United States Leadership Against HIV/AIDS, Tuberculosis, and Malaria Act of 2003 Public Law 108–25, as amended United States Leadership Against HIV/AIDS, Tuberculosis, and Malaria Act of 2003 25 118–47 Statute Compilation United States House of Representatives Office of the Legislative Counsel text/xml EN Pursuant to Title 17 Section 105 of the United States Code, this file is not subject to copyright protection and is in the public domain. GPO Statute Compilations USLM converter, version 20230403.1 2024-04-05 United States Leadership Against HIV/AIDS, Tuberculosis, and Malaria Act of 2003 10643 108 2003-05-27 United States Leadership Against HIV/AIDS, Tuberculosis, and Malaria Act of 2003 [P.L. 108–25; Approved May 27, 2003] [As Amended Through P.L. 118–47, Enacted March 23, 2024] [Currency: This publication is a compilation of the text of Public Law 108–25. It was last amended by the public law listed in the As Amended Through note above and below at the bottom of each page of the pdf version and reflects current law through the date of the enactment of the public law listed at https://www.govinfo.gov/app/collection/comps/] [Note: While this publication does not represent an official version of any Federal statute, substantial efforts have been made to ensure the accuracy of its contents. The official version of Federal law is found in the United States Statutes at Large and in the United States Code. The legal effect to be given to the Statutes at Large and the United States Code is established by statute (1 U.S.C. 112, 204).]
AN ACTTo provide assistance to foreign countries to combat HIV/AIDS, tuberculosis, and malaria, and for other purposes. Be it enacted by the Senate and House of Representatives of the United States of America in Congress assembled,
SECTION 1. [22 U.S.C. 7601 note] 1 SHORT TITLE; TABLE OF CONTENTS. (a) Short Title.—This Act may be cited as the “United States Leadership Against HIV/AIDS, Tuberculosis, and Malaria Act of 2003”.1

Added by sec. 204(b) of the Tom Lantos and Henry J. Hyde United States Global Leadership Against HIV/AIDS, Tuberculosis, and Malaria Reauthorization Act of 2008 (Public Law 110–293; 122 Stat. 2942) (in notes, hereafter referred to as “Lantos/Hyde Reauthorization Act of 2008”).

