[Congressional Bills 106th Congress]
[From the U.S. Government Publishing Office]
[H.R. 3519 Enrolled Bill (ENR)]

        H.R.3519

                       One Hundred Sixth Congress

                                 of the

                        United States of America


                          AT THE SECOND SESSION

           Begun and held at the City of Washington on Monday,
             the twenty-fourth day of January, two thousand


                                 An Act


 
   To 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. 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. Short title.
Sec. 2. Table of contents.

 TITLE I--ASSISTANCE TO COUNTRIES WITH LARGE POPULATIONS HAVING HIV/AIDS

Sec. 101. Short title.
Sec. 102. Definitions.
Sec. 103. Findings and purposes.

                  Subtitle A--United States Assistance

Sec. 111. Additional assistance authorities to combat HIV and AIDS.
Sec. 112. Voluntary contribution to Global Alliance for Vaccines and 
          Immunizations and International AIDS Vaccine Initiative.
Sec. 113. Coordinated donor strategy for support and education of 
          orphans in sub-Saharan Africa.
Sec. 114. African Crisis Response Initiative and HIV/AIDS training.

                 Subtitle B--World Bank AIDS Trust Fund

                  Chapter 1--Establishment of the Fund

Sec. 121. Establishment.
Sec. 122. Grant authorities.
Sec. 123. Administration.
Sec. 124. Advisory Board.

                           Chapter 2--Reports

Sec. 131. Reports to Congress.

            Chapter 3--United States Financial Participation

Sec. 141. Authorization of appropriations.
Sec. 142. Certification requirement.

              TITLE II--INTERNATIONAL TUBERCULOSIS CONTROL

Sec. 201. Short title.
Sec. 202. Findings.
Sec. 203. Assistance for tuberculosis prevention, treatment, control, 
          and elimination.

                  TITLE III--ADMINISTRATIVE AUTHORITIES

Sec. 301. Effective program oversight.
Sec. 302. Termination expenses.

TITLE I--ASSISTANCE TO COUNTRIES WITH LARGE POPULATIONS HAVING HIV/AIDS

SEC. 101. SHORT TITLE.

    This title may be cited as the ``Global AIDS Research and Relief 
Act of 2000''.

SEC. 102. DEFINITIONS.

    In this title:
        (1) AIDS.--The term ``AIDS'' means the acquired immune 
    deficiency syndrome.
        (2) Association.--The term ``Association'' means the 
    International Development Association.
        (3) Bank.--The term ``Bank'' or ``World Bank'' means the 
    International Bank for Reconstruction and Development.
        (4) HIV.--The term ``HIV'' means the human immunodeficiency 
    virus, the pathogen which causes AIDS.
        (5) HIV/AIDS.--The term ``HIV/AIDS'' means, with respect to an 
    individual, an individual who is infected with HIV or living with 
    AIDS.

SEC. 103. FINDINGS AND PURPOSES.

    (a) Findings.--Congress makes the following findings:
        (1) 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.
        (2) 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.
        (3) 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.
        (4) 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.
        (5) 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.
        (6) 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.
        (7) 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.
        (8) 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.
        (9) 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.
        (10) The 1999 annual report by the United Nations Children's 
    Fund (UNICEF) states ``[t]he number of orphans, particularly in 
    Africa, constitutes nothing less than an emergency, requiring an 
    emergency response'' and that ``finding the resources needed to 
    help stabilize the crisis and protect children is a priority that 
    requires urgent action from the international community.''.
        (11) 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 ``vertical 
    transmission'') of HIV.
        (12) 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.
        (13) 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.
        (14) 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.
        (15) 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.
        (16) 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.
        (17) 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.
        (18) 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.
        (19) 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.
        (20) 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.
    (b) Purposes.--The purposes of this title are to--
        (1) help prevent human suffering through the prevention, 
    diagnosis, and treatment of HIV/AIDS; and
        (2) help ensure the viability of economic development, 
    stability, and national security in the developing world by 
    advancing research to--
            (A) understand the causes associated with HIV/AIDS in 
        developing countries; and
            (B) assist in the development of an AIDS vaccine.

                  Subtitle A--United States Assistance

SEC. 111. ADDITIONAL ASSISTANCE AUTHORITIES TO COMBAT HIV AND AIDS.

