Sec. 302. Enhanced support for global health security
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It is the policy of the United States— to improve the ability of countries to prevent, detect, and respond to health crises, including outbreaks of infectious diseases with epidemic and pandemic potential, such as COVID–19 and Ebola; to advance the Global Health Security Agenda by promoting global health security as a core national and human security interest; to collaborate with other countries to detect and mitigate outbreaks of infectious diseases with epidemic and pandemic potential early in order to prevent the spread of disease; to encourage other countries to invest in basic health care systems; and to improve the understanding of and response to intersections of human, animal, and environmental health to— prevent and mitigate infectious disease outbreaks; and combat the growing threat of antimicrobial resistance.
Section 101 of the National Security Act of 1947 ( 50 U.S.C. 3021 ) is amended— in subsection (b)— in paragraph (3), by striking ; and and inserting a semicolon; in paragraph (4), by striking the period at the end and inserting ; and ; and by adding at the end the following new paragraph: coordinate, without assuming operational authority, the United States Government response to global health security emergencies. ; by redesignating subsection
(h)as subsection (i); and by inserting after subsection
(g)the following new subsection: The President shall designate an employee of the National Security Council to be responsible for— the coordination of the interagency process for preparing for, preventing, detecting, and responding to global health security emergencies; and in consultation with the Global Health Security Agenda Interagency Review Council established pursuant to section 302(c) of the and in coordination with the Administrator of the United States Agency for International Development, leading the development of a framework for such a response in countries where there is armed conflict or insecurity. COVID–19 International Response and Recovery Act of 2020 Not less frequently than semiannually, the employee designated under paragraph
(1)shall provide a briefing to the appropriate congressional committees that describes his or her responsibilities and activities under such paragraph. In this subsection, the term appropriate congressional committees means— the Committee on Foreign Relations of the Senate; the Committee on Appropriations of the Senate; the Committee on Foreign Affairs of the House of Representatives; and the Committee on Appropriations of the House of Representatives. . The President shall direct the National Security Council to establish a Global Health Security Agenda Interagency Review Council (referred to in this section as the Council ), which shall perform— the general responsibilities described in paragraph (4); and the specific roles and responsibilities described in paragraph (6). The Special Advisor to the President for Global Health Security designated under section 101(h)(1) of the National Security Act of 1947, as added by subsection (b), shall serve as the Chair of the Council. The Council shall meet not less frequently than 4 times per year to advance its mission and fulfill its responsibilities. The Council shall— provide, by consensus, policy-level guidance to participating agencies on GHSA goals, objectives, and implementation; facilitate interagency, multi-sectoral engagement to carry out GHSA implementation; provide a forum for raising and working to resolve interagency disagreements concerning the GHSA; review the progress toward, and work to resolve challenges in, achieving United States commitments under the GHSA, including commitments to assist other countries in achieving GHSA targets; consider, among other issues— the status of United States financial commitments to the GHSA in the context of commitments by other donors, and the contributions of partner countries to achieve GHSA targets; the progress toward the milestones outlined in GHSA national plans for countries in which the United States Government has committed to assist in implementing the GHSA and in annual work plans outlining agency priorities for implementing the GHSA; and the Joint External Evaluations of United States and partner country capabilities to address infectious disease threats, including the ability to achieve the targets outlined within the World Health Organization’s Joint External Evaluation tool, and gaps identified by such external evaluations; develop an annual report regarding the progress achieved, and the challenges faced, concerning the United States Government’s ability to advance GHSA across priority countries that— includes recommendations to resolve, mitigate, or otherwise address the challenges identified in the report; and is submitted to the President and to the appropriate congressional committees and is made publicly available; not later than September 1, 2020, complete a GHSA review that— is submitted to the President and to the appropriate congressional committees; includes an evaluation of the progress achieved during the 5-year period of the initiative, and any challenges faced in carrying out the initiative; and includes recommendations on the future direction of the initiative; and develop a framework for the United States Government to respond to health emergencies amid insecure settings, such as the Ebola outbreak in the Democratic Republic of the Congo in conflict. The annual report developed under subparagraph (A)(vi), the review completed under subparagraph (A)(vii), and the framework developed under subparagraph (A)(viii) shall be submitted in unclassified form, but may contain a classified annex. The Council may not perform any activities or functions that interfere with the foreign affairs responsibilities of the Secretary of State, including the responsibility to oversee the implementation of programs and policies that advance the GHSA within foreign countries. The Council shall consist of representatives, serving at the Assistant Secretary level or higher, from— the Department of State; the Department of Defense; the Department of Justice; the Department of Agriculture; the Department of Health and Human Services; the Department of Homeland Security; the Office of Management and Budget; the United States Agency for International Development; the Environmental Protection Agency; the Centers for Disease Control and Prevention; the Office of Science and Technology Policy, and such other agencies as the representatives from the agencies referred to in subparagraphs
(A)through
(K)determine, by consensus, to be appropriate. The heads of agencies described in paragraph
(5)shall— make the GHSA and its implementation a high priority within their respective agencies, and include GHSA-related activities within their respective agencies’ strategic planning and budget processes; designate a senior-level official to be responsible for the implementation of this section; designate, in accordance with paragraph (5), an appropriate representative at the Assistant Secretary level or higher to participate on the Council; keep the Council apprised of GHSA-related activities undertaken within their respective agencies; maintain responsibility for agency-related programmatic functions in coordination with host governments, country teams, and GHSA in-country teams, and in conjunction with other relevant agencies; coordinate with other agencies that are identified in this section to satisfy programmatic goals, and further facilitate coordination of country teams, implementers, and donors in host countries; and coordinate across GHSA national plans and with GHSA partners to which the United States is providing assistance. In addition to the roles and responsibilities described in subparagraph (A), the heads of the agencies described in paragraph
(5)shall carry out their respective roles and responsibilities described in subsections
(b)through
(i)of section 3 of Executive Order 13747 (81 Fed. Reg. 78701; relating to Advancing the Global Health Security Agenda to Achieve a World Safe and Secure from Infectious Disease Threats), as in effect on the day before the date of the enactment of this Act.
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- 81 FR 78701
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