2181 
of the 3-year period beginning on the date of the enactment 
of this Act. 
SEC. 5549. REPORTING REQUIREMENTS. 
(a) SECRETARY OF STATE.—The Secretary of State, 
in coordination with the heads of other relevant Federal de-
partments and agencies as described in sections 5543, 5545, 
and 5546(a), shall— 
(1) not later than 180 days after the date of the 
enactment of this Act, submit to the appropriate con-
gressional committees a comprehensive strategy to ad-
dress the requirements described in sections 5543, 
5545, and 5546(a); and 
(2) not later than 2 years and 4 years after sub-
mitting the comprehensive strategy under paragraph 
(1), submit to the appropriate congressional commit-
tees a report describing the implementation of the 
strategy. 
(b) ADMINISTRATOR OF THE UNITED STATES AGENCY 
FOR INTERNATIONAL DEVELOPMENT.—The Administrator 
of the United States Agency for International Development, 
in coordination with the heads of other relevant Federal de-
partments and agencies as described in sections 5544, 
5546(b), and 5547, shall— 
(1) not later than 180 days after the date of the 
enactment of this Act, submit to appropriate congres-
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sional committees a comprehensive strategy to address 
the requirements described in sections 5544, 5546(b) 
and 5547; and 
(2) not later than 2 years and 4 years after sub-
mitting the comprehensive strategy under paragraph 
(1), submit to the appropriate congressional commit-
tees a report describing the implementation of the 
strategy. 
(c) SUBMISSION.—The strategies and reports required 
under subsections (a) and (b) may be submitted to the ap-
propriate congressional committees as joint strategies and 
reports. 
(d) APPROPRIATE CONGRESSIONAL COMMITTEES.—In 
this subtitle, the term ‘‘appropriate congressional commit-
tees’’ means the Committee on Foreign Relations of the Sen-
ate and the Committee on Foreign Affairs and the Com-
mittee on Energy and Commerce of the House of Represent-
atives. 
SEC. 5550. SUNSET. 
This subtitle shall terminate on the date that is 5 years 
after the date of the enactment of this Act. 
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Subtitle C—FENTANYL Results Act 
SEC. 5551. SHORT TITLE. 
This subtitle may be cited as the ‘‘Fighting Emerging 
Narcotics Through Additional Nations to Yield Lasting Re-
sults Act’’ or the ‘‘FENTANYL Results Act’’. 
SEC. 5552. PRIORITIZATION OF EFFORTS OF THE DEPART-
MENT OF STATE TO COMBAT INTERNATIONAL 
TRAFFICKING 
IN 
COVERED 
SYNTHETIC 
DRUGS. 
(a) IN
GENERAL.—The Secretary of State shall 
prioritize efforts of the Department of State to combat inter-
national trafficking of covered synthetic drugs by carrying 
out programs and activities to include the following: 
(1) Supporting increased data collection by the 
United States and foreign countries through increased 
drug use surveys among populations, increased use of 
wastewater testing where appropriate, and multilat-
eral sharing of that data. 
(2) Engaging in increased consultation and 
partnership with international drug agencies, includ-
ing the European Monitoring Centre for Drugs and 
Drug Addiction, regulatory agencies in foreign coun-
tries, and the United Nations Office on Drugs and 
Crime. 
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(3) Carrying out programs to provide technical 
assistance 
and 
equipment, 
as 
appropriate, 
to 
strengthen the capacity of foreign law enforcement 
agencies with respect to covered synthetic drugs, as re-
quired by section 5553. 
(4) Carrying out exchange programs for govern-
mental and nongovernmental personnel in the United 
States and in foreign countries to provide educational 
and professional development on demand reduction 
matters relating to the illicit use of covered synthetic 
drugs and other drugs, as required by section 5554. 
(b) REPORT.— 
(1) IN GENERAL.—Not later than one year after 
the date of the enactment of this Act, the Secretary of 
State shall submit to the appropriate congressional 
committees a report on the implementation of this 
section. 
(2) APPROPRIATE CONGRESSIONAL COMMITTEES 
DEFINED.—In this subsection, the term ‘‘appropriate 
congressional committees’’ means— 
(A) the Committee on Foreign Relations, the 
Committee on Appropriations, and the Com-
mittee on the Judiciary of the Senate; and 
(B) the Committee on Foreign Affairs, the 
Committee on Appropriations, and the Com-
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mittee on the Judiciary of the House of Rep-
resentatives. 
SEC. 5553. PROGRAM TO PROVIDE ASSISTANCE TO BUILD 
THE CAPACITY OF FOREIGN LAW ENFORCE-
MENT AGENCIES WITH RESPECT TO COVERED 
SYNTHETIC DRUGS. 
(a) IN GENERAL.—Notwithstanding section 660 of the 
Foreign Assistance Act of 1961 (22 U.S.C. 2420), the Sec-
retary of State shall establish a program to provide assist-
ance to strengthen the capacity of law enforcement agencies 
of the countries described in subsection (c) to help such 
agencies to identify, track, and improve their forensics de-
tection capabilities with respect to covered synthetic drugs. 
(b) PRIORITY.—The Secretary of State shall prioritize 
technical assistance, and the provision of equipment, as ap-
propriate, under subsection (a) among those countries de-
scribed in subsection (c) in which such assistance and 
equipment would have the most impact in reducing illicit 
use of covered synthetic drugs in the United States. 
(c) COUNTRIES DESCRIBED.—The foreign countries 
described in this subsection are— 
(1) countries that are producers of covered syn-
thetic drugs; 
(2) countries whose pharmaceutical and chemical 
industries are known to be exploited for development 
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or procurement of precursors of covered synthetic 
drugs; or 
(3) major drug-transit countries for covered syn-
thetic drugs as defined by the Secretary of State. 
(d) EXCEPTION.—No assistance may be provided to the 
People’s Republic of China or to any of its law enforcement 
agencies pursuant to the program authorized by this sec-
tion. 
(e) AUTHORIZATION OF APPROPRIATIONS.—There is 
authorized to be appropriated to the Secretary of State to 
carry out this section $4,000,000 for each of fiscal years 
2023 through 2027. 
SEC. 5554. EXCHANGE PROGRAM ON DEMAND REDUCTION 
MATTERS RELATING TO ILLICIT USE OF COV-
ERED SYNTHETIC DRUGS. 
(a) IN GENERAL.—The Secretary of State shall estab-
lish or continue and strengthen, as appropriate, an ex-
change program for governmental and nongovernmental 
personnel in the United States and in foreign countries to 
provide educational and professional development on de-
mand reduction matters relating to the illicit use of covered 
synthetic drugs and other drugs. 
(b) PROGRAM
REQUIREMENTS.—The program re-
quired by subsection (a)— 
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(1) shall be limited to individuals who have ex-
pertise and experience in matters described in sub-
section (a); 
(2) in the case of inbound exchanges, may be 
carried out as part of exchange programs and inter-
national visitor programs administered by the Bu-
reau of Educational and Cultural Affairs of the De-
partment of State, including the International Visitor 
Leadership Program, in coordination with the Bu-
reau of International Narcotics and Law Enforcement 
Affairs; and 
(3) shall include outbound exchanges for govern-
mental or nongovernmental personnel in the United 
States. 
(c) AUTHORIZATION OF APPROPRIATIONS.—There is 
authorized to be appropriated to the Secretary of State to 
carry out this section $1,000,000 for each of fiscal years 
2023 through 2027. 
SEC. 5555. AMENDMENTS TO INTERNATIONAL NARCOTICS 
CONTROL PROGRAM. 
(a) INTERNATIONAL NARCOTICS CONTROL STRATEGY 
REPORT.—Section 489(a) of the Foreign Assistance Act of 
1961 (22 U.S.C. 2291h(a)) is amended— 
(1) by redesignating the second paragraph (10) 
as paragraph (11); and 
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(2) by adding at the end the following: 
‘‘(12) COVERED
SYNTHETIC
DRUGS
AND
NEW 
PSYCHOACTIVE SUBSTANCES.— 
‘‘(A) COVERED SYNTHETIC DRUGS.—Infor-
mation that contains an assessment of the coun-
tries significantly involved in the manufacture, 
production, transshipment, or trafficking of cov-
ered synthetic drugs, to include the following: 
‘‘(i) The scale of legal domestic produc-
tion and any available information on the 
number of manufacturers and producers of 
such drugs in such countries. 
‘‘(ii) Information on any law enforce-
ment assessments of the scale of illegal pro-
duction of such drugs, including a descrip-
tion of the capacity of illegal laboratories to 
produce such drugs. 
‘‘(iii) The types of inputs used and a 
description of the primary methods of syn-
thesis employed by illegal producers of such 
drugs. 
‘‘(iv) An assessment of the policies of 
such countries to regulate licit manufacture 
and interdict illicit manufacture, diversion, 
distribution, shipment, and trafficking of 
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such drugs and an assessment of the effec-
tiveness of the policies’ implementation. 
‘‘(B) NEW
PSYCHOACTIVE
SUBSTANCES.— 
Information on, to the extent practicable, any 
policies of responding to new psychoactive sub-
stances, to include the following: 
‘‘(i) Which governments have articu-
lated policies on scheduling of such sub-
stances. 
‘‘(ii) Any data on impacts of such 
policies and other responses to such sub-
stances. 
‘‘(iii) An assessment of any policies the 
United States could adopt to improve its re-
sponse to new psychoactive substances. 
‘‘(C) DEFINITIONS.—In this paragraph, the 
terms 
‘covered 
synthetic 
drug’ 
and 
‘new 
psychoactive substance’ have the meaning given 
those terms in section 5558 of the FENTANYL 
Results Act.’’. 
