Global Health Legislation During the 118th Congress
(as of Oct. 24, 2023)
Title Date Introduced Bill # Sponsor Status Topic Summary of Global Health-Related Provisions Abortion is Health Care Everywhere Act of 2023

To amend the Foreign Assistance Act of 1961 to authorize the use of funds for comprehensive reproductive health care services, and for other purposes.

3/22/2023 H.R. 1723 Rep. Janice Schakowsky (D-IL-9) Referred to HFAC Abortion, Helms amendment Includes statement of U.S. policy regarding safe abortion and working to end unsafe abortion; repeals the Helms Amendment (which prohibits the use of foreign assistance to pay for the performance of abortion as a method of family planning or to motivate or coerce any person to practice abortion); states that notwithstanding any other provision of law, certain funds may be used to provide comprehensive reproductive health care services, including abortion services, training, and equipment. Abortion is Health Care Everywhere Act of 2023

To amend the Foreign Assistance Act of 1961 to authorize the use of Federal foreign assistance funds for comprehensive reproductive health care services, and for other purposes.

3/22/2023 S. 929 Sen. Cory Booker (D-NJ) Read twice and referred to SFRC Abortion, Helms amendment Includes statement of U.S. policy regarding safe abortion and working to end unsafe abortion; repeals the Helms Amendment (which prohibits the use of foreign assistance to pay for the performance of abortion as a method of family planning or to motivate or coerce any person to practice abortion); states that notwithstanding any other provision of law, certain funds may be used to provide comprehensive reproductive health care services, including abortion services, training, and equipment. Accelerating Biomedical Innovation Act

To establish a Center for Biomedical Innovation and Development in order to accelerate innovation and development of advanced medical countermeasure products.

5/4/2023 S. 1441 Sen. John Cornyn (R-TX) Read twice and referred to S. HELP Global health security, medical countermeasures Requires the Director of BARDA (the Biomedical Advanced Research and Development Agency), with the HHS Assistant Secretary for Global Affairs and the Center for Biomedical Innovation and Development (established by the Act) to coordinate with international partners to enhance global health security by encouraging other similar initiatives under which international advanced development networks support an expanded worldwide strategy for vaccine, drug, device, and other countermeasure research, development, and manufacturing. American Values Act

To permanently enact certain appropriations Act restrictions on the use of funds for abortions and involuntary sterilizations, and for other purposes.

1/31/2023 S. 197 Sen. James Risch (R-ID) Read twice and referred to SFRC Abortion, involuntary sterilization amendment, Siljander amendment, Kemp-Kasten amendment, Peace Corps provision, Helms amendment, Biden amendment Amends the Foreign Assistance Act of 1961 to codify in permanent law the Siljander amendment, which prohibits  the use of funds to lobby for or against abortion, and the Kemp-Kasten amendment, which prohibits funding any organization or program, as determined by the President, that supports or participates in the management of a program of coercive abortion or involuntary sterilization; restates the Helms amendment, the Involuntary Sterilization amendment (which prohibits the use of funds to pay for involuntary sterilizations as a method of family planning or to coerce or provide a financial incentive to anyone to undergo sterilization), and the Biden amendment (which states that funds may not be used for biomedical research related to methods of or the performance of abortion or involuntary sterilization as a means of family planning) that are already in permanent law. Also amends the Peace Corps Act to codify in permanent law the Peace Corps provision, which prohibits Peace Corps funding from paying for an abortion for a Peace Corps volunteer or trainee, except in cases where the life of the woman is endangered by pregnancy or in cases of rape or incest. In the past these have been included only in annual State-Foreign Operations appropriations language. See also the KFF fact sheet on FP/RH statutory requirements and policies and the KFF explainer on UNFPA funding and Kemp-Kasten.

AUDIT Act
(Assessing Unintended Drivers of Illegal Trafficking Act)

To require certain bureaus of the Department of State and the United States Agency for International Development to release quarterly reviews of certain grants, and for other purposes.

3/24/2023 H.R. 1775 Rep. Richard McCormick (R-GA-6) Referred to HFAC Abortion, Central and South America, asylum seekers Requires the Department of State’s Bureau of Population, Refugees, and Migration (PRM) and Bureau of Democracy, Human Rights, and Labor (DRL) and USAID to be prohibited from giving grants under their migrant and asylum-seeker (and for USAID, internally displaced persons) programs in Central and South America to implementing partners that provide abortion services to asylum seekers, including partners providing sexual and reproductive health services that include referrals to receiving abortions, providing assistance in obtaining abortions, providing abortion; and which directly or indirectly fund abortions or services for abortions in any manner for asylum seekers. BLUE Pacific Act

To establish a comprehensive, long-term United States strategy and policy for the Pacific Islands, and for other purposes.

