[Congressional Bills 108th Congress]
[From the U.S. Government Publishing Office]
[S. 250 Introduced in Senate (IS)]







108th CONGRESS
  1st Session
                                 S. 250

            To address the international HIV/AIDS pandemic.


_______________________________________________________________________


                   IN THE SENATE OF THE UNITED STATES

                            January 30, 2003

  Mr. Durbin introduced the following bill; which was read twice and 
  referred to the Committee on Health, Education, Labor, and Pensions

_______________________________________________________________________

                                 A BILL


 
            To address the international HIV/AIDS pandemic.

    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 Coordination of HIV/AIDS 
Response Act'' or the ``Global CARE Act''.

SEC. 2. FINDINGS.

    Congress finds the following:
            (1) In a span of only 20 years the AIDS pandemic has 
        infected 60,000,000 people around the globe and continues to 
        spread. More than 22,000,000 people around the world have died 
        from this disease.
            (2) More than 14,000,000 children have been orphaned as a 
        result of AIDS and this number is expected to grow to more than 
        25,000,000 by the year 2010, more AIDS orphans than the entire 
        population of the State of Texas.
            (3) The impact of the AIDS epidemic is not only a health 
        issue but a moral issue, fundamental to development, to human 
        security, and the security of the United States.
            (4) Prevention, care, and treatment are all necessary 
        components of an effective response to the global AIDS epidemic 
        and the opportunistic infections that result.
            (5) Microenterprise development and other income-generating 
        programs assist communities afflicted by the HIV/AIDS pandemic 
        and increase the productive capacity of communities and 
        affected households.
            (6) Microenterprise programs are also an effective means to 
        support the productive activities of healthy family members 
        caring for the sick and orphaned. Such programs should give 
        priority to women infected with the AIDS virus or in HIV/AIDS 
        affected families, and to women in high risk categories.
            (7) There is currently no effective, single locus to 
        coordinate the many United States Government agencies 
        contributing to global HIV/AIDS activities, to foster strategic 
        collaboration among them, or to communicate policies and plans 
        with other vested constituents, including nongovernmental 
        organizations and private interests.
            (8) Continued United States leadership and investment is 
        needed to meet the serious challenge of HIV/AIDS in the global 
        community.

SEC. 3. INTERAGENCY WORKING GROUP ON HIV/AIDS.