(b) DEFINITION OF MAJOR ILLICIT DRUG PRODUCING 
COUNTRY.—Section 481(e) of the Foreign Assistance Act of 
1961 (22 U.S.C. 2291(e)) is amended— 
(1) in paragraph (2)— 
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(A) in subparagraph (C), by striking ‘‘; or’’ 
and inserting a semicolon; 
(B) in subparagraph (D), by striking the 
semicolon at the end and inserting ‘‘; or’’; and 
(C) by adding at the end the following: 
‘‘(E) that is a significant direct source of 
covered synthetic drugs or psychotropic drugs or 
other controlled substances, including precursor 
chemicals when those chemicals are used in the 
production of such drugs and substances, signifi-
cantly affecting the United States;’’; 
(2) by amending paragraph (5) to read as fol-
lows: 
‘‘(5) the term ‘major drug-transit country’ means 
a country through which are transported covered syn-
thetic drugs or psychotropic drugs or other controlled 
substances significantly affecting the United States;’’; 
(3) in paragraph (7), by striking ‘‘; and’’ and 
inserting a semicolon; 
(4) in paragraph (8), by striking the period at 
the end and inserting ‘‘; and’’; and 
(5) by adding at the end the following: 
‘‘(9) the term ‘covered synthetic drug’ has the 
meaning given that term in section 5558 of the 
FENTANYL Results Act.’’. 
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SEC. 5556. SENSE OF CONGRESS. 
It is the sense of Congress that— 
(1) the President should direct the United States 
Representative to the United Nations to use the voice, 
vote, and influence of the United States at the United 
Nations to advocate for more transparent assessments 
of countries by the International Narcotics Control 
Board; and 
(2) bilateral, plurilateral, and multilateral inter-
national cooperation is essential to combating the 
trafficking of covered synthetic drugs. 
SEC. 5557. RULE OF CONSTRUCTION. 
Nothing in this subtitle or the amendments made by 
this subtitle shall be construed to affect the prioritization 
of extradition requests. 
SEC. 5558. DEFINITIONS. 
In this subtitle: 
(1) CONTROLLED SUBSTANCE; CONTROLLED SUB-
STANCE
ANALOGUE.—The terms ‘‘controlled sub-
stance’’ and ‘‘controlled substance analogue’’ have the 
meanings given those terms in section 102 of the Con-
trolled Substances Act (21 U.S.C. 802). 
(2) COVERED SYNTHETIC DRUG.—The term ‘‘cov-
ered synthetic drug’’ means— 
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(A) a synthetic controlled substance or syn-
thetic controlled substance analogue, including 
fentanyl or a fentanyl analogue; or 
(B) a new psychoactive substance. 
(3) NEW PSYCHOACTIVE SUBSTANCE.—The term 
‘‘new psychoactive substance’’ means a substance of 
abuse, or any preparation thereof, that— 
(A) is not— 
(i) included in any schedule as a con-
trolled substance under the Controlled Sub-
stances Act (21 U.S.C. 801 et seq.); or 
(ii) controlled by the Single Conven-
tion on Narcotic Drugs, done at New York 
March 30, 1961, or the Convention on Psy-
chotropic Substances, done at Vienna Feb-
ruary 21, 1971; 
(B) is new or has reemerged on the illicit 
market; and 
(C) poses a threat to the public health and 
safety. 
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Subtitle D—International 
Pandemic Preparedness 
SEC. 5559. SHORT TITLE. 
This subtitle may be cited as the ‘‘Global Health Secu-
rity and International Pandemic Prevention, Preparedness 
and Response Act of 2022’’. 
SEC. 5560. DEFINITIONS. 
In this subtitle: 
(1) The term ‘‘appropriate congressional com-
mittees’’ means— 
(A) the Committee on Foreign Relations of 
the Senate; 
(B) the Committee on Appropriations of the 
Senate; 
(C) the Committee on Foreign Affairs of the 
House of Representatives; and 
(D) the Committee on Appropriations of the 
House of Representatives. 
(2) The terms ‘‘Global Health Security Agenda’’ 
and ‘‘GHSA’’ mean the multi-sectoral initiative 
launched in 2014, and renewed in 2018, that brings 
together countries, regions, international organiza-
tions, nongovernmental organizations, and the private 
sector— 
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(A) to elevate global health security as a na-
tional-level priority; 
(B) to share best practices; and 
(C) to facilitate national capacity to com-
ply with and adhere to— 
(i) the International Health Regula-
tions (2005); 
(ii) the international standards and 
guidelines 
established 
by 
the 
World 
Organisation for Animal Health; 
(iii) United Nations Security Council 
Resolution 1540 (2004); 
(iv) the Convention on the Prohibition 
of the Development, Production and Stock-
piling of Bacteriological and Toxin Weap-
ons and on their Destruction, done at Wash-
ington, London, and Moscow, April 10, 
1972 (commonly referred to as the ‘‘Biologi-
cal Weapons Convention’’); 
(v) the Global Health Security Agenda 
2024 Framework; and 
(vi) other relevant frameworks that 
contribute to global health security. 
(3) The term ‘‘Global Health Security Index’’ 
means 
the 
comprehensive 
assessment 
and 
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benchmarking of health security and related capabili-
ties across the countries that make up the States Par-
ties to the International Health Regulations (2005). 
(4) The term ‘‘Global Health Security Initiative’’ 
means the informal network of countries and organi-
zations that came together in 2001, to undertake con-
certed global action to strengthen public health pre-
paredness and response to chemical, biological, radio-
logical, and nuclear threats, including pandemic in-
fluenza. 
(5) The term ‘‘IHR (2005) Monitoring and 
Evaluation 
Framework’’ 
means 
the 
framework 
through which the World Health Organization and 
the State Parties to the International Health Regula-
tions, as amended in 2005, review, measure, and as-
sess core country public health capacities and ensure 
mutual accountability for global health security under 
the International Health Regulations (2005), includ-
ing through the Joint External Evaluations, simula-
tion exercises, and after-action reviews. 
(6) The term ‘‘Joint External Evaluation’’ 
means the voluntary, collaborative, multi-sectoral 
process facilitated by the World Health Organiza-
tion— 
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(A) to assess country capacity to prevent, 
detect, and rapidly respond to public health risks 
occurring naturally or due to deliberate or acci-
dental events; 
(B) to assess progress in achieving the tar-
gets under the International Health Regulations 
(2005); and 
(C) to recommend priority actions. 
(7) The term ‘‘key stakeholders’’ means actors en-
gaged in efforts to advance global health security pro-
grams and objectives, including— 
(A) national and local governments in part-
ner countries; 
(B) other bilateral donors; 
(C) international, regional, and local orga-
nizations, including private, voluntary, non-
governmental, and civil society organizations, 
including faith-based and indigenous organiza-
tions; 
(D) international, regional, and local finan-
cial institutions; 
(E) 
representatives 
of 
historically 
marginalized groups, including women, youth, 
and indigenous peoples; 
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(F) the private sector, including medical de-
vice, technology, pharmaceutical, manufacturing, 
logistics, and other relevant companies; and 
(G) public and private research and aca-
demic institutions. 
(8) The term ‘‘One Health approach’’ means the 
collaborative, multi-sectoral, and transdisciplinary 
approach toward achieving optimal health outcomes 
in a manner that recognizes the interconnection be-
tween people, animals, plants, and their shared envi-
ronment. 
(9) The term ‘‘pandemic preparedness’’ refers to 
the actions taken to establish and sustain the capacity 
and capabilities necessary to rapidly identify, pre-
vent, protect against, and respond to the emergence, 
reemergence, and spread of pathogens of pandemic po-
tential. 
(10) The term ‘‘partner country’’ means a for-
eign country in which the relevant Federal depart-
ments and agencies are implementing United States 
foreign assistance for global health security and pan-
demic prevention, preparedness, and response under 
this subtitle. 
(11) The term ‘‘relevant Federal departments 
and agencies’’ means any Federal department or 
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agency implementing United States policies and pro-
grams relevant to the advancement of United States 
global health security and diplomacy overseas, which 
may include— 
(A) the Department of State; 
(B) the United States Agency for Inter-
national Development; 
(C) the Department of Health and Human 
Services; 
(D) the Department of Defense; 
(E) the Defense Threat Reduction Agency; 
(F) the Millennium Challenge Corporation; 
(G) the Development Finance Corporation; 
(H) the Peace Corps; and 
(I) any other department or agency that the 
President determines to be relevant for these pur-
poses. 
(12) The term ‘‘resilience’’ means the ability of 
people, households, communities, systems, institutions, 
countries, and regions to reduce, mitigate, withstand, 
adapt to, and quickly recover from shocks and stresses 
in a manner that reduces chronic vulnerability to the 
emergence, reemergence, and spread of pathogens of 
pandemic potential and facilitates inclusive growth. 
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(13) The terms ‘‘respond’’ and ‘‘response’’ mean 
the actions taken to counter an infectious disease. 
(14) The term ‘‘USAID’’ means the United 
States Agency for International Development. 
SEC. 5561. ENHANCING THE UNITED STATES’ INTER-
NATIONAL RESPONSE TO PANDEMICS. 
(a) LEVERAGING UNITED STATES BILATERAL GLOBAL 
HEALTH PROGRAMS FOR INTERNATIONAL PANDEMIC RE-
SPONSE.—Subject to the notification requirements under 
section 634A of the Foreign Assistance Act of 1961 (22 
U.S.C. 2394–1), amounts authorized to be appropriated or 
otherwise made available to carry out section 104 of the 
Foreign Assistance Act (22 U.S.C. 2151b) may be used in 
countries receiving such United States foreign assistance for 
the purpose of— 
(1) strengthening vaccine readiness; 
(2) reducing vaccine hesitancy; 
(3) delivering and administering vaccines; 
(4) strengthening health systems and global sup-
ply chains as necessary for global health security and 
pandemic preparedness, prevention, and response; 
(5) supporting global health workforce planning, 
training, and management for pandemic prepared-
ness, prevention, and response; 
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(6) enhancing transparency, quality, and reli-
ability of public health data; 
(7) increasing bidirectional testing, including 
screening for symptomatic and asymptomatic cases; 
and 
(8) building laboratory capacity. 
