[Congressional Bills 105th Congress]
[From the U.S. Government Publishing Office]
[H.R. 1427 Introduced in House (IH)]







105th CONGRESS
  1st Session
                                H. R. 1427

   To assist in implementing the Plan of Action adopted by the World 
                          Summit for Children.


_______________________________________________________________________


                    IN THE HOUSE OF REPRESENTATIVES

                             April 23, 1997

 Mr. Walsh (for himself, Mr. Hall of Ohio, Mr. Houghton, Mr. Oberstar, 
Mr. Boehlert, Ms. Slaughter, Mr. McDermott, Mr. Frank of Massachusetts, 
   Mrs. Morella, Mrs. Meek of Florida, Mr. Barrett of Wisconsin, Mr. 
 Filner, Ms. Pryce of Ohio, Ms. Lofgren, Mr. Green, Mr. Jefferson, Mr. 
   Torres, Mr. Abercrombie, Mr. Davis of Illinois, Mr. Andrews, Mr. 
 Dellums, Ms. Rivers, Mr. Levin, Mr. McGovern, Mr. Brown of Ohio, Mrs. 
Maloney of New York, Mr. Nadler, Mr. Capps, Mr. Lewis of Georgia, Mrs. 
    Tauscher, Ms. DeGette, and Mr. Young of Alaska) introduced the 
 following bill; which was referred to the Committee on International 
                               Relations

_______________________________________________________________________

                                 A BILL


 
   To assist in implementing the Plan of Action adopted by the World 
                          Summit for Children.

    Be it enacted by the Senate and House of Representatives of the 
United States of America in Congress assembled,

SECTION 1. SHORT TITLE.

    This Act may be cited as the ``James P. Grant World Summit for 
Children Implementation Act of 1997''.

SEC. 2. FINDINGS AND PURPOSES.

    (a) Findings.--The Congress finds the following:
            (1) The World Summit for Children held in 1990, the largest 
        gathering of heads of state and heads of government up until 
        that time, united the world in a commitment to protect the 
        lives of children, diminish their suffering, and enhance their 
        futures.
            (2) This commitment is reflected in specific goals set 
        forth in the Declaration and Plan of Action of the 1990 World 
        Summit for Children that require international cooperation and 
        the commitment of all nations, goals which were endorsed in the 
        World Declaration on Nutrition adopted at the 1992 
        International Conference on Nutrition and endorsed at the 1994 
        Summit of the Americas and at the 1995 World Summit on Social 
        Development.
            (3) The United Nations Children's Fund (UNICEF) estimates 
        that these goals could be implemented by the year 2000 with a 
        global commitment of just $40,000,000,000 annually, to be 
        achieved through reallocation of resources to increase the 
        proportion of resources going to meet basic human needs, with 
        two-thirds of those resources coming from the developing 
        nations themselves and one-third from the industrialized 
        nations.
            (4) In 1994 UNICEF estimated that only 10 percent of 
        developing country budgets and less than 12 percent of 
        bilateral United States development assistance was devoted to 
        meeting basic human needs, as defined by the United Nations 
        Development Program in their 1994 Human Development Report.
            (5) If that proportion of developing country budgets and 
        international development assistance devoted to basic needs 
        were increased to just 20 percent, through reallocation of 
        current resources and without requiring additional resources, 
        this would provide the resources UNICEF estimates is required 
        annually to achieve by the year 2000 the goals of the World 
        Summit for Children.
            (6) The United States share of these resources can be 
        realized through a reallocation of bilateral United States 
        development assistance by increasing the percentage of such 
        development assistance to at least 20 percent of the United 
        States foreign assistance budget without an overall increase in 
        such foreign assistance budget.
            (7) The United States Government participated in the World 
        Summit for Children and signed the Declaration and Plan of 
        Action adopted at that Summit.
            (8) Participants in the Summit committed themselves and 
        their governments to take steps to ensure that child survival, 
        protection, and development programs will have a priority in 
        the allocation of resources.
            (9) The United States Government should implement a plan of 
        action to fulfill its commitment to children, both at home and 
        abroad.
    (b) Purposes.--The purposes of this Act are--
            (1) to help define a plan of action to fulfill the 
        commitment of the United States Government to children; and
            (2) to provide the necessary authorities to implement that 
        plan of action.