    (a) In General.--There is established a Federal interagency working 
group (hereafter referred to in this Act as the ``Working Group'') to 
ensure coordination of all Federal programs related to the prevention, 
treatment, and monitoring of HIV/AIDS in foreign countries, and to 
conduct global HIV/AIDS activities in a coordinated, strategic fashion.
    (b) Membership.--Members of the Working Group shall be appointed 
by--
            (1) the Secretary of Health and Human Services;
            (2) the Secretary of State;
            (3) the Secretary of Defense;
            (4) the Secretary of Agriculture;
            (5) the Administrator of the Health Resources and Services 
        Administration;
            (6) the Administrator of the United States Agency for 
        International Development;
            (7) the Director of the Centers for Disease Control and 
        Prevention;
            (8) the Director of the National Institutes of Health;
            (9) the Director of the Peace Corps;
            (10) the United States Executive Director of the 
        International Bank for Reconstruction and Development;
            (11) the Secretary of Labor;
            (12) the Secretary of Commerce; and
            (13) the heads of such other Federal departments and 
        agencies as the President determines appropriate.
    (c) Chairperson.--The chairperson of the Working Group shall be 
designated by the Secretary of Health and Human Services, in 
consultation with the Secretary of State.
    (d) Duties.--The Working Group shall--
            (1) review all Federal programs related to the prevention, 
        treatment, and monitoring of HIV/AIDS in foreign countries to 
        ensure proper coordination and compatibility of the activities, 
        strategies, and policies of such programs;
            (2) exchange information regarding the design and impact of 
        such programs to ensure the United States Government can 
        determine the best possible practices for HIV/AIDS prevention, 
        treatment, and monitoring to improve the effectiveness of such 
        programs in countries in which they operate;
            (3) set priorities across the Federal agencies represented 
        in the Working Group;
            (4) annually identify measurable goals for United States 
        policy and outcomes related to HIV/AIDS in the global 
        community;
            (5) foster discussions with academia, nongovernmental 
        organizations, and industry to determine how Federal Government 
        programs can be improved;
            (6) serve as a liaison between the Global Fund for HIV/
        AIDS, tuberculosis and malaria prevention and treatment 
        efforts, and other multilateral efforts relating to HIV/AIDS 
        prevention and treatment; and
            (7) coordinate with international groups, such as the 
        International AIDS Society, the United Nations Program on HIV/
        AIDS (UNAIDS), the World Health Organization, and the 
        Monitoring and Evaluation Reference Group to ensure that 
        information about successful programs, and from applied and 
        basic research, is disseminated to policymakers, researchers, 
        and practitioners in other nations.
    (e) Report.--
            (1) In general.--The Working Group shall prepare a report 
        that--
                    (A) describes the actions that are being taken to 
                coordinate the multiple roles and policies of, and 
                foster collaboration among, the Federal agencies 
                contributing to global HIV/AIDS activities;
                    (B) describes the respective roles and activities 
                of each of the working group member agencies;
                    (C) describes actions taken to carry out the 
                activities described in sections 4 and 5;
                    (D) contains any recommendations for legislative 
                and funding actions that are needed to create a 
                coherent, effective United States approach to global 
                HIV/AIDS that achieves the goals for United States 
                policy and outcomes as established by the Working 
                Group; and
                    (E) includes the results of the HIV/AIDS goals and 
                outcomes as established by the Working Group.
            (2) Submission to congress.--Not later than 1 year after 
        the date of enactment of this Act, and annually thereafter 
        during each year for which the Working Group is authorized, the 
        chairperson of the Working Group shall submit the report 
        described in paragraph (1) to the Committee on Foreign 
        Relations, the Committee on Health, Education, Labor, and 
        Pensions, and the Committee on Appropriations of the Senate, 
        the Committee on International Relations, the Committee on 
        Energy and Commerce, and the Committee on Appropriations of the 
        House of Representatives.
    (f) Termination.--The Working Group established under subsection 
(a) shall terminate on the date that is 3 years after the date of 
enactment of this Act.

SEC. 4. THE INTERNATIONAL HIV/AIDS PREVENTION AND CAPACITY DEVELOPMENT 
              INITIATIVE.

    (a) Goal.--The goal of the International HIV/AIDS Prevention and 
Capacity Development Initiative established by this section, is to 
prevent the spread of HIV/AIDS and opportunistic infections.
    (b) Activities.--The goal described in subsection (a) shall be 
achieved through the conduct of activities that include--
            (1) education, voluntary testing and counseling (that 
        includes the incorporation of confidentiality protections with 
        respect to such testing and counseling), including integration 
        of such programs into women's and children's health programs;
            (2) providing assistance to ensure a safe blood supply and 
        to provide post-exposure prophylaxis to victims of rape and 
        sexual assault;
            (3) expanding the availability and use of condoms and other 
        barrier methods for the prevention of HIV transmission;
            (4) providing assistance through nongovernmental 
        organizations, particularly those organizations that utilize 
        both professionals and volunteers with appropriate skills and 
        experience, to establish and implement culturally appropriate 
        HIV/AIDS education and prevention programs;
            (5) providing for improved infrastructure and institutional 
        capacity to develop and manage education, prevention, care, and 
        treatment programs, including resources to collect and maintain 
        accurate HIV/AIDS surveillance data to target programs and 
        measure effectiveness of interventions;
            (6) the conduct of vaccine research and development 
        partnership programs with specific plans to develop a safe, 
        effective, accessible, preventive HIV vaccine for use 
        throughout the world;
            (7) research and development of microbicides to prevent the 
        transmission of HIV and other sexually transmitted infections;
            (8) the development and expansion of financially 
        sustainable micro-finance institutions and other income 
        generation programs that strengthen the economic and social 
        viability of communities afflicted by the HIV/AIDS pandemic, 
        including support for the savings and productive capacity of 
        affected poor households caring for orphans;
            (9) promoting evaluation and intervention efforts and 
        providing training to support program assessment; and
            (10) other activities as determined necessary by the 
        Working Group established under section 3(a).
    (c) Coordinated Efforts.--From amounts made available under section 
6 for each fiscal year, the Secretary of State (in consultation with 
the United States Agency for International Development), the Secretary 
of Health and Human Services and other Federal members of the Working 
Group (established under section 3(a)) shall coordinate activities as 
part of the International HIV/AIDS Prevention and Capacity Development 
Initiative under this section consistent with host country needs and in 
conjunction with host country plans, with programs to prevent, treat 
and monitor HIV/AIDS in foreign countries.

