GLOBAL AIDS AND TUBERCULOSIS RELIEF ACT OF 2000Public Law 106–264GLOBAL AIDS AND TUBERCULOSIS RELIEF ACT OF 2000264106–264Statute CompilationUnited States House of RepresentativesOffice of the Legislative Counseltext/xmlENPursuant to Title 17 Section 105 of the United States Code, this file is not subject to copyright protection and is in the public domain.GPO Statute Compilations USLM converter, version 20210527.12021-10-15Global AIDS and Tuberculosis Relief Act of 2000Global AIDS Research and Relief Act of 2000International Tuberculosis Control Act of 200013521062000-08-19GLOBAL AIDS AND TUBERCULOSIS RELIEF ACT OF 2000[Public Law 106–264; Approved August 19, 2000][This law has not been amended][Currency: This publication is a compilation of the text of Public Law 106-264. It was last amended by the public law listed in the As Amended Through note above and below at the bottom of each page of the pdf version and reflects current law through the date of the enactment of the public law listed at https://www.govinfo.gov/app/collection/comps/][Note: While this publication does not represent an official version of any Federal statute, substantial efforts have been made to ensure the accuracy of its contents. The official version of Federal law is found in the United States Statutes at Large and in the United States Code. The legal effect to be given to the Statutes at Large and the United States Code is established by statute (1 U.S.C. 112, 204).]AN ACTTo provide for negotiations for the creation of a trust fund to be administered by the International Bank for Reconstruction and Development or the International Development Association to combat the AIDS epidemic.Be it enacted by the Senate and House of Representatives of the United States of America in Congress assembled,SECTION 1. [22 U.S.C. 6801 note]SHORT TITLE. This Act may be cited as the “Global AIDS and Tuberculosis Relief Act of 2000”.SEC. 2. TABLE OF CONTENTS. The table of contents for this Act is as follows:Sec. 1.Sec. 2.TITLE I—Sec. 101.Sec. 102.Sec. 103.Subtitle A—Sec. 111.Sec. 112.Sec. 113.Sec. 114.Subtitle B—Chapter 1—Sec. 121.Sec. 122.Sec. 123.Sec. 124.Chapter 2—Sec. 131.Chapter 3—Sec. 141.Sec. 142.TITLE II—Sec. 201.Sec. 202.Sec. 203.TITLE III—Sec. 301.Sec. 302.
<num style="-uslm-dtd:enum" value="I">TITLE I—</num><heading style="-uslm-dtd:header">ASSISTANCE TO COUNTRIES WITH LARGE POPULATIONS HAVING HIV/AIDS </heading>
<section style="-uslm-dtd:section" identifier="/us/sComp/106/264/tI/s101" styleType="OLC">
<num style="-uslm-dtd:enum" value="101">SEC. 101. </num><editorialNote style="-uslm-dtd:usc-reference" role="uscRef"><b>[</b><ref href="/us/usc/t22/s6801">22 U.S.C. 6801 note</ref><b>]</b> </editorialNote><heading style="-uslm-dtd:header">SHORT TITLE. </heading>
<content style="-uslm-dtd:text" class="block">This title may be cited as the “<shortTitle style="-uslm-dtd:quote"><inline style="-uslm-dtd:short-title">Global AIDS Research and Relief Act of 2000</inline></shortTitle>”.</content>
</section>
<section style="-uslm-dtd:section" identifier="/us/sComp/106/264/tI/s102" styleType="OLC" role="definitions">
<num style="-uslm-dtd:enum" value="102">SEC. 102. </num><editorialNote style="-uslm-dtd:usc-reference" role="uscRef"><b>[</b><ref href="/us/usc/t22/s6801">22 U.S.C. 6801 note</ref><b>]</b> </editorialNote><heading style="-uslm-dtd:header">DEFINITIONS. </heading>
<subsection style="-uslm-dtd:subsection" styleType="OLC" role="undesignated-level"><chapeau style="-uslm-dtd:text">In this title:</chapeau>
<paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/106/264/tI/s102/1" styleType="OLC">
<num style="-uslm-dtd:enum" value="1">(1) </num><heading style="-uslm-dtd:header">AIDS.—</heading><content style="-uslm-dtd:text">The term “<term style="-uslm-dtd:term">AIDS</term>” means the acquired immune deficiency syndrome.</content>
</paragraph>
<paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/106/264/tI/s102/2" styleType="OLC">
<num style="-uslm-dtd:enum" value="2">(2) </num><heading style="-uslm-dtd:header">Association.—</heading><content style="-uslm-dtd:text">The term “<term style="-uslm-dtd:term">Association</term>” means the International Development Association.</content>
</paragraph>
<paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/106/264/tI/s102/3" styleType="OLC">
<num style="-uslm-dtd:enum" value="3">(3) </num><heading style="-uslm-dtd:header">Bank.—</heading><content style="-uslm-dtd:text">The term “<term style="-uslm-dtd:term">Bank</term>” or “<term style="-uslm-dtd:quote">World Bank</term>” means the International Bank for Reconstruction and Development.</content>
</paragraph>
<paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/106/264/tI/s102/4" styleType="OLC">
<num style="-uslm-dtd:enum" value="4">(4) </num><heading style="-uslm-dtd:header">HIV.—</heading><content style="-uslm-dtd:text">The term “<term style="-uslm-dtd:term">HIV</term>” means the human immunodeficiency virus, the pathogen which causes AIDS.</content>
</paragraph>
<paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/106/264/tI/s102/5" styleType="OLC">
<num style="-uslm-dtd:enum" value="5">(5) </num><heading style="-uslm-dtd:header">HIV/AIDS.—</heading><content style="-uslm-dtd:text">The term “<term style="-uslm-dtd:term">HIV/AIDS</term>” means, with respect to an individual, an individual who is infected with HIV or living with AIDS.</content>
</paragraph>
</subsection>
</section>
<section style="-uslm-dtd:section" identifier="/us/sComp/106/264/tI/s103" styleType="OLC">
<num style="-uslm-dtd:enum" value="103">SEC. 103. </num><editorialNote style="-uslm-dtd:usc-reference" role="uscRef"><b>[</b><ref href="/us/usc/t22/s6802">22 U.S.C. 6802</ref><b>]</b> </editorialNote><heading style="-uslm-dtd:header">FINDINGS AND PURPOSES. </heading>
<subsection style="-uslm-dtd:subsection" identifier="/us/sComp/106/264/tI/s103/a" styleType="OLC">
<num style="-uslm-dtd:enum" value="a">(a) </num><heading style="-uslm-dtd:header">Findings.—</heading><chapeau style="-uslm-dtd:text">Congress makes the following findings:</chapeau>
<paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/106/264/tI/s103/a/1" styleType="OLC">
<num style="-uslm-dtd:enum" value="1">(1) </num><content style="-uslm-dtd:text">According to the Surgeon General of the United States, the epidemic of human immunodeficiency virus/acquired immune deficiency syndrome (HIV/AIDS) will soon become the worst epidemic of infectious disease in recorded history, eclipsing both the bubonic plague of the 1300's and the influenza epidemic of 1918–1919 which killed more than 20,000,000 people worldwide.</content>
</paragraph>
<paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/106/264/tI/s103/a/2" styleType="OLC">
<num style="-uslm-dtd:enum" value="2">(2) </num><content style="-uslm-dtd:text">According to the Joint United Nations Programme on HIV/AIDS (UNAIDS), more than 34,300,000 people in the world today are living with HIV/AIDS, of which approximately 95 percent live in the developing world.</content>
</paragraph>
<paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/106/264/tI/s103/a/3" styleType="OLC">
<num style="-uslm-dtd:enum" value="3">(3) </num><content style="-uslm-dtd:text">UNAIDS data shows that among children age 14 and under worldwide, more than 3,800,000 have died from AIDS, more than 1,300,000 are living with the disease; and in 1 year alone—1999—an estimated 620,000 became infected, of which over 90 percent were babies born to HIV-positive women.</content>
</paragraph>
<paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/106/264/tI/s103/a/4" styleType="OLC">
<num style="-uslm-dtd:enum" value="4">(4) </num><content style="-uslm-dtd:text">Although sub-Saharan Africa has only 10 percent of the world's population, it is home to more than 24,500,000—roughly 70 percent—of the world's HIV/AIDS cases.</content>
