SEC. 7. UNITED STATES COMPLIMENTARY STRATEGIES TO 
INCREASE SUSTAINABLE, AFFORDABLE, AND 
EQUITABLE ACCESS TO SAFE WATER, SANITA-
TION, AND HYGIENE. 
Section 6 of the Senator Paul Simon Water for the 
Poor Act of 2005 (Public Law 109–121; 119 Stat. 2533; 
22 U.S.C. 2152h note) is amended to read as follows: 
‘‘SEC. 6. UNITED STATES COMPLIMENTARY STRATEGIES TO 
INCREASE SUSTAINABLE, AFFORDABLE, AND 
EQUITABLE ACCESS TO SAFE WATER, SANITA-
TION, AND HYGIENE. 
‘‘(a) GLOBAL WATER RESOURCES STRATEGY.— 
‘‘(1) IN
GENERAL.—As soon as practicable 
after the date of the enactment of the Senator Paul 
Simon Water for the World Act of 2013, and every 
5 years thereafter, the President, acting through the 
Secretary of State, shall develop a strategy to fur-
ther the United States foreign policy objective to 
provide affordable and equitable access to safe water 
and sanitation in developing countries, as described 
in section 136 of the Foreign Assistance Act of 1961 
and by the Agency’s Water and Development Strat-
egy required under subsection (b). 
‘‘(2) CONTENTS.—The strategy required under 
paragraph (1) shall— 
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‘‘(A) articulate the United States foreign 
policy framework that will drive the implemen-
tation of the United States foreign policy objec-
tives on increasing access to equitable, clean 
drinking water, sanitation, and hygiene for the 
world’s poorest, water resource management, 
transboundary water and prevention of conflict 
over water resources; and 
‘‘(B) address ways in which United States 
foreign policy efforts will promote global water 
security by building political will and partner-
ships, and support for national level planning 
processes, in conjunction with the United States 
Agency for International Development and 
other Federal agencies, and leveraging exper-
tise, knowledge, technology and resources that 
will increase the likelihood that the world’s poor 
receive or continue to have the water they need, 
when and where they need it, in a sustainable, 
equitable and conflict-free manner. 
‘‘(3) CONSULTATION.—The strategy required 
by paragraph (1) shall be developed in consultation 
with the Administrator of the United States Agency 
for International Development, the heads of other 
appropriate Federal departments and agencies, 
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international organizations, international financial 
institutions, recipient governments, United States 
and international nongovernmental organizations, in-
digenous civil society, and other appropriate entities, 
and shall be complimentary to, or ultimately joined 
with, the Agency’s Water and Development Strategy 
required under subsection (b) and subsequent revi-
sions thereto. 
‘‘(4) 
IMPLEMENTATION.—The 
Secretary 
of 
State, acting through the Under Secretary of State 
who has responsibility to oversee water programs 
and the Special Advisor for Water Resources, shall 
implement the strategy required under paragraph 
(1). The strategy may also be implemented in part 
by other Federal departments and agencies, as ap-
propriate. 
‘‘(5) CONSISTENT
WITH
SAFE
WATER
AND 
SANITATION POLICY.—The strategy required under 
paragraph (1) shall be consistent with the policy 
stated in section 3 of this Act. 
‘‘(6) CONTENT.—The strategy required under 
paragraph (1) shall include— 
‘‘(A) specific and measurable goals, bench-
marks, and timetables to achieve the objective 
described in paragraph (1); 
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‘‘(B) an assessment of the level of funding 
and other assistance for United States water 
and sanitation programs needed each by the 
United States Department of State year to 
achieve the goals, benchmarks, and timetables 
described in subparagraph (A); 
‘‘(C) methods to coordinate and integrate 
United States water, water resources and sani-
tation assistance carried out by the Department 
of State with water, sanitation, hygiene and 
water resource development programs carried 
out by the United States Agency for Inter-
national Development and other Federal agen-
cies to achieve the objective described in para-
graph (1); 
‘‘(D) methods to better coordinate United 
States water and sanitation assistance pro-
grams with programs of other donor countries 
and entities to achieve the objective described in 
paragraph (1); and 
‘‘(E) an assessment of the commitment of 
governments of countries that receive assistance 
under section 136 of the Foreign Assistance 
Act of 1961 to policies or policy reforms that 
support affordable and equitable access by the 
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people of such countries to safe water and sani-
tation. 
‘‘(b) WATER AND DEVELOPMENT STRATEGY.— 
‘‘(1) IN
GENERAL.—As soon as practicable 
after the date of the enactment of the Senator Paul 
Simon Water for the World Act of 2013, but no less 
than 5 years after such date of enactment and every 
5 years thereafter, the Administrator of the United 
States Agency for International Development, acting 
through the Global Water Coordinator and in con-
sultation with the Special Advisor for Water Re-
sources, shall develop a strategy, to be known as the 
‘Water and Development Strategy’, to further, 
through the United States Agency for International 
Development, the United States foreign assistance 
objective to provide affordable, equitable, and sus-
tainable access to safe drinking water, sanitation, 
and hygiene in developing countries, as described in 
section 136 of the Foreign Assistance Act of 1961. 
Such strategy shall be complimentary to the United 
States foreign policy objectives of the safe water and 
sanitation strategy required under subsection (a) 
and shall be transmitted to the appropriate congres-
sional committees and made publicly available on the 
Internet. 
