,i  #aai? ,,congress  #b;d ,session  ,h4
 ,r4 #iehc  ,,9 ,,! ,,h\se ,,(          
,,repres5tatives  ,july #b1 #bjbf,mrs4  
,kim 7= h]self1 ,ms4 ,titus1 & ,mr4     
,lawl]7 introduc$ ! foll[+ bill2 :i* 0  
ref]r$ to ! ,committee on ,=eign        
,affairs  ,a ,,bill  ,to provide support
 = scal+ up global access to multiple   
micronutri5t supplem5ts & o!r co/       
effective mat]nal & *ild int]v5tions1 & 
= o!r purposes4  #a4 ,%ort title ,?is   
,act may be cit$ z ! ,heal?y ,mo!rs1    
,heal?y ,babies ,act ( #bjbf4  #b4      
,f9d+s ,congress f9ds ! foll[+3  7#a7   
,inve/m5ts 9 effective programs to      
prev5t mat]nal & *ild dea?s directly    
advance ,unit$ ,/ates =eign policy &    
economic int]e/s by promot+ /ability1   
increas$ economic gr[? & m>ket access & 
improv$ diplomatic relations ) p>tn]    
c\ntries4  7#b7 ,global mat]nal & *ild  
dea?s rema9 unacceptably high4 ,9 #bjbc1
 a woman di$ ( pregnancy relat$ causes e
 #b m9utes4 ,millions ( *ildr5 "u #e    
cont9ue to die e ye> f prev5table       

causes1 ) pret]m bir?1 bir?             
complications1 & *ildhood diseases1 l   
pneumonia & di>rhea1 acc\nt+ = m ?an    
half ( all "u-#e dea?s worldwide4  7#c7 
,^! dea?s are l>gely prev5table ?r\gh   
prov51 l[-co/ int]v5tions su* z-- 7,a7  
skill$ c>e be=e1 dur+1 & aft] bir?2     
7,b7 treatm5t ( *ildhood infecti\s      
diseases2  7,c7 adequate nutrition =    
pregnant wom5 & *ildr52 &  7,d7         
immunization4  7#d7 ,immunization is a  
corn]/one ( *ild survival1 protect+     
*ildr5 f deadly diseases1 includ+       
di>rheal disease1 pneumonia1 measles1   
polio1 diph!ria1 p]tussis1 & m5+itis4 ,x
 rema9s "o ( ! mo/ co/-effective        
int]v5tions1 deliv]+ a return ( at lea/ 
#bf = e #a inve/$4 ,! ,unit$ ,/ates     
,gov]nm5t's p>tn]%ip ) ,gavi1 ! ,global 
,vacc9e ,alliance1 is a major driv] 9   
r$uc+ ! numb] ( *ildhood dea?s f vacc9e 
prev5table diseases 9 l[]-income        
c\ntries1 ) ,gavi's immunization        
campaigns av]t+ ne>ly #ba1jjj1jjj *ild  
dea?s s9ce #bjjj4  7#e7 ,cont9u$ ,unit$ 

,/ates lead]%ip 9 mat]nal & *ild heal?  
c\ld help save millions m lives by      
#bjcj1 accel]at+ progress t[>d end+     
prev5table *ild & mat]nal dea?s         
worldwide4  7#f7 ,at j #d p] pregnancy1 
multiple micronutri5t supplem5t 7,,mms7 
pr5atal vitam9s comb9e #ae ess5tial     
vitam9s & m9]als into a s+le1 lifesav+  
tablet1 dramatically improv+ bir?       
outcomes & r$uc+ mat]nal anemia4  7#g7  
,despite ! imm5se b5efits1 mo/ wom5     
ar\nd ! _w lack access to mod]n pr5atal 
vitam9s4  7#h7 ,previ\s guidance f !    
,,mms ,global ,inve/m5t ,roadmap sugge/s
 t !re are at lea/ #bfj1jjj1jjj pregnant
 wom5 9 high-burd5 c\ntries :o lack     
access to ,,mms pr5atal vitam9s1 &      
provid+ access = ^! wom5 to ,,mms ov] ! 
next #e ye>s w\ld save #fjj1jjj lives1  
improve bir? outcomes = #e1jjj1jjj      
babies1 & prev5t anemia 9 ov]           
#ae1jjj1jjj pregnant wom54  7#i7 #bj    
ye>s ( rese>* & #gj rigor\s trials prove
 mod]n ,,mms pr5atal vitam9s are sup]ior
 to iron-folic acid tablets 9 e         