(b) ROLES OF THE DEPARTMENT OF STATE, USAID, 
AND THE DEPARTMENT OF HEALTH AND HUMAN SERVICES 
IN INTERNATIONAL PANDEMIC RESPONSE.— 
(1) FINDING.—Congress finds that different out-
breaks of infectious disease threats may require flexi-
bility and changes to the designated roles and respon-
sibilities of relevant Federal departments and agen-
cies. 
(2) LEAD AGENCIES FOR COORDINATION OF THE 
UNITED STATES’ INTERNATIONAL RESPONSE TO IN-
FECTIOUS
DISEASE
OUTBREAKS
WITH
SEVERE
OR 
PANDEMIC POTENTIAL.—The President shall identify 
the relevant Federal departments and agencies, in-
cluding the Department of State, USAID, and the De-
partment of Health and Human Services (including 
the Centers for Disease Control and Prevention), lead-
ing specific aspects of the United States international 
operational response to outbreaks of emerging high- 
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consequence infectious disease threats in accordance 
with federal law. 
(3) NOTIFICATION.—Not later than 120 days 
after the date of the enactment of this Act, and regu-
larly thereafter as appropriate, the President shall no-
tify the appropriate congressional committees, the 
Committee on Health, Education, Labor, and Pen-
sions of the Senate, and the Committee on Energy 
and Commerce of the House of Representatives of the 
roles and responsibilities of each relevant Federal de-
partment and agency with respect to the inter-
national operational response to the outbreak of an 
emerging high-consequence infectious disease threat. 
(c) USAID DISASTER SURGE CAPACITY.— 
(1) DISASTER SURGE CAPACITY.—The Adminis-
trator of the USAID is authorized to expend funds 
made available to carry out part I and chapter 4 of 
part II of the Foreign Assistance Act of 1961 (22 
U.S.C. 2151 and 2346), including funds made avail-
able for ‘‘Assistance for Europe, Eurasia and Central 
Asia’’, in addition to amounts otherwise made avail-
able for such purposes, for the cost (including support 
costs) of individuals detailed to or employed by 
USAID whose primary responsibility is to carry out 
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programs to address global health emergencies and 
natural or manmade disasters. 
(2) NOTIFICATION.—Not later than 15 days be-
fore making funds available to address manmade dis-
asters pursuant to paragraph (1), the Secretary of 
State or the Administrator of the USAID shall notify 
the appropriate congressional committees of such in-
tended action. 
SEC. 5562. INTERNATIONAL PANDEMIC PREVENTION AND 
PREPAREDNESS. 
(a) UNITED STATES INTERNATIONAL ACTIVITIES TO 
ADVANCE GLOBAL HEALTH SECURITY
AND DIPLOMACY 
STRATEGY AND REPORT.— 
(1) IN GENERAL.—The President shall develop, 
update, maintain, and advance a comprehensive 
strategy for improving United States global health se-
curity and diplomacy for pandemic prevention, pre-
paredness, and response which, consistent with the 
purposes of this subtitle, shall— 
(A) clearly articulate United States policy 
goals related to pandemic prevention, prepared-
ness, and response, including through actions to 
strengthen diplomatic leadership and the effec-
tiveness of United States foreign policy and 
international preparedness assistance for global 
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health security through advancement of a One 
Health approach, the Global Health Security 
Agenda, the International Health Regulations 
(2005), and other relevant frameworks that con-
tribute to pandemic prevention and prepared-
ness; 
(B) establish specific and measurable goals, 
benchmarks, timetables, performance metrics, 
and monitoring and evaluation plans for United 
States foreign policy and assistance for global 
health security that promote learning and adap-
tation and reflect international best practices re-
lating to global health security, transparency, 
and accountability; 
(C) establish transparent mechanisms to 
improve coordination and avoid duplication of 
effort between and among the relevant Federal 
departments and agencies, partner countries, 
donor countries, the private sector, multilateral 
organizations, and other key stakeholders; 
(D) prioritize working with partner coun-
tries with— 
(i) demonstrated need, as identified 
through the Joint External Evaluation 
process, the Global Health Security Index 
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classification of health systems, national ac-
tion plans for health security, Global Health 
Security Agenda, other risk-based assess-
ments, and complementary or successor in-
dicators of global health security and pan-
demic preparedness; and 
(ii) 
demonstrated 
commitment 
to 
transparency, including budget and global 
health data transparency, complying with 
the 
International 
Health 
Regulations 
(2005), investing in domestic health sys-
tems, and achieving measurable results; 
(E) reduce long-term reliance upon United 
States foreign assistance for global health secu-
rity by— 
(i) ensuring that United States global 
health assistance authorized under this sub-
title is strategically planned and coordi-
nated in a manner that delivers immediate 
impact and contributes to enduring results, 
including through efforts to enhance com-
munity capacity and resilience to infectious 
disease threats and emergencies; and 
(ii) ensuring partner country owner-
ship of global health security strategies, 
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data, programs, and outcomes and im-
proved domestic resource mobilization, co-fi-
nancing, and appropriate national budget 
allocations for global health security and 
pandemic prevention, preparedness, and re-
sponse; 
(F) assist partner countries in building the 
technical capacity of relevant ministries, sys-
tems, and networks to prepare, execute, monitor, 
and evaluate national action plans for global 
health security and pandemic prevention, pre-
paredness, and response that are developed with 
input from key stakeholders, including mecha-
nism to enhance budget and global health data 
transparency, as necessary and appropriate; 
(G) support and align United States foreign 
assistance authorized under this subtitle with 
such national action plans for health security 
and pandemic prevention, preparedness, and re-
sponse, as appropriate; 
(H) facilitate communication and collabo-
ration, as appropriate, among local stakeholders 
in support of country-led strategies and initia-
tives to better identify and prevent health im-
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pacts related to the emergence, reemergence, and 
spread of zoonoses; 
(I) support the long-term success of pro-
grams by building the pandemic preparedness 
capacity of local organizations and institutions 
in target countries and communities; 
(J) develop community resilience to infec-
tious disease threats and emergencies; 
(K) support global health budget and work-
force planning in partner countries, consistent 
with the purposes of this subtitle, including 
training in financial management and budget 
and global health data transparency; 
(L) strengthen linkages between complemen-
tary bilateral and multilateral foreign assistance 
programs, including efforts of the World Bank, 
the World Health Organization, the Global Fund 
to Fight AIDS, Tuberculosis, and Malaria, and 
Gavi, the Vaccine Alliance, that contribute to the 
development of more resilient health systems and 
global supply chains for global health security 
and pandemic prevention, preparedness, and re-
sponse in partner countries with the capacity, 
resources, and personnel required to prevent, de-
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tect, and respond to infectious disease threats; 
and 
(M) support innovation and partnerships 
with the private sector, health organizations, 
civil society, nongovernmental, faith-based and 
indigenous organizations, and health research 
and academic institutions to improve pandemic 
prevention, preparedness, and response, includ-
ing for the development and deployment of effec-
tive and accessible infectious disease tracking 
tools, diagnostics, therapeutics, and vaccines. 
(2) SUBMISSION OF STRATEGY.— 
(A) IN GENERAL.—Not later than 180 days 
after the date of the enactment of this Act, the 
President, in consultation with the heads of the 
relevant Federal departments and agencies, shall 
submit the strategy required under paragraph 
(1) to— 
(i) the appropriate congressional com-
mittees; 
(ii) the Committee on Health, Edu-
cation, Labor, and Pensions of the Senate; 
and 
(iii) the Committee on Energy and 
Commerce of the House of Representatives. 
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(B) AGENCY-SPECIFIC PLANS.—The strategy 
required under paragraph (1) shall include spe-
cific implementation plans from each relevant 
Federal department and agency that describe— 
(i) the anticipated contributions of the 
Federal department or agency, including 
technical, financial, and in-kind contribu-
tions, to implement the strategy; and 
(ii) the efforts of the Federal depart-
ment or agency to ensure that the activities 
and programs carried out pursuant to the 
strategy are designed to achieve maximum 
impact and long-term sustainability. 
(3) ANNUAL REPORT.— 
(A) IN GENERAL.—Not later than 1 year 
after the submission of the strategy pursuant to 
paragraph (2)(A), and not later than October 1 
of each year thereafter, the President shall sub-
mit to the committees listed in such paragraph 
a report that describes the status of the imple-
mentation of such strategy. 
(B) CONTENTS.—Each report submitted 
pursuant to subparagraph (A) shall— 
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(i) identify any substantial changes 
made to the strategy during the preceding 
calendar year; 
(ii) describe the progress made in im-
plementing the strategy, including specific 
information related to the progress toward 
improving countries’ ability to detect, pre-
vent, and respond to infectious disease 
threats; 
(iii) identify— 
(I) the indicators used to establish 
benchmarks and measure results over 
time; and 
(II) the mechanisms for reporting 
such results in an open and trans-
parent manner; 
(iv) contain a transparent, open, and 
detailed accounting of obligations by rel-
evant Federal departments and agencies to 
implement the strategy, including, to the ex-
tent practicable, for each such Federal de-
partment and agency, the statutory source 
of obligated funds, the amounts obligated, 
implementing partners and sub-partners, 
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targeted beneficiaries, and activities sup-
ported; 
(v) the efforts of the relevant Federal 
department or agency to ensure that the ac-
tivities and programs carried out pursuant 
to the strategy are designed to achieve max-
imum impact and enduring results, includ-
ing through specific activities to strengthen 
health systems for global health security and 
pandemic prevention, preparedness, and re-
sponse, as appropriate; 
(vi) assess efforts to coordinate United 
States global health security programs, ac-
tivities, and initiatives with key stake-
holders; 
(vii) incorporate a plan for regularly 
reviewing and updating strategies, partner-
ships, and programs and sharing lessons 
learned with a wide range of stakeholders in 
an open, transparent manner; and 
(viii) describe the progress achieved 
and challenges concerning the United States 
Government’s ability to advance the Global 
Health Security Agenda and pandemic pre-
paredness, including data disaggregated by 
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priority country using indicators that are 
consistent on a year-to-year basis and rec-
ommendations to resolve, mitigate, or other-
wise 
address 
the 
challenges 
identified 
through such indicators. 
