Bill Summary
The "Global Health Coordination and Development Act" establishes a United States Global Health Commission and a United States Global Health Attache Program, which will be overseen by an Interagency Global Health Committee. The commission is responsible for developing a comprehensive global health strategy, advising on country and regional challenges, and facilitating cooperation between the US government and other entities. The attache program will consist of senior health advisors stationed in various countries and regions to coordinate and implement global health assistance. The legislation also includes provisions for personnel matters and the appropriation of funds.
Possible Impacts
1. The establishment of the United States Global Health Commission will provide more coordinated and accountable global health investment, improving the effectiveness and impact of US global health initiatives. This will benefit people in countries and regions where US global health assistance is provided, as well as US taxpayers who want to see their government's efforts making a positive difference in the world.
2. The creation of the United States Global Health Attache Program will result in increased on-the-ground support and coordination for global health assistance in countries and regions where the program is implemented. This will directly benefit the people in those areas who will receive more targeted and effective health assistance.
3. The appropriation of funds to carry out the Act will ensure that the plans and initiatives outlined in the legislation can be successfully implemented. This will ultimately have a positive impact on people around the world who will benefit from improved coordination and collaboration in global health assistance.
[Congressional Bills 116th Congress]
[From the U.S. Government Publishing Office]
[S. 2698 Introduced in Senate (IS)]
<DOC>
116th CONGRESS
1st Session
S. 2698
To establish a United States Global Health Commission and a United
States Global Health Attache Program, and for other purposes.
_______________________________________________________________________
IN THE SENATE OF THE UNITED STATES
October 24, 2019
Mr. Markey introduced the following bill; which was read twice and
referred to the Committee on Foreign Relations
_______________________________________________________________________
A BILL
To establish a United States Global Health Commission and a United
States Global Health Attache Program, and for other purposes.
Be it enacted by the Senate and House of Representatives of the
United States of America in Congress assembled,
SECTION 1. SHORT TITLE.
This Act may be cited as the ``Global Health Coordination and
Development Act''.
SEC. 2. FINDINGS; SENSE OF CONGRESS; AND PURPOSES.
(a) Findings.--Congress makes the following findings:
(1) Of all foreign assistance provided by the United
States, global health appropriations are second only to
security assistance.
(2) Several Federal agencies and departments execute global
health activities, including the United States Agency for
International Development, the Department of Health and Human
Services, the Department of Defense, the Department of
Agriculture, and the Department of State.
(3) Global health assistance provided by the United States
supports--
(A) activities carried out by numerous private,
corporate, and nongovernmental organizations worldwide;
and
(B) multilateral organizations, such as the Global
Fund to Fight AIDS, Tuberculosis, and Malaria and the
World Health Organization.
(4) The United States provides foreign assistance to
achieve national security, commercial, and humanitarian
objectives while demonstrating global leadership.
(5) All United States funded foreign assistance programs,
regardless of the implementing agency, support the objectives
referred to in paragraph (4), but the manner in which the
programs achieve the objectives varies widely.
(6) The approach for global health assistance provided by
the United States is largely program-based or disease-based and
often does not allow agencies to work across the health system
or on issues of greatest concern to the host country.
(7) Such an approach hampers long-term stability, diplomacy
with key partnerships, and sustainable capacity building.
(b) Sense of Congress.--It is the sense of Congress that--
(1) each global health implementing agency should establish
a program for the development of a cadre of health advisors who
can serve as United States global health attaches;
(2) country or regional health teams and health development
partners working groups should be established in all countries
with significant United States health investments; and
(3) all global health activities supported by the United
States Government should be implemented in a coordinated
manner.
(c) Purposes.--The purposes of this Act are--
(1) to establish a governmental framework and national
policy, priorities, and goals that ensure interagency
coordination for global health assistance with the overall
diplomacy, development, and defense efforts of the United
States Government;
(2) to establish the Senior United States Global Health
Advisor and the United States Global Health Commission at the
level of the National Security Council to harmonize the global
health goals and priorities of the United States and promote
interagency coordination for global health assistance with the
overall efforts of the United States Government;
(3) to establish an Interagency Global Health Committee to
implement the Unified Global Health Strategy and develop
policies and frameworks to improve coordination and outcomes;
and
(4) to establish the United States Global Health Attache
Program to field global health attaches as key interlocutors
who coordinate the country or regional health team and ensure
effective health assessment, planning, integration, and
implementation across all agencies in support of the interests
of the United States.