SEC. 5. THE INTERNATIONAL AIDS CARE AND TREATMENT ACCESS INITIATIVE.

    (a) Goal.--The goal of the international AIDS care and treatment 
access initiative established by this section is to prolong the lives 
of individuals with HIV/AIDS, to preserve the families of these 
individuals, to prevent children from becoming orphans and to increase 
the productivity of these individuals by allowing them to lead active 
lives and reduce the need for costly hospitalizations for treating 
opportunistic infections caused by HIV/AIDS.
    (b) Activities.--The goal described in subsection (a) shall be 
achieved through the conduct of activities that include--
            (1) creating or improving the medical, public health, and 
        physical infrastructures needed to ensure that care and 
        treatment for individuals affected by HIV/AIDS can be delivered 
efficiently, effectively and safely;
            (2) mobilizing communities to provide much needed services 
        ranging from home based palliation to assistance with housing 
        and nutrition;
            (3) encouraging the adoption of policies and practices that 
        reduce stigma against HIV-infected individuals;
            (4) providing a comprehensive package of care and treatment 
        for those living with HIV/AIDS including antiretroviral drugs, 
        treatment of opportunistic infections, and optimum nutrition;
            (5) helping preserve families, which will contribute to 
        stability within homes and across developing nations and will 
        help diminish the growing AIDS orphan crisis;
            (6) providing training and education to civilian and 
        military health care providers and laboratory workers from 
        developing nations for the purpose of promoting safe and 
        effective use of antiretroviral drugs and quality medical 
        support services;
            (7) linking care and treatment services to proven 
        prevention programs, including expanded voluntary counseling 
        and testing efforts;
            (8) assisting governments with policy development and 
        resource allocation;
            (9) promoting evaluation of intervention efforts and 
        providing training to support program assessment; and
            (10) other activities as determined necessary by the 
        Working Group established under section 3(a).
    (c) Coordinated Efforts.--From amounts made available under section 
6 for each fiscal year, the Secretary of State, the Secretary of Health 
and Human Services and other Federal members of the Working Group 
(established under section 3(a)) shall coordinate activities as part of 
the international AIDS care and treatment access initiative under this 
section, consistent with host country needs and in conjunction with 
host country plans.

SEC. 6. FUNDING FOR PREVENTION, CARE, TREATMENT, AND CAPACITY 
              DEVELOPMENT ACTIVITIES.