 (b) Table of Contents.—The table of contents for this Act is as follows: Sec. 1. Sec. 2. Sec. 3. Sec. 4. Sec. 5. TITLE I— Sec. 101. Sec. 102. TITLE II— Sec. 201. Sec. 202. Sec. 203. Sec. 204. TITLE III— Subtitle A— Sec. 301. Sec. 302. Sec. 303. Sec. 304. Sec. 305. Sec. 306. Sec. 307. Subtitle B— Sec. 311. Sec. 312. Sec. 313. Sec. 314. Sec. 315. TITLE IV— Sec. 401. Sec. 402. Sec. 403. Sec. 404. TITLE V— Sec. 501. Sec. 502. Sec. 503.
SEC. 2. [22 U.S.C. 7601] FINDINGS. Congress makes the following findings: (1) During the last 20 years, HIV/AIDS has assumed pandemic proportions, spreading from the most severely affected regions, sub-Saharan Africa and the Caribbean, to all corners of the world, and leaving an unprecedented path of death and devastation. (2) According to the Joint United Nations Programme on HIV/AIDS (UNAIDS), more than 65,000,000 individuals worldwide have been infected with HIV since the epidemic began, more than 25,000,000 of these individuals have lost their lives to the disease, and more than 14,000,000 children have been orphaned by the disease. HIV/AIDS is the fourth-highest cause of death in the world. (3)(A) At the end of 2002, an estimated 42,000,000 individuals were infected with HIV or living with AIDS, of which more than 75 percent live in Africa or the Caribbean. Of these individuals, more than 3,200,000 were children under the age of 15 and more than 19,200,000 were women. (B) Women are four times more vulnerable to infection than are men and are becoming infected at increasingly high rates, in part because many societies do not provide poor women and young girls with the social, legal, and cultural protections against high risk activities that expose them to HIV/AIDS. (C) Women and children who are refugees or are internally displaced persons are especially vulnerable to sexual exploitation and violence, thereby increasing the possibility of HIV infection. (4) As the leading cause of death in sub-Saharan Africa, AIDS has killed more than 19,400,000 individuals (more than 3 times the number of AIDS deaths in the rest of the world) and will claim the lives of one-quarter of the population, mostly adults, in the next decade. (5) An estimated 2,000,000 individuals in Latin America and the Caribbean and another 7,100,000 individuals in Asia and the Pacific region are infected with HIV or living with AIDS. Infection rates are rising alarmingly in Eastern Europe (especially in the Russian Federation), Central Asia, and China. (6) HIV/AIDS threatens personal security by affecting the health, lifespan, and productive capacity of the individual and the social cohesion and economic well-being of the family. (7) HIV/AIDS undermines the economic security of a country and individual businesses in that country by weakening the productivity and longevity of the labor force across a broad array of economic sectors and by reducing the potential for economic growth over the long term. (8) HIV/AIDS destabilizes communities by striking at the most mobile and educated members of society, many of whom are responsible for security at the local level and governance at the national and subnational levels as well as many teachers, health care personnel, and other community workers vital to community development and the effort to combat HIV/AIDS. In some countries the overwhelming challenges of the HIV/AIDS epidemic are accelerating the outward migration of critically important health care professionals. (9) HIV/AIDS weakens the defenses of countries severely affected by the HIV/AIDS crisis through high infection rates among members of their military forces and voluntary peacekeeping personnel. According to UNAIDS, in sub-Saharan Africa, many military forces have infection rates as much as five times that of the civilian population. (10) HIV/AIDS poses a serious security issue for the international community by— (A) increasing the potential for political instability and economic devastation, particularly in those countries and regions most severely affected by the disease; (B) decreasing the capacity to resolve conflicts through the introduction of peacekeeping forces because the environments into which these forces are introduced pose a high risk for the spread of HIV/AIDS; and (C) increasing the vulnerability of local populations to HIV/AIDS in conflict zones from peacekeeping troops with HIV infection rates significantly higher than civilian populations. (11) The devastation wrought by the HIV/AIDS pandemic is compounded by the prevalence of tuberculosis and malaria, particularly in developing countries where the poorest and most vulnerable members of society, including women, children, and those individuals living with HIV/AIDS, become infected. According to the World Health Organization (WHO), HIV/AIDS, tuberculosis, and malaria accounted for more than 5,700,000 deaths in 2001 and caused debilitating illnesses in millions more. (12) Together, HIV/AIDS, tuberculosis, malaria and related diseases are undermining agricultural production throughout Africa. According to the United Nations Food and Agricultural Organization, 7,000,000 agricultural workers throughout 25 African countries have died from AIDS since 1985. Countries with poorly developed agricultural systems, which already face chronic food shortages, are the hardest hit, particularly in sub-Saharan Africa, where high HIV prevalence rates are compounding the risk of starvation for an estimated 14,400,000 people. (13) Tuberculosis is the cause of death for one out of every three people with AIDS worldwide and is a highly communicable disease. HIV infection is the leading threat to tuberculosis control. Because HIV infection so severely weakens the immune system, individuals with HIV and latent tuberculosis infection have a 100 times greater risk of developing active tuberculosis diseases thereby increasing the risk of spreading tuberculosis to others. Tuberculosis, in turn, accelerates the onset of AIDS in individuals infected with HIV. (14) Malaria, the most deadly of all tropical parasitic diseases, has been undergoing a dramatic resurgence in recent years due to increasing resistance of the malaria parasite to inexpensive and effective drugs. At the same time, increasing resistance of mosquitoes to standard insecticides makes control of transmission difficult to achieve. The World Health Organization estimates that between 300,000,000 and 500,000,000 new cases of malaria occur each year, and annual deaths from the disease number between 2,000,000 and 3,000,000. Persons infected with HIV are particularly vulnerable to the malaria parasite. The spread of HIV infection contributes to the difficulties of controlling resurgence of the drug resistant malaria parasite. (15) HIV/AIDS is first and foremost a health problem. Successful strategies to stem the spread of the HIV/AIDS pandemic will require clinical medical interventions, the strengthening of health care delivery systems and infrastructure, and determined national leadership and increased budgetary allocations for the health sector in countries affected by the epidemic as well as measures to address the social and behavioral causes of the problem and its impact on families, communities, and societal sectors. (16) Basic interventions to prevent new HIV infections and to bring care and treatment to people living with AIDS, such as voluntary counseling and testing and mother-to-child transmission programs, are achieving meaningful results and are cost-effective. The challenge is to expand these interventions from a pilot program basis to a national basis in a coherent and sustainable manner. (17) Appropriate treatment of individuals with HIV/AIDS can prolong the lives of such individuals, preserve their families, prevent children from becoming orphans, and increase productivity of such individuals by allowing them to lead active lives and reduce the need for costly hospitalization for treatment of opportunistic infections caused by HIV. (18) Nongovernmental organizations, including faith-based organizations, with experience in health care and HIV/AIDS counseling, have proven effective in combating the HIV/AIDS pandemic and can be a resource in assisting indigenous organizations in severely