[Congressional Bills 116th Congress]
[From the U.S. Government Publishing Office]
[S. 3829 Introduced in Senate (IS)]
<DOC>
116th CONGRESS
2d Session
S. 3829
To advance the global health security and diplomacy objectives of the
United States, improve coordination among the relevant Federal
departments and agencies implementing United States foreign assistance
for global health security, and more effectively enable partner
countries to strengthen and sustain resilient health systems and supply
chains with the resources, capacity, and personnel required to prevent,
detect, mitigate, and respond to infectious disease threats before they
become pandemics, and for other purposes.
_______________________________________________________________________
IN THE SENATE OF THE UNITED STATES
May 21, 2020
Mr. Risch (for himself, Mr. Murphy, and Mr. Cardin) introduced the
following bill; which was read twice and referred to the Committee on
Foreign Relations
_______________________________________________________________________
A BILL
To advance the global health security and diplomacy objectives of the
United States, improve coordination among the relevant Federal
departments and agencies implementing United States foreign assistance
for global health security, and more effectively enable partner
countries to strengthen and sustain resilient health systems and supply
chains with the resources, capacity, and personnel required to prevent,
detect, mitigate, and respond to infectious disease threats before they
become pandemics, and for other purposes.
Be it enacted by the Senate and House of Representatives of the
United States of America in Congress assembled,
SECTION 1. SHORT TITLE.
This Act may be cited as the ``Global Health Security and Diplomacy
Act of 2020''.
SEC. 2. DEFINITIONS.
In this Act:
(1) Appropriate congressional committees.--The term
``appropriate congressional committees'' means--
(A) the Committee on Foreign Relations and the
Committee on Appropriations of the Senate; and
(B) the Committee on Foreign Affairs and the
Committee on Appropriations of the House of
Representatives.
(2) Global health security agenda.--The term ``Global
Health Security Agenda'' means the multi-sectoral initiative
launched in 2014 and renewed in 2017 that brings together
countries, regions, international organizations,
nongovernmental organizations, and the private sector to
elevate global health security as a national-level priority,
share best practices, and facilitate national capacity to
comply with and adhere to the World Health Organization
International Health Regulations, the World Organization for
Animal Health international standards and guidelines, United
Nations Security Council Resolution 1540 (2004), the Biological
Weapons Convention, and other relevant frameworks that
contribute to global health security.
(3) Global health security agenda joint external
evaluation.--The term ``Global Health Security Agenda Joint
External Evaluation'' means the voluntary, collaborative,
multi-sectoral process to assess country capacity to prevent,
detect, and rapidly respond to public health risks occurring
naturally or due to deliberate or accidental events, assess
progress in achieving the targets under the World Health
Organization International Health Regulations, and recommend
priority actions.
(4) Global health security index.--The term ``Global Health
Security Index'' means the comprehensive assessment and
benchmarking of health security and related capabilities across
the 195 countries that make up the States Parties to the World
Health Organization International Health Regulations.
(5) Key stakeholders.--The term ``key stakeholders'' means
actors engaged in efforts to advance global health security
programs and objectives, including--
(A) national and local governments in partner
countries;
(B) other bilateral donors;
(C) international and regional organizations;
(D) international, regional, and local financial
institutions;
(E) international, regional, and local private
voluntary, nongovernmental, faith-based, and civil
society organizations;
(F) representatives of historically marginalized
groups, including women and youth;
(G) the private sector, including medical device,
technology, and pharmaceutical companies; and
(H) public and private research and academic
institutions.
(6) One health approach.--The term ``One Health approach''
means the collaborative, multi-sectoral, and transdisciplinary
approach toward achieving optimal health outcomes in a manner
that recognizes the interconnection between people, animals,
plants, and their shared environment.