SEC. 3. DEFINITIONS.
In this Act:
(1) Chief of mission.--The term ``chief of mission'' has
the meaning given such term in section 102 of the Foreign
Service Act of 1980 (22 U.S.C. 3902).
(2) Commission.--The term ``Commission'' means the United
States Global Health Commission established under section 4.
(3) Committee.--The term ``Committee'' means the
Interagency Global Health Committee established under section
6.
(4) Country or regional health team.--The term ``country or
regional health team'' includes employees of global health
implementing agencies operating in a country or designated
geographic region.
(5) Global health activities.--The term ``global health
activities'' means activities conducted in coordination with
United States and foreign entities, including foreign
governments--
(A) to improve health care, the provision of public
health services, responses to public health
emergencies, and global health security; and
(B) to strengthen health systems and
infrastructure, including the training and education of
health workers.
(6) Global health implementing agencies.--The term ``global
health implementing agencies'' means--
(A) the Department of State;
(B) the United States Agency for International
Development;
(C) the Department of Health and Human Services;
(D) the Department of Defense;
(E) the Department of Agriculture; and
(F) the Department of Commerce.
(7) Regional.--The term ``regional'' refers to a geographic
region as designated by a global health implementing agency.
(8) Strategy.--The term ``Strategy'' means the Unified
Global Health Strategy formulated under section 5.
SEC. 4. UNITED STATES GLOBAL HEALTH COMMISSION.
(a) Establishment.--Not later than 90 days after the date of the
enactment of this Act, the President, working through the National
Security Council, shall establish a commission to improve the
interagency coordination, stewardship, accountability, outcomes, and
impact of global health investment by the United States.
(b) Designation.--The commission established under subsection (a)
shall be known as the ``United States Global Health Commission''.
(c) Chairperson; Advisor.--The President shall appoint a
noncabinet-level senior staff member to the National Security Council
to serve as--
(1) the Chairperson of the Commission; and
(2) the Senior United States Global Health Advisor.
(d) Membership.--
(1) In general.--The Commission shall be composed of--
(A) the Chairperson;
(B) a commissioners group (referred to in this
section as the ``principal group'');
(C) a staff group; and
(D) any working group that the principal group
determines to be necessary to carry out the duties
under this section.
(2) Principal group.--The principal group shall be composed
of--
(A) 12 voting members, of whom--
(i) 1 shall be appointed from each global
health implementing agency by the head of the
respective agency from among senior officials
responsible for global health, emergency
assistance, development, or a similar area;
(ii) 3 shall be appointed by the President
from among individuals from academic or
research institutions with expertise in global
health policy, foreign relations, or public
health emergencies; and
(iii) 3 shall be appointed by the President
from among individuals from the international
development community with expertise in health,
community, or economic development; and
(B) 2 nonvoting, ex officio members, of whom--
(i) 1 shall be the President of the
National Academy of Medicine; and
(ii) 1 shall be an employee of the
Government Accountability Office who shall be
appointed by the Comptroller General of the
United States.
(3) Staff group.--
(A) Composition.--The staff group described in
paragraph (1)(C) shall be composed of representatives
of the National Security Council, the global health
implementing agencies, the Government Accountability
Office, and the National Academy of Medicine, as
designated by the head of the respective agency.
(B) Function.--The staff group shall advise,
provide subject-matter expertise to, and support the
activities of, the Commission.
(e) Periods of Appointment; Vacancies.--
(1) Periods of appointment.--
(A) Governmental officials.--Each member of the
principal group appointed under subsection (d)(2)(A)(i)
shall serve at the discretion of the head of the
respective agency.
