text: SECTION 1. SHORT TITLE.
  
      This Act may be cited as the ``Reach Every Mother and Child Act of 
  2017''.
  
  SEC. 2. ASSISTANCE TO END PREVENTABLE MATERNAL, NEWBORN, AND CHILD 
                DEATHS GLOBALLY.
  
      The Foreign Assistance Act of 1961 (22 U.S.C. 2151 et seq.) is 
  amended by adding at the end of chapter I of part I the following new 
  section:
  
  ``SEC. 137. ASSISTANCE TO END PREVENTABLE MATERNAL, NEWBORN, AND CHILD 
                DEATHS GLOBALLY.
  
      ``(a) Purpose.--The purpose of this section is to implement a 
  strategic approach for providing foreign assistance in order to end 
  preventable child and maternal deaths globally by 2030.
      ``(b) Definitions.--In this section:
              ``(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 Relations and the 
                  Committee on Appropriations of the Senate; and
                      ``(B) the Committee on Foreign Affairs and the 
                  Committee on Appropriations of the House of 
                  Representatives.
              ``(3) Coordinator.--The term `Coordinator' means the Child 
          and Maternal Survival Coordinator established under subsection 
          (e).
              ``(4) Relevant partner entities.--The term `relevant 
          partner entities' means each of the following:
                      ``(A) The governments of other donor countries.
                      ``(B) International financial institutions.
                      ``(C) Nongovernmental organizations.
                      ``(D) Faith-based organizations.
                      ``(E) Professional organizations
                      ``(F) The private sector.
                      ``(G) Multilateral organizations.
                      ``(H) Local and international civil society groups.
                      ``(I) Local health workers.
                      ``(J) International organizations.
              ``(5) Target countries.--The term `target countries' means 
          specific countries that have the greatest need and highest 
          burden of child and maternal deaths, taking into consideration 
          countries that--
                      ``(A) have high-need communities in fragile states 
                  or conflict-affected states;
                      ``(B) are low- or middle-income countries; or
                      ``(C) are located in regions with weak health 
                  systems.
      ``(c) Statement of Policy.--It is the policy of the United States, 
  in partnership with target countries and relevant partner entities, to 
  establish and implement a coordinated, integrated, and comprehensive 
  strategy to combat the leading causes of maternal, newborn, and child 
  mortality globally and ensure healthy and productive lives by--
              ``(1) scaling up the highest impact, evidence-based 
          interventions, including for the most vulnerable populations, 
          with a focus on country ownership;
              ``(2) designing, implementing, monitoring, and evaluating 
          programs in a way that enhances transparency and 
          accountability, increases sustainability, and improves outcomes 
          in target countries; and
              ``(3) supporting the development and scale up of innovative 
          tools and approaches to accelerate progress toward ending 
          preventable child and maternal deaths.
      ``(d) Strategy.--
              ``(1) In general.--Not later than one year after the date 
          of the enactment of the Reach Every Mother and Child Act of 
          2017, the President shall establish and implement a 
          comprehensive five-year, whole-of-government strategy to 
          achieve, with target countries and donors, the goal of ending 
          preventable child and maternal deaths globally and ensure 
          healthy and productive lives by 2030.
              ``(2) Elements.--The strategy established under paragraph 
          (1) shall--
                      ``(A) set outcome-based targets to achieve the 
                  goals of the strategy and ascertain baseline data 
                  relevant for each target country and for all areas of 
                  focus and programming as of the date of the release of 
                  the strategy;
                      ``(B) utilize United States Government strategies 
                  and frameworks relevant to ending preventable child and 
                  maternal deaths, including specific objectives, 
                  programs, and approaches to implement highest impact, 
                  evidence-based interventions to address the leading 
                  causes of death, particularly among the most vulnerable 
                  populations, of--
                              ``(i) women related to pregnancy, 
                          childbirth, and post delivery;
                              ``(ii) newborns in their first 28 days; and
                              ``(iii) infants and children under the age 
                          of five years old;
                      ``(C) include development and scale up of new 
                  technologies and approaches, including those supported 
                  by public-private partnerships, for research and 
                  innovation;
                      ``(D) promote coordination and efficiency within 
                  and amongst the relevant executive branch agencies and 
                  initiatives, including the United States Agency for 
                  International Development, the Department of State, the 
                  Department of Health and Human Services, the Centers 
                  for Disease Control and Prevention, the National 
                  Institutes of Health, the Millennium Challenge 
                  Corporation, the Peace Corps, the Department of the 
                  Treasury, the Office of the Global AIDS Coordinator, 
                  and the President's Malaria Initiative;
                      ``(E) project general levels of resources needed to 
                  achieve the strategy's stated objectives;
                      ``(F) identify strategies for leveraging resources 
                  in new and innovative ways;
                      ``(G) align with country-driven maternal, newborn, 
                  and child health and survival plans and improve 
                  coordination with foreign governments and international 
                  organizations;
                      ``(H) outline consultations with target countries 
                  and relevant partner entities as appropriate;
                      ``(I) implement results-based contracting (such as 
                  pay-for-success) and financial and operational risk 
                  reduction;
                      ``(J) promote a shift towards investments that 
                  support inclusive and sustainable business models; and
                      ``(K) support the transition to domestic 
