[Congressional Bills 119th Congress]
[From the U.S. Government Publishing Office]
[H.R. 4473 Introduced in House (IH)]

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119th CONGRESS
  1st Session
                                H. R. 4473

  To direct the Secretary of Health and Human Services to establish a 
bilateral research and innovation program to facilitate and coordinate 
efforts between the United States and Israel in certain health-related 
                     areas, and for other purposes.


_______________________________________________________________________


                    IN THE HOUSE OF REPRESENTATIVES

                             July 16, 2025

Mr. Weber of Texas (for himself, Mr. Pappas, and Ms. Tenney) introduced 
 the following bill; which was referred to the Committee on Energy and 
                                Commerce

_______________________________________________________________________

                                 A BILL


 
  To direct the Secretary of Health and Human Services to establish a 
bilateral research and innovation program to facilitate and coordinate 
efforts between the United States and Israel in certain health-related 
                     areas, 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 ``United States-Israel Bilateral 
Innovation for Research and Development in Health Act of 2025'' or the 
``BIRD Health Act of 2025''.

SEC. 2. FINDINGS.

    Congress finds the following:
            (1) The Binational Industrial Research and Development 
        Foundation (in this Act referred to as the ``BIRD Foundation'') 
        was established in 1977 as a joint initiative between the 
        United States and Israel and has become a model for successful 
        bilateral research and development collaboration.
            (2) Since its inception, the BIRD Foundation has approved 
        over 1,000 projects with a total investment exceeding $500 
        million, generating over $10 billion in sales.
            (3) In the past decade, approximately 30 percent of the 
        projects approved by the BIRD Foundation have been related to 
        health, biotechnology, life sciences, medical devices, 
        diagnostics, and telemedicine.
            (4) The United States and Israel have successfully expanded 
        the activities of the Bird Foundation into dedicated programs 
        targeting specific industrial needs, including energy, cyber, 
        and homeland security.
            (5) The United States and Israel signed a health, medical, 
        and scientific cooperation agreement on January 4, 2016, which 
        is designed to foster collaboration in various health-related 
        areas.
            (6) In 2020, Congress allocated $2 million to establish a 
        bilateral collaboration program with the Israel for the 
        development of health-related technologies.

SEC. 3. ESTABLISHMENT OF BIRD HEALTH PROGRAM.