</paragraph>
<paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/106/264/tI/s103/a/5" styleType="OLC">
<num style="-uslm-dtd:enum" value="5">(5) </num><content style="-uslm-dtd:text">Worldwide, there have already been an estimated 18,800,000 deaths because of HIV/AIDS, of which more than 80 percent occurred in sub-Saharan Africa.</content>
</paragraph>
<paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/106/264/tI/s103/a/6" styleType="OLC">
<num style="-uslm-dtd:enum" value="6">(6) </num><content style="-uslm-dtd:text">The gap between rich and poor countries in terms of transmission of HIV from mother to child has been increasing. Moreover, AIDS threatens to reverse years of steady progress of child survival in developing countries. UNAIDS believes that by the year 2010, AIDS may have increased mortality of children under 5 years of age by more than 100 percent in regions most affected by the virus.</content>
</paragraph>
<paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/106/264/tI/s103/a/7" styleType="OLC">
<num style="-uslm-dtd:enum" value="7">(7) </num><content style="-uslm-dtd:text">According to UNAIDS, by the end of 1999, 13,200,000 children have lost at least one parent to AIDS, including 12,100,000 children in sub-Saharan Africa, and are thus considered AIDS orphans.</content>
</paragraph>
<paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/106/264/tI/s103/a/8" styleType="OLC">
<num style="-uslm-dtd:enum" value="8">(8) </num><content style="-uslm-dtd:text">At current infection and growth rates for HIV/AIDS, the National Intelligence Council estimates that the number of AIDS orphans worldwide will increase dramatically, potentially increasing threefold or more in the next 10 years, contributing to economic decay, social fragmentation, and political destabilization in already volatile and strained societies. Children without care or hope are often drawn into prostitution, crime, substance abuse, or child soldiery.</content>
</paragraph>
<paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/106/264/tI/s103/a/9" styleType="OLC">
<num style="-uslm-dtd:enum" value="9">(9) </num><content style="-uslm-dtd:text">Donors must focus on adequate preparations for the explosion in the number of orphans and the burden they will place on families, communities, economies, and governments. Support structures and incentives for families, communities, and institutions which will provide care for children orphaned by HIV/AIDS, or for the children who are themselves afflicted by HIV/AIDS, will be essential.</content>
</paragraph>
<paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/106/264/tI/s103/a/10" styleType="OLC">
<num style="-uslm-dtd:enum" value="10">(10) </num><content style="-uslm-dtd:text">The 1999 annual report by the United Nations Children's Fund (UNICEF) states “<quotedText style="-uslm-dtd:quote">[t]he number of orphans, particularly in Africa, constitutes nothing less than an emergency, requiring an emergency response</quotedText>” and that “<quotedText style="-uslm-dtd:quote">finding the resources needed to help stabilize the crisis and protect children is a priority that requires urgent action from the international community.</quotedText>”.</content>
</paragraph>
<paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/106/264/tI/s103/a/11" styleType="OLC">
<num style="-uslm-dtd:enum" value="11">(11) </num><content style="-uslm-dtd:text">The discovery of a relatively simple and inexpensive means of interrupting the transmission of HIV from an infected mother to the unborn child—namely with nevirapine (NVP), which costs US$4 a tablet—has created a great opportunity for an unprecedented partnership between the United States Government and the governments of Asian, African and Latin American countries to reduce mother-to-child transmission (also known as “<quotedText style="-uslm-dtd:quote">vertical transmission</quotedText>”) of HIV.</content>
</paragraph>
<paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/106/264/tI/s103/a/12" styleType="OLC">
<num style="-uslm-dtd:enum" value="12">(12) </num><content style="-uslm-dtd:text">According to UNAIDS, if implemented this strategy will decrease the proportion of orphans that are HIV-infected and decrease infant and child mortality rates in these developing regions.</content>
</paragraph>
<paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/106/264/tI/s103/a/13" styleType="OLC">
<num style="-uslm-dtd:enum" value="13">(13) </num><content style="-uslm-dtd:text">A mother-to-child antiretroviral drug strategy can be a force for social change, providing the opportunity and impetus needed to address often long-standing problems of inadequate services and the profound stigma associated with HIV-infection and the AIDS disease. Strengthening the health infrastructure to improve mother-and-child health, antenatal, delivery and postnatal services, and couples counseling generates enormous spillover effects toward combating the AIDS epidemic in developing regions.</content>
</paragraph>
<paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/106/264/tI/s103/a/14" styleType="OLC">
<num style="-uslm-dtd:enum" value="14">(14) </num><content style="-uslm-dtd:text">United States Census Bureau statistics show life expectancy in sub-Saharan Africa falling to around 30 years of age within a decade, the lowest in a century, and project life expectancy in 2010 to be 29 years of age in Botswana, 30 years of age in Swaziland, 33 years of age in Namibia and Zimbabwe, and 36 years of age in South Africa, Malawi, and Rwanda, in contrast to a life expectancy of 70 years of age in many of the countries without a high prevalence of AIDS.</content>
</paragraph>
<paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/106/264/tI/s103/a/15" styleType="OLC">
<num style="-uslm-dtd:enum" value="15">(15) </num><content style="-uslm-dtd:text">A January 2000 United States National Intelligence Estimate (NIE) report on the global infectious disease threat concluded that the economic costs of infectious diseases—especially HIV/AIDS—are already significant and could reduce GDP by as much as 20 percent or more by 2010 in some sub-Saharan African nations.</content>
</paragraph>
<paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/106/264/tI/s103/a/16" styleType="OLC">
<num style="-uslm-dtd:enum" value="16">(16) </num><content style="-uslm-dtd:text">According to the same NIE report, HIV prevalence among militias in Angola and the Democratic Republic of the Congo are estimated at 40 to 60 percent, and at 15 to 30 percent in Tanzania.</content>
</paragraph>
<paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/106/264/tI/s103/a/17" styleType="OLC">
<num style="-uslm-dtd:enum" value="17">(17) </num><content style="-uslm-dtd:text">The HIV/AIDS epidemic is of increasing concern in other regions of the world, with UNAIDS estimating that there are more than 5,600,000 cases in South and South-east Asia, that the rate of HIV infection in the Caribbean is second only to sub-Saharan Africa, and that HIV infections have doubled in just 2 years in the former Soviet Union.</content>
</paragraph>
<paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/106/264/tI/s103/a/18" styleType="OLC">
<num style="-uslm-dtd:enum" value="18">(18) </num><content style="-uslm-dtd:text">Despite the discouraging statistics on the spread of HIV/AIDS, some developing nations—such as Uganda, Senegal, and Thailand—have implemented prevention programs that have substantially curbed the rate of HIV infection.</content>
</paragraph>
<paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/106/264/tI/s103/a/19" styleType="OLC">
<num style="-uslm-dtd:enum" value="19">(19) </num><content style="-uslm-dtd:text">AIDS, like all diseases, knows no national boundaries, and there is no certitude that the scale of the problem in one continent can be contained within that region.</content>