    (a) Assistance for Prevention of HIV/AIDS and Vertical 
Transmission.--Section 104(c) of the Foreign Assistance Act of 1961 (22 
U.S.C. 2151b(c)) is amended by adding at the end the following new 
paragraphs:
    ``(4)(A) Congress recognizes the growing international dilemma of 
children with the human immunodeficiency virus (HIV) and the merits of 
intervention programs aimed at this problem. Congress further 
recognizes that mother-to-child transmission prevention strategies can 
serve as a major force for change in developing regions, and it is, 
therefore, a major objective of the foreign assistance program to 
control the acquired immune deficiency syndrome (AIDS) epidemic.
    ``(B) The agency primarily responsible for administering this part 
shall--
        ``(i) coordinate with UNAIDS, UNICEF, WHO, national and local 
    governments, and other organizations to develop and implement 
    effective strategies to prevent vertical transmission of HIV; and
        ``(ii) coordinate with those organizations to increase 
    intervention programs and introduce voluntary counseling and 
    testing, antiretroviral drugs, replacement feeding, and other 
    strategies.
    ``(5)(A) Congress expects the agency primarily responsible for 
administering this part to make the human immunodeficiency virus (HIV) 
and the acquired immune deficiency syndrome (AIDS) a priority in the 
foreign assistance program and to undertake a comprehensive, 
coordinated effort to combat HIV and AIDS.
    ``(B) Assistance described in subparagraph (A) shall include help 
providing--
        ``(i) primary prevention and education;
        ``(ii) voluntary testing and counseling;
        ``(iii) medications to prevent the transmission of HIV from 
    mother to child; and
        ``(iv) care for those living with HIV or AIDS.
    ``(6)(A) In addition to amounts otherwise available for such 
purpose, there is authorized to be appropriated to the President 
$300,000,000 for each of the fiscal years 2001 and 2002 to carry out 
paragraphs (4) and (5).
    ``(B) Of the funds authorized to be appropriated under subparagraph 
(A), not less than 65 percent is authorized to be available through 
United States and foreign nongovernmental organizations, including 
private and voluntary organizations, for-profit organizations, 
religious affiliated organizations, educational institutions, and 
research facilities.
    ``(C)(i) Of the funds authorized to be appropriated by subparagraph 
(A), not less than 20 percent is authorized to be available for 
programs as part of a multidonor strategy to address the support and 
education of orphans in sub-Saharan Africa, including AIDS orphans.
    ``(ii) Assistance made available under this subsection, and 
assistance made available under chapter 4 of part II to carry out the 
purposes of this subsection, may be made available notwithstanding any 
other provision of law that restricts assistance to foreign countries.
    ``(D) Of the funds authorized to be appropriated under subparagraph 
(A), not less than 8.3 percent is authorized to be available to carry 
out the prevention strategies for vertical transmission referred to in 
paragraph (4)(A).
    ``(E) Of the funds authorized to be appropriated by subparagraph 
(A), not more than 7 percent may be used for the administrative 
expenses of the agency primarily responsible for carrying out this part 
of this Act in support of activities described in paragraphs (4) and 
(5).
    ``(F) Funds appropriated under this paragraph are authorized to 
remain available until expended.''.
    (b) Training and Training Facilities in Sub-Saharan Africa.--
Section 496(i)(2) of the Foreign Assistance Act of 1961 (22 U.S.C. 
2293(i)(2)) is amended by adding at the end the following new sentence: 
``In addition, providing training and training facilities, in sub-
Saharan Africa, for doctors and other health care providers, 
notwithstanding any provision of law that restricts assistance to 
foreign countries.''.

SEC. 112. VOLUNTARY CONTRIBUTION TO GLOBAL ALLIANCE FOR VACCINES AND 
              IMMUNIZATIONS AND INTERNATIONAL AIDS VACCINE INITIATIVE.

