Titel: Magasinet
Adresse: http://www.jazzspecial.dk/index.php?id=104


Cialis 20mg price cvs

After a year of lockdown, museums, libraries and bookstores across America are http://www.jazzspecial.dk/cialis-online-without-prescription/ reopening cialis 20mg price cvs. This cultural reawakening’s beginning coincided with both the Juneteenth holiday and the one-year anniversary of the one of the largest protests in American history against racial injustice. As bookstores reopen, many are organizing displays of children's books that celebrate Black history. What you won’t find in even the biggest collections of books is the story of the dark-skinned early people who cialis 20mg price cvs launched human civilization. The global scientific community overwhelmingly accepts that all living humans are of African descent.

Most scientific articles about our African origins focus on genetics. The part cialis 20mg price cvs of the story that is not widely shared is about the creation of human culture. We are all descended genetically, and also culturally, from dark-skinned ancestors. Early humans from the African continent are the ones who first invented tools. The use cialis 20mg price cvs of fire.

Language. And religion. These dark skinned early people cialis 20mg price cvs laid down the foundation for human culture. Considering the short life span of our early ancestors, these original innovators were probably also very young. No one who follows artistic trends will be surprised to learn that, from the beginning, human culture was essentially invented by teenagers.

And by culture I don’t just mean the arts, I cialis 20mg price cvs mean the whole shebang. I want to unmask the lie that evolution denial is about religion and recognize that at its core, it is a form of white supremacy that perpetuates segregation and violence against Black bodies. Under the guise of “religious freedom,” the legalistic wing of creationists loudly insists that their point of view deserves equal time in the classroom. Science education in the cialis 20mg price cvs U.S. Is constantly on the defensive against antievolution activists who want biblical stories to be taught as fact.

In fact, the first wave of legal fights against evolution was supported by the Klan in the 1920s. Ever since then, entrenched racism and the ban on teaching evolution in the schools have gone hand cialis 20mg price cvs in hand. In his piece, What We Get Wrong About the Evolution Debate, Adam Shapiro argues that “the history of American controversies over evolution has long been entangled with the history of American educational racism.” At the heart of white evangelical creationism is the mythology of an unbroken white lineage that stretches back to a light-skinned Adam and Eve. In literal interpretations of the Christian Bible, white skin was created in God's image. Dark skin has a different, more cialis 20mg price cvs problematic origin.

As the biblical story goes, the curse or mark of Cain for killing his brother was a darkening of his descendants' skin. Historically, many congregations in the U.S. Pointed to this story of Cain as evidence that cialis 20mg price cvs Black skin was created as a punishment. The fantasy of a continuous line of white descendants segregates white heritage from Black bodies. In the real world, this mythology translates into lethal effects on people who are Black.

Fundamentalist interpretations of the Bible are part of the “fake news” epidemic that feeds the racial divide in cialis 20mg price cvs our country. For too long, a vocal minority of creationists has hijacked children’s education, media and book publishing. Statistics on creationist beliefs in the US vary. Depending on the poll, up to 40 percent of percent of adults believe that humans have always existed in their cialis 20mg price cvs present form (i.e., they believe in an unbroken human lineage stretching back to Adam and Eve). We have seen some progress in the classroom.

From 2007 to 2019, the percentage of teachers who present evolution without a creationist alternative grew dramatically, from only 51 percent to 67 percent. But it’s cialis 20mg price cvs still not enough. My hope is that if we make the connection between creationism and racist ideology clearer, we will provide more ammunition to get science into the classroom—and into our culture at large. It’s common knowledge that some school boards, especially in the South, have fought long and hard to keep evolution out of school textbooks. What you might not cialis 20mg price cvs know is how the policing of educational content morphs into what might be called “self-censorship” within the children’s book industry as a whole.

Scientific findings about human origins have been slow to trickle down into books written for young people. This major omission reflects the outsize effect that science-denying voices have on the books that find their ways not just into classrooms, but also into libraries, bookstores and children's homes. Fear of economic punishment within the publishing industry creates a cialis 20mg price cvs self-perpetuating lack of teaching materials about evolution. If you go on Amazon and look up “children’s books on evolution” you will find about 10–15 relevant titles. This is in contrast to the hundreds of children’s books on other scientific subjects such as chemistry, astronomy and other less controversial subjects.

I found only cialis 20mg price cvs one book on evolution for preschoolers, called Grandmother Fish. The author had to self-fund the book through Kickstarter. On the other hand, there are hundreds of children’s books available on Amazon that focus on biblical origin stories. Science deniers cialis 20mg price cvs are pumping money into a well-funded antievolution machine. In 2007, the creationists built their own Bible-themed museum and amusement park.

What they understand is that to reach young children you need music, colorful characters and celebration. In the Adam-and-Eve scenario, the Creator bestows both physical and cultural humanity cialis 20mg price cvs on the first people. From the get-go Adam knows how to name the animals. No one has to invent language or figure out how to make tools. Science, of course, tells cialis 20mg price cvs us otherwise.

The process of natural selection shaped our bodies and capacities. Our humanity emerged over the millennia as creative ancient people figured out the crucial skills—from storytelling to cooking to rope making—that we now take for granted. And yet, even in the current cialis 20mg price cvs literature about human origins that we do have, the end point of evolution is often depicted as a white man carrying a spear. This image not only eliminates our African heritage but also erases women and children from the picture. Because evolution is foundational knowledge, we need the story to be told in many different ways, by many different voices.

[embedded content] As we cialis 20mg price cvs move forward to undo systemic racism in every aspect of business, society, academia and life, let’s be sure to do so in science education as well. Embracing humanity’s dark-skinned ancestors with love and respect is key to changing our relationship to the past, and to creating racial equity in the present. These ancient people made the rest of us possible. Opening our hearts to them and cialis 20mg price cvs embracing them as heroic, fully human and worthy of our respect is part of the process of healing from our racist history. This is an opinion and analysis article.

The views expressed by the author or authors are not necessarily those of Scientific American..

Discount coupon cialis

Cialis
Filitra professional
Buy with american express
Buy in Pharmacy
Buy in Pharmacy
Cheapest price
Yes
Cheap
Can you overdose
You need consultation
You need consultation
Male dosage
2h
14h
Buy with credit card
Register first
Canadian pharmacy only
Female dosage
40mg 10 tablet $44.95
20mg 180 sublingual tablet $494.95
Where can you buy
18h
15h

With many of us still cooped up at discount coupon cialis home in erectile dysfunction limbo, some genius YouTube accounts have allowed us to revisit the graffitied laneways of Melbourne, explore bustling Vancouver, or the idyllic Amalfi Coast on (virtual) foot. Enter the world of online walking discount coupon cialis tours. It’s travel without leaving your house. Walking is a wonderful and pretty effortless physical exercise, but its benefits for your mental wellbeing can’t discount coupon cialis be understated.

Breathing in the fresh air and getting lost in the rhythm of placing one foot in front of the other can be restorative, even meditative.Studies have shown a brisk, 30-minute walk just three times a week can increase quality of sleep, improve your mood, decrease anxiety, and even restore your sex drive.It’s something we also tend to do a LOT of when we’re travelling. Public transport in a foreign country can sometimes be intimidating, plus lazily meandering around the streets can lead to some truly memorable meals and discoveries.Travelling itself is also mentally discount coupon cialis beneficial, with studies showing it can strengthen your relationships, broaden your horizons by making you step outside your comfort zone, and lower cortisol levels, making you feel calm and content.Like what you see?. Sign up to our bodyandsoul.com.au newsletter for more stories like this.But with almost the entire world on pause right now, venturing out (further than 5km from home) has become a lot more difficult, even on foot.Take a walk, digitallyEnter the world of virtual walking. An increasingly popular community of YouTubers taking viewers on tours of some of the world’s most beautiful and energised locations discount coupon cialis all from the comfort of your own home.Search ‘walking tour’ on YouTube and the video streaming site will produce thousands of results.

The most popular account is ProWalk Tours with 182,000 subscribers, which have actually been making videos of this kind for three years. They take viewers through the ruins of discount coupon cialis Pompeii, Cairo’s famous Khan el-Khalili bazaar, and the streets of Vancouver, all shot from first-person perspective so you could feel like you’re actually there.Now, especially for the Melbournians experiencing the harshest restrictions in the country, you can still visit some of your favourite city haunts, like the Fitzroy Gardens, Queen Vic Market, even Federation Square at Christmas time where hordes of people (remember people?. ) gather to watch discount coupon cialis children’s stories on the big screen while Flinders St Station glimmers with festive twinkle lights. All in glorious 4K.In videos shot by The First Person, it's rather soothing to return to normalcy and a recording of everyday history.

These videos aren't escapism necessarily, but more of a reliving of the mundane moments that made up life before discount coupon cialis quarantine. The walk along Bourke St in peak hour, or a quiet stroll through the rolling hills of Cape Schank on the Mornington Peninsula. Basic moments of discount coupon cialis existence that have been temporarily stripped away.As good as the real thing?. Of course, this sort of faux escapism isn’t a complete substitute for the real thing, though the videos do offer some calming benefits at a time when we have no choice but to stay in one place.

They're almost nostalgic.Clinical psychologist Amanda Gordon, Director at Armchair Psychology, says virtual walking and touring offers a chance for people to plan, to dream, and build a sense of optimism through discount coupon cialis nostalgia for the good ol’ days.It’s a Band-Aid solution in extraordinary times, for sure, but it just isn’t the same as actually being there.“People will always need to move around,” she says.“When we are actually in the place we not only see and hear, we smell the smells, touch the surfaces, connect with other people on our journey. The physical is not just the exercise we get, it is an all-round experience.”.

With many of us still cooped up at home in erectile dysfunction http://pattijohnstondesigns.com/where-to-get-propecia/ limbo, some genius YouTube cialis 20mg price cvs accounts have allowed us to revisit the graffitied laneways of Melbourne, explore bustling Vancouver, or the idyllic Amalfi Coast on (virtual) foot. Enter the world of online cialis 20mg price cvs walking tours. It’s travel without leaving your house. Walking is a wonderful and pretty effortless physical cialis 20mg price cvs exercise, but its benefits for your mental wellbeing can’t be understated. Breathing in the fresh air and getting lost in the rhythm of placing one foot in front of the other can be restorative, even meditative.Studies have shown a brisk, 30-minute walk just three times a week can increase quality of sleep, improve your mood, decrease anxiety, and even restore your sex drive.It’s something we also tend to do a LOT of when we’re travelling.

Public transport cialis 20mg price cvs in a foreign country can sometimes be intimidating, plus lazily meandering around the streets can lead to some truly memorable meals and discoveries.Travelling itself is also mentally beneficial, with studies showing it can strengthen your relationships, broaden your horizons by making you step outside your comfort zone, and lower cortisol levels, making you feel calm and content.Like what you see?. Sign up to our bodyandsoul.com.au newsletter for more stories like this.But with almost the entire world on pause right now, venturing out (further than 5km from home) has become a lot more difficult, even on foot.Take a walk, digitallyEnter the world of virtual walking. An increasingly popular community of YouTubers taking viewers on tours of some of the world’s most beautiful and energised locations all from the comfort of your own home.Search ‘walking tour’ on YouTube and the cialis 20mg price cvs video streaming site will produce thousands of results. The most popular account is ProWalk Tours with 182,000 subscribers, which have actually been making videos of this kind for three years. They take viewers through the ruins of Pompeii, Cairo’s famous Khan el-Khalili bazaar, and the streets of Vancouver, all shot from first-person perspective so you could feel like you’re actually there.Now, especially for the Melbournians experiencing the harshest restrictions in the country, you can still visit cialis 20mg price cvs some of your favourite city haunts, like the Fitzroy Gardens, Queen Vic Market, even Federation Square at Christmas time where hordes of people (remember people?.

) gather to watch children’s stories on the big screen while Flinders St cialis 20mg price cvs Station glimmers with festive twinkle lights. All in glorious 4K.In videos shot by The First Person, it's rather soothing to return to normalcy and a recording of everyday history. These videos aren't escapism necessarily, cialis 20mg price cvs but more of a reliving of the mundane moments that made up life before quarantine. The walk along Bourke St in peak hour, or a quiet stroll through the rolling hills of Cape Schank on the Mornington Peninsula. Basic moments of existence that have cialis 20mg price cvs been temporarily stripped away.As good as the real thing?.

Of course, this sort of faux escapism isn’t a complete substitute for the real thing, though the videos do offer some calming benefits at a time when we have no choice but to stay in one place. They're almost nostalgic.Clinical psychologist Amanda Gordon, Director at Armchair Psychology, says virtual walking cialis 20mg price cvs and touring offers a chance for people to plan, to dream, and build a sense of optimism through nostalgia for the good ol’ days.It’s a Band-Aid solution in extraordinary times, for sure, but it just isn’t the same as actually being there.“People will always need to move around,” she says.“When we are actually in the place we not only see and hear, we smell the smells, touch the surfaces, connect with other people on our journey. The physical is not just the exercise we get, it is an all-round experience.”.

Where should I keep Cialis?

Keep out of the reach of children.

Store at room temperature between 15 and 30 degrees C (59 and 86 degrees F). Throw away any unused medicine after the expiration date.

What if cialis doesnt work for me

Global Health Legislation During the 117th Congress(as of June 30, 2021)TitleDate what if cialis doesnt work for me IntroducedBill #SponsorStatusTopicSummary of Global Health-Related ProvisionsAbortion is Health Care Everywhere Act of 2021To amend the Foreign try this out Assistance Act of 1961 to authorize the use of funds for comprehensive reproductive health care services, and for other purposes.3/9/2021H.R. 1670Rep. Janice Schakowsky what if cialis doesnt work for me (D-IL-9)Referred to HFACAbortion, Helms amendmentIncludes statement of U.S. Policy regarding safe abortion and working to end unsafe abortion. Repeals the Helms Amendment (which prohibits the use of foreign assistance to pay for the performance of abortion as a what if cialis doesnt work for me method of family planning or to motivate or coerce any person to practice abortion).

States that notwithstanding any other provision of law, certain funds may be used to provide comprehensive reproductive health care services, including abortion services, training, and equipment.Advancing Emergency Preparedness Through One Health Act of 2021To establish an interagency One Health Program, and for other purposes.3/18/2021S. 861Sen. Tina Smith what if cialis doesnt work for me (D-MN)Read twice and referred to S. HELPOne Health, global health securityRequires the heads of HHS, USDA, USAID, DoD, and certain other agencies to develop, publish, and submit to Congress a national One Health Framework for coordinated federal activities under the One Health Program not later than one year after enactment. Among other things, states the framework must describe existing efforts and contain recommendations for building upon and complementing the activities of what if cialis doesnt work for me the CDC, the FDA, USAID, NIH, and certain others and also establish specific federal goals and priorities and describe specific activities required to achieve these.

Requires the submission of an addendum to the framework not later than three years after its original submission, describing progress in advancing these activities. Authorizes to be appropriated such sums as necessary to develop the framework above. Requires GAO to submit a report to Congress not later than two years after the addendum is submitted, detailing existing collaborative efforts among certain agencies for this purpose and containing an evaluation of the framework and its specified activities.American Medical Investment Generating Overseas Security Act(AMIGOS Act)To prohibit the President from taking any action to support the waiver of obligations of members of the World Trade Organization under the Agreement on Trade-Related Aspects of Intellectual Property Rights in relation to the prevention, containment, mitigation, or treatment of erectile dysfunction treatment–19 unless a statute is enacted expressly authorizing such a waiver with respect to the prevention, containment, mitigation, or treatment of what if cialis doesnt work for me erectile dysfunction treatment–19, and for other purposes.5/14/2021H.R. 3236Maria Elvira Salazar (R-FL-27)Referred to HFAC and H. Ways and MeansTRIPS, WTO, intellectual property rights, erectile dysfunction treatmentsStates the President may not take any action to support waiver of obligations of WRO members under the what if cialis doesnt work for me TRIPS agreement in relation to the prevention, containment, mitigation, or treatment of erectile dysfunction treatment unless a statute is enacted expressly authorizing such a waiver with respect to such.

Requires the President to allocate excess U.S. erectile dysfunction treatments in a specified order of priority, with certain exceptions, and to monitor the allocation of such to ensure assisted governments provide treatments to their peoples in a timely manner and do not otherwise withhold them. Requires such treatments provided what if cialis doesnt work for me to foreign countries to be marked as assistance from the American people or the U.S. Government and to include a depiction of the flag of the U.S. If appropriate.American Rescue Plan Act of 2021To provide what if cialis doesnt work for me for reconciliation pursuant to title II of S.