7/11/2023 H.R. 4538 Rep. Ed Case (D-HI-1) Referred to HFAC, H. Ways and Means, H. Natural Resources Public health capacity building, gender-based violence Authorizes the Secretary of States to assist the Pacific Islands to improve public health outcomes and build public health capacity, including programming to address maternal and child health, family planning and reproductive health, gender-based violence, food security and nutrition, NCDs, NTDs, tuberculosis, HIV/AIDS, STDs, and zoonotic and emerging infectious disease threats, clean water, sanitation, and hygiene (WASH), health system strengthening, and other activities; requires a report not later than 180 days after enactment with strategy; authorizes to be appropriated $250 million for FY23-FY33 to carry out the Act and amendments made by the Act; requires a report from, among others, the Secretary of State and USAID Administrator on the progress in implementing the Strategy for the Pacific Islands Partnership (also required by the Act) including a description of public health and health care challenges in the Pacific Islands, including health systems strengthening, immunization, NCDs, and gender-based violence. Clean Cooking Support Act

To help increase the development, distribution, and use of clean cookstoves and fuels to improve health, protect the climate and environment, empower women, create jobs, and help consumers save time and money.

6/22/2023 S. 2179 Sen. Susan Collins (R-ME) Read twice and referred to SFRC Cookstoves, clean indoor air Requires the Secretary of State and the USAID Administrator to establish the Clean Cooking Interagency Working Group; outlines its make-up, responsibilities, and governance; requires various U.S. government agencies such as USAID, CDC, NIH, and the Department of State to work with the Clean Cooking Alliance to advance related activities and conduct other efforts within their agency purviews to advance clean cooking as a means to improve health, among other things; authorizes to be appropriated such sums as may be necessary to carry out this Act for each of the fiscal years 2024-2028. End Tuberculosis Now Act of 2023

To prevent, treat, and cure tuberculosis globally.

 

2/7/2023 S. 288 Sen. Robert Menendez (D-NJ) Read twice and referred to SFRC Tuberculosis States that it is a major objective of the foreign assistance program of the United States to help end the tuberculosis (TB) public health emergency through accelerated actions to support the diagnosis and treatment of all adults and children with all forms of TB, and to prevent new TB infections; outlines objectives and goals of U.S. policy related to TB, including to ensure that United States funding supports activities that simultaneously emphasize the development of comprehensive person-centered programs, including diagnosis, treatment, and prevention strategies, and the deployment of diagnostic and treatment capacity in areas with the highest TB burdens and for highly at-risk and impoverished populations, including patient support, among other things; authorizes the President to furnish assistance for the prevention, treatment, control, and elimination of TB; directs the President to establish goals for U.S. TB programs to detect, cure and prevent all forms of TB globally for the period between 2023 and 2030 that is aligned with the End TB Strategy’s 2030 targets and USAID’s Global TB Strategy (2023–2030) and update the National Action Plan for Combating Multidrug-Resistant TB; requires the President to coordinate with WHO, the Stop TB Partnership, the Global Fund to Fight AIDS, TB, and Malaria, and other organizations with respect to the development and implementation of a comprehensive global TB response program; requires the President, acting through the USAID Administrator, to catalyze support for research and development (R&D) of new tools to prevent, diagnose, treat, and control TB worldwide, particularly to reduce the incidence of, and mortality from, all forms of drug-resistant TB; identifies priorities for furnishing U.S. assistance, including treating individuals co-infected with HIV and other co-morbidities, and other individuals with TB who may be at risk of stigma and strengthening the capacity of health systems to detect, prevent, and treat TB, including MDR–TB and XDR–TB, as well as support for the Stop TB Partnership’s Global Drug Facility, and the Global Alliance for TB Drug Development, and other organizations promoting the development of new products and drugs for TB, among other things; authorizes the President, via the USAID Administrator, to provide resources to WHO and the Stop TB Partnership to improve the capacity of countries with high burdens or rates of TB and other affected countries to implement the End TB Strategy, the Stop TB Global Plan to End TB, their own national strategies and plans, other global efforts to control MDR–TB and XDR–TB; requires an annual report to the appropriate congressional committees on U.S. TB activities and their impact, with for the first 3 years of the report a required section that describes the progress in recovering from the negative impact of COVID–19 on TB; requires the President, acting through the USAID Administrator in coordination with others, to submit an annual report to Congress on TB R&D; requires an evaluation report by the Comptroller General not later than 3 years after enactment and every five years thereafter that evaluates the performance and impact on TB prevention, diagnosis, treatment, and care efforts that are supported by United States bilateral assistance funding, including recommendations for improving such programs. End Tuberculosis Now Act of 2023

To prevent, treat, and cure tuberculosis globally.

