,i #aai? ,,congress #b;d ,session ,h4 ,r4 #hjaa ,,9 ,,! ,,h\se ,,( ,,repres5tatives ,m>* #ai1 #bjbf,mrs4 ,kiggans ( ,virg9ia 7= h]self & ,mr4 ,b]a7 introduc$ ! foll[+ bill2 :i* 0 ref]r$ to ! ,committee on ,=eign ,affairs1 & 9 addition to ! ,committees on ,arm$ ,s]vices1 & ,intellig5ce 7,p]man5t ,select71 = a p]iod to be subsequ5tly det]m9$ by ! ,speak]1 9 ea* case = consid]ation ( su* provisions z fall )9 ! jurisdiction ( ! committee conc]n$ ,a ,,bill ,to increase global heal? security1 create m /able societies1 & save lives1 especially *ildr5's lives1 by cl>ify+ & focus+ ,unit$ ,/ates support = frontl9e heal? work]s across global heal? & humanit>ian inve/m5ts1 & = o!r purposes4 #a4 ,%ort title ,?is ,act may be cit$ z ! ,/r5g!n+ & ,exp&+ ,capacity = ,unifi$ ,response & ,excell5ce 9 ,heal? ,act or ! ,,secure ,heal? ,act4 #b4 ,f9d+s ,congress f9ds ! foll[+3 7#a7 ,/r5g!n+ ! global heal? work=ce is critical = improv+ heal? outcomes worldwide1 prev5t+ ! int]national spread ( infecti\s diseases1 enhanc+ global heal? security1 re9=c+ supply *a9s1 & ultimately protect+ ! heal? & economic well-be+ ( ! ,am]ican p4 7#b7 ,access to heal?c>e & a skill$ heal? work=ce is ess5tial = ma9ta9+ a heal?y ov]all global work=ce & ensur+ a /able supply ( goods vital to ! ,unit$ ,/ates economy4 7#c7 ,recogniz+ ! gr[+ dem& = m5tal heal? s]vices1 ef=ts to /r5g!n ! global heal? work=ce c help exp& access to qualifi$ provid]s1 evid5ce-bas$ practices1 & innovation to improve ! quality ( m5tal heal? c>e globally & 9 ! ,unit$ ,/ates4 7#d7 ,"o 9 five active physicians & "o 9 six nurses 9 ! ,unit$ ,/ates are =eign-educat$1 & legal immigrants comprise #ah p]c5t ( ! entire heal?c>e work=ce1 ) ! numb] ( hospitals hir+ =eign-educat$ nurses ne>ly d\bl+ betwe5 #bjaj & #bjbb4 7#e7 ,unit$ ,/ates lead]%ip & inve/m5ts 9 global heal? h driv5 rem>kable progress1 includ+ a #fj p]c5t r$uction 9 *ild mortality & a #ch p]c5t r$uction 9 mat]nal mortality f #aiij to #bjbj1 a #ca p]c5t decl9e 9 new ,,hiv infections f #bjaj to #bjbj1 & a #ch p]c5t decrease 9 mal>ia-relat$ dea?s f #bjjj to #bjai--;contribut+ to enhanc$ productivity & economic gr[?4 7#f7 ,nations ) heal?i] populations are m likely to be productive1 prosp]\s1 & peaceful1 :]eas c\ntries ) poor] heal? conditions are m prone to in/ability & conflict1 :i* compromises ,unit$ ,/ates national security4 7#g7 ,a well-tra9$1 well-equipp$1 & well-support$ frontl9e heal? work=ce is critical to ! effectiv5ess1 su/a9ability1 & resili5ce ( ,unit$ ,/ates global heal? programs1 z well z to /r5g!n+ national security & global economic prosp]ity4 7#h7 ,despite ! critical role ( frontl9e heal? work]s 9 improv+ heal?1 advanc+ security1 & spurr+ economic gr[? bo? 9 ! ,unit$ ,/ates & abroad1 ne>ly half ( ! _w's population--approximately #d4e billion p--lacks access to critical heal? s]vices4 7#i7 ,recogniz+ t frontl9e heal? work]s are critical to prev5t+ malnutrition1 p>ticul>ly dur+ pregnancy & among *ildr51 x is necess>y to inve/ 9 heal? work]s to enable ^! work]s to deliv] nutrition int]v5tions integrat$ ) o!r heal? s]vices &1 z a result1 build community resili5ce1 r$uce prev5table dea?s1 & contribute to long-t]m economic /ability4 7#aj7 ,e day1 m ?an #ae1jjj *ildr5 die worldwide1 prim>ily f prev5table causes1 & #haj wom5 lose _! lives due to pregnancy or *ildbir?