    (a) Centers for Disease Control and Prevention.--There is 
authorized to be appropriated to the Centers for Disease Control and 
Prevention, $275,000,000 for fiscal year 2004, $330,000,000 for fiscal 
year 2005, and such sums as may be necessary for each of fiscal years 
2006 and 2007, to carry out the provisions of sections 3 through 5 and 
other global HIV/AIDS prevention, care, treatment, and capacity 
development activities determined appropriate by the Secretary of 
Health and Human Services. Any amounts so appropriated shall remain 
available until expended.
    (b) Health Resources and Services Administration.--
            (1) In general.--There is authorized to be appropriated to 
        the Health Resources and Services Administration, $20,000,000 
        for fiscal year 2004, $22,000,000 for fiscal year 2005, and 
        such sums as may be necessary for each of fiscal years 2006 and 
        2007, to carry out the provisions of sections 3 through 5 and 
        other global HIV/AIDS activities determined appropriate by the 
        Secretary of Health and Human Services. Any amounts so 
        appropriated shall remain available until expended.
            (2) Assistance to foreign countries.--From amounts 
        appropriated under paragraph (1) for each fiscal year, the 
        Administrator of the Health Resources and Services 
        Administration, as part of the international AIDS care and 
        treatment access initiative, may provide assistance to foreign 
        countries and areas in developing, providing, and evaluating--
                    (A) care, support, and treatment services with 
                respect to HIV/AIDS, including those for opportunistic 
                infection related to HIV/AIDS infections;
                    (B) palliative HIV/AIDS care;
                    (C) care for those who are affected by, although 
                not infected with, HIV/AIDS;
                    (D) training of health care providers; and
                    (E) other activities as determined appropriate by 
                the Secretary of Health and Human Services and the 
                Administrator of the Health Resources and Services 
                Administration.
    (c) National Institutes of Health.--There is authorized to be 
appropriated to the National Institutes of Health, $90,000,000 for 
fiscal year 2004, $112,000,000 for fiscal year 2005, and such sums as 
may be necessary for each of fiscal years 2006 and 2007, to carry out 
the provisions of sections 3 through 5 that are related to the mission 
of the Institutes, and other global HIV/AIDS activities determined 
appropriate by the Secretary of Health and Human Services, including 
vaccine research to develop a safe and accessible preventive HIV 
vaccine for use throughout the world. Any amounts so appropriated shall 
remain available until expended.
    (d) Agency for Healthcare Research and Quality.--There is 
authorized to be appropriated to the Agency for Healthcare Research and 
Quality, $20,000,000 for fiscal year 2004, $22,000,000 for fiscal year 
2005, and such sums as may be necessary for each of fiscal years 2006 
and 2007, to carry out the provisions of sections 3 through 5 that are 
related to the mission of the Agency, and other global HIV/AIDS 
activities determined appropriate by the Secretary of Health and Human 
Services, including evaluation of global HIV/AIDS programs and cost, 
use and access to HIV/AIDS treatment. Any amounts so appropriated shall 
remain available until expended.
    (e) Food and Drug Administration.--There is authorized to be 
appropriated to the Food and Drug Administration, $45,000,000 for 
fiscal year 2004, $55,000,000 for fiscal year 2005, and such sums as 
may be necessary for each of fiscal years 2006 and 2007, to carry out 
the provisions of sections 3 through 5 that are related to the mission 
of the Administration, and other global HIV/AIDS activities determined 
appropriate by the Commissioner of Food and Drugs, including review of 
more sensitive tests and further efforts to ensure a safe blood supply. 
Any amounts so appropriated shall remain available until expended.
    (f) United States Agency for International Development.--There is 
authorized to be appropriated to the United States Agency for 
International Development, $550,000,000 for fiscal year 2004, 
$655,000,000 for fiscal year 2005, and such sums as may be necessary 
for each of fiscal years 2006 and 2007, to carry out the provisions of 
sections 3 through 5 and other global HIV/AIDS prevention, care, 
treatment, and capacity development activities determined appropriate 
by the Secretary of State. Any amounts so appropriated shall remain 
available until expended.
    (g) Department of Defense.--There is authorized to be appropriated 
to the Department of Defense, $20,000,000 for fiscal year 2004, 
$22,000,000 for fiscal year 2005, and such sums as may be necessary for 
each of fiscal years 2006 and 2007, to carry out the provisions of 
sections 3 through 5 that are related to mission of the Department, and 
other global HIV/AIDS activities determined appropriate by the 
Secretary of Defense including HIV/AIDS prevention and education with 
host country armed forces. Any amounts so appropriated shall remain 
available until expended.
    (h) Department of Agriculture.--There is authorized to be 
appropriated to the Department of Agriculture, $25,000,000 for fiscal 