affected countries in their efforts to provide treatment and care for individuals infected with HIV/AIDS. (19) Faith-based organizations are making an important contribution to HIV prevention and AIDS treatment programs around the world. Successful HIV prevention programs in Uganda, Jamaica, and elsewhere have included local churches and faith-based groups in efforts to promote behavior changes to prevent HIV, to reduce stigma associated with HIV infection, to treat those afflicted with the disease, and to care for orphans. The Catholic Church alone currently cares for one in four people being treated for AIDS worldwide. Faith-based organizations possess infrastructure, experience, and knowledge that will be needed to carry out these programs in the future and should be an integral part of United States efforts. (20)(A) Uganda has experienced the most significant decline in HIV rates of any country in Africa, including a decrease among pregnant women from 20.6 percent in 1991 to 7.9 percent in 2000. (B) Uganda made this remarkable turnaround because President Yoweri Museveni spoke out early, breaking long-standing cultural taboos, and changed widespread perceptions about the disease. His leadership stands as a model for ways political leaders in Africa and other developing countries can mobilize their nations, including civic organizations, professional associations, religious institutions, business and labor to combat HIV/AIDS. (C) Uganda's successful AIDS treatment and prevention program is referred to as the ABC model: “Abstain, Be faithful, use Condoms”, in order of priority. Jamaica, Zambia, Ethiopia and Senegal have also successfully used the ABC model. Beginning in 1986, Uganda brought about a fundamental change in sexual behavior by developing a low-cost program with the message: “Stop having multiple partners. Be faithful. Teenagers, wait until you are married before you begin sex.”. (D) By 1995, 95 percent of Ugandans were reporting either one or zero sexual partners in the past year, and the proportion of sexually active youth declined significantly from the late 1980s to the mid-1990s. The greatest percentage decline in HIV infections and the greatest degree of behavioral change occurred in those 15 to 19 years old. Uganda's success shows that behavior change, through the use of the ABC model, is a very successful way to prevent the spread of HIV. (21) The magnitude and scope of the HIV/AIDS crisis demands a comprehensive, long-term, international response focused upon addressing the causes, reducing the spread, and ameliorating the consequences of the HIV/AIDS pandemic, including— (A) prevention and education, care and treatment, basic and applied research, and training of health care workers, particularly at the community and provincial levels, and other community workers and leaders needed to cope with the range of consequences of the HIV/AIDS crisis; (B) development of health care infrastructure and delivery systems through cooperative and coordinated public efforts and public and private partnerships; (C) development and implementation of national and community-based multisector strategies that address the impact of HIV/AIDS on the individual, family, community, and nation and increase the participation of at-risk populations in programs designed to encourage behavioral and social change and reduce the stigma associated with HIV/AIDS; and (D) coordination of efforts between international organizations such as the Global Fund to Fight AIDS, Tuberculosis and Malaria, the Joint United Nations Programme on HIV/AIDS (UNAIDS), the World Health Organization (WHO), national governments, and private sector organizations, including faith-based organizations. (22) The United States has the capacity to lead and enhance the effectiveness of the international community's response by— (A) providing substantial financial resources, technical expertise, and training, particularly of health care personnel and community workers and leaders; (B) promoting vaccine and microbicide research and the development of new treatment protocols in the public and commercial pharmaceutical research sectors; (C) making available pharmaceuticals and diagnostics for HIV/AIDS therapy; (D) encouraging governments and faith-based and community-based organizations to adopt policies that treat HIV/AIDS as a multisectoral public health problem affecting not only health but other areas such as agriculture, education, the economy, the family and society, and assisting them to develop and implement programs corresponding to these needs; (E) promoting healthy lifestyles, including abstinence, delaying sexual debut, monogamy, marriage, faithfulness, use of condoms, and avoiding substance abuse; and (F) encouraging active involvement of the private sector, including businesses, pharmaceutical and biotechnology companies, the medical and scientific communities, charitable foundations, private and voluntary organizations and nongovernmental organizations, faith-based organizations, community-based organizations, and other nonprofit entities. (23) Prostitution and other sexual victimization are degrading to women and children and it should be the policy of the United States to eradicate such practices. The sex industry, the trafficking of individuals into such industry, and sexual violence are additional causes of and factors in the spread of the HIV/AIDS epidemic. One in nine South Africans is living with AIDS, and sexual assault is rampant, at a victimization rate of one in three women. Meanwhile in Cambodia, as many as 40 percent of prostitutes are infected with HIV and the country has the highest rate of increase of HIV infection in all of Southeast Asia. Victims of coercive sexual encounters do not get to make choices about their sexual activities. (24) Strong coordination must exist among the various agencies of the United States to ensure effective and efficient use of financial and technical resources within the United States Government with respect to the provision of international HIV/AIDS assistance. (25) In his address to Congress on January 28, 2003, the President announced the Administration's intention to embark on a five-year emergency plan for AIDS relief, to confront HIV/AIDS with the goals of preventing 7,000,000 new HIV/AIDS infections, treating at least 2,000,000 people with life-extending drugs, and providing humane care for millions of people suffering from HIV/AIDS, and for children orphaned by HIV/AIDS. (26) In this address to Congress, the President stated the following: “Today, on the continent of Africa, nearly 30,000,000 people have the AIDS virus—including 3,000,000 children under the age of 15. There are whole countries in Africa where more than one-third of the adult population carries the infection. More than 4,000,000 require immediate drug treatment. Yet across that continent, only 50,000 AIDS victims—only 50,000—are receiving the medicine they need.”. (27) Furthermore, the President focused on care and treatment of HIV/AIDS in his address to Congress, stating the following: “Because the AIDS diagnosis is considered a death sentence, many do not seek treatment. Almost all who do are turned away. A doctor in rural South Africa describes his frustration. He says, ‘We have no medicines. Many hospitals tell people, you've got AIDS, we can't help you. Go home and die.’ In an age of miraculous medicines, no person should have to hear those words. AIDS can be prevented. Anti-retroviral drugs can extend life for many years * * * Ladies and gentlemen, seldom has history offered a greater opportunity to do so much for so many.”. (28) Finally, the President stated that “[w]e have confronted, and will continue to confront, HIV/AIDS in our own country”, proposing now that the United States should lead the world in sparing innocent people from a plague of nature, and asking Congress “to commit $15,000,000,000 over the next five years, including nearly $10,000,000,000 in new money, to turn the tide against AIDS in the most afflicted nations of Africa and the Caribbean”. (29)2 On May 27, 2003, the President signed this Act into law, launching the largest international public health program of its kind ever created.2

