Title: Global Health Coordination and Development Act
Policy area: International Affairs

Summary:
Global Health Coordination and Development Act
This bill establishes various bodies and positions related to U.S. global health activities.
The President shall establish the U.S. Global Health Commission, which shall (1) develop and periodically report to Congress a Unified Global Health Strategy; (2) recommend improvements to ensure that U.S. global health efforts have the greatest possible impact; (3) advise various bodies, including the National Security Council, on global health issues; and (4) facilitate cooperation from nongovernmental entities, including in academia and the private sector.
The President shall establish the Interagency Global Health Committee to implement the Unified Global Health Strategy. The committee's duties shall include developing a five-year plan for implementing the strategy and coordinating U.S. government global health assistance efforts.
The bill establishes the U.S. Global Health Attache Program, to be managed by the Department of Health and Human Services. Each attache shall (1) serve as senior health advisor to the U.S. mission in the country or region where the attache is posted, (2) oversee and coordinate the U.S. health development plan for that country or region, and (3) represent the U.S. government in health matters.

[Congressional Bills 116th Congress]
[From the U.S. Government Publishing Office]
[S. 2698 Introduced in Senate (IS)]

<DOC>






116th CONGRESS
  1st Session
                                S. 2698

  To establish a United States Global Health Commission and a United 
     States Global Health Attache Program, and for other purposes.


_______________________________________________________________________


                   IN THE SENATE OF THE UNITED STATES

                            October 24, 2019

  Mr. Markey introduced the following bill; which was read twice and 
             referred to the Committee on Foreign Relations

_______________________________________________________________________

                                 A BILL


 
  To establish a United States Global Health Commission and a United 
     States Global Health Attache Program, and for other purposes.

    Be it enacted by the Senate and House of Representatives of the 
United States of America in Congress assembled,

SECTION 1. SHORT TITLE.

    This Act may be cited as the ``Global Health Coordination and 
Development Act''.

SEC. 2. FINDINGS; SENSE OF CONGRESS; AND PURPOSES.

    (a) Findings.--Congress makes the following findings:
            (1) Of all foreign assistance provided by the United 
        States, global health appropriations are second only to 
        security assistance.
            (2) Several Federal agencies and departments execute global 
        health activities, including the United States Agency for 
        International Development, the Department of Health and Human 
        Services, the Department of Defense, the Department of 
        Agriculture, and the Department of State.
            (3) Global health assistance provided by the United States 
        supports--
                    (A) activities carried out by numerous private, 
                corporate, and nongovernmental organizations worldwide; 
                and
                    (B) multilateral organizations, such as the Global 
                Fund to Fight AIDS, Tuberculosis, and Malaria and the 
                World Health Organization.
            (4) The United States provides foreign assistance to 
        achieve national security, commercial, and humanitarian 
        objectives while demonstrating global leadership.
            (5) All United States funded foreign assistance programs, 
        regardless of the implementing agency, support the objectives 
        referred to in paragraph (4), but the manner in which the 
        programs achieve the objectives varies widely.
            (6) The approach for global health assistance provided by 
        the United States is largely program-based or disease-based and 
        often does not allow agencies to work across the health system 
        or on issues of greatest concern to the host country.
            (7) Such an approach hampers long-term stability, diplomacy 
        with key partnerships, and sustainable capacity building.
    (b) Sense of Congress.--It is the sense of Congress that--
            (1) each global health implementing agency should establish 
        a program for the development of a cadre of health advisors who 
        can serve as United States global health attaches;
            (2) country or regional health teams and health development 
        partners working groups should be established in all countries 
        with significant United States health investments; and
            (3) all global health activities supported by the United 
        States Government should be implemented in a coordinated 
        manner.
    (c) Purposes.--The purposes of this Act are--
            (1) to establish a governmental framework and national 
        policy, priorities, and goals that ensure interagency 
        coordination for global health assistance with the overall 
        diplomacy, development, and defense efforts of the United 
        States Government;
            (2) to establish the Senior United States Global Health 
        Advisor and the United States Global Health Commission at the 
        level of the National Security Council to harmonize the global 
        health goals and priorities of the United States and promote 
        interagency coordination for global health assistance with the 
        overall efforts of the United States Government;
            (3) to establish an Interagency Global Health Committee to 
        implement the Unified Global Health Strategy and develop 
        policies and frameworks to improve coordination and outcomes; 
        and
            (4) to establish the United States Global Health Attache 
        Program to field global health attaches as key interlocutors 
        who coordinate the country or regional health team and ensure 
        effective health assessment, planning, integration, and 
        implementation across all agencies in support of the interests 
        of the United States.

