To authorize the United States to participate in and contribute to the seventh replenishment of the resources of the Asian Development Fund and the fifth replenishment of the resources of the International Fund for Agricultural Development, and to set forth additional policies of the United States towards the African Development Bank, the African Development Fund, the Asian Development Bank, the Inter-American Development Bank, and the European Bank for Reconstruction and Development.

H.R. 2604 is a bipartisan bill that authorizes the United States to provide funding to international development banks and funds, specifically the Asian Development Fund and the International Fund for Agricultural Development. The bill directs U.S. representatives at these institutions to use American influence to prioritize global health initiatives—such as fighting HIV/AIDS, tuberculosis, and malaria—and to oppose policies that require poor citizens in developing nations to pay "user fees" for basic education or healthcare.

For citizens, this legislation establishes how U.S. taxpayer dollars are used abroad to promote stability and economic growth through international financial institutions. It sets strict conditions for U.S. support, requiring these banks to improve transparency, protect labor rights, and ensure that projects like dam construction or the privatization of industries meet high environmental and social standards. Additionally, the bill allows the U.S. to consider a country’s cooperation in the fight against international terrorism when deciding whether to approve their requests for financial assistance.