Con. Res. 5.2/24/2021H.R. 1319Rep. John Yarmuth (D-KY-3)Became law (P.L.

117-2)erectile dysfunction treatment, Global FundSee KFF summary.American Values ActTo permanently enact certain appropriations Act restrictions on the use of funds for abortions and involuntary sterilizations, and for other purposes.2/4/2021S. 239Sen. James Risch (R-ID)Read twice and referred to SFRCAbortion, involuntary sterilization amendment, Siljander amendment, Kemp-Kasten amendment, Peace Corps provision, Helms amendment, Biden amendmentAmends the Foreign Assistance Act of 1961 to codify in permanent law the Siljander amendment, which prohibits the use of funds to lobby for or against abortion, and the Kemp-Kasten amendment, which prohibits funding any organization or program, as determined by the President, that supports or participates in the management of a program of coercive abortion or involuntary sterilization. Restates the Helms amendment, the Involuntary Sterilization amendment (which prohibits the use of funds to pay for involuntary sterilizations as a method of family planning or to coerce or provide a financial incentive to anyone to undergo sterilization), and the Biden amendment (which states that funds may not be used for biomedical research related to methods of or the performance of abortion or involuntary sterilization as a means of family planning) that are already in permanent law. Also amends the Peace Corps Act to codify in permanent law the Peace Corps provision, which prohibits Peace Corps funding from paying for an abortion for a Peace Corps volunteer or trainee, except in cases where the life of the woman is endangered by pregnancy or in cases of rape or incest.

In the past these have been included only in annual State-Foreign Operations appropriations language. See also the KFF fact sheet on FP/RH statutory requirements and policies and the KFF explainer on UNFPA funding and Kemp-Kasten.Binational Health Strategies Act of 2021To amend the United States-Mexico Border Health Commission Act, with respect to preparedness for erectile dysfunction treatment–19 and other infectious diseases in the border region, and for other purposes.3/03/2021H.R. 1538Rep.. Veronica Escobar (D-TX-16)Referred to H. Energy and HFACMexicoAuthorizes and directs the President to seek to begin negotiations with Mexico to amend an existing agreement addressing infectious disease preparedness in the U.S.-Mexico Border Area, with respect to erectile dysfunction treatment and other infectious diseases, specifically requiring the U.S.-Mexico Border Health Commission to submit a report on the border area’s response to erectile dysfunction treatment and requiring it to also develop and publicly publish a binational strategic plan that addresses how the area should strengthen its erectile dysfunction treatment response, sharing relevant health data, and how a erectile dysfunction treatment should be disbursed throughout the area, among other things.

Requires the Commission to publish what actions federal agencies in the U.S. And Mexico will take to facilitate implementation of the strategic plan and then to submit a report on actions taken each year. Requires the Commission to develop and publish a plan to prepare and respond to infectious diseases (other than erectile dysfunction treatment) within the border area, to update the plan at least once every three years for as long as necessary, and to publish what actions federal agencies in the U.S. And Mexico will take to facilitate implementation of this plan, with a report on actions taken each year required to be submitted.Climate Change Health Protection and Promotion Act of 2021To direct the Secretary of Health and Human Services to develop and implement a national strategic action plan and program to assist health professionals and systems in preparing for and responding to the public health effects of climate change, and for other purposes.5/17/2021H.R. 3271Rep.

Matt Cartwright (D-PA-8)Referred to H. Energy and CommerceClimate change, global healthDirects Secretary of HHS to publish a strategic action plan and establish a climate change and health program (at CDC, in collaboration with other agencies, as appropriate) to ensure the public health and health care systems are prepared for and can respond to the impacts of climate change on health in the U.S. And other nations. Requires the action plan include an assessment of U.S. Capacity to address climate change including, among other things, providing technical assistance and support for preparedness and response plans for the health threats of climate change in developing countries, and developing or strengthening domestic and international disease surveillance systems and monitoring capacity to respond to health-related impacts of climate change.

Describes priority health actions for the climate and health program, including with regard to global health aspects of climate change. Requires periodic updates of action plan. Establishes science advisory board and its functions, including with regarding to international impacts of climate change on health. And directs HHS Secretary to have National Academies prepare reports on topic, with the first due in one year and then every 4 years thereafter.Climate Change Health Protection and Promotion Act of 2021To direct the Secretary of Health and Human Services to develop and implement a national strategic action plan and program to assist health professionals and systems in preparing for and responding to the public health effects of climate change, and for other purposes.5/19/2021S. 1702Sen.

Edward Markey (D-MA)Read twice and referred to S. HELPClimate change, global healthDirects Secretary of HHS to publish a strategic action plan and establish a climate change and health program (at CDC, in collaboration with other agencies, as appropriate) to ensure the public health and health care systems are prepared for and can respond to the impacts of climate change on health in the U.S. And other nations. Requires the action plan include an assessment of U.S. Capacity to address climate change including, among other things, providing technical assistance and support for preparedness and response plans for the health threats of climate change in developing countries, and developing or strengthening domestic and international disease surveillance systems and monitoring capacity to respond to health-related impacts of climate change.

Describes priority health actions for the climate and health program, including with regard to global health aspects of climate change. Requires periodic updates of action plan. Establishes science advisory board and its functions, including with regarding to international impacts of climate change on health. And directs HHS Secretary to have National Academies prepare reports on topic, with the first due in one year and then every 4 years thereafter.Global Health, Empowerment and Rights Act(Global HER Act) To prohibit the application of certain restrictive eligibility requirements to foreign nongovernmental organizations with respect to the provision of assistance under part I of the Foreign Assistance Act of 1961.1/28/2021H.R. 556Rep.

Barbara Lee (D-CA-13)Referred to HFACAbortion, Mexico City policyCodifies prohibition of the expanded Mexico City policy (rescinded by President Biden in Jan. 2021, see KFF explainer). States that notwithstanding any provision of law, regulation, or policy, foreign non-governmental organizations (NGOs) shall not be ineligible for certain foreign aid under the Foreign Assistance Act solely on the basis of health or medical services provided with non-U.S. Funds (insofar as legal in country where provided and under U.S. Law) and shall not be subject to requirements relating to their use of non-U.S.

Funds for advocacy and lobbying activities.*Global Health, Empowerment and Rights Act(Global HER Act) To prohibit the application of certain restrictive eligibility requirements to foreign nongovernmental organizations with respect to the provision of assistance under part I of the Foreign Assistance Act of 1961.1/28/2021S. 142Sen. Jeanne Shaheen (D-NH)Read twice and referred to SFRCAbortion, Mexico City policyCodifies prohibition of the expanded Mexico City policy (rescinded by President Biden in Jan. 2021, see KFF explainer). States that notwithstanding any provision of law, regulation, or policy, foreign non-governmental organizations (NGOs) shall not be ineligible for certain foreign aid under the Foreign Assistance Act solely on the basis of health or medical services provided with non-U.S.

Funds (insofar as legal in country where provided and under U.S. Law) and shall not be subject to requirements relating to their use of non-U.S. Funds for advocacy and lobbying activities.*Global Health Security Act of 2021To authorize a comprehensive, strategic approach for United States foreign assistance to developing countries to strengthen global health security, and for other purposes.1/21/2021H.R. 391Rep. Gerald Connolly (D-VA-11)Passed HouseGlobal health security, global health emergenciesStates it is U.S.

Policy to promote and invest in global health security and cialis preparedness as a core national security interest. Establishes a Global Health Security Agenda Interagency Review Council, designates members, responsibilities, and frequency of meetings. Designates a U.S. Coordinator for Global Health Security responsible for coordination of the interagency process for responding to global health security emergencies. Express Sense of Congress that the President should consider appointing an individual with significant background and expertise in public health or emergency response management to such position.

Requires a U.S. Global health security strategy, its implementation (including agency-specific plans), and an annual report on status of implementation. Directs the Secretary of State, Treasury Secretary, USAID Administrator, and HHS Secretary, among others, to seek to enter into negotiations with donors, relevant U.N. Agencies (including WHO), and other stakeholders to establish a fund for global health security and cialis preparedness as a multilateral, catalytic financing mechanism. Describes Fund’s Advisory Board, purpose, Executive Board and its makeup and duties.

Creates a Coordinator of U.S. Government activities to advance global health security, who shall be appointed by the President to represent the U.S. On the Executive Board. Outlines eligible partner country definition and Fund program objectives, supported activities, administration, including appointment of an Administrator appointed by the Executive Board, and transparency and accountability requirements. Requires reports to Congress on the Fund including a 6 month status report and then annual reports after the Fund’s establishment.

And authorizes U.S. Contributions to the Fund with a limit that the U.S. Share not exceed 33% of total contributions to the Fund cumulatively.Global cialis Prevention and Biosecurity ActTo establish a global zoonotic disease task force, and for other purposes. 5/20/2021H.R. 3424Rep.

Grace Meng (D-NY-6)Referred to HFACcialis, zoonotic diseases, One Health, global health security, biosecurityRequires the Secretary of State and USAID Administrator to work with certain relevant agency heads to coordinate, work with, and engage governments, multilateral entities, and certain others to prevent zoonotic spillover events through various actions such as addressing the commercial trade in wildlife, strengthening global capacity for detection of zoonotic diseases with cialis potential, and supporting the development of One Health systems at the community level. Establishes the global zoonotic disease task force and outlines its membership and their terms, duties (including developing and publishing a plan for global biosecurity and zoonotic disease prevention and response and expanding the scope of the global health security strategy to more robustly support the prevention of zoonotic spillover and to respond to zoonotic disease investigations and outbreaks by establishing a 10 year strategy), required reports from agencies to the task force as well as from the task force to Congress, and its termination date 7 years after the date of enactment or a later date that is not later than two years after that.Global cialis Prevention and Biosecurity ActTo establish a global zoonotic disease task force, and for other purposes. 5/20/2021S.1737Sen. Chris Coons (D-DE)Read twice and referred to SFRCcialis, zoonotic diseases, One Health, global health security,biosecurityRequires the Secretary of State and USAID Administrator to work with certain relevant agency heads to coordinate, work with, and engage governments, multilateral entities, and certain others to prevent zoonotic spillover events through various actions such as addressing the commercial trade in wildlife, strengthening global capacity for detection of zoonotic diseases with cialis potential, and supporting the development of One Health systems at the community level. Establishes the global zoonotic disease task force and outlines its membership and their terms, duties (including developing and publishing a plan for global biosecurity and zoonotic disease prevention and response and expanding the scope of the global health security strategy to more robustly support the prevention of zoonotic spillover and to respond to zoonotic disease investigations and outbreaks by establishing a 10 year strategy), required reports from agencies to the task force as well as from the task force to Congress, and its termination date 7 years after the date of enactment or a later date that is not later than two years after that.Greater Leadership Overseas for the Benefit of Equality Act of 2021(GLOBE Act of 2021)To protect human rights and enhance opportunities for LGBTQI people around the world, and for other purposes.

6/9/2021S. 1996Sen. Edward Markey (D-MA)Read twice and referred to SFRCLGBTQI health, HIV, Mexico City policyRequires equal access of all elements of the population to programs funded by U.S. Assistance, including global health programs.Also requires PEPFAR to. Be implemented in a way that equitably serves LGBTQI people, submit a report to Congress describing international prosecutions for sex work or consensual sexual activity based on commodities provided by PEPFAR or other U.S.

Support, and submit a report to Congress on HIV/AIDS-related index testing. Requires GAO to submit a report to Congress that describes the impact of the implementation and enforcement of any iteration of the Mexico City Policy on the global LGBTQI community. And expresses Sense of Congress regarding the U.S. Engaging international organizations in efforts to eliminate LGBTQI discrimination.Greater Leadership Overseas for the Benefit of Equality Act of 2021(GLOBE Act of 2021)To protect human rights and enhance opportunities for LGBTQI people around the world, and for other purposes. 6/8/2021H.R.

3800Rep. Dina Titus (D-NV-1)Referred to HFAC, H. JudiciaryLGBTQI health, HIV, Mexico City policyRequires equal access of all elements of the population to programs funded by U.S. Assistance, including global health programs.Also requires PEPFAR to. Be implemented in a way that equitably serves LGBTQI people, submit a report to Congress describing international prosecutions for sex work or consensual sexual activity based on commodities provided by PEPFAR or other U.S.

Support, and submit a report to Congress on HIV/AIDS-related index testing. Requires GAO to submit a report to Congress that describes the impact of the implementation and enforcement of any iteration of the Mexico City Policy on the global LGBTQI community. Expresses Sense of Congress regarding the U.S. Engaging international organizations in efforts to eliminate LGBTQI discrimination. And repeals the Mexico City policy by removing certain limitations on eligibility for foreign assistance.International Human Rights Defense Act of 2021To establish in the Bureau of Democracy, Human Rights, and Labor of the Department of State a Special Envoy for the Human Rights of LGBTI Peoples, and for other purposes.2/22/2021H.R.

1201Rep. Alan Lowenthal (D-CA-47)Referred to HFACLGBTI health, HIVIncludes statement of U.S. Policy regarding LGBTI issues globally, including employing a multisectoral approach to preventing and responding to criminalization, discrimination, and violence against LGBTI people internationally, including activities in the health sector. Authorizes the provision of U.S. Assistance to prevent and respond to these issues internationally, including enhancement of health sector capacity related to violence against LGBTI people and communities and to combat HIV.International Human Rights Defense Act of 2021To establish in the Bureau of Democracy, Human Rights, and Labor of the Department of State a Special Envoy for the Human Rights of LGBTI Peoples, and for other purposes.2/24/2021S.

424Sen. Edward Markey (D-MA)Read twice and referred to SFRCLGBTI health, HIVIncludes statement of U.S. Policy regarding LGBTI issues globally, including employing a multisectoral approach to preventing and responding to criminalization, discrimination, and violence against LGBTI people internationally, including activities in the health sector. Authorizes the provision of U.S. Assistance to prevent and respond to these issues internationally, including enhancement of health sector capacity related to violence against LGBTI people and communities and to combat HIV.International cialis Preparedness and erectile dysfunction treatment Response Act of 2021To improve global health, and for other purposes.6/24/2021S.

2297Sen. James Risch (R-ID)Read twice and referred to SFRCcialis preparedness, erectile dysfunction treatment, treatments, WHO, health systems strengthening, CEPI, global health security, Global Fund to Fight AIDS, Tuberculosis and malariaRequires a report describing certain foreign assistance obligated/expended under the American Rescue Plan Act of 2021 and a plan for certain remaining funds. Requires development of a strategy to expand access to, and accelerate the global distribution of, erectile dysfunction treatments to other countries. Requires a report that assesses the global humanitarian response to erectile dysfunction treatment and outlines specific elements of the U.S. Government’s country-level response to the erectile dysfunction treatment cialis.

In the event of an infectious disease outbreak outside the U.S. With cialis potential, states the President should designate the Department of State to serve as the lead for diplomatic engagement and related foreign policy efforts, USAID to serve as the key lead agency for design and implementation of the U.S. International response, relief, and recovery assistance, and the CDC to serve as the public health lead for the international response such as building up (in coordination with USAID) emergency operation centers. Allows certain foreign assistance funding to be used to support USAID disaster surge capacity. Requires a U.S.

Global health security strategy and report. Authorizes to be established a committee on global health security and cialis and biological threats within the National Security Council (NSC) led by the Special Advisor for Global Health Security of the NSC. Within the Department of State, establishes a Special Representative for U.S. International activities to advance global health security and diplomacy overseas, to be appointed by the President and report to the Secretary of State and to lead in developing a global cialis prevention, preparedness and response framework. Authorizes the Representative to transfer and allocate certain U.S.

Foreign assistance funding to the relevant departments and agencies implementing the U.S. Global health security strategy. Authorizes to be appropriated $3 billion for the five-year period beginning Oct. 1, 2022, to support enhancing preparedness in partner countries, replenishing the USAID Emergency Reserve Fund, U.S. Contributions to the World Bank Health Emergency Preparedness and Response Multi-Donor Fund, and U.S.

Contributions to a new multilateral, catalytic financing mechanism for global health security and cialis prevention and preparedness (see “the Fund” below). Requires U.S. Global health program leadership identify areas of collaboration and coordination to ensure that such activities contribute to health systems strengthening. Directs the Secretary of State, with the USAID Administrator, to work with the Global Fund to Fight AIDS, Tuberculosis and Malaria, Gavi, the treatment Alliance, bilateral donors, and others to develop shared core indicators for strengthened health systems. Authorizes the U.S.