(7) Relevant federal departments and agencies.--The term
``relevant Federal departments and agencies'' means any Federal
department or agency operating under Chief of Mission authority
and implementing United States foreign assistance relevant to
the advancement of United States global health security and
diplomacy overseas, which may include--
(A) the Department of State;
(B) the United States Agency for International
Development;
(C) the Department of Health and Human Services;
(D) the Centers for Disease Control and Prevention;
(E) the National Institutes of Health;
(F) the Department of the Treasury;
(G) the Department of Defense;
(H) the Defense Threat Reduction Agency;
(I) the Millennium Challenge Corporation;
(J) the Development Finance Corporation;
(K) the Peace Corps; and
(L) any other department or agency that the
President determines to be relevant for these purposes.
SEC. 3. PURPOSE.
The purpose of this Act is to advance the global health security
and diplomacy objectives of the United States, improve coordination
among the relevant Federal departments and agencies implementing United
States foreign assistance for global health security, and more
effectively enable partner countries to strengthen and sustain
resilient health systems and supply chains with the resources,
capacity, and personnel required to prevent, detect, mitigate, and
respond to infectious disease threats before they become pandemics by--
(1) establishing a comprehensive United States Global
Health Security Strategy with a One Health approach and clear
goals, objectives, and benchmarks, as well as instruments to
monitor and evaluate outputs and outcomes, measure impact, and
share data and learning;
(2) establishing a mechanism to coordinate United States
global health security policies, activities, and assistance,
including efforts to advance the United States Global Health
Security Strategy and the Global Health Security Agenda, while
fully utilizing the unique capabilities of the relevant Federal
departments and agencies;
(3) coordinating with key stakeholders and supporting
partner country efforts to strengthen and sustain more
resilient health systems and supply chains;
(4) accelerating progress under the United States Global
Health Security Strategy, the Global Health Security Agenda,
the World Health Organization International Health Regulations,
and other relevant frameworks that contribute to global health
security;
(5) enhancing support for innovation and public-private
partnerships for research, development, and deployment of
effective and affordable disease tracking tools, diagnostics,
therapeutics, and vaccines;
(6) authorizing appropriations to advance the United States
Global Health Security Strategy and provide for a global health
security emergency reserve; and
(7) authorizing the Secretary of State, in coordination
with the Secretary of the Treasury, to enter into negotiations
for the establishment of the Trust Fund for Global Health
Security.
TITLE I--UNITED STATES GLOBAL HEALTH SECURITY STRATEGY AND ASSISTANCE
SEC. 101. PARTNER COUNTRY DEFINED.
In this title, the term ``partner country'' means a country in
which the relevant Federal departments and agencies are implementing
United States foreign assistance for global health security under this
Act.
SEC. 102. GLOBAL HEALTH SECURITY STRATEGY.
(a) General.--The President shall maintain and advance a
comprehensive strategy with a One Health approach toward advancing the
global health security and diplomacy objectives of the United States
overseas, which shall--
(1) seek to strengthen United States diplomatic leadership
and improve the effectiveness of United States foreign
assistance for global health security to prevent, detect, and
respond to infectious disease threats, including through
advancement of the Global Health Security Agenda;
(2) establish specific and measurable goals, benchmarks,
timetables, performance metrics, and monitoring and evaluation
plans for United States foreign assistance for global health
security that promote learning and reflect international best
practices relating to global health security, transparency, and
accountability;
(3) establish mechanisms to improve coordination and
performance by the relevant Federal departments and agencies,
including by setting out clear roles and responsibilities that
reflect the unique capabilities and resources of each such
department and agency;
(4) establish mechanisms to improve coordination and avoid
duplication of effort among the relevant Federal departments
and agencies, partner countries, donor countries, multilateral
organizations, and other key stakeholders;
(5) prioritize working with partner countries with low
scores on the Global Health Security Index classification of
health systems and on the Global Health Security Agenda Joint
External Evaluation;
(6) reduce long-term reliance upon United States foreign
assistance for global health security by promoting partner
country ownership, improved domestic resource mobilization, co-
financing, and appropriate national budget allocations for
global health security and pandemic preparedness and response;
(7) assist partner countries in building the technical
capacity of relevant ministries to prepare, execute, monitor,
and evaluate effective national action plans for health
security, including mechanisms to enhance budget and global
health data transparency, as necessary and appropriate;
(8) align United States foreign assistance for global
health security with partner country national action plans for
health security, developed with input from key stakeholders, to
the greatest extent practicable and appropriate;
(9) create linkages between complementary bilateral and
multilateral foreign assistance programs that contribute to the
development of more resilient health systems and supply chains
in partner countries with the capacity, resources, and
personnel required to prevent, detect, and respond to
infectious disease threats;
(10) support innovation and public-private partnerships to
improve pandemic preparedness and response, including for the
development and deployment of effective infectious disease
tracking tools, diagnostics, therapeutics, and vaccines;
(11) support collaboration with and among relevant public
and private research entities engaged in global health
security; and
(12) support collaboration between United States
universities and public and private institutions in partner
countries that promote global health security and innovation.
