SEC. 2. AUTHORIZATION OF EFFORTS TO PREVENT AND 
TREAT MALNUTRITION GLOBALLY. 
(a) IN GENERAL.—The Administrator, in coordina-
tion with the heads of other relevant Federal departments 
and agencies, is authorized and encouraged to support ef-
forts to prevent and treat malnutrition globally, including 
by— 
(1) targeting resources and nutrition interven-
tions to support the most vulnerable populations 
susceptible to severe malnutrition, including children 
under the age of 5 and pregnant and lactating 
women; 
(2) increasing coverage, particularly in priority 
countries, of nutrition interventions that include co-
ordinated deployment of prenatal nutrient supple-
ments, breastfeeding support, vitamin A supplemen-
tation, specialized nutritious food products for the 
treatment of acute malnutrition, and other evidence- 
based interventions, as appropriate; 
(3) increasing the use of context and country- 
appropriate fortification of staples and condiments 
with essential nutrients; 
(4) advancing evidence-based programs and 
interventions carried out using data-driven ap-
proaches, best practices, and targeted to country- 
specific contexts and needs; 
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(5) supporting partner governments to develop 
policies to prevent and treat malnutrition; 
(6) leveraging investments to strengthen health 
systems, including to support community health 
workers to advance improved nutrition outcomes; 
(7) improve diets through safe, affordable, nu-
tritious foods in the food system; and 
(8) ensuring rigorous monitoring and evaluation 
of such efforts. 
(b) EXTERNAL COORDINATION EFFORTS RELATED 
TO NUTRITION PROGRAMS.—The Administrator, in co-
ordination with the heads of other relevant Federal de-
partments and agencies, should coordinate, as appro-
priate, with bilateral and multilateral donors, governments 
of partner countries, United Nations agencies, civil society 
organizations, nongovernmental organizations, including 
faith-based organizations, and the private sector to pre-
vent and treat malnutrition globally, including by sup-
porting efforts to— 
(1) build the capacity of local and community- 
based organizations and governments of partner 
countries to ensure sustainability of nutrition inter-
ventions; 
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(2) expand research and innovation to identify 
and increase effective and evidence-based nutrition 
interventions based on country-specific contexts; 
(3) improve coordination and structure of sup-
ply chains for nutrition interventions; 
(4) expand domestic resource mobilization and 
domestic financing for nutrition interventions; and 
(5) seek to leverage additional resources and 
encourage investment into innovative and multi- 
stakeholder finance partnerships to advance burden 
sharing in nutrition-related assistance. 
(c) INTERAGENCY EFFORTS.—In carrying out sub-
sections (a) and (b), the Administrator, in coordination 
with the heads of other relevant Federal departments and 
agencies, consistent with the Global Nutrition Coordina-
tion Plan, shall seek to leverage additional resources to 
prevent and treat malnutrition globally, including by— 
(1) increasing cooperation among relevant Fed-
eral departments and agencies represented in the 
Global Nutrition Coordination Plan to better lever-
age grants, technical assistance, debt, equity, loan 
guaranties, and public-private partnerships; and 
(2) utilizing the Administrator’s role as a mem-
ber of the Board of Directors of the United States 
International Development Finance Corporation to 
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consider opportunities within the Corporation’s de-
velopment impact framework that support improved 
nutrition outcomes. 
SEC. 3. SELECTION OF PRIORITY COUNTRIES. 
(a) IN GENERAL.—The Administrator, in coordina-
tion with the Nutrition Leadership Council, shall select 
foreign countries as priority countries for purposes of tar-
geting programs to prevent and treat malnutrition glob-
ally. 
(b) CRITERIA.—The selection of priority countries 
under subsection (a) shall be based on the following: 
(1) The prevalence of severe malnutrition 
among children under the age of 5 and pregnant 
and lactating women. 
(2) The presence of high-need, underserved, 
marginalized, vulnerable, or impoverished commu-
nities. 
(3) The enabling environment for improved nu-
trition, including presence of national nutrition plans 
and demonstration of strong political commitment. 
(4) Any other criteria that the Administrator 
determines to be appropriate. 
(c) UPDATES.—The Administrator shall update the 
selection of priority countries under subsection (a) not 
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later than 5 years after the date of the enactment of this 
Act. 
(d) SENSE OF CONGRESS.—It is the sense of Con-
gress that the Administrator should continue to undertake 
nutrition interventions in countries not selected as priority 
countries, particularly in contexts in which opportunities 
are identified to advance multi-sectoral development pro-
gramming and integrate efforts to prevent and treat global 
malnutrition with other priority areas and program objec-
tives. 
SEC. 4. NUTRITION LEADERSHIP COUNCIL. 
(a) ESTABLISHMENT.—The Administrator is author-
ized to establish in the United States Agency for Inter-
national Development the Nutrition Leadership Council 
(in this section referred to as the ‘‘Council’’), which shall 
coordinate Agency efforts to prevent and treat malnutri-
tion globally. 
(b) DUTIES.—The duties of the Council shall in-
clude— 
(1) advancing United States Agency for Inter-
national Development efforts to prevent and treat 
malnutrition globally; 
(2) ensuring nutrition interventions, particu-
larly in priority countries, are carried out in close 
coordination with other relevant United States Gov-
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ernment strategies and policies and provisions of 
law, including— 
(A) the Global Food Security Act of 2016 
(22 U.S.C. 9301 et seq.); 
(B) the Senator Paul Simon Water for the 
World Act of 2014 (22 U.S.C. 2151 note); 
(C) the Global Child Thrive Act of 2020 
(subtitle I of title XII of division A of Public 
Law 116–283); and 
(D) the Global Fragility Act of 2019 (22 
U.S.C. 9801 et seq.); and 
(3) ensuring nutrition interventions are coordi-
nated with nutrition programs carried out by other 
relevant Federal departments and agencies. 