SEC. 3. INTERNATIONAL INFANT AND CHILD MORTALITY.

    (a) Findings.--The Congress finds the following:
            (1) During the period 1984 to 1994 the international 
        campaign to save the lives of children has resulted in dramatic 
        increases in the adoption of low-cost measures to save 
        children's lives, such as immunizations and oral rehydration 
        therapy.
            (2) In September 1991, the United Nations Children's Fund 
        (UNICEF) and the World Health Organization were able to report 
        that the goal of 80 percent universal childhood immunization 
        had been achieved, saving over 12,000,000 young lives during 
        the 1980's, and continuing to save over 3,000,000 children's 
        lives each year.
            (3) The Plan of Action adopted by the World Summit for 
        Children calls for the reduction of under-5 mortality rates by 
        at least one-third by the year 2000, and halving moderate and 
        severe malnutrition among children under 5.
            (4) Such progress will be possible with a continued focus 
        on child survival activities that utilize simple, available 
        technologies that have proven to be directly effective in 
        saving children's lives and with a particular focus on 
        assistance to countries and regions with the highest rates of 
        child mortality.
            (5) Both UNICEF and the United States Agency for 
        International Development have provided strong leadership as 
        well as financial and technical support for these goals.
            (6) Child survival programs implemented by United States-
        based private voluntary organizations and other nongovernmental 
        organizations are documented to be extremely effective in 
        reducing child mortality, in reaching the very poor at the 
        community level, and in achieving long-term improvements in 
        immunization, child health, and nutrition.
            (7) According to a University of Maryland nationwide poll 
        of the attitudes of the American public on foreign assistance, 
        an overwhelming majority of Americans embrace the principle 
        that the United States should give assistance to help people in 
        foreign countries who are in genuine need, and a majority of 
        Americans want an increased priority on helping the poor and 
        needy.
            (8)(A) Private voluntary organizations implementing child 
        survival projects leverage significant amounts of private 
        resources, a minimum of 25 percent, to match public funds.
            (B) However, United States child survival funding to 
        private voluntary organizations has remained essentially 
        unchanged since 1985, although overall child survival funding 
        has expanded significantly, despite the support of the American 
        public for activities of private voluntary organizations and 
        the increased technical ability of such organizations to carry 
        out their programs and to effectively utilize funding.
    (b) Contributions to UNICEF.--To carry out section 301 of the 
Foreign Assistance Act of 1961 (22 U.S.C. 2221; relating to voluntary 
contributions to international organizations and programs), there are 
authorized to be appropriated $100,000,000 for fiscal year 1998 and 
$110,000,000 for fiscal year 1999 for contributions to the United 
Nations Children's Fund (UNICEF) for activities to promote child health 
and other assistance programs on behalf of children.
    (c) Child Survival Activities.--Section 104(c)(2) of the Foreign 
Assistance Act of 1961 (22 U.S.C. 2151b(c)(2); relating to the Child 
Survival Fund) is amended--
            (1) in subparagraph (B), by striking ``$25,000,000 for 
        fiscal year 1986 and $75,000,000 for fiscal year 1987'' and 
        inserting ``$180,000,000 for fiscal year 1998 and $210,000,000 
        for fiscal year 1999''; and
            (2) by inserting after subparagraph (C) the following new 
        subparagraphs:
    ``(D)(i)(I) Subject to clauses (ii) and (iii), of the aggregate of 
the amounts made available to carry out subparagraph (B) of this 
paragraph, sections 103(a) and section 106 of this chapter, chapter 10 
of this part, and chapter 4 of part II and for the Multilateral 
Assistance Initiative for the Philippines, not less than $350,000,000 
for fiscal year 1998 and not less than $380,000,000 for fiscal year 
1999 shall be available only for simple technologies of the kind 
described in subparagraph (A). These funds shall be used only for 
activities which have a direct measurable impact on the reduction in 
the rates of child death and disease, focusing on the poor in 
communities with a particular emphasis on delivery of community-based 
primary health care and health education services.
    ``(II) Such activities shall primarily be limited to the direct 
provision of basic health services, such as improved and expanded 
immunization programs, oral rehydration to combat diarrhoeal diseases, 
and health education programs aimed at improving nutrition and 
sanitation and at promoting child spacing, which have a direct 
measurable impact on the rates of child death and disease, focusing on 
the poor in communities with a particular emphasis on delivery of 
community-based primary health care. Only on an exceptional basis shall 
such amounts be used for purposes other than the direct provision of 
basic health services.
    ``(ii) Of the amounts made available under clause (i) for 
activities described in subparagraph (A), not less than $40,000,000 for 
fiscal year 1998 and not less than $60,000,000 for fiscal year 1999 
shall be provided to private and voluntary organizations under the PVO 
Child Survival grants program carried out by the United States Agency 
for International Development.
    ``(iii) Amounts made available under section 103(h) of this chapter 
(relating to the Vitamin A Deficiency Program), part I of this Act for 
iodine and iron fortification programs and for iron supplementation 
programs for pregnant women, chapter 9 of this part (relating to 
international disaster assistance), section 104(c)(4) of this chapter 
(relating to international AIDS prevention and control), and any other 
provision of law for migration and refugee assistance, shall not be 
included in the aggregate amounts described in clause (i) for purposes 
of the requirements contained in such clause.
    ``(E) The President shall include in the annual budget submitted to 
the Congress an estimate of the impact of each program, project, or 
activity carried out under subparagraph (D)(i), and under the vitamin A 
and micronutrient deficiency program, on the rates of child death and 
disease, including an assessment of the actual impact of each such 
program. In formulating such estimates, the President may make use of 
data on intermediate measures such as immunization coverage rates and 
prevalence of oral rehydration use.''.
    (d) Report.--Not later than June 30, 1997, the Administrator of the 
United States Agency for International Development shall prepare and 
submit to the Congress a report on the progress to significantly 
increase the level of funding to private and voluntary organizations 
conducting community-based child survival programs.