Sec. 2 of the Lantos/Hyde Reauthorization Act of 2008 (Public Law 110–293; 122 Stat. 2919) added paras. (29) through (41).

 (30)2 Between 2003 and 2008, the United States, through the President's Emergency Plan for AIDS Relief (PEPFAR) and in conjunction with other bilateral programs and the multilateral Global Fund has helped to— (A) provide antiretroviral therapy for over 1,900,000 people; (B) ensure that over 150,000 infants, most of whom would have likely been infected with HIV during pregnancy or childbirth, were not infected; and (C) provide palliative care and HIV prevention assistance to millions of other people. (31)2 While United States leadership in the battles against HIV/AIDS, tuberculosis, and malaria has had an enormous impact, these diseases continue to take a terrible toll on the human race. (32)2 According to the 2007 AIDS Epidemic Update of the Joint United Nations Programme on HIV/AIDS (UNAIDS)— (A) an estimated 2,100,000 people died of AIDS-related causes in 2007; and (B) an estimated 2,500,000 people were newly infected with HIV during that year. (33)2 According to the World Health Organization, malaria kills more than 1,000,000 people per year, 70 percent of whom are children under 5 years of age. (34)2 According to the World Health Organization, 1/3 of the world's population is infected with the tuberculosis bacterium, and tuberculosis is 1 of the greatest infectious causes of death of adults worldwide, killing 1,600,000 people per year. (35)2 Efforts to promote abstinence, fidelity, the correct and consistent use of condoms, the delay of sexual debut, and the reduction of concurrent sexual partners represent important elements of strategies to prevent the transmission of HIV/AIDS. (36)2 According to UNAIDS— (A) women and girls make up nearly 60 percent of persons in sub-Saharan Africa who are HIV positive; (B) women and girls are more biologically, economically, and socially vulnerable to HIV infection; and (C) gender issues are critical components in the effort to prevent HIV/AIDS and to care for those affected by the disease. (37)2 Children who have lost a parent to HIV/AIDS, who are otherwise directly affected by the disease, or who live in areas of high HIV prevalence may be vulnerable to the disease or its socioeconomic effects. (38)2 Lack of health capacity, including insufficient personnel and inadequate infrastructure, in sub-Saharan Africa and other regions of the world is a critical barrier that limits the effectiveness of efforts to combat HIV/AIDS, tuberculosis, and malaria, and to achieve other global health goals. (39)2 On March 30, 2007, the Institute of Medicine of the National Academies released a report entitled “PEPFAR Implementation: Progress and Promise”, which found that budget allocations setting percentage levels for spending on prevention, care, and treatment and for certain subsets of activities within the prevention category— (A) have “adversely affected implementation of the U.S. Global AIDS Initiative”; (B) have inhibited comprehensive, integrated, evidence based approaches; (C) ``have been counterproductive''; (D) ``may have been helpful initially in ensuring a balance of attention to activities within the 4 categories of prevention, treatment, care, and orphans and vulnerable children''; (E) ``have also limited PEPFAR's ability to tailor its activities in each country to the local epidemic and to coordinate with the level of activities in the countries' national plans''; and (F) should be removed by Congress and replaced with more appropriate mechanisms that— (i) ``ensure accountability for results from Country Teams to the U.S. Global AIDS Coordinator and to Congress''; and (ii) ``ensure that spending is directly linked to and commensurate with necessary efforts to achieve both country and overall performance targets for prevention, treatment, care, and orphans and vulnerable children''. (40)2 The United States Government has endorsed the principles of harmonization in coordinating efforts to combat HIV/AIDS commonly referred to as the “Three Ones”, which includes— (A) 1 agreed HIV/AIDS action framework that provides the basis for coordination of the work of all partners; (B) 1 national HIV/AIDS coordinating authority, with a broadbased multisectoral mandate; and (C) 1 agreed HIV/AIDS country-level monitoring and evaluating system. (41)2 In the Abuja Declaration on HIV/AIDS, Tuberculosis and Other Related Infectious Diseases, of April 26–27, 2001 (referred to in this Act as the “Abuja Declaration”), the Heads of State and Government of the Organization of African Unity (OAU)— (A) declared that they would “place the fight against HIV/AIDS at the forefront and as the highest priority issue in our respective national development plans”; (B) committed “TO TAKE PERSONAL RESPONSIBILITY AND PROVIDE LEADERSHIP for the activities of the National AIDS Commissions/Councils”; (C) resolved “to lead from the front the battle against HIV/AIDS, Tuberculosis and Other Related Infectious Diseases by personally ensuring that such bodies were properly convened in mobilizing our societies as a whole and providing focus for unified national policymaking and programme implementation, ensuring coordination of all sectors at all levels with a gender perspective and respect for human rights, particularly to ensure equal rights for people living with HIV/AIDS”; and (D) pledged “to set a target of allocating at least 15% of our annual budget to the improvement of the health sector”.
SEC. 3. [22 U.S.C. 7602] DEFINITIONS. In this Act: (1) AIDS.—The term “AIDS” means the acquired immune deficiency syndrome. (2) Appropriate congressional committees.—The term “appropriate congressional committees” means the Committee on Foreign Relations of the Senate and the Committee on Foreign Affairs of the House of Representatives, the Committee on Appropriations of the Senate, and the Committee on Appropriations3 of the House of Representatives.3

Sec. 3(1) of the Lantos/Hyde Reauthorization Act of 2008 (Public Law 110–293; 122 Stat. 2921) struck out “Committee on International Relations” and inserted in lieu thereof “Committee on Foreign Affairs of the House of Representatives, the Committee on Appropriations of the Senate, and the Committee on Appropriations”.

 (3)4 Global aids coordinator.—The term “Global AIDS Coordinator” means the Coordinator of United States Government Activities to Combat HIV/AIDS Globally.4

Sec. 3(4) of the Lantos/Hyde Reauthorization Act of 2008 (Public Law 110–293; 122 Stat. 2921) added new para. (3).

 (4)5 Global fund.—The term “Global Fund” means the public-private partnership known as the Global Fund to Fight AIDS, Tuberculosis and Malaria established pursuant to Article 80 of the Swiss Civil Code.5

Sec. 3(3) of the Lantos/Hyde Reauthorization Act of 2008 (Public Law 110–293; 122 Stat. 2921) redesignated the original paras. (3) through (5) as paras. (4) through (6), respectively.

 (5)5 HIV.—The term “HIV” means the human immunodeficiency virus, the pathogen that causes AIDS. (6)5 HIV/AIDS.—The term “HIV/AIDS” means, with respect to an individual, an individual who is infected with HIV or living with AIDS. (7)6 Impact evaluation research.—The term “impact evaluation research” means the application of research methods and statistical analysis to measure the extent to which change in a population-based outcome can be attributed to program intervention instead of other environmental factors.6

Sec. 3(5) of the Lantos/Hyde Reauthorization Act of 2008 (Public Law 110–293; 122 Stat. 2921) added paras. (7) through (11).

 (8)6 Operations research.—The term “operations research” means the application of social science research methods, statistical analysis, and other appropriate scientific methods to judge, compare, and improve policies and program outcomes, from the earliest stages of defining and designing programs through their development and implementation, with the objective of the rapid dissemination of conclusions and concrete impact on programming. (9)6 Paraprofessional.—The term “paraprofessional” means an individual who is trained and employed as a health agent for the provision of basic assistance in the identification, prevention, or treatment of illness or disability. (10)6 Partner government.—The term “partner government” means a government with which the United States is working to provide assistance to combat HIV/AIDS, tuberculosis, or malaria on behalf of people living within the jurisdiction of such government. (11)6 Program monitoring.—The term “program monitoring” means the collection, analysis, and use of routine program data to determine— (A) how well a program is carried out; and (B) how much the program costs. (12)7 Relevant executive branch agencies.—The term “relevant executive branch agencies” means the Department of State, the United States Agency for International Development, and any other department or agency of the United States that participates in international HIV/AIDS activities pursuant to the authorities of such department or agency or the Foreign Assistance Act of 1961.7

Sec. 3(2) of the Lantos/Hyde Reauthorization Act of 2008 (Public Law 110–293; 122 Stat. 2921) redesignated original para. (6) as para. (12).
SEC. 4. [22 U.S.C. 7603] 8 PURPOSE. The purpose of this Act is to strengthen and enhance United States leadership and the effectiveness of the United States response to the HIV/AIDS, tuberculosis, and malaria pandemics and other related and preventable infectious diseases as part of the overall United States health and development agenda by—8

Sec. 4 of the Lantos/Hyde Reauthorization Act of 2008 (Public Law 110–293; 122 Stat. 2922) amended and restated sec. 4, which previously read as follows:

``SEC. 4. PURPOSE.