(b) Fiscal Year 2021 Compliance.--The United States Global Health
Security Strategy, published on May 9, 2019, in compliance with section
7058(c)(3) of the Department of State, Foreign Operations, and Related
Programs Appropriations Act, 2020 (division K of Public Law 115-141),
shall be deemed to comply with the requirement under this section for
fiscal year 2021.
(c) Strategy Updates.--
(1) In general.--Concurrent with the submission of the
report required by section 634 of the Foreign Assistance Act of
1961 (22 U.S.C. 2394) for fiscal years 2022 through 2025, the
President, in consultation with the head of each relevant
Federal department and agency, shall submit to the appropriate
congressional committees updates to the United States Global
Health Security Strategy, including the agency-specific plans
required under paragraph (2).
(2) Agency-specific plans.--The strategy updates required
under this subsection shall include specific implementation
plans from each relevant Federal department and agency that
describe--
(A) the anticipated staffing plans and
contributions of the department or agency, including
technical, financial, and in-kind contributions, to
implement the strategy; and
(B) the efforts of the department or agency to
ensure that the activities and programs carried out
pursuant to the strategy are designed to achieve
maximum impact and long-term results.
SEC. 103. GLOBAL HEALTH SECURITY COORDINATION.
(a) Establishment.--There is established within the Department of
State a Coordinator of United States Government Activities to Advance
Global Health Security and Diplomacy overseas, who shall be appointed
by the President, by and with the advice and consent of the Senate.
(b) Authorities.--The Coordinator is authorized to--
(1) operate internationally to carry out the purposes of
this Act;
(2) transfer and allocate United States foreign assistance
resources for global health security to the relevant Federal
departments and agencies, in coordination with the Office of
Management and Budget, the United States Agency for
International Development, and the Department of State Office
of Foreign Assistance Resources; and
(3) utilize open and streamlined solicitations to allow for
the participation of a wide range of implementing partners
through the most appropriate procurement mechanisms, which may
include grants, contracts, cooperative agreements, and other
instruments as necessary and appropriate.
(c) Duties.--The Coordinator shall have primary responsibility for
the coordination, management, and oversight of United States diplomatic
efforts and foreign assistance resources to advance the relevant
elements of the United States Global Health Security Strategy under
section 102 and the duties described under subsection (f)(2), including
the international programs, projects, and activities of the United
States Government relating to the Global Health Security Agenda and the
Trust Fund for Global Health Security established under title II,
including--
(1) ensuring effective program coordination and
implementation by the relevant Federal departments and
agencies, including by--
(A) managing the budget and planning of United
States foreign assistance resources authorized to be
appropriated or otherwise made available to carry out
the purposes of chapters 1 and 10 of part I and chapter
4 of part II of the Foreign Assistance Act of 1961 (22
U.S.C. 2151 et seq.) relating to infectious disease
prevention, detection, mitigation, and response,
including efforts to enable partner countries to
strengthen and sustain resilient health systems and
supply chains;
(B) formulating, issuing, and updating related
program guidance;
(C) establishing unified auditing, monitoring, and
evaluation plans;
(D) aligning resources and implementation plans
under the strategy with the relevant Federal
departments and agencies with the greatest expertise,
technical capabilities, comparative advantage, and
potential for success;
(E) working with and leveraging the expertise and
activities of the Office of the Global AIDS
Coordinator, the President's Malaria Coordinator, and
similar or successor entities implementing United
States global health assistance overseas; and
(F) avoiding duplication of effort and working to
resolve policy, program, and funding disputes among the
relevant Federal departments and agencies;
(2) leading diplomatic efforts to address current and
emerging threats to global health security;
(3) ensuring effective representation of the United States
in relevant international forums, including at the World Health
Assembly and meetings of the Global Health Security Agenda, in
coordination with the Secretary of the Department of Health and
Human Services, as necessary and appropriate;
(4) promoting greater donor and partner country investment
in building more resilient health systems and supply chains,
including through representation and participation in a
multilateral trust fund for global health security, consistent
with title II;
(5) working to enhance coordination with and transparency
among partner countries and key stakeholders, including the
private sector; and
(6) regularly updating the appropriate congressional
committees.