SEC. 3. DEFINITIONS.

    In this Act:
            (1) Chief of mission.--The term ``chief of mission'' has 
        the meaning given such term in section 102 of the Foreign 
        Service Act of 1980 (22 U.S.C. 3902).
            (2) Commission.--The term ``Commission'' means the United 
        States Global Health Commission established under section 4.
            (3) Committee.--The term ``Committee'' means the 
        Interagency Global Health Committee established under section 
        6.
            (4) Country or regional health team.--The term ``country or 
        regional health team'' includes employees of global health 
        implementing agencies operating in a country or designated 
        geographic region.
            (5) Global health activities.--The term ``global health 
        activities'' means activities conducted in coordination with 
        United States and foreign entities, including foreign 
        governments--
                    (A) to improve health care, the provision of public 
                health services, responses to public health 
                emergencies, and global health security; and
                    (B) to strengthen health systems and 
                infrastructure, including the training and education of 
                health workers.
            (6) Global health implementing agencies.--The term ``global 
        health implementing agencies'' means--
                    (A) the Department of State;
                    (B) the United States Agency for International 
                Development;
                    (C) the Department of Health and Human Services;
                    (D) the Department of Defense;
                    (E) the Department of Agriculture; and
                    (F) the Department of Commerce.
            (7) Regional.--The term ``regional'' refers to a geographic 
        region as designated by a global health implementing agency.
            (8) Strategy.--The term ``Strategy'' means the Unified 
        Global Health Strategy formulated under section 5.

SEC. 4. UNITED STATES GLOBAL HEALTH COMMISSION.

