(1) From 1999–2017, nearly 400,000 people in 
the United States died from opioid overdose. 
(2) Overdose deaths from opioids have in-
creased nearly six-fold since 1999, killing approxi-
mately 130 Americans every day. 
(3) Since 2013, there has been a significant in-
crease in overdose deaths involving synthetic opioids, 
particularly fentanyl. 
(4) Opioids, especially synthetic opioids such as 
fentanyl, are currently the main driver of drug over-
dose deaths, and were involved in nearly 68 percent 
of all drug overdose deaths in 2017. 
(5) Fentanyl illicitly trafficked into the United 
States from abroad is significantly responsible for 
the ongoing fentanyl epidemic. 
(6) The vast majority of heroin used in the 
United States comes from Mexico, and fentanyl gen-
erally originates from sources in China. 
(7) Illicit opioids are trafficked into the United 
States through a variety of routes, including over-
land across the Southwest border, and through on-
line orders that are shipped by international mail 
and express consignment services. 
(8) Because these illicit drugs originate almost 
exclusively from overseas, stopping these drug flows 
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requires enhanced foreign policy engagement by the 
United States. 
SEC. 3. INTERNATIONAL STRATEGY TO STOP ILLICIT 
OPIOID FLOWS. 
(a) IN GENERAL.—The Secretary of State, in con-
junction with the heads of other Federal agencies, as ap-
propriate, shall develop and maintain an international dip-
lomatic and assistance strategy to stop the flow of illicit 
opioids into the United States. 
(b) ELEMENTS.—The strategy required under sub-
section (a) shall include, at a minimum, the following: 
(1) A clear statement of the goals and objec-
tives of the strategy. 
(2) A description of the activities and tools nec-
essary to implement the strategy. 
(3) An identification of concrete benchmarks to 
judge progress in implementing the strategy. 
(4) A description of the programs and activities 
currently underway in support of the strategy. 
(5) Information on efforts and activities funded 
or implemented in foreign countries by other Federal 
agencies relevant to the strategy. 
(c) PRIORITIES.—The strategy required under sub-
section (a), and the activities and assistance used to imple-
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ment the strategy, should, at a minimum, prioritize the 
following: 
(1) Reducing the illicit production of opioids, 
including by better enforcement of controls to deny 
producers of illicit synthetic drugs access to pre-
cursor chemicals. 
(2) Strengthening the capacity of partner coun-
tries to detect, interdict, and share information on 
opioid threats. 
(3) Increasing the ability and political will of 
foreign countries to target online opioid sales, associ-
ated financial flows, and the use of postal systems 
and shipping services to transport illicit opioids, in-
cluding fentanyl. 
(4) Improving the international legal framework 
for drug control to better keep pace with rapidly 
evolving synthetic drug threats. 
(5) Developing and enhancing partnerships with 
governments, industry, and international organiza-
tions to combat current and emerging opioid threats. 
(6) Supporting international efforts to decrease 
global demand for illicit opioids. 
(d) REPORT AND UPDATE ON STRATEGY.—Not later 
than 90 days after the date of the enactment of this Act 
and annually thereafter for seven years, the Secretary of 
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State shall submit to the appropriate congressional com-
mittees a report consisting of the following: 
(1) The strategy required under subsection (a). 
(2) Beginning with the second report required 
under this subsection, a list and description of the 
following: 
(A) Benchmarks achieved since the imme-
diately preceding report. 
(B) Any United States programs or activi-
ties in support of the strategy initiated since 
the immediately preceding report. 
(C) A list and description of concrete ac-
tions and commitments by foreign countries 
and multilateral institutions since the imme-
diately preceding report relevant to the strat-
egy. 
SEC. 4. AUTHORIZATION OF APPROPRIATIONS FOR ACTIVI-
TIES TO STOP ILLICIT OPIOID FLOWS. 
There are authorized to be appropriated to the Sec-
retary of State for each of fiscal years 2020 and 2021— 
(1) not less than $12,500,000 for centrally 
funded drug supply reduction activities by the Bu-
reau of International Narcotics and Law Enforce-
ment Affairs of the Department of State; and 
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(2) not less than $12,500,000 for centrally 
funded demand reduction activities by the Bureau. 
Æ 
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