</paragraph>
<paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/106/264/tI/s103/a/20" styleType="OLC">
<num style="-uslm-dtd:enum" value="20">(20) </num><content style="-uslm-dtd:text">Accordingly, United States financial support for medical research, education, and disease containment as a global strategy has beneficial ramifications for millions of Americans and their families who are affected by this disease, and the entire population which is potentially susceptible.</content>
</paragraph>
</subsection>
<subsection style="-uslm-dtd:subsection" identifier="/us/sComp/106/264/tI/s103/b" styleType="OLC">
<num style="-uslm-dtd:enum" value="b">(b) </num><heading style="-uslm-dtd:header">Purposes.—</heading><chapeau style="-uslm-dtd:text">The purposes of this title are to—</chapeau>
<paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/106/264/tI/s103/b/1" styleType="OLC">
<num style="-uslm-dtd:enum" value="1">(1) </num><content style="-uslm-dtd:text">help prevent human suffering through the prevention, diagnosis, and treatment of HIV/AIDS; and</content>
</paragraph>
<paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/106/264/tI/s103/b/2" styleType="OLC">
<num style="-uslm-dtd:enum" value="2">(2) </num><chapeau style="-uslm-dtd:text">help ensure the viability of economic development, stability, and national security in the developing world by advancing research to—</chapeau>
<subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/106/264/tI/s103/b/2/A" styleType="OLC">
<num style="-uslm-dtd:enum" value="A">(A) </num><content style="-uslm-dtd:text">understand the causes associated with HIV/AIDS in developing countries; and</content>
</subparagraph>
<subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/106/264/tI/s103/b/2/B" styleType="OLC">
<num style="-uslm-dtd:enum" value="B">(B) </num><content style="-uslm-dtd:text">assist in the development of an AIDS vaccine.</content>
</subparagraph>
</paragraph>
</subsection>
</section>
<subtitle style="-uslm-dtd:subtitle" identifier="/us/sComp/106/264/tI/stA" styleType="OLC">
<num style="-uslm-dtd:enum" value="A">Subtitle A—</num><heading style="-uslm-dtd:header">United States Assistance </heading>
<section style="-uslm-dtd:section" identifier="/us/sComp/106/264/tI/stA/s111" styleType="OLC">
<num style="-uslm-dtd:enum" value="111">SEC. 111. </num><heading style="-uslm-dtd:header">ADDITIONAL ASSISTANCE AUTHORITIES TO COMBAT HIV AND AIDS. </heading>
<subsection style="-uslm-dtd:subsection" identifier="/us/sComp/106/264/tI/stA/s111/a" styleType="OLC">
<num style="-uslm-dtd:enum" value="a">(a) </num><editorialNote style="-uslm-dtd:legis-comment"><b>[</b>Section 111(a) amends the Foreign Assistance Act of 1961 by inserting new paragraphs (4)–(5) at the end of section 104(c).<b>]</b> </editorialNote>
</subsection>
<subsection style="-uslm-dtd:subsection" identifier="/us/sComp/106/264/tI/stA/s111/b" styleType="OLC">
<num style="-uslm-dtd:enum" value="b">(b) </num><editorialNote style="-uslm-dtd:legis-comment"><b>[</b>Section 111(b) amends the Foreign Assistance Act of 1961 by inserting a new sentence at the end of section 496(i)(2).<b>]</b> </editorialNote>
</subsection>
</section>
<section style="-uslm-dtd:section" identifier="/us/sComp/106/264/tI/stA/s112" styleType="OLC">
<num style="-uslm-dtd:enum" value="112">SEC. 112. </num><heading style="-uslm-dtd:header">VOLUNTARY CONTRIBUTION TO GLOBAL ALLIANCE FOR VACCINES AND IMMUNIZATIONS AND INTERNATIONAL AIDS VACCINE INITIATIVE. </heading>
<subsection style="-uslm-dtd:subsection" identifier="/us/sComp/106/264/tI/stA/s112/a" styleType="OLC">
<num style="-uslm-dtd:enum" value="a">(a) </num><editorialNote style="-uslm-dtd:legis-comment"><b>[</b>Section 112(a) amends the Foreign Assistance Act of 1961 by inserting new subsections (k)–(l) at the end of section 302.<b>]</b> </editorialNote>
</subsection>
<subsection style="-uslm-dtd:subsection" identifier="/us/sComp/106/264/tI/stA/s112/b" styleType="OLC">
<num style="-uslm-dtd:enum" value="b">(b) </num><heading style="-uslm-dtd:header">Report.—</heading><chapeau style="-uslm-dtd:text">At the close of fiscal year 2001, the President shall submit a report to the appropriate congressional committees on the effectiveness of the Global Alliance for Vaccines and Immunizations and the International AIDS Vaccine Initiative during that fiscal year in meeting the goals of—</chapeau>
<paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/106/264/tI/stA/s112/b/1" styleType="OLC">
<num style="-uslm-dtd:enum" value="1">(1) </num><content style="-uslm-dtd:text">improving access to sustainable immunization services;</content>
</paragraph>
<paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/106/264/tI/stA/s112/b/2" styleType="OLC">
<num style="-uslm-dtd:enum" value="2">(2) </num><content style="-uslm-dtd:text">expanding the use of all existing, safe, and cost-effective vaccines where they address a public health problem;</content>
</paragraph>
<paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/106/264/tI/stA/s112/b/3" styleType="OLC">
<num style="-uslm-dtd:enum" value="3">(3) </num><content style="-uslm-dtd:text">accelerating the development and introduction of new vaccines and technologies;</content>
</paragraph>
<paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/106/264/tI/stA/s112/b/4" styleType="OLC">
<num style="-uslm-dtd:enum" value="4">(4) </num><content style="-uslm-dtd:text">accelerating research and development efforts for vaccines needed primarily in developing countries; and</content>
</paragraph>
<paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/106/264/tI/stA/s112/b/5" styleType="OLC">
<num style="-uslm-dtd:enum" value="5">(5) </num><content style="-uslm-dtd:text">making immunization coverage a centerpiece in international development efforts.</content>
</paragraph>
</subsection>
<subsection style="-uslm-dtd:subsection" identifier="/us/sComp/106/264/tI/stA/s112/c" styleType="OLC">
<num style="-uslm-dtd:enum" value="c">(c) </num><heading style="-uslm-dtd:header">Appropriate Congressional Committees Defined.—</heading><content style="-uslm-dtd:text">In subsection (b), the term “<term style="-uslm-dtd:term">appropriate congressional committees</term>” means the Committee on Foreign Relations and the Committee on Appropriations of the Senate and the Committee on International Relations and the Committee on Appropriations of the House of Representatives.</content>
</subsection>
</section>
<section style="-uslm-dtd:section" identifier="/us/sComp/106/264/tI/stA/s113" styleType="OLC">
<num style="-uslm-dtd:enum" value="113">SEC. 113. </num><editorialNote style="-uslm-dtd:usc-reference" role="uscRef"><b>[</b><ref href="/us/usc/t22/s6811">22 U.S.C. 6811</ref><b>]</b> </editorialNote><heading style="-uslm-dtd:header">COORDINATED DONOR STRATEGY FOR SUPPORT AND EDUCATION OF ORPHANS IN SUB-SAHARAN AFRICA. </heading>
<subsection style="-uslm-dtd:subsection" identifier="/us/sComp/106/264/tI/stA/s113/a" styleType="OLC">
<num style="-uslm-dtd:enum" value="a">(a) </num><heading style="-uslm-dtd:header">Statement of Policy.—</heading><content style="-uslm-dtd:text">It is in the national interest of the United States to assist in mitigating the burden that will be placed on sub-Saharan African social, economic, and political institutions as these institutions struggle with the consequences of a dramatically increasing AIDS orphan population, many of whom are themselves infected by HIV and living with AIDS. Effectively addressing that burden and its consequences in sub-Saharan Africa will require a coordinated multidonor strategy.</content>
</subsection>
<subsection style="-uslm-dtd:subsection" identifier="/us/sComp/106/264/tI/stA/s113/b" styleType="OLC">
