Sec. 202. Global health security strategy and report
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The President shall develop, update, maintain, and advance a comprehensive strategy for improving global health security and pandemic prevention, preparedness, and response that— clearly articulates the policy goals related to pandemic prevention, preparedness, and response, and actions necessary to elevate and strengthen United States diplomatic leadership in global health security and pandemic preparedness, including by building the expertise of the diplomatic corps; improves the effectiveness of United States foreign assistance to prevent, detect, and respond to infectious disease threats, through a One Health approach, including through the advancement of the Global Health Security Agenda, the International Health Regulations (2005), and other relevant frameworks and programs that contribute to global health security and pandemic preparedness; establishes specific and measurable goals, benchmarks, timetables, performance metrics, and monitoring and evaluation plans for United States foreign policy and assistance for global health security that promote learning and adaptation and reflect international best practices relating to global health security, transparency, and accountability; establishes transparent means to improve coordination and performance by the relevant Federal departments and agencies and sets out clear roles and responsibilities that reflect the unique capabilities and resources of each such department and agency; establishes mechanisms to improve coordination and avoid duplication of effort among the relevant Federal departments and agencies, partner countries, donor countries, the private sector, multilateral organizations, and other key stakeholders, and ensures collaboration at the country level; supports, and is aligned with, partner country-led, global health security policy and investment plans, developed with input from key stakeholders, as appropriate; prioritizes working with partner countries with— demonstrated need, as identified through the Joint External Evaluation process, the Global Health Security Index classification of health systems, national action plans for health security, Global Health Security Agenda Action Packages, other risk-based assessments, and other complementary or successor indicators of global health security and pandemic preparedness; and demonstrated commitment to transparency, including budget and global health data transparency, complying with the International Health Regulations (2005), investing in domestic health systems, and achieving measurable results; reduces long-term reliance upon United States foreign assistance for global health security by— helping build and enhance community resilience to infectious disease emergencies and threats, such as COVID–19 and Ebola; ensuring that United States global health assistance is strategically planned and coordinated in a manner that contributes to the strengthening of overall health systems and builds the capacity of local organizations and institutions; promoting improved domestic resource mobilization, co-financing, and appropriate national budget allocations for strong health systems, global health security, and pandemic preparedness and response in partner countries; and ensuring partner country ownership of global health security strategies, data, programs, and outcomes; supports health budget and workforce planning in partner countries, including training in public financial management and budget data transparency; works to ensure that— partner countries have national action plans for health security that are developed with input from key stakeholders, including communities and the private sector; and United States foreign assistance for global health security is aligned with existing national action plans for health security in partner countries, developed with input from key stakeholders, including communities and the private sector, to the greatest extent practicable and appropriate; strengthens linkages between complementary bilateral and multilateral foreign assistance programs, including efforts of the World Bank, the World Health Organization, the Global Fund to Fight AIDS, Tuberculosis, and Malaria, Gavi, the Vaccine Alliance, and regional health organizations, 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; and supports innovation and partnerships with the private sector, health organizations, civil society, nongovernmental organizations, and health research and academic institutions to improve pandemic preparedness and response, including for the prevention and detection of infectious disease, and the development and deployment of effective, accessible, and affordable infectious disease tracking tools, diagnostics, therapeutics, and vaccines.
Not later than 120 days after the date of the enactment of this Act, the President shall submit the strategy required under subsection
(a)to the appropriate congressional committees. Not later than 1 year after the submission of the strategy to the appropriate congressional committees under subsection (b), and not later than October 1 of each year thereafter for the following 4 fiscal years, the President shall submit a report to the appropriate congressional committees that describes— the status of the implementation of the strategy required under subsection (a); any necessary updates to the strategy; the progress made in implementing the strategy, with specific information related to the progress toward improving countries’ ability to detect, respond and prevent the spread of infectious disease threats, such as COVID–19 and Ebola; and details on the status of funds made available to carry out the purposes of this title. The reports required under paragraph
(1)shall include specific implementation plans from each relevant Federal department and agency that describe— how updates to the strategy may have impacted the agency’s plan during the preceding calendar year; the progress made in meeting the goals, objectives, and benchmarks under implementation plans during the preceding year; the anticipated staffing plans and contributions of the department or agency, including technical, financial, and in-kind contributions, to implement the strategy; a transparent, open, and detailed accounting of obligations by each of the relevant Federal departments and agencies to implement the strategy, including— the statutory source of obligated funds; the amounts obligated; implementing partners; targeted beneficiaries; and activities supported; the efforts of the relevant Federal department or agency to ensure that the activities and programs carried out pursuant to the strategy are designed to achieve maximum impact and enduring returns, including through specific activities to strengthen health systems, as appropriate; and a plan for regularly reviewing and updating programs and partnerships, and for sharing lessons learned with a wide range of stakeholders in an open, transparent manner. The reports required under paragraph
(1)shall be submitted in unclassified form, but may contain a classified annex.