    (a) Establishment.--Not later than 90 days after the date of the 
enactment of this Act, the President, working through the National 
Security Council, shall establish a commission to improve the 
interagency coordination, stewardship, accountability, outcomes, and 
impact of global health investment by the United States.
    (b) Designation.--The commission established under subsection (a) 
shall be known as the ``United States Global Health Commission''.
    (c) Chairperson; Advisor.--The President shall appoint a 
noncabinet-level senior staff member to the National Security Council 
to serve as--
            (1) the Chairperson of the Commission; and
            (2) the Senior United States Global Health Advisor.
    (d) Membership.--
            (1) In general.--The Commission shall be composed of--
                    (A) the Chairperson;
                    (B) a commissioners group (referred to in this 
                section as the ``principal group'');
                    (C) a staff group; and
                    (D) any working group that the principal group 
                determines to be necessary to carry out the duties 
                under this section.
            (2) Principal group.--The principal group shall be composed 
        of--
                    (A) 12 voting members, of whom--
                            (i) 1 shall be appointed from each global 
                        health implementing agency by the head of the 
                        respective agency from among senior officials 
                        responsible for global health, emergency 
                        assistance, development, or a similar area;
                            (ii) 3 shall be appointed by the President 
                        from among individuals from academic or 
                        research institutions with expertise in global 
                        health policy, foreign relations, or public 
                        health emergencies; and
                            (iii) 3 shall be appointed by the President 
                        from among individuals from the international 
                        development community with expertise in health, 
                        community, or economic development; and
                    (B) 2 nonvoting, ex officio members, of whom--
                            (i) 1 shall be the President of the 
                        National Academy of Medicine; and
                            (ii) 1 shall be an employee of the 
                        Government Accountability Office who shall be 
                        appointed by the Comptroller General of the 
                        United States.
            (3) Staff group.--
                    (A) Composition.--The staff group described in 
                paragraph (1)(C) shall be composed of representatives 
                of the National Security Council, the global health 
                implementing agencies, the Government Accountability 
                Office, and the National Academy of Medicine, as 
                designated by the head of the respective agency.
                    (B) Function.--The staff group shall advise, 
                provide subject-matter expertise to, and support the 
                activities of, the Commission.
    (e) Periods of Appointment; Vacancies.--
            (1) Periods of appointment.--
                    (A) Governmental officials.--Each member of the 
                principal group appointed under subsection (d)(2)(A)(i) 
                shall serve at the discretion of the head of the 
                respective agency.
                    (B) Nongovernmental officials.--Each member of the 
                principal group appointed under clause (ii) or (iii) of 
                subsection (d)(2)(A) shall serve for a period of not 
                fewer than 2 years and not more than 5 years.
            (2) Vacancies.--A vacancy in the Commission--
                    (A) shall not affect the powers of the Commission; 
                and
                    (B) shall be filled in the same manner as the 
                original appointment.
    (f) Meetings.--
            (1) In general.--The Commission shall meet at the call of 
        the Chairperson.
            (2) Initial meeting.--Not later than 180 days after the 
        date of the enactment of this Act, the Commission shall hold 
        its initial meeting.
            (3) Principal group.--The principal group shall meet not 
        less frequently than twice each year.
            (4) Staff group.--The staff group described in subsection 
        (d)(1)(C) shall meet as determined by the Chairperson based on 
        the activities of the Commission.
    (g) Bylaws.--
            (1) In general.--Not later than 180 days after the date of 
        the enactment of this Act, the Commission shall develop bylaws 
        for the operation of the Commission.
            (2) Elements.--The bylaws developed under paragraph (1) 
        shall include--
                    (A) information on the membership of the 
                Commission;
                    (B) the number of annual meetings required for the 