SEC. 4. GLOBAL MALNUTRITION.

    (a) Findings.--The Congress finds the following:
            (1) Malnutrition is a preventable, underlying cause of a 
        high proportion of child deaths.
            (2) The Plan of Action adopted at the World Summit for 
        Children calls for reducing by 50 percent severe and moderate 
        malnutrition among children under 5 years of age by the year 
        2000.
            (3) The Congress has already undertaken substantial action 
        to address this problem in the Food, Agriculture, Conservation, 
        and Trade Act of 1990, which established food security for the 
        poorest and the prevention of malnutrition as priorities in 
        food assistance programs administered by the United States 
        Agency for International Development under the Agriculture 
        Trade Development and Assistance Act of 1954.
            (4) Section 411 of the Agricultural Trade Development and 
        Assistance Act of 1954 (7 U.S.C. 1736e), as amended by the 
        Food, Agriculture, Conservation, and Trade Act of 1990, 
        authorizes the forgiveness of Public Law 480 debt owed by least 
        developed countries that are pursuing national economic policy 
        reforms that would promote long-term economic development, but 
        the exercise of that authority requires further action by the 
        Congress in an appropriations Act.
            (5) Child survival activities provide an effective, 
        integrated approach to battling the complex problem of 
        childhood malnutrition leading to mortality and must be pursued 
        alongside efforts to ensure food security.
            (6)(A) Vitamin A deficiency is a scourge of approximately a 
        quarter of a billion children in developing countries.
            (B) Research financed by the United States Agency for 
        International Development and other donors has convincingly 
        demonstrated that vitamin A supplementation and fortification 
        can reduce childhood mortality by 30 percent or more.
            (C) An estimated 20,000,000 children are likely to die and 
        3,500,000 children are likely to go blind in the next decade if 
        access to vitamin A is not available.
            (D) The World Bank has estimated that vitamin A 
        supplementation only costs approximately $9 for every life year 
        saved adjusted for disability.
            (E) A single capsule of vitamin A costs only five cents.
            (7) Preventing key micronutrient deficiencies of vitamin A, 
        iodine, iron, and zinc is a low-cost, practical, and effective 
        approach to building human capacity, quality of life, and 
        protecting the future for billions of people throughout the 
        world.
            (8)(A) Today 1,600,000,000 people are at risk of iodine 
        deficiency disorders, with the fetus and infant being most 
        vulnerable to permanent brain damage.
            (B) Iodine deficiency is the most prevalent cause of mental 
        retardation worldwide.
            (C) Iodizing salt can go far in preventing this tragedy and 
        therefore will enhance the intellectual and economic 
        performance of future generations.
            (D) The World Bank estimates that it only costs $8 for 
        every year of life saved adjusted for disability.
            (9)(A) Nearly 2,000,000,000 people are iron deficient, 
        particularly women of childbearing age and young children, 
        approximately 1,000,000,000 of whom suffer from anemia.
            (B) Iron deficiency anemia during pregnancy can increase 
        the risk of both maternal and infant mortality.
            (C) Moreover, iron deficiency can hinder learning among 
        school-age children and work productivity among adults.
            (D) The World Bank has estimated that iron supplementation 
        costs only $4 to $13 for every year of life saved adjusted for 