 

3/24/2023 H.R. 1776 Rep. Ami Bera (D-CA-7) Ordered to be reported by voice vote Tuberculosis States that it is a major objective of the foreign assistance program of the United States to help end the tuberculosis (TB) public health emergency through accelerated actions to support the diagnosis and treatment of all adults and children with all forms of TB, and to prevent new TB infections; outlines objectives and goals of U.S. policy related to TB, including to ensure that United States funding supports activities that simultaneously emphasize the development of comprehensive person-centered programs, including diagnosis, treatment, and prevention strategies, and the deployment of diagnostic and treatment capacity in areas with the highest TB burdens and for highly at-risk and impoverished populations, including patient support, among other things; authorizes the President to furnish assistance for the prevention, treatment, control, and elimination of TB; directs the President to establish goals for U.S. TB programs to detect, cure and prevent all forms of TB globally for the period between 2023 and 2030 that is aligned with the End TB Strategy’s 2030 targets and USAID’s Global TB Strategy (2023–2030) and update the National Action Plan for Combating Multidrug-Resistant TB; requires the President to coordinate with WHO, the Stop TB Partnership, the Global Fund to Fight AIDS, TB, and Malaria, and other organizations with respect to the development and implementation of a comprehensive global TB response program; requires the President, acting through the USAID Administrator, to catalyze support for research and development (R&D) of new tools to prevent, diagnose, treat, and control TB worldwide, particularly to reduce the incidence of, and mortality from, all forms of drug-resistant TB; identifies priorities for furnishing U.S. assistance, including treating individuals co-infected with HIV and other co-morbidities, and other individuals with TB who may be at risk of stigma and strengthening the capacity of health systems to detect, prevent, and treat TB, including MDR–TB and XDR–TB, as well as support for the Stop TB Partnership’s Global Drug Facility, and the Global Alliance for TB Drug Development, and other organizations promoting the development of new products and drugs for TB, among other things; authorizes the President, via the USAID Administrator, to provide resources to WHO and the Stop TB Partnership to improve the capacity of countries with high burdens or rates of TB and other affected countries to implement the End TB Strategy, the Stop TB Global Plan to End TB, their own national strategies and plans, other global efforts to control MDR–TB and XDR–TB; requires an annual report to the appropriate congressional committees on U.S. TB activities and their impact, with for the first 3 years of the report a required section that describes the progress in recovering from the negative impact of COVID–19 on TB; requires the President, acting through the USAID Administrator in coordination with others, to submit an annual report to Congress on TB R&D; requires an evaluation report by the Comptroller General not later than 3 years after enactment and every five years thereafter that evaluates the performance and impact on TB prevention, diagnosis, treatment, and care efforts that are supported by United States bilateral assistance funding, including recommendations for improving such programs.

Global Health, Empowerment and Rights Act
(Global HER Act)

To prohibit the application of certain restrictive eligibility requirements to foreign nongovernmental organizations with respect to the provision of assistance under part I of the Foreign Assistance Act of 1961.

3/28/2023 H.R. 1838 Rep. Barbara Lee (D-CA-13) Referred to HFAC Abortion, Mexico City policy Codifies prohibition of the expanded Mexico City policy (rescinded by President Biden in Jan. 2021, see KFF explainer): states that notwithstanding any provision of law, regulation, or policy, foreign non-governmental organizations (NGOs) shall not be ineligible for certain foreign aid under the Foreign Assistance Act solely on the basis of health or medical services provided with non-U.S. funds (insofar as legal in country where provided and under U.S. law) and shall not be subject to requirements relating to their use of non-U.S. funds for advocacy and lobbying activities.*

Global Health, Empowerment and Rights Act
(Global HER Act)

To prohibit the application of certain restrictive eligibility requirements to foreign nongovernmental organizations with respect to the provision of assistance under part I of the Foreign Assistance Act of 1961.

3/30/2023 S. 1098 Sen. Jeanne Shaheen (D-NH) Read twice and referred to SFRC Abortion, Mexico City policy Codifies prohibition of the expanded Mexico City policy (rescinded by President Biden in Jan. 2021, see KFF explainer): states that notwithstanding any provision of law, regulation, or policy, foreign non-governmental organizations (NGOs) shall not be ineligible for certain foreign aid under the Foreign Assistance Act solely on the basis of health or medical services provided with non-U.S. funds (insofar as legal in country where provided and under U.S. law) and shall not be subject to requirements relating to their use of non-U.S. funds for advocacy and lobbying activities.* Global WASH in Healthcare Facilities Act of 2023 

To authorize an Action Plan for United States foreign assistance to developing countries to increase access to sustainable safe water, sanitation, and hygiene in healthcare facilities, promote stronger health systems and sustainable health infrastructure, build capacity of health workers, and promote the safety of health workers and patients, especially women and girls, and for other purposes.

9/18/2023 H.R. 5545 Rep. Grace Meng (D-NY-6) Referred to HFAC WASH, menstrual health and hygiene, health workers Includes statement of policy that it “is in the national security interest of the United States to increase access to sustainable and safe water, sanitation, and hygiene” (WASH) in healthcare facilities through global health, maternal, newborn, and child health (MNCH), and global water programs; requires the USAID Administrator, CDC Director, and Secretary of State to develop and implement an action plan – the Global WASH in Healthcare Facilities Action Plan – to, among other things, describe measures and approaches to address the issues of infection prevention and control, menstrual health and hygiene, safe and equitable access to WASH for health workers, and gaps in current data, monitoring and evaluation analysis and capacity; expresses Sense of Congress regarding U.S. government coordination in implementing the Plan.

Greater Leadership Overseas for the Benefit of Equality Act of 2023
(GLOBE Act of 2023)

To protect human rights and enhance opportunities for LGBTQI people around the world, and for other purposes. 