                principal group and the staff group;
                    (C) the decision-making process of the Commission;
                    (D) the process by which disputes are resolved; and
                    (E) such other information and policies as the 
                Commission considers appropriate.
    (h) Primary Responsibilities.--The Commission shall--
            (1) develop an integrated, comprehensive global health 
        strategy, in accordance with section 5 and in cooperation with 
        global health implementing agencies, to ensure that global 
        health activities and programs supported by the United States 
        are consistent with the strategic priorities and policies of 
        the United States;
            (2) recommend methods to improve alignment, coordination, 
        planning, and implementation to ensure the greatest possible 
        impact and overall effectiveness of United States global health 
        efforts and programs;
            (3) in coordination with the Committee, advise the National 
        Security Council on global health issues that potentially 
        impact the domestic health status, defense operations, 
        development programs, diplomacy efforts, and strategic 
        interests of the United States;
            (4) advise the Committee on country and regional 
        challenges;
            (5) based on the priorities of the United States, recommend 
        countries or regions that would greatly benefit from--
                    (A) receiving a global health attache under section 
                7; and
                    (B) the establishment of a country or regional 
                health development implementation plan under section 8;
            (6) recommend agenda items and provide other 
        recommendations and advice to the Committee; and
            (7) facilitate cooperation between the United States 
        Government and academic and research institutions, civil 
        society, international nongovernmental organizations, and other 
        public and private entities.
    (i) Reports.--
            (1) Initial report.--Not later than 1 year after the date 
        of the enactment of this Act, the Commission shall submit to 
        the President and Congress an initial report that includes--
                    (A) the bylaws and membership of the Commission;
                    (B) a description of the methodology for the 
                development of the Strategy; and
                    (C) a description of progress made toward 
                developing the Strategy.
            (2) Biennial report.--
                    (A) In general.--Not later than 1 year after the 
                submission of the initial report under paragraph (1), 
                and biennially thereafter, the Commission shall submit 
                to the President and Congress a report on the 
                activities of the Commission during the period covered 
                by the report.
                    (B) Elements.--Each report submitted under 
                subparagraph (A) shall include--
                            (i) any updates to the Strategy since the 
                        submission of the most recent report;
                            (ii) a description of major global health 
                        threats of concern to the United States 
                        Government;
                            (iii) recommendations for improving 
                        alignment, coordination, planning, and 
                        implementation to ensure the greatest possible 
                        impact and overall effectiveness of United 
                        States global health efforts and programs; and
                            (iv) a description of opportunities for 
                        future engagement on global health.
    (j) Personnel Matters.--
            (1) Senior united states global health advisor.--Section 
        5313 of title 5, United States Code, is amended by adding at 
        the end the following:
    ``Senior United States Global Health Advisor.''.
            (2) Compensation of members.--A member of the Commission 
        who is not an officer or employee of the Federal Government 
        shall be compensated at a rate equal to the daily equivalent of 
        the annual rate of basic pay prescribed for level IV of the 
        Executive Schedule under section 5315 of title 5, United States 
        Code, for each day (including travel time) during which the 
        member is engaged in the performance of the duties of the 
        Commission.
            (3) Travel expenses.--A member of the Commission shall be 
        allowed travel expenses, including per diem in lieu of 
        subsistence, at rates authorized for employees of agencies 
        under subchapter I of chapter 57 of title 5, United States 
        Code, while away from their homes or regular places of business 
        in the performance of services for the Commission.
    (k) Nonapplicability of FACA.--The Federal Advisory Committee Act 
(5 U.S.C. App.) shall not apply to the Commission.

