II 111th CONGRESS 2d Session S. 3627 IN THE SENATE OF THE UNITED STATES July 21, 2010 Mr. Coburn introduced the following bill; which was read twice and referred to the Committee on Foreign Relations A BILL To ensure that United States global HIV/AIDS assistance prioritizes saving lives by focusing on access to treatment.

1.

Short title

This Act may be cited as the HIV/AIDS Save Lives First Act of 2010.

2.

Saving lives by expanding access to HIV/AIDS treatment

(a)

Allocation of funds

Subsection (c) of section 403 of the United States Leadership Against HIV/AIDS, Tuberculosis, and Malaria Act of 2003 (22 U.S.C. 7673(c)) is amended— (1)by redesignating paragraphs (1) through (5) as subparagraphs (A) through (E), respectively, and moving such subparagraphs, as so redesignated, 2 ems to the right; (2)by striking For each of the fiscal years 2009 through 2013, more than half and inserting “For each fiscal year— (1)not less than 75 percent ; (3)in subparagraph (E), as redesignated by paragraph (1), by striking HIV/AIDS. and inserting HIV/AIDS; and; and (4)by adding at the end the following new paragraphs: (2)not less than 5 percent of the amounts so appropriated shall be expended to expand the use of rapid HIV/AIDS testing, in furtherance of the requirement under subsection (d)(2); and (3)not less than 25 percent of the amount allocated under paragraph (2) shall be expended for assistance to countries that have adopted a national policy of universal, routine, rapid HIV/AIDS diagnosis of all patients of publicly funded facilities, including pregnant women and newborns. . (b)

Required medical progress

Subsection (d) of such section is amended to read as follows: (d)

Required medical progress

The President shall ensure that, by the end of fiscal year 2013— (1)antiretroviral treatment for HIV/AIDS and associated opportunistic infections or medical monitoring of HIV-seropositive people not in clinical need of retroviral treatment has been provided to no fewer than 5,000,000 people living in countries receiving funding under this Act; (2)no fewer than 1,000,000,000 rapid tests for HIV/AIDS have been conducted on people living in countries receiving funding under this Act; and (3)every available intervention is provided to ensure that 100 percent of infants born to HIV-infected women in countries where funds are expended pursuant to this Act are born uninfected and remain uninfected for at least the first year after birth, as measured by 100 percent diagnosis of pregnant women for HIV infection and of newborns for HIV antibodies and 100 percent treatment for each such mother or child diagnosed. . (c)

Limitations

Such section is further amended by adding at the end the following new subsections: (e)

Limitations on recipient funding

Recipients of funds appropriated pursuant to section 401— (1)may not spend more than 10 percent of such funds on administrative expenses; and (2)may not receive a treatment allocation exceeding an average of $500 annually per patient treated. (f)

Limitation on administrative expenses

Not more than 10 percent of the amounts appropriated pursuant to the authorization of appropriations under section 401 in a fiscal year may be made available for administrative expenses. .