(c) MEMBERSHIP.—The Council shall include rep-
resentatives of the following bureaus and independent of-
fices of the United States Agency for International Devel-
opment: 
(1) The Bureau for Global Health. 
(2) The Bureau for Resilience and Food Secu-
rity. 
(3) The Bureau for Humanitarian Assistance. 
(4) Any other relevant bureau or independent 
office that the Administrator determines to be ap-
propriate. 
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SEC. 5. IMPLEMENTATION PLAN. 
(a) IN GENERAL.—Not later than 260 days after the 
date of the enactment of this Act, the Administrator, in 
coordination with the heads of other relevant Federal de-
partments and agencies, shall develop and submit to the 
appropriate congressional committees an implementation 
plan for programs to prevent and treat malnutrition glob-
ally described in section 2. 
(b) MATTERS TO BE INCLUDED.—The implementa-
tion plan required by subsection (a) shall include the fol-
lowing: 
(1) A description of specific and measurable 
goals, objectives, and performance metrics with re-
spect to such programs, including clear benchmarks 
and intended timelines for achieving such goals and 
objectives. 
(2) A description of monitoring and evaluation 
plans with respect to such programs, as appropriate. 
(3) In priority countries, a description of efforts 
to ensure that nutrition is adequately addressed in 
the Country Development Cooperation Strategy to 
the extent practicable and identify opportunities to 
expand efforts to prevent and treat malnutrition, in-
cluding through leveraging existing health and devel-
opment programs and other ongoing activities. 
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(c) CONSULTATION.—The implementation plan re-
quired by subsection (a) shall be developed in consultation 
with, as appropriate and to the extent possible, representa-
tives of nongovernmental organizations, including faith- 
based organizations, civil society organizations, multilat-
eral organizations and donors, relevant private, academic, 
and philanthropic entities, and the appropriate congres-
sional committees. 
SEC. 6. REPORT. 
(a) IN GENERAL.—Not later than one year after the 
date of the enactment of this Act, and annually thereafter 
for 5 years, the Administrator shall submit to the appro-
priate congressional committees a report that describes 
progress made towards preventing and treating malnutri-
tion globally. 
(b) MATTERS TO BE INCLUDED.—The report re-
quired by subsection (a) shall include the following: 
(1) A summary of progress made towards 
achieving the specific and measurable goals, objec-
tives, and performance metrics towards ending glob-
al malnutrition. 
(2) In priority countries— 
(A) a detailed summary of nutrition pro-
grams and activities in the previous fiscal year, 
including a breakdown of the countries to which 
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nutrition resources have been allocated and an 
estimated number of people reached through 
nutrition interventions; and 
(B) an description of the coordination of 
nutrition programs with other health and devel-
opment programs and priorities. 
(3) A summary of efforts to expand research 
and innovation to development and scale up new 
tools to prevent and treat malnutrition globally. 
(4) An assessment of the collaboration and co-
ordination of nutrition efforts of the United States 
Agency for International Development with United 
Nations agencies, the World Bank, other donor gov-
ernments, host country governments, civil society, 
and the private sector, as appropriate. 
(5) A description of other donor country and 
host country financial commitments and efforts to 
prevent and treat malnutrition. 
(6) An identification of constraints on imple-
mentation of programs and activities and lessons 
learned from programs and activities from the pre-
vious fiscal years. 
(c) INCLUSION IN OTHER REPORTS.—The Adminis-
trator may include the report required by subsection (a) 
as a component of other congressionally mandated reports 
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provided to appropriate congressional committees, as ap-
propriate. 
SEC. 7. COMPLIANCE WITH THE FOREIGN AID TRANS-
PARENCY AND ACCOUNTABILITY ACT OF 
2016. 
Section 2(3) of the Foreign Aid Transparency and 
Accountability Act of 2016 (22 U.S.C. 2394c note) is 
amended— 
(1) in subparagraph (C), by striking ‘‘and’’ at 
the end; 
(2) in subparagraph (D), by striking the period 
at the end and inserting ‘‘; and’’; and 
(3) by adding at the end the following: 
‘‘(E) the Global Malnutrition Prevention 
and Treatment Act of 2021.’’. 
SEC. 8. DEFINITIONS. 
In this Act: 
(1) ADMINISTRATOR.—The term ‘‘Adminis-
trator’’ means the Administrator of the United 
States Agency for International Development. 
(2) APPROPRIATE
CONGRESSIONAL
COMMIT-
TEES.—The term ‘‘appropriate congressional com-
mittees’’ means— 
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(A) the Committee on Foreign Affairs and 
the Committee on Appropriations of the House 
of Representatives; and 
(B) the Committee on Foreign Relations 
and the Committee on Appropriations of the 
Senate. 
(3) NUTRITION
LEADERSHIP
COUNCIL.—The 
term ‘‘Nutrition Leadership Council’’ means Nutri-
tion Leadership Council established by section 4. 
(4) PRIORITY
COUNTRY.—The term ‘‘priority 
country’’ means a foreign country selected under 
section 3 for purposes of targeting programs to pre-
vent and treat malnutrition globally. 
SEC. 9. SUNSET. 
The requirements of this Act and the amendments 
made by this Act shall terminate on the date that is 7 
years after the date of the enactment of this Act. 
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Calendar No. 453 
117TH CONGRESS 
2D SESSION 
H. R. 4693 
AN ACT 
To advance targeted and evidence-based interven-
tions for the prevention and treatment of global 
malnutrition and to improve the coordination of 
such programs, and for other purposes. 
JULY 21, 2022 
Reported without amendment 
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