<num style="-uslm-dtd:enum" value="b">(b) </num><heading style="-uslm-dtd:header">Development of Strategy.—</heading><content style="-uslm-dtd:text">The President shall coordinate the development of a multidonor strategy to provide for the support and education of AIDS orphans and the families, communities, and institutions most affected by the HIV/AIDS epidemic in sub-Saharan Africa.</content>
</subsection>
<subsection style="-uslm-dtd:subsection" identifier="/us/sComp/106/264/tI/stA/s113/c" styleType="OLC">
<num style="-uslm-dtd:enum" value="c">(c) </num><heading style="-uslm-dtd:header">Definition.—</heading><content style="-uslm-dtd:text">In this section, the term “<term style="-uslm-dtd:term">HIV/AIDS</term>” means, with respect to an individual, an individual who is infected with the human immunodeficiency virus (HIV), the pathogen that causes the acquired immune deficiency virus (AIDS), or living with AIDS.</content>
</subsection>
</section>
<section style="-uslm-dtd:section" identifier="/us/sComp/106/264/tI/stA/s114" styleType="OLC">
<num style="-uslm-dtd:enum" value="114">SEC. 114. </num><editorialNote style="-uslm-dtd:usc-reference" role="uscRef"><b>[</b><ref href="/us/usc/t22/s6812">22 U.S.C. 6812</ref><b>]</b> </editorialNote><heading style="-uslm-dtd:header">AFRICAN CRISIS RESPONSE INITIATIVE AND HIV/AIDS TRAINING. </heading>
<subsection style="-uslm-dtd:subsection" identifier="/us/sComp/106/264/tI/stA/s114/a" styleType="OLC">
<num style="-uslm-dtd:enum" value="a">(a) </num><heading style="-uslm-dtd:header">Findings.—</heading><chapeau style="-uslm-dtd:text">Congress finds that—</chapeau>
<paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/106/264/tI/stA/s114/a/1" styleType="OLC">
<num style="-uslm-dtd:enum" value="1">(1) </num><content style="-uslm-dtd:text">the spread of HIV/AIDS constitutes a threat to security in Africa;</content>
</paragraph>
<paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/106/264/tI/stA/s114/a/2" styleType="OLC">
<num style="-uslm-dtd:enum" value="2">(2) </num><content style="-uslm-dtd:text">civil unrest and war may contribute to the spread of the disease to different parts of the continent;</content>
</paragraph>
<paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/106/264/tI/stA/s114/a/3" styleType="OLC">
<num style="-uslm-dtd:enum" value="3">(3) </num><content style="-uslm-dtd:text">the percentage of soldiers in African militaries who are infected with HIV/AIDS is unknown, but estimates range in some countries as high as 40 percent; and</content>
</paragraph>
<paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/106/264/tI/stA/s114/a/4" styleType="OLC">
<num style="-uslm-dtd:enum" value="4">(4) </num><content style="-uslm-dtd:text">it is in the interests of the United States to assist the countries of Africa in combating the spread of HIV/AIDS.</content>
</paragraph>
</subsection>
<subsection style="-uslm-dtd:subsection" identifier="/us/sComp/106/264/tI/stA/s114/b" styleType="OLC">
<num style="-uslm-dtd:enum" value="b">(b) </num><heading style="-uslm-dtd:header">Education on the Prevention of the Spread of AIDS.—</heading><content style="-uslm-dtd:text">In undertaking education and training programs for military establishments in African countries, the United States shall ensure that classroom training under the African Crisis Response Initiative includes military-based education on the prevention of the spread of AIDS.</content>
</subsection>
</section>
</subtitle>
<subtitle style="-uslm-dtd:subtitle" identifier="/us/sComp/106/264/tI/stB" styleType="OLC">
<num style="-uslm-dtd:enum" value="B">Subtitle B—</num><heading style="-uslm-dtd:header">World Bank AIDS Trust Fund </heading>
<chapter style="-uslm-dtd:chapter" identifier="/us/sComp/106/264/tI/stB/ch1" styleType="OLC">
<num style="-uslm-dtd:enum" value="1">CHAPTER 1—</num><heading style="-uslm-dtd:header">ESTABLISHMENT OF THE FUND </heading>
<section style="-uslm-dtd:section" identifier="/us/sComp/106/264/tI/stB/ch1/s121" styleType="OLC">
<num style="-uslm-dtd:enum" value="121">SEC. 121. </num><editorialNote style="-uslm-dtd:usc-reference" role="uscRef"><b>[</b><ref href="/us/usc/t22/s6821">22 U.S.C. 6821</ref><b>]</b> </editorialNote><heading style="-uslm-dtd:header">ESTABLISHMENT. </heading>
<subsection style="-uslm-dtd:subsection" identifier="/us/sComp/106/264/tI/stB/ch1/s121/a" styleType="OLC">
<num style="-uslm-dtd:enum" value="a">(a) </num><heading style="-uslm-dtd:header">Negotiations for Establishment of Trust Fund.—</heading><chapeau style="-uslm-dtd:text">The Secretary of the Treasury shall seek to enter into negotiations with the World Bank or the Association, in consultation with the Administrator of the United States Agency for International Development and other United States Government agencies, and with the member nations of the World Bank or the Association and with other interested parties, for the establishment within the World Bank of—</chapeau>
<paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/106/264/tI/stB/ch1/s121/a/1" styleType="OLC">
<num style="-uslm-dtd:enum" value="1">(1) </num><content style="-uslm-dtd:text">the World Bank AIDS Trust Fund (in this subtitle referred to as the “<quotedText style="-uslm-dtd:quote">Trust Fund</quotedText>”) in accordance with the provisions of this chapter; and</content>
</paragraph>
<paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/106/264/tI/stB/ch1/s121/a/2" styleType="OLC">
<num style="-uslm-dtd:enum" value="2">(2) </num><content style="-uslm-dtd:text">the Advisory Board to the Trust Fund in accordance with section 124.</content>
</paragraph>
</subsection>
<subsection style="-uslm-dtd:subsection" identifier="/us/sComp/106/264/tI/stB/ch1/s121/b" styleType="OLC">
<num style="-uslm-dtd:enum" value="b">(b) </num><heading style="-uslm-dtd:header">Purpose.—</heading><chapeau style="-uslm-dtd:text">The purpose of the Trust Fund should be to use contributed funds to—</chapeau>
<paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/106/264/tI/stB/ch1/s121/b/1" styleType="OLC">
<num style="-uslm-dtd:enum" value="1">(1) </num><content style="-uslm-dtd:text">assist in the prevention and eradication of HIV/AIDS and the care and treatment of individuals infected with HIV/AIDS; and</content>
</paragraph>
<paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/106/264/tI/stB/ch1/s121/b/2" styleType="OLC">
<num style="-uslm-dtd:enum" value="2">(2) </num><content style="-uslm-dtd:text">provide support for the establishment of programs that provide health care and primary and secondary education for children orphaned by the HIV/AIDS epidemic.</content>
</paragraph>
</subsection>
<subsection style="-uslm-dtd:subsection" identifier="/us/sComp/106/264/tI/stB/ch1/s121/c" styleType="OLC">
<num style="-uslm-dtd:enum" value="c">(c) </num><heading style="-uslm-dtd:header">Composition.—</heading>
<paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/106/264/tI/stB/ch1/s121/c/1" styleType="OLC">
<num style="-uslm-dtd:enum" value="1">(1) </num><heading style="-uslm-dtd:header">In general.—</heading><content style="-uslm-dtd:text">The Trust Fund should be governed by a Board of Trustees, which should be composed of representatives of the participating donor countries to the Trust Fund. Individuals appointed to the Board should have demonstrated knowledge and experience in the fields of public health, epidemiology, health care (including delivery systems), and development.</content>
</paragraph>
<paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/106/264/tI/stB/ch1/s121/c/2" styleType="OLC">
<num style="-uslm-dtd:enum" value="2">(2) </num><heading style="-uslm-dtd:header">United states representation.—</heading>
<subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/106/264/tI/stB/ch1/s121/c/2/A" styleType="OLC">