(C) FORM.—The strategy and reports re-
quired under this subsection shall be submitted 
in unclassified form, but may contain a classi-
fied annex. 
(b) UNITED
STATES
COORDINATOR
FOR
GLOBAL 
HEALTH SECURITY.—The President shall designate an ap-
propriate senior official to be the United States Coordinator 
for Global Health Security, who shall be responsible for the 
coordination of the Global Health Security Agenda Inter-
agency Review Council and who should— 
(1) have significant background and expertise in 
public health, health security, and emergency response 
management; 
(2) coordinate, through a whole-of-government 
approach, the efforts of relevant Federal departments 
and agencies to implement the strategy under sub-
section (a); and 
(3) seek to fully use the unique capabilities of 
each relevant Federal department and agency and en-
sure effective and appropriate United States represen-
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tation at relevant international forums, while collabo-
rating with and leveraging the contributions of other 
key stakeholders. 
(c) AMBASSADOR-AT-LARGE
FOR GLOBAL HEALTH 
SECURITY AND DIPLOMACY.— 
(1) 
ESTABLISHMENT.—There 
is 
established, 
within the Department of State, the position of Am-
bassador-At-Large for Global Health Security and Di-
plomacy (referred to in this section as the ‘‘Ambas-
sador-At-Large’’). 
(2) APPOINTMENT; QUALIFICATIONS.—The Am-
bassador-At-Large— 
(A) shall be appointed by the President, by 
and with the advice and consent of the Senate; 
(B) shall report to the Secretary of State; 
and 
(C) shall have— 
(i) demonstrated knowledge and experi-
ence in the field of health security, develop-
ment, public health, epidemiology, or medi-
cine; and 
(ii) relevant diplomatic, policy, and 
political expertise. 
(3) AUTHORITIES.—The Ambassador-At-Large 
may— 
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(A) operate internationally to carry out the 
purposes of this section; 
(B) ensure effective coordination, manage-
ment, and oversight of United States foreign pol-
icy, diplomatic efforts, and foreign assistance 
funded with amounts authorized to be appro-
priated pursuant to section 5564(a) that are 
used by the Department of State to advance the 
relevant elements of the United States global 
health security and diplomacy strategy developed 
pursuant to subsection (a) by— 
(i) developing and updating, as appro-
priate, in collaboration with the Adminis-
trator of the USAID and the Secretary of 
Health and Human Services, related policy 
guidance and unified auditing, monitoring, 
and evaluation plans; 
(ii) avoiding duplication of effort and 
collaborating with other relevant Federal 
departments and agencies; 
(iii) leading, in collaboration with the 
Secretary of Health and Human Services, 
the Administrator of the USAID, and other 
relevant Federal departments and agencies, 
diplomatic efforts to identify and address 
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current and emerging threats to global 
health security; 
(iv) working to enhance coordination 
with, and transparency among, the govern-
ments of partner countries and key stake-
holders, including the private sector; 
(v) promoting greater donor and na-
tional investment in partner countries to 
build health systems and supply chains for 
global health security and pandemic preven-
tion and preparedness; 
(vi) securing bilateral and multilateral 
financing commitments to advance the 
Global Health Security Agenda, in coordi-
nation with relevant Federal departments 
and agencies, including through funding for 
the Financial Intermediary Fund for Pan-
demic Prevention, Preparedness, and Re-
sponse; and 
(vii) providing regular updates to the 
appropriate congressional committees, the 
Committee on Health, Education, Labor, 
and Pensions of the Senate, and the Com-
mittee on Energy and Commerce of the 
House of Representatives regarding the ful-
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fillment of the activities described in this 
paragraph; 
(C) ensure, in collaboration with the Sec-
retary of the Treasury, the Secretary of Health 
and Human Services, and the Administrator of 
the USAID, effective representation of the United 
States in the Financial Intermediary Fund for 
Pandemic Prevention, Preparedness, and Re-
sponse; 
(D) use detailees, on a reimbursable or non-
reimbursable basis, from relevant Federal depart-
ments and agencies and hire personal service 
contractors, who may operate domestically and 
internationally, to ensure that the Ambassador- 
At-Large has access to the highest quality experts 
available to the United States Government to 
carry out the functions under this subtitle; and 
(E) perform such other functions as the Sec-
retary of State may assign. 
(d) STRENGTHENING HEALTH SYSTEMS FOR GLOBAL 
HEALTH SECURITY AND PANDEMIC PREVENTION AND PRE-
PAREDNESS.— 
(1) STATEMENT OF POLICY.—It is the policy of 
the United States to ensure that bilateral global 
health assistance programs are effectively managed 
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and coordinated, as necessary and appropriate to 
achieve the purposes of this subtitle, to contribute to 
the strengthening of health systems for global health 
security and pandemic prevention, preparedness, and 
response in each country in which such programs are 
carried out. 
(2) COORDINATION.—The Administrator of the 
USAID shall work with the Global Malaria Coordi-
nator, the Coordinator of United States Government 
Activities to Combat HIV/AIDS Globally, the Ambas-
sador-at-Large for Global Health Security and Diplo-
macy at the Department of State, and the Secretary 
of Health and Human Services, to identify areas of 
collaboration and coordination in countries with glob-
al health programs and activities undertaken by the 
USAID pursuant to the United States Leadership 
Against HIV/AIDS, Tuberculosis, and Malaria Act of 
2003 (Public Law 108–25) and other relevant provi-
sions of law, to ensure that such activities contribute 
to the strengthening of health systems for global health 
security and pandemic prevention and preparedness. 
(e) COORDINATION
FOR INTERNATIONAL PANDEMIC 
EARLY WARNING NETWORK.— 
(1) SENSE
OF
CONGRESS.—It is the sense of 
Congress that the Secretary of Health and Human 
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Services, in coordination with the Secretary of State, 
the USAID Administrator, the Director of the Centers 
for Disease Control and Prevention, and the heads of 
the other relevant Federal departments and agencies, 
should work with the World Health Organization and 
other key stakeholders to establish or strengthen effec-
tive early warning systems, at the partner country, 
regional, and international levels, that utilize innova-
tive information and analytical tools and robust re-
view processes to track, document, analyze, and fore-
cast infectious disease threats with epidemic and pan-
demic potential. 
(2) REPORT.—Not later than 1 year after the 
date of the enactment of this Act, and annually there-
after for the following 4 years, the Secretary of Health 
and Human Services, in coordination with the Sec-
retary of State and the heads of the other relevant 
Federal departments and agencies, shall submit a re-
port to the appropriate congressional committees, the 
Committee on Health, Education, Labor, and Pen-
sions of the Senate, and the Committee on Energy 
and Commerce of the House of Representatives that 
describes United States Government efforts and op-
portunities to establish or strengthen effective early 
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warning systems to detect infectious disease threats 
internationally. 
(f) INTERNATIONAL EMERGENCY OPERATIONS.— 
(1) SENSE
OF
CONGRESS.—It is the sense of 
Congress that it is essential to enhance the capacity 
of key stakeholders to effectively operationalize early 
warning and execute multi-sectoral emergency oper-
ations during an infectious disease outbreak, particu-
larly in countries and areas that deliberately with-
hold critical global health data and delay access dur-
ing an infectious disease outbreak, in advance of the 
next infectious disease outbreak with pandemic poten-
tial. 
(2) PUBLIC HEALTH EMERGENCIES OF INTER-
NATIONAL CONCERN.—The Secretary of Health and 
Human Services, in coordination with the Secretary 
of State, should work with the World Health Organi-
zation and like-minded member states to adopt an 
approach toward assessing infectious disease threats 
under the International Health Regulations (2005) 
for the World Health Organization to identify and 
transparently communicate, on an ongoing basis, 
varying levels of risk leading up to a declaration by 
the Director General of the World Health Organiza-
tion of a Public Health Emergency of International 
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NODE
2219 
Concern for the duration and in the aftermath of such 
declaration. 
(3) EMERGENCY OPERATIONS.—The Secretary of 
Health and Human Services, in coordination with 
the Secretary of State, the Administrator of the 
USAID, the Director of the Centers for Disease Con-
trol and Prevention, and the heads of other relevant 
Federal departments and agencies and consistent with 
the requirements under the International Health Reg-
ulations (2005) and the objectives of the World Health 
Organization’s Health Emergencies Programme, the 
Global Health Security Agenda, and national actions 
plans for health security, should work, in cooperation 
with the World Health Organization, with partner 
countries, and other key stakeholders, to support the 
establishment, strengthening, and rapid response ca-
pacity of global health emergency operations centers, 
at the partner country and international levels, in-
cluding efforts— 
(A) to collect and share de-identified public 
health data, assess risk, and operationalize early 
warning; 
(B) to secure, including through utilization 
of stand-by arrangements and emergency fund-
ing mechanisms, the staff, systems, and resources 
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necessary to execute cross-sectoral emergency op-
erations during the 48-hour period immediately 
following an infectious disease outbreak with 
pandemic potential; and 
(C) to organize and conduct emergency sim-
ulations. 
