Global Health Security and Diplomacy Act of 2020

II 116TH CONGRESS 2D SESSION S. 3829 To advance the global health security and diplomacy objectives of the United States, improve coordination among the relevant Federal departments and agencies implementing United States foreign assistance for global health security, and more effectively enable partner countries to strength- en and sustain resilient health systems and supply chains with the resources, capacity, and personnel required to prevent, detect, mitigate, and respond to infectious disease threats before they become pandemics, and for other purposes. IN THE SENATE OF THE UNITED STATES MAY 21, 2020 Mr. RISCH (for himself, Mr. MURPHY, and Mr. CARDIN) introduced the fol- lowing bill; which was read twice and referred to the Committee on For- eign Relations A BILL To advance the global health security and diplomacy objec- tives of the United States, improve coordination among the relevant Federal departments and agencies imple- menting United States foreign assistance for global health security, and more effectively enable partner coun- tries to strengthen and sustain resilient health systems and supply chains with the resources, capacity, and per- sonnel required to prevent, detect, mitigate, and respond to infectious disease threats before they become pandemics, and for other purposes. VerDate Sep 11 2014 03:31 Jun 17, 2020 Jkt 099200 PO 00000 Frm 00001 Fmt 6652 Sfmt 6652 E:\BILLS\S3829.IS S3829 rfrederick on DSKBCBPHB2PROD with BILLS 2 •S 3829 IS 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 ‘‘Global Health Security 4 and Diplomacy Act of 2020’’. 5 SEC. 2. DEFINITIONS. 6 In this Act: 7 (1) APPROPRIATE CONGRESSIONAL COMMIT- 8 TEES.—The term ‘‘appropriate congressional com- 9 mittees’’ means— 10 (A) the Committee on Foreign Relations 11 and the Committee on Appropriations of the 12 Senate; and 13 (B) the Committee on Foreign Affairs and 14 the Committee on Appropriations of the House 15 of Representatives. 16 (2) GLOBAL HEALTH SECURITY AGENDA.—The 17 term ‘‘Global Health Security Agenda’’ means the 18 multi-sectoral initiative launched in 2014 and re- 19 newed in 2017 that brings together countries, re- 20 gions, international organizations, nongovernmental 21 organizations, and the private sector to elevate glob- 22 al health security as a national-level priority, share 23 best practices, and facilitate national capacity to 24 comply with and adhere to the World Health Orga- 25 VerDate Sep 11 2014 03:31 Jun 17, 2020 Jkt 099200 PO 00000 Frm 00002 Fmt 6652 Sfmt 6201 E:\BILLS\S3829.IS S3829 rfrederick on DSKBCBPHB2PROD with BILLS 3 •S 3829 IS nization International Health Regulations, the World 1 Organization for Animal Health international stand- 2 ards and guidelines, United Nations Security Coun- 3 cil Resolution 1540 (2004), the Biological Weapons 4 Convention, and other relevant frameworks that con- 5 tribute to global health security. 6 (3) GLOBAL HEALTH SECURITY AGENDA JOINT 7 EXTERNAL EVALUATION.—The term ‘‘Global Health 8 Security Agenda Joint External Evaluation’’ means 9 the voluntary, collaborative, multi-sectoral process to 10 assess country capacity to prevent, detect, and rap- 11 idly respond to public health risks occurring natu- 12 rally or due to deliberate or accidental events, assess 13 progress in achieving the targets under the World 14 Health Organization International Health Regula- 15 tions, and recommend priority actions. 16 (4) GLOBAL HEALTH SECURITY INDEX.—The 17 term ‘‘Global Health Security Index’’ means the 18 comprehensive assessment and benchmarking of 19 health security and related capabilities across the 20 195 countries that make up the States Parties to 21 the World Health Organization International Health 22 Regulations. 23 (5) KEY STAKEHOLDERS.—The term ‘‘key 24 stakeholders’’ means actors engaged in efforts to ad- 25 VerDate Sep 11 2014 03:39 Jun 14, 2020 Jkt 099200 PO 00000 Frm 00003 Fmt 6652 Sfmt 6201 E:\BILLS\S3829.IS S3829 rfrederick on DSKBCBPHB2PROD with BILLS 4 •S 3829 IS vance global health security programs and objectives, 1 including— 2 (A) national and local governments in 3 partner countries; 4 (B) other bilateral donors; 5 (C) international and regional organiza- 6 tions; 7 (D) international, regional, and local finan- 8 cial institutions; 9 (E) international, regional, and local pri- 10 vate voluntary, nongovernmental, faith-based, 11 and civil society organizations; 12 (F) representatives of historically margin- 13 alized groups, including women and youth; 14 (G) the private sector, including medical 15 device, technology, and pharmaceutical compa- 16 nies; and 17 (H) public and private research and aca- 18 demic institutions. 19 (6) ONE HEALTH APPROACH.—The term ‘‘One 20 Health approach’’ means the collaborative, multi-sec- 21 toral, and transdisciplinary approach toward achiev- 22 ing optimal health outcomes in a manner that recog- 23 nizes the interconnection between people, animals, 24 plants, and their shared environment. 