Title: Global Health Security and Diplomacy Act of 2020
Policy area: International Affairs

Summary:
Global Health Security and Diplomacy Act of 2020
This bill establishes measures to detect, deter, and contain infectious disease outbreaks overseas before they become global pandemics.
The President must establish a Global Health Security Strategy for advancing U.S. global health security and diplomacy objectives. To promote such strategy, the bill establishes the role of Coordinator of U.S. Government Activities to Advance Global Health Security and Diplomacy overseas, who shall coordinate, manage, and oversee U.S. diplomatic efforts and foreign assistance resources.
In responding to an international infectious disease outbreak, the Department of State and the U.S. Agency for International Development shall lead diplomatic, coordination, and response efforts. Further, specified foreign assistance funds may be used for the cost to detail or employ certain individuals to carry out programs in response to global health emergencies and natural or man-made disasters.
The United States may participate in the Coalition for Epidemic Preparedness Innovations, which is a global partnership focused on developing vaccines to stop future epidemics.
The State Department must seek to establish a Trust Fund for Global Health Security within the World Bank. The fund shall enable developing countries to strengthen and sustain health systems and supply chains with the resources, capacity, and personnel necessary to prevent, detect, mitigate, and respond to infectious disease threats before they become pandemics.
The Government Accountability Office must report on the effectiveness of the programs, projects, and activities supported by the fund and assess the merits of continued U.S. participation in the fund.

[Congressional Bills 116th Congress]
[From the U.S. Government Publishing Office]
[S. 3829 Introduced in Senate (IS)]

<DOC>






116th CONGRESS
  2d Session
                                S. 3829

 To advance the global health security and diplomacy objectives of the 
    United States, improve coordination among the relevant Federal 
departments and agencies implementing United States foreign assistance 
    for global health security, and more effectively enable partner 
countries to strengthen and sustain resilient health systems and supply 
chains with the resources, capacity, and personnel required to prevent, 
detect, mitigate, and respond to infectious disease threats before they 
               become pandemics, and for other purposes.


_______________________________________________________________________


                   IN THE SENATE OF THE UNITED STATES

                              May 21, 2020

  Mr. Risch (for himself, Mr. Murphy, and Mr. Cardin) introduced the 
 following bill; which was read twice and referred to the Committee on 
                           Foreign Relations

_______________________________________________________________________

                                 A BILL


 
 To advance the global health security and diplomacy objectives of the 
    United States, improve coordination among the relevant Federal 
departments and agencies implementing United States foreign assistance 
    for global health security, and more effectively enable partner 
countries to strengthen and sustain resilient health systems and supply 
chains with the resources, capacity, and personnel required to prevent, 
detect, mitigate, and respond to infectious disease threats before they 
               become pandemics, 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 Security and Diplomacy 
Act of 2020''.

SEC. 2. DEFINITIONS.

    In this Act:
            (1) Appropriate congressional committees.--The term 
        ``appropriate congressional committees'' means--
                    (A) the Committee on Foreign Relations and the 
                Committee on Appropriations of the Senate; and
                    (B) the Committee on Foreign Affairs and the 
                Committee on Appropriations of the House of 
                Representatives.
            (2) Global health security agenda.--The term ``Global 
        Health Security Agenda'' means the multi-sectoral initiative 
        launched in 2014 and renewed in 2017 that brings together 
        countries, regions, international organizations, 
        nongovernmental organizations, and the private sector to 
        elevate global health security as a national-level priority, 
        share best practices, and facilitate national capacity to 
        comply with and adhere to the World Health Organization 
        International Health Regulations, the World Organization for 
        Animal Health international standards and guidelines, United 
        Nations Security Council Resolution 1540 (2004), the Biological 
        Weapons Convention, and other relevant frameworks that 
        contribute to global health security.
            (3) Global health security agenda joint external 
        evaluation.--The term ``Global Health Security Agenda Joint 
        External Evaluation'' means the voluntary, collaborative, 
        multi-sectoral process to assess country capacity to prevent, 
        detect, and rapidly respond to public health risks occurring 
        naturally or due to deliberate or accidental events, assess 
        progress in achieving the targets under the World Health 
        Organization International Health Regulations, and recommend 
        priority actions.
            (4) Global health security index.--The term ``Global Health 
        Security Index'' means the comprehensive assessment and 
        benchmarking of health security and related capabilities across 
        the 195 countries that make up the States Parties to the World 
        Health Organization International Health Regulations.
            (5) Key stakeholders.--The term ``key stakeholders'' means 
        actors engaged in efforts to advance global health security 
        programs and objectives, including--
                    (A) national and local governments in partner 
                countries;
                    (B) other bilateral donors;
                    (C) international and regional organizations;
                    (D) international, regional, and local financial 
                institutions;
                    (E) international, regional, and local private 
                voluntary, nongovernmental, faith-based, and civil 
                society organizations;
                    (F) representatives of historically marginalized 
                groups, including women and youth;
                    (G) the private sector, including medical device, 
                technology, and pharmaceutical companies; and
                    (H) public and private research and academic 
                institutions.
            (6) One health approach.--The term ``One Health approach'' 
        means the collaborative, multi-sectoral, and transdisciplinary 
        approach toward achieving optimal health outcomes in a manner 
        that recognizes the interconnection between people, animals, 
        plants, and their shared environment.
            (7) Relevant federal departments and agencies.--The term 
        ``relevant Federal departments and agencies'' means any Federal 
        department or agency operating under Chief of Mission authority 
        and implementing United States foreign assistance relevant to 
        the advancement of United States global health security and 
        diplomacy overseas, which may include--
                    (A) the Department of State;
                    (B) the United States Agency for International 
                Development;
                    (C) the Department of Health and Human Services;
                    (D) the Centers for Disease Control and Prevention;
                    (E) the National Institutes of Health;
                    (F) the Department of the Treasury;
                    (G) the Department of Defense;
                    (H) the Defense Threat Reduction Agency;
                    (I) the Millennium Challenge Corporation;
                    (J) the Development Finance Corporation;
                    (K) the Peace Corps; and
                    (L) any other department or agency that the 
                President determines to be relevant for these purposes.