SEC. 5563. FINANCIAL INTERMEDIARY FUND FOR PAN-
DEMIC PREVENTION, PREPAREDNESS, AND 
RESPONSE. 
(a) IN GENERAL.— 
(1) FINDING.—Congress finds that the Financial 
Intermediary Fund for Pandemic Prevention, Pre-
paredness, and Response (referred to in this section as 
the ‘‘Fund’’) was established in September 2022 by 
donor countries, relevant United Nations agencies, in-
cluding the World Health Organization, and other 
key multilateral stakeholders as a multilateral, cata-
lytic financing mechanism for pandemic prevention 
and preparedness. 
(2) OBJECTIVES.—The objectives of the Fund 
are— 
(A) closing critical gaps in pandemic pre-
vention and preparedness; and 
(B) working with, and building the capac-
ity of, eligible partner countries in the areas of 
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global health security, infectious disease control, 
and pandemic prevention and preparedness in 
order to— 
(i) prioritize capacity building and fi-
nancing availability in eligible partner 
countries; 
(ii) incentivize countries to prioritize 
the use of domestic resources for global 
health security and pandemic prevention 
and preparedness; 
(iii) leverage governmental, nongovern-
mental, and private sector investments; 
(iv) regularly respond to and evaluate 
progress based on clear metrics and bench-
marks, such as those developed through the 
IHR (2005) Monitoring and Evaluation 
Framework and the Global Health Security 
Index; 
(v) align with and complement ongo-
ing bilateral and multilateral efforts and fi-
nancing, including through the World 
Bank, the World Health Organization, the 
Global Fund to Fight AIDS, Tuberculosis, 
and Malaria, the Coalition for Epidemic 
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Preparedness and Innovation, and Gavi, the 
Vaccine Alliance; and 
(vi) help countries accelerate and 
achieve compliance with the International 
Health Regulations (2005) and fulfill the 
Global 
Health 
Security 
Agenda 
2024 
Framework not later than 8 years after the 
date on which the Fund is established, in 
coordination with the ongoing Joint Exter-
nal Evaluation national action planning 
process. 
(3) GOVERNING BOARD.— 
(A) IN GENERAL.—The Fund should be gov-
erned by a transparent, representative, and ac-
countable body (referred to in this section as the 
‘‘Governing Board’’), which should— 
(i) function as a partnership with, and 
through full engagement by, donor govern-
ments, eligible partner countries, and inde-
pendent civil society; and 
(ii) be composed of not more than 25 
representatives of governments, foundations, 
academic institutions, independent civil so-
ciety, indigenous people, vulnerable commu-
nities, frontline health workers, and the pri-
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vate sector with demonstrated commitment 
to carrying out the purposes of the Fund 
and upholding transparency and account-
ability requirements. 
(B) 
DUTIES.—The 
Governing 
Board 
should— 
(i) be charged with approving strate-
gies, operations, and grant making authori-
ties such that it is able to conduct effective 
fiduciary, monitoring, and evaluation ef-
forts, and other oversight functions; 
(ii) determine operational procedures 
to enable the Fund to effectively fulfill its 
mission; 
(iii) provide oversight and account-
ability for the Fund in collaboration with a 
qualified and independent Inspector Gen-
eral; 
(iv) develop and utilize a mechanism 
to obtain formal input from eligible partner 
countries, independent civil society, and im-
plementing entities relative to program de-
sign, review, and implementation and asso-
ciated lessons learned; and 
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(v) coordinate and align with other 
multilateral financing and technical assist-
ance activities, and with the activities of the 
United States and other nations leading 
pandemic prevention, preparedness, and re-
sponse activities in partner countries, as 
appropriate. 
(C) COMPOSITION.—The Governing Board 
should include— 
(i) representatives of the governments 
of founding member countries who, in addi-
tion to meeting the requirements under sub-
paragraph (A), qualify based upon— 
(I) meeting an established initial 
contribution threshold, which should be 
not less than 10 percent of the coun-
try’s total initial contributions; and 
(II) demonstrating a commitment 
to supporting the International Health 
Regulations (2005); 
(ii) a geographically diverse group of 
members from donor countries, academic in-
stitutions, independent civil society, includ-
ing faith-based and indigenous organiza-
tions, and the private sector who are se-
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lected on the basis of their experience and 
commitment to innovation, best practices, 
and the advancement of global health secu-
rity objectives; and 
(iii) representatives of the World 
Health Organization, to serve in an ob-
server status. 
(D) CONTRIBUTIONS.—Each government or 
private sector foundation or for-profit entity rep-
resented on the Governing Board should agree to 
make annual contributions to the Fund in an 
amount that is not less than the minimum 
amount determined by the Governing Board. 
(E) 
QUALIFICATIONS.—Individuals 
ap-
pointed to the Governing Board should have 
demonstrated knowledge and experience across a 
variety of sectors, including human and animal 
health, agriculture, development, defense, finance, 
research, and academia. 
(F) CONFLICTS
OF
INTEREST.—All Gov-
erning Board members should be required to 
recuse themselves from matters presenting con-
flicts of interest, including financing decisions 
relating to such countries, bodies, and institu-
tions. 
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(G) REMOVAL
PROCEDURES.—The Fund 
should establish procedures for the removal of 
members of the Governing Board who— 
(i) engage in a consistent pattern of 
human rights abuses; 
(ii) fail to uphold global health data 
transparency requirements; or 
(iii) otherwise violate the established 
standards of the Fund, including in rela-
tion to corruption. 
(b) AUTHORITY
FOR UNITED STATES PARTICIPA-
TION.— 
(1) FOUNDING MEMBER.—The United States is 
authorized to participate in the Fund and shall be 
represented on the Governing Board by an officer or 
employee of the United States Government who has 
been appointed by the President (referred in this sec-
tion as the ‘‘FIF Representative’’). 
(2) EFFECTIVE DATE; TERMINATION DATE.— 
(A) EFFECTIVE
DATE.—This subsection 
shall take effect on the date on which the Sec-
retary of State submits to Congress a certified 
copy of the agreement establishing the Fund. 
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(B) TERMINATION DATE.—The membership 
authorized under paragraph (1) shall terminate 
on the date on which the Fund is terminated. 
(3) ENFORCEABILITY.—Any agreement concluded 
under the authorities provided under this subsection 
shall be legally effective and binding upon the United 
States, in accordance with the terms of the agree-
ment— 
(A) upon the enactment of appropriate im-
plementing legislation that provides for the ap-
proval of the specific agreement or agreements, 
including attachments, annexes, and supporting 
documentation, as appropriate; or 
(B) if concluded and submitted as a treaty, 
upon the approval by the Senate of the resolution 
of ratification of such treaty. 
(c) IMPLEMENTATION OF PROGRAM OBJECTIVES.—In 
carrying out the objectives described in subsection (a)(2), 
the Fund should work to eliminate duplication and waste 
by upholding strict transparency and accountability stand-
ards and coordinating its programs and activities with key 
partners working to advance pandemic prevention and pre-
paredness. 
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(d) PRIORITY COUNTRIES.—In providing assistance 
under this section, the Fund should give priority to low- 
and lower middle-income countries with— 
(1) low scores on the Global Health Security 
Index classification of health systems; 
(2) measurable gaps in global health security 
and pandemic prevention and preparedness identified 
under the IHR (2005) Monitoring and Evaluation 
Framework and national action plans for health secu-
rity; 
(3) demonstrated political and financial commit-
ment to pandemic prevention and preparedness; and 
(4) demonstrated commitment to— 
(A) upholding global health budget and data 
transparency and accountability standards; 
(B) complying with the International 
Health Regulations (2005); 
(C) investing in domestic health systems; 
and 
(D) achieving measurable results. 
(e) ACCOUNTABILITY; CONFLICTS OF INTEREST; CRI-
TERIA FOR PROGRAMS.—The FIF Representative shall— 
(1) take such actions as may be necessary to en-
sure that the Fund will have in effect adequate proce-
dures and standards to account for and monitor the 
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use of funds contributed to the Fund, including the 
cost of administering the Fund, by— 
(A) engaging Fund stakeholders; and 
(B) actively promoting transparency and 
accountability of Fund governance and oper-
ations; 
(2) seek to ensure there is agreement to put in 
place a conflict of interest policy to ensure fairness 
and a high standard of ethical conduct in the Fund’s 
decision-making processes, including proactive proce-
dures to screen staff for conflicts of interest and meas-
ures to address any conflicts, such as— 
(A) potential divestments of interests; 
(B) prohibition from engaging in certain 
activities; 
(C) recusal from certain decision-making 
and administrative processes; and 
(D) representation by an alternate board 
member; and 
(3) seek agreement on the criteria that should be 
used to determine the programs and activities that 
should be assisted by the Fund. 
(f) SELECTION OF PARTNER COUNTRIES, PROJECTS, 
AND RECIPIENTS.—The Governing Board should estab-
lish— 
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(1) eligible partner country selection criteria, in-
cluding transparent metrics to measure and assess 
global health security and pandemic prevention and 
preparedness strengths and vulnerabilities in coun-
tries seeking assistance; 
(2) minimum standards for ensuring eligible 
partner country ownership and commitment to long- 
term results, including requirements for domestic 
budgeting, resource mobilization, and co-investment; 
(3) criteria for the selection of projects to receive 
support from the Fund; 
(4) standards and criteria regarding qualifica-
tions of recipients of such support; and 
(5) such rules and procedures as may be nec-
essary— 
(A) for cost-effective management of the 
Fund; and 
(B) to ensure transparency and account-
ability in the grant-making process. 