25 VerDate Sep 11 2014 03:39 Jun 14, 2020 Jkt 099200 PO 00000 Frm 00004 Fmt 6652 Sfmt 6201 E:\BILLS\S3829.IS S3829 rfrederick on DSKBCBPHB2PROD with BILLS 5 •S 3829 IS (7) RELEVANT FEDERAL DEPARTMENTS AND 1 AGENCIES.—The term ‘‘relevant Federal depart- 2 ments and agencies’’ means any Federal department 3 or agency operating under Chief of Mission author- 4 ity and implementing United States foreign assist- 5 ance relevant to the advancement of United States 6 global health security and diplomacy overseas, which 7 may include— 8 (A) the Department of State; 9 (B) the United States Agency for Inter- 10 national Development; 11 (C) the Department of Health and Human 12 Services; 13 (D) the Centers for Disease Control and 14 Prevention; 15 (E) the National Institutes of Health; 16 (F) the Department of the Treasury; 17 (G) the Department of Defense; 18 (H) the Defense Threat Reduction Agency; 19 (I) the Millennium Challenge Corporation; 20 (J) the Development Finance Corporation; 21 (K) the Peace Corps; and 22 (L) any other department or agency that 23 the President determines to be relevant for 24 these purposes. 25 VerDate Sep 11 2014 03:39 Jun 14, 2020 Jkt 099200 PO 00000 Frm 00005 Fmt 6652 Sfmt 6201 E:\BILLS\S3829.IS S3829 rfrederick on DSKBCBPHB2PROD with BILLS 6 •S 3829 IS SEC. 3. PURPOSE. 1 The purpose of this Act is to advance the global 2 health security and diplomacy objectives of the United 3 States, improve coordination among the relevant Federal 4 departments and agencies implementing United States 5 foreign assistance for global health security, and more ef- 6 fectively enable partner countries to strengthen and sus- 7 tain resilient health systems and supply chains with the 8 resources, capacity, and personnel required to prevent, de- 9 tect, mitigate, and respond to infectious disease threats 10 before they become pandemics by— 11 (1) establishing a comprehensive United States 12 Global Health Security Strategy with a One Health 13 approach and clear goals, objectives, and bench- 14 marks, as well as instruments to monitor and evalu- 15 ate outputs and outcomes, measure impact, and 16 share data and learning; 17 (2) establishing a mechanism to coordinate 18 United States global health security policies, activi- 19 ties, and assistance, including efforts to advance the 20 United States Global Health Security Strategy and 21 the Global Health Security Agenda, while fully uti- 22 lizing the unique capabilities of the relevant Federal 23 departments and agencies; 24 (3) coordinating with key stakeholders and sup- 25 porting partner country efforts to strengthen and 26 VerDate Sep 11 2014 03:39 Jun 14, 2020 Jkt 099200 PO 00000 Frm 00006 Fmt 6652 Sfmt 6201 E:\BILLS\S3829.IS S3829 rfrederick on DSKBCBPHB2PROD with BILLS 7 •S 3829 IS sustain more resilient health systems and supply 1 chains; 2 (4) accelerating progress under the United 3 States Global Health Security Strategy, the Global 4 Health Security Agenda, the World Health Organi- 5 zation International Health Regulations, and other 6 relevant frameworks that contribute to global health 7 security; 8 (5) enhancing support for innovation and pub- 9 lic-private partnerships for research, development, 10 and deployment of effective and affordable disease 11 tracking tools, diagnostics, therapeutics, and vac- 12 cines; 13 (6) authorizing appropriations to advance the 14 United States Global Health Security Strategy and 15 provide for a global health security emergency re- 16 serve; and 17 (7) authorizing the Secretary of State, in co- 18 ordination with the Secretary of the Treasury, to 19 enter into negotiations for the establishment of the 20 Trust Fund for Global Health Security. 21 VerDate Sep 11 2014 03:39 Jun 14, 2020 Jkt 099200 PO 00000 Frm 00007 Fmt 6652 Sfmt 6201 E:\BILLS\S3829.IS S3829 rfrederick on DSKBCBPHB2PROD with BILLS 8 •S 3829 IS TITLE I—UNITED STATES GLOB- 1 AL HEALTH SECURITY STRAT- 2 EGY AND ASSISTANCE 3 SEC. 101. PARTNER COUNTRY DEFINED. 4 In this title, the term ‘‘partner country’’ means a 5 country in which the relevant Federal departments and 6 agencies are implementing United States foreign assist- 7 ance for global health security under this Act. 8 SEC. 102. GLOBAL HEALTH SECURITY STRATEGY. 9 (a) GENERAL.