IIB 

116TH CONGRESS 

2D SESSION H. R. 5338 

IN THE SENATE OF THE UNITED STATES 

JANUARY 30, 2020 

Received; read twice and referred to the Committee on Foreign Relations 

AN ACT 

To authorize the Secretary of State to pursue public-private 

partnerships, innovative financing mechanisms, research 

partnerships, and coordination with international and 

multilateral organizations to address childhood cancer 

globally, and for other purposes. 

1 Be it enacted by the Senate and House of Representa2 tives of the United States of America in Congress assembled, 


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1 SECTION 1. SHORT TITLE. 

2 This Act may be cited as the ‘‘Global Hope Act of 

3 2019’’. 

4 SEC. 2. FINDINGS. 

5 Congress finds the following: 

6 (1) Approximately 300,000 children aged 0 to 

7 19 years old are diagnosed with cancer each year. 

8 (2) The most common categories of childhood 

9 cancers include leukemia, brain cancer, lymphoma, 

10 and solid tumors, such as neuroblastoma and Wilms 

11 tumor. 

12 (3) Most childhood cancers can be cured with 

13 generic medicines and can be cost-effective for all in14 come levels. 

15 (4) In the United States, the survival rate for 

16 children diagnosed with cancer is over 80 percent. In 

17 many developing countries, the mortality rate of 

18 children diagnosed with cancer is around 80 percent. 

19 In some parts of Africa, the mortality rate reaches 

20 90 percent. 

21 (5) In September 2018, the World Health Or22 ganization announced a new effort—the Global Ini23 tiative for Childhood Cancer—with the aim of reach24 ing at least a 60-percent survival rate for children 

25 with cancer by 2030, thereby saving an additional 

26 1,000,000 lives. 


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1 SEC. 3. SENSE OF CONGRESS. 

2 It is the sense of Congress as follows: 

3 (1) The work of the United States on infectious 

4 disease remains the core tenet of United States work 

5 on global health. 

6 (2) As the United States and international 

7 partners continue to succeed in lowering incidences 

8 of infectious diseases, global mortality rates of non9 communicable diseases will become an increasing 

10 burden that must be addressed. 

11 (3) The United States should work to support 

12 the goals of the World Health Organization Initia13 tive for Childhood Cancer, helping increase survival 

14 rates for children with cancer. 

15 SEC. 4. STATEMENT OF POLICY. 

16 The United States shall seek to— 

17 (1) increase political commitment for childhood 

18 cancer diagnosis, treatment, and care globally; 

19 (2) support efforts to increase the survival rate 

20 of children with cancer globally; 

21 (3) support efforts to train medical personnel 

22 and develop the capabilities of other existing health23 care infrastructure to diagnose, treat, and care for 

24 childhood cancer; 


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1 (4) improve access to affordable and essential 

2 medicines and technologies that treat childhood can3 cer; 

4 (5) elevate and prioritize efforts to reduce the 

5 mortality rate of childhood cancer in international 

6 organizations such as the United Nations; 

7 (6) pursue research and research partnerships 

8 with international institutions to identify low-cost 

9 interventions and best practices to diagnose, treat, 

10 and care for childhood cancer in the United States 

11 and globally; and 

12 (7) improve partnerships with international 

13 health ministries and pharmaceutical companies to 

14 facilitate efforts for broader, global clinical trials for 

15 medicines to treat or care for childhood cancer in 

16 the United States and globally. 

17 SEC. 5. AUTHORIZATION. 

18 The Secretary of State, in coordination with the 

19 heads of relevant Federal departments and agencies, is au20 thorized and encouraged to— 

21 (1) pursue public-private partnerships, other re22 search partnerships, and innovative financing mech23 anisms to address childhood cancer globally; and 


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1 (2) coordinate with appropriate agencies of the 

2 United Nations and other relevant multilateral orga3 nizations to address childhood cancer globally. 

4 SEC. 6. REPORT. 

5 Not later than 1 year after the date of the enactment 

6 of this Act, the Secretary of State shall submit to the 

7 Committee on Foreign Affairs of the House of Representa8 tives and the Committee on Foreign Relations of the Sen9 ate a report that includes the following: 

10 (1) An assessment of opportunities for United 

11 States engagement in global efforts to increase the 

12 worldwide survival rate of children with cancer. 

13 (2) An assessment of efforts taken by the 

14 United States to support efforts to increase the 

15 worldwide survival rate of children with cancer. 

16 (3) An assessment of existing programs funded 

17 by the United States that could be expanded to sup18 port efforts to increase the worldwide survival rate 

19 of children with cancer. 

20 (4) An assessment of how such increased inter21 national engagement could positively affect— 

22 (A) survival rates of individuals with child23 hood cancer in the United States; and 

24 (B) reductions in the rates of infant and 

25 pediatric morbidity and mortality. 


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1 SEC. 7. COST LIMITATION. 

2 No additional funds are authorized to be appro3 priated to carry out the provisions of this Act. 

4 SEC. 8. CHILDHOOD CANCER DEFINED. 

5 In this Act, the term ‘‘childhood cancer’’ means can6 cers formed or diagnosed in individuals under the age of 

7 20. 

Passed the House of Representatives January 28, 

2020. 

Attest: CHERYL L. JOHNSON, 

Clerk. 


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