6/12/2023 H.R. 4050 Rep. Dina Titus (D-NV-1) Referred to HFAC, H. Judiciary LGBTQI health, HIV, Mexico City policy Requires equal access of all elements of the population to programs funded by U.S. assistance, including global health programs.

Also requires PEPFAR to: be implemented in a way that equitably serves LGBTQI people, submit a report to Congress describing international prosecutions for sex work or consensual sexual activity based on commodities provided by PEPFAR or other U.S. support, and submit a report to Congress on HIV/AIDS-related index testing; requires GAO to submit a report to Congress that describes the impact of the implementation and enforcement of any iteration of the Mexico City Policy on the global LGBTQI community; expresses Sense of Congress regarding the U.S. engaging international organizations in efforts to eliminate LGBTQI discrimination; and repeals the Mexico City policy by removing certain limitations on eligibility for foreign assistance.

Greater Leadership Overseas for the Benefit of Equality Act of 2023
(GLOBE Act of 2023)

To protect human rights and enhance opportunities for LGBTQI people around the world, and for other purposes. 

6/12/2023 S. 1924 Sen. Edward Markey (D-MA) Read twice and referred to SFRC LGBTQI health, HIV, Mexico City policy Requires equal access of all elements of the population to programs funded by U.S. assistance, including global health programs.

Also requires PEPFAR to: be implemented in a way that equitably serves LGBTQI people, submit a report to Congress describing international prosecutions for sex work or consensual sexual activity based on commodities provided by PEPFAR or other U.S. support, and submit a report to Congress on HIV/AIDS-related index testing; requires GAO to submit a report to Congress that describes the impact of the implementation and enforcement of any iteration of the Mexico City Policy on the global LGBTQI community; and expresses Sense of Congress regarding the U.S. engaging international organizations in efforts to eliminate LGBTQI discrimination.

International Children with Disabilities Protection Act of 2023

To establish the International Children with Disabilities Protection Program within the Department of State, and for other purposes.

3/16/2023 S. 847 Sen. Robert Menendez (D-NJ) Placed on Senate Legislative Calendar under General Orders Children with disabilities Expresses the Sense of Congress that programs at the Department of State and USAID related to children, global health, and education should engage organizations of persons with disabilities in policymaking and program implementation and support full inclusion of children with disabilities in families, and should aim to avoid support for residential institutions for children with disabilities except in situations of conflict or emergency in a manner that protects family connections. International Human Rights Defense Act of 2023

To establish in the Bureau of Democracy, Human Rights, and Labor of the Department of State a Special Envoy for the Human Rights of LGBTQI+ Peoples, and for other purposes.

3/28/2023 H.R. 1833 Rep. Robert Garcia (D-CA-42) Referred to HFAC LGBTQI+ health, HIV Includes statement of U.S. policy regarding LGBTQI+ issues globally, including employing a multisectoral approach to preventing and responding to criminalization, discrimination, and violence against LGBTQI+ people internationally, including activities in the health sector; authorizes the provision of U.S. assistance to prevent and respond to these issues internationally, including enhancement of health sector capacity related to violence against LGBTQI+ people and communities and to combat HIV. International Human Rights Defense Act of 2023

To establish in the Bureau of Democracy, Human Rights, and Labor of the Department of State a Special Envoy for the Human Rights of LGBTQI+ Peoples, and for other purposes.

3/28/2023 S. 1007 Sen. Edward Markey (D-MA) Read twice and referred to SFRC LGBTI health, HIV Includes statement of U.S. policy regarding LGBTQI+ issues globally, including employing a multisectoral approach to preventing and responding to criminalization, discrimination, and violence against LGBTQI+ people internationally, including activities in the health sector; authorizes the provision of U.S. assistance to prevent and respond to these issues internationally, including enhancement of health sector capacity related to violence against LGBTQI+ people and communities and to combat HIV. Medical Supply Chain Resiliency Act

To authorize the President to enter into trade agreements for the reciprocal elimination of duties or other import restrictions with respect to medical goods to contribute to the national security and public health of the United States, and for other purposes.

6/22/2023 H.R. 4307 Rep. Michelle Steel (R-CA-45)

 

Referred to H. Ways and Means, H. Rules Global health security Requires the President, in determining whether to enter into negotiations for a trusted trade partner agreement with a country, to take into account whether the government of the country has (among other things) demonstrated a commitment to contribute to global health security, including the national security of the United States and the health of United States citizens, by maintaining open trade in medical goods during a public health emergency, including to enable research, development, and manufacturing of those goods. Medical Supply Chain Resiliency Act

To authorize the President to enter into trade agreements for the reciprocal elimination of duties or other import restrictions with respect to medical goods to contribute to the national security and public health of the United States, and for other purposes.

 

6/22/2023 S. 2115 Sen. Tom Carper (D-DE)

 

Read twice and referred to S. Finance Global health security Requires the President, in determining whether to enter into negotiations for a trusted trade partner agreement with a country, to take into account whether the government of the country has (among other things) demonstrated a commitment to contribute to global health security, including the national security of the United States and the health of United States citizens, by maintaining open trade in medical goods during a public health emergency, including to enable research, development, and manufacturing of those goods.