-relat$ complications4 7#aa7 ,millions ( p succumb annually to ,,hiv_/,,aids1 tub]culosis1 mal>ia1 & o!r treatable & (t5 prev5table conditions4 7#ab7 ,9 #bjbd1 an e/imat$ #cjj million p across #gb c\ntries requir$ humanit>ian assi/ance & protection due to conflicts1 disease outbreaks1 & o!r crises4 7#ac7 ,frontl9e heal? work]s frequ5tly p]=m life-sav+ s]vices "u haz>d\s conditions1 (t5 at great p]sonal risk1 ) limit$ access to ess5tial m$ic9es1 m$ical equipm5t1 & safe wat] & sanitation4 7#ad7 ,s9ce #bjbj1 m ?an #ad1jjj attacks on heal?c>e facilities1 transport1 & p]sonnel h be5 report$1 result+ 9 almo/ #b1hjj heal? work]s kill$ 9 conflict zones & significantly h9d]+ access to critical heal? s]vices = millions4 7#ae7 ,frontl9e heal? work]s s]ve z ! fir/--& (t5 ! only--l9k to heal?c>e = millions ( p 9 l[- & middle-income c\ntries4 7#af7 ,:5 enabl$ ) mod]n tra9+1 sup]vision1 & digital tools1 community heal? work]s c effici5tly ext5d ! rea* ( ! heal?c>e sy/em & help ensure m$ical innovations4 7#ag7 ,by #bjcj1 ! _w is project$ to face a %ortfall ( at lea/ #aa million heal? work]s )\t imm$iate & conc]t$ action1 p>ticul>ly 9 l[- & middle-income c\ntries4 7#ah7 ,! ,commission on ,heal? ,employm5t & ,economic ,gr[? demon/rat$ t inve/m5ts 9 heal? yield a n9efold economic return1 id5tify+ heal? employm5t z a =ce multipli] = economic gr[?4 7#ai7 ,frontl9e heal? work]s play a vital role 9 /r5g!n+ national resili5ce1 sav+ lives1 fo/]+ economic gr[?1 develop+ robu/ prim>y heal?c>e sy/ems1 & prev5t+ & respond+ to humanit>ian crises & global heal? security ?reats f infecti\s diseases4 #c4 ,/atem5t ( policy ,x is ! policy ( ! ,unit$ ,/ates-- 7#a7 to pursue ! expansion1 tra9+1 paym5t1 support1 equipp+1 & protection ( ! frontl9e global heal? work=ce2 7#b7 to support integrat$ inve/m5ts 9 heal? work]s t resemble _! true responsibilities & move away f silo$1 s+le-disease inve/m5ts 9 heal? work]s2 7#c7 to use global heal? inve/m5ts to catalyze ! expansion & mo/ effici5t utilization ( frontl9e heal? work]s & address sev]e global heal? work=ce %ortages2 & 7#d7 to require ho/ organization contributions z "p ( any inve/m5ts ( ! ,unit$ ,/ates 9 sal>y support & plans = transition+ ^? sal>ies to dome/ic f9anc+ to bett] ensure ! su/a9ability ( remun]ation = heal? work]s4 #d4 ,global heal? work=ce /rategy 7a7 ,e/abli%m5t2 updat+ 7#a7 ,9 g5]al ,! ,presid5t %all e/abli% & regul>ly update a #e-ye> /rategy to be kn[n z ! ,global ,heal? ,work=ce ,/rategy4 7#b7 ,cont5ts ,! /rategy %all-- 7,a7 id5tify sp5d+ by ! ,unit$ ,/ates ,gov]nm5t to support ! global heal? work=ce f global heal? & humanit>ian assi/ance funds2 & 7,b7 include measurable goals & implem5tation plans = global heal? work=ce inve/m5ts by ! ,unit$ ,/ates4 7b7 ,/rategies ( ,f$]al dep>tm5ts & ag5cies ,! head ( ea* ,f$]al dep>tm5t & ag5cy t uses res\rces = int]national heal? & humanit>ian assi/ance %all-- 7#a7 e/abli% policies = ! use ( su* res\rces t align ) ! /rategy e/abli%$ "u subsection 7a72 & 7#b7 regul>ly update su* policies4 #e4 ,global ,heal? ,work=ce ,coord9ator 7a7 ,appo9tm5t ,! ,presid5t %all appo9t an individual to s]ve1 )9 ! ,dep>tm5t ( ,/ate1 ) ! concurr5t title & responsibility z ! ,global ,heal? ,work=ce ,coord9ator4 7b7 ,duties ,! ,global ,heal? ,work=ce ,coord9ator %all-- 7#a7 coord9ate & ov]see ! implem5tation ( ?is ,act2 & 7#b7 approve /rategy & res\rce allocations across =eign assi/ance programs support+ ! global heal? work=ce4 #f4 ,int]ag5cy task =ce 7a7 ,e/abli%m5t ,! ,presid5t %all e/abli%1 )9 ! ,national ,security ,c\ncil1 an int]ag5cy task =ce to be co-*air$ by-- 7#a7 ! ,global ,heal? ,work=ce ,coord9ator appo9t$ "u section #e7;a72 & 7#b7 an appropriate s5ior director ( ! ,national ,security ,c\ncil select$ by ! ,presid5t4 7b7 ,duties ,! int]ag5cy task =ce %all-- 7#a7 coord9ate & ov]see ! implem5tation ( ?is ,act2 & 7#b7 ensure ! alignm5t ( global heal? inve/m5ts across ,f$]al dep>tm5ts & ag5cies4 #g4 ,annual report+ requirem5ts 7a7 ,9 g5]al ,! ,presid5t1 act+ 9 coord9ation ) ! heads ( relevant ,f$]al dep>tm5ts & ag5cies1 %all publi% an annual report detail+ ef=ts ( ,f$]al dep>tm5ts & ag5cies to tra9 & support frontl9e heal? work]s across all fund+ /reams4 7b7 ,cont5ts ,! report %all include1 at a m9imum1 ! foll[+3 7#a7 ,fund+ = heal? work]s ,a breakd[n ( fund+ across all cadres ( heal? work]s t is-- 7,a7 categoriz$ z direct or indirect support2 & 7,b7 diff]5tiat$ betwe5-- 7i7 s+le ,unit$ ,/ates ,gov]nm5t s\rce fund+ = a specific disease or condition2 & 7ii7 integrat$ fund+ approa*es t use m ?an "o ,unit$ ,/ates ,gov]nm5t s\rce ( fund+ to cov] multiple diseases or conditions4 7#b7 ,support = tra9+ ,a breakd[n ( fund+ t supports ! tra9+ ( heal? work]s1 includ+-- 7,a7 pre-s]vice tra9+ to address work=ce %ortages2 7,b7 9-s]vice tra9+ = skill developm5t2 7,c7 in/itutional capacity build+ & ret5tion measures2 & 7,d7 digital capacity & access = heal? work]s4 7#c7 ,support = sal>ies & su/a9$ employm5t ,a breakd[n ( fund+ t supports ! sal>ies & employm5t ( heal? work]s1 includ+-- 7,a7 funds allocat$ to work=ce expansion2 7,b7 sal>y support ) details on plans to transition to dome/ic fund+ s\rces2 & 7,c7 protection measures = heal? work]s1 includ+ safe "w conditions1 labor /&>ds1 & protections dur+ conflicts1 p&emics1 or crises4 #h4 ,global report+ 7a7 ,9 g5]al ,! ,unit$ ,/ates %all seek to e/abli% & support a bi5nial1 indep5d5t global report on ! /atus ( ! global heal? work=ce1 produc$ outside ! donor & ,unit$ ,nations sy/em4 7b7 ,cont5ts ,! report %all assess ! /atus ( ! global heal? work=ce1 includ+ int]national & dome/ic fund+1 ! policy environm5t1 & o!r av5ues = global heal? work=ce support1 = ! purpose ( track+ & enc\rag+ great] progress1 increas$ int]national & dome/ic fund+1 & ! success ( global engagem5t 9 support ( ! global heal? work=ce4