    (a) Authorization of Appropriations.--Section 302 of the Foreign 
Assistance Act of 1961 (22 U.S.C. 2222) is amended by adding at the end 
the following new subsections:
    ``(k) In addition to amounts otherwise available under this 
section, there is authorized to be appropriated to the President 
$50,000,000 for each of the fiscal years 2001 and 2002 to be available 
only for United States contributions to the Global Alliance for 
Vaccines and Immunizations.
    ``(l) In addition to amounts otherwise available under this 
section, there is authorized to be appropriated to the President 
$10,000,000 for each of the fiscal years 2001 and 2002 to be available 
only for United States contributions to the International AIDS Vaccine 
Initiative.''.
    (b) Report.--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--
        (1) improving access to sustainable immunization services;
        (2) expanding the use of all existing, safe, and cost-effective 
    vaccines where they address a public health problem;
        (3) accelerating the development and introduction of new 
    vaccines and technologies;
        (4) accelerating research and development efforts for vaccines 
    needed primarily in developing countries; and
        (5) making immunization coverage a centerpiece in international 
    development efforts.
    (c) Appropriate Congressional Committees Defined.--In subsection 
(b), the term ``appropriate congressional committees'' 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.

SEC. 113. COORDINATED DONOR STRATEGY FOR SUPPORT AND EDUCATION OF 
              ORPHANS IN SUB-SAHARAN AFRICA.

    (a) Statement of Policy.--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.
    (b) Development of Strategy.--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.
    (c) Definition.--In this section, the term ``HIV/AIDS'' 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.

SEC. 114. AFRICAN CRISIS RESPONSE INITIATIVE AND HIV/AIDS TRAINING.

    (a) Findings.--Congress finds that--
        (1) the spread of HIV/AIDS constitutes a threat to security in 
    Africa;
        (2) civil unrest and war may contribute to the spread of the 
    disease to different parts of the continent;
        (3) 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
        (4) it is in the interests of the United States to assist the 
    countries of Africa in combating the spread of HIV/AIDS.
    (b) Education on the Prevention of the Spread of AIDS.--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.

                 Subtitle B--World Bank AIDS Trust Fund

                  CHAPTER 1--ESTABLISHMENT OF THE FUND

SEC. 121. ESTABLISHMENT.

    (a) Negotiations for Establishment of Trust Fund.--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--
        (1) the World Bank AIDS Trust Fund (in this subtitle referred 
    to as the ``Trust Fund'') in accordance with the provisions of this 
    chapter; and
        (2) the Advisory Board to the Trust Fund in accordance with 
    section 124.
    (b) Purpose.--The purpose of the Trust Fund should be to use 
contributed funds to--
        (1) assist in the prevention and eradication of HIV/AIDS and 
    the care and treatment of individuals infected with HIV/AIDS; and
        (2) provide support for the establishment of programs that 
    provide health care and primary and secondary education for 
    children orphaned by the HIV/AIDS epidemic.
    (c) Composition.--
        (1) In general.--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.
        (2) United states representation.--
            (A) In general.--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).
            (B) Effective and termination dates.--
                (i) Effective date.--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.
                (ii) Termination date.--The position established by 
            subparagraph (A) is abolished upon the date of termination 
            of the Trust Fund.

SEC. 122. GRANT AUTHORITIES.

    (a) Program Objectives.--
        (1) In general.--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.
        (2) Activities supported.--Among the activities the Trust Fund 
    should provide grants for should be--
            (A) programs to promote the best practices in prevention, 
        including health education messages that emphasize risk 
        avoidance such as abstinence;
            (B) measures to ensure a safe blood supply;
            (C) voluntary HIV/AIDS testing and counseling;
            (D) 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;
            (E) programs to provide for the support and education of 
        AIDS orphans and the families, communities, and institutions 
        most affected by the HIV/AIDS epidemic;
            (F) measures for the deterrence of gender-based violence 
        and the provision of post-exposure prophylaxis to victims of 
        rape and sexual assault; and
            (G) incentives to promote affordable access to treatments 
        against AIDS and related infections.
        (3) Implementation of program objectives.--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.
    (b) Priority.--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.
    (c) Eligible Grant Recipients.--Governments and nongovernmental 
organizations should be eligible to receive grants under this section.
    (d) Prohibition.--The Trust Fund should not make grants for the 
purpose of project development associated with bilateral or 
multilateral bank loans.

SEC. 123. ADMINISTRATION.