To participate in the Coalition for Epidemic Preparedness Innovations (CEPI). Expresses Sense of Congress that the President should make an immediate contribution to CEPI of $300 million to expand research and development of treatments to combat the spread of erectile dysfunction treatment variants. Requires an annual National Intelligence Estimate (for five years) regarding the risks posed to the national security interests of the U.S. By the emergence, reemergence, and overseas transmission of pathogens with cialis potential. Requires the Secretary of State and others to work with WHO and other key stakeholders to establish or strengthen effective early warning systems for infectious disease threats with epidemic and cialis potential.

Directs the Secretary of State, with the HHS Secretary, to work with WHO and like-minded member states to adopt an approach toward assessing infectious disease threats under the International Health Regulations (2005) for the WHO to identify and transparently communicate on an ongoing basis varying levels of risk leading up to, and during and after, a public health emergency of international concern (PHEIC) declaration. Directs the Secretary of State and others to seek to enter into negotiations to establish “the Fund;” authorizes the President to make available for U.S. Contributions to the Fund such funds as may be appropriated or otherwise made available for such purpose. Limits the U.S. Contribution to the Fund to not exceed 33% of the total contributions from all sources.Mental Health in International Development and Humanitarian Settings Act(MINDS Act)6/17/2021H.R.

3988Rep. Theodore Deutch (D-FL-22)Referred to HFACMental health, children in adversity, erectile dysfunction treatmentExpresses Sense of Congress that mental health is integral and essential to overall health outcomes and other development objectives. Codifies the position of USAID coordinator for mental health and psychosocial support and describes the position’s duties, including establishing a Mental Health and Psychosocial Support Working Group. Describes the Group’s duties and members. Requires USAID and the Department of State to integrate such programming across regional bureaus and missions and that it be evidence-based and culturally competent and respond to the specific needs of children in adversity.

Requires USAID to brief Congress on progress and challenges to implementation, including programming in conflict and humanitarian settings, as well as the impact of erectile dysfunction treatment on programming. Requires the OMB Director to brief Congress on the current overall expenditures for this programming in U.S. Foreign assistance in order for Congress to understand the full financial landscape of current programming. [Note. The bill text is not yet available.

This summary is drawn from a description released by the bill’s sponsor).Mental Health in International Development and Humanitarian Settings Act(MINDS Act)6/17/2021S. 2105Sen. Robert Casey (D-PA)Read twice and referred to SFRCMental health, children in adversity, erectile dysfunction treatmentExpresses Sense of Congress that mental health is integral and essential to overall health outcomes and other development objectives. Codifies the position of USAID coordinator for mental health and psychosocial support and describes the position’s duties, including establishing a Mental Health and Psychosocial Support Working Group. Describes the Group’s duties and members.

Requires USAID and the Department of State to integrate such programming across regional bureaus and missions and that it be evidence-based and culturally competent and respond to the specific needs of children in adversity. Requires USAID to brief Congress on progress and challenges to implementation, including programming in conflict and humanitarian settings, as well as the impact of erectile dysfunction treatment on programming. Requires the OMB Director to brief Congress on the current overall expenditures for this programming in U.S. Foreign assistance in order for Congress to understand the full financial landscape of current programming. [Note.

The bill text is not yet available. This summary is drawn from a description released by the bill’s sponsor).Nullifying Opportunities for Variants to Infect and Decimate Act(NOVID Act)To establish a program to oversee the global erectile dysfunction treatment response and prepare for future cialiss, and for other purposes.6/8/2021H.R. 3778Rep. Raja Krishnamoorthi (D-IL-8)Referred to HFAC and H. Energy and Commerceerectile dysfunction treatment, global health security, cialis preparedness and responseEstablishes the cialis preparedness and response program to be responsible for and provide oversight over the U.S.

Global health response to the erectile dysfunction treatment cialis and protect Americans from the emergence of erectile dysfunction treatment variants and other pathogens with cialis potential. Require President to appoint program director who will coordinate the work of identified agencies, including USAID, CDC, and the Department of State, among others. Requires development of a comprehensive strategy to end the erectile dysfunction treatment cialis worldwide as well as a long-term strategy for preventing future cialiss. Authorizes to be appropriated $34 billion for these efforts, and expresses Sense of Congress that $25 billion be made available to scale treatment manufacturing capacity and produce treatments, $8.5 billion to cover the cost of end-to-end delivery and administration of treatments in target countries, and $500 million to establish a global disease surveillance network to protect against future cialiss. Describes implementation of comprehensive strategy, including requiring director to ensure immediate release of 80 million treatment doses that the U.S.

Has already committed to send abroad and to reassess the U.S. treatment stockpile to determine whether further treatments can be sent abroad and to coordinate with BARDA to rapidly scale manufacturing capacity around the world to produce 8 billion treatment doses as soon as possible. Also requires director to ensure equitable access to treatments in collaboration with COVAX and to work with international partners to provide enough treatments to lower- and middle-income countries to fully vaccinate at least 60% of their respective populations, especially 92 countries identified by COVAX as being most in need of assistance. Requires the program to, among other things, build on PEPFAR and other existing U.S. Programs and relationships bilaterally and multilaterally.

Express Sense of Congress that in the face of a global health emergency, the U.S. Government has broad authority, including under the Defense Production Act and the “Bayh-Dole Act”, to ensure adequate supply of treatments, necessary components, and raw materials through technology sharing and direct collaboration with manufacturers around the world.Nullifying Opportunities for Variants to Infect and Decimate Act(NOVID Act) To establish a program to oversee the global erectile dysfunction treatment response and prepare for future cialiss, and for other purposes.6/8/2021S. 1976Sen. Jeff Merkley (D-OR)Read twice and referred to SFRCerectile dysfunction treatment, global health security, cialis preparedness and responseEstablishes the cialis preparedness and response program to be responsible for and provide oversight over the U.S. Global health response to the erectile dysfunction treatment cialis and protect Americans from the emergence of erectile dysfunction treatment variants and other pathogens with cialis potential.

Require President to appoint program director who will coordinate the work of identified agencies, including USAID, CDC, and the Department of State, among others. Requires development of a comprehensive strategy to end the erectile dysfunction treatment cialis worldwide as well as a long-term strategy for preventing future cialiss. Authorizes to be appropriated $34 billion for these efforts, and expresses Sense of Congress that $25 billion be made available to scale treatment manufacturing capacity and produce treatments, $8.5 billion to cover the cost of end-to-end delivery and administration of treatments in target countries, and $500 million to establish a global disease surveillance network to protect against future cialiss. Describes implementation of comprehensive strategy, including requiring director to ensure immediate release of 80 million treatment doses that the U.S. Has already committed to send abroad and to reassess the U.S.

treatment stockpile to determine whether further treatments can be sent abroad and to coordinate with BARDA to rapidly scale manufacturing capacity around the world to produce 8 billion treatment doses as soon as possible. Also requires director to ensure equitable access to treatments in collaboration with COVAX and to work with international partners to provide enough treatments to lower- and middle-income countries to fully vaccinate at least 60% of their respective populations, especially 92 countries identified by COVAX as being most in need of assistance. Requires the program to, among other things, build on PEPFAR and other existing U.S. Programs and relationships bilaterally and multilaterally. Express Sense of Congress that in the face of a global health emergency, the U.S.

Government has broad authority, including under the Defense Production Act and the “Bayh-Dole Act”, to ensure adequate supply of treatments, necessary components, and raw materials through technology sharing and direct collaboration with manufacturers around the world.Preventing Foreign Attempts To Erode Healthcare Innovation ActTo prohibit the use of funds to support a measure at the World Trade Organization waiving intellectual property rights, and for other purposes.5/18/2021S. 1683Sen. Tim Scott (R-SC)Read twice and referred to S. FinanceTRIPS, WTO, intellectual property rights, erectile dysfunction treatmentsExpresses Sense of Congress that U.S. Should continue to promote strong international [sic] property rights internationally and that it is in the national interest of the U.S.

To oppose efforts to transfer U.S. Intellectual property and technology to China or other countries seeking to profit off U.S. Investments. Prohibits use of funds to support, allow, or facilitate the negotiation or approval of the TRIPS waiver for the prevention, containment, and treatment of erectile dysfunction treatment proposed by India and South Africa or any other measure at the WTO to waive intellectual property rights.Preventing Future cialiss Act of 2021To address the public health risks posed by wildlife markets, and for other purposes.1/4/2021H.R. 151Rep.

Mike Quigley (D-IL-5)Referred to HFAC, H. Energy and Commerce, H. Judiciary, H. Ways and Means, H. Financial Services, H.

Natural ResourcesGlobal health security, One Health, zoonotic diseasesRequires the HHS Secretary to enter into an agreement with the National Academies of Sciences, Engineering, and Medicine for it to conduct a study on the risk of wildlife markets on the emergency of novel viral pathogens, to be submitted not later than one year after the date of agreement. Expresses Sense of Congress that global institutions, including WHO, and others including USAID should promote the paradigm of One Health. States U.S. Policy is to facilitate international cooperation to close high risk wildlife markets around that world and to work to develop agreements and protocols to close these markets. Allows the President to impose sanctions on any country (or nationals of a country) continuing to license or enable commercial wildlife markets or engaged in certain activities.

Authorizes FY 2021 – FY 2030 funding for USAID activities related to sustainable food systems. Requires the USAID administrator to increase activities related to biodiversity, global health, and resilience, among other things, in order to address the threats and causes of zoonotic disease outbreaks.. Requires reporting from the Department of State and USAID describing these efforts.Preventing Future cialiss Act of 2021To address the public health risks posed by wildlife markets, and for other purposes.1/25/2021S. 37Sen. John Cornyn (R-TX)Read twice and referred to SFRCGlobal health security, One Health, zoonotic diseasesRequires the HHS Secretary to enter into an agreement with the National Academies of Sciences, Engineering, and Medicine for it to conduct a study on the risk of wildlife markets on the emergency of novel viral pathogens, to be submitted not later than one year after the date of agreement.

Expresses Sense of Congress that global institutions, including WHO, and others including USAID should promote the paradigm of One Health. States U.S. Policy is to facilitate international cooperation to close high risk wildlife markets around that world and to work to develop agreements and protocols to close these markets. Allows the President to impose sanctions on any country (or nationals of a country) continuing to license or enable commercial wildlife markets or engaged in certain activities. Authorizes FY 2021 – FY 2030 funding for USAID activities related to sustainable food systems.

Requires the USAID administrator to increase activities related to biodiversity, global health, and resilience, among other things, in order to address the threats and causes of zoonotic disease outbreaks.. Requires reporting from the Department of State and USAID describing these efforts.Protecting Life in Foreign Assistance ActTo restrict the availability of Federal funds to organizations associated with the abortion industry.1/28/2021H.R. 534Rep. Virginia Foxx (R-NC-5)Referred to HFACAbortion, Mexico City policyCodifies the expanded Mexico City policy (rescinded by President Biden in Jan. 2021.

See KFF explainer) and expands it to apply more broadly to federal funding made available for purposes outside of the U.S. To 1) any foreign nonprofit organization, foreign nongovernmental organization, foreign multilateral organization, or foreign quasi-autonomous nongovernmental organization that carries out certain activities, and 2) any domestic nonprofit organization or domestic nongovernmental organization that carries out certain activities.Protecting Life in Foreign Assistance ActTo restrict the availability of Federal funds to organizations associated with the abortion industry.1/28/2021S. 137Sen. Mike Lee (R-UT)Read twice and referred to SFRCAbortion, Mexico City policyCodifies the expanded Mexico City policy (rescinded by President Biden in Jan. 2021.

See KFF explainer) and expands it to apply more broadly to federal funding made available for purposes outside of the U.S. To 1) any foreign nonprofit organization, foreign nongovernmental organization, foreign multilateral organization, or foreign quasi-autonomous nongovernmental organization that carries out certain activities, and 2) any domestic nonprofit organization or domestic nongovernmental organization that carries out certain activities.Reach Every Mother and Child ActTo amend the Foreign Assistance Act of 1961 to implement policies to end preventable maternal, newborn, and child deaths globally.4/29/2021S. 1451Sen. Susan Collins (R-ME)Read twice and referred to SFRCMaternal health, child healthIncludes statement of U.S. Policy to establish and implement a coordinated, integrated, and comprehensive strategy to end preventable child and maternal deaths and ensure healthy and productive lives.

Requires the establishment and implementation of a five-year comprehensive strategy to contribute toward the global goal of ending preventable child and maternal deaths by 2030. States the President should designate a Child and Maternal Survival Coordinator and describes their duties. Requires an annual report on progress.Reproductive Rights are Human Rights Act of 2021To amend the Foreign Assistance Act of 1961 to require a section on reproductive rights in the Annual Country Reports on Human Rights Practices.5/28/2021H.R. 3576Rep. Katherine Clark (D-MA-5)Referred to HFACState Dept.

Annual human rights report, family planning/reproductive health (FP/RH), maternal mortality, abortion, violence against womenAmends existing law to require annual reporting by the Department of State on human rights to include, among other things. The status of reproductive rights in each country. Description of the rates and causes of pregnancy-related injuries and deaths (including deaths due to unsafe abortions), violence against women, and access to family planning. Requires that civil society and multilateral organizations’ representatives in the U.S. And countries included in such reporting be consulted with during the preparation of annual reporting.Reproductive Rights are Human Rights Act of 2021To amend the Foreign Assistance Act of 1961 to require a section on reproductive rights in the Annual Country Reports on Human Rights Practices.5/26/2021S.

1864Sen. Robert Menendez (D-NJ)Read twice and referred to SFRCState Dept. Annual human rights report, family planning/reproductive health (FP/RH), maternal mortality, abortion, violence against womenAmends existing law to require annual reporting by the Department of State on human rights to include, among other things. The status of reproductive rights in each country. Description of the rates and causes of pregnancy-related injuries and deaths (including deaths due to unsafe abortions), violence against women, and access to family planning.

Requires that civil society and multilateral organizations’ representatives in the U.S. And countries included in such reporting be consulted with during the preparation of annual reporting.Robust International Response to cialis ActTo provide support for a robust global response to the erectile dysfunction treatment cialis.2/11/2021H.R. 986Rep. Jesus “Chuy” Garcia (D-IL-4)Referred to H. Financial Serviceserectile dysfunction treatmentDirects the Secretary of the Treasury to instruct U.S.

Executive Directors at international financial institutions to ensure international financial institution support for a robust international response to the global erectile dysfunction treatment cialis, including to oppose the approval or endorsement of any loan, grant, document, or strategy that would lead to a decrease in health care spending or in any other spending that would impede the ability of any country to prevent or contain the spread of, or treat persons who are or may be infected with, the erectile dysfunction treatment cialis.Securing America From Epidemics Act(SAFE Act) To authorize United States participation in the Coalition for Epidemic Preparedness Innovations, and for other purposes.3/23/2021H.R. 2118Rep. Ami Bera (D-CA-7)Passed HFAC (Ordered to be Reported by Voice Vote)Research &. Development (R&D), global health security, cialis, epidemicAuthorizes U.S. Participation in the Coalition for Epidemic Preparedness Innovation (CEPI).

Reports to Congress required to be submitted by the President not later than 180 days after enactment of the Act and to outline planned U.S. Contributions to CEPI, the manner and extent to which the U.S. Will participate in the governance of CEPI, and how participation in CEPI supports relevant U.S. Strategies and programs in health security and biodefense, among other things. Authorizes certain appropriated funding to be made available for U.S.

Contributions to CEPI.Strategic Competition Act of 2021To address issues involving the People’s Republic of China. 4/15/2021S. 1169Sen. Robert Menendez (D-NJ)Placed on Senate Legislative Calendar under General Orderserectile dysfunction treatment, health cooperation, WHO, global health security, abortion, forced sterilization, debt reliefExpresses sense of Congress that the U.S. Government should encourage other foreign governments to use the official and scientific names for the erectile dysfunction treatment cialis.

States U.S. Policy is to deepen cooperation between and among the U.S., Japan, South Korea, the Philippines, Thailand, and Australia, including through scientific and health partnerships. Expresses sense of Congress that recent pledge from the first-ever Quad (Australia, India, Japan, U.S.) leaders meeting on March 12, 2021, to respond to the economic and health impacts of erectile dysfunction treatment, including expanding treatment production and equitable access, further advances cooperation among Quad nations. States it is U.S. Policy to stand with the nations of ASEAN as they respond to erectile dysfunction treatment and support greater cooperation in building capacity to prepare for and respond to cialiss and other public health challenges.

