I 
116TH CONGRESS 
1ST SESSION H. R. 5338 
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. 
IN THE HOUSE OF REPRESENTATIVES 
DECEMBER 6, 2019 
Mr. MCCAUL (for himself and Mr. ENGEL) introduced the following bill; which 
was referred to the Committee on Foreign Affairs 
A BILL 
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. 
Be it enacted by the Senate and House of Representa-
tives of the United States of America in Congress assembled, 
SECTION 1. SHORT TITLE. 
This Act may be cited as the ‘‘Global Hope Act of 
2019’’. 
SEC. 2. FINDINGS. 
Congress finds the following: 
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(1) Cancer is a leading cause of death for chil-
dren and adolescents around the world, and approxi-
mately 300,000 children aged 0 to 19 years old are 
diagnosed with cancer each year. 
(2) The most common categories of childhood 
cancers include leukemia, brain cancer, lymphoma, 
and solid tumors, such as neuroblastoma and Wilms 
tumor. 
(3) Most childhood cancers can be cured with 
generic medicines and can be cost-effective for all in-
come levels. 
(4) In the United States, the survival rate for 
children diagnosed with cancer is over 80 percent. In 
many developing countries, the mortality rate of 
children diagnosed with cancer is around 80 percent. 
In some parts of Africa, the mortality rate reaches 
90 percent. 
(5) In September 2018, the World Health Or-
ganization announced a new effort—the Global Ini-
tiative for Childhood Cancer—with the aim of reach-
ing at least a 60-percent survival rate for children 
with cancer by 2030, thereby saving an additional 
1,000,000 lives. 
SEC. 3. SENSE OF CONGRESS. 
It is the sense of Congress as follows: 
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(1) The work of the United States on infectious 
disease remains the core tenet of United States work 
on global health. 
(2) As the United States and international 
partners continue to succeed in lowering incidences 
of infectious diseases, global mortality rates of non- 
communicable diseases will become an increasing 
burden that must be addressed. 
(3) The United States should work to support 
the goals of the World Health Organization Initia-
tive for Childhood Cancer, helping increase survival 
rates for children with cancer. 
SEC. 4. STATEMENT OF POLICY. 
The United States shall seek to— 
(1) increase political commitment for childhood 
cancer diagnosis, treatment, and care globally; 
(2) support efforts to increase the survival rate 
of children with cancer globally; 
(3) support efforts to train medical personnel 
and develop the capabilities of other existing health-
care infrastructure to diagnose, treat, and care for 
childhood cancer; 
(4) improve access to affordable and essential 
medicines and technologies that treat childhood can-
cer; 
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(5) elevate and prioritize efforts to reduce the 
mortality rate of childhood cancer in international 
organizations such as the United Nations; 
(6) pursue research and research partnerships 
with international institutions to identify low-cost 
interventions and best practices to diagnose, treat, 
and care for childhood cancer globally; and 
(7) improve partnerships with international 
health ministries and pharmaceutical companies to 
facilitate efforts for broader, global clinical trials for 
medicines to treat or care for childhood cancer. 
SEC. 5. AUTHORIZATION. 
The Secretary of State, in coordination with the 
heads of relevant Federal departments and agencies, is au-
thorized and encouraged to— 
(1) pursue public-private partnerships, other re-
search partnerships, and innovative financing mech-
anisms to address childhood cancer globally; and 
(2) coordinate with appropriate agencies of the 
United Nations and other relevant multilateral orga-
nizations to address childhood cancer globally. 
SEC. 6. REPORT. 
Not later than 1 year after the date of the enactment 
of this Act, the Secretary of State shall submit to the 
Committee on Foreign Affairs of the House of Representa-
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tives and the Committee on Foreign Relations of the Sen-
ate a report that includes the following: 
(1) An assessment of opportunities for United 
States engagement in global efforts to increase the 
worldwide survival rate of children with cancer. 
(2) An assessment of efforts taken by the 
United States to support efforts to increase the 
worldwide survival rate of children with cancer. 
(3) An assessment of existing programs funded 
by the United States that could be expanded to sup-
port efforts to increase the worldwide survival rate 
of children with cancer. 
(4) An assessment of how such increased inter-
national engagement could positively affect— 
(A) survival rates of individuals with child-
hood cancer in the United States; and 
(B) reductions in the rates of infant and 
pediatric morbidity and mortality. 
SEC. 7. COST LIMITATION. 
No additional funds are authorized to be appro-
priated to carry out the provisions of this Act. 
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SEC. 8. CHILDHOOD CANCER DEFINED. 
In this Act, the term ‘‘childhood cancer’’ means can-
cers formed or diagnosed in individuals under the age of 
20. 
Æ 
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