(d) Other Global Health Assistance.--This section shall not apply
to funds authorized to be appropriated or otherwise made available to
carry out the purposes of chapters 1 and 10 of part I and chapter 4 of
part II of the Foreign Assistance Act of 1961 (22 U.S.C. 2151 et seq.)
relating to global health that are--
(1) apportioned directly to the Department of State to
carry out programs authorized pursuant to the United States
Leadership Against HIV/AIDS, Tuberculosis, and Malaria Act of
2003 (Public Law 108-25); or
(2) apportioned directly to the United States Agency for
International Development to carry out programs that are not
directly related to new or emerging infectious disease threats.
(e) United States Agency for International Development.--The
Coordinator should be supported by a deputy, who should be an employee
of the United States Agency for International Development serving in a
career or noncareer position in the Senior Executive Service or at the
level of a Deputy Assistant Administrator or higher, who serves
concurrently as the deputy and performs the functions ascribed to the
agency by section 3(b) of Executive Order 13747 of November 4, 2016.
(f) Sense of Congress.--It is the sense of Congress that--
(1) Executive Order 13474 of November 4, 2016, and the
United States Global Health Security Strategy, delivered to
Congress on May 9, 2019, set out leadership and interagency
coordinating roles for the National Security Council relating
to global health security and the Global Health Security
Agenda;
(2) the Coordinator should perform the functions in
Executive Order 13747 ascribed to the Department of State in
section 3(b) of such executive order;
(3) the Interagency Review Council described in Executive
Order 13747 should perform the functions ascribed to it in
section 2 of such executive order; and
(4) the President should consider appointing an individual
serving on the National Security Council, at the senior
director level or higher and with significant background and
expertise in public health, health security, or emergency
biological response management, to convene and coordinate--
(A) the interagency process of the Federal
departments and agencies implementing the functions
described in section 3 of Executive Order 13747; and
(B) the interagency process to ensure continuity of
effort across the Federal departments and agencies
engaged in domestic and international global health
security preparedness and response.
SEC. 104. GLOBAL HEALTH EMERGENCIES.
In responding to an international infectious disease outbreak that
is sustained, severe, and is spreading internationally, which may
include a declaration under the World Health Organization International
Health Regulations of a Public Health Emergency of International
Concern overseas--
(1) the Secretary of State, acting through the Coordinator
of United States Government Activities to Advance Global Health
Security and Diplomacy, as appropriate, shall be represented at
all relevant interagency meetings and lead United States
diplomatic and coordination efforts with the relevant
international organizations and key stakeholders; and
(2) the Administrator of the United States Agency for
International Development shall be represented at all relevant
interagency meetings and serve as the program lead on
international emergency humanitarian response, as well efforts
to address second order development impacts of such an
emergency within partner countries.
SEC. 105. USAID DISASTER SURGE CAPACITY.
(a) In General.--Funds authorized to be appropriated or otherwise
made available to carry out part I of the Foreign Assistance Act of
1961 (22 U.S.C. 2151 et seq.), including funds made available for
``Assistance for Europe, Eurasia and Central Asia'', may be used, in
addition to funds otherwise made available for such proposes, for the
cost (including support costs) of individuals detailed to or employed
by the United States Agency for International Development whose primary
responsibility is to carry out programs in response to global health
emergencies and natural or man-made disasters.
(b) Notification.--The Administrator shall notify the appropriate
congressional committees not later than 15 days before making funds
available under this section.