States it is U.S. Policy to advocate and actively advance Taiwan’s meaningful participation in the World Health Assembly, among other bodies. Requires report on the origins of the erectile dysfunction treatment cialis to be submitted by the Director of National Intelligence, in coordination with the Secretary of State, HHS Secretary, and others, not later than 180 days after enactment. Requires strategies that describe how the U.S. Will enhance cooperation with Canada, the European Union, NATO, and European partner countries in managing relations with China, including detailing diplomatic efforts to work with them to track and counter Chinese attempts to exert influence across the multilateral system, including at WHO.

Requires a strategy for countering and limiting Chinese influence in, and access to, the Middle East and North Africa, including efforts to encourage U.S. Private sector and public-private partnerships in healthcare technology, among other things. States it is U.S. Policy to work with Australia, New Zealand, and Japan to advance shared alliance goals of the Oceania region concerning health, among other things, and to improve the local capacity of the countries of Oceania to address public health challenges and improve global health security. Address the imposition of sanctions with respect to systematic rape, coercive abortion, forced sterilization, or involuntary contraceptive implantation in the Xinjiang Uyghur Autonomous Region.

Addresses reporting related to debt relief via the International Development Association (IDA) for certain countries to respond to the erectile dysfunction treatment cialis.Support for Global Financial Institution cialis Response Act of 2021To support efforts by international financial institutions to provide a robust global response to the erectile dysfunction treatment–19 cialis.1/27/2021S. 67Sen. Richard Durbin (D-IL)Read twice and referred to SFRCerectile dysfunction treatmentDirects the Secretary of the Treasury to instruct U.S. Executive Directors at international financial institutions to ensure international financial institution support for a robust international response to the global erectile dysfunction treatment cialis, including to oppose the approval or endorsement of any loan, grant, document, or strategy that would lead to a decrease in health care spending or in any other spending that would impede the ability of any country to prevent or contain the spread of, or treat persons who are or may be infected with, the erectile dysfunction treatment cialis.Support UNFPA Funding ActTo authorize contributions to the United Nations Population Fund, and for other purposes.6/16/2021H.R. 3938Rep.

Chrissy Houlahan (D-PA-6)Referred to HFACUNFPA, family planning/reproductive health (FP/RH)Includes statement of U.S. Policy regarding financial support for UNFPA as a crucial part of U.S. Global health commitment. Authorizes appropriations for five years for an annual contribution to UNFPA to support core functions and programs.To amend the National Security Act of 1947 to require the President to designate an employee of the National Security Council to be responsible for cialis prevention and response, and for other purposes.2/8/2021S. 290Sen.

Edward Markey (D-MA)Read twice and referred to HSGACcialisRequires the President to designate an employee of the National Security Council to be the permanent coordinator for cialis prevention and response for the federal government, outlines duties, and grants them authority to represent the U.S. In bilateral and multilateral discussions and agreements on relevant matters.To direct the Secretary of State to develop a strategy to regain observer status for Taiwan in the World Health Organization, and for other purposes.2/18/2021H.R. 1145Rep. Young Kim (R-CA-39)Passed HFAC (Ordered to be Reported in the Nature of a Substitute by Voice Vote)WHO, TaiwanDirects the Department of State to include additional information in its annual reports concerning Taiwan’s participation at WHO’s World Health Assembly as an observer.To direct the Secretary of State to develop a strategy to regain observer status for Taiwan in the World Health Organization, and for other purposes.3/17/2021S. 812Sen.

Robert Menendez (D-NJ)Read twice and referred to SFRCWHO, TaiwanDirects the Department of State to include additional information in its annual reports concerning Taiwan’s participation at WHO’s World Health Assembly as an observer.To prohibit the use of funds to seek membership in the World Health Organization or to provide assessed or voluntary contributions to the World Health Organization.1/28/2021H.R. 497Rep. Jodey Arrington (R-TX-19)Referred to HFACWHOProhibits the use of federal funds to seek membership by the U.S. In WHO or to provide assessed or voluntary U.S. Contributions to WHO until such time as the President certifies that WHO meets certain conditions, including.

WHO has adopted meaningful reforms to ensure that humanitarian assistance is not politicized and is to be provided to those with the most need, WHO is not under the control or significant malign influence of the Chinese Communist party, WHO is not involved in a coverup of the Chinese Communist Party’s response to the erectile dysfunction treatment cialis, WHO grants observer status to Taiwan, WHO does not divert humanitarian or medical supplies to Iran, North Korea, or Syria, and WHO has put in place mechanisms to increase transparency and accountability in its operations and eliminate waste, fraud, and abuse.United States Climate Leadership in International Mitigation, Adaptation, and Technology Enhancement Act of 2021(U.S. CLIMATE Act) To restore the United States international leadership on climate change and clean energy, and for other purposes. 4/19/2021S. 1201Sen. Robert Menendez (D-NJ)Read twice and referred to SFRCClimate change, global healthRequires the Secretary of State, in consultation with other relevant agencies, to conduct biennial comprehensive evaluations of present and ongoing disruptions to the global climate system, including the scarcity of global natural resources including fresh water, global food, health, and energy insecurities and conditions that contribute to gender-based violence, among other things.

Requires these evaluations to be used by the Secretary of State to inform the development and implementation of a climate security strategy, and to develop and implement plans to account for the impacts of climate change on global human health, fresh water, and marginalized groups. States U.S. Policy is to ensure that the International Climate Change Adaptation, Mitigation, and Security Program (required to be established under the act by the Secretary of State, in coordination with the Secretary of the Treasury and the Administrator of USAID) provide resources to developing countries to support efforts that reduce the vulnerability and increase the resilience capacities of communities to the effects of climate change, including effects on water availability and health and diseases. Directs the Secretary of the Treasury to use the influence of the U.S. To ensure that the Green Climate Fund requires country recipients to submit investment plan that describes how adaptation projects will advance public health outcomes, among other things.

Incorporates the Women and Climate Change Act.Uyghur Stop Oppressive Sterilizations Act(Uyghur SOS Act) To address state-sanctioned violence against women in the People’s Republic of China, including rape and torture in detention and forced sterilizations, forced abortions, and other coercive birth restriction policies, particularly in the Xinjiang Uyghur Autonomous Region, and for other purposes.5/18/2021H.R. 3306Rep. Vicky HartzlerReferred to HFAC and H. JudiciaryForced sterilization, abortionStates U.S. Policy is to regard the prevention of genocide and other atrocity crimes as a national interest particularly when those actions target certain groups in the Xinjiang Uyghur Autonomous Region through, among other things, forced sterilizations, forced abortions and other coercive birth restrictions policies, and sexual violence and other torture in detention, to raise the issue of state-sanctioned violence against women, including rape, torture, and coercively enforced population control policies in China in all multilateral organizations where the U.S.

And China are members, including at the U.N. Security Council, and to consider state-sanctioned violence against women, including forced sterilizations and forced abortions and the systematic use of rape and torture in mass internment camps in the Region as a gross violation of internationally-recognized human rights. Expresses the Sense of Congress that all governments, including the U.S., and international organizations, such as the U.N., should call the atrocities perpetuated by the government of China, including forced sterilizations and forced abortions and other sexual violence, as genocide and crimes against humanity and that the U.S. Should strongly condemn the intimidation and threats targeting Uyghur and Kazakh women who provide public evidence of sexual violence and forced sterilizations and forced abortions in mass internment camps and the journalist who report these stories. Also expresses Sense of Congress that U.N.

Member states should condemn such atrocities by demanding that China end all forced sterilization, forced abortions, and other state-sanctioned violence against women, among other things. Requires the president to submit a strategy for ending atrocity crimes in the Region. Requires the Secretary of State to provide all appropriate assistance to women who belong to certain groups and who experienced sexual violence, torture, forced sterilizations and forced abortions in China in order for them to receive needed medical care and psychological support. Requires all existing authorities to be used to allow such women to at least temporarily enter the U.S.Women and Climate Change Act of 2021To address the disparate impact of climate change on women and support the efforts of women globally to address climate change, and for other purposes.1/11/2021H.R. 260Rep.

Barbara Lee (D-CA-13)Referred to HFAC, H. Energy &. CommerceClimate change, global health, reproductive healthAddresses climate change and its effects on women and girls. Establishes the Federal Interagency Working Group on Women and Climate Change within the Department of State and outlines its functions, such as identifying best practices for collecting data on the disparate impact of climate change on women – including in access to comprehensive health care, including reproductive health and rights. Requires the Department of State’s Office of Global Women’s Issues (GWI) to submit a strategy (and shortly thereafter an implementation plan and budget) to prevent and respond to the effects of climate change on women, including effective action to promote public health.

Requires the Ambassador-at-Large of GWI to designate a Senior Coordinator for Women and Climate Change. Requires the GWI Ambassador and the Senior Coordinator to submit to the appropriate congressional committees an assessment of the human and financial resources necessary to carry out the Act.World Health Organization Accountability ActTo prohibit the availability of United States contributions to the World Health Organization until Congress receives a full report on China and the erectile dysfunction treatment–19 cialis, and for other purposes.1/21/2021H.R. 374Rep. Lauren Boebert (R-CO-3)Referred to HFACWHO, erectile dysfunction treatmentProhibits the use of federal funds for U.S. Contributions to WHO or U.S.

Participation in any of the activities of WHO until the Secretary of State and HHS Secretary jointly submit a report to Congress describing the manner and extent to which the handling of the erectile dysfunction treatment outbreak prior to March 11, 2020, by WHO and China contributed to the emergency of the cialis.NOTES. SFRC means Senate Committee on Foreign Relations. HFAC means the House Committee on Foreign Affairs. H. Means House.

S. Means Senate. SFOPS means Department of State, foreign operations, and related programs. LGBTI means lesbian, gay, bisexual, transgender, or intersex. WHO is the World Health Organization.

ASEAN is the Association of Southeast Asian Nations. * Other than those that apply to U.S. NGOs receiving certain foreign aid under the Foreign Assistance Act..

Global Health Legislation During the 117th Congress(as of June 30, 2021)TitleDate IntroducedBill #SponsorStatusTopicSummary of Global Health-Related ProvisionsAbortion Find Out More is Health cialis 20mg price cvs Care Everywhere Act of 2021To amend the Foreign Assistance Act of 1961 to authorize the use of funds for comprehensive reproductive health care services, and for other purposes.3/9/2021H.R. 1670Rep. Janice Schakowsky (D-IL-9)Referred to HFACAbortion, Helms amendmentIncludes statement of cialis 20mg price cvs U.S. Policy regarding safe abortion and working to end unsafe abortion. Repeals the cialis 20mg price cvs Helms Amendment (which prohibits the use of foreign assistance to pay for the performance of abortion as a method of family planning or to motivate or coerce any person to practice abortion).

States that notwithstanding any other provision of law, certain funds may be used to provide comprehensive reproductive health care services, including abortion services, training, and equipment.Advancing Emergency Preparedness Through One Health Act of 2021To establish an interagency One Health Program, and for other purposes.3/18/2021S. 861Sen. Tina Smith (D-MN)Read twice and referred to cialis 20mg price cvs S. HELPOne Health, global health securityRequires the heads of HHS, USDA, USAID, DoD, and certain other agencies to develop, publish, and submit to Congress a national One Health Framework for coordinated federal activities under the One Health Program not later than one year after enactment. Among other things, states the framework must describe existing efforts and contain recommendations for building upon and complementing the activities of the CDC, the FDA, USAID, NIH, and certain cialis 20mg price cvs others and also establish specific federal goals and priorities and describe specific activities required to achieve these.

Requires the submission of an addendum to the framework not later than three years after its original submission, describing progress in advancing these activities. Authorizes to be appropriated such sums as necessary to develop the framework above. Requires GAO to submit a report to Congress not later than two years after the addendum is submitted, detailing existing collaborative efforts among certain agencies for this purpose and containing an evaluation of the framework and its specified activities.American Medical Investment Generating Overseas Security Act(AMIGOS Act)To prohibit the President from taking any action to support the waiver of obligations of members of the World Trade Organization under the Agreement on Trade-Related Aspects of Intellectual Property Rights in relation to cialis 20mg price cvs the prevention, containment, mitigation, or treatment of erectile dysfunction treatment–19 unless a statute is enacted expressly authorizing such a waiver with respect to the prevention, containment, mitigation, or treatment of erectile dysfunction treatment–19, and for other purposes.5/14/2021H.R. 3236Maria Elvira Salazar (R-FL-27)Referred to HFAC and H. Ways and MeansTRIPS, WTO, intellectual property rights, erectile dysfunction treatmentsStates the President may not take any action to support waiver of obligations of WRO members under the TRIPS agreement in relation to the prevention, containment, mitigation, or cialis 20mg price cvs treatment of erectile dysfunction treatment unless a statute is enacted expressly authorizing such a waiver with respect to such.

Requires the President to allocate excess U.S. erectile dysfunction treatments in a specified order of priority, with certain exceptions, and to monitor the allocation of such to ensure assisted governments provide treatments to their peoples in a timely manner and do not otherwise withhold them. Requires such cialis 20mg price cvs treatments provided to foreign countries to be marked as assistance from the American people or the U.S. Government and to include a depiction of the flag of the U.S. If appropriate.American Rescue Plan Act of 2021To provide for reconciliation pursuant to title II of S cialis 20mg price cvs.

Con. Res. 5.2/24/2021H.R. 1319Rep. John Yarmuth (D-KY-3)Became law (P.L.

117-2)erectile dysfunction treatment, Global FundSee KFF summary.American Values ActTo permanently enact certain appropriations Act restrictions on the use of funds for abortions and involuntary sterilizations, and for other purposes.2/4/2021S. 239Sen. James Risch (R-ID)Read twice and referred to SFRCAbortion, involuntary sterilization amendment, Siljander amendment, Kemp-Kasten amendment, Peace Corps provision, Helms amendment, Biden amendmentAmends the Foreign Assistance Act of 1961 to codify in permanent law the Siljander amendment, which prohibits the use of funds to lobby for or against abortion, and the Kemp-Kasten amendment, which prohibits funding any organization or program, as determined by the President, that supports or participates in the management of a program of coercive abortion or involuntary sterilization. Restates the Helms amendment, the Involuntary Sterilization amendment (which prohibits the use of funds to pay for involuntary sterilizations as a method of family planning or to coerce or provide a financial incentive to anyone to undergo sterilization), and the Biden amendment (which states that funds may not be used for biomedical research related to methods of or the performance of abortion or involuntary sterilization as a means of family planning) that are already in permanent law. Also amends the Peace Corps Act to codify in permanent law the Peace Corps provision, which prohibits Peace Corps funding from paying for an abortion for a Peace Corps volunteer or trainee, except in cases where the life of the woman is endangered by pregnancy or in cases of rape or incest.

In the past these have been included only in annual State-Foreign Operations appropriations language. See also the KFF fact sheet on FP/RH statutory requirements and policies and the KFF explainer on UNFPA funding and Kemp-Kasten.Binational Health Strategies Act of 2021To amend the United States-Mexico Border Health Commission Act, with respect to preparedness for erectile dysfunction treatment–19 and other infectious diseases in the border region, and for other purposes.3/03/2021H.R. 1538Rep.. Veronica Escobar (D-TX-16)Referred to H. Energy and HFACMexicoAuthorizes and directs the President to seek to begin negotiations with Mexico to amend an existing agreement addressing infectious disease preparedness in the U.S.-Mexico Border Area, with respect to erectile dysfunction treatment and other infectious diseases, specifically requiring the U.S.-Mexico Border Health Commission to submit a report on the border area’s response to erectile dysfunction treatment and requiring it to also develop and publicly publish a binational strategic plan that addresses how the area should strengthen its erectile dysfunction treatment response, sharing relevant health data, and how a erectile dysfunction treatment should be disbursed throughout the area, among other things.

Requires the Commission to publish what actions federal agencies in the U.S. And Mexico will take to facilitate implementation of the strategic plan and then to submit a report on actions taken each year. Requires the Commission to develop and publish a plan to prepare and respond to infectious diseases (other than erectile dysfunction treatment) within the border area, to update the plan at least once every three years for as long as necessary, and to publish what actions federal agencies in the U.S. And Mexico will take to facilitate implementation of this plan, with a report on actions taken each year required to be submitted.Climate Change Health Protection and Promotion Act of 2021To direct the Secretary of Health and Human Services to develop and implement a national strategic action plan and program to assist health professionals and systems in preparing for and responding to the public health effects of climate change, and for other purposes.5/17/2021H.R. 3271Rep.