(B) Nongovernmental officials.--Each member of the
principal group appointed under clause (ii) or (iii) of
subsection (d)(2)(A) shall serve for a period of not
fewer than 2 years and not more than 5 years.
(2) Vacancies.--A vacancy in the Commission--
(A) shall not affect the powers of the Commission;
and
(B) shall be filled in the same manner as the
original appointment.
(f) Meetings.--
(1) In general.--The Commission shall meet at the call of
the Chairperson.
(2) Initial meeting.--Not later than 180 days after the
date of the enactment of this Act, the Commission shall hold
its initial meeting.
(3) Principal group.--The principal group shall meet not
less frequently than twice each year.
(4) Staff group.--The staff group described in subsection
(d)(1)(C) shall meet as determined by the Chairperson based on
the activities of the Commission.
(g) Bylaws.--
(1) In general.--Not later than 180 days after the date of
the enactment of this Act, the Commission shall develop bylaws
for the operation of the Commission.
(2) Elements.--The bylaws developed under paragraph (1)
shall include--
(A) information on the membership of the
Commission;
(B) the number of annual meetings required for the
principal group and the staff group;
(C) the decision-making process of the Commission;
(D) the process by which disputes are resolved; and
(E) such other information and policies as the
Commission considers appropriate.
(h) Primary Responsibilities.--The Commission shall--
(1) develop an integrated, comprehensive global health
strategy, in accordance with section 5 and in cooperation with
global health implementing agencies, to ensure that global
health activities and programs supported by the United States
are consistent with the strategic priorities and policies of
the United States;
(2) recommend methods to improve alignment, coordination,
planning, and implementation to ensure the greatest possible
impact and overall effectiveness of United States global health
efforts and programs;
(3) in coordination with the Committee, advise the National
Security Council on global health issues that potentially
impact the domestic health status, defense operations,
development programs, diplomacy efforts, and strategic
interests of the United States;
(4) advise the Committee on country and regional
challenges;
(5) based on the priorities of the United States, recommend
countries or regions that would greatly benefit from--
(A) receiving a global health attache under section
7; and
(B) the establishment of a country or regional
health development implementation plan under section 8;
(6) recommend agenda items and provide other
recommendations and advice to the Committee; and
(7) facilitate cooperation between the United States
Government and academic and research institutions, civil
society, international nongovernmental organizations, and other
public and private entities.
(i) Reports.--
(1) Initial report.--Not later than 1 year after the date
of the enactment of this Act, the Commission shall submit to
the President and Congress an initial report that includes--
(A) the bylaws and membership of the Commission;
(B) a description of the methodology for the
development of the Strategy; and
(C) a description of progress made toward
developing the Strategy.
(2) Biennial report.--
(A) In general.--Not later than 1 year after the
submission of the initial report under paragraph (1),
and biennially thereafter, the Commission shall submit
to the President and Congress a report on the
activities of the Commission during the period covered
by the report.
(B) Elements.--Each report submitted under
subparagraph (A) shall include--
(i) any updates to the Strategy since the
submission of the most recent report;
(ii) a description of major global health
threats of concern to the United States
Government;
(iii) recommendations for improving
alignment, coordination, planning, and
implementation to ensure the greatest possible
impact and overall effectiveness of United
States global health efforts and programs; and
(iv) a description of opportunities for
future engagement on global health.
(j) Personnel Matters.--
(1) Senior united states global health advisor.--Section
5313 of title 5, United States Code, is amended by adding at
the end the following:
``Senior United States Global Health Advisor.''.
(2) Compensation of members.--A member of the Commission
who is not an officer or employee of the Federal Government
shall be compensated at a rate equal to the daily equivalent of
the annual rate of basic pay prescribed for level IV of the
Executive Schedule under section 5315 of title 5, United States
Code, for each day (including travel time) during which the
member is engaged in the performance of the duties of the
Commission.
(3) Travel expenses.--A member of the Commission shall be
allowed travel expenses, including per diem in lieu of
subsistence, at rates authorized for employees of agencies
under subchapter I of chapter 57 of title 5, United States
Code, while away from their homes or regular places of business
in the performance of services for the Commission.