SEC. 3. PURPOSE.

    The purpose of this Act is to advance the global health security 
and diplomacy objectives of the United States, improve coordination 
among the relevant Federal departments and agencies implementing United 
States foreign assistance for global health security, and more 
effectively enable partner countries to strengthen and sustain 
resilient health systems and supply chains with the resources, 
capacity, and personnel required to prevent, detect, mitigate, and 
respond to infectious disease threats before they become pandemics by--
            (1) establishing a comprehensive United States Global 
        Health Security Strategy with a One Health approach and clear 
        goals, objectives, and benchmarks, as well as instruments to 
        monitor and evaluate outputs and outcomes, measure impact, and 
        share data and learning;
            (2) establishing a mechanism to coordinate United States 
        global health security policies, activities, and assistance, 
        including efforts to advance the United States Global Health 
        Security Strategy and the Global Health Security Agenda, while 
        fully utilizing the unique capabilities of the relevant Federal 
        departments and agencies;
            (3) coordinating with key stakeholders and supporting 
        partner country efforts to strengthen and sustain more 
        resilient health systems and supply chains;
            (4) accelerating progress under the United States Global 
        Health Security Strategy, the Global Health Security Agenda, 
        the World Health Organization International Health Regulations, 
        and other relevant frameworks that contribute to global health 
        security;
            (5) enhancing support for innovation and public-private 
        partnerships for research, development, and deployment of 
        effective and affordable disease tracking tools, diagnostics, 
        therapeutics, and vaccines;
            (6) authorizing appropriations to advance the United States 
        Global Health Security Strategy and provide for a global health 
        security emergency reserve; and
            (7) authorizing the Secretary of State, in coordination 
        with the Secretary of the Treasury, to enter into negotiations 
        for the establishment of the Trust Fund for Global Health 
        Security.

 TITLE I--UNITED STATES GLOBAL HEALTH SECURITY STRATEGY AND ASSISTANCE

SEC. 101. PARTNER COUNTRY DEFINED.

    In this title, the term ``partner country'' means a country in 
which the relevant Federal departments and agencies are implementing 
United States foreign assistance for global health security under this 
Act.

SEC. 102. GLOBAL HEALTH SECURITY STRATEGY.