years 2004 and 2005, and such sums as may be necessary for each of 
fiscal years 2006 and 2007, to carry out the provisions of sections 3 
through 5 that are related to the mission of the Department, and other 
global HIV/AIDS activities determined appropriate by the Secretary of 
Agriculture, including strengthening the capacity of organizations 
providing community-based nutrition services. Any amounts so 
appropriated shall remain available until expended.
    (i) Department of Labor.--There is authorized to be appropriated to 
the Department of Labor, $20,000,000 for fiscal year 2004, $22,000,000 
for fiscal year 2005, and such sums as may be necessary for each of 
fiscal years 2006 and 2007, to carry out the provisions of sections 3 
through 5 that are related to the mission of the Department, and other 
global HIV/AIDS activities determined appropriate by the Secretary of 
Labor, including workplace-based HIV/AIDS prevention in host countries. 
Any amounts so appropriated shall remain available until expended.
    (j) Department of Commerce.--There is authorized to be appropriated 
to the Department of Commerce, $10,000,000 for fiscal years 2004 and 
2005, and such sums as may be necessary for each of fiscal years 2006 
and 2007, to carry out the provisions of sections 3 through 5 that are 
related to the mission of the Department and other global HIV/AIDS 
activities determined appropriate by the Secretary of Commerce, 
including encouraging the involvement of multinational United States 
corporations in the fight against HIV/AIDS. Any amounts so appropriated 
shall remain available until expended.
    (k) Global Health Fund.--
            (1) Authorization.--There is authorized to be appropriated 
        $2,100,000,000 for fiscal year 2004, $2,550,000,000 for fiscal 
        year 2005, and such sums as may be necessary for each of fiscal 
        years 2006 and 2007, to be used for United States contributions 
        to a global health fund negotiated by the United States 
        consistent with the general principles contained in the Global 
        AIDS and Tuberculosis Relief Act of 2000 (22 U.S.C. 6801 et 
        seq.) and the initiative of the Secretary General of the United 
        Nations or other multilateral efforts to prevent, treat, and 
        monitor HIV/AIDS in countries in sub-Saharan Africa and other 
        developing countries, including efforts to provide hospice and 
        palliative care for individuals with HIV/AIDS.
            (2) Characteristics of global health fund.--It is the sense 
        of Congress that, consistent with the general principles 
        outlined in the Global AIDS and Tuberculosis Relief Act of 2000 
        (22 U.S.C. 6801 et seq.), United States contributions should be 
        provided to a global health fund under paragraph (1) only if 
        the fund--
                    (A) is a public-private partnership that includes 
                participation of, and seeks contributions from, 
                governments, foundations, corporations, nongovernmental 
                organizations, organizations that are part of the 
                United Nations system, and other entities or 
                individuals;
                    (B) has the World Bank serving as the fiduciary 
                agent of the fund and in any other capacity deemed 
                appropriate by the international community;
                    (C) includes donors, recipient countries, civil 
                society, and other relevant parties in the governance 
                of the fund;
                    (D) contains safeguards against conflicts of 
                interest in the governance of the fund by the 
                individuals and entities described in subparagraph (A);
                    (E) supports targeted initiatives to address HIV/
                AIDS, tuberculosis, and malaria through an integrated 
                approach that includes prevention interventions, care 
                and treatment programs, and infrastructure capacity-
                building;
                    (F) permits strategic targeting of resources to 
                address needs not currently met by existing bilateral 
                and multilateral efforts and  includes separate 
subaccounts for different activities allowing donors to designate funds 
for specific categories of programs and activities;
                    (G) reserves a minimum of 5 percent of its grant 
                funds to support scientific or medical research in 
                connection with the projects it funds in developing 
                countries;
                    (H) provides public disclosure with respect to--
                            (i) the membership and official proceedings 
                        of the mechanism established to manage and 
                        disburse amounts contributed to the fund; and
                            (ii) grants and projects supported by the 
                        fund;
                    (I) authorizes and enforces requirements for the 
                periodic financial and performance auditing of projects 
                and makes future funding conditional upon the results 
                of such audits; and
                    (J) provides public disclosure of the findings of 
                all financial and performance audits of the fund.

