Initiative to scale up multiple micronutrient supplement coverage

(a) In general The relevant foreign assistance agency shall select foreign countries as priority countries for purposes of increasing the number of women receiving MMS coverage, including prenatal vitamins. (b) Criteria The selection of priority countries shall be based on the following: (1) The prevalence of malnourished pregnant and lactating women and children under the age of 5. (2) The presence of high-need, underserved, marginalized, vulnerable, or impoverished communities. (3) The enabling environment for improved maternal and child health, including presence of national maternal and child health plans and demonstration of strong political commitment. (4) Any other criteria that the relevant foreign assistance agency determines to be appropriate. (c) Update The relevant foreign assistance agency shall update the selection of priority countries not later than 5 years after the date of the enactment of this Act. (d) Report (1) In general Not later than 1 year after the date of the enactment of this Act, and annually thereafter for 5 years, the relevant foreign assistance agency shall submit to the appropriate congressional committees a report that describes progress made towards scaling up MMS coverage. (2) Matters to be included The report required by paragraph (1) shall include the following: (A) A summary of progress made towards achieving increased coverage levels for MMS. (B) A detailed summary of the criteria used in selecting priority countries for receiving MMS prenatal vitamins. (C) In priority countries— (i) a detailed summary of MMS scale up programs and activities in the previous fiscal year, including a breakdown of the countries to which resources have been allocated and an estimated number of pregnant women reached with MMS coverage; and (ii) a description of the coordination of MMS programs with other health and development programs. (D) A description of other donor country and host country financial commitments and efforts to increase MMS coverage, and how the United States is engaging with donor country and host country governments to increase those commitments and efforts along with other interventions to improve nutrition outcomes. (E) An identification of constraints on implementation of programs and activities and lessons learned from programs and activities from the previous fiscal years. (F) A summary of how United States assistance programs to increase MMS coverage levels have advanced United States foreign policy and national security priorities with partner countries. (e) Authorization of appropriations There is authorized to be appropriated to carry out this section up to $150,000,000 for each of the fiscal years 2026 through 2030 from amounts in the Global Health Programs Account of the Department of State.