    (a) General.--The President shall maintain and advance a 
comprehensive strategy with a One Health approach toward advancing the 
global health security and diplomacy objectives of the United States 
overseas, which shall--
            (1) seek to strengthen United States diplomatic leadership 
        and improve the effectiveness of United States foreign 
        assistance for global health security to prevent, detect, and 
        respond to infectious disease threats, including through 
        advancement of the Global Health Security Agenda;
            (2) establish specific and measurable goals, benchmarks, 
        timetables, performance metrics, and monitoring and evaluation 
        plans for United States foreign assistance for global health 
        security that promote learning and reflect international best 
        practices relating to global health security, transparency, and 
        accountability;
            (3) establish mechanisms to improve coordination and 
        performance by the relevant Federal departments and agencies, 
        including by setting out clear roles and responsibilities that 
        reflect the unique capabilities and resources of each such 
        department and agency;
            (4) establish mechanisms to improve coordination and avoid 
        duplication of effort among the relevant Federal departments 
        and agencies, partner countries, donor countries, multilateral 
        organizations, and other key stakeholders;
            (5) prioritize working with partner countries with low 
        scores on the Global Health Security Index classification of 
        health systems and on the Global Health Security Agenda Joint 
        External Evaluation;
            (6) reduce long-term reliance upon United States foreign 
        assistance for global health security by promoting partner 
        country ownership, improved domestic resource mobilization, co-
        financing, and appropriate national budget allocations for 
        global health security and pandemic preparedness and response;
            (7) assist partner countries in building the technical 
        capacity of relevant ministries to prepare, execute, monitor, 
        and evaluate effective national action plans for health 
        security, including mechanisms to enhance budget and global 
        health data transparency, as necessary and appropriate;
            (8) align United States foreign assistance for global 
        health security with partner country national action plans for 
        health security, developed with input from key stakeholders, to 
        the greatest extent practicable and appropriate;
            (9) create linkages between complementary bilateral and 
        multilateral foreign assistance programs that contribute to the 
        development of more resilient health systems and supply chains 
        in partner countries with the capacity, resources, and 
        personnel required to prevent, detect, and respond to 
        infectious disease threats;
            (10) support innovation and public-private partnerships to 
        improve pandemic preparedness and response, including for the 
        development and deployment of effective infectious disease 
        tracking tools, diagnostics, therapeutics, and vaccines;
            (11) support collaboration with and among relevant public 
        and private research entities engaged in global health 
        security; and
            (12) support collaboration between United States 
        universities and public and private institutions in partner 
        countries that promote global health security and innovation.
    (b) Fiscal Year 2021 Compliance.--The United States Global Health 
Security Strategy, published on May 9, 2019, in compliance with section 
7058(c)(3) of the Department of State, Foreign Operations, and Related 
Programs Appropriations Act, 2020 (division K of Public Law 115-141), 
shall be deemed to comply with the requirement under this section for 
fiscal year 2021.
    (c) Strategy Updates.--
            (1) In general.--Concurrent with the submission of the 
        report required by section 634 of the Foreign Assistance Act of 
        1961 (22 U.S.C. 2394) for fiscal years 2022 through 2025, the 
        President, in consultation with the head of each relevant 
        Federal department and agency, shall submit to the appropriate 
        congressional committees updates to the United States Global 
        Health Security Strategy, including the agency-specific plans 
        required under paragraph (2).
            (2) Agency-specific plans.--The strategy updates required 
        under this subsection shall include specific implementation 
        plans from each relevant Federal department and agency that 
        describe--
                    (A) the anticipated staffing plans and 
                contributions of the department or agency, including 
                technical, financial, and in-kind contributions, to 
                implement the strategy; and
                    (B) the efforts of the department or agency to 
                ensure that the activities and programs carried out 
                pursuant to the strategy are designed to achieve 
                maximum impact and long-term results.

SEC. 103. GLOBAL HEALTH SECURITY COORDINATION.

