IIB 
117TH CONGRESS 
2D SESSION 
H. R. 4693 
IN THE SENATE OF THE UNITED STATES 
APRIL 28, 2022 
Received; read twice and referred to the Committee on Foreign Relations 
AN ACT 
To advance targeted and evidence-based interventions for 
the prevention and treatment of global malnutrition and 
to improve the coordination of such programs, and for 
other purposes. 
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. SHORT TITLE. 
This Act may be cited as the ‘‘Global Malnutrition 
Prevention and Treatment Act of 2021’’. 
SEC. 2. AUTHORIZATION OF EFFORTS TO PREVENT AND 
TREAT MALNUTRITION GLOBALLY. 
(a) IN GENERAL.—The Administrator, in coordina-
tion with the heads of other relevant Federal departments 
and agencies, is authorized and encouraged to support ef-
forts to prevent and treat malnutrition globally, including 
by— 
(1) targeting resources and nutrition interven-
tions to support the most vulnerable populations 
susceptible to severe malnutrition, including children 
under the age of 5 and pregnant and lactating 
women; 
(2) increasing coverage, particularly in priority 
countries, of nutrition interventions that include co-
ordinated deployment of prenatal nutrient supple-
ments, breastfeeding support, vitamin A supplemen-
tation, specialized nutritious food products for the 
treatment of acute malnutrition, and other evidence- 
based interventions, as appropriate; 
(3) increasing the use of context and country- 
appropriate fortification of staples and condiments 
with essential nutrients; 
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(4) advancing evidence-based programs and 
interventions carried out using data-driven ap-
proaches, best practices, and targeted to country- 
specific contexts and needs; 
(5) supporting partner governments to develop 
policies to prevent and treat malnutrition; 
(6) leveraging investments to strengthen health 
systems, including to support community health 
workers to advance improved nutrition outcomes; 
(7) improve diets through safe, affordable, nu-
tritious foods in the food system; and 
(8) ensuring rigorous monitoring and evaluation 
of such efforts. 
(b) EXTERNAL COORDINATION EFFORTS RELATED 
TO NUTRITION PROGRAMS.—The Administrator, in co-
ordination with the heads of other relevant Federal de-
partments and agencies, should coordinate, as appro-
priate, with bilateral and multilateral donors, governments 
of partner countries, United Nations agencies, civil society 
organizations, nongovernmental organizations, including 
faith-based organizations, and the private sector to pre-
vent and treat malnutrition globally, including by sup-
porting efforts to— 
(1) build the capacity of local and community- 
based organizations and governments of partner 
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countries to ensure sustainability of nutrition inter-
ventions; 
(2) expand research and innovation to identify 
and increase effective and evidence-based nutrition 
interventions based on country-specific contexts; 
(3) improve coordination and structure of sup-
ply chains for nutrition interventions; 
(4) expand domestic resource mobilization and 
domestic financing for nutrition interventions; and 
(5) seek to leverage additional resources and 
encourage investment into innovative and multi- 
stakeholder finance partnerships to advance burden 
sharing in nutrition-related assistance. 
(c) INTERAGENCY EFFORTS.—In carrying out sub-
sections (a) and (b), the Administrator, in coordination 
with the heads of other relevant Federal departments and 
agencies, consistent with the Global Nutrition Coordina-
tion Plan, shall seek to leverage additional resources to 
prevent and treat malnutrition globally, including by— 
(1) increasing cooperation among relevant Fed-
eral departments and agencies represented in the 
Global Nutrition Coordination Plan to better lever-
age grants, technical assistance, debt, equity, loan 
guaranties, and public-private partnerships; and 
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(2) utilizing the Administrator’s role as a mem-
ber of the Board of Directors of the United States 
International Development Finance Corporation to 
consider opportunities within the Corporation’s de-
velopment impact framework that support improved 
nutrition outcomes. 
SEC. 3. SELECTION OF PRIORITY COUNTRIES. 
(a) IN GENERAL.—The Administrator, in coordina-
tion with the Nutrition Leadership Council, shall select 
foreign countries as priority countries for purposes of tar-
geting programs to prevent and treat malnutrition glob-
ally. 
(b) CRITERIA.—The selection of priority countries 
under subsection (a) shall be based on the following: 
(1) The prevalence of severe malnutrition 
among children under the age of 5 and pregnant 
and lactating women. 
(2) The presence of high-need, underserved, 
marginalized, vulnerable, or impoverished commu-
nities. 
(3) The enabling environment for improved nu-
trition, including presence of national nutrition plans 
and demonstration of strong political commitment. 
(4) Any other criteria that the Administrator 
determines to be appropriate. 
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