S. 2297 would authorize appropriations of $5 billion over the 2022-2026 period for programs that would help other countries implement health security strategies and respond to public health emergencies. Those amounts would be used to:
• Make contributions to the Fund for Global Health Security and Pandemic Prevention and Preparedness, a new public-private international financing mechanism that would be authorized by the bill;
• Replenish an emergency reserve fund at the United States Agency for International Development;
• Make contributions to the World Bank’s fund for health emergencies; and
• Strengthen bilateral assistance with partner countries by implementing the Global Health Security Agenda.
Using historical spending patterns of appropriations for those purposes and after accounting for limitations on the timing of U.S. contributions to international funds, CBO estimates outlays of $4.8 billion over the 2023-2026 period. Such spending would be subject to the appropriation of the authorized amounts.