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I
117TH CONGRESS
1ST SESSION H. R. 3778
To establish a program to oversee the global COVID–19 response and prepare
for future pandemics, and for other purposes.
IN THE HOUSE OF REPRESENTATIVES
JUNE 8, 2021
Mr. KRISHNAMOORTHI (for himself, Ms. JAYAPAL, Mr. KHANNA, Mr. COHEN,
Mr. PAYNE, Mr. GRIJALVA, Ms. NORTON, Mr. CARSON, and Ms. ROSS)
introduced the following bill; which was referred to the Committee on
Foreign Affairs, and in addition to the Committee on Energy and Com-
merce, for a period to be subsequently determined by the Speaker, in
each case for consideration of such provisions as fall within the jurisdic-
tion of the committee concerned
A BILL
To establish a program to oversee the global COVID–19
response and prepare for future pandemics, and for other
purposes.
Be it enacted by the Senate and House of Representa-
1
tives of the United States of America in Congress assembled,
2
SECTION 1. SHORT TITLE.
3
This Act may be cited as the ‘‘Nullifying Opportuni-
4
ties for Variants to Infect and Decimate Act’’ or the
5
‘‘NOVID Act’’.
6
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•HR 3778 IH
SEC. 2. SENSE OF CONGRESS.
1
It is the sense of Congress that—
2
(1) the United States has made tremendous
3
progress towards ending the COVID–19 pandemic
4
within its borders, thanks to an unprecedented and
5
highly successful vaccination campaign spearheaded
6
by the Biden administration;
7
(2) beyond those borders, the pandemic con-
8
tinues to rage unchecked across much of the world
9
as global vaccination efforts have struggled to keep
10
pace;
11
(3) if current trends continue, many middle-in-
12
come countries may not achieve widespread vaccina-
13
tion until late 2022, and the world’s poorest nations
14
will likely not reach widespread vaccination coverage
15
before 2023, if at all;
16
(4) this situation threatens progress toward
17
ending the COVID–19 pandemic here in the United
18
States, as unchecked transmission of COVID–19
19
gives rise to new variants, many of which show vac-
20
cine-resistance;
21
(5) the most concerning of these variants has
22
been shown to reduce vaccine efficacy by as much as
23
20 to 40 percent; and
24
(6) to protect American citizens from the emer-
25
gence of new vaccine-resistant coronavirus variants
26
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•HR 3778 IH
and to prevent the kind of humanitarian catastrophe
1
currently occurring in South Asia, South America,
2
and elsewhere, the United States should take up the
3
mantle of global leadership in the fight to end the
4
COVID–19 pandemic.
5
SEC. 3. PANDEMIC PREPAREDNESS AND RESPONSE PRO-
6
GRAM.
7
(a) ESTABLISHMENT.—There is established the
8
‘‘Pandemic Preparedness and Response Program’’ (in this
9
Act referred to as the ‘‘Program’’) to be responsible for
10
and provide oversight over the United States government-
11
wide global health response to the COVID–19 pandemic
12
and protect Americans from the emergence of COVID–
13
19 variants and other pathogens with pandemic potential.
14
(b) DIRECTOR.—The Director of the Program shall
15
be appointed by the President. The Director shall be re-
16
sponsible for coordinating among the Federal departments
17
and agencies listed in subsection (c)(1) and coordinating
18
the role of the United States in the work of international
19
non-governmental organizations, development banks, civil
20
society, and foreign governments, with respect to the glob-
21
al health response to the COVID–19 pandemic and the
22
prevention of the emergence of variants or of other patho-
23
gens with pandemic potential.
24
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•HR 3778 IH
(c) FEDERAL DEPARTMENTS AND AGENCIES.—The
1
Federal departments and agencies listed in this subsection
2
are the following:
3
(1) The Department of State.
4
(2) The United States Agency for International
5
Development.
6
(3) The Centers for Disease Control and Pre-
7
vention.
8
(4) The Food and Drug Administration.
9
(5) The Biomedical Advanced Research and De-
10
velopment Authority and the Health Resources and
11
Services Administration of the Department of
12
Health and Human Services.