SEC. 106. AUTHORIZATION FOR UNITED STATES PARTICIPATION IN COALITION
FOR EPIDEMIC PREPAREDNESS INNOVATIONS.
(a) In General.--The United States is authorized to participate in
the Coalition for Epidemic Preparedness Innovations (CEPI).
(b) Board of Directors.--The Administrator of the United States
Agency for International Development is authorized to designate an
employee of such agency to serve on the Investors Council of CEPI as a
representative of the United States.
(c) Consultation.--Not later than 60 days after the date of the
enactment of this Act, the Secretary shall consult with the appropriate
congressional committees on--
(1) the manner and extent to which the United States plans
to participate in CEPI, including through governance of CEPI;
(2) any planned financial contributions to CEPI; and
(3) how participation in CEPI is expected to support the
United States Global Health Security Strategy and any other
relevant programs relating to global health security and
biodefense.
(d) United States Contributions.--The President is authorized to
make available funds authorized to be appropriated under section 107
for United States contributions to CEPI.
(e) Notification.--Not later than 15 days before making a
contribution to CEPI, the Secretary of State shall notify the
appropriate congressional committees of the amount, purposes, and
national interests served by such planned contribution.
SEC. 107. AUTHORIZATIONS OF APPROPRIATIONS.
(a) In General.--There is authorized to be appropriated, for fiscal
years 2021 through 2025, $3,000,000,000 to advance the Global Health
Security Strategy of the United States overseas, including support
for--
(1) the Emergency Reserve Fund established pursuant to
section 7058(c)(1) of the Department of State, Foreign
Operations, and Related Programs Appropriations Act, 2017
(division J of Public Law 115-31) to address emerging global
health threats; and
(2) United States contributions to the Fund established
under title II of this Act.
(b) Exception.--Section 110 of the Trafficking Victims Protection
Act of 2000 (22 U.S.C. 7107) shall not apply to assistance made
available pursuant to this section.
(c) Applicability.--Section 104(f) of the Foreign Assistance Act of
1961 (22 U.S.C. 2151b(f)) shall apply to assistance made available
pursuant to this section.
TITLE II--TRUST FUND FOR GLOBAL HEALTH SECURITY
SEC. 201. DEFINITION.
In this title, the term ``partner country'' means a developing
country with demonstrated need and commitment to transparency,
including budget and global health data transparency, in which the
Trust Fund for Global Health Security established under section 202 is
working to design, implement, and evaluate global health security
assistance programs under this Act.
SEC. 202. ESTABLISHMENT OF TRUST FUND FOR GLOBAL HEALTH SECURITY.
(a) Negotiations for Establishment of a Trust Fund for Global
Health Security.--The Secretary of State should seek to enter into
negotiations with the World Bank or the International Development
Association, in coordination with the Secretary of the Treasury, the
Administrator of the United States Agency for International
Development, and the heads of other relevant Federal departments and
agencies, and with the member nations of the World Bank or the
International Development Association and with other interested
parties, for the establishment within the World Bank of--
(1) a Trust Fund for Global Health Security (in this
subtitle referred to as ``the Fund'') in accordance with the
provisions of this section; and
(2) an Advisory Board to the Fund in accordance with
section 205.
(b) Purpose.--The purpose of the Fund should be to advance global
health security by catalyzing public and private investments in global
health security, infectious disease control, and pandemic preparedness
and response in developing countries with demonstrated need, commitment
to transparency, including budget and global health data transparency,
and evidence-based outcomes.
(c) Composition.--
(1) In general.--The Fund should be governed by a Board of
Trustees, to be composed of representatives of World Bank
member states that are donors and participants in the Fund. The
Board of Trustees should include--
(A) 5 permanent member countries, who qualify based
upon meeting an established initial contribution
threshold, which should be not less than 10 percent of
total contributions, and by meeting minimum standards
for upholding the International Health Regulations, and
who should hold veto power over programs and projects;
(B) 5 term members, who are selected by the
permanent members on the basis of their commitment to
innovation, best practices, and the advancement of
global health security objectives in partner countries;
and
(C) 9 developing country members, who serve a
period term, and who demonstrate a commitment to
prioritizing global health security for their citizens
and to the purposes and principles of the Fund.
