Title Date Introduced Bill # Sponsor Status Topic Summary of Global Health-Related Provisions Abortion is Health Care Everywhere Act of 2021

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

3/9/2021 H.R. 1670 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. American Rescue Plan Act of 2021

To provide for reconciliation pursuant to title II of S. Con. Res. 5.

2/24/2021 H.R. 1319 Rep. John Yarmuth (D-KY-3) Became law (P.L. 117-2) COVID-19, Global Fund See KFF summary. American Values Act

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

2/4/2021 S. 239 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. 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. 1/28/2021 H.R. 556 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. 1/28/2021 S. 142 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 Health Security Act of 2021

To authorize a comprehensive, strategic approach for United States foreign assistance to developing countries to strengthen global health security, and for other purposes.

1/21/2021 H.R. 391 Rep. Gerald Connolly (D-VA-11) Referred to HFAC Global health security, global health emergencies States it is U.S. policy to promote global health security as a core national security interest; establishes a Global Health Security Agenda Interagency Review Council, designates members, responsibilities, and frequency of meetings; designates a U.S. Coordinator for Global Health Security responsible for coordination of the interagency process for responding to global health security emergencies; express Sense of Congress that the President should consider appointing an individual with significant background and expertise in public health or emergency response management to such position; requires a U.S. global health security strategy, its implementation (including agency-specific plans), and an annual report on status of implementation. International Human Rights Defense Act of 2021

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

2/22/2021 H.R. 1201 Rep. Alan Lowenthal (D-CA-47) Referred to HFAC LGBTI health, HIV Includes statement of U.S. policy regarding LGBTI issues globally, including employing a multisectoral approach to preventing and responding to criminalization, discrimination, and violence against LGBTI 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 LGBTI people and communities and to combat HIV. International Human Rights Defense Act of 2019

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

2/24/2021 S. 424 Sen. Edward Markey (D-MA) Read twice and referred to SFRC LGBTI health, HIV Includes statement of U.S. policy regarding LGBTI issues globally, including employing a multisectoral approach to preventing and responding to criminalization, discrimination, and violence against LGBTI 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 LGBTI people and communities and to combat HIV. Preventing Future Pandemics Act of 2021

To address the public health risks posed by wildlife markets, and for other purposes.

1/4/2021 H.R. 151 Rep. Mike Quigley (D-IL-5) Referred to HFAC, H. Energy and Commerce, H. Judiciary, H. Ways and Means, H. Financial Services, H. Natural Resources Global health security, One Health, zoonotic diseases Requires the HHS Secretary to enter into an agreement with the National Academies of Sciences, Engineering, and Medicine for it to conduct a study on the risk of wildlife markets on the emergency of novel viral pathogens, to be submitted not later than one year after the date of agreement; expresses Sense of Congress that global institutions, including WHO, and others including USAID should promote the paradigm of One Health; states U.S. policy is to facilitate international cooperation to close high risk wildlife markets around that world and to work to develop agreements and protocols to close these markets; allows the President to impose sanctions on any country (or nationals of a country) continuing to license or enable commercial wildlife markets or engaged in certain activities; authorizes FY 2021 – FY 2030 funding for USAID activities related to sustainable food systems; requires the USAID administrator to increase activities related to biodiversity, global health, and resilience, among other things, in order to address the threats and causes of zoonotic disease outbreaks.; requires reporting from the Department of State and USAID describing these efforts. Preventing Future Pandemics Act of 2021

To address the public health risks posed by wildlife markets, and for other purposes.

1/25/2021 S. 37 Sen. John Cornyn (R-TX) Read twice and referred to SFRC Global health security, One Health, zoonotic diseases Requires the HHS Secretary to enter into an agreement with the National Academies of Sciences, Engineering, and Medicine for it to conduct a study on the risk of wildlife markets on the emergency of novel viral pathogens, to be submitted not later than one year after the date of agreement; expresses Sense of Congress that global institutions, including WHO, and others including USAID should promote the paradigm of One Health; states U.S. policy is to facilitate international cooperation to close high risk wildlife markets around that world and to work to develop agreements and protocols to close these markets; allows the President to impose sanctions on any country (or nationals of a country) continuing to license or enable commercial wildlife markets or engaged in certain activities; authorizes FY 2021 – FY 2030 funding for USAID activities related to sustainable food systems; requires the USAID administrator to increase activities related to biodiversity, global health, and resilience, among other things, in order to address the threats and causes of zoonotic disease outbreaks.; requires reporting from the Department of State and USAID describing these efforts. Protecting Life in Foreign Assistance Act

To restrict the availability of Federal funds to organizations associated with the abortion industry. 1/28/2021 H.R. 534 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. Protecting Life in Foreign Assistance Act

To restrict the availability of Federal funds to organizations associated with the abortion industry. 1/28/2021 S. 137 Sen. Mike Lee (R-UT) Read twice and referred to SFRC 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. Robust International Response to Pandemic Act

To provide support for a robust global response to the COVID-19 pandemic.