13
(6) The Department of Defense.
14
(7) The Peace Corps.
15
(8) The Department of Labor.
16
(9) Any other department or agency the Presi-
17
dent determines appropriate.
18
(d) COMPREHENSIVE STRATEGY.—Not later than 30
19
days after the date of the enactment of this Act, the Direc-
20
tor shall develop a comprehensive strategy to end the
21
COVID–19 pandemic worldwide, as well as a long-term
22
strategy for preventing future pandemics, that includes
23
specific achievable goals to accomplish the following with
24
respect to the COVID–19 pandemic:
25
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•HR 3778 IH
(1) With respect to supplies, addressing issues
1
relating to the shortages of vaccines, vaccine compo-
2
nents, and any raw materials necessary to producing
3
these articles, as well as other supplies necessary to
4
carrying out a global vaccination campaign, to en-
5
sure that there is an adequate supply of vaccines
6
and other necessary articles for all countries (taking
7
into account existing manufacturing capacity).
8
(2) With respect to delivery, addressing issues
9
relating to the end-to-end delivery and administra-
10
tion of vaccines in low- and middle-income countries
11
to ensure that at least 60 percent of the populations
12
in the 92 low- and middle-income countries identi-
13
fied by the COVAX initiative are vaccinated as soon
14
as possible and no later than the beginning of the
15
second quarter of 2022.
16
(3)
With
respect
to
preventing
future
17
pandemics, addressing issues relating to the coordi-
18
nation and integration of disease surveillance and
19
early-warning systems, harmonizing early crisis re-
20
sponse measures around the world, and limiting the
21
potential for spillover events before they happen.
22
(e) AUTHORIZATION OF APPROPRIATIONS.—
23
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•HR 3778 IH
(1) AUTHORIZATION.—There is authorized to
1
be appropriated $34,000,000,000 to carry out the
2
Program established under this section.
3
(2) COORDINATION.—Amounts made available
4
to any Federal department or agency for providing
5
global health assistance or other forms of foreign as-
6
sistance are also authorized to be made available to
7
the Program and shall be subject to the oversight
8
and coordination of the Director.
9
(3) SENSE OF CONGRESS.—It is the sense of
10
Congress that—
11
(A) approximately $25,000,000,000 of the
12
amount appropriated pursuant to the authoriza-
13
tion under paragraph (1) should be made avail-
14
able to scale vaccine manufacturing capacity
15
and produce vaccines;
16
(B) approximately $8,500,000,000 of such
17
funds should be made available to cover the
18
cost of end-to-end delivery and administration
19
of vaccines in target countries; and
20
(C) approximately $500,000,000 should be
21
made available to establish a global disease sur-
22
veillance network to protect against future
23
pandemics.
24
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•HR 3778 IH
SEC. 4. IMPLEMENTATION OF COMPREHENSIVE STRATEGY.