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‘‘(2) CONTENTS.—The strategy required under 
paragraph (1) shall provide an ambitious vision for 
leadership of the international development objec-
tives of this Act and the Senator Paul Simon Water 
for the World Act of 2013 and meet the following 
requirements: 
‘‘(A) CONSISTENCY
WITH
SAFE
WATER, 
SANITATION, 
AND
HYGIENE
POLICY.—The 
strategy shall be consistent with the policy stat-
ed in section 3 of the Senator Paul Simon 
Water for the Poor Act of 2005 (Public Law 
109–121; 119 Stat. 2533; 22 U.S.C. 2152h 
note). 
‘‘(B) CRITERIA FOR DETERMINING HIGH 
PRIORITY COUNTRIES.—The strategy shall iden-
tify low-income and lower-middle income coun-
tries with a severe lack of access to affordable, 
equitable, and sustainable safe drinking water, 
sanitation and hygiene, by assessing— 
‘‘(i) the government or nongovern-
mental organizational capacity or commit-
ment to manage and implement affordable, 
equitable, and sustainable solutions, in ac-
cordance with section 6 of the Senator 
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‘‘(vii) the number and proportion of 
children under 5 years old who are under- 
nourished; 
‘‘(viii) the average time burden of 
water collection in rural areas; 
‘‘(ix) the coexistence in a single geo-
graphic area of two or more diseases cat-
egorized as a neglected tropical disease 
spread in whole or in part due to lack of 
access to safe drinking water, sanitation or 
hygiene, as defined by the Agency; and 
‘‘(x) the degree to which water, sani-
tation, and hygiene programs are identified 
as a priority by a beneficiary government, 
region, or community, as identified in na-
tional plans and strategies and the coun-
try-specific multiyear strategies as devel-
oped by the Agency mission in consultation 
with the national government and civil so-
ciety. 
‘‘(C) DESIGNATING HIGH PRIORITY COUN-
TRIES.—The strategy shall select 10 to 20 of 
the eligible countries identified through the as-
sessment required by subparagraph (B) and 
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identify such countries as ‘high priority coun-
tries’. 
‘‘(D) REQUIREMENTS FOR HIGH PRIORITY 
COUNTRIES.—Each country selected as a high 
priority country shall be the focus of the Agen-
cy’s water, sanitation, and hygiene program-
ming, and the strategy shall develop com-
prehensive and holistic individual country plans 
for each high priority country so as to meet the 
objectives of paragraph (1). Such plans shall in-
clude— 
‘‘(i) a results framework, in accord-
ance with the sustainability principles iden-
tified in section 6 of the Senator Paul 
Simon Water for the World Act of 2013, 
and monitoring and evaluation principles 
identified in section 7 of this Act, which 
shall include indicators composed of those 
criteria used in paragraph (2) to identify 
high priority countries, that shall be used 
to measure the long-term impacts and sus-
tainability of programs, including the ongo-
ing commitment of host-country institu-
tions, or lack thereof, and increased access 
to water, sanitation, and hygiene projects, 
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programs and services provided directly or 
leveraged by the United States Govern-
ment; and 
‘‘(ii) a clearly described process by 
which the strategy shall be aligned, coordi-
nated, and leveraged with United States 
development strategies, policies, and inter-
national development initiatives that oper-
ate within the high priority country, to in-
clude coordination with and reflected in the 
high 
priority 
country’s 
comprehensive 
strategy for United States Government- 
supported development assistance. 
‘‘(E) ADDITIONAL
REQUIREMENTS
FOR 
HIGH
PRIORITY
COUNTRIES.—For each high 
priority country, the Agency’s mission director 
for such country shall— 
‘‘(i) designate sustainably increasing 
access to safe drinking water and sanita-
tion as a strategic objective, reflected in 
country-specific strategies that incorporate 
sustainable water management goals and 
targets in accordance with this Act; and 
‘‘(ii) ensure, where complimentary, 
that the benefits of safe drinking water, 
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sanitation, and hygiene are reflected in 
other development initiatives. 
‘‘(3) RULE
OF
CONSTRUCTION
RELATING
TO 
INITIAL STRATEGY.—The Agency’s Water and De-
velopment Strategy, issued in May 2013, shall be 
deemed to be the initial strategy required under 
paragraph (1) and shall be updated in a timely man-
ner as required by paragraph (1). 
‘‘(4) IMPLEMENTATION PLAN.—Not later than 
90 days after the date of transmission of the initial 
strategy required under paragraph (1), the Global 
Water Coordinator shall submit to the appropriate 
congressional committees an implementation plan 
detailing how the United States Agency for Inter-
national Development will institutionalize the strat-
egy, including— 
‘‘(A) the budget resources needed to 
achieve the goals, benchmarks, and timetables 
described in this subsection, and an assessment 
of what will likely be achieved at current fund-
ing levels; and 
‘‘(B) the number, types, and levels of spe-
cialists and generalists currently employed, and 
projected to be needed, in each functional and 
geographic area, including support, manage-
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ment, and administrative functions, to carry out 
the strategy. 
‘‘(5) COLLABORATION AND COORDINATION.— 
‘‘(A) IN
GENERAL.—In developing the 
strategy required under paragraph (1)), and the 
implementation plan required under paragraph 
(4), the Global Water Coordinator shall— 
‘‘(i) consult with relevant Executive 
agencies; 
‘‘(ii) consult with the Special Advisor 
for Water Resources; 
‘‘(iii) consult with the Interagency 
Consultation and Coordination process as 
required by section 5(b) of the Paul Simon 
Water for the World Act of 2013; and 
‘‘(iv) consult with representatives of 
civil society and multi-lateral organizations 
with demonstrated experience in address-
ing the lack of access to affordable, equi-
table and sustainable safe drinking water, 
sanitation and hygiene in developing coun-
tries. 
‘‘(B) PUBLIC COMMENT.—In carrying out 
paragraph (1)(D), the Global Water Coordi-
nator shall allow public comments to be sub-
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