2/11/2021 H.R. 986 Rep. Jesus “Chuy” Garcia (D-IL-4) Referred to H. Financial Services COVID-19 Directs the Secretary of the Treasury to instruct U.S. Executive Directors at international financial institutions to ensure international financial institution support for a robust international response to the global COVID-19 pandemic, including to oppose the approval or endorsement of any loan, grant, document, or strategy that would lead to a decrease in health care spending or in any other spending that would impede the ability of any country to prevent or contain the spread of, or treat persons who are or may be infected with, the COVID-19 virus. Support for Global Financial Institution Pandemic Response Act of 2021

To support efforts by international financial institutions to provide a robust global response to the COVID–19 pandemic. 1/27/2021 S. 67 Sen. Richard Durbin (D-IL) Read twice and referred to SFRC COVID-19 Directs the Secretary of the Treasury to instruct U.S. Executive Directors at international financial institutions to ensure international financial institution support for a robust international response to the global COVID-19 pandemic, including to oppose the approval or endorsement of any loan, grant, document, or strategy that would lead to a decrease in health care spending or in any other spending that would impede the ability of any country to prevent or contain the spread of, or treat persons who are or may be infected with, the COVID-19 virus. To amend the National Security Act of 1947 to require the President to designate an employee of the National Security Council to be responsible for pandemic prevention and response, and for other purposes. 2/8/2021 S. 290 Sen. Edward Markey (D-MA) Read twice and referred to HSGAC Pandemic Requires the President to designate an employee of the National Security Council to be the permanent coordinator for pandemic prevention and response for the federal government, outlines duties, and grants them authority to represent the U.S. in bilateral and multilateral discussions and agreements on relevant matters. To direct the Secretary of State to develop a strategy to regain observer status for Taiwan in the World Health Organization, and for other purposes. 2/18/2021 H.R. 1145 Rep. Young Kim (R-CA-39) Referred to HFAC World Health Organization (WHO), Taiwan Directs the Department of State to include additional information in its annual reports concerning Taiwan’s participation at WHO’s World Health Assembly (WHA) as an observer. 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. 1/28/2021 H.R. 497 Rep. Jodey Arrington (R-TX-19) Referred to HFAC World Health Organization (WHO) 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 President 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, and WHO has put in place mechanisms to increase transparency and accountability in its operations and eliminate waste, fraud, and abuse. Women and Climate Change Act of 2021

To address the disparate impact of climate change on women and support the efforts of women globally to address climate change, and for other purposes.

1/11/2021 H.R. 260 Rep. Barbara Lee (D-CA-13) Referred to HFAC, H. Energy & Commerce Climate change, global health, reproductive health Addresses climate change and its effects on women and girls: Establishes the Federal Interagency Working Group on Women and Climate Change within the Department of State and outlines its functions, such as identifying best practices for collecting data on the disparate impact of climate change on women – including in access to comprehensive health care, including reproductive health and rights; requires the Department of State’s Office of Global Women’s Issues (GWI) to submit a strategy (and shortly thereafter an implementation plan and budget) to prevent and respond to the effects of climate change on women, including effective action to promote public health; requires the Ambassador-at-Large of GWI to designate a Senior Coordinator for Women and Climate Change; requires the GWI Ambassador and the Senior Coordinator to submit, within 180 days, to the appropriate congressional committees an assessment of the human and financial resources necessary to carry out the Act. World Health Organization Accountability Act

To prohibit the availability of United States contributions to the World Health Organization until Congress receives a full report on China and the COVID–19 pandemic, and for other purposes.

1/21/2021 H.R. 374 Rep. Lauren Boebert (R-CO-3) Referred to HFAC World Health Organization (WHO), COVID-19 Prohibits the use of federal funds for U.S. contributions to WHO or U.S. participation in any of the activities of WHO until the Secretary of State and HHS Secretary jointly submit a report to Congress describing the manner and extent to which the handling of the COVID-19 outbreak prior to March 11, 2020, by WHO and China contributed to the emergency of the pandemic. 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. LGBTI means lesbian, gay, bisexual, transgender, or intersex. * Other than those that apply to U.S. NGOs receiving certain foreign aid under the Foreign Assistance Act.



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