SEC. 5. UNIFIED GLOBAL HEALTH STRATEGY.

    (a) In General.--Not later than 18 months after the date of the 
enactment of this Act, the Commission shall formulate an integrated, 
comprehensive global health strategy, to be known as the ``Unified 
Global Health Strategy'', that communicates to Federal agencies, 
nongovernmental organizations, and allied partners of the United States 
the overall health assistance priorities of the United States. The 
Strategy shall be--
            (1) aligned with the National Security Strategy of the 
        United States; and
            (2) based on--
                    (A) highest-impact, evidence-based outcomes and the 
                mission, strategy, assessment, planning, and guidance 
                documents of each global health implementing agency; 
                and
                    (B) recommendations from the National Security 
                Council on issues that impact national security.
    (b) Requirements.--The Strategy shall--
            (1) describe the overarching, integrated strategic vision 
        for health-related foreign assistance vertically and 
        horizontally across the global health implementing agencies and 
        to implementing partners;
            (2) establish and communicate the global health goals and 
        priorities of the United States Government for the purpose of 
        improving the coordination, partnerships, and implementation of 
        global health and foreign assistance effectiveness;
            (3) communicate the role of global health with respect to 
        the overall foreign development goals of the United States;
            (4) provide consensus on global health efforts across the 
        global health implementing agencies regarding foreign 
        assistance health policy that demonstrates the collective 
        commitment of all interagency partners to transparency, 
        accountability, and a unified approach to maximizing the impact 
        of United States investments; and
            (5) ensure that the health programs of the United States 
        Government align, to the maximum extent possible, with country 
        and regional health and development priorities to achieve long-
        term sustainability, security, and stability.
    (c) Effective Date.--
            (1) In general.--The Strategy shall take effect upon 
        approval by the President.
            (2) Approval by president.--
                    (A) Sense of congress.--It is the sense of Congress 
                that the President should approve the Strategy not 
                later than 90 days after receiving the Strategy from 
                the Commission.
                    (B) Explanation to congress.--If the President has 
                not approved the Strategy within 90 days after 
                receiving it from the Commission, the President shall 
                submit to Congress a written statement explaining the 
                reason for the delay and a timeline for approval of the 
                Strategy.
            (3) Prohibition on delegation.--The President may not 
        delegate the responsibilities under this subsection.
    (d) Updates.--
            (1) In general.--The Commission shall update the Strategy 
        not less frequently than once every 5 years.
            (2) Consideration of country-level plans.--In updating the 
        Strategy pursuant to paragraph (1), the Commission shall 
        consider the country or regional health development 
        implementation plans developed under section 8.

