; and (5) ensure that the health programs of the United States Government align, to the maximum extent possible, with country and regional health and development priorities to achieve long-term sustainability, security, and stability. (c) Effective date (1) In general The Strategy shall take effect upon approval by the President. (2) Approval by President (A) Sense of Congress It is the sense of Congress that the President should approve the Strategy not later than 90 days after receiving the Strategy from the Commission. (B) Explanation to Congress If the President has not approved the Strategy within 90 days after receiving it from the Commission, the President shall submit to Congress a written statement explaining the reason for the delay and a timeline for approval of the Strategy. (3) Prohibition on delegation The President may not delegate the responsibilities under this subsection. (d) Updates (1) In general The Commission shall update the Strategy not less frequently than once every 5 years. (2) Consideration of country-level plans In updating the Strategy pursuant to paragraph (1), the Commission shall consider the country or regional health development implementation plans developed under section 8. 6. Interagency Global Health Committee (a) In general Not later than 180 days after the date of the enactment of this Act, the President shall establish the Interagency Global Health Committee to implement the Strategy, improve the coordination of global health efforts, and oversee the United States Global Health Attaché Program. (b) Chairperson (1) In general The President shall appoint, by and with the advice and consent of the Senate, the Chairperson of the Committee. (2) Ambassador-at-Large for Global Health The Chairperson shall have the rank of Ambassador-at-Large for Global Health. (3) Responsibilities The Chairperson shall— (A) chair the Committee and ensure that the responsibilities of the Committee are carried out; (B) be impartial with respect to any global health implementing agency