Matt Cartwright (D-PA-8)Referred to H. Energy and CommerceClimate change, global healthDirects Secretary of HHS to publish a strategic action plan and establish a climate change and health program (at CDC, in collaboration with other agencies, as appropriate) to ensure the public health and health care systems are prepared for and can respond to the impacts of climate change on health in the U.S. And other nations. Requires the action plan include an assessment of U.S. Capacity to address climate change including, among other things, providing technical assistance and support for preparedness and response plans for the health threats of climate change in developing countries, and developing or strengthening domestic and international disease surveillance systems and monitoring capacity to respond to health-related impacts of climate change.

Describes priority health actions for the climate and health program, including with regard to global health aspects of climate change. Requires periodic updates of action plan. Establishes science advisory board and its functions, including with regarding to international impacts of climate change on health. And directs HHS Secretary to have National Academies prepare reports on topic, with the first due in one year and then every 4 years thereafter.Climate Change Health Protection and Promotion Act of 2021To direct the Secretary of Health and Human Services to develop and implement a national strategic action plan and program to assist health professionals and systems in preparing for and responding to the public health effects of climate change, and for other purposes.5/19/2021S. 1702Sen.

Edward Markey (D-MA)Read twice and referred to S. HELPClimate change, global healthDirects Secretary of HHS to publish a strategic action plan and establish a climate change and health program (at CDC, in collaboration with other agencies, as appropriate) to ensure the public health and health care systems are prepared for and can respond to the impacts of climate change on health in the U.S. And other nations. Requires the action plan include an assessment of U.S. Capacity to address climate change including, among other things, providing technical assistance and support for preparedness and response plans for the health threats of climate change in developing countries, and developing or strengthening domestic and international disease surveillance systems and monitoring capacity to respond to health-related impacts of climate change.

Describes priority health actions for the climate and health program, including with regard to global health aspects of climate change. Requires periodic updates of action plan. Establishes science advisory board and its functions, including with regarding to international impacts of climate change on health. And directs HHS Secretary to have National Academies prepare reports on topic, with the first due in one year and then every 4 years thereafter.Global Health, Empowerment and Rights Act(Global HER Act) To prohibit the application of certain restrictive eligibility requirements to foreign nongovernmental organizations with respect to the provision of assistance under part I of the Foreign Assistance Act of 1961.1/28/2021H.R. 556Rep.

Barbara Lee (D-CA-13)Referred to HFACAbortion, Mexico City policyCodifies prohibition of the expanded Mexico City policy (rescinded by President Biden in Jan. 2021, see KFF explainer). States that notwithstanding any provision of law, regulation, or policy, foreign non-governmental organizations (NGOs) shall not be ineligible for certain foreign aid under the Foreign Assistance Act solely on the basis of health or medical services provided with non-U.S. Funds (insofar as legal in country where provided and under U.S. Law) and shall not be subject to requirements relating to their use of non-U.S.

Funds for advocacy and lobbying activities.*Global Health, Empowerment and Rights Act(Global HER Act) To prohibit the application of certain restrictive eligibility requirements to foreign nongovernmental organizations with respect to the provision of assistance under part I of the Foreign Assistance Act of 1961.1/28/2021S. 142Sen. Jeanne Shaheen (D-NH)Read twice and referred to SFRCAbortion, Mexico City policyCodifies prohibition of the expanded Mexico City policy (rescinded by President Biden in Jan. 2021, see KFF explainer). States that notwithstanding any provision of law, regulation, or policy, foreign non-governmental organizations (NGOs) shall not be ineligible for certain foreign aid under the Foreign Assistance Act solely on the basis of health or medical services provided with non-U.S.

Funds (insofar as legal in country where provided and under U.S. Law) and shall not be subject to requirements relating to their use of non-U.S. Funds for advocacy and lobbying activities.*Global Health Security Act of 2021To authorize a comprehensive, strategic approach for United States foreign assistance to developing countries to strengthen global health security, and for other purposes.1/21/2021H.R. 391Rep. Gerald Connolly (D-VA-11)Passed HouseGlobal health security, global health emergenciesStates it is U.S.

Policy to promote and invest in global health security and cialis preparedness as a core national security interest. Establishes a Global Health Security Agenda Interagency Review Council, designates members, responsibilities, and frequency of meetings. Designates a U.S. Coordinator for Global Health Security responsible for coordination of the interagency process for responding to global health security emergencies. Express Sense of Congress that the President should consider appointing an individual with significant background and expertise in public health or emergency response management to such position.

Requires a U.S. Global health security strategy, its implementation (including agency-specific plans), and an annual report on status of implementation. Directs the Secretary of State, Treasury Secretary, USAID Administrator, and HHS Secretary, among others, to seek to enter into negotiations with donors, relevant U.N. Agencies (including WHO), and other stakeholders to establish a fund for global health security and cialis preparedness as a multilateral, catalytic financing mechanism. Describes Fund’s Advisory Board, purpose, Executive Board and its makeup and duties.

Creates a Coordinator of U.S. Government activities to advance global health security, who shall be appointed by the President to represent the U.S. On the Executive Board. Outlines eligible partner country definition and Fund program objectives, supported activities, administration, including appointment of an Administrator appointed by the Executive Board, and transparency and accountability requirements. Requires reports to Congress on the Fund including a 6 month status report and then annual reports after the Fund’s establishment.

And authorizes U.S. Contributions to the Fund with a limit that the U.S. Share not exceed 33% of total contributions to the Fund cumulatively.Global cialis Prevention and Biosecurity ActTo establish a global zoonotic disease task force, and for other purposes. 5/20/2021H.R. 3424Rep.

Grace Meng (D-NY-6)Referred to HFACcialis, zoonotic diseases, One Health, global health security, biosecurityRequires the Secretary of State and USAID Administrator to work with certain relevant agency heads to coordinate, work with, and engage governments, multilateral entities, and certain others to prevent zoonotic spillover events through various actions such as addressing the commercial trade in wildlife, strengthening global capacity for detection of zoonotic diseases with cialis potential, and supporting the development of One Health systems at the community level. Establishes the global zoonotic disease task force and outlines its membership and their terms, duties (including developing and publishing a plan for global biosecurity and zoonotic disease prevention and response and expanding the scope of the global health security strategy to more robustly support the prevention of zoonotic spillover and to respond to zoonotic disease investigations and outbreaks by establishing a 10 year strategy), required reports from agencies to the task force as well as from the task force to Congress, and its termination date 7 years after the date of enactment or a later date that is not later than two years after that.Global cialis Prevention and Biosecurity ActTo establish a global zoonotic disease task force, and for other purposes. 5/20/2021S.1737Sen. Chris Coons (D-DE)Read twice and referred to SFRCcialis, zoonotic diseases, One Health, global health security,biosecurityRequires the Secretary of State and USAID Administrator to work with certain relevant agency heads to coordinate, work with, and engage governments, multilateral entities, and certain others to prevent zoonotic spillover events through various actions such as addressing the commercial trade in wildlife, strengthening global capacity for detection of zoonotic diseases with cialis potential, and supporting the development of One Health systems at the community level. Establishes the global zoonotic disease task force and outlines its membership and their terms, duties (including developing and publishing a plan for global biosecurity and zoonotic disease prevention and response and expanding the scope of the global health security strategy to more robustly support the prevention of zoonotic spillover and to respond to zoonotic disease investigations and outbreaks by establishing a 10 year strategy), required reports from agencies to the task force as well as from the task force to Congress, and its termination date 7 years after the date of enactment or a later date that is not later than two years after that.Greater Leadership Overseas for the Benefit of Equality Act of 2021(GLOBE Act of 2021)To protect human rights and enhance opportunities for LGBTQI people around the world, and for other purposes.

6/9/2021S. 1996Sen. Edward Markey (D-MA)Read twice and referred to SFRCLGBTQI health, HIV, Mexico City policyRequires equal access of all elements of the population to programs funded by U.S. Assistance, including global health programs.Also requires PEPFAR to. Be implemented in a way that equitably serves LGBTQI people, submit a report to Congress describing international prosecutions for sex work or consensual sexual activity based on commodities provided by PEPFAR or other U.S.

Support, and submit a report to Congress on HIV/AIDS-related index testing. Requires GAO to submit a report to Congress that describes the impact of the implementation and enforcement of any iteration of the Mexico City Policy on the global LGBTQI community. And expresses Sense of Congress regarding the U.S. Engaging international organizations in efforts to eliminate LGBTQI discrimination.Greater Leadership Overseas for the Benefit of Equality Act of 2021(GLOBE Act of 2021)To protect human rights and enhance opportunities for LGBTQI people around the world, and for other purposes. 6/8/2021H.R.

3800Rep. Dina Titus (D-NV-1)Referred to HFAC, H. JudiciaryLGBTQI health, HIV, Mexico City policyRequires equal access of all elements of the population to programs funded by U.S. Assistance, including global health programs.Also requires PEPFAR to. Be implemented in a way that equitably serves LGBTQI people, submit a report to Congress describing international prosecutions for sex work or consensual sexual activity based on commodities provided by PEPFAR or other U.S.

Support, and submit a report to Congress on HIV/AIDS-related index testing. Requires GAO to submit a report to Congress that describes the impact of the implementation and enforcement of any iteration of the Mexico City Policy on the global LGBTQI community. Expresses Sense of Congress regarding the U.S. Engaging international organizations in efforts to eliminate LGBTQI discrimination. And repeals the Mexico City policy by removing certain limitations on eligibility for foreign assistance.International Human Rights Defense Act of 2021To establish in the Bureau of Democracy, Human Rights, and Labor of the Department of State a Special Envoy for the Human Rights of LGBTI Peoples, and for other purposes.2/22/2021H.R.

1201Rep. Alan Lowenthal (D-CA-47)Referred to HFACLGBTI health, HIVIncludes statement of U.S. Policy regarding LGBTI issues globally, including employing a multisectoral approach to preventing and responding to criminalization, discrimination, and violence against LGBTI people internationally, including activities in the health sector. Authorizes the provision of U.S. Assistance to prevent and respond to these issues internationally, including enhancement of health sector capacity related to violence against LGBTI people and communities and to combat HIV.International Human Rights Defense Act of 2021To establish in the Bureau of Democracy, Human Rights, and Labor of the Department of State a Special Envoy for the Human Rights of LGBTI Peoples, and for other purposes.2/24/2021S.

424Sen. Edward Markey (D-MA)Read twice and referred to SFRCLGBTI health, HIVIncludes statement of U.S. Policy regarding LGBTI issues globally, including employing a multisectoral approach to preventing and responding to criminalization, discrimination, and violence against LGBTI people internationally, including activities in the health sector. Authorizes the provision of U.S. Assistance to prevent and respond to these issues internationally, including enhancement of health sector capacity related to violence against LGBTI people and communities and to combat HIV.International cialis Preparedness and erectile dysfunction treatment Response Act of 2021To improve global health, and for other purposes.6/24/2021S.

2297Sen. James Risch (R-ID)Read twice and referred to SFRCcialis preparedness, erectile dysfunction treatment, treatments, WHO, health systems strengthening, CEPI, global health security, Global Fund to Fight AIDS, Tuberculosis and malariaRequires a report describing certain foreign assistance obligated/expended under the American Rescue Plan Act of 2021 and a plan for certain remaining funds. Requires development of a strategy to expand access to, and accelerate the global distribution of, erectile dysfunction treatments to other countries. Requires a report that assesses the global humanitarian response to erectile dysfunction treatment and outlines specific elements of the U.S. Government’s country-level response to the erectile dysfunction treatment cialis.

In the event of an infectious disease outbreak outside the U.S. With cialis potential, states the President should designate the Department of State to serve as the lead for diplomatic engagement and related foreign policy efforts, USAID to serve as the key lead agency for design and implementation of the U.S. International response, relief, and recovery assistance, and the CDC to serve as the public health lead for the international response such as building up (in coordination with USAID) emergency operation centers. Allows certain foreign assistance funding to be used to support USAID disaster surge capacity. Requires a U.S.

Global health security strategy and report. Authorizes to be established a committee on global health security and cialis and biological threats within the National Security Council (NSC) led by the Special Advisor for Global Health Security of the NSC. Within the Department of State, establishes a Special Representative for U.S. International activities to advance global health security and diplomacy overseas, to be appointed by the President and report to the Secretary of State and to lead in developing a global cialis prevention, preparedness and response framework. Authorizes the Representative to transfer and allocate certain U.S.

Foreign assistance funding to the relevant departments and agencies implementing the U.S. Global health security strategy. Authorizes to be appropriated $3 billion for the five-year period beginning Oct. 1, 2022, to support enhancing preparedness in partner countries, replenishing the USAID Emergency Reserve Fund, U.S. Contributions to the World Bank Health Emergency Preparedness and Response Multi-Donor Fund, and U.S.

Contributions to a new multilateral, catalytic financing mechanism for global health security and cialis prevention and preparedness (see “the Fund” below). Requires U.S. Global health program leadership identify areas of collaboration and coordination to ensure that such activities contribute to health systems strengthening. Directs the Secretary of State, with the USAID Administrator, to work with the Global Fund to Fight AIDS, Tuberculosis and Malaria, Gavi, the treatment Alliance, bilateral donors, and others to develop shared core indicators for strengthened health systems. Authorizes the U.S.

To participate in the Coalition for Epidemic Preparedness Innovations (CEPI). Expresses Sense of Congress that the President should make an immediate contribution to CEPI of $300 million to expand research and development of treatments to combat the spread of erectile dysfunction treatment variants. Requires an annual National Intelligence Estimate (for five years) regarding the risks posed to the national security interests of the U.S. By the emergence, reemergence, and overseas transmission of pathogens with cialis potential. Requires the Secretary of State and others to work with WHO and other key stakeholders to establish or strengthen effective early warning systems for infectious disease threats with epidemic and cialis potential.

Directs the Secretary of State, with the HHS Secretary, to work with WHO and like-minded member states to adopt an approach toward assessing infectious disease threats under the International Health Regulations (2005) for the WHO to identify and transparently communicate on an ongoing basis varying levels of risk leading up to, and during and after, a public health emergency of international concern (PHEIC) declaration. Directs the Secretary of State and others to seek to enter into negotiations to establish “the Fund;” authorizes the President to make available for U.S. Contributions to the Fund such funds as may be appropriated or otherwise made available for such purpose. Limits the U.S. Contribution to the Fund to not exceed 33% of the total contributions from all sources.Mental Health in International Development and Humanitarian Settings Act(MINDS Act)6/17/2021H.R.

3988Rep. Theodore Deutch (D-FL-22)Referred to HFACMental health, children in adversity, erectile dysfunction treatmentExpresses Sense of Congress that mental health is integral and essential to overall health outcomes and other development objectives. Codifies the position of USAID coordinator for mental health and psychosocial support and describes the position’s duties, including establishing a Mental Health and Psychosocial Support Working Group. Describes the Group’s duties and members. Requires USAID and the Department of State to integrate such programming across regional bureaus and missions and that it be evidence-based and culturally competent and respond to the specific needs of children in adversity.

Requires USAID to brief Congress on progress and challenges to implementation, including programming in conflict and humanitarian settings, as well as the impact of erectile dysfunction treatment on programming. Requires the OMB Director to brief Congress on the current overall expenditures for this programming in U.S. Foreign assistance in order for Congress to understand the full financial landscape of current programming. [Note. The bill text is not yet available.

This summary is drawn from a description released by the bill’s sponsor).Mental Health in International Development and Humanitarian Settings Act(MINDS Act)6/17/2021S. 2105Sen. Robert Casey (D-PA)Read twice and referred to SFRCMental health, children in adversity, erectile dysfunction treatmentExpresses Sense of Congress that mental health is integral and essential to overall health outcomes and other development objectives. Codifies the position of USAID coordinator for mental health and psychosocial support and describes the position’s duties, including establishing a Mental Health and Psychosocial Support Working Group. Describes the Group’s duties and members.

Requires USAID and the Department of State to integrate such programming across regional bureaus and missions and that it be evidence-based and culturally competent and respond to the specific needs of children in adversity. Requires USAID to brief Congress on progress and challenges to implementation, including programming in conflict and humanitarian settings, as well as the impact of erectile dysfunction treatment on programming. Requires the OMB Director to brief Congress on the current overall expenditures for this programming in U.S. Foreign assistance in order for Congress to understand the full financial landscape of current programming. [Note.