``The purpose of this Act is to strengthen United States leadership and the effectiveness of the United States response to certain global infectious diseases by—

``(1) establishing a comprehensive, integrated five-year, global strategy to fight HIV/AIDS that encompasses a plan for phased expansion of critical programs and improved coordination among relevant executive branch agencies and between the United States and foreign governments and international organizations;

``(2) providing increased resources for multilateral efforts to fight HIV/AIDS;

``(3) providing increased resources for United States bilateral efforts, particularly for technical assistance and training, to combat HIV/AIDS, tuberculosis, and malaria;

``(4) encouraging the expansion of private sector efforts and expanding public-private sector partnerships to combat HIV/AIDS; and

``(5) intensifying efforts to support the development of vaccines and treatment for HIV/AIDS, tuberculosis, and malaria.''.

 (1) establishing comprehensive, coordinated, and integrated 5-year, global strategies to combat HIV/AIDS, tuberculosis, and malaria by— (A) building on progress and successes to date; (B) improving harmonization of United States efforts with national strategies of partner governments and other public and private entities; and (C) emphasizing capacity building initiatives in order to promote a transition toward greater sustainability through the support of country-driven efforts; (2) providing increased resources for bilateral and multilateral efforts to fight HIV/AIDS, tuberculosis, and malaria as integrated components of United States development assistance; (3) intensifying efforts to— (A) prevent HIV infection; (B) ensure the continued support for, and expanded access to, treatment and care programs; (C) enhance the effectiveness of prevention, treatment, and care programs; and (D) address the particular vulnerabilities of girls and women; (4) encouraging the expansion of private sector efforts and expanding public-private sector partnerships to combat HIV/AIDS, tuberculosis, and malaria; (5) reinforcing efforts to— (A) develop safe and effective vaccines, microbicides, and other prevention and treatment technologies; and (B) improve diagnostics capabilities for HIV/AIDS, tuberculosis, and malaria; and (6) helping partner countries to— (A) strengthen health systems; (B) expand health workforce; and (C) address infrastructural weaknesses.
SEC. 5. [22 U.S.C. 7604] AUTHORITY TO CONSOLIDATE AND COMBINE REPORTS. With respect to the reports required by this Act to be submitted by the President, to ensure an efficient use of resources, the President may, in his discretion and notwithstanding any other provision of this Act, consolidate or combine any of these reports, except for the report required by section 101 of this Act, so long as the required elements of each report are addressed and reported within a 90-day period from the original deadline date for submission of the report specified in this Act. The President may also enter into contracts with organizations with relevant expertise to develop, originate, or contribute to any of the reports required by this Act to be submitted by the President, with the exception of the 5-year strategy.99