(2) Qualifications.--Individuals appointed to the Board
shall have demonstrated knowledge and experience in the fields
of public health, epidemiology, supply chain management, health
delivery systems, and development.
(3) United states representation.--
(A) In general.--
(i) Founding permanent member.--The
Secretary of State shall seek to establish the
United States as a founding permanent member of
the Fund.
(ii) Coordinator of united states
government activities to advance global health
security.--The United States shall be
represented on the Board of Trustees by the
Coordinator of United States Government
Activities to Advance Global Health Security
and Diplomacy established under section 103.
(B) Effective and termination dates.--
(i) Effective date.--This paragraph shall
take effect upon the date the Secretary of
State, in coordination with the Secretary of
the Treasury, certifies and transmits to
Congress an agreement establishing the Fund.
(ii) Termination date.--The membership
established pursuant to subparagraph (A) shall
terminate upon the date of termination of the
Fund.
(4) Removal procedures.--The Fund shall establish
procedures for the removal of members of the Board who engage
in a consistent pattern of human rights abuses, fail to uphold
global health data transparency requirements, or otherwise
violate the established standards of the Fund.
SEC. 203. GRANT AUTHORITIES.
(a) Program Objectives.--
(1) In general.--In carrying out the purpose set forth in
section 202(b), the Fund, acting through the Board of Trustees,
should provide grants, including challenge grants, technical
assistance, concessional lending, catalytic investment funds,
and other innovative funding mechanisms, as appropriate, to
support measures that enable developing countries, at both
national and sub-national levels, and in partnership with civil
society and the private sector, to strengthen and sustain
resilient health systems and supply chains with the resources,
capacity, and personnel required to prevent, detect, mitigate,
and respond to infectious disease threats before they become
pandemics.
(2) Activities supported.--Activities to be supported by
the Fund should include efforts to--
(A) enable partner countries with low scores on the
Global Health Security Index classification of health
systems and on the Global Health Security Agenda Joint
External Evaluation to improve such scores and adopt
and uphold commitments under the Global Health Security
Agenda, the World Health Organization International
Health Regulations, and other related international
health agreements;
(B) support global health budget and workforce
planning in partner countries, including training in
financial management and budget and global health data
transparency;
(C) advance research, development, and deployment
of effective infectious disease tracking tools,
diagnostics, therapeutics, and vaccines, including by
establishing and leveraging public-private partnerships
and supporting advance purchase agreements, as
necessary and appropriate;
(D) improve infection control within healthcare
settings;
(E) combat the threat of antimicrobial resistance;
(F) expand lab capacity through the provision of
material and technical assistance;
(G) build technical capacity to manage global
health supply chains through effective forecasting,
procurement, warehousing, and delivery from central
warehouses to points of service;
(H) enable bilateral and regional partnerships and
cooperation to identify and address transnational
infectious disease threats exacerbated by natural and
man-made disasters, human displacement, and zoonotic
infection;
(I) establish partnerships to develop medical
interventions to detect, treat, and prevent the spread
of neglected tropical diseases;
(J) build the technical capacity of partner
countries to prepare for and respond to second order
development impacts of infectious disease outbreaks,
while accounting for the differentiated needs and
vulnerabilities of marginalized populations;
(K) develop and utilize metrics to monitor and
evaluate program performance and identify best
practices; and
(L) develop and deploy mechanisms to enhance the
transparency and accountability of global health
security programs and data, including through the
sharing of trends, risks, and lessons learned.
(3) Implementation of program objectives.--In carrying out
the objectives of paragraph (1), the Fund shall work to
eliminate duplication and waste by upholding strict
transparency and accountability standards and coordinating its
programs and activities with key partners working to advance
global health security, including, at a minimum--
(A) governments, civil society and nongovernmental
organizations, research and academic institutions, and
private sector entities in partner countries;
(B) the Global Health Security Agenda;
(C) the Global Fund to Fight AIDS, Tuberculosis,
and Malaria;
(D) the Vaccine Alliance, GAVI;
(E) the Coalition for Epidemic Preparedness
Innovations (CEPI);
(F) the Global Polio Eradication Initiative; and
(G) the Coordinator of United States Government
Activities to Advance Global Health Security and
Diplomacy, established pursuant to section 103.