Mental Health in International Development and Humanitarian Settings Act
(MINDS Act)

To enhance mental health and psychosocial support within United States development and humanitarian assistance programs.

3/9/2023 S. 767 Sen. Robert Casey (D-PA)

 

Read twice and referred to SFRC Mental health, children in adversity, COVID-19 Expresses Sense of Congress that mental health is integral and essential to overall health outcomes and other development objectives; codifies the position of USAID coordinator for mental health and psychosocial support and describes the position’s duties, including establishing a Mental Health and Psychosocial Support Working Group; describes the Group’s duties and members; states U.S. policy is to integrate mental health and psychosocial support across all relevant U.S. development and humanitarian assistance programs; requires USAID and the Department of State regional bureaus and missions to advance such policy for local capacity building, and that such programming be evidence-based and culturally competent and respond to all types of childhood adversity; requires USAID to consult with and report to Congress on progress and barriers to implementation, the impact of the COVID-19 pandemic on programming, and funding obligated and expended on this programming during the most recently concluded fiscal year.

Mental Health in International Development and Humanitarian Settings Act
(MINDS Act)

To enhance mental health and psychosocial support within United States development and humanitarian assistance programs.

3/10/2023 H.R. 1570 Rep. Susan Wild (D-PA-7) Referred to HFAC Mental health, children in adversity, COVID-19 Expresses Sense of Congress that mental health is integral and essential to overall health outcomes and other development objectives; codifies the position of USAID coordinator for mental health and psychosocial support and describes the position’s duties, including establishing a Mental Health and Psychosocial Support Working Group; describes the Group’s duties and members; states U.S. policy is to integrate mental health and psychosocial support across all relevant U.S. development and humanitarian assistance programs; requires USAID and the Department of State regional bureaus and missions to advance such policy for local capacity building, and that such programming be evidence-based and culturally competent and respond to all types of childhood adversity; requires USAID to consult with and report to Congress on progress and barriers to implementation, the impact of the COVID-19 pandemic on programming, and funding obligated and expended on this programming during the most recently concluded fiscal year. No Taxpayer Funding for the World Health Organization Act

To prohibit United States assessed and voluntary contributions to the World Health Organization.

1/12/2023 H.R. 343 Rep. Chip Roy (R-TX-21) Referred to HFAC WHO States that notwithstanding any other provision of law, the U.S. may not provide any assessed or voluntary contributions to WHO (see also the KFF fact sheet on WHO). No WHO Pandemic Preparedness Treaty Without Senate Approval Act

To require any convention, agreement, or other international instrument on pandemic prevention, preparedness, and response reached by the World Health Assembly to be subject to Senate ratification.

2/15/2023 S. 444 Sen. Ron Johnson (R-WI) Read twice and referred to SFRC Pandemic preparedness and response, WHO Expresses the Sense of the Senate that the Senate strongly prefers that any agreement related to pandemic prevention, preparedness, and response adopted by the World Health Assembly be considered a treaty requiring the advice and consent of the Senate, with two-thirds of Senators concurring, and that given the level of public distrust of WHO by a “significant segment of the American public” any relevant new agreement by the World Health Assembly that cannot garner such Senate concurrence should not be agreed to or implemented by the United States; then reiterates that any such agreement is deemed to be a treaty subject to the advice and consent requirements of the Constitution. No WHO Pandemic Preparedness Treaty Without Senate Approval Act

To require any convention, agreement, or other international instrument on pandemic prevention, preparedness, and response reached by the World Health Assembly to be subject to Senate ratification.

3/7/2023 H.R. 1425 Rep. Thomas Tiffany (R-WI-7) Referred to HFAC Pandemic preparedness and response, WHO Expresses the Sense of the Senate that the Senate strongly prefers that any pandemic prevention, preparedness, and response agreement adopted by the World Health Assembly be considered a treaty requiring the advice and consent of the Senate, with two-thirds of Senators concurring, and that given the level of public distrust of WHO by a “significant segment of the American public” any relevant new agreement by the World Health Assembly that does not garner such Senate concurrence should not be agreed to or implemented by the United States; then reiterates that any such agreement is deemed to be a treaty subject to the advice and consent requirements of the Constitution.

PASTEUR Act of 2023
(Pioneering Antimicrobial Subscriptions To End Upsurging Resistance Act of 2023)

To amend title III of the Public Health Service Act to establish a program to develop antimicrobial innovations targeting the most challenging pathogens and most threatening infections, and for other purposes.

4/27/2023 H.R. 2940 Rep. Drew Ferguson (R-GA-3) Referred to H. Energy & Commerce, H. Oversight & Accountability, H. Ways and Means, H. Budget Global health security, antimicrobial resistance (AMR) Directs the new Committee on Critical Need Antimicrobials, with others, to develop a list of infections for which new antimicrobial drug development is needed, taking into account various matters, including an anticipated unmet medical need, including a potential global health security threat.