<num style="-uslm-dtd:enum" value="A">(A) </num><heading style="-uslm-dtd:header">In general.—</heading><content style="-uslm-dtd:text">Upon the effective date of this paragraph, there shall be a United States member of the Board of Trustees, who shall be appointed by the President, by and with the advice and consent of the Senate, and who shall have the qualifications described in paragraph (1).</content>
</subparagraph>
<subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/106/264/tI/stB/ch1/s121/c/2/B" styleType="OLC">
<num style="-uslm-dtd:enum" value="B">(B) </num><heading style="-uslm-dtd:header">Effective and termination dates.—</heading>
<clause style="-uslm-dtd:clause" identifier="/us/sComp/106/264/tI/stB/ch1/s121/c/2/B/i" styleType="OLC">
<num style="-uslm-dtd:enum" value="i">(i) </num><heading style="-uslm-dtd:header">Effective date.—</heading><content style="-uslm-dtd:text">This paragraph shall take effect upon the date the Secretary of the Treasury certifies to Congress that an agreement establishing the Trust Fund and providing for a United States member of the Board of Trustees is in effect.</content>
</clause>
<clause style="-uslm-dtd:clause" identifier="/us/sComp/106/264/tI/stB/ch1/s121/c/2/B/ii" styleType="OLC">
<num style="-uslm-dtd:enum" value="ii">(ii) </num><heading style="-uslm-dtd:header">Termination date.—</heading><content style="-uslm-dtd:text">The position established by subparagraph (A) is abolished upon the date of termination of the Trust Fund.</content>
</clause>
</subparagraph>
</paragraph>
</subsection>
</section>
<section style="-uslm-dtd:section" identifier="/us/sComp/106/264/tI/stB/ch1/s122" styleType="OLC">
<num style="-uslm-dtd:enum" value="122">SEC. 122. </num><editorialNote style="-uslm-dtd:usc-reference" role="uscRef"><b>[</b><ref href="/us/usc/t22/s6822">22 U.S.C. 6822</ref><b>]</b> </editorialNote><heading style="-uslm-dtd:header">GRANT AUTHORITIES. </heading>
<subsection style="-uslm-dtd:subsection" identifier="/us/sComp/106/264/tI/stB/ch1/s122/a" styleType="OLC">
<num style="-uslm-dtd:enum" value="a">(a) </num><heading style="-uslm-dtd:header">Program Objectives.—</heading>
<paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/106/264/tI/stB/ch1/s122/a/1" styleType="OLC">
<num style="-uslm-dtd:enum" value="1">(1) </num><heading style="-uslm-dtd:header">In general.—</heading><content style="-uslm-dtd:text">In carrying out the purpose of section 121(b), the Trust Fund, acting through the Board of Trustees, should provide only grants, including grants for technical assistance to support measures to build local capacity in national and local government, civil society, and the private sector to lead and implement effective and affordable HIV/AIDS prevention, education, treatment and care services, and research and development activities, including access to affordable drugs.</content>
</paragraph>
<paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/106/264/tI/stB/ch1/s122/a/2" styleType="OLC">
<num style="-uslm-dtd:enum" value="2">(2) </num><heading style="-uslm-dtd:header">Activities supported.—</heading><chapeau style="-uslm-dtd:text">Among the activities the Trust Fund should provide grants for should be—</chapeau>
<subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/106/264/tI/stB/ch1/s122/a/2/A" styleType="OLC">
<num style="-uslm-dtd:enum" value="A">(A) </num><content style="-uslm-dtd:text">programs to promote the best practices in prevention, including health education messages that emphasize risk avoidance such as abstinence;</content>
</subparagraph>
<subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/106/264/tI/stB/ch1/s122/a/2/B" styleType="OLC">
<num style="-uslm-dtd:enum" value="B">(B) </num><content style="-uslm-dtd:text">measures to ensure a safe blood supply;</content>
</subparagraph>
<subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/106/264/tI/stB/ch1/s122/a/2/C" styleType="OLC">
<num style="-uslm-dtd:enum" value="C">(C) </num><content style="-uslm-dtd:text">voluntary HIV/AIDS testing and counseling;</content>
</subparagraph>
<subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/106/264/tI/stB/ch1/s122/a/2/D" styleType="OLC">
<num style="-uslm-dtd:enum" value="D">(D) </num><content style="-uslm-dtd:text">measures to stop mother-to-child transmission of HIV/AIDS, including through diagnosis of pregnant women, access to cost-effective treatment and counseling, and access to infant formula or other alternatives for infant feeding;</content>
</subparagraph>
<subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/106/264/tI/stB/ch1/s122/a/2/E" styleType="OLC">
<num style="-uslm-dtd:enum" value="E">(E) </num><content style="-uslm-dtd:text">programs to provide for the support and education of AIDS orphans and the families, communities, and institutions most affected by the HIV/AIDS epidemic;</content>
</subparagraph>
<subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/106/264/tI/stB/ch1/s122/a/2/F" styleType="OLC">
<num style="-uslm-dtd:enum" value="F">(F) </num><content style="-uslm-dtd:text">measures for the deterrence of gender-based violence and the provision of post-exposure prophylaxis to victims of rape and sexual assault; and</content>
</subparagraph>
<subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/106/264/tI/stB/ch1/s122/a/2/G" styleType="OLC">
<num style="-uslm-dtd:enum" value="G">(G) </num><content style="-uslm-dtd:text">incentives to promote affordable access to treatments against AIDS and related infections.</content>
</subparagraph>
</paragraph>
<paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/106/264/tI/stB/ch1/s122/a/3" styleType="OLC">
<num style="-uslm-dtd:enum" value="3">(3) </num><heading style="-uslm-dtd:header">Implementation of program objectives.—</heading><content style="-uslm-dtd:text">In carrying out the objectives of paragraph (1), the Trust Fund should coordinate its activities with governments, civil society, nongovernmental organizations, the Joint United Nations Program on HIV/AIDS (UNAIDS), the International Partnership Against AIDS in Africa, other international organizations, the private sector, and donor agencies working to combat the HIV/AIDS crisis.</content>
</paragraph>
</subsection>
<subsection style="-uslm-dtd:subsection" identifier="/us/sComp/106/264/tI/stB/ch1/s122/b" styleType="OLC">
<num style="-uslm-dtd:enum" value="b">(b) </num><heading style="-uslm-dtd:header">Priority.—</heading><content style="-uslm-dtd:text">In providing grants under this section, the Trust Fund should give priority to countries that have the highest HIV/AIDS prevalence rate or are at risk of having a high HIV/AIDS prevalence rate.</content>
</subsection>
<subsection style="-uslm-dtd:subsection" identifier="/us/sComp/106/264/tI/stB/ch1/s122/c" styleType="OLC">
<num style="-uslm-dtd:enum" value="c">(c) </num><heading style="-uslm-dtd:header">Eligible Grant Recipients.—</heading><content style="-uslm-dtd:text">Governments and nongovernmental organizations should be eligible to receive grants under this section.</content>
</subsection>
<subsection style="-uslm-dtd:subsection" identifier="/us/sComp/106/264/tI/stB/ch1/s122/d" styleType="OLC">
<num style="-uslm-dtd:enum" value="d">(d) </num><heading style="-uslm-dtd:header">Prohibition.—</heading><content style="-uslm-dtd:text">The Trust Fund should not make grants for the purpose of project development associated with bilateral or multilateral bank loans.</content>
</subsection>
</section>
<section style="-uslm-dtd:section" identifier="/us/sComp/106/264/tI/stB/ch1/s123" styleType="OLC">
<num style="-uslm-dtd:enum" value="123">SEC. 123. </num><editorialNote style="-uslm-dtd:usc-reference" role="uscRef"><b>[</b><ref href="/us/usc/t22/s6823">22 U.S.C. 6823</ref><b>]</b> </editorialNote><heading style="-uslm-dtd:header">ADMINISTRATION. </heading>
<subsection style="-uslm-dtd:subsection" identifier="/us/sComp/106/264/tI/stB/ch1/s123/a" styleType="OLC">
