; and (B) by adding at the end the following: (k) Forced organ harvesting and trafficking in persons for purposes of the removal of organs (1) In general The report required by subsection (b) shall include an assessment of forced organ harvesting and trafficking in persons for purposes of the removal of organs in each foreign country. (2) Definitions In this subsection, the terms forced organ harvesting , organ , and trafficking in persons for purposes of the removal of organs have the meanings given those terms in section 116(h)(2). . (b) Additional reports (1) In general Not later than 30 days after the date on which each annual report required by sections 116 and 502B of the Foreign Assistance Act of 1961 ( 22 U.S.C. 2151n , 2304), as amended by subsection (a), is submitted, the Assistant Secretary of State for Democracy, Human Rights, and Labor (in this subsection referred to as the Assistant Secretary ), shall submit to the appropriate committees of Congress a report that includes the following: (A) With respect to each foreign country, an identification of any agencies, instrumentalities, or officials of the country that are responsible for forced organ harvesting or trafficking in persons for purposes of the removal of organs. (B) A tiered ranking described in paragraph (2). (2) Tiered ranking The tiered ranking described in this paragraph is a tiered ranking of all foreign countries as follows: (A) Tier 1 countries The Assistant Secretary shall designate a country as tier 1 if the country has low levels of forced organ harvesting or trafficking in persons for purposes of the removal of organs and the government of such country is making significant efforts to combat those practices. (B) Tier 2 countries The Assistant Secretary shall designate a country as tier 2 if the country has— (i) low or intermediate levels of forced organ harvesting or trafficking in persons for purposes of the removal of organs and the government of such country is not making significant efforts to combat those practices