                  sustainably financed health systems.
              ``(3) Initial strategy.--For the purposes of this section, 
          a strategy meeting the criteria described in paragraph (2) that 
          is in effect as of the date of enactment of this section may be 
          deemed to fulfill the establishment requirement in paragraph 
          (1).
      ``(e) Establishment of Child and Maternal Survival Coordinator.--
              ``(1) In general.--The President shall designate a current 
          USAID employee serving in a career or non-career position in 
          the Senior Executive Service or at the level of a Deputy 
          Assistant Administrator or higher to serve concurrently as the 
          Child and Maternal Survival Coordinator. The Coordinator shall 
          be responsible for--
                      ``(A) overseeing the strategy established under 
                  subsection (d); and
                      ``(B) all United States Government funds 
                  appropriated or used for international maternal and 
                  child health and nutrition programs.
              ``(2) Duties.--The Coordinator shall--
                      ``(A) have the primary responsibility for the 
                  oversight and coordination of all resources and 
                  international activities of the United States 
                  Government appropriated or used for international 
                  maternal and child health and nutrition programs;
                      ``(B) direct the budget, planning, and staffing to 
                  implement international maternal and child health and 
                  nutrition projects and programs for the purpose of 
                  achieving reductions in preventable child and maternal 
                  deaths;
                      ``(C) lead implementation and revision, not less 
                  frequently than once every 5 years, of the strategy 
                  established under subsection (d)(1);
                      ``(D) coordinate with relevant executive branch 
                  agencies, target countries, and relevant partner 
                  entities as appropriate, to carry out the strategy 
                  established under section 5(a) and to align current and 
                  future investments with high-impact, evidence-based 
                  interventions to save lives;
                      ``(E) provide direction to the design and oversight 
                  of grants, contracts, and cooperative agreements with 
                  nongovernmental organizations (including community, 
                  faith-based, and civil society organizations) and 
                  private sector entities for the purpose of carrying out 
                  the strategy established under subsection (d)(1); and
                      ``(F) report directly to the Administrator 
                  regarding implementation of the strategy established 
                  under subsection (d)(1).
              ``(3) Restriction on additional or supplemental 
          compensation.--The Coordinator shall receive no additional or 
          supplemental compensation as a result of carrying out 
          responsibilities and duties under this section.
      ``(f) Authority to Assist in Implementation of the Strategy.--
              ``(1) In general.--The President shall provide assistance 
          to implement the strategy established under subsection (d)(1).
              ``(2) Focus on impact.--
                      ``(A) Targets for increased implementation 
                  required.--Consistent with the requirements for foreign 
                  assistance programs included in the Foreign Aid 
                  Transparency and Accountability Act of 2016 (Public Law 
                  114-119), USAID grants, contracts, and cooperative 
                  agreements for the purposes of the strategy established 
                  under subsection (d)(1) shall be required to include 
                  targets for increased implementation of high-impact, 
                  evidence-based interventions and strengthening health 
                  systems, as appropriate, including the establishment of 
                  baseline measurements from which to quantify progress.
                      ``(B) Exception.--In exceptional circumstances 
                  where USAID determines that inclusion of coverage 
                  targets or baseline measures are not reasonable or 
                  practicable for the grant, contract, or cooperative 
                  agreement, the funding mechanism shall include an 
                  explanation of the omission and explicitly state how 
                  measurable impact will be targeted and tracked.
      ``(g) Reports.--
              ``(1) Report required.--Not later than one year after the 
          date of the enactment of this section, and annually thereafter 
          for 5 additional years, the President shall submit to the 
          appropriate congressional committees a report on progress made 
          to achieve the strategy established under subsection (d)(1) as 
          well as progress toward the goal to end preventable child and 
          maternal deaths globally. The data in the report shall be made 
          publicly available.
              ``(2) Information included in report.--The report required 
          under paragraph (1) shall include the following elements:
                      ``(A) Indicators of progress made by United States 
                  Government programs carried out under international 
                  maternal and child health and nutrition programs for 
                  the purposes of improving maternal, newborn, and child 
                  health and survival, particularly among the most 
                  vulnerable populations, in each target country and 
                  overall, including--
                              ``(i) maternal mortality ratio per 100,000 
                          live births and under-5 mortality ratio per 
                          1,000 live births;
                              ``(ii) number of maternal, newborn, and 
                          child deaths averted;
                              ``(iii) percentage of births attended by 
                          skilled health personnel;
                              ``(iv) an analysis of gaps in the health 
                          workforce required to end preventable child and 
                          maternal deaths, including an analysis of 
                          health workforce density (number of certified 
                          health workers, including community-based 
                          health workers, per population);
                              ``(v) a description of the measured or 
                          estimated impact on maternal, newborn, and 
                          child survival of each ongoing program or 