SEC. 6. INTERAGENCY GLOBAL HEALTH COMMITTEE.

    (a) In General.--Not later than 180 days after the date of the 
enactment of this Act, the President shall establish the Interagency 
Global Health Committee to implement the Strategy, improve the 
coordination of global health efforts, and oversee the United States 
Global Health Attache Program.
    (b) Chairperson.--
            (1) In general.--The President shall appoint, by and with 
        the advice and consent of the Senate, the Chairperson of the 
        Committee.
            (2) Ambassador-at-large for global health.--The Chairperson 
        shall have the rank of Ambassador-at-Large for Global Health.
            (3) Responsibilities.--The Chairperson shall--
                    (A) chair the Committee and ensure that the 
                responsibilities of the Committee are carried out;
                    (B) be impartial with respect to any global health 
                implementing agency; and
                    (C) ensure coordination and synergy of effort in 
                global health programming and policies among the 
                relevant global health implementing agencies.
    (c) Membership of Committee.--The Committee shall be composed of--
            (1) the Chairperson;
            (2) representatives from each global health implementing 
        agency, who shall be appointed by the head of the applicable 
        agency; and
            (3) representatives from any other Federal agency, as the 
        Chairperson considers appropriate to implement the Strategy and 
        oversee the United States Global Health Attache Program.
    (d) Subcommittees.--
            (1) Global health attache board.--
                    (A) In general.--The Committee shall establish a 
                permanent subcommittee, to be known as the ``Global 
                Health Attache Board'', to advise and oversee the 
                United States Global Health Attache Program, in 
                accordance with subsection (e)(4) and section 7.
                    (B) Chairperson.--The Secretary of State shall 
                designate the Chairperson of the Global Health Attache 
                Board from among employees of the Bureau of Oceans and 
                International Environmental and Scientific Affairs of 
                the Department of State.
            (2) Subcommittees and working groups.--The Chairperson of 
        the Committee may establish such other subcommittees and 
        working groups as the Chairperson considers necessary to carry 
        out the responsibilities of the Committee.
    (e) Responsibilities.--The Committee shall--
            (1) develop a 5-year plan of actions and milestones to 
        implement the Unified Global Health Strategy;
            (2) develop and establish integrated national policies for 
        global health that will guide Federal agencies in development, 
        programming, and implementation of global health efforts;
            (3) coordinate the global health assistance efforts of the 
        United States Government to ensure greater alignment, 
        programmatic impact, and overall effectiveness;
            (4) develop, design, and oversee all aspects of the United 
        States Global Health Attache Program, in accordance with 
        section 7, including with respect to the selection of the 
        countries or regions in which global health attaches will be 
        posted;
            (5) develop guidance for the country and regional health 
        development implementation plans under section 8;
            (6) facilitate cooperation between Federal agencies and 
        international counterparts for planning and implementation of 
        global health programs and efforts; and
            (7) promote Federal interagency coordination and planning 
        across all global health activities, including logistical 
        planning and coordination and the sharing of data and 
        information associated with global health programs, 
        development, and information that may impact investment 
        outcomes.
    (f) 5-Year Plan.--Not later than 270 days after the date on which 
the Strategy takes effect, the Committee shall submit to Congress the 
5-year plan of actions and milestones developed under subsection 
(e)(1).
    (g) Reports.--
            (1) Initial report.--Not later than 18 months after the 
        date of the enactment of this Act, the Committee shall submit 
        to the President and Congress an initial report that includes--
                    (A) the structure, membership, and bylaws of the 
                Committee;
                    (B) a statement of the activities and 
                accomplishments of the Committee since the 
                establishment of the Committee; and
                    (C) an update on the development and implementation 
                of the United States Global Health Attache Program 
                established under section 7.
            (2) Biennial report.--Not less frequently than biennially, 
        the Committee shall submit to Congress through the President a 
        concise report containing--
                    (A) a description of progress on or setbacks or 
                updates to the plan of actions and milestones developed 
                under subsection (e)(1);
                    (B) a statement of the activities and 
                accomplishments of the Committee since the submission 
                of the most recent report;
                    (C) a statement detailing with particularity the 
                recommendations of the Committee with respect to 
                improving coordination, accountability, outcomes, and 
                impact of global health investment by the United 
                States; and
                    (D) an update on the development and implementation 
                of the United States Global Health Attache Program 
                established under section 7, including post locations 
                for and training of global health attaches, outcome 
                measures, and recommendations to increase the impact of 
                the program.

