I 
111TH CONGRESS 
1ST SESSION H. R. 3560 
To amend the Foreign Assistance Act of 1961, to establish the Health 
Technology Program in the United States Agency for International De-
velopment to research and develop technologies to improve global health, 
and for other purposes. 
IN THE HOUSE OF REPRESENTATIVES 
SEPTEMBER 14, 2009 
Mr. SIRES (for himself, Ms. JACKSON-LEE of Texas, Mr. COHEN, Mr. 
MCDERMOTT, Mr. SMITH of Washington, and Mr. PAYNE) introduced the 
following bill; which was referred to the Committee on Foreign Affairs 
A BILL 
To amend the Foreign Assistance Act of 1961, to establish 
the Health Technology Program in the United States 
Agency for International Development to research and 
develop technologies to improve global health, 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 ‘‘21st Century Global 
Health Technology Act’’. 
SEC. 2. FINDINGS. 
Congress makes the following findings: 
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(1) The United States has committed to the 
United Nations Millennium Development Goals of— 
(A) reducing child mortality; 
(B) improving maternal health; and 
(C) combating HIV/AIDS, malaria, and 
other diseases. 
(2) The goals described in paragraph (1) can-
not be reached without health technologies and de-
vices to diagnose infectious diseases and reduce dis-
ease transmission. 
(3) The development, advancement, and intro-
duction of affordable and appropriate technologies 
are essential to efforts by the United States to re-
duce deaths among the world’s most vulnerable pop-
ulations, particularly children and women in the de-
veloping world. 
(4) A recent report by the Institute of Medicine 
on the commitment of the United States to global 
health— 
(A) recommends that United States insti-
tutions share existing knowledge to address 
prevalent health problems in low- and middle- 
income countries; 
(B) recommends continued support for 
partnerships between the public and private sec-
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tors to develop and deliver health products in 
low- and middle-income countries; and 
(C) urges the United States Government to 
continue its support for innovative research 
models to address unmet health needs in poor 
countries. 
(5) Investments by the United States in afford-
able, appropriate health technologies, such as med-
ical devices for maternal and child care, vaccine de-
livery tools, safe injection devices, diagnostic tests 
for infectious diseases, and innovative disease pre-
vention strategies— 
(A) reduce the risk of disease transmission; 
and 
(B) accelerate access to life-saving global 
health interventions for the world’s poor. 
(6) Through a cooperative agreement, known as 
the Technologies for Health program (referred to in 
this section as ‘‘HealthTech’’), USAID supports the 
development of technologies that— 
(A) maximize the limited resources avail-
able for global health; and 
(B) ensure that products and medicines 
developed for use in low-resource settings reach 
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the people that need such products and medi-
cines. 
(7) The HealthTech cooperative agreement— 
(A) facilitates public-private collaboration 
in the development of global health tech-
nologies; 
(B) leverages public sector support for 
early stage research and development of health 
technologies to encourage private sector invest-
ment in late-stage technology development and 
product introduction in developing countries; 
(C) benefits the United States economy by 
investing in the growing United States global 
health technology sector, which— 
(i) provides skilled jobs for American 
workers; and 
(ii) enhances United States competi-
tiveness in the increasingly technological 
and knowledge-based global economy; and 
(D) enhances United States national secu-
rity by— 
(i) reducing the risk of pandemic dis-
ease; and 
(ii) contributing to economic develop-
ment and stability in developing countries. 
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SEC. 3. PURPOSE. 
The purpose of this Act is to authorize a health tech-
nology development program that supports coordinated, 
long-term research and development of appropriate global 
health technologies— 
(1) to improve global health; 
(2) to reduce maternal and child mortality 
rates; and 
(3) to reverse the incidence of HIV/AIDS, ma-
laria, and other diseases. 
SEC. 4. ESTABLISHMENT OF THE HEALTH TECHNOLOGY 
PROGRAM. 
Section 107 the Foreign Assistance Act of 1961 (22 
U.S.C. 2151e) is amended by adding at the end the fol-
lowing: 
‘‘(c) HEALTH TECHNOLOGY PROGRAM.—(1) There is 
established in the United States Agency for International 
Development (referred to in this section as ‘USAID’) the 
Health Technology Program, which shall— 
‘‘(A) coordinate and lead research and develop-
ment efforts; 
‘‘(B) be funded by USAID on a competitive 
basis; and 
‘‘(C) serve as a national laboratory and tech-
nology development program for global health. 
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‘‘(2) The Health Technology Program shall develop, 
advance, and introduce affordable, available, and appro-
priate technologies specifically designed— 
‘‘(A) to improve the health and nutrition of de-
veloping country populations; 
‘‘(B) to reduce maternal and child mortality; 
and 
‘‘(C) to improve the diagnosis, prevention and 
reduction of disease, especially HIV/AIDS, malaria, 
tuberculosis, and other major diseases. 
‘‘(3) The Health Technology Program shall be lo-
cated at an institution with a successful record of— 
‘‘(A) advancing the technologies described in 
paragraph (2); and 
‘‘(B) integrating practical field experience into 
the research and development process in order to in-
troduce the most appropriate technologies. 
‘‘(4) The Administrator of USAID, in collaboration 
with the Health Technology Program, shall submit an an-
nual report to Congress and all relevant Federal agencies 
that describes— 
‘‘(A) the relevant activities of the Health Tech-
nology Program that are in the incubation phase; 
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‘‘(B) the progress made on such activities and 
on other projects carried out through the Health 
Technology Program; and 
‘‘(C) the outlook for future health technology 
efforts evaluated by the Health Technology Program 
to have significant growth potential. 
‘‘(5) There are authorized to be appropriated 
$5,000,000 for each of the fiscal years 2010 through 2014 
to carry out the Health Technology Program under this 
subsection.’’. 
Æ 
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