    (a) Appointment of an Administrator.--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.
    (b) Authority to Solicit and Accept Contributions.--The Trust Fund 
should be authorized to solicit and accept contributions from 
governments, the private sector, and nongovernmental entities of all 
kinds.
    (c) Accountability of Funds and Criteria for Programs.--As part of 
the negotiations described in section 121(a), the Secretary of the 
Treasury shall, consistent with subsection (d)--
        (1) 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
        (2) seek agreement on the criteria that should be used to 
    determine the programs and activities that should be assisted by 
    the Trust Fund.
    (d) Selection of projects and recipients.--The Board of Trustees 
should establish--
        (1) criteria for the selection of projects to receive support 
    from the Trust Fund;
        (2) standards and criteria regarding qualifications of 
    recipients of such support;
        (3) such rules and procedures as may be necessary for cost-
    effective management of the Trust Fund; and
        (4) such rules and procedures as may be necessary to ensure 
    transparency and accountability in the grant-making process.
    (e) Transparency of operations.--The Board of Trustees should 
ensure full and prompt public disclosure of the proposed objectives, 
financial organization, and operations of the Trust Fund.

SEC. 124. ADVISORY BOARD.

    (a) In General.--There should be an Advisory Board to the Trust 
Fund.
    (b) Appointments.--The members of the Advisory Board should be 
drawn from--
        (1) 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
        (2) representatives of relevant United Nations agencies and 
    nongovernmental organizations with on-the-ground experience in 
    affected countries.
    (c) Responsibilities.--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.
    (d) Prohibition on Payment of Compensation.--
        (1) In general.--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.
        (2) United states representative.--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.

                           CHAPTER 2--REPORTS

SEC. 131. REPORTS TO CONGRESS.

    (a) Annual Reports by Treasury Secretary.--
        (1) In general.--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.
        (2) Report elements.--The report shall include a description 
    of--
            (A) the goals of the Trust Fund;
            (B) the programs, projects, and activities, including any 
        vaccination approaches, supported by the Trust Fund;
            (C) private and governmental contributions to the Trust 
        Fund; and
            (D) 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.
    (b) GAO Report on Trust Fund Effectiveness.--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--
        (1) the effectiveness of the programs, projects, and activities 
    described in subsection (a)(2)(B) in reducing the worldwide spread 
    of AIDS; and
        (2) an assessment of the merits of continued United States 
    financial contributions to the Trust Fund.
    (c) Appropriate Committees Defined.--In subsection (a), the term 
``appropriate committees'' 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.

            CHAPTER 3--UNITED STATES FINANCIAL PARTICIPATION

SEC. 141. AUTHORIZATION OF APPROPRIATIONS.

    (a) In General.--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.
    (b) Allocation of Funds.--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.

SEC. 142. CERTIFICATION REQUIREMENT.

    (a) In General.--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.
    (b) Transmittal of Certification.--The certification required by 
subsection (a), and the bases for that certification, shall be 
submitted by the Secretary of the Treasury to Congress.

              TITLE II--INTERNATIONAL TUBERCULOSIS CONTROL

SEC. 201. SHORT TITLE.

    This title may be cited as the ``International Tuberculosis Control 
Act of 2000''.

SEC. 202. FINDINGS.

    Congress makes the following findings:
        (1) Since the development of antibiotics in the 1950s, 
    tuberculosis has been largely controlled in the United States and 
    the Western World.
        (2) 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.
        (3) According to the World Health Organization--
            (A) in 1998, about 1,860,000 people worldwide died of 
        tuberculosis-related illnesses;
            (B) one-third of the world's total population is infected 
        with tuberculosis; and
            (C) tuberculosis is the world's leading killer of women 
        between 15 and 44 years old and is a leading cause of children 
        becoming orphans.
        (4) 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.
        (5) 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.
        (6) The means exist to control tuberculosis through screening, 
    diagnosis, treatment, patient compliance, monitoring, and ongoing 
    review of outcomes.
        (7) Efforts to control tuberculosis are complicated by several 
    barriers, including--
            (A) the labor intensive and lengthy process involved in 
        screening, detecting, and treating the disease;
            (B) a lack of funding, trained personnel, and medicine in 
        virtually every nation with a high rate of the disease;
            (C) the unique circumstances in each country, which 
        requires the development and implementation of country-specific 
        programs; and
            (D) 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.
        (8) 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.

