Sec. 4. United States Global Health Commission
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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. The commission established under subsection
(a)shall be known as the United States Global Health Commission . The President shall appoint a noncabinet-level senior staff member to the National Security Council to serve as— the Chairperson of the Commission; and the Senior United States Global Health Advisor. The Commission shall be composed of— the Chairperson; a commissioners group (referred to in this section as the principal group ); a staff group; and any working group that the principal group determines to be necessary to carry out the duties under this section. The principal group shall be composed of— 12 voting members, of whom— 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; 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 3 shall be appointed by the President from among individuals from the international development community with expertise in health, community, or economic development; and 2 nonvoting, ex officio members, of whom— 1 shall be the President of the National Academy of Medicine; and 1 shall be an employee of the Government Accountability Office who shall be appointed by the Comptroller General of the United States. 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. The staff group shall advise, provide subject-matter expertise to, and support the activities of, the Commission. 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. 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. A vacancy in the Commission— shall not affect the powers of the Commission; and shall be filled in the same manner as the original appointment. The Commission shall meet at the call of the Chairperson. Not later than 180 days after the date of the enactment of this Act, the Commission shall hold its initial meeting. The principal group shall meet not less frequently than twice each year. The staff group described in subsection (d)(1)(C) shall meet as determined by the Chairperson based on the activities of the Commission. 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. The bylaws developed under paragraph
(1)shall include— information on the membership of the Commission; the number of annual meetings required for the principal group and the staff group; the decision-making process of the Commission; the process by which disputes are resolved; and such other information and policies as the Commission considers appropriate. The Commission shall— 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; 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; 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; advise the Committee on country and regional challenges; based on the priorities of the United States, recommend countries or regions that would greatly benefit from— receiving a global health attaché under section 7; and the establishment of a country or regional health development implementation plan under section 8; recommend agenda items and provide other recommendations and advice to the Committee; and facilitate cooperation between the United States Government and academic and research institutions, civil society, international nongovernmental organizations, and other public and private entities. 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— the bylaws and membership of the Commission; a description of the methodology for the development of the Strategy; and a description of progress made toward developing the Strategy. 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. Each report submitted under subparagraph
(A)shall include— any updates to the Strategy since the submission of the most recent report; a description of major global health threats of concern to the United States Government; 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 a description of opportunities for future engagement on global health. Section 5313 of title 5, United States Code, is amended by adding at the end the following: Senior United States Global Health Advisor. . 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. 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. The Federal Advisory Committee Act (5 U.S.C. App.) shall not apply to the Commission.