        disability.
            (10) Vitamin A deficiencies and iodine deficiencies could 
        be virtually eliminated, and iron deficiency anemia reduced by 
        one-third, by the first decade of the 21st century.
    (b) Public Law 480 Debt Authority.--It is the sense of the Congress 
that authority, in such amounts as may be required, should be granted 
to the President in an appropriations Act to exercise the debt 
authority with respect to least developed countries that is provided in 
section 411 of the Agricultural Trade Development and Assistance Act of 
1954.
    (c) Vitamin A Deficiency Program.--Section 103 of the Foreign 
Assistance Act of 1961 (22 U.S.C. 2151a; relating to development 
assistance for agriculture, rural development, and nutrition) is 
amended by adding at the end the following new subsection:
    ``(h) Vitamin A Deficiency Program.--Of the amounts made available 
to carry out this section, not less than $17,000,000 for fiscal year 
1998 and not less than $20,000,000 for fiscal year 1999 shall be 
available only for implementing Vitamin A deficiency prevention 
strategies, especially supplementation and fortification programs.''.
    (d) Other Micronutrient Deficiencies.--In addition to amounts 
otherwise available for such programs, there are authorized to be 
appropriated $13,000,000 for fiscal year 1998 and $15,000,000 for 
fiscal year 1999 for iodine and iron deficiency prevention programs, 
especially fortification and supplementation programs, with particular 
emphasis on alleviating deficiencies in pregnant women.

SEC. 5. MATERNAL AND CHILD MORTALITY RESULTING FROM AIDS.

    (a) Findings.--The Congress finds the following:
            (1) As of 1992, nearly 5,000,000 women of childbearing age 
        and over 1,000,000 children were infected with the human 
        immunodeficiency virus (HIV), the virus that causes the 
        acquired immune deficiency syndrome (AIDS). The vast majority 
        of these women and children live in developing countries.
            (2) The maternal and child mortality rate in many 
        developing countries will increase dramatically until HIV/AIDS 
        prevention and control efforts are successful, as will the 
        number of orphans with HIV/AIDS.
            (3) The most effective efforts to respond to HIV/AIDS are 
        based at the community level and involve nongovernmental 
        organizations as well as government agencies.
            (4) The United States Agency for International Development 
        should expand its assistance to developing countries for 
        community-based prevention, care, and control programs and 
        activities relating to HIV/AIDS, and should participate in 
        coordinated efforts with other donors.
            (5) Coordination of efforts of bilateral, multilateral, and 
        nongovernmental agencies and organizations is essential.
    (b) International AIDS Prevention and Control Fund.--Section 104(c) 
of the Foreign Assistance Act of 1961 (22 U.S.C. 2151b(c); relating to 
development assistance for health related activities) is amended by 
adding at the end the following new paragraph:
    ``(4)(A) In carrying out this subsection, the President shall 
promote, encourage, and undertake community-based prevention and 
control programs and activities relating to the human immunodeficiency 
virus (HIV) and acquired immune deficiency syndrome (AIDS) in 
developing countries.
    ``(B) There are authorized to be appropriated $140,000,000 for 
fiscal year 1998 and $150,000,000 for fiscal year 1999 for use in 
carrying out this paragraph, which shall be in addition to amounts made 
available under subsection (g) or otherwise available for such purpose. 
Amounts appropriated under this subparagraph are authorized to remain 
available until expended.
    ``(C) Appropriations pursuant to subparagraph (B) may be referred 
to as the `International AIDS Prevention and Control Fund'.''.