(k) Nonapplicability of FACA.--The Federal Advisory Committee Act
(5 U.S.C. App.) shall not apply to the Commission.
SEC. 5. UNIFIED GLOBAL HEALTH STRATEGY.
(a) In General.--Not later than 18 months after the date of the
enactment of this Act, the Commission shall formulate an integrated,
comprehensive global health strategy, to be known as the ``Unified
Global Health Strategy'', that communicates to Federal agencies,
nongovernmental organizations, and allied partners of the United States
the overall health assistance priorities of the United States. The
Strategy shall be--
(1) aligned with the National Security Strategy of the
United States; and
(2) based on--
(A) highest-impact, evidence-based outcomes and the
mission, strategy, assessment, planning, and guidance
documents of each global health implementing agency;
and
(B) recommendations from the National Security
Council on issues that impact national security.
(b) Requirements.--The Strategy shall--
(1) describe the overarching, integrated strategic vision
for health-related foreign assistance vertically and
horizontally across the global health implementing agencies and
to implementing partners;
(2) establish and communicate the global health goals and
priorities of the United States Government for the purpose of
improving the coordination, partnerships, and implementation of
global health and foreign assistance effectiveness;
(3) communicate the role of global health with respect to
the overall foreign development goals of the United States;
(4) provide consensus on global health efforts across the
global health implementing agencies regarding foreign
assistance health policy that demonstrates the collective
commitment of all interagency partners to transparency,
accountability, and a unified approach to maximizing the impact
of United States investments; and
(5) ensure that the health programs of the United States
Government align, to the maximum extent possible, with country
and regional health and development priorities to achieve long-
term sustainability, security, and stability.
(c) Effective Date.--
(1) In general.--The Strategy shall take effect upon
approval by the President.
(2) Approval by president.--
(A) Sense of congress.--It is the sense of Congress
that the President should approve the Strategy not
later than 90 days after receiving the Strategy from
the Commission.
(B) Explanation to congress.--If the President has
not approved the Strategy within 90 days after
receiving it from the Commission, the President shall
submit to Congress a written statement explaining the
reason for the delay and a timeline for approval of the
Strategy.
(3) Prohibition on delegation.--The President may not
delegate the responsibilities under this subsection.
(d) Updates.--
(1) In general.--The Commission shall update the Strategy
not less frequently than once every 5 years.
(2) Consideration of country-level plans.--In updating the
Strategy pursuant to paragraph (1), the Commission shall
consider the country or regional health development
implementation plans developed under section 8.
SEC. 6. INTERAGENCY GLOBAL HEALTH COMMITTEE.
(a) In General.--Not later than 180 days after the date of the
enactment of this Act, the President shall establish the Interagency
Global Health Committee to implement the Strategy, improve the
coordination of global health efforts, and oversee the United States
Global Health Attache Program.
(b) Chairperson.--
(1) In general.--The President shall appoint, by and with
the advice and consent of the Senate, the Chairperson of the
Committee.
(2) Ambassador-at-large for global health.--The Chairperson
shall have the rank of Ambassador-at-Large for Global Health.
(3) Responsibilities.--The Chairperson shall--
(A) chair the Committee and ensure that the
responsibilities of the Committee are carried out;
(B) be impartial with respect to any global health
implementing agency; and
(C) ensure coordination and synergy of effort in
global health programming and policies among the
relevant global health implementing agencies.
(c) Membership of Committee.--The Committee shall be composed of--
(1) the Chairperson;
(2) representatives from each global health implementing
agency, who shall be appointed by the head of the applicable
agency; and
(3) representatives from any other Federal agency, as the
Chairperson considers appropriate to implement the Strategy and
oversee the United States Global Health Attache Program.
(d) Subcommittees.--
(1) Global health attache board.--
(A) In general.--The Committee shall establish a
permanent subcommittee, to be known as the ``Global
Health Attache Board'', to advise and oversee the
United States Global Health Attache Program, in
accordance with subsection (e)(4) and section 7.