    (a) Establishment.--There is established within the Department of 
State a Coordinator of United States Government Activities to Advance 
Global Health Security and Diplomacy overseas, who shall be appointed 
by the President, by and with the advice and consent of the Senate.
    (b) Authorities.--The Coordinator is authorized to--
            (1) operate internationally to carry out the purposes of 
        this Act;
            (2) transfer and allocate United States foreign assistance 
        resources for global health security to the relevant Federal 
        departments and agencies, in coordination with the Office of 
        Management and Budget, the United States Agency for 
        International Development, and the Department of State Office 
        of Foreign Assistance Resources; and
            (3) utilize open and streamlined solicitations to allow for 
        the participation of a wide range of implementing partners 
        through the most appropriate procurement mechanisms, which may 
        include grants, contracts, cooperative agreements, and other 
        instruments as necessary and appropriate.
    (c) Duties.--The Coordinator shall have primary responsibility for 
the coordination, management, and oversight of United States diplomatic 
efforts and foreign assistance resources to advance the relevant 
elements of the United States Global Health Security Strategy under 
section 102 and the duties described under subsection (f)(2), including 
the international programs, projects, and activities of the United 
States Government relating to the Global Health Security Agenda and the 
Trust Fund for Global Health Security established under title II, 
including--
            (1) ensuring effective program coordination and 
        implementation by the relevant Federal departments and 
        agencies, including by--
                    (A) managing the budget and planning of United 
                States foreign assistance resources authorized to be 
                appropriated or otherwise made available to carry out 
                the purposes of chapters 1 and 10 of part I and chapter 
                4 of part II of the Foreign Assistance Act of 1961 (22 
                U.S.C. 2151 et seq.) relating to infectious disease 
                prevention, detection, mitigation, and response, 
                including efforts to enable partner countries to 
                strengthen and sustain resilient health systems and 
                supply chains;
                    (B) formulating, issuing, and updating related 
                program guidance;
                    (C) establishing unified auditing, monitoring, and 
                evaluation plans;
                    (D) aligning resources and implementation plans 
                under the strategy with the relevant Federal 
                departments and agencies with the greatest expertise, 
                technical capabilities, comparative advantage, and 
                potential for success;
                    (E) working with and leveraging the expertise and 
                activities of the Office of the Global AIDS 
                Coordinator, the President's Malaria Coordinator, and 
                similar or successor entities implementing United 
                States global health assistance overseas; and
                    (F) avoiding duplication of effort and working to 
                resolve policy, program, and funding disputes among the 
                relevant Federal departments and agencies;
            (2) leading diplomatic efforts to address current and 
        emerging threats to global health security;
            (3) ensuring effective representation of the United States 
        in relevant international forums, including at the World Health 
        Assembly and meetings of the Global Health Security Agenda, in 
        coordination with the Secretary of the Department of Health and 
        Human Services, as necessary and appropriate;
            (4) promoting greater donor and partner country investment 
        in building more resilient health systems and supply chains, 
        including through representation and participation in a 
        multilateral trust fund for global health security, consistent 
        with title II;
            (5) working to enhance coordination with and transparency 
        among partner countries and key stakeholders, including the 
        private sector; and
            (6) regularly updating the appropriate congressional 
        committees.
    (d) Other Global Health Assistance.--This section shall not apply 
to funds authorized to be appropriated or otherwise made available to 
carry out the purposes of chapters 1 and 10 of part I and chapter 4 of 
part II of the Foreign Assistance Act of 1961 (22 U.S.C. 2151 et seq.) 
relating to global health that are--
            (1) apportioned directly to the Department of State to 
        carry out programs authorized pursuant to the United States 
        Leadership Against HIV/AIDS, Tuberculosis, and Malaria Act of 
        2003 (Public Law 108-25); or
            (2) apportioned directly to the United States Agency for 
        International Development to carry out programs that are not 
        directly related to new or emerging infectious disease threats.
    (e) United States Agency for International Development.--The 
Coordinator should be supported by a deputy, who should be an employee 
of the United States Agency for International Development serving in a 
career or noncareer position in the Senior Executive Service or at the 
level of a Deputy Assistant Administrator or higher, who serves 
concurrently as the deputy and performs the functions ascribed to the 
agency by section 3(b) of Executive Order 13747 of November 4, 2016.
    (f) Sense of Congress.--It is the sense of Congress that--
            (1) Executive Order 13474 of November 4, 2016, and the 
        United States Global Health Security Strategy, delivered to 
        Congress on May 9, 2019, set out leadership and interagency 
        coordinating roles for the National Security Council relating 
        to global health security and the Global Health Security 
        Agenda;
            (2) the Coordinator should perform the functions in 
        Executive Order 13747 ascribed to the Department of State in 
        section 3(b) of such executive order;
            (3) the Interagency Review Council described in Executive 
        Order 13747 should perform the functions ascribed to it in 
        section 2 of such executive order; and
            (4) the President should consider appointing an individual 
        serving on the National Security Council, at the senior 
        director level or higher and with significant background and 
        expertise in public health, health security, or emergency 
        biological response management, to convene and coordinate--
                    (A) the interagency process of the Federal 
                departments and agencies implementing the functions 
                described in section 3 of Executive Order 13747; and
                    (B) the interagency process to ensure continuity of 
                effort across the Federal departments and agencies 
                engaged in domestic and international global health 
                security preparedness and response.

SEC. 104. GLOBAL HEALTH EMERGENCIES.

    In responding to an international infectious disease outbreak that 
is sustained, severe, and is spreading internationally, which may 
include a declaration under the World Health Organization International 
Health Regulations of a Public Health Emergency of International 
Concern overseas--
            (1) the Secretary of State, acting through the Coordinator 
        of United States Government Activities to Advance Global Health 
        Security and Diplomacy, as appropriate, shall be represented at 
        all relevant interagency meetings and lead United States 
        diplomatic and coordination efforts with the relevant 
        international organizations and key stakeholders; and
            (2) the Administrator of the United States Agency for 
        International Development shall be represented at all relevant 
        interagency meetings and serve as the program lead on 
        international emergency humanitarian response, as well efforts 
        to address second order development impacts of such an 
        emergency within partner countries.

SEC. 105. USAID DISASTER SURGE CAPACITY.