The bill text is not yet available. This summary is drawn from a description released by the bill’s sponsor).Nullifying Opportunities for Variants to Infect and Decimate Act(NOVID Act)To establish a program to oversee the global erectile dysfunction treatment response and prepare for future cialiss, and for other purposes.6/8/2021H.R. 3778Rep. Raja Krishnamoorthi (D-IL-8)Referred to HFAC and H. Energy and Commerceerectile dysfunction treatment, global health security, cialis preparedness and responseEstablishes the cialis preparedness and response program http://www.ec-jean-racine-ostwald.ac-strasbourg.fr/?slideshow=classe-verte-jour-4 to be responsible for and provide oversight over the U.S.

Global health response to the erectile dysfunction treatment cialis and protect Americans from the emergence of erectile dysfunction treatment variants and other pathogens with cialis potential. Require President to appoint program director who will coordinate the work of identified agencies, including USAID, CDC, and the Department of State, among others. Requires development of a comprehensive strategy to end the erectile dysfunction treatment cialis worldwide as well as a long-term strategy for preventing future cialiss. Authorizes to be appropriated $34 billion for these efforts, and expresses Sense of Congress that $25 billion be made available to scale treatment manufacturing capacity and produce treatments, $8.5 billion to cover the cost of end-to-end delivery and administration of treatments in target countries, and $500 million to establish a global disease surveillance network to protect against future cialiss. Describes implementation of comprehensive strategy, including requiring director to ensure immediate release of 80 million treatment doses that the U.S.

Has already committed to send abroad and to reassess the U.S. treatment stockpile to determine whether further treatments can be sent abroad and to coordinate with BARDA to rapidly scale manufacturing capacity around the world to produce 8 billion treatment doses as soon as possible. Also requires director to ensure equitable access to treatments in collaboration with COVAX and to work with international partners to provide enough treatments to lower- and middle-income countries to fully vaccinate at least 60% of their respective populations, especially 92 countries identified by COVAX as being most in need of assistance. Requires the program to, among other things, build on PEPFAR and other existing U.S. Programs and relationships bilaterally and multilaterally.

Express Sense of Congress that in the face of a global health emergency, the U.S. Government has broad authority, including under the Defense Production Act and the “Bayh-Dole Act”, to ensure adequate supply of treatments, necessary components, and raw materials through technology sharing and direct collaboration with manufacturers around the world.Nullifying Opportunities for Variants to Infect and Decimate Act(NOVID Act) To establish a program to oversee the global erectile dysfunction treatment response and prepare for future cialiss, and for other purposes.6/8/2021S. 1976Sen. Jeff Merkley (D-OR)Read twice and referred to SFRCerectile dysfunction treatment, global health security, cialis preparedness and responseEstablishes the cialis preparedness and response program to be responsible for and provide oversight over the U.S. Global health response to the erectile dysfunction treatment cialis and protect Americans from the emergence of erectile dysfunction treatment variants and other pathogens with cialis potential.

Require President to appoint program director who will coordinate the work of identified agencies, including USAID, CDC, and the Department of State, among others. Requires development of a comprehensive strategy to end the erectile dysfunction treatment cialis worldwide as well as a long-term strategy for preventing future cialiss. Authorizes to be appropriated $34 billion for these efforts, and expresses Sense of Congress that $25 billion be made available to scale treatment manufacturing capacity and produce treatments, $8.5 billion to cover the cost of end-to-end delivery and administration of treatments in target countries, and $500 million to establish a global disease surveillance network to protect against future cialiss. Describes implementation of comprehensive strategy, including requiring director to ensure immediate release of 80 million treatment doses that the U.S. Has already committed to send abroad and to reassess the U.S.

treatment stockpile to determine whether further treatments can be sent abroad and to coordinate with BARDA to rapidly scale manufacturing capacity around the world to produce 8 billion treatment doses as soon as possible. Also requires director to ensure equitable access to treatments in collaboration with COVAX and to work with international partners to provide enough treatments to lower- and middle-income countries to fully vaccinate at least 60% of their respective populations, especially 92 countries identified by COVAX as being most in need of assistance. Requires the program to, among other things, build on PEPFAR and other existing U.S. Programs and relationships bilaterally and multilaterally. Express Sense of Congress that in the face of a global health emergency, the U.S.

Government has broad authority, including under the Defense Production Act and the “Bayh-Dole Act”, to ensure adequate supply of treatments, necessary components, and raw materials through technology sharing and direct collaboration with manufacturers around the world.Preventing Foreign Attempts To Erode Healthcare Innovation ActTo prohibit the use of funds to support a measure at the World Trade Organization waiving intellectual property rights, and for other purposes.5/18/2021S. 1683Sen. Tim Scott (R-SC)Read twice and referred to S. FinanceTRIPS, WTO, intellectual property rights, erectile dysfunction treatmentsExpresses Sense of Congress that U.S. Should continue to promote strong international [sic] property rights internationally and that it is in the national interest of the U.S.

To oppose efforts to transfer U.S. Intellectual property and technology to China or other countries seeking to profit off U.S. Investments. Prohibits use of funds to support, allow, or facilitate the negotiation or approval of the TRIPS waiver for the prevention, containment, and treatment of erectile dysfunction treatment proposed by India and South Africa or any other measure at the WTO to waive intellectual property rights.Preventing Future cialiss Act of 2021To address the public health risks posed by wildlife markets, and for other purposes.1/4/2021H.R. 151Rep.

Mike Quigley (D-IL-5)Referred to HFAC, H. Energy and Commerce, H. Judiciary, H. Ways and Means, H. Financial Services, H.

Natural ResourcesGlobal health security, One Health, zoonotic diseasesRequires the HHS Secretary to enter into an agreement with the National Academies of Sciences, Engineering, and Medicine for it to conduct a study on the risk of wildlife markets on the emergency of novel viral pathogens, to be submitted not later than one year after the date of agreement. Expresses Sense of Congress that global institutions, including WHO, and others including USAID should promote the paradigm of One Health. States U.S. Policy is to facilitate international cooperation to close high risk wildlife markets around that world and to work to develop agreements and protocols to close these markets. Allows the President to impose sanctions on any country (or nationals of a country) continuing to license or enable commercial wildlife markets or engaged in certain activities.

Authorizes FY 2021 – FY 2030 funding for USAID activities related to sustainable food systems. Requires the USAID administrator to increase activities related to biodiversity, global health, and resilience, among other things, in order to address the threats and causes of zoonotic disease outbreaks.. Requires reporting from the Department of State and USAID describing these efforts.Preventing Future cialiss Act of 2021To address the public health risks posed by wildlife markets, and for other purposes.1/25/2021S. 37Sen. John Cornyn (R-TX)Read twice and referred to SFRCGlobal health security, One Health, zoonotic diseasesRequires the HHS Secretary to enter into an agreement with the National Academies of Sciences, Engineering, and Medicine for it to conduct a study on the risk of wildlife markets on the emergency of novel viral pathogens, to be submitted not later than one year after the date of agreement.

Expresses Sense of Congress that global institutions, including WHO, and others including USAID should promote the paradigm of One Health. States U.S. Policy is to facilitate international cooperation to close high risk wildlife markets around that world and to work to develop agreements and protocols to close these markets. Allows the President to impose sanctions on any country (or nationals of a country) continuing to license or enable commercial wildlife markets or engaged in certain activities. Authorizes FY 2021 – FY 2030 funding for USAID activities related to sustainable food systems.

Requires the USAID administrator to increase activities related to biodiversity, global health, and resilience, among other things, in order to address the threats and causes of zoonotic disease outbreaks.. Requires reporting from the Department of State and USAID describing these efforts.Protecting Life in Foreign Assistance ActTo restrict the availability of Federal funds to organizations associated with the abortion industry.1/28/2021H.R. 534Rep. Virginia Foxx (R-NC-5)Referred to HFACAbortion, Mexico City policyCodifies the expanded Mexico City policy (rescinded by President Biden in Jan. 2021.

See KFF explainer) and expands it to apply more broadly to federal funding made available for purposes outside of the U.S. To 1) any foreign nonprofit organization, foreign nongovernmental organization, foreign multilateral organization, or foreign quasi-autonomous nongovernmental organization that carries out certain activities, and 2) any domestic nonprofit organization or domestic nongovernmental organization that carries out certain activities.Protecting Life in Foreign Assistance ActTo restrict the availability of Federal funds to organizations associated with the abortion industry.1/28/2021S. 137Sen. Mike Lee (R-UT)Read twice and referred to SFRCAbortion, Mexico City policyCodifies the expanded Mexico City policy (rescinded by President Biden in Jan. 2021.

See KFF explainer) and expands it to apply more broadly to federal funding made available for purposes outside of the U.S. To 1) any foreign nonprofit organization, foreign nongovernmental organization, foreign multilateral organization, or foreign quasi-autonomous nongovernmental organization that carries out certain activities, and 2) any domestic nonprofit organization or domestic nongovernmental organization that carries out certain activities.Reach Every Mother and Child ActTo amend the Foreign Assistance Act of 1961 to implement policies to end preventable maternal, newborn, and child deaths globally.4/29/2021S. 1451Sen. Susan Collins (R-ME)Read twice and referred to SFRCMaternal health, child healthIncludes statement of U.S. Policy to establish and implement a coordinated, integrated, and comprehensive strategy to end preventable child and maternal deaths and ensure healthy and productive lives.

Requires the establishment and implementation of a five-year comprehensive strategy to contribute toward the global goal of ending preventable child and maternal deaths by 2030. States the President should designate a Child and Maternal Survival Coordinator and describes their duties. Requires an annual report on progress.Reproductive Rights are Human Rights Act of 2021To amend the Foreign Assistance Act of 1961 to require a section on reproductive rights in the Annual Country Reports on Human Rights Practices.5/28/2021H.R. 3576Rep. Katherine Clark (D-MA-5)Referred to HFACState Dept.

Annual human rights report, family planning/reproductive health (FP/RH), maternal mortality, abortion, violence against womenAmends existing law to require annual reporting by the Department of State on human rights to include, among other things. The status of reproductive rights in each country. Description of the rates and causes of pregnancy-related injuries and deaths (including deaths due to unsafe abortions), violence against women, and access to family planning. Requires that civil society and multilateral organizations’ representatives in the U.S. And countries included in such reporting be consulted with during the preparation of annual reporting.Reproductive Rights are Human Rights Act of 2021To amend the Foreign Assistance Act of 1961 to require a section on reproductive rights in the Annual Country Reports on Human Rights Practices.5/26/2021S.

1864Sen. Robert Menendez (D-NJ)Read twice and referred to SFRCState Dept. Annual human rights report, family planning/reproductive health (FP/RH), maternal mortality, abortion, violence against womenAmends existing law to require annual reporting by the Department of State on human rights to include, among other things. The status of reproductive rights in each country. Description of the rates and causes of pregnancy-related injuries and deaths (including deaths due to unsafe abortions), violence against women, and access to family planning.

Requires that civil society and multilateral organizations’ representatives in the U.S. And countries included in such reporting be consulted with during the preparation of annual reporting.Robust International Response to cialis ActTo provide support for a robust global response to the erectile dysfunction treatment cialis.2/11/2021H.R. 986Rep. Jesus “Chuy” Garcia (D-IL-4)Referred to H. Financial Serviceserectile dysfunction treatmentDirects the Secretary of the Treasury to instruct U.S.

Executive Directors at international financial institutions to ensure international financial institution support for a robust international response to the global erectile dysfunction treatment cialis, including to oppose the approval or endorsement of any loan, grant, document, or strategy that would lead to a decrease in health care spending or in any other spending that would impede the ability of any country to prevent or contain the spread of, or treat persons who are or may be infected with, the erectile dysfunction treatment cialis.Securing America From Epidemics Act(SAFE Act) To authorize United States participation in the Coalition for Epidemic Preparedness Innovations, and for other purposes.3/23/2021H.R. 2118Rep. Ami Bera (D-CA-7)Passed HFAC (Ordered to be Reported by Voice Vote)Research &. Development (R&D), global health security, cialis, epidemicAuthorizes U.S. Participation in the Coalition for Epidemic Preparedness Innovation (CEPI).

Reports to Congress required to be submitted by the President not later than 180 days after enactment of the Act and to outline planned U.S. Contributions to CEPI, the manner and extent to which the U.S. Will participate in the governance of CEPI, and how participation in CEPI supports relevant U.S. Strategies and programs in health security and biodefense, among other things. Authorizes certain appropriated funding to be made available for U.S.

Contributions to CEPI.Strategic Competition Act of 2021To address issues involving the People’s Republic of China. 4/15/2021S. 1169Sen. Robert Menendez (D-NJ)Placed on Senate Legislative Calendar under General Orderserectile dysfunction treatment, health cooperation, WHO, global health security, abortion, forced sterilization, debt reliefExpresses sense of Congress that the U.S. Government should encourage other foreign governments to use the official and scientific names for the erectile dysfunction treatment cialis.

States U.S. Policy is to deepen cooperation between and among the U.S., Japan, South Korea, the Philippines, Thailand, and Australia, including through scientific and health partnerships. Expresses sense of Congress that recent pledge from the first-ever Quad (Australia, India, Japan, U.S.) leaders meeting on March 12, 2021, to respond to the economic and health impacts of erectile dysfunction treatment, including expanding treatment production and equitable access, further advances cooperation among Quad nations. States it is U.S. Policy to stand with the nations of ASEAN as they respond to erectile dysfunction treatment and support greater cooperation in building capacity to prepare for and respond to cialiss and other public health challenges.

States it is U.S. Policy to advocate and actively advance Taiwan’s meaningful participation in the World Health Assembly, among other bodies. Requires report on the origins of the erectile dysfunction treatment cialis to be submitted by the Director of National Intelligence, in coordination with the Secretary of State, HHS Secretary, and others, not later than 180 days after enactment. Requires strategies that describe how the U.S. Will enhance cooperation with Canada, the European Union, NATO, and European partner countries in managing relations with China, including detailing diplomatic efforts to work with them to track and counter Chinese attempts to exert influence across the multilateral system, including at WHO.

Requires a strategy for countering and limiting Chinese influence in, and access to, the Middle East and North Africa, including efforts to encourage U.S. Private sector and public-private partnerships in healthcare technology, among other things. States it is U.S. Policy to work with Australia, New Zealand, and Japan to advance shared alliance goals of the Oceania region concerning health, among other things, and to improve the local capacity of the countries of Oceania to address public health challenges and improve global health security. Address the imposition of sanctions with respect to systematic rape, coercive abortion, forced sterilization, or involuntary contraceptive implantation in the Xinjiang Uyghur Autonomous Region.

Addresses reporting related to debt relief via the International Development Association (IDA) for certain countries to respond to the erectile dysfunction treatment cialis.Support for Global Financial Institution cialis Response Act of 2021To support efforts by international financial institutions to provide a robust global response to the erectile dysfunction treatment–19 cialis.1/27/2021S. 67Sen. Richard Durbin (D-IL)Read twice and referred to SFRCerectile dysfunction treatmentDirects the Secretary of the Treasury to instruct U.S. Executive Directors at international financial institutions to ensure international financial institution support for a robust international response to the global erectile dysfunction treatment cialis, including to oppose the approval or endorsement of any loan, grant, document, or strategy that would lead to a decrease in health care spending or in any other spending that would impede the ability of any country to prevent or contain the spread of, or treat persons who are or may be infected with, the erectile dysfunction treatment cialis.Support UNFPA Funding ActTo authorize contributions to the United Nations Population Fund, and for other purposes.6/16/2021H.R. 3938Rep.

Chrissy Houlahan (D-PA-6)Referred to HFACUNFPA, family planning/reproductive health (FP/RH)Includes statement of U.S. Policy regarding financial support for UNFPA as a crucial part of U.S. Global health commitment. Authorizes appropriations for five years for an annual contribution to UNFPA to support core functions and programs.To amend the National Security Act of 1947 to require the President to designate an employee of the National Security Council to be responsible for cialis prevention and response, and for other purposes.2/8/2021S. 290Sen.