                          project;
                              ``(vi) progress towards achieving the goal 
                          to save 15,000,000 children's lives and 600,000 
                          women's lives by 2020, and any subsequent goals 
                          established under the strategy required under 
                          subsection (d); and
                              ``(vii) any other targets identified by the 
                          Coordinator as essential to meeting the goals 
                          of the strategy for ending preventable child 
                          and maternal deaths.
                      ``(B) Assessments of progress made toward achieving 
                  the targets set forth under subparagraph (A).
                      ``(C) A description of how the interventions or 
                  programs are designed to--
                              ``(i) increase activities in target 
                          countries;
                              ``(ii) reach underserved, marginalized, 
                          vulnerable, and impoverished populations;
                              ``(iii) address causes of maternal, 
                          newborn, and child mortality with innovative 
                          efforts and interventions posed to go to scale;
                              ``(iv) invest in activities that empower 
                          women, support voluntarism, and provide 
                          respectful maternity care;
                              ``(v) improve transparency and 
                          accountability at all levels and include common 
                          metrics for tracking progress;
                              ``(vi) ensure that high-impact, evidence-
                          based interventions are prioritized; and
                              ``(vii) expand access to quality services 
                          through community-based approaches and include 
                          community accountability measures.
                      ``(D) Reporting on each aspect of the strategy 
                  established under subsection (d)(1), including--
                              ``(i) multi-sectoral approaches, specific 
                          strategies, and programming utilizing high-
                          impact, evidence-based interventions to address 
                          the leading causes of preventable child and 
                          maternal deaths;
                              ``(ii) activities to develop and scale up 
                          new technologies and approaches, including 
                          those identified by public-private 
                          partnerships, for research and innovation;
                              ``(iii) coordination with United States 
                          agencies, foreign governments, nongovernmental 
                          organizations, and international organizations;
                              ``(iv) methods used to leverage new 
                          financial and other public and private 
                          resources in innovative ways; and
                              ``(v) best practices identified by the 
                          executive branch.
                      ``(E) Reporting on grants, contracts, and 
                  cooperative agreements awarded, including--
                              ``(i) a comprehensive list of USAID grants, 
                          contracts, and cooperative agreements awarded 
                          in implementation of the strategy established 
                          under subsection (d)(1); and
                              ``(ii) a description of--
                                      ``(I) the targets for coverage of 
                                  interventions or services and the 
                                  baseline against which they are 
                                  measured and the status of progress in 
                                  meeting the targets; or
                                      ``(II) in the case of exceptional 
                                  circumstances where USAID determines 
                                  that inclusion of targets or baseline 
                                  measurements is not reasonable or 
                                  practicable, an explanation of how the 
                                  impact of the grant, contract, 
                                  agreement, or resulting program is 
                                  being measured.
                      ``(F) Reporting on the innovative public-private 
                  financing tools, including an analysis of the 
                  feasibility and potential effectiveness of new 
                  financing tools that could be used to fund efforts to 
                  end preventable child and maternal deaths globally.
      ``(h) Authorization of Appropriations.--
              ``(1) Authorization.--For fiscal years 2018 through 2022, 
          the provisions of this section shall be carried out using 
          amounts appropriated or otherwise made available for the 
          Department of State or the United States Agency for 
          International Development and available for global health 
          programs.
              ``(2) Application.--Funds appropriated or otherwise made 
          available to carry out activities under this section shall be 
          subject to all applicable restrictions under Federal law.
              ``(3) Expiration of funds.--Amounts appropriated or 
          otherwise made available to carry out activities under this 
          section shall remain available for obligation for a period of 5 
          years.''.
target: Reach Every Mother and Child Act of 2017 This bill directs the President to:   establish a five-year strategy to achieve, with target countries and donors, the goal of ending preventable child and maternal deaths globally and ensure healthy and productive lives by 2030; and  provide assistance to implement the strategy.  The President shall designate a current U.S. Agency for International Development (USAID) employee serving in the Senior Executive Service or at the level of a Deputy Assistant Administrator or higher to serve concurrently as the Maternal and Child Survival Coordinator, who shall be responsible for:   overseeing such strategy, and  all U.S. government funds appropriated or used for international maternal and child health and nutrition programs.    Strategy grants, contracts, and cooperative agreements shall include targets for increased implementation of high-impact, evidence-based interventions and strengthening health systems.  The President shall report to Congress annually for six years regarding progress made toward achieving the strategy and ending preventable child and maternal deaths.
feat_title: Reach Every Mother and Child Act of 2017