SEC. 6. INTERNATIONAL BASIC EDUCATION.

    (a) Findings.--The Congress finds the following:
            (1) Primary education, early childhood development 
        activities, and programs to achieve literacy, are essential for 
        increasing the productive capacity of people and their ability 
        to earn income.
            (2) Basic education, usually defined as early childhood 
        education, primary and lower secondary schooling, as well as 
        adult literacy, has been shown to be one of the most 
        economically productive investments that can be made.
            (3)(A) In addition to direct economic benefits, basic 
        education has numerous beneficial social impacts.
            (B) Widespread education leads to more equitable income 
        distribution and ultimately, to political stability.
            (C) Countries in which large numbers of children enter 
        secondary schools have lower levels of investment risk, as 
        measured by the World Bank, and higher levels of democratic 
        rights, as measured by the Freedom House Index.
            (4)(A) More than 100,000,000 school-aged children, the 
        majority of them girls, are not enrolled in primary school.
            (B) Basic education, especially basic education for girls, 
        contributes to increased child survival, overall life 
        expectancy, and lower birth rates.
            (C) Throughout the developing world, women with more 
        education desire smaller families.
            (D) Education of young women dramatically enhances the 
        survival of the children of such women.
            (E) It is estimated that every additional year of schooling 
        for girls lowers child death rates by 5 to 10 percent.
            (5) The Plan of Action adopted by the World Summit for 
        Children calls for basic education for all children and for 
        completion of primary education by at least 80 percent of all 
        children.
            (6) While it is clear that investments in education are a 
        prerequisite for development, United States assistance for 
        basic education in developing countries has accounted for less 
        than 2 percent of United States foreign assistance in recent 
        years.
    (b) International Basic Education.--Section 105 of the Foreign 
Assistance Act of 1961 (22 U.S.C. 2151c; relating to development 
assistance for education and human resource development) is amended by 
adding at the end the following new subsection:
    ``(c) Basic Education.--(1)(A) Of the aggregate of the amounts made 
available to carry out this section, chapter 10 of this part, and 
chapter 4 of part II and for the Multilateral Assistance Initiative for 
the Philippines, not less than $120,000,000 for fiscal year 1998 and 
not less than $140,000,000 for fiscal year 1999 shall be available only 
for programs in support of basic education activities described in 
subparagraph (B).
    ``(B) The basic education activities described in this subparagraph 
are early childhood education, primary and lower secondary education, 
and literacy training for adults.
    ``(C) Amounts made available under this paragraph may be used only 
for activities that have a direct and measurable impact on primary 
school enrollment, literacy, or educational attainment.
    ``(2) The President shall include in the annual budget submitted to 
the Congress a description of the measured or estimated impact on 
primary school enrollment, literacy, and educational attainment of each 
project or program carried out under this subsection.''.

SEC. 7. INTERNATIONAL FAMILY PLANNING AND CHILD SPACING.

