H. R. 7776—963 
(iii) otherwise violate the established standards 
of the Fund, including in relation to corruption. 
(b) AUTHORITY FOR UNITED STATES PARTICIPATION.— 
(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 section as the ‘‘FIF Representative’’). 
(2) EFFECTIVE DATE; TERMINATION DATE.— 
(A) EFFECTIVE DATE.—This subsection shall take effect 
on the date on which the Secretary of State submits to 
Congress a certified copy of the agreement establishing 
the Fund. 
(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 effec-
tive and binding upon the United States, in accordance with 
the terms of the agreement— 
(A) upon the enactment of appropriate implementing 
legislation that provides for the approval 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 standards and coordinating its programs and 
activities with key partners working to advance pandemic preven-
tion and preparedness. 
(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 classi-
fication 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 security; 
(3) demonstrated political and financial commitment to 
pandemic prevention and preparedness; and 
(4) demonstrated commitment to— 
(A) upholding global health budget and data trans-
parency and accountability standards; 
(B) complying with the International Health Regula-
tions (2005); 
(C) investing in domestic health systems; and 
(D) achieving measurable results. 
(e) ACCOUNTABILITY; CONFLICTS
OF INTEREST; CRITERIA
FOR 
PROGRAMS.—The FIF Representative shall— 
(1) take such actions as may be necessary to ensure that 
the Fund will have in effect adequate procedures and standards 
to account for and monitor the use of funds contributed to 
the Fund, including the cost of administering the Fund, by—
H. R. 7776—964 
(A) engaging Fund stakeholders; and 
(B) actively promoting transparency and accountability 
of Fund governance and operations; 
(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 proc-
esses, including proactive procedures to screen staff for conflicts 
of interest and measures 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 adminis-
trative 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 RECIPI-
ENTS.—The Governing Board should establish— 
(1) eligible partner country selection criteria, including 
transparent metrics to measure and assess global health secu-
rity and pandemic prevention and preparedness strengths and 
vulnerabilities in countries 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 qualifications of recipi-
ents of such support; and 
(5) such rules and procedures as may be necessary— 
(A) for cost-effective management of the Fund; and 
(B) to ensure transparency and accountability in the 
grant-making process. 
(g) ADDITIONAL TRANSPARENCY AND ACCOUNTABILITY REQUIRE-
MENTS.— 
(1) INSPECTOR
GENERAL.—The FIF Representative shall 
seek to ensure that the Fund maintains an independent Office 
of the Inspector General that— 
(A) is fully enabled to operate independently and trans-
parently; 
(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 pur-
poses 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—
H. R. 7776—965 
(A) corruption within global health programs con-
tribute 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 Inspector General described in para-
graph (1), the responsible grant recipient should be 
assessed at a recovery rate of up to 150 percent of such 
loss. 
(3) ADMINISTRATIVE EXPENSES; FINANCIAL TRACKING SYS-
TEMS.—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 Rep-
resentative should seek to ensure that the Fund adopts rules 
that condition grants upon agreement by the relevant national 
authorities in an eligible partner country to exempt from duties 
and taxes all products financed by such grants, including 
procurements 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 Administrator of the USAID and 
the heads of other relevant Federal departments and agen-
cies, shall submit a report on the activities of the Fund 
to the appropriate congressional committees. 
(B) REPORT ELEMENTS.—Each report required under 
subparagraph (A) shall describe— 
(i) the goals of the Fund; 
(ii) the programs, projects, and activities supported 
by the Fund; 
(iii) private and governmental contributions 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, measur-
able 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 established, the 
Comptroller General of the United States shall submit a report 
to the appropriate congressional committees that evaluates the 
effectiveness of the Fund, including— 
(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.
H. R. 7776—966 
(2) NOTIFICATION.—The Secretary of State, the Adminis-
trator of the USAID, or the head of any other relevant Federal 
department or agency shall submit a notification to the appro-
priate congressional committees not later than 15 days before 
making a contribution to the Fund that identifies— 
(A) the amount of the proposed contribution; 
(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 beginning 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 contributions to the Fund from all 
sources. 
(4) WITHHOLDINGS.— 
(A) SUPPORT FOR ACTS OF INTERNATIONAL TERRORISM.— 
If the Secretary of State determines 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 
fiscal 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
REQUIREMENT.— 
The Secretary of State may withhold not more than 20 
percent of planned United States contributions to the Fund 
until the Secretary certifies to the appropriate congres-
sional committees that the Fund has established procedures 
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 
financial data and other information relevant to United 
States contributions to the Fund (as determined by the 
Inspector General of the Department of State, in consulta-
tion with the Secretary of State). 
SEC. 5564. GENERAL PROVISIONS. 
(a) AUTHORIZATION OF APPROPRIATIONS.— 
(1) IN GENERAL.—There is authorized to be appropriated 
$5,000,000,000 for the 5-year period beginning on October 1, 
2022 to carry out the purposes of sections 5562 and 5563, 
which may be in addition to amounts otherwise made available