Sec. 5 of the Lantos/Hyde Reauthorization Act of 2008 (Public Law 110–293; 122 Stat. 2922) inserted “, with the exception of the 5-year strategy” before the period at the end.
<num style="-uslm-dtd:enum" value="I">TITLE I—</num><heading style="-uslm-dtd:header">POLICY PLANNING AND COORDINATION </heading> <section identifier="/us/sComp/108/25/tI/s101" style="-uslm-dtd:section" styleType="OLC"> <num style="-uslm-dtd:enum" value="101">SEC. 101. </num><editorialNote role="uscRef" style="-uslm-dtd:usc-reference"><b>[</b><ref href="/us/usc/t22/s7611">22 U.S.C. 7611</ref><b>]</b> </editorialNote><heading style="-uslm-dtd:header"> <ref class="footnoteRef" idref="IDF864130B632F4D3C9BCDA12AB98BF514" style="-uslm-dtd:footnote-ref">10</ref> DEVELOPMENT OF A COMPREHENSIVE, FIVE-YEAR, GLOBAL STRATEGY. </heading> <subsection identifier="/us/sComp/108/25/tI/s101/a" style="-uslm-dtd:subsection" styleType="OLC"> <num style="-uslm-dtd:enum" value="a">(a)<ref class="footnoteRef" idref="IDDD7C63D6C0CF49A59CECDF0FE7E1B56D" style="-uslm-dtd:footnote-ref">11</ref> </num><heading style="-uslm-dtd:header">Strategy.—</heading><chapeau style="-uslm-dtd:text">The President shall establish a comprehensive, integrated, 5-year strategy to expand and improve efforts to combat global HIV/AIDS. This strategy shall—</chapeau><footnote id="IDF864130B632F4D3C9BCDA12AB98BF514" style="-uslm-dtd:footnote"><sup style="-uslm-dtd:superscript">10</sup><p style="-uslm-dtd:para; margin-left:1em">In a memorandum of February 23, 2004 (69 F.R. 9509), the President delegated authority under secs. 202(c), 305 and 313 to the Secretary of State. The President, further, delegated the authority under sec. 101 to the Secretary of State to establish a comprehensive, integrated, 5-year strategy to combat global HIV/AIDS and to report to Congress. In a memorandum for the Global AIDS Coordinator, issued on July 29, 2004 (Delegation of Authority No. 145–18; 69 F.R. 45880), the Secretary of State delegated the authority in these sections to the Global AIDS Coordinator.</p></footnote><footnote id="IDDD7C63D6C0CF49A59CECDF0FE7E1B56D" style="-uslm-dtd:footnote"><sup style="-uslm-dtd:superscript">11</sup><content><p style="-uslm-dtd:para; margin-left:1em">Sec. 101(a) of the Lantos/Hyde Reauthorization Act of 2008 (Public Law 110–293; 122 Stat. 2923) amended and restated sec. 101(a), which previously read as follows:</p> <p style="-uslm-dtd:para; margin-left:1em">``(a) <headingText style="-uslm-dtd:header-in-text">Strategy</headingText>.—The President shall establish a comprehensive, integrated, five-year strategy to combat global HIV/AIDS that strengthens the capacity of the United States to be an effective leader of the international campaign against HIV/AIDS. Such strategy shall maintain sufficient flexibility and remain responsive to the ever-changing nature of the HIV/AIDS pandemic and shall—</p> <p style="-uslm-dtd:para; margin-left:2em">``(1) include specific objectives, multisectoral approaches, and specific strategies to treat individuals infected with HIV/AIDS and to prevent the further spread of HIV infections, with a particular focus on the needs of families with children (including the prevention of mother-to-child transmission), women, young people, and children (such as unaccompanied minor children and orphans);</p> <p style="-uslm-dtd:para; margin-left:2em">``(2) as part of the strategy, implement a tiered approach to direct delivery of care and treatment through a system based on central facilities augmented by expanding circles of local delivery of care and treatment through local systems and capacity;</p> <p style="-uslm-dtd:para; margin-left:2em">``(3) assign priorities for relevant executive branch agencies;</p> <p style="-uslm-dtd:para; margin-left:2em">``(4) provide that the reduction of HIV/AIDS behavioral risks shall be a priority of all prevention efforts in terms of funding, educational messages, and activities by promoting abstinence from sexual activity and substance abuse, encouraging monogamy and faithfulness, promoting the effective use of condoms, and eradicating prostitution, the sex trade, rape, sexual assault and sexual exploitation of women and children;</p> <p style="-uslm-dtd:para; margin-left:2em">``(5) improve coordination and reduce duplication among relevant executive branch agencies, foreign governments, and international organizations;</p> <p style="-uslm-dtd:para; margin-left:2em">``(6) project general levels of resources needed to achieve the stated objectives;</p> <p style="-uslm-dtd:para; margin-left:2em">``(7) expand public-private partnerships and the leveraging of resources;</p> <p style="-uslm-dtd:para; margin-left:2em">``(8) maximize United States capabilities in the areas of technical assistance and training and research, including vaccine research;</p> <p style="-uslm-dtd:para; margin-left:2em">``(9) establish priorities for the distribution of resources based on factors such as the size and demographics of the population with HIV/AIDS, tuberculosis, and malaria and the needs of that population and the existing infrastructure or funding levels that may exist to cure, treat, and prevent HIV/AIDS, tuberculosis, and malaria; and</p> <p style="-uslm-dtd:para; margin-left:2em">``(10) include initiatives describing how the President will maximize the leverage of private sector dollars in reduction and treatment of HIV/AIDS, tuberculosis, and malaria.''.</p></content></footnote> <paragraph identifier="/us/sComp/108/25/tI/s101/a/1" style="-uslm-dtd:paragraph" styleType="OLC"> <num style="-uslm-dtd:enum" value="1">(1) </num><content style="-uslm-dtd:text">further strengthen the capability of the United States to be an effective leader of the international campaign against this disease and strengthen the capacities of nations experiencing HIV/AIDS epidemics to combat this disease;</content> </paragraph> <paragraph identifier="/us/sComp/108/25/tI/s101/a/2" style="-uslm-dtd:paragraph" styleType="OLC"> <num style="-uslm-dtd:enum" value="2">(2) </num><chapeau style="-uslm-dtd:text">maintain sufficient flexibility and remain responsive to—</chapeau> <subparagraph identifier="/us/sComp/108/25/tI/s101/a/2/A" style="-uslm-dtd:subparagraph" styleType="OLC"> <num style="-uslm-dtd:enum" value="A">(A) </num><content style="-uslm-dtd:text">changes in the epidemic;</content> </subparagraph> <subparagraph identifier="/us/sComp/108/25/tI/s101/a/2/B" style="-uslm-dtd:subparagraph" styleType="OLC"> <num style="-uslm-dtd:enum" value="B">(B) </num><content style="-uslm-dtd:text">challenges facing partner countries in developing and implementing an effective national response; and</content> </subparagraph> <subparagraph identifier="/us/sComp/108/25/tI/s101/a/2/C" style="-uslm-dtd:subparagraph" styleType="OLC"> <num