    (a) Findings.--The Congress finds the following:
            (1) Universal access to voluntary family planning could 
        save the lives of several million children each year and could 
        significantly improve the health of children throughout the 
        developing world by reducing prematurity and low birthweight 
        and allowing longer breastfeeding.
            (2) The risk of maternal death or illness in the developing 
        world is highest for women who bear children when they are 
        under the age of 18 or over the age of 35, for pregnancies 
        spaced less than 2 years apart, and for women who already have 
        4 or more children. Universal access to voluntary family 
        planning could prevent up to one-third of the 585,000 maternal 
        deaths annually.
            (3) The inability of couples to plan births decreases the 
        quality of women's lives and undermines their opportunities for 
        education, for earning income, for improving the care of 
        children, and for community activities and personal 
        development.
            (4) Rapid world population growth, combined with 
        unsustainable patterns of natural resource consumption, has 
        become an urgent economic, social, and environmental problem.
            (5) The Plan of Action adopted at the 1990 World Summit for 
        Children calls for voluntary family planning services and 
        education to be made available to all couples to empower them 
        to prevent unwanted pregnancies and births which are ``too many 
        and too close'' and to women who are ``too young or too old''.
            (6) Efforts to reduce child death rates and to lower 
        birthrates are mutually reinforcing because closely-spaced 
        pregnancies contribute in important ways to high child 
        mortality and parents need assurances that their children will 
        survive.
    (b) Authorizations of Appropriations.--In addition to any other 
amounts made available for such purposes, there are authorized to be 
appropriated to the President for United States population assistance 
programs and activities under part I of the Foreign Assistance Act of 
1961 not less than $550,000,000 for fiscal year 1998 and not less than 
$600,000,000 for fiscal year 1999.

SEC. 8. REFUGEES.

    (a) Findings.--The Congress finds the following:
            (1) In 1997, there are more than 27,000,000 people of 
        concern in refugee-like situations in areas from Northern Iraq, 
        Angola, to the former Yugoslavia, and, in addition, there are 
        estimated to be more than 20,000,000 internally-displaced 
        persons. A large majority of these refugees and internally 
        displaced persons are children.
            (2) The dramatic growth in the number of refugees and 
        displaced persons has resulted in the increased need for legal 
        assistance and protection, health, nutrition, and basic 
        education services available to such refugees and displaced 
        persons.
            (3) Refugee children are particularly vulnerable in first 
        asylum camps from Africa to Southeast Asia, particularly 
        unaccompanied children who languish without the protection and 
        nurturing of a parent or adult guardian.
            (4) At least 12 major repatriation programs are currently 
        in operation worldwide and such programs will be successful in 
        promoting regional stability only if adequate funding is 
        appropriated for reintegration.
    (b) Funding for Refugee Assistance Programs.--It is the sense of 
the Congress that--
            (1) not less than $730,000,000 for fiscal year 1998 and 
        $780,000,000 for fiscal year 1999 should be appropriated for 
        the ``Migration and Refugee Assistance'' account, of which not 
        less than $470,000,000 for fiscal year 1998 and $500,000,000 
        for fiscal year 1999 should be available only for programs of 
        refugee assistance overseas (in addition to the amounts 
        available for programs for refugees from the former Soviet 
        Union, Eastern Europe, and elsewhere who resettle in Israel); 
        and
            (2) not less than $100,000,000 for each of the fiscal years 
        1998 and 1999 should be appropriated for the ``United States 
        Emergency Refugee and Migration Assistance Fund'' account.

SEC. 9. TUBERCULOSIS.