(B) Chairperson.--The Secretary of State shall
designate the Chairperson of the Global Health Attache
Board from among employees of the Bureau of Oceans and
International Environmental and Scientific Affairs of
the Department of State.
(2) Subcommittees and working groups.--The Chairperson of
the Committee may establish such other subcommittees and
working groups as the Chairperson considers necessary to carry
out the responsibilities of the Committee.
(e) Responsibilities.--The Committee shall--
(1) develop a 5-year plan of actions and milestones to
implement the Unified Global Health Strategy;
(2) develop and establish integrated national policies for
global health that will guide Federal agencies in development,
programming, and implementation of global health efforts;
(3) coordinate the global health assistance efforts of the
United States Government to ensure greater alignment,
programmatic impact, and overall effectiveness;
(4) develop, design, and oversee all aspects of the United
States Global Health Attache Program, in accordance with
section 7, including with respect to the selection of the
countries or regions in which global health attaches will be
posted;
(5) develop guidance for the country and regional health
development implementation plans under section 8;
(6) facilitate cooperation between Federal agencies and
international counterparts for planning and implementation of
global health programs and efforts; and
(7) promote Federal interagency coordination and planning
across all global health activities, including logistical
planning and coordination and the sharing of data and
information associated with global health programs,
development, and information that may impact investment
outcomes.
(f) 5-Year Plan.--Not later than 270 days after the date on which
the Strategy takes effect, the Committee shall submit to Congress the
5-year plan of actions and milestones developed under subsection
(e)(1).
(g) Reports.--
(1) Initial report.--Not later than 18 months after the
date of the enactment of this Act, the Committee shall submit
to the President and Congress an initial report that includes--
(A) the structure, membership, and bylaws of the
Committee;
(B) a statement of the activities and
accomplishments of the Committee since the
establishment of the Committee; and
(C) an update on the development and implementation
of the United States Global Health Attache Program
established under section 7.
(2) Biennial report.--Not less frequently than biennially,
the Committee shall submit to Congress through the President a
concise report containing--
(A) a description of progress on or setbacks or
updates to the plan of actions and milestones developed
under subsection (e)(1);
(B) a statement of the activities and
accomplishments of the Committee since the submission
of the most recent report;
(C) a statement detailing with particularity the
recommendations of the Committee with respect to
improving coordination, accountability, outcomes, and
impact of global health investment by the United
States; and
(D) an update on the development and implementation
of the United States Global Health Attache Program
established under section 7, including post locations
for and training of global health attaches, outcome
measures, and recommendations to increase the impact of
the program.
SEC. 7. UNITED STATES GLOBAL HEALTH ATTACHE PROGRAM.
(a) Establishment of Program.--There is established a United States
Global Health Attache Program (referred to in this section as the
``Program'').
(b) Program Management.--The Secretary of Health and Human Services
shall manage the Program under the oversight and direction of the
Committee.
(c) Global Health Attaches.--
(1) In general.--Each global health attache shall serve on
behalf of a chief of mission and the global health implementing
agencies to assist in the coordination, strategic planning, and
implementation of all global health assistance in the country
or region in which the global health attache is posted.
(2) Eligibility.--An individual is eligible to serve as a
global health attache if the individual--
(A) is an employee of the Federal Government, such
as a member of the uniformed services or the Foreign
Service, or other civilian Federal employee, in a
position at, or with promotion potential to, level 15
of the General Schedule (or equivalent);
(B) has expertise and experience in public health
or global health;
(C) has leadership experience within 1 or more of
the global health implementing agencies;
(D) is a United States citizen; and
(E) has a security clearance at the secret level or
above.
(3) Global health attache education and training.--
(A) Requirements.--
(i) In general.--The Committee shall
establish requirements for a global health
attache education and training program
(referred to in this section as the ``education
and training program'').