1
(a) IMPLEMENTATION.—In implementing the strat-
2
egy developed pursuant to section 3(d)—
3
(1) the Director of the Program shall—
4
(A) ensure the immediate release of the
5
80,000,000 doses of vaccine that the United
6
States has already committed to send abroad;
7
(B) reassess the United States vaccine
8
stockpile with regard to domestic vaccination
9
objectives and trends to determine whether fur-
10
ther vaccines can be sent abroad;
11
(C) coordinate with the Biomedical Ad-
12
vanced Research and Development Authority of
13
the Department of Health and Human Services
14
(BARDA) to rapidly scale manufacturing ca-
15
pacity around the world, both in the United
16
States and in regional manufacturing hubs, to
17
whatever degree necessary and wherever nec-
18
essary, to produce 8,000,000,000 vaccine doses
19
as soon as possible, in addition to existing man-
20
ufacturing capacity;
21
(D) consider the potential benefit of re-
22
gional manufacturing hubs in South America,
23
Africa and South Asia for the future of global
24
health more generally, and especially the poten-
25
tial benefit for addressing future pandemics
26
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•HR 3778 IH
through the surveillance network implemented
1
pursuant to paragraph (3);
2
(E) encourage and facilitate technology
3
sharing and the licensing of intellectual prop-
4
erty as much as is necessary to ensure an ade-
5
quate and timely supply of necessary articles;
6
(F) in collaboration with COVAX, ensure
7
equitable access to vaccines, especially those
8
produced through the efforts of BARDA and
9
the Program as described in subparagraph (3)
10
and paragraph (2);
11
(G) work with international partners to
12
provide enough vaccines to lower- and middle-
13
income countries to fully vaccinate at least 60
14
percent of their respective populations, with
15
special attention to the 92 lower- and middle-
16
income countries identified by the COVAX ini-
17
tiative as being the most in need of assistance;
18
and
19
(H) consider the central and necessary role
20
that community engagement and public aware-
21
ness will play in ensuring the voluntary uptake
22
of vaccines by at least 60% of the populations
23
in target countries;
24
(2) the Program shall—
25
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•HR 3778 IH
(A) work closely with host governments,
1
international partners, and other non-govern-
2
mental organizations to develop in-country in-
3
frastructure, personnel and other assets suffi-
4
cient to deliver vaccines where they are needed,
5
when they are needed, and to administer the
6
vaccines to appropriate target populations;
7
(B) build on existing healthcare delivery
8
infrastructure
and
relationships
developed
9
through the President’s Emergency Plan For
10
AIDS Relief and other pre-existing, bilateral
11
humanitarian aid programs between the United
12
States and the target countries, as well as
13
through pre-existing multilateral relationships
14
and initiatives in target countries;
15
(C) develop country operational plans tar-
16
geted primarily at lower- and middle-income
17
countries without the infrastructure to manu-
18
facture, acquire, or administer vaccines on their
19
own;
20
(D) monitor how many people in such tar-
21
get countries received inoculations, the infection
22
rate, and vaccine manufacture status, including
23
as a result of the activities of the Program; and
24
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•HR 3778 IH
(E) monitor and prepare, on a daily basis,
1
updates on the overall progress in non-targeted
2
countries toward vaccinating their populations
3
and ending the COVID–19 pandemic within
4
their borders, to ensure that the Director re-
5
mains aware of overall global progress toward
6
vaccinating the global population and ending
7
the COVID–19 pandemic worldwide; and
8
(3) following the end or abatement of the
9
COVID–19 pandemic, the Program should shift to
10
protect against future pandemics by coordinating a
11
global disease surveillance network to identify and
12
stop pathogens with pandemic potential before they
13
spread uncontrollably by—
14
(A) building on existing surveillance and
15
prevention infrastructure and relationships de-
16
veloped through the National Security Council
17
Directorate on Global Health Security and Bio-
18
defense as well as other pre-existing surveillance
19
and prevention programs;
20
(B) working with international partners to
21
establish a coordinated disease surveillance sys-
22
tem, directly linked to decision-makers in for-
23
eign governments and non-governmental organi-
24
zations, such that certain agreed early-warning
25
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•HR 3778 IH
metrics would trigger timely and open commu-
1
nication
between
relevant
decision-makers
2
around the world; and
3
(C) in addition to monitoring for early-
4
warning signs of potential future pandemics,
5
consider how to prevent or limit the potential
6
for new spillover events by which new pathogens
7
with pandemic potential are first transmitted to
8
humans.
9
(b) SENSE OF CONGRESS.—It is the sense of Con-
10
gress that—
11
(1) the United States Government played a cru-
12
cial role in the unprecedented rapid development of
13
the COVID–19 vaccines, substantially funding sev-
14
eral vaccine candidates and closely collaborating with
15
Moderna on the NIH-Moderna vaccine; and
16
(2) in the face of a global health emergency, the
17
United States Government has broad authority, in-
18
cluding under the Defense Production Act (50
19
U.S.C. 4501 et seq.) and chapter 18 of title 35,
20
United States Code (commonly referred to as the
21
‘‘Bayh-Dole Act’’), to ensure adequate supply of vac-
22
cines, necessary components, and raw materials
23
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through technology sharing and direct collaboration
1
with manufacturers around the world.
2
Æ
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