<num style="-uslm-dtd:enum" value="a">(a) </num><heading style="-uslm-dtd:header">Appointment of an Administrator.—</heading><content style="-uslm-dtd:text">The Board of Trustees, in consultation with the appropriate officials of the Bank, should appoint an Administrator who should be responsible for managing the day-to-day operations of the Trust Fund.</content>
</subsection>
<subsection style="-uslm-dtd:subsection" identifier="/us/sComp/106/264/tI/stB/ch1/s123/b" styleType="OLC">
<num style="-uslm-dtd:enum" value="b">(b) </num><heading style="-uslm-dtd:header">Authority to Solicit and Accept Contributions.—</heading><content style="-uslm-dtd:text">The Trust Fund should be authorized to solicit and accept contributions from governments, the private sector, and nongovernmental entities of all kinds.</content>
</subsection>
<subsection style="-uslm-dtd:subsection" identifier="/us/sComp/106/264/tI/stB/ch1/s123/c" styleType="OLC">
<num style="-uslm-dtd:enum" value="c">(c) </num><heading style="-uslm-dtd:header">Accountability of Funds and Criteria for Programs.—</heading><chapeau style="-uslm-dtd:text">As part of the negotiations described in section 121(a), the Secretary of the Treasury shall, consistent with subsection (d)—</chapeau>
<paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/106/264/tI/stB/ch1/s123/c/1" styleType="OLC">
<num style="-uslm-dtd:enum" value="1">(1) </num><content style="-uslm-dtd:text">take such actions as are necessary to ensure that the Bank or the Association will have in effect adequate procedures and standards to account for and monitor the use of funds contributed to the Trust Fund, including the cost of administering the Trust Fund; and</content>
</paragraph>
<paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/106/264/tI/stB/ch1/s123/c/2" styleType="OLC">
<num style="-uslm-dtd:enum" value="2">(2) </num><content style="-uslm-dtd:text">seek agreement on the criteria that should be used to determine the programs and activities that should be assisted by the Trust Fund.</content>
</paragraph>
</subsection>
<subsection style="-uslm-dtd:subsection" identifier="/us/sComp/106/264/tI/stB/ch1/s123/d" styleType="OLC">
<num style="-uslm-dtd:enum" value="d">(d) </num><heading style="-uslm-dtd:header">Selection of projects and recipients.—</heading><chapeau style="-uslm-dtd:text">The Board of Trustees should establish—</chapeau>
<paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/106/264/tI/stB/ch1/s123/d/1" styleType="OLC">
<num style="-uslm-dtd:enum" value="1">(1) </num><content style="-uslm-dtd:text">criteria for the selection of projects to receive support from the Trust Fund;</content>
</paragraph>
<paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/106/264/tI/stB/ch1/s123/d/2" styleType="OLC">
<num style="-uslm-dtd:enum" value="2">(2) </num><content style="-uslm-dtd:text">standards and criteria regarding qualifications of recipients of such support;</content>
</paragraph>
<paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/106/264/tI/stB/ch1/s123/d/3" styleType="OLC">
<num style="-uslm-dtd:enum" value="3">(3) </num><content style="-uslm-dtd:text">such rules and procedures as may be necessary for cost-effective management of the Trust Fund; and</content>
</paragraph>
<paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/106/264/tI/stB/ch1/s123/d/4" styleType="OLC">
<num style="-uslm-dtd:enum" value="4">(4) </num><content style="-uslm-dtd:text">such rules and procedures as may be necessary to ensure transparency and accountability in the grant-making process.</content>
</paragraph>
</subsection>
<subsection style="-uslm-dtd:subsection" identifier="/us/sComp/106/264/tI/stB/ch1/s123/e" styleType="OLC">
<num style="-uslm-dtd:enum" value="e">(e) </num><heading style="-uslm-dtd:header">Transparency of operations.—</heading><content style="-uslm-dtd:text">The Board of Trustees should ensure full and prompt public disclosure of the proposed objectives, financial organization, and operations of the Trust Fund.</content>
</subsection>
</section>
<section style="-uslm-dtd:section" identifier="/us/sComp/106/264/tI/stB/ch1/s124" styleType="OLC">
<num style="-uslm-dtd:enum" value="124">SEC. 124. </num><editorialNote style="-uslm-dtd:usc-reference" role="uscRef"><b>[</b><ref href="/us/usc/t22/s6824">22 U.S.C. 6824</ref><b>]</b> </editorialNote><heading style="-uslm-dtd:header">ADVISORY BOARD. </heading>
<subsection style="-uslm-dtd:subsection" identifier="/us/sComp/106/264/tI/stB/ch1/s124/a" styleType="OLC">
<num style="-uslm-dtd:enum" value="a">(a) </num><heading style="-uslm-dtd:header">In General.—</heading><content style="-uslm-dtd:text">There should be an Advisory Board to the Trust Fund.</content>
</subsection>
<subsection style="-uslm-dtd:subsection" identifier="/us/sComp/106/264/tI/stB/ch1/s124/b" styleType="OLC">
<num style="-uslm-dtd:enum" value="b">(b) </num><heading style="-uslm-dtd:header">Appointments.—</heading><chapeau style="-uslm-dtd:text">The members of the Advisory Board should be drawn from—</chapeau>
<paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/106/264/tI/stB/ch1/s124/b/1" styleType="OLC">
<num style="-uslm-dtd:enum" value="1">(1) </num><content style="-uslm-dtd:text">a broad range of individuals with experience and leadership in the fields of development, health care (especially HIV/AIDS), epidemiology, medicine, biomedical research, and social sciences; and</content>
</paragraph>
<paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/106/264/tI/stB/ch1/s124/b/2" styleType="OLC">
<num style="-uslm-dtd:enum" value="2">(2) </num><content style="-uslm-dtd:text">representatives of relevant United Nations agencies and nongovernmental organizations with on-the-ground experience in affected countries.</content>
</paragraph>
</subsection>
<subsection style="-uslm-dtd:subsection" identifier="/us/sComp/106/264/tI/stB/ch1/s124/c" styleType="OLC">
<num style="-uslm-dtd:enum" value="c">(c) </num><heading style="-uslm-dtd:header">Responsibilities.—</heading><content style="-uslm-dtd:text">The Advisory Board should provide advice and guidance to the Board of Trustees on the development and implementation of programs and projects to be assisted by the Trust Fund and on leveraging donations to the Trust Fund.</content>
</subsection>
<subsection style="-uslm-dtd:subsection" identifier="/us/sComp/106/264/tI/stB/ch1/s124/d" styleType="OLC">
<num style="-uslm-dtd:enum" value="d">(d) </num><heading style="-uslm-dtd:header">Prohibition on Payment of Compensation.—</heading>
<paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/106/264/tI/stB/ch1/s124/d/1" styleType="OLC">
<num style="-uslm-dtd:enum" value="1">(1) </num><heading style="-uslm-dtd:header">In general.—</heading><content style="-uslm-dtd:text">Except for travel expenses (including per diem in lieu of subsistence), no member of the Advisory Board should receive compensation for services performed as a member of the Board.</content>
</paragraph>
<paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/106/264/tI/stB/ch1/s124/d/2" styleType="OLC">
<num style="-uslm-dtd:enum" value="2">(2) </num><heading style="-uslm-dtd:header">United states representative.—</heading><content style="-uslm-dtd:text">Notwithstanding any other provision of law (including an international agreement), a representative of the United States on the Advisory Board may not accept compensation for services performed as a member of the Board, except that such representative may accept travel expenses, including per diem in lieu of subsistence, while away from the representative's home or regular place of business in the performance of services for the Board.</content>
</paragraph>
</subsection>
</section>
</chapter>
<chapter style="-uslm-dtd:chapter" identifier="/us/sComp/106/264/tI/stB/ch2" styleType="OLC">
<num style="-uslm-dtd:enum" value="2">CHAPTER 2—</num><heading style="-uslm-dtd:header">REPORTS </heading>