SEC. 7. GLOBAL PHYSICIAN CORPS.

    (a) In General.--The Secretary of Health and Human Services 
(referred to in this section as the ``Secretary''), in consultation 
with the Secretary of State, is authorized to establish a Global 
Physician Corps for the purpose of carrying out the activities 
described in subsection (d).
    (b) Recruitment of Physicians.--
            (1) In general.--The Secretary is authorized to recruit and 
        employ for international assignments as part of the Global 
        Physician Corps--
                    (A) physicians who--
                            (i) are trained in infectious diseases and 
                        other medical disciplines; and
                            (ii) have demonstrated expertise in the 
                        treatment of HIV/AIDS;
                    (B) retired commissioned officers of the Public 
                Health Service Corps; and
                    (C) physicians who are trained in such disciplines 
                as the Secretary shall determine to be necessary.
            (2) Recruitment at schools.--The Secretary may conduct 
        recruitment programs for the Global Physician Corps at schools 
        of medicine.
    (c) Time Periods.--
            (1) In general.--Physicians hired under subsection (b) 
        shall be employed for periods of not more than 2 years.
            (2) Extensions.--The Secretary may authorize extensions of 
        employment under paragraph (1) as the Secretary determines 
        appropriate.
    (d) Activities.--The Global Physician Corps, using international 
assignments of physicians, shall--
            (1) care for and treat individuals affected by HIV/AIDS;
            (2) train host country physicians in the safe and effective 
        use of antiretroviral drugs to treat and care for infected 
        individuals, and provide quality medical support services for 
        such host country physicians;
            (3) establish or adapt appropriate clinical protocols for 
        HIV prevention, care, and treatment, and train medical 
        personnel in these protocols; and
            (4) carry out other activities as determined appropriate by 
        the Secretary.
    (e) Assignments.--
            (1) In general.--The Director of the Centers for Disease 
        Control and Prevention, the Administrator of the Health 
        Resources and Services Administration, and the Director of the 
        National Institutes of Health shall collaborate with the 
        Secretary and the United States Agency for International 
        Development to determine where physicians hired under this 
        section are most needed to serve and to appropriately place 
        such physicians.
            (2) Travel.--The Secretary shall determine travel 
        requirements and any reimbursements to be provided under this 
        section.
    (f) Staff.--The Secretary shall ensure that adequate staff is 
provided to effectively administer the Global Physician Corps.
    (g) Pay.--The Secretary shall determine pay and benefits to be 
provided under this section.
    (h) Authorization of Appropriations.--There is authorized to be 
appropriated to carry out this section $5,000,000 for fiscal year 2003, 
and $25,000,000 for each of fiscal years 2004, 2005, and 2006.

SEC. 8. AUTHORITY FOR INTERNATIONAL PROGRAMS.

    Section 307 of the Public Health Service Act (42 U.S.C. 242l) is 
amended--
            (1) in subsection (b)(7) by inserting ``new'' before 
        ``facility in any foreign country'';
            (2) by striking subsection (b)(8); and
            (3) by adding at the end the following:
    ``(d)(1) The Secretary is authorized to utilize authorities 
contained in section 2 of the State Department Basic Authorities Act of 
1956 (22 U.S.C. 2669), subject to the limitations set forth in 
subsection (e).
    ``(2) The Secretary is authorized to use the authority in section 1 
of the Act of April 18, 1930 (46 Stat. 177; 22 U.S.C. 291) and section 
1 of the Foreign Service Buildings Act (22 U.S.C. 292) directly or 
through contract, grant, or cooperative agreement to lease, alter, or 
renovate facilities in foreign countries as necessary to conduct 
programs of assistance for international health activities, including 
activities relating to HIV/AIDS and other infectious diseases, chronic 
and environmental diseases, and other health activities abroad.
    ``(e) In exercising the authority set forth in paragraphs (1) and 
(2) of subsection (d), the Secretary shall consult with the Secretary 
of State to assure that planned activities are within the legal 
strictures of the State Department Basic Authorities Act of 1956 and 
other applicable laws.''.

SEC. 9. IMPROVING GLOBAL HEALTH THROUGH SAFE INJECTIONS.

    Chapter 1 of part I of the Foreign Assistance Act of 1961 (22 
U.S.C. 2151 et seq.) is amended by adding at the end the following:

``SEC. 135. ASSISTANCE FOR THE IMPROVEMENT OF INJECTION SAFETY.

    ``There is authorized to be appropriated each fiscal year, 
$1,000,000 for the purpose of developing and implementing effective 
strategies to improve injection safety, including developing and 
promoting technologies that improve the safety of injections provided 
for preventive and curative services, developing robust, 
environmentally sound, reasonably priced means for improving the safety 
of the disposal of used injection supplies, and launching an intensive 
5-year communication initiative, in conjunction with WHO, UNICEF, and 
the GAVI to promote the safe and appropriate use of injections.''.

SEC. 10. AIDS ORPHAN RELIEF.

