PolicyBrief
S. 774
119th CongressFeb 27th 2025
WHO is Accountable Act
IN COMMITTEE

Prohibits federal funds from being used to rejoin or contribute to the World Health Organization (WHO) until the Secretary of State certifies that the WHO meets specific reform criteria, including preventing politicization, limiting Chinese Communist Party influence, ensuring transparency, and avoiding involvement in controversial issues.

Marsha Blackburn
R

Marsha Blackburn

Senator

TN

LEGISLATION

U.S. Funds to WHO Frozen Until Reforms on China Influence, Transparency, and Social Issues: 'WHO is Accountable Act' Sets Conditions

The "WHO is Accountable Act" effectively blocks any U.S. federal money from going towards rejoining or funding the World Health Organization (WHO). This hold on funding stays in place until the Secretary of State confirms to Congress that the WHO has met a detailed list of conditions. Think of it like a checklist the WHO has to complete before the U.S. reopens its wallet.

Strings Attached: What the WHO Needs to Change

The bill lays out specific demands, focusing on several key areas:

  • China's Influence: The WHO must prove it's not "controlled by or significantly influenced by the Chinese Communist Party" and that it's not covering up China's COVID-19 response. (SEC. 2)
  • Taiwan: The organization needs to grant observer status to Taiwan. (SEC. 2)
  • Humanitarian Aid: The bill demands that aid isn't politicized and reaches those who actually need it, and specifically, that it's not diverted to Iran, North Korea, or Syria. (SEC. 2)
  • Transparency and Accountability: The WHO has to show improvements in transparency, accountability, and eliminating "waste, fraud, and abuse." (SEC. 2)
  • Social Issues: The bill demands the WHO stop funding, involvement and messaging on controversial, politically charged issues unrelated to its directive including so-called gender identity and harmful rhetoric relating to gender affirming care, climate change and access to abortion. (SEC. 2)
  • U.S. Sovereignty: It requires the WHO to agree that its directives aren't legally binding on U.S. citizens or states. (SEC. 2)

Real-World Impact: Global Health and U.S. Influence

This funding freeze could have significant ripple effects. For example, if the U.S. doesn't contribute to the WHO, global health initiatives, like vaccine distribution or disease surveillance programs, could be impacted. It also means the U.S. gives up its seat at the table in shaping global health policy, at least for now. Imagine a global health meeting where crucial decisions are made, and the U.S. isn't there to weigh in – that's the potential scenario.

On the flip side, the bill's proponents might argue that this forces the WHO to address serious concerns about its operations and priorities. The requirement for increased transparency, for instance, could lead to more efficient use of funds, benefiting taxpayers in the long run. A construction worker paying taxes might appreciate knowing their money isn't being wasted, while someone working in international development might worry about the impact on global health projects.

The Big Picture: Challenges and Long-Term Effects

The bill raises some practical challenges. For instance, defining "significantly influenced" or "controversial, politically charged issues" could be tricky. What one person sees as excessive influence, another might view as legitimate collaboration. It also remains to be seen how these conditions will affect the WHO's ability to address complex global health challenges that often intersect with political and social issues.

Ultimately, the "WHO is Accountable Act" represents a significant shift in the U.S. relationship with the World Health Organization, prioritizing accountability and alignment with specific U.S. concerns over immediate engagement in global health initiatives.