(g) ADDITIONAL TRANSPARENCY AND ACCOUNTABILITY 
REQUIREMENTS.— 
(1) INSPECTOR GENERAL.—The FIF Representa-
tive shall seek to ensure that the Fund maintains an 
independent Office of the Inspector General that— 
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(A) is fully enabled to operate independ-
ently and transparently; 
(B) is supported by and with the requisite 
resources and capacity to regularly conduct and 
publish, on a publicly accessible website, rigorous 
financial, programmatic, and reporting audits 
and investigations of the Fund and its grantees, 
including subgrantees; and 
(C) establishes an investigative unit that— 
(i) develops an oversight mechanism to 
ensure that grant funds are not diverted to 
illicit or corrupt purposes or activities; and 
(ii) submits an annual report to the 
Governing Board describing its activities, 
investigations, and results. 
(2) SENSE OF CONGRESS ON CORRUPTION.—It is 
the sense of Congress that— 
(A) corruption within global health pro-
grams contribute directly to the loss of human 
life and cannot be tolerated; and 
(B) in making financial recoveries relating 
to a corrupt act or criminal conduct committed 
by a grant recipient, as determined by the In-
spector General described in paragraph (1), the 
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responsible grant recipient should be assessed at 
a recovery rate of up to 150 percent of such loss. 
(3) 
ADMINISTRATIVE
EXPENSES; 
FINANCIAL 
TRACKING SYSTEMS.—The FIF Representative shall 
seek to ensure that the Fund establishes, maintains, 
and makes publicly available a system to track— 
(A) the administrative and management 
costs of the Fund on a quarterly basis; and 
(B) the amount of funds disbursed to each 
grant recipient and subrecipient during each 
grant’s fiscal cycle. 
(4) EXEMPTION FROM DUTIES AND TAXES.—The 
FIF Representative should seek to ensure that the 
Fund adopts rules that condition grants upon agree-
ment by the relevant national authorities in an eligi-
ble partner country to exempt from duties and taxes 
all products financed by such grants, including pro-
curements by any principal or subrecipient for the 
purpose of carrying out such grants. 
(h) REPORTS TO CONGRESS.— 
(1) ANNUAL REPORT.— 
(A) IN GENERAL.—Not later than 180 days 
after the date of the enactment of this Act, and 
annually thereafter for the duration of the Fund, 
the Secretary of State, in collaboration with the 
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Administrator of the USAID and the heads of 
other relevant Federal departments and agencies, 
shall submit a report on the activities of the 
Fund to the appropriate congressional commit-
tees. 
(B) REPORT ELEMENTS.—Each report re-
quired under subparagraph (A) shall describe— 
(i) the goals of the Fund; 
(ii) the programs, projects, and activi-
ties supported by the Fund; 
(iii) private and governmental con-
tributions to the Fund; and 
(iv) the criteria utilized to determine 
the programs and activities that should be 
assisted by the Fund, including baselines, 
targets, desired outcomes, measurable goals, 
and extent to which those goals are being 
achieved. 
(2) GAO REPORT ON EFFECTIVENESS.—Not later 
than 2 years after the date on which the Fund is es-
tablished, the Comptroller General of the United 
States shall submit a report to the appropriate con-
gressional committees that evaluates the effectiveness 
of the Fund, including— 
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(A) the effectiveness of the programs, 
projects, and activities supported by the Fund; 
and 
(B) an assessment of the merits of continued 
United States participation in the Fund. 
(i) UNITED STATES CONTRIBUTIONS.— 
(1) IN GENERAL.—Subject to paragraph (4)(C), 
the President may provide contributions to the Fund. 
(2) NOTIFICATION.—The Secretary of State, the 
Administrator of the USAID, or the head of any other 
relevant Federal department or agency shall submit a 
notification to the appropriate congressional commit-
tees not later than 15 days before making a contribu-
tion to the Fund that identifies— 
(A) the amount of the proposed contribu-
tion; 
(B) the total of funds contributed by other 
donors; and 
(C) the national interests served by United 
States participation in the Fund. 
(3) LIMITATION.—During the 5-year period be-
ginning on the date of the enactment of this Act, the 
cumulative total of United States contributions to the 
Fund may not exceed 33 percent of the total contribu-
tions to the Fund from all sources. 
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(4) WITHHOLDINGS.— 
(A) SUPPORT FOR ACTS OF INTERNATIONAL 
TERRORISM.—If the Secretary of State deter-
mines that the Fund has provided assistance to 
a country, the government of which the Secretary 
of State has determined, for purposes of section 
620A of the Foreign Assistance Act of 1961 (22 
U.S.C. 2371) has repeatedly provided support for 
acts of international terrorism, the United States 
shall withhold from its contribution to the Fund 
for the next fiscal year an amount equal to the 
amount expended by the Fund to the government 
of such country. 
(B) EXCESSIVE SALARIES.—If the Secretary 
of State determines that the salary during any 
of the first 5 fiscal years beginning after the date 
of the enactment of this Act of any individual 
employed by the Fund exceeds the salary of the 
Vice President of the United States for such fis-
cal year, the United States should withhold from 
its contribution for the following fiscal year an 
amount equal to the aggregate difference between 
the 2 salaries. 
(C) ACCOUNTABILITY
CERTIFICATION
RE-
QUIREMENT.—The Secretary of State may with-
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2236 
hold not more than 20 percent of planned United 
States contributions to the Fund until the Sec-
retary certifies to the appropriate congressional 
committees that the Fund has established proce-
dures to provide access by the Office of Inspector 
General of the Department of State, as cognizant 
Inspector General, the Inspector General of the 
Department of Health and Human Services, the 
USAID Inspector General, and the Comptroller 
General of the United States to the Fund’s finan-
cial data and other information relevant to 
United States contributions to the Fund (as de-
termined by the Inspector General of the Depart-
ment of State, in consultation with the Secretary 
of State). 
SEC. 5564. GENERAL PROVISIONS. 
(a) AUTHORIZATION OF APPROPRIATIONS.— 
(1) IN GENERAL.—There is authorized to be ap-
propriated $5,000,000,000 for the 5-year period be-
ginning on October 1, 2022 to carry out the purposes 
of sections 5562 and 5563, which may be in addition 
to amounts otherwise made available for such pur-
poses, in consultation with the appropriate congres-
sional committees and subject to the requirements 
under chapters 1 and 10 of part I and section 634A 
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NODE
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of the Foreign Assistance Act of 1961 (22 U.S.C. 2151 
et seq.). 
(2) EXCEPTION.—Section 110 of the Trafficking 
Victims Protection Act of 2000 (22 U.S.C. 7107) shall 
not apply with respect to assistance made available 
under this subtitle. 
(b) 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 (Public Law 114–191; 22 U.S.C. 2394c note) 
is amended— 
(1) in subparagraph (D), by striking ‘‘and’’ at 
the end; 
(2) in subparagraph (E), by striking the period 
at the end and inserting ‘‘; and’’; and 
(3) by adding at the end the following: 
‘‘(F) the Global Health Security and Inter-
national Pandemic Prevention, Preparedness 
and Response Act of 2022.’’. 
SEC. 5565. SUNSET. 
This subtitle shall cease to be effective on September 
30, 2027. 
SEC. 5566. RULE OF CONSTRUCTION. 
Nothing in this subtitle may be construed to impair 
or otherwise affect the authorities granted to the Adminis-
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trator of the USAID, the Secretary of Health and Human 
Services, or the head of any other Federal department or 
agency under any applicable law. 
Subtitle E—Burma Act of 2022 
SEC. 5567. SHORT TITLE. 
This subtitle may be cited as the ‘‘Burma Unified 
through Rigorous Military Accountability Act of 2022’’ or 
the ‘‘BURMA Act of 2022’’. 
SEC. 5568. DEFINITIONS. 
In this subtitle: 
(1) BURMESE
MILITARY.—The term ‘‘Burmese 
military’’— 
(A) means the Armed Forces of Burma, in-
cluding the army, navy, and air force; and 
(B) includes security services under the con-
trol of the Armed Forces of Burma, such as the 
police and border guards. 
(2) EXECUTIVE ORDER 14014.—The term ‘‘Execu-
tive Order 14014’’ means Executive Order 14014 (86 
Fed. Reg. 9429; relating to blocking property with re-
spect to the situation in Burma). 
(3) GENOCIDE.—The term ‘‘genocide’’ means any 
offense described in section 1091(a) of title 18, United 
States Code. 
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(4) WAR CRIME.—The term ‘‘war crime’’ has the 
meaning given the term in section 2441(c) of title 18, 
United States Code. 
PART 1—MATTERS RELATING TO THE CONFLICT 
IN BURMA 
SEC. 5569. STATEMENT OF POLICY. 
It is the policy of the United States to— 
(1) continue to support the people of Burma in 
their struggle for democracy, human rights, and jus-
tice; 
(2) support the efforts of the National Unity 
Government (NUG), the National Unity Consultative 
Council 
(NUCC), 
the 
Committee 
Representing 
Pyidaungsu Hluttaw (CRPH), the Burmese Civil 
Disobedience Movement, and other entities in Burma 
and in other countries to oppose the Burmese mili-
tary and bring about an end to the military junta’s 
rule; 
(3) support a credible process for the restoration 
of civilian government in Burma, with a reformed 
Burmese military under civilian control and the en-
actment of constitutional, political, and economic re-
form that protects the rights of minority groups and 
furthers a federalist form of government; 
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2240 
(4) hold accountable perpetrators of human 
rights violations committed against ethnic groups in 
Burma and the people of Burma, including through 
the February 2022 coup d’etat; 
(5) hold accountable the Russian Federation and 
the People’s Republic of China for their support of the 
Burmese military; 
(6) continue to provide humanitarian assistance 
to populations impacted by violence perpetrated by 
the Burmese military wherever they may reside, and 
coordinate efforts among like-minded governments 
and other international donors to maximize the effec-
tiveness of assistance and support for the people of 
Burma; 
(7) secure the unconditional release of all unlaw-
fully detained individuals in Burma, including those 
detained for the exercise of their fundamental free-
doms; and 
(8) provide humanitarian assistance to the peo-
ple of Burma in Burma, Bangladesh, Thailand, and 
the surrounding region without going through the 
Burmese military. 
