[Congressional Bills 117th Congress]
[From the U.S. Government Publishing Office]
[H.R. 4693 Enrolled Bill (ENR)]

        H.R.4693

                    One Hundred Seventeenth Congress

                                 of the

                        United States of America


                          AT THE SECOND SESSION

           Begun and held at the City of Washington on Monday,
          the third day of January, two thousand and twenty-two


                                 An Act


 
To advance targeted and evidence-based interventions for the prevention 
and treatment of global malnutrition and to improve the coordination of 
                 such programs, 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 Malnutrition Prevention and 
Treatment Act of 2021''.
SEC. 2. AUTHORIZATION OF EFFORTS TO PREVENT AND TREAT MALNUTRITION 
GLOBALLY.
    (a) In General.--The Administrator, in coordination with the heads 
of other relevant Federal departments and agencies, is authorized and 
encouraged to support efforts to prevent and treat malnutrition 
globally, including by--
        (1) targeting resources and nutrition interventions to support 
    the most vulnerable populations susceptible to severe malnutrition, 
    including children under the age of 5 and pregnant and lactating 
    women;
        (2) increasing coverage, particularly in priority countries, of 
    nutrition interventions that include coordinated deployment of 
    prenatal nutrient supplements, breastfeeding support, vitamin A 
    supplementation, specialized nutritious food products for the 
    treatment of acute malnutrition, and other evidence-based 
    interventions, as appropriate;
        (3) increasing the use of context and country-appropriate 
    fortification of staples and condiments with essential nutrients;
        (4) advancing evidence-based programs and interventions carried 
    out using data-driven approaches, best practices, and targeted to 
    country-specific contexts and needs;
        (5) supporting partner governments to develop policies to 
    prevent and treat malnutrition;
        (6) leveraging investments to strengthen health systems, 
    including to support community health workers to advance improved 
    nutrition outcomes;
        (7) improve diets through safe, affordable, nutritious foods in 
    the food system; and
        (8) ensuring rigorous monitoring and evaluation of such 
    efforts.
    (b) External Coordination Efforts Related to Nutrition Programs.--
The Administrator, in coordination with the heads of other relevant 
Federal departments and agencies, should coordinate, as appropriate, 
with bilateral and multilateral donors, governments of partner 
countries, United Nations agencies, civil society organizations, 
nongovernmental organizations, including faith-based organizations, and 
the private sector to prevent and treat malnutrition globally, 
including by supporting efforts to--
        (1) build the capacity of local and community-based 
    organizations and governments of partner countries to ensure 
    sustainability of nutrition interventions;
        (2) expand research and innovation to identify and increase 
    effective and evidence-based nutrition interventions based on 
    country-specific contexts;
        (3) improve coordination and structure of supply chains for 
    nutrition interventions;
        (4) expand domestic resource mobilization and domestic 
    financing for nutrition interventions; and
        (5) seek to leverage additional resources and encourage 
    investment into innovative and multi-stakeholder finance 
    partnerships to advance burden sharing in nutrition-related 
    assistance.
    (c) Interagency Efforts.--In carrying out subsections (a) and (b), 
the Administrator, in coordination with the heads of other relevant 
Federal departments and agencies, consistent with the Global Nutrition 
Coordination Plan, shall seek to leverage additional resources to 
prevent and treat malnutrition globally, including by--
        (1) increasing cooperation among relevant Federal departments 
    and agencies represented in the Global Nutrition Coordination Plan 
    to better leverage grants, technical assistance, debt, equity, loan 
    guaranties, and public-private partnerships; and
        (2) utilizing the Administrator's role as a member of the Board 
    of Directors of the United States International Development Finance 
    Corporation to consider opportunities within the Corporation's 
    development impact framework that support improved nutrition 
    outcomes.
SEC. 3. SELECTION OF PRIORITY COUNTRIES.
    (a) In General.--The Administrator, in coordination with the 
Nutrition Leadership Council, shall select foreign countries as 
priority countries for purposes of targeting programs to prevent and 
treat malnutrition globally.
    (b) Criteria.--The selection of priority countries under subsection 
(a) shall be based on the following:
        (1) The prevalence of severe malnutrition among children under 
    the age of 5 and pregnant and lactating women.
        (2) The presence of high-need, underserved, marginalized, 
    vulnerable, or impoverished communities.
        (3) The enabling environment for improved nutrition, including 
    presence of national nutrition plans and demonstration of strong 
    political commitment.
        (4) Any other criteria that the Administrator determines to be 
    appropriate.
    (c) Updates.--The Administrator shall update the selection of 
priority countries under subsection (a) not later than 5 years after 
the date of the enactment of this Act.
    (d) Sense of Congress.--It is the sense of Congress that the 
Administrator should continue to undertake nutrition interventions in 
countries not selected as priority countries, particularly in contexts 
in which opportunities are identified to advance multi-sectoral 
development programming and integrate efforts to prevent and treat 
global malnutrition with other priority areas and program objectives.
SEC. 4. NUTRITION LEADERSHIP COUNCIL.
    (a) Establishment.--The Administrator is authorized to establish in 
the United States Agency for International Development the Nutrition 
Leadership Council (in this section referred to as the ``Council''), 
which shall coordinate Agency efforts to prevent and treat malnutrition 
globally.
    (b) Duties.--The duties of the Council shall include--
        (1) advancing United States Agency for International 
    Development efforts to prevent and treat malnutrition globally;
        (2) ensuring nutrition interventions, particularly in priority 