(b) Priority.--In providing assistance under this section, the Fund
should give priority to low and lower-middle income countries, as
classified in the most recent edition of the World Development Report
for Reconstruction and Development published by the International Bank
for Reconstruction and Development, with low scores on the Global
Health Security Index classification of health systems and on the
Global Health Security Agenda Joint External Evaluation, and
demonstrated commitment to upholding global health budget and data
transparency and accountability standards and investing in their own
health systems.
(c) Eligible Grant Recipients.--Governments and nongovernmental
organizations should be eligible to receive grants under this section.
SEC. 204. ADMINISTRATION.
(a) Appointment of an Administrator.--The Board of Trustees, in
consultation with the appropriate officials of the Bank, should appoint
an Administrator who should be responsible for managing the day-to-day
operations of the Fund.
(b) Authority To Solicit and Accept Contributions.--The Fund should
be authorized to solicit and accept contributions from governments, the
private sector, and nongovernmental entities of all kinds.
(c) Accountability of Funds and Criteria for Programs.--As part of
the negotiations described in section 202(a), the Secretary of the
State, in coordination with the Secretary of the Treasury, shall,
consistent with subsection (d)--
(1) take such actions as are necessary to ensure that the
Bank or the Association will have in effect adequate procedures
and standards to account for and monitor the use of funds
contributed to the Fund, including the cost of administering
the Fund; and
(2) seek agreement on the criteria that should be used to
determine the programs and activities that should be assisted
by the Fund.
(d) Selection of Partner Countries, Projects, and Recipients.--The
Board of Trustees should establish--
(1) partner country selection criteria, to include
transparent metrics to measure and assess global health
security strengths and vulnerabilities in developing countries
seeking assistance;
(2) minimum standards for ensuring partner country
ownership and commitment to long-term results, including
requirements for domestic budgeting, resource mobilization, and
co-investment;
(3) criteria for the selection of projects to receive
support from the Fund;
(4) standards and criteria regarding qualifications of
recipients of such support;
(5) such rules and procedures as may be necessary for cost-
effective management of the Fund; and
(6) such rules and procedures as may be necessary to ensure
transparency and accountability in the grant-making process.
(e) Additional Transparency and Accountability Requirements.--
(1) Inspector general.--
(A) In general.--The Secretary of State shall
ensure that the Fund maintains an independent Office of
the Inspector General and ensure that the office has
the requisite resources and capacity to regularly
conduct and publish, on a publicly accessible website,
rigorous financial, programmatic, and reporting audits
and investigations of the Fund and its grantees.
(B) Sense of congress on corruption.--It is the
sense of Congress that--
(i) corruption within global health
programs contribute directly to the loss of
human life and cannot be tolerated; and
(ii) in making financial recoveries
relating to a corrupt act or criminal conduct
under a grant, as determined by the Inspector
General, the responsible grant recipient should
be assessed at a recovery rate of 150 percent
of such loss.
(2) Administrative expenses.--The Secretary of State shall
ensure the Fund establishes, maintains, and makes publicly
available a system to track the administrative and management
costs of the Fund on a quarterly basis.
(3) Grant tracking systems.--The Secretary of State shall
ensure that the Fund establishes, maintains, and makes publicly
available a system to track the amount of funds disbursed to
each grant recipient and sub-recipient during a grant's fiscal
cycle.
(4) Exemption from duties and taxes.--The Secretary should
ensure that the Fund adopts rules that condition grants upon
agreement by the relevant national authorities in a partner
country to exempt from duties and taxes all products financed
by such grants, including procurements by any principal or sub-
recipient for the purpose of carrying out such grants.
SEC. 205. ADVISORY BOARD.
(a) In General.--There should be an Advisory Board to the Fund.
