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<dc:title>117 S296 IS: World Health Organization Accountability Act of 2021</dc:title>
<dc:publisher>U.S. Senate</dc:publisher>
<dc:date>2021-02-08</dc:date>
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<dc:language>EN</dc:language>
<dc:rights>Pursuant to Title 17 Section 105 of the United States Code, this file is not subject to copyright protection and is in the public domain.</dc:rights>
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<distribution-code display="yes">II</distribution-code><congress>117th CONGRESS</congress><session>1st Session</session><legis-num>S. 296</legis-num><current-chamber>IN THE SENATE OF THE UNITED STATES</current-chamber><action><action-date date="20210208">February 8, 2021</action-date><action-desc><sponsor name-id="S404">Mr. Scott of Florida</sponsor> (for himself and <cosponsor name-id="S399">Mr. Hawley</cosponsor>) introduced the following bill; which was read twice and referred to the <committee-name committee-id="SSFR00">Committee on Foreign Relations</committee-name></action-desc></action><legis-type>A BILL</legis-type><official-title>To limit funding for the World Health Organization, and for other purposes.</official-title></form><legis-body><section id="S1" section-type="section-one"><enum>1.</enum><header>Short title</header><text display-inline="no-display-inline">This Act may be cited as the <quote><short-title>World Health Organization Accountability Act of 2021</short-title></quote>.</text></section><section id="id7A1CC455CE55499FBB8A78A9E71EAEB0"><enum>2.</enum><header>Finding</header><text display-inline="no-display-inline">Congress finds that, in response to the World Health Organization's denial that Taiwan ever alerted the organization to the possibility of human-to-human transmission of COVID–19, the Central Epidemic Command Center made the following statement on April 11, 2020:</text><quoted-block style="OLC" display-inline="no-display-inline" id="id053E32E063D847798C10D1A229613E87"><paragraph id="idbfc859e722fa4654b0021a7de35dbe38"><enum>(1)</enum><text>The Taiwan Centers for Disease Control (Taiwan CDC) learned from online sources that there had been at least seven cases of atypical pneumonia in Wuhan, China. In China, the term <term>atypical pneumonia</term> is commonly used to refer to SARS, a disease transmitted between humans caused by coronavirus.</text></paragraph><paragraph id="idef5b745829b943d8985c14f522f88e20"><enum>(2)</enum><text>Owing to its experience with the SARS epidemic in 2003, Taiwan vigilantly kept track of information about the new outbreak. On December 31, 2019, Taiwan sent an email to the International Health Regulations (IHR) focal point under the World Health Organization (WHO), informing WHO of its understanding of the disease and also requesting further information from WHO. Given the lack of clarity at the time, as well as the many rumors that were circulating, Taiwan’s aim was to ensure that all relevant parties remained alert, especially since the outbreak occurred just before the Lunar New Year holiday, which typically sees tremendous amounts of travel. To be prudent, in the email we took pains to refer to atypical pneumonia, and specifically noted that patients had been isolated for treatment. Public health professionals could discern from this wording that there was a real possibility of human-to-human transmission of the disease. However, because at the time there were as yet no cases of the disease in Taiwan, we could not state directly and conclusively that there had been human-to-human transmission.</text></paragraph><paragraph id="id28dc2f1958704d4ab1b8df504bf0289d"><enum>(3)</enum><text>The Taiwan CDC also contacted the Chinese Center for Disease Control and Prevention in a bid to obtain more information. However, in response to our inquiries, the WHO IHR focal point only responded with a short message stating that Taiwan’s information had been forwarded to expert colleagues; China provided only a press release.</text></paragraph><paragraph id="id20f3d327167f4666bd4ce9f1395ef95a"><enum>(4)</enum><text>Even though Taiwan strongly suspected that human-to-human transmission of the disease was already occurring at the time, we were unable to gain confirmation through existing channels. Therefore, on the day the aforementioned email was sent to WHO, the Taiwan government activated enhanced border control and quarantine measures based on the assumption that human-to-human transmission was in fact occurring. These measures included screening passengers on flights from Wuhan prior to disembarkation.</text></paragraph><paragraph id="id2e03382364604de88afddc7f9315f46d"><enum>(5)</enum><text>In mid-January, the Taiwan CDC dispatched experts to Wuhan to gain a better understanding of the epidemic, the control measures taken there, and patients’ exposure history. Based on preliminary research, Taiwan determined that this form of pneumonia could indeed spread via human-to-human transmission.</text></paragraph><after-quoted-block>.</after-quoted-block></quoted-block></section><section id="idB6818A87D68345C9ABB897A134C1A459"><enum>3.