    (a) In General.--Funds authorized to be appropriated or otherwise 
made available to carry out part I of the Foreign Assistance Act of 
1961 (22 U.S.C. 2151 et seq.), including funds made available for 
``Assistance for Europe, Eurasia and Central Asia'', may be used, in 
addition to funds otherwise made available for such proposes, for the 
cost (including support costs) of individuals detailed to or employed 
by the United States Agency for International Development whose primary 
responsibility is to carry out programs in response to global health 
emergencies and natural or man-made disasters.
    (b) Notification.--The Administrator shall notify the appropriate 
congressional committees not later than 15 days before making funds 
available under this section.

SEC. 106. AUTHORIZATION FOR UNITED STATES PARTICIPATION IN COALITION 
              FOR EPIDEMIC PREPAREDNESS INNOVATIONS.

    (a) In General.--The United States is authorized to participate in 
the Coalition for Epidemic Preparedness Innovations (CEPI).
    (b) Board of Directors.--The Administrator of the United States 
Agency for International Development is authorized to designate an 
employee of such agency to serve on the Investors Council of CEPI as a 
representative of the United States.
    (c) Consultation.--Not later than 60 days after the date of the 
enactment of this Act, the Secretary shall consult with the appropriate 
congressional committees on--
            (1) the manner and extent to which the United States plans 
        to participate in CEPI, including through governance of CEPI;
            (2) any planned financial contributions to CEPI; and
            (3) how participation in CEPI is expected to support the 
        United States Global Health Security Strategy and any other 
        relevant programs relating to global health security and 
        biodefense.
    (d) United States Contributions.--The President is authorized to 
make available funds authorized to be appropriated under section 107 
for United States contributions to CEPI.
    (e) Notification.--Not later than 15 days before making a 
contribution to CEPI, the Secretary of State shall notify the 
appropriate congressional committees of the amount, purposes, and 
national interests served by such planned contribution.

SEC. 107. AUTHORIZATIONS OF APPROPRIATIONS.

    (a) In General.--There is authorized to be appropriated, for fiscal 
years 2021 through 2025, $3,000,000,000 to advance the Global Health 
Security Strategy of the United States overseas, including support 
for--
            (1) the Emergency Reserve Fund established pursuant to 
        section 7058(c)(1) of the Department of State, Foreign 
        Operations, and Related Programs Appropriations Act, 2017 
        (division J of Public Law 115-31) to address emerging global 
        health threats; and
            (2) United States contributions to the Fund established 
        under title II of this Act.
    (b) Exception.--Section 110 of the Trafficking Victims Protection 
Act of 2000 (22 U.S.C. 7107) shall not apply to assistance made 
available pursuant to this section.
    (c) Applicability.--Section 104(f) of the Foreign Assistance Act of 
1961 (22 U.S.C. 2151b(f)) shall apply to assistance made available 
pursuant to this section.

            TITLE II--TRUST FUND FOR GLOBAL HEALTH SECURITY

SEC. 201. DEFINITION.

    In this title, the term ``partner country'' means a developing 
country with demonstrated need and commitment to transparency, 
including budget and global health data transparency, in which the 
Trust Fund for Global Health Security established under section 202 is 
working to design, implement, and evaluate global health security 
assistance programs under this Act.

SEC. 202. ESTABLISHMENT OF TRUST FUND FOR GLOBAL HEALTH SECURITY.