way-sla%+ l[ bir?weight by an extra #gi 
p]c5t1 /illbir?s by #bg p]c5t1 & infant 
dea?s by #bi p]c5t4  7#aj7 ,a coalition 
( philan?ropies has come toge!r to      
commit #bej1jjj1jjj to ,,mms pr5atal    
vitam9s1 provid+ lev]age to ,unit$      
,/ates ,gov]nm5t inve/m5ts4  7#aa7 ,,mms
 pr5atal vitam9s are ,am]ican-made1     
support+ ,am]ican factory jobs1 &       
highlight+ ,am]ican +5uity & compassion4
  #c4 ,/atem5t ( policy ,! foll[+ %all  
be ! policy ( ! ,unit$ ,/ates3  7#a7 ,to
 advance =eign policy1 national security
 & economic int]e/s1 by /rategically    
support+ p>tn] c\ntries to inve/ 9      
mat]nal & *ild survival & heal?         
programs4 ,! ,unit$ ,/ates %all make    
mat]nal & *ild survival a key objective 
( ,unit$ ,/ates global heal? & =eign    
assi/ance /rategies & programs4  7#b7   
,to support programs t r$uce prev5table 
dea? among mo!rs1 newborns1 & *ildr5 &  
enable !m to ?rive1 :i* promotes m /able
 & prosp]\s societies & advances !      
,unit$ ,/ates diplomatic & comm]cial    

position ) p>tn] c\ntries4 ,unit$ ,/ates
 assi/ance programs = mat]nal & *ild    
heal? %all seek to--  7,a7 r$uce        
prev5table *ild & mat]nal mortality 9   
priority c\ntries to #ab p]c5t or l[] ( 
total dea?s by #bjcj2 &  7,b7 increase  
cov]age levels = ! t>get set ( life-sav+
 int]v5tions li/$ 9 subsection #d )9 #aj
 to #ae priority c\ntries to a level (  
at lea/ #gj p]c5t by #bjcj4  7#c7 ,to   
prioritize scal+ up inve/m5ts 9 !       
procurem5t & deliv]y ( ,,mms pr5atal    
vitam9s z a highly co/-effective        
int]v5tion to address mat]nal & *ild    
heal? & malnutrition4  7#d7 ,to         
prioritize ! highe/ impact prev5tion &  
treatm5t int]v5tions t>get$ t[>ds       
pr5atal1 deliv]y1 po/natal1 newborn &   
*ild c>e1 includ+ prev5tion & managem5t 
( complications & infections dur+       
pregnancy1 access to skill$ bir?        
att5dants1 brea/fe$+ support1 c>e (     
small or sick newborns1 scre5+ &        
treatm5t = malnutrition1 vitam9 ,a & o!r
 micronutri5t supplem5ts1 *ild          

immunization1 & treatm5ts = *ildhood    
diseases includ+ di>rhea & pneumonia4   
#d4 ,initiative to scale up multiple    
micronutri5t supplem5t cov]age  7a7 ,9  
g5]al ,! relevant =eign assi/ance ag5cy 
%all select =eign c\ntries z priority   
c\ntries = purposes ( increas+ ! numb] (
 wom5 receiv+ ,,mms cov]age1 includ+    
pr5atal vitam9s4  7b7 ,crit]ia ,!       
selection ( priority c\ntries %all be   
bas$ on ! foll[+3  7#a7 ,! preval5ce (  
maln\ri%$ pregnant & lactat+ wom5 &     
*ildr5 "u ! age ( #e4  7#b7 ,! pres5ce (
 high-ne$1 und]s]v$1 m>g9aliz$1         
vuln]able1 or impov]i%$ communities4    
7#c7 ,! enabl+ environm5t = improv$     
mat]nal & *ild heal?1 includ+ pres5ce ( 
national mat]nal & *ild heal? plans &   
demon/ration ( /rong political          
commitm5t4  7#d7 ,any o!r crit]ia t !   
relevant =eign assi/ance ag5cy det]m9es 
to be appropriate4  7c7 ,update ,!      
relevant =eign assi/ance ag5cy %all     
update ! selection ( priority c\ntries n
 lat] ?an #e ye>s aft] ! date ( !       