PASTEUR Act of 2023
(Pioneering Antimicrobial Subscriptions To End Upsurging Resistance Act of 2023)

To amend title III of the Public Health Service Act to establish a program to develop antimicrobial innovations targeting the most challenging pathogens and most threatening infections, and for other purposes.

4/27/2023 S. 1355 Sen. Michael Bennet (D-CO) Read twice and referred to S. HELLP Global health security, antimicrobial resistance (AMR) Directs the new Committee on Critical Need Antimicrobials, with others, to develop a list of infections for which new antimicrobial drug development is needed, taking into account various matters, including an anticipated unmet medical need, including a potential global health security threat. Protecting American Sovereignty Act 

To prohibit the use of funds to implement any obligations of the United States under the World Health Organization’s Global Pandemic Treaty.

3/10/2023 H.R. 1546 Rep. Ronny Jackson (R-TX-13) Referred to HFAC Global health security, WHO Prohibits Federal funds from being used to implement any U.S. obligations under the WHO Global Pandemic Treaty (defined as the Zero draft report by the Working Group on Strengthening WHO Preparedness and Response to Health Emergencies, and any related or successor reports and recommendations regarding pandemics as created by WHO). Protecting Life in Foreign Assistance Act

To restrict the availability of Federal funds to organizations associated with the abortion industry. 4/6/2023 H.R. 2492 Rep. Virginia Foxx (R-NC-5) Referred to HFAC Abortion, Mexico City policy Codifies the expanded Mexico City policy (rescinded by President Biden in Jan. 2021; see KFF explainer) and expands it to apply more broadly to federal funding made available for purposes outside of the U.S. to 1) any foreign nonprofit organization, foreign nongovernmental organization, foreign multilateral organization, or foreign quasi-autonomous nongovernmental organization that carries out certain activities, and 2) any domestic nonprofit organization or domestic nongovernmental organization that carries out certain activities. Reach Every Mother and Child Act of 2023

To amend the Foreign Assistance Act of 1961 to implement policies to end preventable maternal, newborn, and child deaths globally.

5/10/2023 S. 1547 Sen. Susan Collins (R-ME) Read twice and referred to SFRC Maternal health, child health Includes statement of  U.S. policy to establish and implement a coordinated, integrated, and comprehensive strategy to end preventable child and maternal deaths and ensure healthy and productive lives; requires the establishment and implementation of a five-year comprehensive strategy to contribute toward the global goal of ending preventable child and maternal deaths by 2030; states the President shall designate a Child and Maternal Survival Coordinator and describes their duties; requires an annual report on progress. Strengthening Efforts to End Violence Against Children Act of 2023

To amend the Foreign Assistance Act of 1961 to update and strengthen existing efforts to end violence against children, improve coordination among agencies addressing this violence, and promote the use of evidence-based strategies and critical information gathering capabilities, and for other purposes.

7/20/2023 H.R. 4798 Rep. Jim McGovern (D-MA-2) Referred to HFAC Children in adversity, orphans and vulnerable children (OVC), COVID-19 Requires the Special Advisor for Assistance to OVC to consult with relevant offices, including PEPFAR, in developing a strategy for coordinating, implementing, and monitoring assistance programs for children in adversity; requires the Special Advisor to submit a report on the impact of the COVID-19 pandemic on violence against children globally and child protection risks, including child marriage and female genital mutilation/cutting SUPER BUGS Act of 2023

To direct the Secretary of Health and Human Services, in consultation with the Secretary of State, to formulate a strategy for the Federal Government to secure support from foreign countries, multilateral organizations, and other appropriate entities to facilitate the development and commercialization of qualified pandemic or epidemic products, and for other purposes.

3/1/2023 H.R. 1305 Rep. Mike Levin (D-CA-49) Referred to HFAC Research and development, pandemic, antimicrobial resistance (AMR) Requires the HHS Secretary, in consultation with the Secretary of State, to develop a strategy to secure support from foreign countries, multilateral organizations, and other appropriate entities to facilitate the development and commercialization of qualified pandemic or epidemic products, including such products to address antimicrobial resistant pathogens with pandemic potential or that are priority pathogens; requires the HHS Secretary, in consultation with the Secretary of State, to seek to enter into arrangements with these entities to implement the strategy. Support UNFPA Funding Act

To authorize contributions to the United Nations Population Fund, and for other purposes.

6/15/2023 H.R. 4166 Rep. Chrissy Houlahan (D-PA-6) Referred to HFAC UNFPA, family planning/
reproductive health (FP/RH) Includes statement of U.S. policy regarding financial support for UNFPA as a crucial part of the U.S. global health commitment; authorizes to be appropriated for each of the five subsequent years after enactment, an annual contribution to UNFPA to support core functions and programs. Strengthening the Quad Act