    (a) Negotiations for Establishment of a Trust Fund for Global 
Health Security.--The Secretary of State should seek to enter into 
negotiations with the World Bank or the International Development 
Association, in coordination with the Secretary of the Treasury, the 
Administrator of the United States Agency for International 
Development, and the heads of other relevant Federal departments and 
agencies, and with the member nations of the World Bank or the 
International Development Association and with other interested 
parties, for the establishment within the World Bank of--
            (1) a Trust Fund for Global Health Security (in this 
        subtitle referred to as ``the Fund'') in accordance with the 
        provisions of this section; and
            (2) an Advisory Board to the Fund in accordance with 
        section 205.
    (b) Purpose.--The purpose of the Fund should be to advance global 
health security by catalyzing public and private investments in global 
health security, infectious disease control, and pandemic preparedness 
and response in developing countries with demonstrated need, commitment 
to transparency, including budget and global health data transparency, 
and evidence-based outcomes.
    (c) Composition.--
            (1) In general.--The Fund should be governed by a Board of 
        Trustees, to be composed of representatives of World Bank 
        member states that are donors and participants in the Fund. The 
        Board of Trustees should include--
                    (A) 5 permanent member countries, who qualify based 
                upon meeting an established initial contribution 
                threshold, which should be not less than 10 percent of 
                total contributions, and by meeting minimum standards 
                for upholding the International Health Regulations, and 
                who should hold veto power over programs and projects;
                    (B) 5 term members, who are selected by the 
                permanent members on the basis of their commitment to 
                innovation, best practices, and the advancement of 
                global health security objectives in partner countries; 
                and
                    (C) 9 developing country members, who serve a 
                period term, and who demonstrate a commitment to 
                prioritizing global health security for their citizens 
                and to the purposes and principles of the Fund.
            (2) Qualifications.--Individuals appointed to the Board 
        shall have demonstrated knowledge and experience in the fields 
        of public health, epidemiology, supply chain management, health 
        delivery systems, and development.
            (3) United states representation.--
                    (A) In general.--
                            (i) Founding permanent member.--The 
                        Secretary of State shall seek to establish the 
                        United States as a founding permanent member of 
                        the Fund.
                            (ii) Coordinator of united states 
                        government activities to advance global health 
                        security.--The United States shall be 
                        represented on the Board of Trustees by the 
                        Coordinator of United States Government 
                        Activities to Advance Global Health Security 
                        and Diplomacy established under section 103.
                    (B) Effective and termination dates.--
                            (i) Effective date.--This paragraph shall 
                        take effect upon the date the Secretary of 
                        State, in coordination with the Secretary of 
                        the Treasury, certifies and transmits to 
                        Congress an agreement establishing the Fund.
                            (ii) Termination date.--The membership 
                        established pursuant to subparagraph (A) shall 
                        terminate upon the date of termination of the 
                        Fund.
            (4) Removal procedures.--The Fund shall establish 
        procedures for the removal of members of the Board who engage 
        in a consistent pattern of human rights abuses, fail to uphold 
        global health data transparency requirements, or otherwise 
        violate the established standards of the Fund.

SEC. 203. GRANT AUTHORITIES.

    (a) Program Objectives.--
            (1) In general.--In carrying out the purpose set forth in 
        section 202(b), the Fund, acting through the Board of Trustees, 
        should provide grants, including challenge grants, technical 
        assistance, concessional lending, catalytic investment funds, 
        and other innovative funding mechanisms, as appropriate, to 
        support measures that enable developing countries, at both 
        national and sub-national levels, and in partnership with civil 
        society and the private sector, to strengthen and sustain 
        resilient health systems and supply chains with the resources, 
        capacity, and personnel required to prevent, detect, mitigate, 
        and respond to infectious disease threats before they become 
        pandemics.
            (2) Activities supported.--Activities to be supported by 
        the Fund should include efforts to--
                    (A) enable partner countries with low scores on the 
                Global Health Security Index classification of health 
                systems and on the Global Health Security Agenda Joint 
                External Evaluation to improve such scores and adopt 
                and uphold commitments under the Global Health Security 
                Agenda, the World Health Organization International 
                Health Regulations, and other related international 
                health agreements;
                    (B) support global health budget and workforce 
                planning in partner countries, including training in 
                financial management and budget and global health data 
                transparency;
                    (C) advance research, development, and deployment 
                of effective infectious disease tracking tools, 
                diagnostics, therapeutics, and vaccines, including by 
                establishing and leveraging public-private partnerships 
                and supporting advance purchase agreements, as 
                necessary and appropriate;
                    (D) improve infection control within healthcare 
                settings;
                    (E) combat the threat of antimicrobial resistance;
                    (F) expand lab capacity through the provision of 
                material and technical assistance;
                    (G) build technical capacity to manage global 
                health supply chains through effective forecasting, 
                procurement, warehousing, and delivery from central 
                warehouses to points of service;
                    (H) enable bilateral and regional partnerships and 
                cooperation to identify and address transnational 
                infectious disease threats exacerbated by natural and 
                man-made disasters, human displacement, and zoonotic 
                infection;
                    (I) establish partnerships to develop medical 
                interventions to detect, treat, and prevent the spread 
                of neglected tropical diseases;
                    (J) build the technical capacity of partner 
                countries to prepare for and respond to second order 
                development impacts of infectious disease outbreaks, 
                while accounting for the differentiated needs and 
                vulnerabilities of marginalized populations;
                    (K) develop and utilize metrics to monitor and 
                evaluate program performance and identify best 
                practices; and
                    (L) develop and deploy mechanisms to enhance the 
                transparency and accountability of global health 
                security programs and data, including through the 
                sharing of trends, risks, and lessons learned.
            (3) Implementation of program objectives.--In carrying out 
        the objectives of paragraph (1), the Fund shall work to 
        eliminate duplication and waste by upholding strict 
        transparency and accountability standards and coordinating its 
        programs and activities with key partners working to advance 
        global health security, including, at a minimum--
                    (A) governments, civil society and nongovernmental 
                organizations, research and academic institutions, and 
                private sector entities in partner countries;
                    (B) the Global Health Security Agenda;
                    (C) the Global Fund to Fight AIDS, Tuberculosis, 
                and Malaria;
                    (D) the Vaccine Alliance, GAVI;
                    (E) the Coalition for Epidemic Preparedness 
                Innovations (CEPI);
                    (F) the Global Polio Eradication Initiative; and
                    (G) the Coordinator of United States Government 
                Activities to Advance Global Health Security and 
                Diplomacy, established pursuant to section 103.
    (b) Priority.--In providing assistance under this section, the Fund 
should give priority to low and lower-middle income countries, as 
classified in the most recent edition of the World Development Report 
for Reconstruction and Development published by the International Bank 
for Reconstruction and Development, with low scores on the Global 
Health Security Index classification of health systems and on the 
Global Health Security Agenda Joint External Evaluation, and 
demonstrated commitment to upholding global health budget and data 
transparency and accountability standards and investing in their own 
health systems.
    (c) Eligible Grant Recipients.--Governments and nongovernmental 
organizations should be eligible to receive grants under this section.