enactm5t ( ?is ,act4  7d7 ,report  7#a7 
,9 g5]al ,n lat] ?an #a ye> aft] ! date 
( ! enactm5t ( ?is ,act1 & annually     
!reaft] = #e ye>s1 ! relevant =eign     
assi/ance ag5cy %all submit to !        
appropriate congressional committees a  
report t describes progress made t[>ds  
scal+ up ,,mms cov]age4  7#b7 ,matt]s to
 be includ$ ,! report requir$ by        
p>agraph 7#a7 %all include ! foll[+3    
7,a7 ,a summ>y ( progress made t[>ds    
a*iev+ increas$ cov]age levels = ,,mms4 
7,b7 ,a detail$ summ>y ( ! crit]ia us$ 9
 select+ priority c\ntries = receiv+    
,,mms pr5atal vitam9s4  7,c7 ,9 priority
 c\ntries--  7i7 a detail$ summ>y (     
,,mms scale up programs & activities 9 !
 previ\s fiscal ye>1 includ+ a breakd[n 
( ! c\ntries to :i* res\rces h be5      
allocat$ & an e/imat$ numb] ( pregnant  
wom5 rea*$ ) ,,mms cov]age2 &  7ii7 a   
description ( ! coord9ation ( ,,mms     
programs ) o!r heal? & developm5t       
programs4  7,d7 ,a description ( o!r    
donor c\ntry & ho/ c\ntry f9ancial      

commitm5ts & ef=ts to increase ,,mms    
cov]age1 & h[ ! ,unit$ ,/ates is engag+ 
) donor c\ntry & ho/ c\ntry gov]nm5ts to
 increase ^? commitm5ts & ef=ts along ) 
o!r int]v5tions to improve nutrition    
outcomes4  7,e7 ,an id5tification (     
con/ra9ts on implem5tation ( programs & 
activities & lessons le>n$ f programs & 
activities f ! previ\s fiscal ye>s4     
7,f7 ,a summ>y ( h[ ,unit$ ,/ates       
assi/ance programs to increase ,,mms    
cov]age levels h advanc$ ,unit$ ,/ates  
=eign policy & national security        
priorities ) p>tn] c\ntries4  7e7       
,au?orization ( appropriations ,!re is  
au?oriz$ to be appropriat$ to c>ry out  
?is section up to #aej1jjj1jjj = ea* ( !
 fiscal ye>s #bjbf ?r\gh #bjcj f am\nts 
9 ! ,global ,heal? ,programs ,acc\nt ( !
 ,dep>tm5t ( ,/ate4  #e4 ,mat]nal & *ild
 heal? /rategy & report  7a7 ,/rategy ,!
 relevant =eign assi/ance ag5cy %all    
e/abli% & publi% a #e-ye> ,mat]nal &    
,*ild ,heal? /rategy ) specific t>gets =
 increas+ cov]age levels = priority     

int]v5tions & priority c\ntries4 ,!     
/rategy %\ld prioritize inve/m5ts 9 !   
deliv]y ( int]v5tions ) ! greate/       
co/-effectiv5ess & measurable outcome ( 
lives sav$ & disability av]t$4  7b7     
,report ,n lat] ?an #a ye> aft] ! date (
 ! enactm5t ( ?is ,act1 & annually      
!reaft] = #e ye>s1 ! relevant =eign     
assi/ance ag5cy %all submit to !        
appropriate congressional committees a  
report t describes progress made t[>ds  
scal+ up ,mat]nal & ,*ild ,heal?        
int]v5tions4 ,! report %all include !   
foll[+3  7#a7 ,program fund+ allocations
 & obligations disaggregat$ by c\ntry & 
by program area int]v5tion on an annual 
basis4  7#b7 ,basel9e data = ! #b fiscal
 ye>s prec$+ ! date ( enactm5t1 includ+ 
fund+ levels1 p]=mance indicators1 &    
programmatic outcomes4  7#c7 ,a plan =  
h[ priority int]v5tions w be deliv]$ &  
implem5t$1 ensur+ int]v5tions are rea*+ 
mo!rs & *ildr54  7#d7 ,a /&>d set (     
p]=mance & outcome indicators = mat]nal 
& *ild heal? programs4  7#e7 ,a common  

set budget tags or codes1 consi/5t      
across ,unit$ ,/ates ag5cies & programs1
 to track fund+ allocations &           
obligations by c\ntry1 ye>1 & int]v5tion
 area4  #f4 ,relevant =eign assi/ance   
ag5cy def9$ ,9 ?is ,act1 ! t]m relevant 
=eign assi/ance ag5cy means ! dep>tm5t  
or ag5cy designat$ z prim>ily           
responsible = implem5t+ ,unit$ ,/ates   
=eign assi/ance "u "p ,i ( ! ,=eign     
,assi/ance ,act ( #aifa 7#bb ,u4,s4,c4  
#baea et seq474