To require a strategy for bolstering engagement and cooperation between the United States, Australia, India, and Japan and to seek to establish a Quad Intra-Parliamentary Working Group to facilitate closer cooperation on shared interests and values. 9/8/2023 H.R. 5375 Rep. Gregory Meeks (D-NY-5) Referred to HFAC Global health security, COVID-19, Australia, India, Japan Requires a strategy for bolstering engagement and cooperation with the Quad (the U.S., Australia, India, Japan), which will include a summary of current and past Quad initiatives across the whole of the United States government, including global health security, and a description of efforts, since January 2021, to jointly expand ongoing COVID–19 cooperation to prepare for the next pandemic by focusing on medium-term vaccine and medical supply production and building a broader dialogue on global public health. To prohibit the availability of Federal funds to the World Health Organization pending the conduct of an investigation relating to the influence over such organization by Chinese Communist Party, and for other purposes. 5/25/2023 H.R. 3664 Rep. George Santos (R-NY-3) Referred to HFAC WHO, China States that notwithstanding any other provision of law, no Federal funds may be made available, directly or indirectly, to WHO until the President conducts an investigation to assess and determine the level of influence by the Chinese Communist Party over the operations of WHO ((including with respect to influence regarding the origin of COVID–19 and any coverup relating to such origin) and submits a report containing the findings of such investigation. To prohibit the use of funds to seek membership in the World Health Organization or to provide assessed or voluntary contributions to the World Health Organization. 5/9/2023 H.R. 3131 Rep. Jodey Arrington (R-TX-19) Referred to HFAC WHO, China, Taiwan, Iran, North Korea, Syria, gender identity, gender affirming care, climate change, abortion, sovereignty Prohibits the use of federal funds to seek membership by the U.S. in WHO or to provide assessed or voluntary U.S. contributions to WHO until such time as the Secretary of State certifies that WHO meets certain conditions, including: WHO has adopted meaningful reforms to ensure that humanitarian assistance is not politicized and is to be provided to those with the most need, WHO is not under the control or significant malign influence of the Chinese Communist party, WHO is not involved in a coverup of the Chinese Communist Party’s response to the COVID-19 pandemic, WHO grants observer status to Taiwan, WHO does not divert humanitarian or medical supplies to Iran, North Korea, or Syria; WHO has put in place mechanisms to increase transparency and accountability in its operations and eliminate waste, fraud, and abuse; WHO has ceased all funding for, engagement in, and messaging with respect to certain issues, including gender identity, gender affirming care, climate change, and abortion; and WHO has agreed that as a condition of U.S. membership in WHO, no directive issued by WHO may be considered to be legally binding on any U.S. citizen or individual state. To provide for a limitation on availability of funds for Bilaterial [sic] Economic Assistance, Global Health Programs for fiscal year 2024. 3/29/2023 H.R. 2334 Rep. Andy Biggs (R-AZ-5) Referred to HFAC Appropriations, funding States that notwithstanding any other provision of the law, amounts authorized to be appropriated or otherwise available for Bilaterial [sic] Economic Assistance, Global Health Programs for fiscal year 2024 may not exceed $3,117,450,000. To provide for a limitation on availability of funds for Bilaterial [sic] Economic Assistance, Global Health Programs, HIV/AIDS for fiscal year 2024. 3/29/2023 H.R. 2335 Rep. Andy Biggs (R-AZ-5) Referred to HFAC Appropriations, funding States that notwithstanding any other provision of the law, amounts authorized to be appropriated or otherwise available for Bilaterial [sic] Economic Assistance, Global Health Programs, HIV/AIDS for fiscal year 2024 may not exceed $5,720,000,000. To provide for a limitation on availability of funds for Department of Health and Human Services, Centers for Disease Control and Prevention Global Health for fiscal year 2024. 3/29/2023 H.R. 1971 Rep. Andy Biggs (R-AZ-5) Referred to H. Energy & Commerce Appropriations, funding States that notwithstanding any other provision of the law, amounts authorized to be appropriated or otherwise available for HHS/CDC Global Health for fiscal year 2024 may not exceed $488,621,000. To provide for a limitation on availability of funds for Department of Health and Human Services, Centers for Disease Control and Prevention HIV/AIDS, Viral Hepatitis, Sexually Transmitted Diseases, and Tuberculosis Prevention for fiscal year 2024. 3/29/2023 H.R. 1962 Rep. Andy Biggs (R-AZ-5) Referred to H. Energy & Commerce Appropriations, funding States that notwithstanding any other provision of the law, amounts authorized to be appropriated or otherwise available HHS/CDC HIV/AIDS, Viral Hepatitis, Sexually Transmitted Diseases, and Tuberculosis Prevention for fiscal year 2024 may not exceed $1,132,278,000. To provide for a limitation on availability of funds for Department of Health and Human Services, National Institutes of Health John E. Fogarty International Center for fiscal year 2024. 3/29/2023 H.R. 1996 Rep. Andy Biggs (R-AZ-5) Referred to H. Energy & Commerce Appropriations, funding States that notwithstanding any other provision of the law, amounts authorized to be appropriated or otherwise available for HHS/NIH John E. Fogarty International Center for fiscal year 2024 may not exceed $78,109,000. To require the Administrator of the United States Agency for International Development to submit a report on progress relating to malaria reduction, and for other purposes. 4/25/2023 H.R. 2854 Rep. Chris Smith (R-NJ-4) Referred to HFAC Malaria Expresses Sense of Congress for support for malaria efforts by the U.S. and others; requires the USAID Administrator to submit a report to Congress on the cumulative progress toward 90 percent malaria reduction by 2030, including by providing incidence and mortality rates of malaria. United States-Caribbean Strategic Engagement Act of 2023

To amend the United States-Caribbean Strategic Engagement Act of 2016 to require the submission of an updated multi-year strategy for United States engagement to support the efforts of interested nations in the Caribbean region.