SEC. 204. ADMINISTRATION.

    (a) Appointment of an Administrator.--The Board of Trustees, in 
consultation with the appropriate officials of the Bank, should appoint 
an Administrator who should be responsible for managing the day-to-day 
operations of the Fund.
    (b) Authority To Solicit and Accept Contributions.--The Fund should 
be authorized to solicit and accept contributions from governments, the 
private sector, and nongovernmental entities of all kinds.
    (c) Accountability of Funds and Criteria for Programs.--As part of 
the negotiations described in section 202(a), the Secretary of the 
State, in coordination with the Secretary of the Treasury, shall, 
consistent with subsection (d)--
            (1) take such actions as are necessary to ensure that the 
        Bank or the Association will have in effect adequate procedures 
        and standards to account for and monitor the use of funds 
        contributed to the Fund, including the cost of administering 
        the Fund; and
            (2) seek agreement on the criteria that should be used to 
        determine the programs and activities that should be assisted 
        by the Fund.
    (d) Selection of Partner Countries, Projects, and Recipients.--The 
Board of Trustees should establish--
            (1) partner country selection criteria, to include 
        transparent metrics to measure and assess global health 
        security strengths and vulnerabilities in developing countries 
        seeking assistance;
            (2) minimum standards for ensuring partner country 
        ownership and commitment to long-term results, including 
        requirements for domestic budgeting, resource mobilization, and 
        co-investment;
            (3) criteria for the selection of projects to receive 
        support from the Fund;
            (4) standards and criteria regarding qualifications of 
        recipients of such support;
            (5) such rules and procedures as may be necessary for cost-
        effective management of the Fund; and
            (6) such rules and procedures as may be necessary to ensure 
        transparency and accountability in the grant-making process.
    (e) Additional Transparency and Accountability Requirements.--
            (1) Inspector general.--
                    (A) In general.--The Secretary of State shall 
                ensure that the Fund maintains an independent Office of 
                the Inspector General and ensure that the office has 
                the requisite resources and capacity to regularly 
                conduct and publish, on a publicly accessible website, 
                rigorous financial, programmatic, and reporting audits 
                and investigations of the Fund and its grantees.
                    (B) Sense of congress on corruption.--It is the 
                sense of Congress that--
                            (i) corruption within global health 
                        programs contribute directly to the loss of 
                        human life and cannot be tolerated; and
                            (ii) in making financial recoveries 
                        relating to a corrupt act or criminal conduct 
                        under a grant, as determined by the Inspector 
                        General, the responsible grant recipient should 
                        be assessed at a recovery rate of 150 percent 
                        of such loss.
            (2) Administrative expenses.--The Secretary of State shall 
        ensure the Fund establishes, maintains, and makes publicly 
        available a system to track the administrative and management 
        costs of the Fund on a quarterly basis.
            (3) Grant tracking systems.--The Secretary of State shall 
        ensure that the Fund establishes, maintains, and makes publicly 
        available a system to track the amount of funds disbursed to 
        each grant recipient and sub-recipient during a grant's fiscal 
        cycle.
            (4) Exemption from duties and taxes.--The Secretary should 
        ensure that the Fund adopts rules that condition grants upon 
        agreement by the relevant national authorities in a partner 
        country to exempt from duties and taxes all products financed 
        by such grants, including procurements by any principal or sub-
        recipient for the purpose of carrying out such grants.

