Untitled section

(a) In general Funds appropriated by titles III and IV of this Act that are made available for bilateral assistance for child survival activities or disease programs including activities relating to research on, and the prevention, treatment and control of, HIV/AIDS may be made available notwithstanding any other provision of law except for provisions under the heading Global Health Programs and the United States Leadership Against HIV/AIDS, Tuberculosis, and Malaria Act of 2003 (117 Stat. 711; 22 U.S.C. 7601 et seq.), as amended. (b) Limitation Of the funds appropriated by this Act, not more than $461,000,000 may be made available for family planning/reproductive health. (c) Pandemics and other infectious disease outbreaks (1) Global health security Funds appropriated by this Act under the heading Global Health Programs shall be made available for global health security programs to accelerate the capacity of countries to prevent, detect, and respond to infectious disease outbreaks, including by strengthening public health capacity where there is a high risk of emerging zoonotic infectious diseases: Provided, That not later than 60 days after the date of enactment of this Act, the Secretary of State shall consult with the Committees on Appropriations on the planned uses of such funds. (2) Extraordinary measures If the Secretary of State determines and reports to the Committees on Appropriations that an international infectious disease outbreak is sustained, severe, and is spreading internationally, or that it is in the national interest to respond to a Public Health Emergency of International Concern, not to exceed an aggregate total of $200,000,000 of the funds appropriated by this Act under the headings Global Health Programs, National Security Investment Programs, International Humanitarian Assistance, Democracy Fund, and Millennium Challenge Corporation, may be made available to combat such infectious disease or public health emergency, and may be transferred to, and merged with, funds appropriated under such headings for the purposes of this paragraph. (3) Emergency reserve fund Up to $50,000,000 of the funds made available under the heading Global Health Programs may be made available for the Emergency Reserve Fund established pursuant to section 7058(c)(1) of the Department of State, Foreign Operations, and Related Programs Appropriations Act, 2017 (division J of Public Law 115–31): Provided, That such funds shall be made available under the same terms and conditions of such section. (4) Consultation and notification Funds made available by this subsection shall be subject to prior consultation with the appropriate congressional committees and the regular notification procedures of the Committees on Appropriations. (d) Limitations Notwithstanding any other provision of law, none of the funds made available by this Act may be made available to support directly or indirectly— (1) the Wuhan Institute of Virology located in the City of Wuhan in the People’s Republic of China; (2) the EcoHealth Alliance, Inc.; (3) any laboratory owned or controlled by the governments of the People’s Republic of China, the Republic of Cuba, the Islamic Republic of Iran, the Democratic People’s Republic of Korea, the Russian Federation, the Bolivarian Republic of Venezuela under the regime of Nicolás Maduro Moros, or any other country determined by the Secretary of State to be a foreign adversary; or (4) gain-of-function research. (e) Transition strategy Not later than 120 days after the date of enactment of this Act, the Secretary of State shall submit a strategy to the appropriate congressional committees on a multi-year structured transition of programs supported by the President’s Emergency Plan for AIDS Relief to country-led ownership resulting in reductions of United States assistance consistent with the requirements described under this section in the report accompanying this Act.