</enum><header>Restriction on World Health Organization funding</header><subsection id="id6210FB1D65DF47D0950C611EADA64F42"><enum>(a)</enum><header>In general</header><text>No funds may be provided as an assessed or voluntary contribution to the World Health Organization (WHO) until—</text><paragraph id="id932BC1132E77426CA4746F44D1F0C8E9"><enum>(1)</enum><text>the World Health Organization replaces all of the top leadership of the organization that was in place as of January 1, 2020, including the positions set forth in subsection (b); and</text></paragraph><paragraph id="idFBB851D18B9545DD880B3E0574E4C477"><enum>(2)</enum><text>Taiwan is accepted as a Member State of the World Health Organization.</text></paragraph></subsection><subsection id="id86CB9FDF723240AB8F1960ED70EF9622"><enum>(b)</enum><header>Covered positions</header><text>The positions referred to in subsection (a)(1) are as follows:</text><paragraph id="id54a590523d604a0eac98f0ae24176844" commented="no" display-inline="no-display-inline"><enum>(1)</enum><text>WHO Director-General. </text></paragraph><paragraph id="id6827786fea4044738c80c91050bf64cf"><enum>(2)</enum><text>WHO Deputy Director-General. </text></paragraph><paragraph id="id50e2161ba4de4732ace68863ffd31da0"><enum>(3)</enum><text>Chef de Cabinet. </text></paragraph><paragraph id="id8cfd9b7f7a854fc4a2ab109cde84c86c"><enum>(4)</enum><text>Executive Director for External Relations and Governance. </text></paragraph><paragraph id="id458348e1521647d7a05db745000fb402"><enum>(5)</enum><text>Executive Director, WHO Health Emergencies Programme. </text></paragraph><paragraph id="id684f7154f4ff455c87e979ebc93dfc7b"><enum>(6)</enum><text>Chief Scientist.</text></paragraph><paragraph id="id9586125c66ae4dabadfa61068b9d242c"><enum>(7)</enum><text>Senior Advisor to the Director-General, Organizational Change.</text></paragraph><paragraph id="id6cf44bade48e4b338253d4c7776128ad"><enum>(8)</enum><text>Special Advisor to the Director-General.</text></paragraph><paragraph id="idb5dc1967d8b243b2ad514cdce3cc34e0"><enum>(9)</enum><text>Assistant Director-General, Special Advisor to the Director-General, Strategic Priorities.</text></paragraph><paragraph id="idd8ece14bf8714e58ab10e28015e80a8b"><enum>(10)</enum><text>Assistant Director-General, Universal Health Coverage/Healthier Populations.</text></paragraph><paragraph id="idca610270f5404d3392378dcf91342c06"><enum>(11)</enum><text>Assistant Director-General, Business Operations.</text></paragraph><paragraph id="id0741027ca40844788f7a5ef8eab8bb42"><enum>(12)</enum><text>Assistant Director-General, WHO’s office at the United Nations in New York.</text></paragraph><paragraph id="id3a8df31b66ea4785855c0d44778214ac"><enum>(13)</enum><text>Assistant Director-General, Access to Medicines and Health Products.</text></paragraph><paragraph id="id195061f0b41f48d3af36538bd5228a71"><enum>(14)</enum><text>Assistant Director-General, Universal Health Coverage/Communicable and Noncommunicable Diseases.</text></paragraph><paragraph id="idca48220b7452468b959fbe8b97d4ffd8"><enum>(15)</enum><text>Assistant Director-General, Emergency Preparedness and International Health Regulations.</text></paragraph><paragraph id="idf964b5533edb4f7388ea2c20a46b5a33"><enum>(16)</enum><text>Assistant-Director General, Strategic Initiatives.</text></paragraph><paragraph id="idd88c7d8aaccc4720a135588fcaadf206"><enum>(17)</enum><text>Assistant Director-General, Emergency Response.</text></paragraph><paragraph id="id817024f424a44c63aa12069ff3769b81"><enum>(18)</enum><text>Director-General’s Envoy for Multilateral Affairs.</text></paragraph><paragraph id="id1b11511bb44e4146a88b6dad4f83aa82"><enum>(19)</enum><text>Assistant Director-General, Antimicrobial Resistance.</text></paragraph><paragraph id="id7561b753779a4922a6e4d5f3fdec29dc"><enum>(20)</enum><text>Assistant Director-General, for Data, Analytics and Delivery.</text></paragraph><paragraph id="idd03fb07fdf2d458d94727c9dc7fa46df"><enum>(21)</enum><text>WHO Regional Director for Africa.</text></paragraph><paragraph id="id8ee4763d4bf14f3ab4f919ce9560470f"><enum>(22)</enum><text>WHO Regional Director for the Americas.</text></paragraph><paragraph id="id707968fe43eb4fcba0f77cd292b50671"><enum>(23)</enum><text>WHO Regional Director for South-East Asia.</text></paragraph><paragraph id="id6db657afe9844d6b89b0ebe95a5399c3"><enum>(24)</enum><text>WHO Regional Director for Europe.</text></paragraph><paragraph id="id070be5ab51d2422e95eff505d2b1410e"><enum>(25)</enum><text>WHO Regional Director for the Eastern Mediterranean.</text></paragraph><paragraph id="id35400802058c468eadbeedd2932a22f3"><enum>(26)</enum><text>WHO Regional Director for the Western Pacific.</text></paragraph></subsection><subsection id="idDA44BFABE0984556AA2A05642079B0B6"><enum>(c)</enum><header>Limitation</header><text>No funds may be provided as a United States assessed or voluntary contribution to the World Health Organization in a fiscal year in excess of the amount contributed by any other Member State of the organization during such fiscal year.</text></subsection></section></legis-body></bill> 

