 ,global ,heal? ,rese>* & ,developm5t program area activities & budget 7a7 ,9 g5]al ,! ,adm9i/rator %all c>ry out global heal? rese>* & developm5t activities ) respect to new heal? te*nologies ) ! pot5tial to advance ! effectiv5ess & su/a9ability ( ,,usaid global heal? programs1 includ+ ! pot5tial to advance-- 7#a7 heal? te*nologies ) *>act]i/ics id5tifi$ 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*nology to ensure use by ^? 9 ne$2 & 7#c7 support = capacity-build+ )9 p>tn] c\ntries & ! transition by su* c\ntries to great] c\ntry-level own]%ip1 responsibility1 & decision-mak+ ) respect to global heal?4 7b7 ,budget ,n lat] ?an #ij days aft] ! date ( ! enactm5t ( ?is ,act1 ! ,adm9i/rator %all-- 7#a7 e/abli% a s+le1 sep>ate budget l9e = ! activities describ$ 9 subsection 7a71 "u :i* funds made available to ! ,adm9i/rator to 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 = ea* fiscal ye> beg9n+ on or aft] ! date on :i* su* budget l9e is e/abli%$4 #h4 ,grant program = exp&$ use ( global heal? rese>* & developm5t 7a7 ,grant program ,! ,adm9i/rator1 act+ ?r\gh ! ,*ief ,innovation ,(fic] = ,heal? appo9t$ pursuant to section #e1 %all c>ry out a grant program "u :i* ! ,adm9i/rator may aw>d competitive grants to nongov]nm5tal organizations t ! ,adm9i/rator det]m9es to be eligible4 7b7 ,use ( am\nts ,grant am\nts aw>d$ pursuant to ?is section may only be us$-- 7#a7 to develop new heal? te*nologies design$ = use 9 l[-res\rce sett+s to improve global heal?2 7#b7 to evaluate & improve ! implem5tation1 production1 & scale-up ( heal? te*nologies 9 l[-res\rce sett+s 9 p>tn] c\ntries2 & 7#c7 to 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 su* 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 ( receiv+ su* grant1 to report n less frequ5tly ?an annually to ! ,adm9i/rator reg>d+ ! use ( su* grant am\nts dur+ ! grant p]iod2 & 7#c7 ! ,adm9i/rator c]tifies to ! appropriate congressional committees t su* aw>d is 9 compliance ) section #c7b74 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 #i4 ,/rategy & reports 7a7 ,report on progress ,n lat] ?an #ahj days aft] ! date ( ! enactm5t ( ?is ,act1 & be=e submitt+ ! budget ju/ification mat]ials 9 support ( ! budget ( ! ,presid5t = ! fir/ fiscal ye> beg9n+ aft] ! date ( ! enactm5t ( ?is ,act1 ! ,adm9i/rator %all submit to ! appropriate congressional committees1 & publi% on a publicly available ,,usaid website1 a report conta9+-- 7#a7 a detail$ description ( ! /atus ( ! ,global ,heal? ,rese>* & ,developm5t ,advisory ,c\ncil e/abli%$ pursuant to section #f2 7#b7 recomm5dations by ! ,global ,heal? ,rese>* & ,developm5t ,advisory ,c\ncil2 7#c7 solicitations = grant aw>ds au?oriz$ "u section #h2 7#d7 a compreh5sive acc\nt+ ( aw>ds & objectives to be includ$ )9 ! annual report to ,congress on ! ,,usaid heal?-relat$ rese>* & developm5t /rategy requir$ "u ! ,dep>tm5t ( ,/ate1 ,=eign ,op]ations1 & ,relat$ ,programs ,appropriations ,act = ! relevant fiscal ye> 7or by a report accompany+ su* ,act f ! ,committee on ,appropriations ( ! ,s5ate or ! ,committee on ,appropriations ( ! ,h\se ( ,repres5tatives72 7#e7 a detail$ description ( h[ plann$ inve/m5ts by ,,usaid 9 ! activities describ$ 9 section #g7;a7 align ) ,,usaid's multiye> /rategy titl$ ,global ,heal? ,rese>* & ,developm5t ,/rategy #bjbc-bjbh & develop$ pursuant to section #gjai7;e7 ( division ,k ( ! ,consolidat$ ,appropriations ,act1 #bjbb 7,public ,law #aag-ajc72 & 7#f7 a detail$ description ( h[ inve/m5ts made by ,,usaid 9 su* activities advance ! o!r ,,usaid heal?-relat$ programm+ goals4 7b7 ,annual reports ,n lat] ?an #a ye> aft] ! date ( ! enactm5t ( ?is ,act1 & annually !reaft] = ! foll[+ #e ye>s z "p ( ! annual report ref]r$ to 9 subsection 7a77#d71 ! ,adm9i/rator %all submit to ! appropriate congressional committees1 & publi% on a publicly available ,,usaid website1 a report conta9+1 ) respect to ! fiscal ye> cov]$ by ! report-- 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 ?is ,act or any o!r relevant provision ( law = ! support ( global heal? rese>* & developm5t 9 support ( ,,usaid programs2 7#b7 ! prim>y1 second>y1 & t]ti>y purposes (-- 7,a7 any su* grants aw>d$2 & 7,b7 any inve/m5ts 9 ! activities describ$ 9 section #g7;a7 made or propos$ by ! ,adm9i/rator dur+ su* ye>2 7#c7 a summ>y ( ! consultations ) communities & rese>*]s bas$ 9 p>tn] c\ntries reg>d+ any su* inve/m5ts2 7#d7 a description ( ! outcomes & /atus ( ! activities describ$ 9 section #g7;a7 t 7 c>ri$ out or o!rwise support$ by ! ,adm9i/rator dur+ su* fiscal ye>2 7#e7 ! id5tification ( any am\nts obligat$ or exp5d$ dur+ su* ye> by ! ,adm9i/rator f any appropriations acc\nt to support global heal? rese>* & developm5t1 pres5t$ bo? z a summ>y & 9 a table t is disaggregat$ by heal? area1 type ( rese>* or developm5t activity1 & appropriations acc\nt2 & 7#f7 a description ( relevant objectives & expect$ outcomes = ! subsequ5t fiscal ye>4