Edward Markey (D-MA)Read twice and referred to HSGACcialisRequires the President to designate an employee of the National Security Council to be the permanent coordinator for cialis prevention and response for the federal government, outlines duties, and grants them authority to represent the U.S. In bilateral and multilateral discussions and agreements on relevant matters.To direct the Secretary of State to develop a strategy to regain observer status for Taiwan in the World Health Organization, and for other purposes.2/18/2021H.R. 1145Rep. Young Kim (R-CA-39)Passed HFAC (Ordered to be Reported in the Nature of a Substitute by Voice Vote)WHO, TaiwanDirects the Department of State to include additional information in its annual reports concerning Taiwan’s participation at WHO’s World Health Assembly as an observer.To direct the Secretary of State to develop a strategy to regain observer status for Taiwan in the World Health Organization, and for other purposes.3/17/2021S. 812Sen.

Robert Menendez (D-NJ)Read twice and referred to SFRCWHO, TaiwanDirects the Department of State to include additional information in its annual reports concerning Taiwan’s participation at WHO’s World Health Assembly as an observer.To prohibit the use of funds to seek membership in the World Health Organization or to provide assessed or voluntary contributions to the World Health Organization.1/28/2021H.R. 497Rep. Jodey Arrington (R-TX-19)Referred to HFACWHOProhibits the use of federal funds to seek membership by the U.S. In WHO or to provide assessed or voluntary U.S. Contributions to WHO until such time as the President certifies that WHO meets certain conditions, including.

WHO has adopted meaningful reforms to ensure that humanitarian assistance is not politicized and is to be provided to those with the most need, WHO is not under the control or significant malign influence of the Chinese Communist party, WHO is not involved in a coverup of the Chinese Communist Party’s response to the erectile dysfunction treatment cialis, WHO grants observer status to Taiwan, WHO does not divert humanitarian or medical supplies to Iran, North Korea, or Syria, and WHO has put in place mechanisms to increase transparency and accountability in its operations and eliminate waste, fraud, and abuse.United States Climate Leadership in International Mitigation, Adaptation, and Technology Enhancement Act of 2021(U.S. CLIMATE Act) To restore the United States international leadership on climate change and clean energy, and for other purposes. 4/19/2021S. 1201Sen. Robert Menendez (D-NJ)Read twice and referred to SFRCClimate change, global healthRequires the Secretary of State, in consultation with other relevant agencies, to conduct biennial comprehensive evaluations of present and ongoing disruptions to the global climate system, including the scarcity of global natural resources including fresh water, global food, health, and energy insecurities and conditions that contribute to gender-based violence, among other things.

Requires these evaluations to be used by the Secretary of State to inform the development and implementation of a climate security strategy, and to develop and implement plans to account for the impacts of climate change on global human health, fresh water, and marginalized groups. States U.S. Policy is to ensure that the International Climate Change Adaptation, Mitigation, and Security Program (required to be established under the act by the Secretary of State, in coordination with the Secretary of the Treasury and the Administrator of USAID) provide resources to developing countries to support efforts that reduce the vulnerability and increase the resilience capacities of communities to the effects of climate change, including effects on water availability and health and diseases. Directs the Secretary of the Treasury to use the influence of the U.S. To ensure that the Green Climate Fund requires country recipients to submit investment plan that describes how adaptation projects will advance public health outcomes, among other things.

Incorporates the Women and Climate Change Act.Uyghur Stop Oppressive Sterilizations Act(Uyghur SOS Act) To address state-sanctioned violence against women in the People’s Republic of China, including rape and torture in detention and forced sterilizations, forced abortions, and other coercive birth restriction policies, particularly in the Xinjiang Uyghur Autonomous Region, and for other purposes.5/18/2021H.R. 3306Rep. Vicky HartzlerReferred to HFAC and H. JudiciaryForced sterilization, abortionStates U.S. Policy is to regard the prevention of genocide and other atrocity crimes as a national interest particularly when those actions target certain groups in the Xinjiang Uyghur Autonomous Region through, among other things, forced sterilizations, forced abortions and other coercive birth restrictions policies, and sexual violence and other torture in detention, to raise the issue of state-sanctioned violence against women, including rape, torture, and coercively enforced population control policies in China in all multilateral organizations where the U.S.

And China are members, including at the U.N. Security Council, and to consider state-sanctioned violence against women, including forced sterilizations and forced abortions and the systematic use of rape and torture in mass internment camps in the Region as a gross violation of internationally-recognized human rights. Expresses the Sense of Congress that all governments, including the U.S., and international organizations, such as the U.N., should call the atrocities perpetuated by the government of China, including forced sterilizations and forced abortions and other sexual violence, as genocide and crimes against humanity and that the U.S. Should strongly condemn the intimidation and threats targeting Uyghur and Kazakh women who provide public evidence of sexual violence and forced sterilizations and forced abortions in mass internment camps and the journalist who report these stories. Also expresses Sense of Congress that U.N.

Member states should condemn such atrocities by demanding that China end all forced sterilization, forced abortions, and other state-sanctioned violence against women, among other things. Requires the president to submit a strategy for ending atrocity crimes in the Region. Requires the Secretary of State to provide all appropriate assistance to women who belong to certain groups and who experienced sexual violence, torture, forced sterilizations and forced abortions in China in order for them to receive needed medical care and psychological support. Requires all existing authorities to be used to allow such women to at least temporarily enter the U.S.Women and Climate Change Act of 2021To address the disparate impact of climate change on women and support the efforts of women globally to address climate change, and for other purposes.1/11/2021H.R. 260Rep.

Barbara Lee (D-CA-13)Referred to HFAC, H. Energy &. CommerceClimate change, global health, reproductive healthAddresses climate change and its effects on women and girls. Establishes the Federal Interagency Working Group on Women and Climate Change within the Department of State and outlines its functions, such as identifying best practices for collecting data on the disparate impact of climate change on women – including in access to comprehensive health care, including reproductive health and rights. Requires the Department of State’s Office of Global Women’s Issues (GWI) to submit a strategy (and shortly thereafter an implementation plan and budget) to prevent and respond to the effects of climate change on women, including effective action to promote public health.

Requires the Ambassador-at-Large of GWI to designate a Senior Coordinator for Women and Climate Change. Requires the GWI Ambassador and the Senior Coordinator to submit to the appropriate congressional committees an assessment of the human and financial resources necessary to carry out the Act.World Health Organization Accountability ActTo prohibit the availability of United States contributions to the World Health Organization until Congress receives a full report on China and the erectile dysfunction treatment–19 cialis, and for other purposes.1/21/2021H.R. 374Rep. Lauren Boebert (R-CO-3)Referred to HFACWHO, erectile dysfunction treatmentProhibits the use of federal funds for U.S. Contributions to WHO or U.S.

Participation in any of the activities of WHO until the Secretary of State and HHS Secretary jointly submit a report to Congress describing the manner and extent to which the handling of the erectile dysfunction treatment outbreak prior to March 11, 2020, by WHO and China contributed to the emergency of the cialis.NOTES. SFRC means Senate Committee on Foreign Relations. HFAC means the House Committee on Foreign Affairs. H. Means House.

S. Means Senate. SFOPS means Department of State, foreign operations, and related programs. LGBTI means lesbian, gay, bisexual, transgender, or intersex. WHO is the World Health Organization.

ASEAN is the Association of Southeast Asian Nations. * Other than those that apply to U.S. NGOs receiving certain foreign aid under the Foreign Assistance Act..

Generic cialis online europe

Trauma is you can check here more prevalent that generic cialis online europe most people realize. According to the U.S Department of Health and Human Services’ Substance Abuse and Mental Health Services Administration’s website, two-thirds of people have experienced at least one traumatic event by age 16. In 2015, for every 1,000 generic cialis online europe children, 9.2 experienced some sort of child abuse or neglect. Their research suggests that 54 percent of U.S. Families have been affected by some type of disaster.

Many people have multiple or generic cialis online europe repeated trauma. The more intense and frequent a trauma is, the more likely it is to have an impact on people. Trauma has both short-term and long-term effects. In children this might be fear of being separated from a caregiver, excessive crying generic cialis online europe or screaming, weight loss and nightmares. In older children it could be poor concentration, feelings of guilt or shame, anxiety, depression, difficulty sleeping, eating disorders, self-harming behavior, sexual acting out or use of drugs or alcohol, among other things.

These behaviors and difficulties can persist into adulthood, and may lead to difficulties getting or keeping a job, disruption in relationships or criminal behavior. When these generic cialis online europe behaviors occur in people they likely indicate some sort of traumatic past. This is because the trauma changes the way the brain functions. These struggles will generic cialis online europe sometimes lead people to seek mental health services, but sometimes people suffer without recognizing that the problems may be connected to a past traumatic event, or that they can change. As traumatized children grow into adults they are often perceived as being the problem themselves, instead of being seen as the victim of a trauma.

When friends, family, professionals and society view the person as the problem it creates a lack of compassion and ignores the healing that could occur if the trauma were recognized. When one views generic cialis online europe those with difficult behavior as a victim of their past, they will approach them with more empathy and compassion. This is the essence of being trauma informed. Trauma-informed care has been a topic of discussion for several years within the human service world. According to Trauma-Informed Care Implementation Resource Center, trauma-informed care shifts the generic cialis online europe focus from “What’s wrong with you?.

€ to “What happened to you?. € There has been a push to bring this concept outside the therapy office and into broader health care settings. This perspective, however, can be useful beyond the realm of health generic cialis online europe care. When individuals become trauma informed, they can approach all interactions differently and with more empathy and compassion. Some people, generic cialis online europe however, resist this idea.

They seem to believe that recognizing past trauma and approaching people with compassion means not holding them accountable for their behavior, and letting them “get away” with bad behavior. Handing out punishment for bad behavior while ignoring the emotional reality of the person will not fully address the problem. It may temporarily reduce the behavior, but it will likely get worse generic cialis online europe later. Compassion within trauma-informed living is recognizing the past trauma as the source of the pain that leads to difficult behavior. In the process of acknowledging the trauma and validating the emotions a door is opened to healing and learning new ways of coping.

This can be done while still holding them accountable to the consequences of the behavior generic cialis online europe. Living as a trauma-informed human means recognizing that another’s bad behavior or grumpy attitude is likely coming from a place of past trauma, and having compassion and kindness for the person, even while acknowledging that consequences happen. It is through the compassion and kindness that the healing happens. While many generic cialis online europe peoplefind healing from trauma through therapy or counseling, healing happens withinall compassionate interactions. Therefore, every person has the power to be aforce of healing in the lives of those around them, when they recognize there’sa good chance that a person’s difficult behavior is likely the result of pasttrauma, and treat them with compassion.

For those who need more intense treatment for mental health conditions, MidMichigan Health provides an intensive outpatient program called Psychiatric Partial generic cialis online europe Hospitalization Program at MidMichigan Medical Center – Gratiot. Those interested in more information about the PHP program may call (989) 466-3253. Those interested in more information on MidMichigan’s comprehensive behavioral health programs may visit www.midmichigan.org/mentalhealth.Olympic athletes train to be thebest in the world at their respective sports. They are generic cialis online europe determined, talented,capable, and display a level of grit and determination qualifying them for thehighest stage of competition. They spend years working toward a few simpleultimate goals.

Giving their best performance, honoring their country and leavingthe court, mat, field or track with a medal in their hand. When gymnast Simone Biles recentlywithdrew from the Olympic generic cialis online europe Games, it came to many as a surprise. What may havecome as even more of a surprise to some is the reason she withdrew. Her mentalhealth. This latest example of thecourage of an generic cialis online europe athlete to stand up and let the world know that mental health ishealth has brought incredible awareness to the importance of mental health inall people, even Olympians.

If you’re an athlete, or if youhave kids who play sports, you might be worried and wondering what you can doto address potential mental health struggles related to sports. Consider thesesuggestions when it comes generic cialis online europe to sports and mental health. Talk, talk, talk. Ifyou find yourself experiencing stress, anxiety or depression related to asport, consider finding a qualified counselor/therapist to discuss these issues.If you’ve got a child who plays sports, keep an open dialogue with them. Haveregular, open and honest conversations about how they’re feeling, both mentallyand physically generic cialis online europe.

Watch for warning signs. Thisis especially important if you have a child or adolescent in sports. Keep aneye out for things like generic cialis online europe mood, sleep, or behavior changes that seem concerning. Find balance. It’sokay to admit that you need help or that you need to take a break frompracticing or competing.

If you feel overwhelmed consider meditation, tryingnew things or giving your body a rest.Ask generic cialis online europe for help. Thereis no shame in seeking out help, whether it be with a therapist, psychiatristor other medical health professional. Treating a mental illness is just asimportant as generic cialis online europe treating a physical one. Protecting and prioritizing youroverall health is essential for all levels of athletes. It’s not rare to havean athlete pull out of a race, game or event due to a physical injury.

Seeingan athlete withdraw generic cialis online europe for mental health reasons is much less common, however, itsrecognition is just as important. The hope going forward is that we assistathletes in all aspects of performance and recognize that mental health is health. Thomas Bills, M.D., is a psychiatrist with a special interestin sports psychiatry. Dr. Bills is welcoming athletes to his office in theTowsley Building, located on the campus of MidMichigan Medical Center –Midland.

Those who would like to make an appointment may call the office at(989) 839-3385..

Trauma is more prevalent that cialis 20mg price cvs click for more most people realize. According to the U.S Department of Health and Human Services’ Substance Abuse and Mental Health Services Administration’s website, two-thirds of people have experienced at least one traumatic event by age 16. In 2015, for every 1,000 children, 9.2 experienced some cialis 20mg price cvs sort of child abuse or neglect. Their research suggests that 54 percent of U.S.

Families have been affected by some type of disaster. Many people cialis 20mg price cvs have multiple or repeated trauma. The more intense and frequent a trauma is, the more likely it is to have an impact on people. Trauma has both short-term and long-term effects.

In children this might be fear of being separated from a caregiver, excessive cialis 20mg price cvs crying or screaming, weight loss and nightmares. In older children it could be poor concentration, feelings of guilt or shame, anxiety, depression, difficulty sleeping, eating disorders, self-harming behavior, sexual acting out or use of drugs or alcohol, among other things. These behaviors and difficulties can persist into adulthood, and may lead to difficulties getting or keeping a job, disruption in relationships or criminal behavior. When these behaviors occur in people they likely indicate cialis 20mg price cvs some sort of traumatic past.

This is because the trauma changes the way the brain functions. These struggles will sometimes lead people to seek mental health cialis 20mg price cvs services, but sometimes people suffer without recognizing that the problems may be connected to a past traumatic event, or that they can change. As traumatized children grow into adults they are often perceived as being the problem themselves, instead of being seen as the victim of a trauma. When friends, family, professionals and society view the person as the problem it creates a lack of compassion and ignores the healing that could occur if the trauma were recognized.

When one views those with difficult behavior as a victim of their past, they will approach them with more empathy cialis 20mg price cvs and compassion. This is the essence of being trauma informed. Trauma-informed care has been a topic of discussion for several years within the human service world. According to Trauma-Informed Care Implementation Resource Center, trauma-informed care shifts the focus from “What’s cialis 20mg price cvs wrong with you?.

€ to “What happened to you?. € There has been a push to bring this concept outside the therapy office and into broader health care settings. This perspective, however, cialis 20mg price cvs can be useful beyond the realm of health care. When individuals become trauma informed, they can approach all interactions differently and with more empathy and compassion.

Some people, however, cialis 20mg price cvs resist this idea. They seem to believe that recognizing past trauma and approaching people with compassion means not holding them accountable for their behavior, and letting them “get away” with bad behavior. Handing out punishment for bad behavior while ignoring the emotional reality of the person will not fully address the problem. It may temporarily reduce the behavior, cialis 20mg price cvs but it will likely get worse later.

Compassion within trauma-informed living is recognizing the past trauma as the source of the pain that leads to difficult behavior. In the process of acknowledging the trauma and validating the emotions a door is opened to healing and learning new ways of coping. This can cialis 20mg price cvs be done while still holding them accountable to the consequences of the behavior. Living as a trauma-informed human means recognizing that another’s bad behavior or grumpy attitude is likely coming from a place of past trauma, and having compassion and kindness for the person, even while acknowledging that consequences happen.

It is through the compassion and kindness that the healing happens. While many peoplefind healing from trauma through therapy or cialis 20mg price cvs counseling, healing happens withinall compassionate interactions. Therefore, every person has the power to be aforce of healing in the lives of those around them, when they recognize there’sa good chance that a person’s difficult behavior is likely the result of pasttrauma, and treat them with compassion. For those who need more intense treatment for mental health conditions, MidMichigan Health provides an intensive outpatient program called Psychiatric Partial Hospitalization Program cialis 20mg price cvs at MidMichigan Medical Center – Gratiot.