style="-uslm-dtd:enum" value="C">(C) </num><content style="-uslm-dtd:text">evidence-based improvements and innovations in the prevention, care, and treatment of HIV/AIDS;</content> </subparagraph> </paragraph> <paragraph identifier="/us/sComp/108/25/tI/s101/a/3" style="-uslm-dtd:paragraph" styleType="OLC"> <num style="-uslm-dtd:enum" value="3">(3) </num><content style="-uslm-dtd:text">situate United States efforts to combat HIV/AIDS, tuberculosis, and malaria within the broader United States global health and development agenda, establishing a roadmap to link investments in specific disease programs to the broader goals of strengthening health systems and infrastructure and to integrate and coordinate HIV/AIDS, tuberculosis, or malaria programs with other health or development programs, as appropriate;</content> </paragraph> <paragraph identifier="/us/sComp/108/25/tI/s101/a/4" style="-uslm-dtd:paragraph" styleType="OLC"> <num style="-uslm-dtd:enum" value="4">(4) </num><chapeau style="-uslm-dtd:text">provide a plan to—</chapeau> <subparagraph identifier="/us/sComp/108/25/tI/s101/a/4/A" style="-uslm-dtd:subparagraph" styleType="OLC"> <num style="-uslm-dtd:enum" value="A">(A) </num><content style="-uslm-dtd:text">prevent 12,000,000 new HIV infections worldwide;</content> </subparagraph> <subparagraph identifier="/us/sComp/108/25/tI/s101/a/4/B" style="-uslm-dtd:subparagraph" styleType="OLC"> <num style="-uslm-dtd:enum" value="B">(B) </num><chapeau style="-uslm-dtd:text">support—</chapeau> <clause identifier="/us/sComp/108/25/tI/s101/a/4/B/i" style="-uslm-dtd:clause" styleType="OLC"> <num style="-uslm-dtd:enum" value="i">(i) </num><content style="-uslm-dtd:text">the increase in the number of individuals with HIV/AIDS receiving antiretroviral treatment above the goal established under section 402(a)(3) and increased pursuant to paragraphs (1) through (3) of section 403(d); and</content> </clause> <clause identifier="/us/sComp/108/25/tI/s101/a/4/B/ii" style="-uslm-dtd:clause" styleType="OLC"> <num style="-uslm-dtd:enum" value="ii">(ii) </num><content style="-uslm-dtd:text">additional treatment through coordinated multilateral efforts;</content> </clause> </subparagraph> <subparagraph identifier="/us/sComp/108/25/tI/s101/a/4/C" style="-uslm-dtd:subparagraph" styleType="OLC"> <num style="-uslm-dtd:enum" value="C">(C) </num><content style="-uslm-dtd:text">support care for 12,000,000 individuals infected with or affected by HIV/AIDS, including 5,000,000 orphans and vulnerable children affected by HIV/AIDS, with an emphasis on promoting a comprehensive, coordinated system of services to be integrated throughout the continuum of care;</content> </subparagraph> <subparagraph identifier="/us/sComp/108/25/tI/s101/a/4/D" style="-uslm-dtd:subparagraph" styleType="OLC"> <num style="-uslm-dtd:enum" value="D">(D) </num><content style="-uslm-dtd:text">help partner countries in the effort to achieve goals of 80 percent access to counseling, testing, and treatment to prevent the transmission of HIV from mother to child, emphasizing a continuum of care model;</content> </subparagraph> <subparagraph identifier="/us/sComp/108/25/tI/s101/a/4/E" style="-uslm-dtd:subparagraph" styleType="OLC"> <num style="-uslm-dtd:enum" value="E">(E) </num><content style="-uslm-dtd:text">help partner countries to provide care and treatment services to children with HIV in proportion to their percentage within the HIV-infected population in each country;</content> </subparagraph> <subparagraph identifier="/us/sComp/108/25/tI/s101/a/4/F" style="-uslm-dtd:subparagraph" styleType="OLC"> <num style="-uslm-dtd:enum" value="F">(F) </num><content style="-uslm-dtd:text">promote preservice training for health professionals designed to strengthen the capacity of institutions to develop and implement policies for training health workers to combat HIV/AIDS, tuberculosis, and malaria;</content> </subparagraph> <subparagraph identifier="/us/sComp/108/25/tI/s101/a/4/G" style="-uslm-dtd:subparagraph" styleType="OLC"> <num style="-uslm-dtd:enum" value="G">(G) </num><content style="-uslm-dtd:text">equip teachers with skills needed for HIV/AIDS prevention and support for persons with, or affected by, HIV/AIDS;</content> </subparagraph> <subparagraph identifier="/us/sComp/108/25/tI/s101/a/4/H" style="-uslm-dtd:subparagraph" styleType="OLC"> <num style="-uslm-dtd:enum" value="H">(H) </num><content style="-uslm-dtd:text">provide and share best practices for combating HIV/AIDS with health professionals;</content> </subparagraph> <subparagraph identifier="/us/sComp/108/25/tI/s101/a/4/I" style="-uslm-dtd:subparagraph" styleType="OLC"> <num style="-uslm-dtd:enum" value="I">(I) </num><content style="-uslm-dtd:text">promote pediatric HIV/AIDS training for physicians, nurses, and other health care workers, through public-private partnerships if possible, including through the designation, if appropriate, of centers of excellence for training in pediatric HIV/AIDS prevention, care, and treatment in partner countries; and</content> </subparagraph> <subparagraph identifier="/us/sComp/108/25/tI/s101/a/4/J" style="-uslm-dtd:subparagraph" styleType="OLC"> <num style="-uslm-dtd:enum" value="J">(J) </num><content style="-uslm-dtd:text">help partner countries to train and support retention of health care professionals and paraprofessionals, with the target of training and retaining at least 140,000 new health care professionals and paraprofessionals with an emphasis on training and in country deployment of critically needed doctors and nurses and to strengthen capacities in developing countries, especially in sub-Saharan Africa, to deliver primary health care with the objective of helping countries achieve staffing levels of at least 2.3 doctors, nurses, and midwives per 1,000 population, as called for by the World Health Organization;</content> </subparagraph> </paragraph> <paragraph identifier="/us/sComp/108/25/tI/s101/a/5" style="-uslm-dtd:paragraph" styleType="OLC"> <num style="-uslm-dtd:enum" value="5">(5) </num><content style="-uslm-dtd:text">include multisectoral approaches and specific strategies to treat individuals infected with HIV/AIDS and to prevent the further transmission of HIV infections, with a particular focus on the needs of families with children (including the prevention of mother-to-child transmission), women, young people, orphans, and vulnerable children;</content> </paragraph> <paragraph identifier="/us/sComp/108/25/tI/s101/a/6" style="-uslm-dtd:paragraph" styleType="OLC"> <num style="-uslm-dtd:enum" value="6">(6) </num><content style="-uslm-dtd:text">establish a timetable with annual global treatment targets with country-level benchmarks for antiretroviral treatment;</content> </paragraph> <paragraph