IIB 
108TH CONGRESS 
2D SESSION 
H. R. 4019 
IN THE SENATE OF THE UNITED STATES 
APRIL 22, 2004 
Received; read twice and referred to the Committee on Foreign Relations 
AN ACT 
To address the participation of Taiwan in the World Health 
Organization. 
Be it enacted by the Senate and House of Representa-
tives of the United States of America in Congress assembled,
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SECTION 1. CONCERNING THE PARTICIPATION OF TAIWAN 
IN THE WORLD HEALTH ORGANIZATION. 
(a) FINDINGS.—Congress makes the following find-
ings: 
(1) Good health is important to every citizen of 
the world and access to the highest standards of 
health information and services is necessary to im-
prove the public health. 
(2) Direct and unobstructed participation in 
international health cooperation forums and pro-
grams is beneficial for all parts of the world, espe-
cially today with the great potential for the cross- 
border spread of various infectious diseases such as 
the human immunodeficiency virus (HIV), tuber-
culosis, and malaria. 
(3) Taiwan’s population of 23,500,000 people is 
greater than that of 3⁄4 of the member states already 
in the World Health Organization (WHO). 
(4) Taiwan’s achievements in the field of health 
are substantial, including— 
(A) attaining— 
(i) 1 of the highest life expectancy lev-
els in Asia; and 
(ii) maternal and infant mortality 
rates comparable to those of western coun-
tries;
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(B) eradicating such infectious diseases as 
cholera, smallpox, the plague, and polio; and 
(C) providing children with hepatitis B 
vaccinations. 
(5) The United States Centers for Disease Con-
trol and Prevention and its counterpart agencies in 
Taiwan have enjoyed close collaboration on a wide 
range of public health issues. 
(6) In recent years Taiwan has expressed a will-
ingness to assist financially and technically in inter-
national aid and health activities supported by the 
WHO. 
(7) On January 14, 2001, an earthquake, reg-
istering between 7.6 and 7.9 on the Richter scale, 
struck El Salvador. In response, the Taiwanese Gov-
ernment sent 2 rescue teams, consisting of 90 indi-
viduals specializing in firefighting, medicine, and 
civil engineering. The Taiwanese Ministry of Foreign 
Affairs also donated $200,000 in relief aid to the 
Salvadoran Government. 
(8) The World Health Assembly has allowed ob-
servers to participate in the activities of the organi-
zation, including the Palestine Liberation Organiza-
tion in 1974, the Order of Malta, and the Holy See 
in the early 1950’s.
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(9) The United States, in the 1994 Taiwan Pol-
icy Review, declared its intention to support Tai-
wan’s participation in appropriate international or-
ganizations. 
(10) Public Law 106–137 required the Sec-
retary of State to submit a report to Congress on ef-
forts by the executive branch to support Taiwan’s 
participation in international organizations, in par-
ticular the WHO. 
(11) In light of all benefits that Taiwan’s par-
ticipation in the WHO can bring to the state of 
health not only in Taiwan, but also regionally and 
globally, Taiwan and its 23,500,000 people should 
have appropriate and meaningful participation in the 
WHO. 
(12) On May 11, 2001, President Bush stated 
in a letter to Senator Murkowski that the United 
States ‘‘should find opportunities for Taiwan’s voice 
to be heard in international organizations in order to 
make a contribution, even if membership is not pos-
sible’’, further stating that the administration ‘‘has 
focused on finding concrete ways for Taiwan to ben-
efit and contribute to the WHO’’. 
(13) In his speech made in the World Medical 
Association on May 14, 2002, Secretary of Health
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and Human Services Tommy Thompson announced 
‘‘America’s work for a healthy world cuts across po-
litical lines. That is why my government supports 
Taiwan’s efforts to gain observership status at the 
World Health Assembly. We know this is a con-
troversial issue, but we do not shrink from taking a 
public stance on it. The people of Taiwan deserve 
the same level of public health as citizens of every 
nation on earth, and we support them in their ef-
forts to achieve it’’. 
(14) The Government of the Republic of China 
on Taiwan, in response to an appeal from the 
United Nations and the United States for resources 
to control the spread of HIV/AIDS, donated 
$1,000,000 to the Global Fund to Fight AIDS, Tu-
berculosis, and Malaria in December 2002. 
(15) In 2003, the outbreak of Severe Acute 
Respiratory Syndrome (SARS) caused 84 deaths in 
Taiwan. 
(16) Avian influenza, commonly known as bird 
flu, has reemerged in Asia, with strains of the influ-
enza reported by the People’s Republic of China, 
Cambodia, 
Indonesia, 
Japan, 
Pakistan, 
South 
Korea, Taiwan, Thailand, Vietnam, and Laos.
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(17) The SARS and avian influenza outbreaks 
illustrate that disease knows no boundaries and em-
phasize the importance of allowing all people access 
to the WHO. 
(18) As the pace of globalization quickens and 
the spread of infectious disease accelerates, it is cru-
cial that all people, including the people of Taiwan, 
be given the opportunity to participate in inter-
national health organizations such as the WHO. 
(19) The Secretary of Health and Human Serv-
ices acknowledged during the 2003 World Health 
Assembly meeting that ‘‘[t]he need for effective pub-
lic health exists among all peoples’’. 
(b) PLAN.—The Secretary of State is authorized to— 
(1) initiate a United States plan to endorse and 
obtain observer status for Taiwan at the annual 
week-long summit of the World Health Assembly 
each year in Geneva, Switzerland; 
(2) instruct the United States delegation to the 
World Health Assembly in Geneva to implement that 
plan; and 
(3) introduce a resolution in support of observer 
status for Taiwan at the summit of the World 
Health Assembly.
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(c) REPORT CONCERNING OBSERVER STATUS FOR 
TAIWAN AT THE SUMMIT OF THE WORLD HEALTH AS-
SEMBLY.—Not later than 30 days after the date of the 
enactment of this Act, and not later than April 1 of each 
year thereafter, the Secretary of State shall submit a re-
port to the Congress, in unclassified form, describing the 
United States plan to endorse and obtain observer status 
for Taiwan at the annual week-long summit of the World 
Health Assembly (WHA) held by the World Health Orga-
nization (WHO) in May of each year in Geneva, Switzer-
land. Each report shall include the following: 
(1) An account of the efforts the Secretary of 
State has made, following the last meeting of the 
World Health Assembly, to encourage WHO member 
states to promote Taiwan’s bid to obtain observer 
status. 
(2) The steps the Secretary of State will take 
to endorse and obtain observer status at the next 
annual meeting of the World Health Assembly in 
Geneva, Switzerland. 
Passed the House of Representatives April 21, 2004. 
Attest: 
JEFF TRANDAHL, 
Clerk.