SEC. 205. ADVISORY BOARD.

    (a) In General.--There should be an Advisory Board to the Fund.
    (b) Appointments.--The members of the Advisory Board should be 
composed of--
            (1) individuals with experience and leadership in the 
        fields of development, global health, epidemiology, medicine, 
        biomedical research, and social sciences; and
            (2) representatives of relevant United Nations agencies and 
        nongovernmental organizations with on-the-ground experience in 
        implementing global health programs in low and lower-middle 
        income countries.
    (c) Responsibilities.--The Advisory Board should provide advice and 
guidance to the Board of Trustees on the development and implementation 
of programs and projects to be assisted by the Fund and on leveraging 
donations to the Fund.
    (d) Prohibition on Payment of Compensation.--
            (1) In general.--Except for travel expenses (including per 
        diem in lieu of subsistence), no member of the Advisory Board 
        should receive compensation for services performed as a member 
        of the Board.
            (2) United states representative.--Notwithstanding any 
        other provision of law (including an international agreement), 
        a representative of the United States on the Advisory Board may 
        not accept compensation for services performed as a member of 
        the Board, except that such representative may accept travel 
        expenses, including per diem in lieu of subsistence, while away 
        from the representative's home or regular place of business in 
        the performance of services for the Board.

SEC. 206. REPORTS TO CONGRESS.

    (a) Annual Report.--
            (1) In general.--Not later than 1 year after the date of 
        the enactment of this Act, and annually thereafter for the 
        duration of the Fund, the Secretary of State, in coordination 
        with the Secretary of the Treasury, shall submit to the 
        appropriate congressional committees a report on the Fund.
            (2) Report elements.--The report shall include a 
        description of--
                    (A) the goals of the Fund;
                    (B) the programs, projects, and activities 
                supported by the Fund;
                    (C) private and governmental contributions to the 
                Fund; and
                    (D) the criteria utilized to determine the programs 
                and activities that should be assisted by the Fund.
    (b) GAO Report on Trust Fund Effectiveness.--Not later than 2 years 
after the date that the Fund is formally established, the Comptroller 
General of the United States shall submit to the appropriate 
congressional committees a report evaluating the effectiveness of the 
Fund, including--
            (1) the effectiveness of the programs, projects, and 
        activities supported by the Fund; and
            (2) an assessment of the merits of continued United States 
        participation in the Fund.

SEC. 207. UNITED STATES CONTRIBUTIONS.

    (a) In General.--Subject to submission of the certification under 
section 202(c)(3)(B)(i), the President is authorized to make available 
funds authorized to be appropriated pursuant to section 107 for United 
States contributions to the Fund.
    (b) Notification.--The Secretary of State shall notify the 
appropriate congressional committees not later than 15 days in advance 
of making a contribution to the Fund, including--
            (1) the amount of the proposed contribution;
            (2) the total of funds contributed by other donors; and
            (3) the national interests served by United States 
        participation in the Fund.
    (c) Limitation.--At no point during fiscal years 2021 through 2025 
shall a United States contribution cause the cumulative total of United 
States contributions to exceed 33 percent of the total contributions to 
the Fund from all sources.
    (d) Withholdings.--
            (1) Support for acts of international terrorism.--If at any 
        time the Secretary of State determines that the Fund has 
        provided assistance to a country, the government of which the 
        Secretary of State has determined, for purposes of section 620A 
        of the Foreign Assistance Act of 1961 (22 U.S.C. 2371) has 
        repeatedly provided support for acts of international 
        terrorism, the United States shall withhold from its 
        contribution for the next fiscal year an amount equal to the 
        amount expended by the Fund to the government of such country.
            (2) Excessive salaries.--If at any time during any of the 
        fiscal years 2021 through 2025, the Secretary of State 
        determines that the salary of any individual employed by the 
        Fund exceeds the salary of the Vice President of the United 
        States for that fiscal year, then the United States should 
        withhold from its contribution for the next fiscal year an 
        amount equal to the aggregate amount by which the salary of 
        each such individual exceeds the salary of the Vice President 
        of the United States.
            (3) Accountability certification requirement.--The 
        Secretary of State shall withhold not less than 20 percent of 
        planned United States contributions to the Fund until the 
        Secretary certifies to the appropriate congressional committees 
        that the Fund has established procedures to provide access by 
        the Office of Inspector General of the Department of State, as 
        cognizant Inspector General, the Inspector General of the 
        Department of Health and Human Services, and the Inspector 
        General of the United States Agency for International 
        Development, to the Fund's financial data and other information 
        relevant to United States contributions (as determined by the 
        Inspector General, in consultation with the Secretary of 
        State).
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