<section style="-uslm-dtd:section" identifier="/us/sComp/106/264/tI/stB/ch2/s131" styleType="OLC">
<num style="-uslm-dtd:enum" value="131">SEC. 131. </num><editorialNote style="-uslm-dtd:usc-reference" role="uscRef"><b>[</b><ref href="/us/usc/t22/s6831">22 U.S.C. 6831</ref><b>]</b> </editorialNote><heading style="-uslm-dtd:header">REPORTS TO CONGRESS. </heading>
<subsection style="-uslm-dtd:subsection" identifier="/us/sComp/106/264/tI/stB/ch2/s131/a" styleType="OLC">
<num style="-uslm-dtd:enum" value="a">(a) </num><heading style="-uslm-dtd:header">Annual Reports by Treasury Secretary.—</heading>
<paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/106/264/tI/stB/ch2/s131/a/1" styleType="OLC">
<num style="-uslm-dtd:enum" value="1">(1) </num><heading style="-uslm-dtd:header">In general.—</heading><content style="-uslm-dtd:text">Not later than 1 year after the date of the enactment of this Act, and annually thereafter for the duration of the Trust Fund, the Secretary of the Treasury shall submit to the appropriate committees of Congress a report on the Trust Fund.</content>
</paragraph>
<paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/106/264/tI/stB/ch2/s131/a/2" styleType="OLC">
<num style="-uslm-dtd:enum" value="2">(2) </num><heading style="-uslm-dtd:header">Report elements.—</heading><chapeau style="-uslm-dtd:text">The report shall include a description of—</chapeau>
<subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/106/264/tI/stB/ch2/s131/a/2/A" styleType="OLC">
<num style="-uslm-dtd:enum" value="A">(A) </num><content style="-uslm-dtd:text">the goals of the Trust Fund;</content>
</subparagraph>
<subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/106/264/tI/stB/ch2/s131/a/2/B" styleType="OLC">
<num style="-uslm-dtd:enum" value="B">(B) </num><content style="-uslm-dtd:text">the programs, projects, and activities, including any vaccination approaches, supported by the Trust Fund;</content>
</subparagraph>
<subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/106/264/tI/stB/ch2/s131/a/2/C" styleType="OLC">
<num style="-uslm-dtd:enum" value="C">(C) </num><content style="-uslm-dtd:text">private and governmental contributions to the Trust Fund; and</content>
</subparagraph>
<subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/106/264/tI/stB/ch2/s131/a/2/D" styleType="OLC">
<num style="-uslm-dtd:enum" value="D">(D) </num><content style="-uslm-dtd:text">the criteria that have been established, acceptable to the Secretary of the Treasury and the Administrator of the United States Agency for International Development, that would be used to determine the programs and activities that should be assisted by the Trust Fund.</content>
</subparagraph>
</paragraph>
</subsection>
<subsection style="-uslm-dtd:subsection" identifier="/us/sComp/106/264/tI/stB/ch2/s131/b" styleType="OLC">
<num style="-uslm-dtd:enum" value="b">(b) </num><heading style="-uslm-dtd:header">GAO Report on Trust Fund Effectiveness.—</heading><chapeau style="-uslm-dtd:text">Not later than 2 years after the date of the enactment of this Act, the Comptroller General of the United States shall submit to the appropriate committees of the Congress a report evaluating the effectiveness of the Trust Fund, including—</chapeau>
<paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/106/264/tI/stB/ch2/s131/b/1" styleType="OLC">
<num style="-uslm-dtd:enum" value="1">(1) </num><content style="-uslm-dtd:text">the effectiveness of the programs, projects, and activities described in subsection (a)(2)(B) in reducing the worldwide spread of AIDS; and</content>
</paragraph>
<paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/106/264/tI/stB/ch2/s131/b/2" styleType="OLC">
<num style="-uslm-dtd:enum" value="2">(2) </num><content style="-uslm-dtd:text">an assessment of the merits of continued United States financial contributions to the Trust Fund.</content>
</paragraph>
</subsection>
<subsection style="-uslm-dtd:subsection" identifier="/us/sComp/106/264/tI/stB/ch2/s131/c" styleType="OLC">
<num style="-uslm-dtd:enum" value="c">(c) </num><heading style="-uslm-dtd:header">Appropriate Committees Defined.—</heading><content style="-uslm-dtd:text">In subsection (a), the term “<term style="-uslm-dtd:term">appropriate committees</term>” means the Committee on Foreign Relations and the Committee on Appropriations of the Senate and the Committee on International Relations, the Committee on Banking and Financial Services, and the Committee on Appropriations of the House of Representatives.</content>
</subsection>
</section>
</chapter>
<chapter style="-uslm-dtd:chapter" identifier="/us/sComp/106/264/tI/stB/ch3" styleType="OLC">
<num style="-uslm-dtd:enum" value="3">CHAPTER 3—</num><heading style="-uslm-dtd:header">UNITED STATES FINANCIAL PARTICIPATION </heading>
<section style="-uslm-dtd:section" identifier="/us/sComp/106/264/tI/stB/ch3/s141" styleType="OLC">
<num style="-uslm-dtd:enum" value="141">SEC. 141. </num><editorialNote style="-uslm-dtd:usc-reference" role="uscRef"><b>[</b><ref href="/us/usc/t22/s6841">22 U.S.C. 6841</ref><b>]</b> </editorialNote><heading style="-uslm-dtd:header">AUTHORIZATION OF APPROPRIATIONS. </heading>
<subsection style="-uslm-dtd:subsection" identifier="/us/sComp/106/264/tI/stB/ch3/s141/a" styleType="OLC">
<num style="-uslm-dtd:enum" value="a">(a) </num><heading style="-uslm-dtd:header">In General.—</heading><content style="-uslm-dtd:text">In addition to any other funds authorized to be appropriated for multilateral or bilateral programs related to HIV/AIDS or economic development, there is authorized to be appropriated to the Secretary of the Treasury $150,000,000 for each of the fiscal years 2001 and 2002 for payment to the Trust Fund.</content>
</subsection>
<subsection style="-uslm-dtd:subsection" identifier="/us/sComp/106/264/tI/stB/ch3/s141/b" styleType="OLC">
<num style="-uslm-dtd:enum" value="b">(b) </num><heading style="-uslm-dtd:header">Allocation of Funds.—</heading><content style="-uslm-dtd:text">Of the amounts authorized to be appropriated by subsection (a) for the fiscal years 2001 and 2002, $50,000,000 are authorized to be available each such fiscal year only for programs that benefit orphans.</content>
</subsection>
</section>
<section style="-uslm-dtd:section" identifier="/us/sComp/106/264/tI/stB/ch3/s142" styleType="OLC">
<num style="-uslm-dtd:enum" value="142">SEC. 142. </num><editorialNote style="-uslm-dtd:usc-reference" role="uscRef"><b>[</b><ref href="/us/usc/t22/s6842">22 U.S.C. 6842</ref><b>]</b> </editorialNote><heading style="-uslm-dtd:header">CERTIFICATION REQUIREMENT. </heading>
<subsection style="-uslm-dtd:subsection" identifier="/us/sComp/106/264/tI/stB/ch3/s142/a" styleType="OLC">
<num style="-uslm-dtd:enum" value="a">(a) </num><heading style="-uslm-dtd:header">In General.—</heading><content style="-uslm-dtd:text">Prior to the initial obligation or expenditure of funds appropriated pursuant to section 141, the Secretary of the Treasury shall certify that adequate procedures and standards have been established to ensure accountability for and monitoring of the use of funds contributed to the Trust Fund, including the cost of administering the Trust Fund.</content>
</subsection>
<subsection style="-uslm-dtd:subsection" identifier="/us/sComp/106/264/tI/stB/ch3/s142/b" styleType="OLC">
<num style="-uslm-dtd:enum" value="b">(b) </num><heading style="-uslm-dtd:header">Transmittal of Certification.—</heading><content style="-uslm-dtd:text">The certification required by subsection (a), and the bases for that certification, shall be submitted by the Secretary of the Treasury to Congress.</content>
</subsection>
</section>
</chapter>
</subtitle>
<num style="-uslm-dtd:enum" value="II">TITLE II—</num><heading style="-uslm-dtd:header">INTERNATIONAL TUBERCULOSIS CONTROL </heading>
<section style="-uslm-dtd:section" identifier="/us/sComp/106/264/tII/s201" styleType="OLC">