SEC. 7. UNITED STATES GLOBAL HEALTH ATTACHE PROGRAM.

    (a) Establishment of Program.--There is established a United States 
Global Health Attache Program (referred to in this section as the 
``Program'').
    (b) Program Management.--The Secretary of Health and Human Services 
shall manage the Program under the oversight and direction of the 
Committee.
    (c) Global Health Attaches.--
            (1) In general.--Each global health attache shall serve on 
        behalf of a chief of mission and the global health implementing 
        agencies to assist in the coordination, strategic planning, and 
        implementation of all global health assistance in the country 
        or region in which the global health attache is posted.
            (2) Eligibility.--An individual is eligible to serve as a 
        global health attache if the individual--
                    (A) is an employee of the Federal Government, such 
                as a member of the uniformed services or the Foreign 
                Service, or other civilian Federal employee, in a 
                position at, or with promotion potential to, level 15 
                of the General Schedule (or equivalent);
                    (B) has expertise and experience in public health 
                or global health;
                    (C) has leadership experience within 1 or more of 
                the global health implementing agencies;
                    (D) is a United States citizen; and
                    (E) has a security clearance at the secret level or 
                above.
            (3) Global health attache education and training.--
                    (A) Requirements.--
                            (i) In general.--The Committee shall 
                        establish requirements for a global health 
                        attache education and training program 
                        (referred to in this section as the ``education 
                        and training program'').
                            (ii) Elements.--The requirements 
                        established under clause (i) shall ensure that 
                        each global health attache--
                                    (I) receives education and training 
                                on--
                                            (aa) the strategic planning 
                                        process of the United States 
                                        Government;
                                            (bb) the role of the global 
                                        health implementing agencies in 
                                        foreign assistance, and the 
                                        organizational structure and 
                                        global health and development 
                                        programs of such agencies;
                                            (cc) effective 
                                        communication with foreign and 
                                        domestic media, including 
                                        strategic communication;
                                            (dd) the impact of 
                                        international affairs;
                                            (ee) the public health 
                                        issues affecting host countries 
                                        and regions; and
                                            (ff) such other health-
                                        related training that the 
                                        Committee considers necessary 
                                        to create highly effective 
                                        global health diplomats;
                                    (II) completes the training for 
                                Foreign Service officers described in 
                                section 708 of the Foreign Service Act 
                                of 1980 (22 U.S.C. 4028), or equivalent 
                                training; and
                                    (III) meets foreign language 
                                proficiency requirements established by 
                                the Secretary of State for Foreign 
                                Service officers under section 702 of 
                                the Foreign Service Act of 1980 (22 
                                U.S.C. 4022) and receives appropriate 
                                language training consistent with such 
                                section.
                    (B) Curriculum development.--The institution 
                described in section 701 of the Foreign Service Act of 
                1980 (22 U.S.C. 4021) (commonly known as the ``Foreign 
                Service Institute'') and the Uniformed Services 
                University of the Health Sciences, in cooperation with 
                appropriate Federal agencies, academic institutions, 
                and other entities, shall--
                            (i) develop a comprehensive curriculum for 
                        the education and training program, consistent 
                        with the requirements established pursuant to 
                        subparagraph (A); and
                            (ii) submit such curriculum to the 
                        Committee for approval.
                    (C) Administration.--The education and training 
                program shall be administered by 1 or more training 
                institutions, as determined by the Committee.
                    (D) Eligibility for participation by other 
                individuals.--An individual who is not a candidate for 
                the position of global health attache may participate 
                in some or all of the education and training program if 
                such individual is--
                            (i) a health official of a global health 
                        implementing agency; or
                            (ii) an in-country staff member of a global 
                        health implementing agency.
            (4) Credentials.--The Secretary of State shall--
                    (A) notify the receiving state of each global 
                health attache posted to such state, in accordance with 
                Article 10 of the Vienna Convention on Diplomatic 
                Relations, done at Vienna April 18, 1961; and
                    (B) provide the appropriate diplomatic credentials 
                to each global health attache, at the request of the 
                Committee.
            (5) Postings and accreditations.--
                    (A) In general.--Each global health attache--
                            (i) shall be posted in a country as 
                        determined by the Committee; and
                            (ii) may be accredited to 1 or more 
                        countries in a region as determined by the 
                        Committee.
                    (B) Criteria to establish a global health attache 
                office.--The Committee shall make determinations about 
                where to establish global health attaches based on--
                            (i) the strategic interests and priorities 
                        of the United States;
                            (ii) large development and humanitarian 
                        assistance investments made by the United 
                        States;
                            (iii) the strategic importance of health to 
                        the security and stability of the country or 
                        region; and
                            (iv) such other criteria as the Committee 
                        considers appropriate.
            (6) Responsibilities.--Each global health attache shall--
                    (A) serve as the senior health advisor to the 
                diplomatic mission of the United States in the country 
                or region in which the global health attache is posted;
                    (B) convene and coordinate the country or regional 
                health team on behalf of the chief of mission of the 
                country or region in which the global health attache is 
                posted;
                    (C) oversee the development of the country or 
                regional health development implementation plan for the 
                country or region in which the global health attache is 
                posted;
                    (D) represent the United States Government 
                regarding health matters to foreign governments, 
                multilateral and international organizations, and 
                public and private entities; and
                    (E) perform such other duties that align with 
                advancing the global health interests of the United 
                States, as determined by the chief of mission and the 
                Committee.
            (7) Periodic reports.--
                    (A) In general.--Each global health attache shall 
                periodically submit country or regional updates to 
                regional and headquarters components of the global 
                health implementing agencies, through the chief of 
                mission, as determined by the Committee.
                    (B) Elements.--Each report submitted under 
                subparagraph (A) shall include a description of any 
                health-related threats or critical concerns that may 
                affect the national security, development efforts, or 
                commercial interests of the United States.
                    (C) Headquarters component defined.--In this 
                paragraph, the term ``headquarters component'' means 
                the senior leadership and policymaking section of a 
                global health implementing agency.
            (8) Supervision.--Each global health attache shall work 
        under the supervision of--
                    (A) the chief of mission of the country in which 
                the global health attache is posted; and
                    (B) the chiefs of mission of the countries to which 
                the global health attache is accredited.
            (9) Employment.--
                    (A) Salary and benefits.--The employer of each 
                global health attache at the time the global health 
                attache applies for the position of global health 
                attache shall continue to provide the salary and 
                benefits for the global health attache.
                    (B) Other expenses.--The Secretary of State shall 
                provide to each global health attache--
                            (i) allowances comparable to those provided 
                        by the Secretary to Foreign Service officers 
                        under sections 5922 through 5924 of title 5, 
                        United States Code;
                            (ii) reimbursement for travel and related 
                        expenses set forth in section 901 of the 
                        Foreign Service Act of 1980 (22 U.S.C. 4081); 
                        and
                            (iii) reimbursement for administrative 
                        services consistent with the International 
                        Cooperative Administrative Support Services 
                        Handbook.
            (10) Impartiality.--In carrying out their responsibilities 
        under this section, global health attaches--
                    (A) shall represent the interests and the 
                priorities of the United States Government; and
                    (B) may not show favoritism to any particular 
                Federal agency.