SEC. 203. ASSISTANCE FOR TUBERCULOSIS PREVENTION, TREATMENT, CONTROL, 
              AND ELIMINATION.

    Section 104(c) of the Foreign Assistance Act of 1961 (22 U.S.C. 
2151b(c)), as amended by section 111(a) of this Act, is further amended 
by adding at the end the following:
    ``(7)(A) Congress recognizes the growing international problem of 
tuberculosis and the impact its continued existence has on those 
nations that had previously largely controlled the disease. Congress 
further recognizes that the means exist to control and treat 
tuberculosis, and that it is therefore a major objective of the foreign 
assistance program to control the disease. To this end, Congress 
expects the agency primarily responsible for administering this part--
        ``(i) to coordinate with the World Health Organization, the 
    Centers for Disease Control, the National Institutes of Health, and 
    other organizations toward the development and implementation of a 
    comprehensive tuberculosis control program; and
        ``(ii) to set as a goal the detection of at least 70 percent of 
    the cases of infectious tuberculosis, and the cure of at least 85 
    percent of the cases detected, in those countries in which the 
    agency has established development programs, by December 31, 2010.
    ``(B) There is authorized to be appropriated to the President, 
$60,000,000 for each of the fiscal years 2001 and 2002 to be used to 
carry out this paragraph. Funds appropriated under this subparagraph 
are authorized to remain available until expended.''.

                 TITLE III--ADMINISTRATIVE AUTHORITIES

SEC. 301. EFFECTIVE PROGRAM OVERSIGHT.

    Section 635 of the Foreign Assistance Act of 1961 (22 U.S.C. 2395) 
is amended by adding at the end thereof the following new subsection:
    ``(l) The Administrator of the agency primarily responsible for 
administering part I may use funds made available under that part to 
provide program and management oversight for activities that are funded 
under that part and that are conducted in countries in which the agency 
does not have a field mission or office.''.

SEC. 302. TERMINATION EXPENSES.

    Section 617 of the Foreign Assistance Act of 1961 (22 U.S.C. 2367) 
is amended to read as follows:

``SEC. 617. TERMINATION EXPENSES.

    ``(a) In General.--Funds made available under this Act and the Arms 
Export Control Act, may remain available for obligation for a period 
not to exceed 8 months from the date of any termination of assistance 
under such Acts for the necessary expenses of winding up programs 
related to such termination and may remain available until expended. 
Funds obligated under the authority of such Acts prior to the effective 
date of the termination of assistance may remain available for 
expenditure for the necessary expenses of winding up programs related 
to such termination notwithstanding any provision of law restricting 
the expenditure of funds. In order to ensure the effectiveness of such 
assistance, such expenses for orderly termination of programs may 
include the obligation and expenditure of funds to complete the 
training or studies outside their countries of origin of students whose 
course of study or training program began before assistance was 
terminated.
    ``(b) Liability to Contractors.--For the purpose of making an 
equitable settlement of termination claims under extraordinary 
contractual relief standards, the President is authorized to adopt as a 
contract or other obligation of the United States Government, and 
assume (in whole or in part) any liabilities arising thereunder, any 
contract with a United States or third-country contractor that had been 
funded with assistance under such Acts prior to the termination of 
assistance.
    ``(c) Termination Expenses.--Amounts certified as having been 
obligated for assistance subsequently terminated by the President, or 
pursuant to any provision of law, shall continue to remain available 
and may be reobligated to meet any necessary expenses arising from the 
termination of such assistance.
    ``(d) Guaranty Programs.--Provisions of this or any other Act 
requiring the termination of assistance under this or any other Act 
shall not be construed to require the termination of guarantee 
commitments that were entered into prior to the effective date of the 
termination of assistance.
    ``(e) Relation to Other Provisions.--Unless specifically made 
inapplicable by another provision of law, the provisions of this 
section shall be applicable to the termination of assistance pursuant 
to any provision of law.''.

                               Speaker of the House of Representatives.

                            Vice President of the United States and    
                                               President of the Senate.