<num style="-uslm-dtd:enum" value="201">SEC. 201. </num><editorialNote style="-uslm-dtd:usc-reference" role="uscRef"><b>[</b><ref href="/us/usc/t22/s2151">22 U.S.C. 2151 note</ref><b>]</b> </editorialNote><heading style="-uslm-dtd:header">SHORT TITLE. </heading>
<content style="-uslm-dtd:text" class="block">This title may be cited as the “<shortTitle style="-uslm-dtd:quote"><inline style="-uslm-dtd:short-title">International Tuberculosis Control Act of 2000</inline></shortTitle>”.</content>
</section>
<section style="-uslm-dtd:section" identifier="/us/sComp/106/264/tII/s202" styleType="OLC">
<num style="-uslm-dtd:enum" value="202">SEC. 202. </num><editorialNote style="-uslm-dtd:usc-reference" role="uscRef"><b>[</b><ref href="/us/usc/t22/s2151b">22 U.S.C. 2151b note</ref><b>]</b> </editorialNote><heading style="-uslm-dtd:header">FINDINGS. </heading>
<subsection style="-uslm-dtd:subsection" styleType="OLC" role="undesignated-level"><chapeau style="-uslm-dtd:text">Congress makes the following findings:</chapeau>
<paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/106/264/tII/s202/1" styleType="OLC">
<num style="-uslm-dtd:enum" value="1">(1) </num><content style="-uslm-dtd:text">Since the development of antibiotics in the 1950s, tuberculosis has been largely controlled in the United States and the Western World.</content>
</paragraph>
<paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/106/264/tII/s202/2" styleType="OLC">
<num style="-uslm-dtd:enum" value="2">(2) </num><content style="-uslm-dtd:text">Due to societal factors, including growing urban decay, inadequate health care systems, persistent poverty, overcrowding, and malnutrition, as well as medical factors, including the HIV/AIDS epidemic and the emergence of multi-drug resistant strains of tuberculosis, tuberculosis has again become a leading and growing cause of adult deaths in the developing world.</content>
</paragraph>
<paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/106/264/tII/s202/3" styleType="OLC">
<num style="-uslm-dtd:enum" value="3">(3) </num><chapeau style="-uslm-dtd:text">According to the World Health Organization—</chapeau>
<subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/106/264/tII/s202/3/A" styleType="OLC">
<num style="-uslm-dtd:enum" value="A">(A) </num><content style="-uslm-dtd:text">in 1998, about 1,860,000 people worldwide died of tuberculosis-related illnesses;</content>
</subparagraph>
<subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/106/264/tII/s202/3/B" styleType="OLC">
<num style="-uslm-dtd:enum" value="B">(B) </num><content style="-uslm-dtd:text">one-third of the world's total population is infected with tuberculosis; and</content>
</subparagraph>
<subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/106/264/tII/s202/3/C" styleType="OLC">
<num style="-uslm-dtd:enum" value="C">(C) </num><content style="-uslm-dtd:text">tuberculosis is the world's leading killer of women between 15 and 44 years old and is a leading cause of children becoming orphans.</content>
</subparagraph>
</paragraph>
<paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/106/264/tII/s202/4" styleType="OLC">
<num style="-uslm-dtd:enum" value="4">(4) </num><content style="-uslm-dtd:text">Because of the ease of transmission of tuberculosis, its international persistence and growth pose a direct public health threat to those nations that had previously largely controlled the disease. This is complicated in the United States by the growth of the homeless population, the rate of incarceration, international travel, immigration, and HIV/AIDS.</content>
</paragraph>
<paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/106/264/tII/s202/5" styleType="OLC">
<num style="-uslm-dtd:enum" value="5">(5) </num><content style="-uslm-dtd:text">With nearly 40 percent of the tuberculosis cases in the United States attributable to foreign-born persons, tuberculosis will never be controlled in the United States until it is controlled abroad.</content>
</paragraph>
<paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/106/264/tII/s202/6" styleType="OLC">
<num style="-uslm-dtd:enum" value="6">(6) </num><content style="-uslm-dtd:text">The means exist to control tuberculosis through screening, diagnosis, treatment, patient compliance, monitoring, and ongoing review of outcomes.</content>
</paragraph>
<paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/106/264/tII/s202/7" styleType="OLC">
<num style="-uslm-dtd:enum" value="7">(7) </num><chapeau style="-uslm-dtd:text">Efforts to control tuberculosis are complicated by several barriers, including—</chapeau>
<subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/106/264/tII/s202/7/A" styleType="OLC">
<num style="-uslm-dtd:enum" value="A">(A) </num><content style="-uslm-dtd:text">the labor intensive and lengthy process involved in screening, detecting, and treating the disease;</content>
</subparagraph>
<subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/106/264/tII/s202/7/B" styleType="OLC">
<num style="-uslm-dtd:enum" value="B">(B) </num><content style="-uslm-dtd:text">a lack of funding, trained personnel, and medicine in virtually every nation with a high rate of the disease;</content>
</subparagraph>
<subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/106/264/tII/s202/7/C" styleType="OLC">
<num style="-uslm-dtd:enum" value="C">(C) </num><content style="-uslm-dtd:text">the unique circumstances in each country, which requires the development and implementation of country-specific programs; and</content>
</subparagraph>
<subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/106/264/tII/s202/7/D" styleType="OLC">
<num style="-uslm-dtd:enum" value="D">(D) </num><content style="-uslm-dtd:text">the risk of having a bad tuberculosis program, which is worse than having no tuberculosis program because it would significantly increase the risk of the development of more widespread drug-resistant strains of the disease.</content>
</subparagraph>
</paragraph>
<paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/106/264/tII/s202/8" styleType="OLC">
<num style="-uslm-dtd:enum" value="8">(8) </num><content style="-uslm-dtd:text">Eliminating the barriers to the international control of tuberculosis through a well-structured, comprehensive, and coordinated worldwide effort would be a significant step in dealing with the increasing public health problem posed by the disease.</content>
</paragraph>
</subsection>
</section>
<section style="-uslm-dtd:section" identifier="/us/sComp/106/264/tII/s203" styleType="OLC">
<num style="-uslm-dtd:enum" value="203">SEC. 203. </num><heading style="-uslm-dtd:header">ASSISTANCE FOR TUBERCULOSIS PREVENTION, TREATMENT, CONTROL, AND ELIMINATION. </heading><editorialNote style="-uslm-dtd:legis-comment"><b>[</b>Section 203 amends the Foreign Assistance Act of 1961 by inserting a new paragraph (7) at the end of section 104(c).<b>]</b> </editorialNote>
</section>
<num style="-uslm-dtd:enum" value="III">TITLE III—</num><heading style="-uslm-dtd:header">ADMINISTRATIVE AUTHORITIES </heading>
<section style="-uslm-dtd:section" identifier="/us/sComp/106/264/tIII/s301" styleType="OLC">
<num style="-uslm-dtd:enum" value="301">SEC. 301. </num><heading style="-uslm-dtd:header">EFFECTIVE PROGRAM OVERSIGHT. </heading><editorialNote style="-uslm-dtd:legis-comment"><b>[</b>Section 301 amends the Foreign Assistance Act of 1961 by inserting a new subsection (l) at the end of section 635.<b>]</b> </editorialNote>
</section>
<section style="-uslm-dtd:section" identifier="/us/sComp/106/264/tIII/s302" styleType="OLC">
<num style="-uslm-dtd:enum" value="302">SEC. 302. </num><heading style="-uslm-dtd:header">TERMINATION EXPENSES. </heading><editorialNote style="-uslm-dtd:legis-comment"><b>[</b>Section 302 amends section 617 of the Foreign Assistance Act of 1961 in its entirety.<b>]</b> </editorialNote>
</section>