6/12/2023 H.R. 4015 Castro, Joaquin [Rep.-D-TX-20] Referred to HFAC Caribbean, global health security Amends statement of U.S. policy to include improving public health cooperation and infrastructure to mitigate health concerns and threats to the Caribbean region, including activities to prepare for future pandemic and health emergencies, expanding the accessibility of health services to marginalized populations, and reducing dependence on medical imports from malign actors. United States-Israel International Development Cooperation Act of 2023

To amend the Foreign Assistance Act of 1961 to authorize appropriations for certain cooperative projects among the United States, Israel, and developing countries, and for other purposes.

6/7/2023 H.R. 3907 Rep. Lois Frankel (D-FL-22) Referred to HFAC Israel Expresses Sense of Congress that the U.S. should continue to partner with Israel to advance common goals regarding global health, water, and sanitation, among other things. United States-Israel International Development Cooperation Act of 2023

To amend the Foreign Assistance Act of 1961 to authorize appropriations for certain cooperative projects among the United States, Israel, and developing countries, and for other purposes.

7/11/2023 S. 2240 Sen. Chris Coons (D-DE) Read twice and referred to SFRC Israel Expresses Sense of Congress that the U.S. should continue to partner with Israel to advance common goals regarding global health, water, and sanitation, among other things. Western Hemisphere Partnership Act of 2023

To establish a partnership with nations in the Western Hemisphere to promote economic competitiveness, democratic governance, and security, and for other purposes.

4/26/2023 S. 1325 Sen. James Risch (R-ID) Placed on Senate Legislative Calendar under General Orders Global health security States the Secretary of State, in coordination with the heads of other relevant Federal agencies, should support the improvement of security conditions and the rule of law in the Western Hemisphere through collaborative efforts with democratic partners that, among other things, foster regional mechanisms for early warning and response to pandemics in the Western Hemisphere, including through improved cooperation with and research by CDC through regional pandemic response centers and surveying and mapping of health networks to build local health capacity. WHO Withdrawal Act

To direct the President to withdraw the United States from the Constitution of the World Health Organization, and for other purposes.

1/9/2023 H.R. 79 Rep. Andy Biggs (R-AZ-5) Referred to HFAC WHO Requires the President to withdraw the U.S. from WHO membership; prohibits Federal funds from being provided for the participation of the U.S. in WHO; repeals an earlier Act that provided for membership and participation by the U.S. in WHO and “authorizing an appropriation therefor. APPROPRIATIONS BILLS

Department of State, Foreign Operations, and Related Programs Appropriations Act, 2024
(State/Foreign Ops – SFOPS Approps)

Making appropriations for the Department of State, foreign operations, and related programs for the fiscal year ending September 30, 2024, and for other purposes.

7/17/2023 H.R. 4665 Rep. Mario Diaz-Balart (R-FL-26) Passed House, received in the Senate; read twice and placed on Senate Legislative Calendar under General Orders Appropriations See KFF summary.

Department of State, Foreign Operations, and Related Programs Appropriations Act, 2024
(State/Foreign Ops – SFOPS Approps)

Making appropriations for the Department of State, foreign operations, and related programs for the fiscal year ending September 30, 2024, and for other purposes.

7/20/2023 S. 2438 Sen. Chris Coons (D-DE) Placed on Senate Legislative Calendar under General Orders Appropriations See KFF summary.

Departments of Labor, Health and Human Services, and Education, and Related Agencies Appropriations Act, 2024
(LHHS Approps)

Making appropriations for the Departments of Labor, Health and Human Services, and Education, and related agencies for the fiscal year ending September 30, 2024, and for other purposes.

7/27/2023 S. 2624 Sen. Tammy Baldwin (D-WI) Placed on Senate Legislative Calendar under General Orders Appropriations See KFF summary.

Departments of Labor, Health and Human Services, and Education, and Related Agencies Appropriations Act, 2024
(LHHS Approps)

Making appropriations for the Departments of Labor, Health and Human Services, and Education, and related agencies for the fiscal year ending September 30, 2024, and for other purposes.

10/6/2023 H.R. 5894 Rep. Robert Aderholt (R-AL-4) Referred to H. Approps. Appropriations See KFF summary. NOTES: SFRC means Senate Committee on Foreign Relations. HFAC means the House Committee on Foreign Affairs. H. means House. S. means Senate. SFOPS means Department of State, foreign operations, and related programs. LGBQTI+ means lesbian, gay, bisexual, transgender, queer, or intersex. WHO is the World Health Organization. * Other than those that apply to U.S. NGOs receiving certain foreign aid under the Foreign Assistance Act.

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