—The President shall maintain and ad- 10 vance a comprehensive strategy with a One Health ap- 11 proach toward advancing the global health security and 12 diplomacy objectives of the United States overseas, which 13 shall— 14 (1) seek to strengthen United States diplomatic 15 leadership and improve the effectiveness of United 16 States foreign assistance for global health security to 17 prevent, detect, and respond to infectious disease 18 threats, including through advancement of the Glob- 19 al Health Security Agenda; 20 (2) establish specific and measurable goals, 21 benchmarks, timetables, performance metrics, and 22 monitoring and evaluation plans for United States 23 foreign assistance for global health security that pro- 24 mote learning and reflect international best practices 25 VerDate Sep 11 2014 03:39 Jun 14, 2020 Jkt 099200 PO 00000 Frm 00008 Fmt 6652 Sfmt 6201 E:\BILLS\S3829.IS S3829 rfrederick on DSKBCBPHB2PROD with BILLS 9 •S 3829 IS relating to global health security, transparency, and 1 accountability; 2 (3) establish mechanisms to improve coordina- 3 tion and performance by the relevant Federal de- 4 partments and agencies, including by setting out 5 clear roles and responsibilities that reflect the 6 unique capabilities and resources of each such de- 7 partment and agency; 8 (4) establish mechanisms to improve coordina- 9 tion and avoid duplication of effort among the rel- 10 evant Federal departments and agencies, partner 11 countries, donor countries, multilateral organiza- 12 tions, and other key stakeholders; 13 (5) prioritize working with partner countries 14 with low scores on the Global Health Security Index 15 classification of health systems and on the Global 16 Health Security Agenda Joint External Evaluation; 17 (6) reduce long-term reliance upon United 18 States foreign assistance for global health security 19 by promoting partner country ownership, improved 20 domestic resource mobilization, co-financing, and ap- 21 propriate national budget allocations for global 22 health security and pandemic preparedness and re- 23 sponse; 24 VerDate Sep 11 2014 03:39 Jun 14, 2020 Jkt 099200 PO 00000 Frm 00009 Fmt 6652 Sfmt 6201 E:\BILLS\S3829.IS S3829 rfrederick on DSKBCBPHB2PROD with BILLS 10 •S 3829 IS (7) assist partner countries in building the tech- 1 nical capacity of relevant ministries to prepare, exe- 2 cute, monitor, and evaluate effective national action 3 plans for health security, including mechanisms to 4 enhance budget and global health data transparency, 5 as necessary and appropriate; 6 (8) align United States foreign assistance for 7 global health security with partner country national 8 action plans for health security, developed with input 9 from key stakeholders, to the greatest extent prac- 10 ticable and appropriate; 11 (9) create linkages between complementary bi- 12 lateral and multilateral foreign assistance programs 13 that contribute to the development of more resilient 14 health systems and supply chains in partner coun- 15 tries with the capacity, resources, and personnel re- 16 quired to prevent, detect, and respond to infectious 17 disease threats; 18 (10) support innovation and public-private part- 19 nerships to improve pandemic preparedness and re- 20 sponse, including for the development and deploy- 21 ment of effective infectious disease tracking tools, 22 diagnostics, therapeutics, and vaccines; 23 VerDate Sep 11 2014 03:39 Jun 14, 2020 Jkt 099200 PO 00000 Frm 00010 Fmt 6652 Sfmt 6201 E:\BILLS\S3829.IS S3829 rfrederick on DSKBCBPHB2PROD with BILLS 11 •S 3829 IS (11) support collaboration with and among rel- 1 evant public and private research entities engaged in 2 global health security; and 3 (12) support collaboration between United 4 States universities and public and private institu- 5 tions in partner countries that promote global health 6 security and innovation. 7 (b) FISCAL YEAR 2021 COMPLIANCE.—The United 8 States Global Health Security Strategy, published on May 9 9, 2019, in compliance with section 7058(c)(3) of the De- 10 partment of State, Foreign Operations, and Related Pro- 11 grams Appropriations Act, 2020 (division K of Public Law 12 115–141), shall be deemed to comply with the requirement 13 under this section for fiscal year 2021. 14 (c) STRATEGY UPDATES.— 15 (1) IN GENERAL.—Concurrent with the submis- 16 sion of the report required by section 634 of the 17 Foreign Assistance Act of 1961 (22 U.S.C. 2394) 18 for fiscal years 2022 through 2025, the President, 19 in consultation with the head of each relevant Fed- 20 eral department and agency, shall submit to the ap- 21 propriate congressional committees updates to the 22 United States Global Health Security Strategy, in- 23 cluding the agency-specific plans required under 24 paragraph (2). 25 VerDate Sep 11 2014 03:39 Jun 14, 2020 Jkt 099200 PO 00000 Frm 00011 Fmt 6652 Sfmt 6201 E:\BILLS\S3829.IS S3829 rfrederick on DSKBCBPHB2PROD with BILLS 12 •S 3829 IS (2) AGENCY-SPECIFIC PLANS.—The strategy 1 updates required under this subsection shall include 2 specific implementation plans from each relevant 3 Federal department and agency that describe— 4 (A) the anticipated staffing plans and con- 5 tributions of the department or agency, includ- 6 ing technical, financial, and in-kind contribu- 7 tions, to implement the strategy; and 8 (B) the efforts of the department or agen- 9 cy to en [Text truncated for display. 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