    (a) Establishment.--
            (1) In general.--The Secretary of Health and Human Services 
        shall enter into a cooperative agreement to establish a 
        bilateral research and innovation program (in this Act referred 
        to as the ``BIRD Health Program'') to facilitate and coordinate 
        efforts between the United States and Israel to expand and 
        enhance collaboration on--
                    (A) the development of healthcare products and 
                services; and
                    (B) the delivery of such products and services to 
                individuals in need.
            (2) Coordination.--The Secretary of Health and Human 
        Services shall carry out this subsection in coordination with 
        the Secretary of Commerce and the Executive Director of the 
        BIRD Foundation.
            (3) Applicability of requirements.--The authority provided 
        by this subsection shall be subject to any applicable 
        requirements of law and any applicable agreements or 
        understandings between the United States and Israel.
    (b) Program Administration, Goals, and Components.--The cooperation 
agreement referred to in subsection (a) shall provide for the 
following:
            (1) Implementation partner.--The BIRD Health Program shall 
        be administered by the BIRD Foundation, following the same 
        model used for United States-Israel collaborations in energy, 
        cyber, and homeland security.
            (2) Governance.--The program shall be jointly governed by 
        representatives from the Department of Health and Human 
        Services and the Ministry of Health of Israel, who shall 
        actively participate in defining focus areas and selecting 
        projects to receive funding.
            (3) Program goals.--The goals of the BIRD Health Program 
        shall be--
                    (A) to facilitate joint research and development 
                projects between United States and Israeli 
                institutions, companies, and academic organizations in 
                the field of health technologies;
                    (B) to support the commercialization and deployment 
                of innovative healthcare products and services, 
                including--
                            (i) medical devices and diagnostics;
                            (ii) pharmaceuticals and biological 
                        products;
                            (iii) genomics and personalized medicine;
                            (iv) telemedicine and digital health 
                        technologies;
                            (v) artificial intelligence for healthcare 
                        applications;
                            (vi) infectious disease prevention;
                            (vii) vaccine development; and
                            (viii) epidemiological research; and
                    (C) to strengthen health-related ecosystems by 
                fostering United States-Israel partnerships in 
                healthcare technology development.
            (4) Program components.--
                    (A) In general.--The BIRD Health Program shall 
                provide funding for the following:
                            (i) Research and development.--Programs and 
                        activities for research and development, 
                        including--
                                    (I) joint research projects between 
                                United States and Israeli institutions 
                                and companies;
                                    (II) promoting collaboration in 
                                areas such as medical device 
                                technology, pharmaceuticals (including 
                                biological products, genomics, and 
                                innovative digital health care 
                                solutions) and health care systems 
                                management (including a special focus 
                                on early-stage clinical trials);
                                    (III) with respect to biological 
                                products, supporting--
                                            (aa) innovation;
                                            (bb) process optimization; 
                                        and
                                            (cc) the development of 
                                        advanced manufacturing 
                                        techniques that can enhance 
                                        productivity, reduce costs, and 
                                        improve product quality; and
                                    (IV) work toward developing a 
                                framework for sharing health data for 
                                research purposes with the Ministry of 
                                Health of Israel.
                            (ii) Innovation and startup ecosystem.--
                        Programs and activities for health-related 
                        ecosystems, including--
                                    (I) fostering collaboration between 
                                United States and Israeli startup 
                                companies and other companies in the 
                                healthcare sector;
                                    (II) facilitating innovative 
                                technology acceptance by the 
                                marketplace;
                                    (III) facilitating mechanisms for 
                                technology transfer and joint venture 
                                opportunities; and
                                    (IV) supporting innovation hubs to 
                                accelerate the development and 
                                commercialization of United States 
                                healthcare technologies in the Israeli 
                                market, including encouraging 
                                cybersecurity standards for sharing 
                                data, promoting patient privacy, and 
                                encouraging research.
                            (iii) Health care system strengthening.--
                        Programs and activities for health care system 
                        strengthening, including facilitating sharing 
                        best practices, knowledge, and skills in areas 
                        such as clinical care and health care 
                        management.
                    (B) Telemedicine and digital health cooperation.--
                The BIRD Health Program shall provide funding for 
                programs and activities for telemedicine and digital 
                health cooperation for establishing initiatives--
                            (i) to enhance telemedicine infrastructure;
                            (ii) to promote interoperability between 
                        United States and Israeli health care systems; 
                        and
                            (iii) to facilitate collaboration on 
                        digital health technologies, data analytics, 
                        and cybersecurity.
                    (C) Disease prevention initiatives.--The BIRD 
                Health Program shall provide funding for collaborating 
                in disease prevention, including joint efforts to 
                combat infectious diseases, develop vaccines, and share 
                epidemiological data.
                    (D) Biological product manufacturing.--The BIRD 
                Health Program shall provide funding for--
                            (i) promoting biological product 
                        manufacturing;
                            (ii) establishing joint manufacturing 
                        facilities for biological products in 
                        facilities in the United States that leverage 
                        the strengths and expertise of both countries;
                            (iii) pursuing accelerated development of 
                        life-saving treatments and new sources of 
                        nutrition that are both healthier and more 
                        available at an affordable cost; and
                            (iv) supply chain resilience through 
                        strategic collaboration to identify and develop 
                        contingency plans to mitigate biological 
                        product supply disruptions.
            (5) Project selection criteria.--Projects selected for 
        funding under the BIRD Health program shall be evaluated based 
        on--
                    (A) technical merit and innovation;
                    (B) commercial potential and economic impact;
                    (C) relevance to health priorities identified by 
                both governments;
                    (D) strength of the United States-Israel 
                partnership; and
                    (E) potential to address unmet medical needs.

SEC. 4. FUNDING AND IMPLEMENTATION.

    (a) Funding.--
            (1) Authorization of appropriations.--There is authorized 
        to be appropriated to the Secretary of Health and Human 
        Services to carry out this Act $10,000,000 for each of fiscal 
        years 2026 through 2032.
            (2) Administration of funds.--Subject to the terms and 
        conditions of the cooperative agreement referred to in section 
        3(a)(1), funds made available under this section shall be 
        administered through the BIRD Foundation, with oversight from 
        Secretary of Health and Human Services and the Secretary of 
        Commerce.
    (b) Implementation Timeline.--
            (1) Program framework.--Not later than 180 days after the 
        date of enactment of this Act, the Secretary of Health and 
        Human Services shall submit to Congress a report on the 
        progress made in establishing the program framework.
            (2) Proposals.--Not later than one year after the date of 
        establishment of the program framework, the BIRD Health Program 
        shall begin accepting proposals and allocating funds for 
        eligible projects.

SEC. 5. REPORTING AND EVALUATION.

    (a) Annual Report to Congress.--Not later than one year after the 
date of enactment of this Act, and annually thereafter, the Secretary 
of Health and Human Services shall submit to Congress an annual report 
detailing the establishment and implementation of the BIRD Health 
Program, including--
            (1) the progress of funded projects and their impact on 
        healthcare innovation;
            (2) the economic and scientific benefits resulting from 
        United States-Israel collaborations; and
            (3) any policy recommendations to enhance the effectiveness 
        of the BIRD Health Program.
    (b) Program Review.--The Secretary of Health and Human Services 
shall conduct, and submit to Congress, a comprehensive review of the 
success of the BIRD Health Program every three years, with 
recommendations for renewal or expansion.

SEC. 6. HEALTH TECHNOLOGY DEFINED.

    In this Act, the term ``health technology'' includes a medical 
device, pharmaceutical, digital health solution, diagnostic driven by 
artificial intelligence, and biologic.
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