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PART 2—SANCTIONS AND POLICY 
COORDINATION WITH RESPECT TO BURMA 
SEC. 5570. DEFINITIONS. 
In this part: 
(1) ADMITTED; ALIEN.—The terms ‘‘admitted’’ 
and ‘‘alien’’ have the meanings given those terms in 
section 101 of the Immigration and Nationality Act 
(8 U.S.C. 1101). 
(2) 
APPROPRIATE
CONGRESSIONAL
COMMIT-
TEES.—The term ‘‘appropriate congressional commit-
tees’’ means— 
(A) the Committee on Foreign Relations 
and the Committee on Banking, Housing, and 
Urban Affairs of the Senate; and 
(B) the Committee on Foreign Affairs and 
the Committee on Financial Services of the 
House of Representatives. 
(3) 
CORRESPONDENT
ACCOUNT; 
PAYABLE- 
THROUGH ACCOUNT.—The terms ‘‘correspondent ac-
count’’ and ‘‘payable-through account’’ have the 
meanings given those terms in section 5318A of title 
31, United States Code. 
(4) FOREIGN FINANCIAL INSTITUTION.—The term 
‘‘foreign financial institution’’ has the meaning of 
that term as determined by the Secretary of the 
Treasury by regulation. 
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2242 
(5) FOREIGN PERSON.—The term ‘‘foreign per-
son’’ means a person that is not a United States per-
son. 
(6) KNOWINGLY.—The term ‘‘knowingly’’, with 
respect to conduct, a circumstance, or a result, means 
that a person has actual knowledge, or should have 
known, of the conduct, the circumstance, or the result. 
(7) PERSON.—The term ‘‘person’’ means an in-
dividual or entity. 
(8) SUPPORT.—The term ‘‘support’’, with respect 
to the Burmese military, means to knowingly have 
materially assisted, sponsored, or provided financial, 
material, or technological support for, or goods or 
services to or in support of the Burmese military. 
(9) UNITED STATES PERSON.—The term ‘‘United 
States person’’ means— 
(A) a United States citizen or an alien law-
fully admitted to the United States for perma-
nent residence; 
(B) an entity organized under the laws of 
the United States or any jurisdiction within the 
United States, including a foreign branch of 
such an entity; or 
(C) any person in the United States. 
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SEC. 5571. IMPOSITION OF SANCTIONS WITH RESPECT TO 
HUMAN RIGHTS ABUSES AND PERPETRATION 
OF A COUP IN BURMA. 
(a) MANDATORY SANCTIONS.—Not later than 180 days 
after the date of the enactment of this Act, the President 
shall impose the sanctions described in subsection (d) with 
respect to any foreign person that the President deter-
mines— 
(1) is a senior official of— 
(A) the Burmese military or security forces 
of Burma; 
(B) the State Administration Council, the 
military-appointed cabinet at the level of Deputy 
Minister or higher, or a military-appointed min-
ister of a Burmese state or region; or 
(C) an entity that primarily operates in the 
defense sector of the Burmese economy; or 
(2) is a Burmese state-owned commercial enter-
prise (other than an entity described in subsections 
(c)(1) and (c)(2)) that— 
(A) is operating in the industrial or extrac-
tive sectors; and 
(B) significantly financially benefits the 
Burmese military. 
(b) ADDITIONAL MEASURE RELATING TO FACILITA-
TION OF TRANSACTIONS.—The Secretary of the Treasury 
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2244 
may, in consultation with the Secretary of State, prohibit 
or impose strict conditions on the opening or maintaining 
in the United States of a correspondent account or payable- 
through account by a foreign financial institution that the 
President determines has, on or after the date of the enact-
ment of this Act, knowingly conducted or facilitated a sig-
nificant transaction or transactions on behalf of a foreign 
person subject to sanctions under this section imposed pur-
suant to subsection (a). 
(c) ADDITIONAL SANCTIONS.—The President may im-
pose the sanctions described in subsection (d) with respect 
to— 
(1) the Myanma Oil and Gas Enterprise; 
(2) any Burmese state-owned enterprise that— 
(A) is not operating in the industrial or ex-
tractive sectors; and 
(B) significantly financially benefits the 
Burmese military; 
(3) a spouse or adult child of any person de-
scribed in subsection (a)(1); 
(4) any foreign person that, leading up to, dur-
ing, and since the February 1, 2021, coup d’etat in 
Burma, is responsible for or has directly and know-
ingly engaged in— 
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2245 
(A) actions or policies that significantly un-
dermine democratic processes or institutions in 
Burma; 
(B) actions or policies that significantly 
threaten the peace, security, or stability of 
Burma; 
(C) actions or policies by a Burmese person 
that— 
(i) significantly prohibit, limit, or pe-
nalize the exercise of freedom of expression 
or assembly by people in Burma; or 
(ii) limit access to print, online, or 
broadcast media in Burma; or 
(D) the orchestration of arbitrary detention 
or torture in Burma or other serious human 
rights abuses in Burma; or 
(5) any Burmese entity that provides materiel to 
the Burmese military. 
(d) SANCTIONS DESCRIBED.—The sanctions described 
in this subsection are the following: 
(1) PROPERTY BLOCKING.—The President may 
exercise all powers granted to the President by the 
International Emergency Economic Powers Act (50 
U.S.C. 1701 et seq.) to the extent necessary to block 
and prohibit all transactions in all property and in-
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2246 
terests in property of the foreign person if such prop-
erty and interests in property are in the United 
States, come within the United States, or are or come 
within the possession or control of a United States 
person. 
(2) FOREIGN EXCHANGE.—The President may, 
pursuant to such regulations as the President may 
prescribe, prohibit any transactions in foreign ex-
change that are subject to the jurisdiction of the 
United States and in which the foreign person has 
any interest. 
(3) VISAS, ADMISSION, OR PAROLE.— 
(A) IN
GENERAL.—An alien who is de-
scribed in subsection (a) or (c) is— 
(i) inadmissible to the United States; 
(ii) ineligible for a visa or other docu-
mentation to enter the United States; and 
(iii) otherwise ineligible to be admitted 
or paroled into the United States or to re-
ceive any other benefit under the Immigra-
tion and Nationality Act (8 U.S.C. 1101 et 
seq.). 
(B) CURRENT VISAS REVOKED.— 
(i) IN GENERAL.—The issuing consular 
officer, the Secretary of State, or the Sec-
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2247 
retary of Homeland Security (or a designee 
of one of such Secretaries) shall, in accord-
ance with section 221(i) of the Immigration 
and Nationality Act (8 U.S.C. 1201(i)), re-
voke any visa or other entry documentation 
issued to an alien described in subpara-
graph (A) regardless of when the visa or 
other entry documentation is issued. 
(ii) EFFECT OF REVOCATION.—A rev-
ocation under clause (i)— 
(I) shall take effect immediately; 
and 
(II) shall automatically cancel 
any other valid visa or entry docu-
mentation that is in the alien’s posses-
sion. 
(e) ASSESSMENT AND REPORT ON SANCTIONS WITH 
RESPECT TO BURMESE STATE-OWNED ENTERPRISE OPER-
ATING IN THE ENERGY SECTOR.— 
(1) IN GENERAL.—Not later than 180 days after 
the date of the enactment of this Act, the President 
shall conduct an assessment with respect to the Bur-
mese state-owned enterprise described in subsection 
(c)(1), including relevant factors pertaining to the 
possible application of sanctions on such enterprise. 
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2248 
(2) REPORT REQUIRED.—Upon making the de-
termination required by paragraph (1), the President 
shall submit to the appropriate congressional commit-
tees a report on the assessment. 
(3) FORM OF REPORT.—The report required by 
paragraph (2) shall be submitted in unclassified form 
but may include a classified annex. 
(f) EXCEPTIONS.— 
(1) EXCEPTION
FOR
INTELLIGENCE, LAW
EN-
FORCEMENT, AND NATIONAL SECURITY ACTIVITIES.— 
Sanctions under this section shall not apply to any 
authorized intelligence, law enforcement, or national 
security activities of the United States. 
(2) 
EXCEPTION
TO
COMPLY
WITH
INTER-
NATIONAL OBLIGATIONS.—Sanctions under subsection 
(d)(3) shall not apply with respect to the admission 
of an alien if admitting or paroling the alien into the 
United States is necessary to permit the United 
States to comply with the Agreement regarding the 
Headquarters of the United Nations, signed at Lake 
Success June 26, 1947, and entered into force Novem-
ber 21, 1947, between the United Nations and the 
United States, or other applicable international obli-
gations. 
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2249 
(3) EXCEPTION RELATING TO THE PROVISION OF 
HUMANITARIAN
ASSISTANCE.—Sanctions under this 
section may not be imposed with respect to trans-
actions or the facilitation of transactions for— 
(A) the sale of agricultural commodities, 
food, medicine, or medical devices to Burma; 
(B) the provision of humanitarian assist-
ance to the people of Burma; 
(C) financial transactions relating to hu-
manitarian assistance or for humanitarian pur-
poses in Burma; or 
(D) transporting goods or services that are 
necessary to carry out operations relating to hu-
manitarian assistance or humanitarian purposes 
in Burma. 