Those interested in more information about the PHP program may call (989) 466-3253. Those interested in more information on MidMichigan’s comprehensive behavioral health programs may visit www.midmichigan.org/mentalhealth.Olympic athletes train to be thebest in the world at their respective sports. They are determined, talented,capable, and display a level of grit and determination qualifying them cialis 20mg price cvs for thehighest stage of competition. They spend years working toward a few simpleultimate goals.

Giving their best performance, honoring their country and leavingthe court, mat, field or track with a medal in their hand. When gymnast Simone Biles recentlywithdrew cialis 20mg price cvs from the Olympic Games, it came to many as a surprise. What may havecome as even more of a surprise to some is the reason she withdrew. Her mentalhealth.

This latest example of thecourage of an athlete to stand up and let the world know that mental health cialis 20mg price cvs ishealth has brought incredible awareness to the importance of mental health inall people, even Olympians. If you’re an athlete, or if youhave kids who play sports, you might be worried and wondering what you can doto address potential mental health struggles related to sports. Consider thesesuggestions when it comes to sports and cialis 20mg price cvs mental health. Talk, talk, talk.

Ifyou find yourself experiencing stress, anxiety or depression related to asport, consider finding a qualified counselor/therapist to discuss these issues.If you’ve got a child who plays sports, keep an open dialogue with them. Haveregular, open cialis 20mg price cvs and honest conversations about how they’re feeling, both mentallyand physically. Watch for warning signs. Thisis especially important if you have a child or adolescent in sports.

Keep aneye cialis 20mg price cvs out for things like mood, sleep, or behavior changes that seem concerning. Find balance. It’sokay to admit that you need help or that you need to take a break frompracticing or competing. If you feel overwhelmed consider meditation, tryingnew things or giving your body cialis 20mg price cvs a rest.Ask for help.

Thereis no shame in seeking out help, whether it be with a therapist, psychiatristor other medical health professional. Treating a mental illness cialis 20mg price cvs is just asimportant as treating a physical one. Protecting and prioritizing youroverall health is essential for all levels of athletes. It’s not rare to havean athlete pull out of a race, game or event due to a physical injury.

Seeingan athlete withdraw for mental health reasons is much less common, however, itsrecognition is just as important. The hope going forward is that we assistathletes in all aspects of performance and recognize that mental health is health. Thomas Bills, M.D., is a psychiatrist with a special interestin sports psychiatry. Dr.

Bills is welcoming athletes to his office in theTowsley Building, located on the campus of MidMichigan Medical Center –Midland. Those who would like to make an appointment may call the office at(989) 839-3385..

When is cialis going generic in us

SEE more about "PRUCOL" immigrant eligibility for Medicaid when is cialis going generic in us where can you buy cialis over the counter in this article. "Undocumented" immigrants are, with some exceptions for pregnant women and Child Health Plus, only eligible for "emergency Medicaid."NYS announced the 2020 Income and Resource levels in GIS 19 MA/12 – 2020 Medicaid Levels and Other Updates ) and levels based on the Federal Poverty Level are in GIS 20 MA/02 – 2020 Federal Poverty Levels Here is the 2020 HRA Income and Resources Level Chart Non-MAGI - 2020 Disabled, 65+ or Blind ("DAB" or SSI-Related) and have Medicare MAGI (2020) (<. 65, Does not have Medicare)(OR has Medicare and has dependent child <. 18 or when is cialis going generic in us <.

19 in school) 138% FPL*** Children <. 5 and pregnant women have HIGHER LIMITS than shown ESSENTIAL PLAN For MAGI-eligible people over MAGI income limit up to 200% FPL No long term care. See info here 1 2 1 2 3 1 2 Income $875 (up from $859 in 201) $1284 (up from $1,267 in 2019) $1,468 $1,983 $2,498 $2,127 $2,873 Resources $15,750 (up from $15,450 in 2019) $23,100 (up from $22,800 in 2019) NO LIMIT** NO LIMIT SOURCE for 2019 figures is GIS 18 MA/015 - 2019 Medicaid Levels and when is cialis going generic in us Other Updates (PDF). All of the attachments with the various levels are posted here.

NEED TO KNOW PAST MEDICAID INCOME AND RESOURCE LEVELS?. Which household size when is cialis going generic in us applies?. The rules are complicated. See rules here.

On the HRA Medicaid Levels chart - when is cialis going generic in us Boxes 1 and 2 are NON-MAGI Income and Resource levels -- Age 65+, Blind or Disabled and other adults who need to use "spend-down" because they are over the MAGI income levels. Box 10 on page 3 are the MAGI income levels -- The Affordable Care Act changed the rules for Medicaid income eligibility for many BUT NOT ALL New Yorkers. People in the "MAGI" category - those NOT on Medicare -- have expanded eligibility up to 138% of the Federal Poverty Line, so may now qualify for Medicaid even if they were not eligible before, or may now be eligible for Medicaid without a "spend-down." They have NO resource limit. Box 3 on page 1 is Spousal Impoverishment levels for Managed when is cialis going generic in us Long Term Care &.

Nursing Homes and Box 8 has the Transfer Penalty rates for nursing home eligibility Box 4 has Medicaid Buy-In for Working People with Disabilities Under Age 65 (still 2017 levels til April 2018) Box 6 are Medicare Savings Program levels (will be updated in April 2018) MAGI INCOME LEVEL of 138% FPL applies to most adults who are not disabled and who do not have Medicare, AND can also apply to adults with Medicare if they have a dependent child/relative under age 18 or under 19 if in school. 42 C.F.R. § 435.4 when is cialis going generic in us. Certain populations have an even higher income limit - 224% FPL for pregnant women and babies <.

Age 1, 154% FPL for children age 1 - 19. CAUTION when is cialis going generic in us. What is counted as income may not be what you think. For the NON-MAGI Disabled/Aged 65+/Blind, income will still be determined by the same rules as before, explained in this outline and these charts on income disregards.

However, for the MAGI population - which is virtually everyone under age 65 who is not on Medicare - their when is cialis going generic in us income will now be determined under new rules, based on federal income tax concepts - called "Modifed Adjusted Gross Income" (MAGI). There are good changes and bad changes. GOOD. Veteran's when is cialis going generic in us benefits, Workers compensation, and gifts from family or others no longer count as income.

BAD. There is no more "spousal" or parental refusal for this population (but there can u buy cialis online still is for the Disabled/Aged/Blind.) and some other rules. For all of the rules see. ALSO SEE 2018 Manual on Lump Sums and Impact on Public Benefits - with resource rules The income limits increase with the when is cialis going generic in us "household size." In other words, the income limit for a family of 5 may be higher than the income limit for a single person.

HOWEVER, Medicaid rules about how to calculate the household size are not intuitive or even logical. There are different rules depending on the "category" of the person seeking Medicaid. Here are the 2 basic categories and the rules when is cialis going generic in us for calculating their household size. People who are Disabled, Aged 65+ or Blind - "DAB" or "SSI-Related" Category -- NON-MAGI - See this chart for their household size.

These same rules apply to the Medicare Savings Program, with some exceptions explained in this article. Everyone else -- MAGI - All children and adults under age 65, including people with disabilities who are not yet on Medicare -- this is when is cialis going generic in us the new "MAGI" population. Their household size will be determined using federal income tax rules, which are very complicated. New rule is explained in State's directive 13 ADM-03 - Medicaid Eligibility Changes under the Affordable Care Act (ACA) of 2010 (PDF) pp.

8-10 of the PDF, This PowerPoint by NYLAG when is cialis going generic in us on MAGI Budgeting attempts to explain the new MAGI budgeting, including how to determine the Household Size. See slides 28-49. Also seeLegal Aid Society and Empire Justice Center materials OLD RULE used until end of 2013 -- Count the person(s) applying for Medicaid who live together, plus any of their legally responsible relatives who do not receive SNA, ADC, or SSI and reside with an applicant/recipient. Spouses or when is cialis going generic in us legally responsible for one another, and parents are legally responsible for their children under age 21 (though if the child is disabled, use the rule in the 1st "DAB" category.

Under this rule, a child may be excluded from the household if that child's income causes other family members to lose Medicaid eligibility. See 18 NYCRR 360-4.2, MRG p. 573, NYS GIS 2000 MA-007 CAUTION. Different people in the same household may be in different "categories" and hence have different household sizes AND Medicaid income and resource limits.

If a man is age 67 and has Medicare and his wife is age 62 and not disabled or blind, the husband's household size for Medicaid is determined under Category 1/ Non-MAGI above and his wife's is under Category 2/MAGI. The following programs were available prior to 2014, but are now discontinued because they are folded into MAGI Medicaid. Prenatal Care Assistance Program (PCAP) was Medicaid for pregnant women and children under age 19, with higher income limits for pregnant woman and infants under one year (200% FPL for pregnant women receiving perinatal coverage only not full Medicaid) than for children ages 1-18 (133% FPL). Medicaid for adults between ages 21-65 who are not disabled and without children under 21 in the household.

It was sometimes known as "S/CC" category for Singles and Childless Couples. This category had lower income limits than DAB/ADC-related, but had no asset limits. It did not allow "spend down" of excess income. This category has now been subsumed under the new MAGI adult group whose limit is now raised to 138% FPL.

Family Health Plus - this was an expansion of Medicaid to families with income up to 150% FPL and for childless adults up to 100% FPL. This has now been folded into the new MAGI adult group whose limit is 138% FPL. For applicants between 138%-150% FPL, they will be eligible for a new program where Medicaid will subsidize their purchase of Qualified Health Plans on the Exchange.

SEE more about "PRUCOL" immigrant eligibility for Medicaid in this cialis 20mg price cvs article. "Undocumented" immigrants are, with some exceptions for pregnant women and Child Health Plus, only eligible for "emergency Medicaid."NYS announced the 2020 Income and Resource levels in GIS 19 MA/12 – 2020 Medicaid Levels and Other Updates ) and levels based on the Federal Poverty Level are in GIS 20 MA/02 – 2020 Federal Poverty Levels Here is the 2020 HRA Income and Resources Level Chart Non-MAGI - 2020 Disabled, 65+ or Blind ("DAB" or SSI-Related) and have Medicare MAGI (2020) (<. 65, Does not have Medicare)(OR has Medicare and has dependent child <. 18 or cialis 20mg price cvs <.

19 in school) 138% FPL*** Children <. 5 and pregnant women have HIGHER LIMITS than shown ESSENTIAL PLAN For MAGI-eligible people over MAGI income limit up to 200% FPL No long term care. See info here 1 2 1 2 3 1 2 Income $875 (up from $859 in 201) $1284 (up from $1,267 in cialis 20mg price cvs 2019) $1,468 $1,983 $2,498 $2,127 $2,873 Resources $15,750 (up from $15,450 in 2019) $23,100 (up from $22,800 in 2019) NO LIMIT** NO LIMIT SOURCE for 2019 figures is GIS 18 MA/015 - 2019 Medicaid Levels and Other Updates (PDF). All of the attachments with the various levels are posted here.

NEED TO KNOW PAST MEDICAID INCOME AND RESOURCE LEVELS?. Which cialis 20mg price cvs household size applies?. The rules are complicated. See rules here.

On the HRA Medicaid Levels chart cialis 20mg price cvs - Boxes 1 and 2 are NON-MAGI Income and Resource levels -- Age 65+, Blind or Disabled and other adults who need to use "spend-down" because they are over the MAGI income levels. Box 10 on page 3 are the MAGI income levels -- The Affordable Care Act changed the rules for Medicaid income eligibility for many BUT NOT ALL New Yorkers. People in the "MAGI" category - those NOT on Medicare -- have expanded eligibility up to 138% of the Federal Poverty Line, so may now qualify for Medicaid even if they were not eligible before, or may now be eligible for Medicaid without a "spend-down." They have NO resource limit. Box 3 cialis 20mg price cvs on page 1 is Spousal Impoverishment levels for Managed Long Term Care &.

Nursing Homes and Box 8 has the Transfer Penalty rates for nursing home eligibility Box 4 has Medicaid Buy-In for Working People with Disabilities Under Age 65 (still 2017 levels til April 2018) Box 6 are Medicare Savings Program levels (will be updated in April 2018) MAGI INCOME LEVEL of 138% FPL applies to most adults who are not disabled and who do not have Medicare, AND can also apply to adults with Medicare if they have a dependent child/relative under age 18 or under 19 if in school. 42 C.F.R. § 435.4 cialis 20mg price cvs. Certain populations have an even higher income limit - 224% FPL for pregnant women and babies <.

Age 1, 154% FPL for children age 1 - 19. CAUTION cialis 20mg price cvs. What is counted as income may not be what you think. For the NON-MAGI Disabled/Aged 65+/Blind, income will still be determined by the same rules as before, explained in this outline and these charts on income disregards.

However, for the MAGI population - which is virtually everyone under age 65 who is not on Medicare - their income will now be determined under new rules, based on federal income tax concepts - called cialis 20mg price cvs "Modifed Adjusted Gross Income" (MAGI). There are good changes and bad changes. GOOD. Veteran's benefits, Workers compensation, and gifts from family or others cialis 20mg price cvs no longer count as income.

BAD. There is no more "spousal" or parental refusal for this population (but there still is for the Disabled/Aged/Blind.) and some other rules. For all of the rules see. ALSO SEE 2018 Manual on Lump Sums and Impact cialis 20mg price cvs on Public Benefits - with resource rules The income limits increase with the "household size." In other words, the income limit for a family of 5 may be higher than the income limit for a single person.

HOWEVER, Medicaid rules about how to calculate the household size are not intuitive or even logical. There are different rules depending on the "category" of the person seeking Medicaid. Here are the cialis 20mg price cvs 2 basic categories and the rules for calculating their household size. People who are Disabled, Aged 65+ or Blind - "DAB" or "SSI-Related" Category -- NON-MAGI - See this chart for their household size.

These same rules apply to the Medicare Savings Program, with some exceptions explained in this article. Everyone else -- MAGI - All children cialis 20mg price cvs and adults under age 65, including people with disabilities who are not yet on Medicare -- this is the new "MAGI" population. Their household size will be determined using federal income tax rules, which are very complicated. New rule is explained in State's directive 13 ADM-03 - Medicaid Eligibility Changes under the Affordable Care Act (ACA) of 2010 (PDF) pp.

8-10 of the PDF, This PowerPoint by cialis 20mg price cvs NYLAG on MAGI Budgeting attempts to explain the new MAGI budgeting, including how to determine the Household Size. See slides 28-49. Also seeLegal Aid Society and Empire Justice Center materials OLD RULE used until end of 2013 -- Count the person(s) applying for Medicaid who live together, plus any of their legally responsible relatives who do not receive SNA, ADC, or SSI and reside with an applicant/recipient. Spouses or legally responsible for one another, and parents are legally responsible for their children under age 21 (though if the child is disabled, use the rule in the 1st "DAB" category.

Under this rule, a child may be excluded from the household if that child's income causes other family members to lose Medicaid eligibility. See 18 NYCRR 360-4.2, MRG p. 573, NYS GIS 2000 MA-007 CAUTION. Different people in the same household may be in different "categories" and hence have different household sizes AND Medicaid income and resource limits.

If a man is age 67 and has Medicare and his wife is age 62 and not disabled or blind, the husband's household size for Medicaid is determined under Category 1/ Non-MAGI above and his wife's is under Category 2/MAGI. The following programs were available prior to 2014, but are now discontinued because they are folded into MAGI Medicaid. Prenatal Care Assistance Program (PCAP) was Medicaid for pregnant women and children under age 19, with higher income limits for pregnant woman and infants under one year (200% FPL for pregnant women receiving perinatal coverage only not full Medicaid) than for children ages 1-18 (133% FPL). Medicaid for adults between ages 21-65 who are not disabled and without children under 21 in the household.

It was sometimes known as "S/CC" category for Singles and Childless Couples. This category had lower income limits than DAB/ADC-related, but had no asset limits. It did not allow "spend down" of excess income. This category has now been subsumed under the new MAGI adult group whose limit is now raised to 138% FPL.

Family Health Plus - this was an expansion of Medicaid to families with income up to 150% FPL and for childless adults up to 100% FPL. This has now been folded into the new MAGI adult group whose limit is 138% FPL. For applicants between 138%-150% FPL, they will be eligible for a new program where Medicaid will subsidize their purchase of Qualified Health Plans on the Exchange.