(b) Appointments.--The members of the Advisory Board should be
composed of--
(1) individuals with experience and leadership in the
fields of development, global health, epidemiology, medicine,
biomedical research, and social sciences; and
(2) representatives of relevant United Nations agencies and
nongovernmental organizations with on-the-ground experience in
implementing global health programs in low and lower-middle
income countries.
(c) Responsibilities.--The Advisory Board should provide advice and
guidance to the Board of Trustees on the development and implementation
of programs and projects to be assisted by the Fund and on leveraging
donations to the Fund.
(d) Prohibition on Payment of Compensation.--
(1) In general.--Except for travel expenses (including per
diem in lieu of subsistence), no member of the Advisory Board
should receive compensation for services performed as a member
of the Board.
(2) United states representative.--Notwithstanding any
other provision of law (including an international agreement),
a representative of the United States on the Advisory Board may
not accept compensation for services performed as a member of
the Board, except that such representative may accept travel
expenses, including per diem in lieu of subsistence, while away
from the representative's home or regular place of business in
the performance of services for the Board.
SEC. 206. REPORTS TO CONGRESS.
(a) Annual Report.--
(1) In general.--Not later than 1 year after the date of
the enactment of this Act, and annually thereafter for the
duration of the Fund, the Secretary of State, in coordination
with the Secretary of the Treasury, shall submit to the
appropriate congressional committees a report on the Fund.
(2) Report elements.--The report shall include a
description of--
(A) the goals of the Fund;
(B) the programs, projects, and activities
supported by the Fund;
(C) private and governmental contributions to the
Fund; and
(D) the criteria utilized to determine the programs
and activities that should be assisted by the Fund.
(b) GAO Report on Trust Fund Effectiveness.--Not later than 2 years
after the date that the Fund is formally established, the Comptroller
General of the United States shall submit to the appropriate
congressional committees a report evaluating the effectiveness of the
Fund, including--
(1) the effectiveness of the programs, projects, and
activities supported by the Fund; and
(2) an assessment of the merits of continued United States
participation in the Fund.
SEC. 207. UNITED STATES CONTRIBUTIONS.
(a) In General.--Subject to submission of the certification under
section 202(c)(3)(B)(i), the President is authorized to make available
funds authorized to be appropriated pursuant to section 107 for United
States contributions to the Fund.
(b) Notification.--The Secretary of State shall notify the
appropriate congressional committees not later than 15 days in advance
of making a contribution to the Fund, including--
(1) the amount of the proposed contribution;
(2) the total of funds contributed by other donors; and
(3) the national interests served by United States
participation in the Fund.
(c) Limitation.--At no point during fiscal years 2021 through 2025
shall a United States contribution cause the cumulative total of United
States contributions to exceed 33 percent of the total contributions to
the Fund from all sources.
(d) Withholdings.--
(1) Support for acts of international terrorism.--If at any
time the Secretary of State determines that the Fund has
provided assistance to a country, the government of which the
Secretary of State has determined, for purposes of section 620A
of the Foreign Assistance Act of 1961 (22 U.S.C. 2371) has
repeatedly provided support for acts of international
terrorism, the United States shall withhold from its
contribution for the next fiscal year an amount equal to the
amount expended by the Fund to the government of such country.
(2) Excessive salaries.--If at any time during any of the
fiscal years 2021 through 2025, the Secretary of State
determines that the salary of any individual employed by the
Fund exceeds the salary of the Vice President of the United
States for that fiscal year, then the United States should
withhold from its contribution for the next fiscal year an
amount equal to the aggregate amount by which the salary of
each such individual exceeds the salary of the Vice President
of the United States.
(3) Accountability certification requirement.--The
Secretary of State shall withhold not less than 20 percent of
planned United States contributions to the Fund until the
Secretary certifies to the appropriate congressional committees
that the Fund has established procedures to provide access by
the Office of Inspector General of the Department of State, as
cognizant Inspector General, the Inspector General of the
Department of Health and Human Services, and the Inspector
General of the United States Agency for International
Development, to the Fund's financial data and other information
relevant to United States contributions (as determined by the
Inspector General, in consultation with the Secretary of
State).
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