(4) EXCEPTION
RELATING
TO
WIND-DOWN
OF 
PROJECTS.—Sanctions under this section shall not be 
imposed with respect to transactions or the facilita-
tion of transactions related to the disposition of in-
vestments pursuant to— 
(A) agreements entered into between United 
States persons and the Government of Burma 
prior to May 21, 1997; 
(B) the exercise of rights pursuant to such 
agreements; or 
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2250 
(C) transactions related to the subsequent 
operation of the assets encompassed by such dis-
posed investments. 
(g) WAIVER.—The President may, on a case-by-case 
basis waive the application of sanctions or restrictions im-
posed with respect to a foreign person under this section 
if the President certifies to the appropriate congressional 
committees at the time such waiver is to take effect that 
the waiver is in the national interest of the United States. 
(h) IMPLEMENTATION; PENALTIES.— 
(1) IMPLEMENTATION.—The President may exer-
cise all authorities provided to the President under 
sections 203 and 205 of the International Emergency 
Economic Powers Act (50 U.S.C. 1702 and 1704) to 
carry out this section. 
(2) PENALTIES.—The penalties provided for in 
subsections (b) and (c) of section 206 of the Inter-
national Emergency Economic Powers Act (50 U.S.C. 
1705) shall apply to a person that violates, attempts 
to violate, conspires to violate, or causes a violation 
of this section or any regulations promulgated under 
this section to the same extent that such penalties 
apply to a person that commits an unlawful act de-
scribed in section 206(a) of that Act. 
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2251 
(i) REPORT.—Not later than 90 days after the date 
of the enactment of this Act and annually thereafter for 8 
years, the Secretary of State, in consultation with the Sec-
retary of the Treasury, shall submit to the appropriate con-
gressional committees a classified report that— 
(1) describes the primary sources of income to 
which the Burmese military has access and that the 
United States has been unable to reach using sanc-
tions authorities; and 
(2) assesses the impact of the sanctions imposed 
pursuant to the authorities under this section on the 
Burmese people and the Burmese military. 
SEC. 5572. SANCTIONS AND POLICY COORDINATION FOR 
BURMA. 
(a) IN GENERAL.—The head of the Office of Sanctions 
Coordination in the Department of State should develop a 
comprehensive strategy for the implementation of the full 
range of United States diplomatic capabilities to implement 
Burma-related sanctions in order to promote human rights 
and the restoration of civilian government in Burma. 
(b) MATTERS TO BE INCLUDED.—The strategy de-
scribed in subsection (a) should include plans and steps 
to— 
(1) coordinate the sanctions policies of the 
United States with relevant bureaus and offices in the 
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Department of State and other relevant United States 
Government agencies; 
(2) conduct relevant research and vetting of enti-
ties and individuals that may be subject to sanctions 
and coordinate with other United States Government 
agencies and international financial intelligence units 
to assist in efforts to enforce anti-money laundering 
and anti-corruption laws and regulations; 
(3) promote a comprehensive international effort 
to impose and enforce multilateral sanctions with re-
spect to Burma; 
(4) support interagency United States Govern-
ment efforts, including efforts of the United States 
Chief of Mission to Burma, the United States Ambas-
sador to ASEAN, and the United States Permanent 
Representative to the United Nations, relating to— 
(A) identifying opportunities to exert pres-
sure on the governments of the People’s Republic 
of China and the Russian Federation to support 
multilateral action against the Burmese mili-
tary; and 
(B) working with like-minded partners to 
impose a coordinated arms embargo on the Bur-
mese military and targeted sanctions on the eco-
nomic interests of the Burmese military, includ-
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ing through the introduction and adoption of a 
United Nations Security Council resolution; and 
(5) provide timely input for reporting on the im-
pacts of the implementation of sanctions on the Bur-
mese military and the people of Burma. 
SEC. 5573. SUPPORT FOR GREATER UNITED NATIONS AC-
TION WITH RESPECT TO BURMA. 
(a) SENSE OF CONGRESS.—It is the sense of Congress 
that— 
(1) the United Nations Security Council has not 
taken adequate steps to condemn the February 1, 
2021, coup in Burma, pressure the Burmese military 
to cease its violence against civilians, or secure the re-
lease of those unjustly detained; 
(2) countries, such as the People’s Republic of 
China and the Russian Federation, that are directly 
or indirectly shielding the Burmese military from 
international scrutiny and action, should be obliged 
to endure the reputational damage of doing so by tak-
ing public votes on resolutions related to Burma that 
apply greater pressure on the Burmese military to re-
store Burma to its democratic path; and 
(3) the United Nations Secretariat and the 
United Nations Security Council should take concrete 
steps to address the coup and ongoing crisis in 
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Burma consistent with United Nations General As-
sembly 
resolution 
75/287, 
‘‘The 
situation 
in 
Myanmar,’’ which was adopted on June 18, 2021. 
(b) SUPPORT FOR GREATER ACTION.—The President 
shall direct the United States Permanent Representative to 
the United Nations to use the voice, vote, and influence of 
the United States to spur greater action by the United Na-
tions and the United Nations Security Council with respect 
to Burma by— 
(1) pushing the United Nations Security Council 
to consider a resolution condemning the February 1, 
2021, coup and calling on the Burmese military to 
cease its violence against the people of Burma and re-
lease without preconditions the journalists, pro-de-
mocracy activists, and political officials that it has 
unjustly detained; 
(2) pushing the United Nations Security Council 
to consider a resolution that immediately imposes a 
global arms embargo against Burma to ensure that 
the Burmese military is not able to obtain weapons 
and munitions from other nations to further harm, 
murder, and oppress the people of Burma; 
(3) pushing the United Nations and other United 
Nations authorities to cut off assistance to the Gov-
ernment of Burma while providing humanitarian as-
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sistance directly to the people of Burma through 
United Nations bodies and civil society organizations, 
particularly such organizations working with ethnic 
minorities that have been adversely affected by the 
coup and the Burmese military’s violent crackdown; 
and 
(4) spurring the United Nations Security Coun-
cil to consider multilateral sanctions against the Bur-
mese military for its atrocities against Rohingya and 
individuals of other ethnic and religious minorities, 
its coup, and the atrocities it has and continues to 
commit in the coup’s aftermath. 
(c) SENSE OF CONGRESS.—It is the sense of Congress 
that the United States Permanent Representative to the 
United Nations should use the voice, vote, and influence of 
the United States to— 
(1) object to the appointment of representatives 
to the United Nations and United Nations bodies such 
as the Human Rights Council that are sanctioned by 
the Burmese military; and 
(2) work to ensure the Burmese military is not 
recognized as the legitimate government of Burma in 
any United Nations body. 
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SEC. 5574. SUNSET. 
(a) IN GENERAL.—The authority to impose sanctions 
and the sanctions imposed under this part shall terminate 
on the date that is 8 years after the date of the enactment 
of this Act. 
(b) CERTIFICATION FOR EARLY SUNSET OF SANC-
TIONS.—Sanctions imposed under this part may be re-
moved before the date specified in subsection (a), if the 
President submits to the appropriate congressional commit-
tees a certification that— 
(1) the Burmese military has released all polit-
ical prisoners taken into custody on or after February 
1, 2021, or is providing legal recourse to those that 
remain in custody; 
(2) the elected government of Burma has been re-
instated or new free and fair elections have been held; 
(3) all legal charges against those winning elec-
tion in November 2020 are dropped; and 
(4) the 2008 constitution of Burma has been 
amended or replaced to place the Burmese military 
under civilian oversight and ensure that the Burmese 
military no longer automatically receives 25 percent 
of seats in Burma’s state, regional, and national 
Hluttaws. 
(c) NOTIFICATION FOR EARLY SUNSET OF SANCTIONS 
ON INDIVIDUALS.— 
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(1) IN GENERAL.—The President may terminate 
the application of sanctions under this part with re-
spect to specific individuals if the President submits 
to the appropriate congressional committees— 
(A) a notice of and justification for the ter-
mination; and 
(B) a notice that the individual is not en-
gaging in the activity or is no longer occupying 
the position that was the basis for the sanctions 
or has taken significant verifiable steps toward 
stopping the activity. 
(2) FORM.—The notice required by paragraph 
(1) shall be submitted in unclassified form but may 
include a classified annex. 
PART 3—AUTHORIZATIONS OF APPROPRIATIONS 
FOR ASSISTANCE FOR BURMA 
SEC. 5575. GENERAL AUTHORIZATION OF APPROPRIATIONS. 
During each of the fiscal years 2023 through 2027, fol-
lowing consultation with the appropriate congressional 
committees and subject to the limitations described in sec-
tion 5576, funds authorized to be made available to carry 
out chapter 4 of part II of the Foreign Assistance Act of 
1961 may be made available, notwithstanding any other 
provision of law, for— 
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(1) programs to strengthen federalism in and 
among ethnic states in Burma, including for non-le-
thal assistance for Ethnic Armed Organizations in 
Burma; 
(2) the administrative operations and programs 
of entities in Burma, including the political entities 
and affiliates of Ethnic Armed Organizations and 
pro-democracy movement organizations, that support 
efforts to establish an inclusive and representative de-
mocracy in Burma; 
(3) technical support and non-lethal assistance 
for Burma’s Ethnic Armed Organizations, People’s 
Defense Forces, and pro-democracy movement organi-
zations to strengthen communications and command 
and control, and coordination of international relief 
and other operations between and among such enti-
ties; 
(4) programs and activities relating to former 
members of the Burmese military that have con-
demned the February 1, 2022, coup d’etat and voiced 
support for the restoration of civilian rule; 
(5) programs to assist civil society organizations 
to investigate and document atrocities in Burma for 
the purposes of truth, justice, and accountability; 
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