cess to WASH for health workers, gaps in current 
data, monitoring and evaluation analysis and capac-
ity, consistent with the policy objectives described in 
section 3(a); 
(6) support partner governments to strengthen 
supply chains and, as appropriate, establish and 
maintain strategic stockpiles of critical water, sani-
tation, hygiene and menstrual health products, 
clean, operational and maintenance inputs, and re-
lated hardware for resilient healthcare; 
(7) address women’s and girls’ specific needs 
for water, sanitation, and hygiene access in 
healthcare facilities, in particular, personal safety, 
privacy, dignity, and menstrual health and hygiene 
and maternal health; 
(8) support the long-term sustainability of 
water, sanitation, and hygiene access in healthcare 
facilities especially at points of care, through health 
systems resiliency approaches including capacity 
building; 
(9) leverage new and existing water, sanitation, 
and hygiene technologies, including non-sewered 
sanitation solutions, and a variety of technologies for 
sanitation and healthcare waste treatment; 
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(10) in support of sustainably increased WASH 
access in healthcare facilities and increased local 
ownership, identify criteria, and methodology for 
graduating countries from United States assistance 
provided for the policy objectives listed in section 
3(a); and 
(11) anticipate resource needs to implement the 
Action Plan, including such amounts to be trans-
ferred by the Secretary of State to the Adminis-
trator of USAID pursuant to section 6(a). 
(b) INCLUSION IN OTHER STRATEGIES, POLICIES, 
PLANS, AND INITIATIVES.—The Administrator may in-
clude the Action Plan required by subsection (a) as a com-
ponent of the USAID Agency-Specific Plan for the United 
States International Activities to Advance Global Health 
Security and Diplomacy Strategy required by the Global 
Health Security and International Pandemic, Prepared-
ness and Response Act (subtitle D of title LV of the Na-
tional Defense Authorization Act for Fiscal Year 2023), 
or as a component of other USAID strategies, policies, 
plans or initiatives, as appropriate. 
(c) ACTION PLAN SUBMISSION.—Not later than 1 
year after the date of the enactment of this Act, the Ad-
ministrator of USAID shall submit to the appropriate con-
gressional committees a report consisting of— 
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(1) the Global WASH in Healthcare Facilities 
Action Plan required under subsection (a); and 
(2) a description of the manner in which the 
Administrator intends to advance the policy objec-
tives listed in section 3(a) through such action plan. 
SEC. 6. ASSISTANCE TO IMPLEMENT THE GLOBAL WASH IN 
HEALTHCARE FACILITIES ACTION PLAN. 
(a) 
AUTHORIZATION
OF
APPROPRIATIONS.— 
Amounts appropriated pursuant to the authorization 
under section 5564 of the National Defense Authorization 
Act for Fiscal Year 2023 are also authorized to be made 
available during fiscal years 2024 through 2027 to carry 
out the Global WASH in Health Care Facilities Action 
Plan described in section 5 in support of the United States 
International Activities to Advance the Global WASH in 
Healthcare Facilities Action Plan. 
(b) AUTHORIZATION OF TRANSFERS.—Subject to the 
availability of funds appropriated pursuant to the author-
ization under section 5564 of the National Defense Au-
thorization Act for Fiscal Year 2023 and in accordance 
with subsection (a), the Secretary of State is authorized 
to transfer to the Administrator of the USAID such sums 
as may be necessary to implement the Global WASH in 
Health Care Facilities Action Plan described in section 5 
of this Act. 
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(c) MONITORING AND EVALUATION.—The Adminis-
trator shall seek to ensure that assistance to implement 
the Global WASH in Healthcare Facilities Action Plan is 
provided under established parameters for a rigorous ac-
countability system to monitor and evaluate progress and 
impact of the action plan, including by reporting to the 
appropriate congressional committees and the public on an 
annual basis, in accordance with section 7. 
SEC. 7. REPORTS. 
(a) INITIAL REPORT.—Not later than 1 year after 
the date of the submission of the Global WASH in 
Healthcare Facilities Action Plan required under section 
5, the Administrator shall submit to the appropriate con-
gressional committees a report that describes the status 
of the implementation of the Action Plan. 
(b) CONTENT.—The report required under subsection 
(a) shall— 
(1) contain a summary of the Global WASH in 
Healthcare Facilities Action Plan as an appendix; 
(2) describe the progress made in implementing 
the Action Plan; 
(3) identify the indicators and measure results 
over time, as well as the mechanisms for reporting 
such results in an open and transparent manner, in-
cluding disaggregated data on healthcare facilities 
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with basic or safe access to water, sanitation and hy-
giene defined by the World Health Organization and 
UNICEF; 
(4) contain a transparent and detailed account-
ing of USAID spending to implement the Global 
WASH in Healthcare Facilities Action Plan and re-
lated activities; 
(5) describe how the Global WASH in 
Healthcare Facilities Action Plan leverages other 
United States global health programs including but 
not limited to maternal and child health, health sys-
tems, and global health security; 
(6) describe the impact of the Global WASH in 
Healthcare Facilities Action Plan on other global 
health programs, including progress in the pro-
motion of infection prevention and control, strength-
ening global health security and pandemic prepared-
ness, prevention and response and reducing prevent-
able maternal and child deaths; 
(7) assess efforts to coordinate United States 
global health programs, activities, and initiatives 
with key stakeholders; 
(8) assess United States Government-facilitated 
private investment in related sectors and the impact 
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of private sector investment in target countries and 
communities; 
(9) assess the increased access to safe sanita-
tion and hand washing stations in healthcare facili-
ties, including to address menstrual health and hy-
giene needs; 
(10) incorporate a plan for regularly sharing 
lessons learned with a wide range of stakeholders, 
including local civil society organizations in an open, 
transparent manner and through biennial stake-
holder consultation; and 
(11) establish mechanisms for receiving feed-
back from stakeholders and incorporating feedback 
into updates of relevant congressionally mandated 
strategies and action plans. 
(c) SUBSEQUENT REPORTS.—For the five-year pe-
riod beginning on the date of the submission of the initial 
report required under subsection (a), the Administrator 
shall annually submit to the appropriate congressional 
committees a report on the status of the implementation 
of the action plan, the progress made in achieving the ele-
ments described in section 5, and any changes to the ac-
tion plan since the date of the submission of the most re-
cent prior report. 
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(d) INCLUSION IN OTHER REPORTS.—The Adminis-
trator may include the report required by subsection (a) 
as a component of the United States International Activi-
ties to Advance Global Health Security and Diplomacy 
Strategy report or as a component of other USAID re-
ports, as appropriate. 
(e) PUBLIC AVAILABILITY OF INFORMATION.—The 
information referred to in subsections (a) and (b) shall 
be timely made available on the public website of USAID 
in a consolidated, downloadable, and machine-searchable 
format. 
Æ 
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