Sec. 204. United States overseas global health security and diplomacy coordination and strategy

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There is established, within the Department of State, a Special Representative for United States International Activities to Advance Global Health Security and Diplomacy Overseas (referred to in this section as the Special Representative ). The Special Representative— shall be appointed by the President, by and with the advice and consent of the Senate; shall report to the Secretary of State; and shall have— demonstrated knowledge and experience in the fields of development and public health, epidemiology, or medicine; and relevant diplomatic, policy, and political expertise.

The Special Representative is authorized— to operate internationally to carry out the purposes of this title; to lead in developing a global pandemic prevention, preparedness and response framework to support global pandemic prevention, preparedness, responses and recovery efforts, including through— diplomatic engagement and related foreign policy efforts, such as multilateral and bilateral arrangements, enhanced coordination of engagement with multilateral organizations and countries, and the mobilization of donor contributions; and support for United States citizens living abroad, including consular support; to serve as the representative of the Secretary of the State on the Committee on Global Health Security and Pandemic and Biological Threats under section 202; to represent the United States on the Fund for Global Health Security and Pandemic Prevention and Preparedness established pursuant to section 302(a); to transfer and allocate United States foreign assistance funding authorized to be appropriated pursuant to subsection

(f)to the relevant Federal departments and agencies implementing the strategy required under section 202, in coordination with the Office of Management and Budget, the United States Agency for International Development, the Department of Health and Human Services, and the Office of Foreign Assistance Resources in the Department of State; to utilize detailees, on a reimbursable or nonreimbursable basis, from the relevant Federal departments and agencies and hire personal service contractors, who may operate domestically and internationally, to ensure that the Office of the Special Representative has access to the highest quality experts available to the United States Government to carry out the functions under this Act; and to perform such other functions as the Secretary of State may assign. The Special Representative shall coordinate, manage, and oversee United States foreign policy, diplomatic efforts, and foreign assistance funded with amounts appropriated pursuant to subsection

(f)to advance the United States Global Health Security and Diplomacy Strategy developed pursuant to section 202, including by— developing and coordinating a global pandemic prevention, preparedness and response framework to support pandemic preparedness, responses and recovery efforts, and related foreign policy measures, such as multilateral and bilateral arrangements; enhancing engagement with multilateral organizations and partner countries, including through the mobilization of donor support; enhancing coordination of consular services for United States citizens abroad in the event of a global health emergency; ensuring effective program coordination and implementation by the relevant Federal departments and agencies by— formulating, issuing, and updating related policy guidance; establishing, in consultation with the United States Agency for International Development and the Centers for Disease Control and Prevention, unified auditing, monitoring, and evaluation plans; aligning, in coordination with United States chiefs of mission and country teams in partner countries— the foreign assistance resources funded with amounts appropriated pursuant to subsection (f); and the implementation plans required under section 202(c)(2) with the relevant Federal departments and agencies in a manner that— is consistent with 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); is consistent with the National Security Memorandum on United States Global Leadership to Strengthen the International COVID–19 Response and to Advance Global Health Security and Biological Preparedness, issued by President Biden on January 21, 2021; and reflects and leverages the unique capabilities of each such department and agency; convening, as appropriate, an interagency working group on pandemic prevention and preparedness, headed by the Special Representative and including representatives from the relevant Federal departments and agencies, to facilitate coordination of activities relating to pandemic prevention and preparedness in partner countries under this Act; working with, and leveraging the expertise and activities of, the Office of the United States Global AIDS Coordinator, the Office of the United States Global Malaria Coordinator, and similar or successor entities that are implementing United States global health assistance overseas; and avoiding duplication of effort and working to resolve policy, program, and funding disputes among the relevant Federal departments and agencies; leading diplomatic efforts to identify and address current and emerging threats to global health security; ensuring, in coordination with the Secretary of Health and Human Services and the Administrator of the United States Agency for International Development, effective representation of the United States in relevant international forums, including at the World Health Organization, the World Health Assembly, and meetings of the Global Health Security Agenda and of the Global Health Security Initiative; working to enhance coordination with, and transparency among, the governments of partner countries and key stakeholders, including the private sector; promoting greater donor and national investment in partner countries to build more resilient health systems and supply chains, including through representation and participation in a multilateral, catalytic financing mechanism for global health security and pandemic prevention and preparedness, consistent with title III; securing bilateral and multilateral financing commitments to advance the Global Health Security Agenda, including through funding for the financing mechanism described in title III; and providing regular updates to the appropriate congressional committees regarding the fulfillment of the duties described in this subsection. The Special Representative 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; should have demonstrated knowledge and experience in the fields of development and public health, epidemiology, or medicine; and serves concurrently as the deputy and performs the functions described in section 3(h) of Executive Order 13747 (81 Fed. Reg. 78701). There is authorized to be appropriated $3,000,000,000, for the 5-year period beginning on October 1, 2022, to carry out the purposes of this section and title III, which, in consultation with the appropriate congressional committees and subject to the requirements under chapters 1 and 10 of part I and section 634A of the Foreign Assistance Act of 1961 ( 22 U.S.C. 2151 et seq. ), may include support for— enhancing preparedness in partner countries through implementation of the Global Health Security Strategy developed pursuant to section 202; replenishing the Emergency Reserve Fund at the United States Agency for International Development, 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 new or emerging infectious disease threats, as necessary and appropriate; United States contributions to the World Bank Health Emergency Preparedness and Response Multi-Donor Fund; and United States contributions to a multilateral, catalytic financing mechanism for global health security and pandemic prevention and preparedness described in section 302. 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 subsection.

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