SEC. 8. COUNTRY OR REGIONAL HEALTH DEVELOPMENT IMPLEMENTATION PLANS.

    (a) In General.--Each country or regional health team, under the 
direction of the global health attache for the country or region, shall 
develop a country or regional health development implementation plan 
for the respective country or region.
    (b) Guidance.--The Committee shall develop guidance for the country 
and regional health development implementation plans, including with 
respect to--
            (1) the elements of and templates for the plans; and
            (2) policies and processes relating to plan approval, 
        consultation, and submission.
    (c) Plan Described.--
            (1) In general.--Each country or regional health 
        development implementation plan developed under subsection (a) 
        shall be a country- or regional-level operational plan--
                    (A) for supporting the health goals of the host 
                country or countries; and
                    (B) for ensuring that the national security 
                priorities of the United States are met.
            (2) Contents.--Each country or regional health development 
        implementation plan developed under subsection (a) shall 
        include--
                    (A) a comprehensive assessment of the health sector 
                in the applicable country or region, including the 
                strengths and weaknesses of the health system;
                    (B) an analysis of the key funders and stakeholders 
                within the health system;
                    (C) a plan of action with milestones describing how 
                global health activities will be implemented during the 
                period covered by the country or regional health 
                development implementation plan;
                    (D) health links to non-health-related activities, 
                such as military assistance and infrastructure 
                projects;
                    (E) metrics for measuring the impact of the plan;
                    (F) opportunities for increased engagement of the 
                United States and any consequences of failing to 
                increase engagement;
                    (G) a determination of the role of each agency in 
                the execution of the plan;
                    (H) a request for resources needed to ensure--
                            (i) the success of the plan; and
                            (ii) the sustainability of the health 
                        sector of the host country; and
                    (I) such other content as the Committee considers 
                appropriate.
            (3) Objectives.--Each country health development 
        implementation plan shall--
                    (A) align with and support the Integrated Country 
                Strategy and the Mission Resource Request for the 
                country; and
                    (B) align the President's Emergency Plan for AIDS 
                Relief (commonly known as ``PEPFAR'') and all other 
                global health plans of the United States Government 
                with the overall goals of the country or region--
                            (i) to mitigate redundancy of resources; 
                        and
                            (ii) to improve the impact of efforts.
    (d) Submission; Updates.--
            (1) Submission to chief of mission.--Not later than 270 
        days after a global health attache is first posted to a country 
        or region, the global health attache shall submit a country or 
        regional health development implementation plan developed under 
        subsection (a) to the appropriate chief of mission.
            (2) Approval; submission to committee.--If the chief of 
        mission approves the plan submitted under paragraph (1), the 
        chief of mission shall submit the plan to the Committee.
            (3) Updates.--Not less frequently than once every 2 years, 
        the country or regional health team shall update the country or 
        regional health development implementation plan.
    (e) Health Development Partners Working Group.--
            (1) In general.--Not later than 180 days after a global 
        health attache is first posted to a country or region, the 
        country or regional health team shall establish a health 
        development partners working group in each country or region 
        with a global health attache to support implementation of 
        country or regional health development implementation plans and 
        to improve synergy with respect to such implementation.
            (2) Membership.--Each working group established pursuant to 
        paragraph (1) shall be composed of representatives from--
                    (A) the country or regional health team;
                    (B) civil society partners of the United States;
                    (C) international organizations to which the United 
                States provides funding;
                    (D) the government of each host country; and
                    (E) 1 or more allied partners of the United States, 
                as the chief of mission considers appropriate.
    (f) Integration of Global Health Activities.--The country or 
regional health team in each country or region with a global health 
attache shall integrate global health activities within the country or 
region with other development programs and activities, as appropriate--
            (1) to advance the interests of the United States; and
            (2) to create sustainable capacity for the host country or 
        region.

SEC. 9. AUTHORIZATION OF APPROPRIATIONS.

    There are authorized to be appropriated such sums as may be 
necessary to carry out this Act.
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