    (a) Short Title.--This section may be cited as the ``AIDS Orphans 
Relief Act of 2002''.
    (b) Purposes.--The purposes of this section are--
            (1) to make microfinance programs an important component of 
        United States policy in fighting the effects of the Acquired 
        Immune Deficiency Syndrome (AIDS) pandemic worldwide; and
            (2) to encourage targeted use of food and food-related 
        assistance for humanitarian purposes and for sustainable 
        development in communities affected by AIDS.
    (c) Microcredit Programs.--Chapter 1 of part I of the Foreign 
Assistance Act of 1961 (22 U.S.C. 2151 et seq.), as amended by section 
9, is further amended by adding at the end the following new section:

``SEC. 136. ASSISTANCE FOR MICROCREDIT PROGRAMS FOR COMMUNITIES 
              AFFECTED BY AIDS.

    ``(a) In General.--In addition to any other funds authorized to be 
appropriated by this chapter for micro-enterprise activities or 
activities relating to Human Immunodeficiency Virus (HIV) or Acquired 
Immune Deficiency Syndrome (AIDS), there is authorized to be 
appropriated each fiscal year, $50,000,000 for purposes of assisting 
microcredit programs that serve the very poor, especially women, in 
communities heavily affected by AIDS.
    ``(b) Program Elements.--
            ``(1) In general.--The maximum amount of credit provided an 
        individual under a microcredit program under subsection (a) may 
        not exceed $600, and the average loan size for a program 
        receiving resources under this section may not exceed $300.
            ``(2) Programs.--To the maximum extent practicable, amounts 
        shall be provided under subsection (a) for programs that--
                    ``(A) provide HIV prevention or AIDS care and 
                support, whether directly or through linkages with 
                other programs;
                    ``(B) employ best practices for assisting the very 
                poor; and
                    ``(C) operate in a sustainable manner.''.
    (d) Food Assistance Programs.--Title IV of the Agricultural Trade 
and Development Assistance Act of 1954 (7 U.S.C. 1731 et seq.) is 
amended by adding at the end the following:

``SEC. 417. ASSISTANCE FOR COMMUNITIES AFFECTED BY AIDS.

    ``(a) In General.--The President may provide food assistance under 
this Act to developing countries in order to assist such countries in 
mitigating the effects of Acquired Immune Deficiency Syndrome (AIDS) on 
communities in such countries, including--
            ``(1) assistance to address the nutritional needs of 
        individuals in such communities who have AIDS;
            ``(2) assistance for households affected by AIDS; and
            ``(3) assistance as part of other aid or assistance 
        designed to create or restore sustainable livelihood strategies 
        in communities affected by AIDS.
    ``(b) Authorization of Appropriations.--
            ``(1) Authorization.--There is authorized to be 
        appropriated to carry out this section $50,000,000 for fiscal 
        year 2003 and for each subsequent fiscal year.
            ``(2) Relationship to other authorizations.--Amounts 
        authorized to be appropriated for a fiscal year under paragraph 
        (1) are in addition to any other amounts authorized to be 
        appropriated under this Act for such fiscal year.''.

SEC. 11. PILOT PROGRAM.

    (a) Program Authorized.--The Director of the Centers for Disease 
Control and Prevention shall create a pilot program to carry out the 
activities described in subsection (b).
    (b) Activities.--The Director shall--
            (1) capitalize on demonstrated successes in providing 
        antiretroviral drugs to people living with HIV/AIDS in 
        resource-poor settings;
            (2) apply learning from the United States that treatment 
        involving antiretroviral drugs must be accompanied by an array 
        of medical and social services if such treatment is to be 
        successful;
            (3) provide a limited procurement of pilot antiretroviral 
        drugs and technical assistance to pilot programs designed to 
        assess feasibility of large-scale programs; and
            (4) provide technical assistance to host country 
        governments to foster partnerships with private-sector 
        manufacturers for the purpose of assuring sustained drug 
        availability.
    (c) Authorization of Appropriations.--There is authorized to be 
appropriated to carry out this section, $50,000,000 for each of fiscal 
years 2003 and 2004, and such sums as may be necessary for each of 
fiscal years 2005 through 2007.
                                 <all>