Sec. 302. Establishment of Fund for Global Health Security and Pandemic Prevention and Preparedness
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The Secretary of State, in coordination with the Secretary of the Treasury, the Administrator of the United States Agency for International Development, the Secretary of Health and Human Services, and the heads of other relevant Federal departments and agencies, as necessary and appropriate, should seek to enter into negotiations with donors, relevant United Nations agencies, including the World Health Organization, and other key multilateral stakeholders, to establish— a multilateral, catalytic financing mechanism for global health security and pandemic prevention and preparedness, which may be known as the Fund for Global Health Security and Pandemic Prevention and Preparedness (in this title referred to as the Fund ), to address the need for and secure durable financing in accordance with the provisions of this section; and an Advisory Board to the Fund in accordance with section 305.
The purposes of the Fund should be— to close critical gaps in global health security and pandemic prevention and preparedness; and to build capacity in eligible partner countries in the areas of global health security, infectious disease control, and pandemic prevention and preparedness, in a manner that— prioritizes capacity building and financing availability in eligible partner countries; incentivizes countries to prioritize the use of domestic resources for global health security and pandemic prevention and preparedness; leverages government, nongovernment, and private sector investments; regularly responds to and evaluates progress based on clear metrics and benchmarks, such as the Joint External Evaluation and the Global Health Security Index; aligns with and complements ongoing bilateral and multilateral efforts and financing, including through the World Bank, the World Health Organization, the Global Fund to Fight AIDS, Tuberculosis, and Malaria, the Coalition for Epidemic Preparedness and Innovation, and Gavi, the Vaccine Alliance; and helps countries accelerate and achieve compliance with the International Health Regulations
(2005)and the fulfillment of the Global Health Security Agenda 2024 Framework not later than 5 years after the date on which the Fund is established, in coordination with the ongoing Joint External Evaluation national action planning process. The Fund should be governed by a transparent and accountable body (referred to in this title as the Executive Board ), which should be composed of not more than 20 representatives of donor governments, foundations, academic institutions, civil society, indigenous people, and the private sector that meet a minimum threshold in annual contributions and agree to uphold transparency measures. The Executive Board should— be charged with approving strategies, operations, and grant making authorities in order to conduct effective fiduciary, monitoring, and evaluation efforts, and other oversight functions; be comprised only of contributors to the Fund at not less than the minimum threshold to be established pursuant to paragraph (1); determine operational procedures such that the Fund is able to effectively fulfill its mission; provide oversight and accountability for the Fund in collaboration with the Inspector General to be established pursuant to section 304(e)(1)(A); and develop and utilize a mechanism to obtain formal input from partner countries relative to lessons learned with regard to program implementation. The Executive Board should include— representatives of the governments of founding permanent member countries who, in addition to the requirements under paragraph (1), qualify based upon meeting an established initial contribution threshold, which should be not less than 10 percent of total initial contributions, and a demonstrated commitment to supporting the International Health Regulations (2005); a geographically diverse group of term members who— come from academic institutions, civil society, including indigenous organizations, and the private sector; and are selected by the permanent members on the basis of their experience and commitment to innovation, best practices, and the advancement of global health security objectives; representatives of the World Health Organization; the chair of the Global Health Security Steering Group; and representatives from low- and middle-income countries that are or will be implementing a national pandemic prevention plan. Individuals appointed to the Executive Board should have demonstrated knowledge and experience across a variety of sectors, including human and animal health, agriculture, development, defense, finance, research, and academia. The Executive Board may include independent technical experts who are not affiliated with, or employed by, a recipient country or organization. Executive Board members appointed pursuant to paragraph (3)(C) should recuse themselves from matters presenting conflicts of interest, including financing decisions relating to such bodies and institutions. The Secretary of State should seek— to establish the United States as a founding permanent member of the Fund; and to ensure that the United States is represented on the Executive Board by an officer or employee of the United States, who shall be appointed by the President. This paragraph shall take effect upon the date on which the Secretary of State certifies and submits to Congress an agreement establishing the Fund. The membership established pursuant to subparagraph
(A)shall terminate upon the date of termination of the Fund. The Fund should establish procedures for the removal of members of the Executive 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, including in relation to corruption.