H. R. 7776—959 
(D) use detailees, on a reimbursable or nonreimburs-
able basis, from relevant Federal departments and agencies 
and hire personal service contractors, who may operate 
domestically and internationally, to ensure that the Ambas-
sador-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 Secretary of 
State may assign. 
(d) STRENGTHENING HEALTH SYSTEMS
FOR GLOBAL HEALTH 
SECURITY AND PANDEMIC PREVENTION AND PREPAREDNESS.— 
(1) STATEMENT OF POLICY.—It is the policy of the United 
States to ensure that bilateral global health assistance pro-
grams are effectively managed 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 Coordinator, the Coordinator 
of United States Government Activities to Combat HIV/AIDS 
Globally, the Ambassador-at-Large for Global Health Security 
and Diplomacy at the Department of State, and the Secretary 
of Health and Human Services, to identify areas of collaboration 
and coordination in countries with global 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 
provisions 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 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 effective 
early warning systems, at the partner country, regional, and 
international levels, that utilize innovative information and 
analytical tools and robust review processes to track, document, 
analyze, and forecast infectious disease threats with epidemic 
and pandemic potential. 
(2) REPORT.—Not later than 1 year after the date of the 
enactment of this Act, and annually thereafter for the following 
4 years, the Secretary of Health and Human Services, in 
coordination with the Secretary of State and the heads of 
the other relevant Federal departments and agencies, shall 
submit a report to the appropriate congressional committees, 
the Committee on Health, Education, Labor, and Pensions of 
the Senate, and the Committee on Energy and Commerce of 
the House of Representatives that describes United States 
Government efforts and opportunities to establish or strengthen
H. R. 7776—960 
effective early 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 operations during an infectious disease out-
break, particularly in countries and areas that deliberately 
withhold critical global health data and delay access during 
an infectious disease outbreak, in advance of the next infectious 
disease outbreak with pandemic potential. 
(2) PUBLIC HEALTH EMERGENCIES OF INTERNATIONAL CON-
CERN.—The Secretary of Health and Human Services, in 
coordination with the Secretary of State, should work with 
the World Health Organization 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 
Organization of a Public Health Emergency of International 
Concern for the duration and in the aftermath of such declara-
tion. 
(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 Control and Prevention, and the heads of other 
relevant Federal departments and agencies and consistent with 
the requirements under the International Health Regulations 
(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 capacity of 
global health emergency operations centers, at the partner 
country and international levels, including 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 funding mechanisms, the 
staff, systems, and resources necessary to execute cross- 
sectoral emergency operations during the 48-hour period 
immediately following an infectious disease outbreak with 
pandemic potential; and 
(C) to organize and conduct emergency simulations. 
SEC. 5563. FINANCIAL INTERMEDIARY FUND FOR PANDEMIC PREVEN-
TION, PREPAREDNESS, AND RESPONSE. 
(a) IN GENERAL.— 
(1) FINDING.—Congress finds that the Financial Inter-
mediary Fund for Pandemic Prevention, Preparedness, and 
Response (referred to in this section as the ‘‘Fund’’) was estab-
lished in September 2022 by donor countries, relevant United 
Nations agencies, including the World Health Organization,
H. R. 7776—961 
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 prevention and 
preparedness; and 
(B) working with, and building the capacity of, eligible 
partner countries in the areas of global health security, 
infectious disease control, and pandemic prevention and 
preparedness in order to— 
(i) prioritize capacity building and financing avail-
ability in eligible partner countries; 
(ii) incentivize countries to prioritize the use of 
domestic resources for global health security and pan-
demic prevention and preparedness; 
(iii) leverage governmental, nongovernmental, and 
private sector investments; 
(iv) regularly respond to and evaluate progress 
based on clear metrics and benchmarks, such as those 
developed through the IHR (2005) Monitoring and 
Evaluation Framework and the Global Health Security 
Index; 
(v) align with and complement ongoing bilateral 
and multilateral efforts and financing, including 
through the World Bank, the World Health Organiza-
tion, the Global Fund to Fight AIDS, Tuberculosis, 
and Malaria, the Coalition for Epidemic Preparedness 
and Innovation, and Gavi, the Vaccine Alliance; and 
(vi) help countries accelerate and achieve compli-
ance 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 External Evaluation national action 
planning process. 
(3) GOVERNING BOARD.— 
(A) IN GENERAL.—The Fund should be governed by 
a transparent, representative, and accountable body 
(referred to in this section as the ‘‘Governing Board’’), which 
should— 
(i) function as a partnership with, and through 
full engagement by, donor governments, eligible 
partner countries, and independent civil society; and 
(ii) be composed of not more than 25 representa-
tives of governments, foundations, academic institu-
tions, independent civil society, indigenous people, 
vulnerable communities, frontline health workers, and 
the private sector with demonstrated commitment to 
carrying out the purposes of the Fund and upholding 
transparency and accountability requirements. 
(B) DUTIES.—The Governing Board should— 
(i) be charged with approving strategies, oper-
ations, and grant making authorities such that it is 
able to conduct effective fiduciary, monitoring, and 
evaluation efforts, and other oversight functions; 
(ii) determine operational procedures to enable the 
Fund to effectively fulfill its mission;
H. R. 7776—962 
(iii) provide oversight and accountability for the 
Fund in collaboration with a qualified and independent 
Inspector General; 
(iv) develop and utilize a mechanism to obtain 
formal input from eligible partner countries, inde-
pendent civil society, and implementing entities rel-
ative to program design, review, and implementation 
and associated lessons learned; and 
(v) coordinate and align with other multilateral 
financing and technical assistance activities, and with 
the activities of the United States and other nations 
leading 
pandemic 
prevention, 
preparedness, 
and 
response activities in partner countries, as appropriate. 
(C) 
COMPOSITION.—The 
Governing 
Board 
should 
include— 
(i) representatives of the governments of founding 
member countries who, in addition to meeting the 
requirements under subparagraph (A), qualify based 
upon— 
(I) meeting an established initial contribution 
threshold, which should be not less than 10 percent 
of the country’s total initial contributions; and 
(II) demonstrating a commitment to sup-
porting the International Health Regulations 
(2005); 
(ii) a geographically diverse group of members from 
donor countries, academic institutions, independent 
civil society, including faith-based and indigenous 
organizations, and the private sector who are selected 
on the basis of their experience and commitment to 
innovation, best practices, and the advancement of 
global health security objectives; and 
(iii) representatives of the World Health Organiza-
tion, to serve in an observer status. 
(D) CONTRIBUTIONS.—Each government or private 
sector foundation or for-profit entity represented on the 
Governing Board should agree to make annual contribu-
tions to the Fund in an amount that is not less than 
the minimum amount determined by the Governing Board. 
(E) QUALIFICATIONS.—Individuals appointed 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 Governing Board 
members should be required to recuse themselves from 
matters presenting conflicts of interest, including financing 
decisions relating to such countries, bodies, and institu-
tions. 
(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