(ii) Elements.--The requirements
established under clause (i) shall ensure that
each global health attache--
(I) receives education and training
on--
(aa) the strategic planning
process of the United States
Government;
(bb) the role of the global
health implementing agencies in
foreign assistance, and the
organizational structure and
global health and development
programs of such agencies;
(cc) effective
communication with foreign and
domestic media, including
strategic communication;
(dd) the impact of
international affairs;
(ee) the public health
issues affecting host countries
and regions; and
(ff) such other health-
related training that the
Committee considers necessary
to create highly effective
global health diplomats;
(II) completes the training for
Foreign Service officers described in
section 708 of the Foreign Service Act
of 1980 (22 U.S.C. 4028), or equivalent
training; and
(III) meets foreign language
proficiency requirements established by
the Secretary of State for Foreign
Service officers under section 702 of
the Foreign Service Act of 1980 (22
U.S.C. 4022) and receives appropriate
language training consistent with such
section.
(B) Curriculum development.--The institution
described in section 701 of the Foreign Service Act of
1980 (22 U.S.C. 4021) (commonly known as the ``Foreign
Service Institute'') and the Uniformed Services
University of the Health Sciences, in cooperation with
appropriate Federal agencies, academic institutions,
and other entities, shall--
(i) develop a comprehensive curriculum for
the education and training program, consistent
with the requirements established pursuant to
subparagraph (A); and
(ii) submit such curriculum to the
Committee for approval.
(C) Administration.--The education and training
program shall be administered by 1 or more training
institutions, as determined by the Committee.
(D) Eligibility for participation by other
individuals.--An individual who is not a candidate for
the position of global health attache may participate
in some or all of the education and training program if
such individual is--
(i) a health official of a global health
implementing agency; or
(ii) an in-country staff member of a global
health implementing agency.
(4) Credentials.--The Secretary of State shall--
(A) notify the receiving state of each global
health attache posted to such state, in accordance with
Article 10 of the Vienna Convention on Diplomatic
Relations, done at Vienna April 18, 1961; and
(B) provide the appropriate diplomatic credentials
to each global health attache, at the request of the
Committee.
(5) Postings and accreditations.--
(A) In general.--Each global health attache--
(i) shall be posted in a country as
determined by the Committee; and
(ii) may be accredited to 1 or more
countries in a region as determined by the
Committee.
(B) Criteria to establish a global health attache
office.--The Committee shall make determinations about
where to establish global health attaches based on--
(i) the strategic interests and priorities
of the United States;
(ii) large development and humanitarian
assistance investments made by the United
States;
(iii) the strategic importance of health to
the security and stability of the country or
region; and
(iv) such other criteria as the Committee
considers appropriate.
(6) Responsibilities.--Each global health attache shall--
(A) serve as the senior health advisor to the
diplomatic mission of the United States in the country
or region in which the global health attache is posted;
(B) convene and coordinate the country or regional
health team on behalf of the chief of mission of the
country or region in which the global health attache is
posted;
(C) oversee the development of the country or
regional health development implementation plan for the
country or region in which the global health attache is
posted;
(D) represent the United States Government
regarding health matters to foreign governments,
multilateral and international organizations, and
public and private entities; and
(E) perform such other duties that align with
advancing the global health interests of the United
States, as determined by the chief of mission and the
Committee.
(7) Periodic reports.--
(A) In general.--Each global health attache shall
periodically submit country or regional updates to
regional and headquarters components of the global
health implementing agencies, through the chief of
mission, as determined by the Committee.
(B) Elements.--Each report submitted under
subparagraph (A) shall include a description of any
health-related threats or critical concerns that may
affect the national security, development efforts, or
commercial interests of the United States.
(C) Headquarters component defined.--In this
paragraph, the term ``headquarters component'' means
the senior leadership and policymaking section of a
global health implementing agency.
(8) Supervision.--Each global health attache shall work
under the supervision of--
(A) the chief of mission of the country in which
the global health attache is posted; and
(B) the chiefs of mission of the countries to which
the global health attache is accredited.
(9) Employment.--
(A) Salary and benefits.--The employer of each
global health attache at the time the global health
attache applies for the position of global health
attache shall continue to provide the salary and
benefits for the global health attache.