    countries, are carried out in close coordination with other 
    relevant United States Government strategies and policies and 
    provisions of law, including--
            (A) the Global Food Security Act of 2016 (22 U.S.C. 9301 et 
        seq.);
            (B) the Senator Paul Simon Water for the World Act of 2014 
        (22 U.S.C. 2151 note);
            (C) the Global Child Thrive Act of 2020 (subtitle I of 
        title XII of division A of Public Law 116-283); and
            (D) the Global Fragility Act of 2019 (22 U.S.C. 9801 et 
        seq.); and
        (3) ensuring nutrition interventions are coordinated with 
    nutrition programs carried out by other relevant Federal 
    departments and agencies.
    (c) Membership.--The Council shall include representatives of the 
following bureaus and independent offices of the United States Agency 
for International Development:
        (1) The Bureau for Global Health.
        (2) The Bureau for Resilience and Food Security.
        (3) The Bureau for Humanitarian Assistance.
        (4) Any other relevant bureau or independent office that the 
    Administrator determines to be appropriate.
SEC. 5. IMPLEMENTATION PLAN.
    (a) In General.--Not later than 260 days after the date of the 
enactment of this Act, the Administrator, in coordination with the 
heads of other relevant Federal departments and agencies, shall develop 
and submit to the appropriate congressional committees an 
implementation plan for programs to prevent and treat malnutrition 
globally described in section 2.
    (b) Matters To Be Included.--The implementation plan required by 
subsection (a) shall include the following:
        (1) A description of specific and measurable goals, objectives, 
    and performance metrics with respect to such programs, including 
    clear benchmarks and intended timelines for achieving such goals 
    and objectives.
        (2) A description of monitoring and evaluation plans with 
    respect to such programs, as appropriate.
        (3) In priority countries, a description of efforts to ensure 
    that nutrition is adequately addressed in the Country Development 
    Cooperation Strategy to the extent practicable and identify 
    opportunities to expand efforts to prevent and treat malnutrition, 
    including through leveraging existing health and development 
    programs and other ongoing activities.
    (c) Consultation.--The implementation plan required by subsection 
(a) shall be developed in consultation with, as appropriate and to the 
extent possible, representatives of nongovernmental organizations, 
including faith-based organizations, civil society organizations, 
multilateral organizations and donors, relevant private, academic, and 
philanthropic entities, and the appropriate congressional committees.
SEC. 6. REPORT.
    (a) In General.--Not later than one year after the date of the 
enactment of this Act, and annually thereafter for 5 years, the 
Administrator shall submit to the appropriate congressional committees 
a report that describes progress made towards preventing and treating 
malnutrition globally.
    (b) Matters To Be Included.--The report required by subsection (a) 
shall include the following:
        (1) A summary of progress made towards achieving the specific 
    and measurable goals, objectives, and performance metrics towards 
    ending global malnutrition.
        (2) In priority countries--
            (A) a detailed summary of nutrition programs and activities 
        in the previous fiscal year, including a breakdown of the 
        countries to which nutrition resources have been allocated and 
        an estimated number of people reached through nutrition 
        interventions; and
            (B) an description of the coordination of nutrition 
        programs with other health and development programs and 
        priorities.
        (3) A summary of efforts to expand research and innovation to 
    development and scale up new tools to prevent and treat 
    malnutrition globally.
        (4) An assessment of the collaboration and coordination of 
    nutrition efforts of the United States Agency for International 
    Development with United Nations agencies, the World Bank, other 
    donor governments, host country governments, civil society, and the 
    private sector, as appropriate.
        (5) A description of other donor country and host country 
    financial commitments and efforts to prevent and treat 
    malnutrition.
        (6) An identification of constraints on implementation of 
    programs and activities and lessons learned from programs and 
    activities from the previous fiscal years.
    (c) Inclusion in Other Reports.--The Administrator may include the 
report required by subsection (a) as a component of other 
congressionally mandated reports provided to appropriate congressional 
committees, as appropriate.
SEC. 7. COMPLIANCE WITH THE FOREIGN AID TRANSPARENCY AND ACCOUNTABILITY 
ACT OF 2016.
    Section 2(3) of the Foreign Aid Transparency and Accountability Act 
of 2016 (22 U.S.C. 2394c note) is amended--
        (1) in subparagraph (C), by striking ``and'' at the end;
        (2) in subparagraph (D), by striking the period at the end and 
    inserting ``; and''; and
        (3) by adding at the end the following:
            ``(E) the Global Malnutrition Prevention and Treatment Act 
        of 2021.''.
SEC. 8. DEFINITIONS.
    In this Act:
        (1) Administrator.--The term ``Administrator'' means the 
    Administrator of the United States Agency for International 
    Development.
        (2) Appropriate congressional committees.--The term 
    ``appropriate congressional committees'' means--
            (A) the Committee on Foreign Affairs and the Committee on 
        Appropriations of the House of Representatives; and
            (B) the Committee on Foreign Relations and the Committee on 
        Appropriations of the Senate.
        (3) Nutrition leadership council.--The term ``Nutrition 
    Leadership Council'' means Nutrition Leadership Council established 
    by section 4.
        (4) Priority country.--The term ``priority country'' means a 
    foreign country selected under section 3 for purposes of targeting 
    programs to prevent and treat malnutrition globally.
SEC. 9. SUNSET.
    The requirements of this Act and the amendments made by this Act 
shall terminate on the date that is 7 years after the date of the 
enactment of this Act.

                               Speaker of the House of Representatives.

                            Vice President of the United States and    
                                               President of the Senate.