    (a) Findings.--The Congress finds the following:
            (1) It is estimated that 15,000,000 individuals in the 
        United States are infected with tuberculosis.
            (2) The threat to the health of Americans with respect to 
        tuberculosis consists of--
                    (A) the global spread of tuberculosis in general, 
                including its resurgence in the United States; and
                    (B) the emergence and spread of strains of 
                tuberculosis that are multi-drug resistant.
            (3)(A) Elimination of tuberculosis in the United States can 
        only be achieved by controlling the disease in developing 
        countries.
            (B) Tuberculosis is spreading as a result of inadequate 
        treatment and it is a disease that knows no national borders.
            (4)(A) Tuberculosis is an infectious disease that kills an 
        estimated 3,000,000 people each year worldwide.
            (B) Tuberculosis is the largest infectious killer of 
        adults, causing more deaths than AIDS, cholera, malaria, 
        tetanus, meningitis, and typhoid fever combined.
            (C) Most cases of tuberculosis and deaths caused by 
        tuberculosis occur among individuals in their most productive 
        years of life.
            (5)(A) Children bear the brunt of the tuberculosis of their 
        parents.
            (B) No other infectious disease creates as many orphans as 
        tuberculosis.
            (C) Nearly 170,000 children die of tuberculosis annually 
        because of infection usually by an adult family member.
            (D) Children under the age of two are especially 
        susceptible to deadly strains of the disease.
            (E) In addition, children suffer the results of the 
        inability of their parents and grandparents to work and care 
        for their families.
            (F) In the United States, the number of children under the 
        age of 15 who were sick with tuberculosis increased by 35 
        percent between 1985 and 1992.
            (6)(A) The World Health Organization has stated that the 
        best curative method for tuberculosis is known as Directly 
        Observed Treatment, Short Course (``DOTS''), in which health 
        workers directly monitor patients with tuberculosis for the 
        purpose of ensuring that such patients take their full course 
        of medicine.
            (B) By guaranteeing that the treatment regimens are 
        completed, DOTS prevents the further spread of infection and 
        development of strains of tuberculosis that are multi-drug 
        resistant.
            (7)(A) Few public health expenditures provide so much value 
        for so little money as expenditures for the prevention and 
        treatment of tuberculosis.
            (B) In some parts of the world, the cost of curing 
        tuberculosis is as little as 90 cents for every year added to 
        the life of the patient.
            (C) Drugs for the treatment of tuberculosis cost as little 
        as $11 per person in some parts of the world and such drugs are 
        more than 95 percent effective.
            (D) According to the World Bank, the control of 
        tuberculosis is among the most cost-effective of all health 
        interventions.
            (8) In order to control tuberculosis in the United States 
        in a more effective manner, it is also necessary to ensure the 
        effectiveness of tuberculosis control programs worldwide.
            (9) There is a need for an increased number of trained 
        professionals to set up model programs in developing countries, 
        as well as a need for drugs, other staff costs, and equipment.
            (10)(A) In addtion to the World Health Organization through 
        its tuberculosis program, nongovernmental organizations, such 
        as the International Union Against Tuberculosis and Lung 
        Disease have proven expertise in the field.
            (B) Increased support for such nongovernmental partners is 
        critical for the expansion of effective tuberculosis control 
        programs.
            (11) Setting aside funding to monitor the incidence and 
        spread of tuberculosis worldwide is crucial to successfully 
        combatting the disease.
    (b) Funding for the Control of Tuberculosis.--There are authorized 
to be appropriated $40,000,000 for fiscal year 1998 and $50,000,000 for 
fiscal year 1999 for the prevention of the global spread of 
tuberculosis through the provision in developing countries of drugs, 
local staff costs and staff training and equipment, particularly in 
those developing countries with the highest incidence of tuberculosis.

SEC. 10. EFFORTS BY OTHER COUNTRIES.

    The President shall call upon the governments of other countries to 
provide their share of the resources required to achieve the World 
Summit for Children goals by the year 2000, specifically through giving 
highest priority to increasing the proportion of public expenditures 
and foreign assistance devoted to priority human needs areas outlined 
in the Declaration and Plan of Action of the World Summit for Children.

SEC. 11. ANNUAL REPORT.

    (a) Requirement for Report.--In order that the Congress and the 
people of the United States may be fully informed of efforts undertaken 
by the United States Government to fulfill agreements signed by the 
United States at the World Summit for Children, the President shall 
report annually to the Congress on United States contributions to the 
achievement of the goals of the World Summit for Children. Each such 
report should include--
            (1) a discussion of efforts by the United States to achieve 
        those goals both within the United States and in other 
        countries; and
            (2) a comparative analysis of current and past funding 
        levels and planned funding levels for the next 2 fiscal years.
    (b) Submission Date.--The reports required by this section shall be 
submitted to the Congress not later than February 1 of each year.
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