(B) Other expenses.--The Secretary of State shall
provide to each global health attache--
(i) allowances comparable to those provided
by the Secretary to Foreign Service officers
under sections 5922 through 5924 of title 5,
United States Code;
(ii) reimbursement for travel and related
expenses set forth in section 901 of the
Foreign Service Act of 1980 (22 U.S.C. 4081);
and
(iii) reimbursement for administrative
services consistent with the International
Cooperative Administrative Support Services
Handbook.
(10) Impartiality.--In carrying out their responsibilities
under this section, global health attaches--
(A) shall represent the interests and the
priorities of the United States Government; and
(B) may not show favoritism to any particular
Federal agency.
SEC. 8. COUNTRY OR REGIONAL HEALTH DEVELOPMENT IMPLEMENTATION PLANS.
(a) In General.--Each country or regional health team, under the
direction of the global health attache for the country or region, shall
develop a country or regional health development implementation plan
for the respective country or region.
(b) Guidance.--The Committee shall develop guidance for the country
and regional health development implementation plans, including with
respect to--
(1) the elements of and templates for the plans; and
(2) policies and processes relating to plan approval,
consultation, and submission.
(c) Plan Described.--
(1) In general.--Each country or regional health
development implementation plan developed under subsection (a)
shall be a country- or regional-level operational plan--
(A) for supporting the health goals of the host
country or countries; and
(B) for ensuring that the national security
priorities of the United States are met.
(2) Contents.--Each country or regional health development
implementation plan developed under subsection (a) shall
include--
(A) a comprehensive assessment of the health sector
in the applicable country or region, including the
strengths and weaknesses of the health system;
(B) an analysis of the key funders and stakeholders
within the health system;
(C) a plan of action with milestones describing how
global health activities will be implemented during the
period covered by the country or regional health
development implementation plan;
(D) health links to non-health-related activities,
such as military assistance and infrastructure
projects;
(E) metrics for measuring the impact of the plan;
(F) opportunities for increased engagement of the
United States and any consequences of failing to
increase engagement;
(G) a determination of the role of each agency in
the execution of the plan;
(H) a request for resources needed to ensure--
(i) the success of the plan; and
(ii) the sustainability of the health
sector of the host country; and
(I) such other content as the Committee considers
appropriate.
(3) Objectives.--Each country health development
implementation plan shall--
(A) align with and support the Integrated Country
Strategy and the Mission Resource Request for the
country; and
(B) align the President's Emergency Plan for AIDS
Relief (commonly known as ``PEPFAR'') and all other
global health plans of the United States Government
with the overall goals of the country or region--
(i) to mitigate redundancy of resources;
and
(ii) to improve the impact of efforts.
(d) Submission; Updates.--
(1) Submission to chief of mission.--Not later than 270
days after a global health attache is first posted to a country
or region, the global health attache shall submit a country or
regional health development implementation plan developed under
subsection (a) to the appropriate chief of mission.
(2) Approval; submission to committee.--If the chief of
mission approves the plan submitted under paragraph (1), the
chief of mission shall submit the plan to the Committee.
(3) Updates.--Not less frequently than once every 2 years,
the country or regional health team shall update the country or
regional health development implementation plan.
(e) Health Development Partners Working Group.--
(1) In general.--Not later than 180 days after a global
health attache is first posted to a country or region, the
country or regional health team shall establish a health
development partners working group in each country or region
with a global health attache to support implementation of
country or regional health development implementation plans and
to improve synergy with respect to such implementation.
(2) Membership.--Each working group established pursuant to
paragraph (1) shall be composed of representatives from--
(A) the country or regional health team;
(B) civil society partners of the United States;
(C) international organizations to which the United
States provides funding;
(D) the government of each host country; and
(E) 1 or more allied partners of the United States,
as the chief of mission considers appropriate.
(f) Integration of Global Health Activities.--The country or
regional health team in each country or region with a global health
attache shall integrate global health activities within the country or
region with other development programs and activities, as appropriate--
(1) to advance the interests of the United States; and
(2) to create sustainable capacity for the host country or
region.
SEC. 9. AUTHORIZATION OF APPROPRIATIONS.
There are authorized to be appropriated such sums as may be
necessary to carry out this Act.
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