identifier="/us/sComp/108/25/tI/s101/a/7" style="-uslm-dtd:paragraph" styleType="OLC"> <num style="-uslm-dtd:enum" value="7">(7) </num><content style="-uslm-dtd:text">expand the integration of timely and relevant research within the prevention, care, and treatment of HIV/AIDS;</content> </paragraph> <paragraph identifier="/us/sComp/108/25/tI/s101/a/8" style="-uslm-dtd:paragraph" styleType="OLC"> <num style="-uslm-dtd:enum" value="8">(8) </num><content style="-uslm-dtd:text">include a plan for program monitoring, operations research, and impact evaluation and for the dissemination of a best practices report to highlight findings;</content> </paragraph> <paragraph identifier="/us/sComp/108/25/tI/s101/a/9" style="-uslm-dtd:paragraph" styleType="OLC"> <num style="-uslm-dtd:enum" value="9">(9) </num><content style="-uslm-dtd:text">support the in-country or intra-regional training, preferably through public-private partnerships, of scientific investigators, managers, and other staff who are capable of promoting the systematic uptake of clinical research findings and other evidence-based interventions into routine practice, with the goal of improving the quality, effectiveness, and local leadership of HIV/AIDS health care;</content> </paragraph> <paragraph identifier="/us/sComp/108/25/tI/s101/a/10" style="-uslm-dtd:paragraph" styleType="OLC"> <num style="-uslm-dtd:enum" value="10">(10) </num><content style="-uslm-dtd:text">expand and accelerate research on and development of HIV/AIDS prevention methods for women, including enhancing inter-agency collaboration, staffing, and organizational infrastructure dedicated to microbicide research;</content> </paragraph> <paragraph identifier="/us/sComp/108/25/tI/s101/a/11" style="-uslm-dtd:paragraph" styleType="OLC"> <num style="-uslm-dtd:enum" value="11">(11) </num><content style="-uslm-dtd:text">provide for consultation with local leaders and officials to develop prevention strategies and programs that are tailored to the unique needs of each country and community and targeted particularly toward those most at risk of acquiring HIV infection;</content> </paragraph> <paragraph identifier="/us/sComp/108/25/tI/s101/a/12" style="-uslm-dtd:paragraph" styleType="OLC"> <num style="-uslm-dtd:enum" value="12">(12) </num><chapeau style="-uslm-dtd:text">make the reduction of HIV/AIDS behavioral risks a priority of all prevention efforts by—</chapeau> <subparagraph identifier="/us/sComp/108/25/tI/s101/a/12/A" style="-uslm-dtd:subparagraph" styleType="OLC"> <num style="-uslm-dtd:enum" value="A">(A) </num><content style="-uslm-dtd:text">promoting abstinence from sexual activity and encouraging monogamy and faithfulness;</content> </subparagraph> <subparagraph identifier="/us/sComp/108/25/tI/s101/a/12/B" style="-uslm-dtd:subparagraph" styleType="OLC"> <num style="-uslm-dtd:enum" value="B">(B) </num><content style="-uslm-dtd:text">encouraging the correct and consistent use of male and female condoms and increasing the availability of, and access to, these commodities;</content> </subparagraph> <subparagraph identifier="/us/sComp/108/25/tI/s101/a/12/C" style="-uslm-dtd:subparagraph" styleType="OLC"> <num style="-uslm-dtd:enum" value="C">(C) </num><content style="-uslm-dtd:text">promoting the delay of sexual debut and the reduction of multiple concurrent sexual partners;</content> </subparagraph> <subparagraph identifier="/us/sComp/108/25/tI/s101/a/12/D" style="-uslm-dtd:subparagraph" styleType="OLC"> <num style="-uslm-dtd:enum" value="D">(D) </num><content style="-uslm-dtd:text">promoting education for discordant couples (where an individual is infected with HIV and the other individual is uninfected or whose status is unknown) about safer sex practices;</content> </subparagraph> <subparagraph identifier="/us/sComp/108/25/tI/s101/a/12/E" style="-uslm-dtd:subparagraph" styleType="OLC"> <num style="-uslm-dtd:enum" value="E">(E) </num><content style="-uslm-dtd:text">promoting voluntary counseling and testing, addiction therapy, and other prevention and treatment tools for illicit injection drug users and other substance abusers;</content> </subparagraph> <subparagraph identifier="/us/sComp/108/25/tI/s101/a/12/F" style="-uslm-dtd:subparagraph" styleType="OLC"> <num style="-uslm-dtd:enum" value="F">(F) </num><content style="-uslm-dtd:text">educating men and boys about the risks of procuring sex commercially and about the need to end violent behavior toward women and girls;</content> </subparagraph> <subparagraph identifier="/us/sComp/108/25/tI/s101/a/12/G" style="-uslm-dtd:subparagraph" styleType="OLC"> <num style="-uslm-dtd:enum" value="G">(G) </num><content style="-uslm-dtd:text">supporting partner country and community efforts to identify and address social, economic, or cultural factors, such as migration, urbanization, conflict, gender-based violence, lack of empowerment for women, and transportation patterns, which directly contribute to the transmission of HIV;</content> </subparagraph> <subparagraph identifier="/us/sComp/108/25/tI/s101/a/12/H" style="-uslm-dtd:subparagraph" styleType="OLC"> <num style="-uslm-dtd:enum" value="H">(H) </num><content style="-uslm-dtd:text">supporting comprehensive programs to promote alternative livelihoods, safety, and social reintegration strategies for commercial sex workers and their families;</content> </subparagraph> <subparagraph identifier="/us/sComp/108/25/tI/s101/a/12/I" style="-uslm-dtd:subparagraph" styleType="OLC"> <num style="-uslm-dtd:enum" value="I">(I) </num><content style="-uslm-dtd:text">promoting cooperation with law enforcement to prosecute offenders of trafficking, rape, and sexual assault crimes with the goal of eliminating such crimes; and</content> </subparagraph> <subparagraph identifier="/us/sComp/108/25/tI/s101/a/12/J" style="-uslm-dtd:subparagraph" styleType="OLC"> <num style="-uslm-dtd:enum" value="J">(J) </num><content style="-uslm-dtd:text">working to eliminate rape, gender-based violence, sexual assault, and the sexual exploitation of women and children;</content> </subparagraph> </paragraph> <paragraph identifier="/us/sComp/108/25/tI/s101/a/13" style="-uslm-dtd:paragraph" styleType="OLC"> <num style="-uslm-dtd:enum" value="13">(13) </num><content style="-uslm-dtd:text">include programs to reduce the transmission of HIV, particularly addressing the heightened vulnerabilities of women and girls to HIV in many countries; and</content> </paragraph> <paragraph identifier="/us/sComp/108/25/tI/s101/a/14" style="-uslm-dtd:paragraph" styleType="OLC"> <num style="-uslm-dtd:enum" value="14">(14) </num><chapeau style="-uslm-dtd:text">support other important means of preventing or reducing the transmission of HIV, including—</chapeau> <subparagraph identifier="/us/sComp/108/25/tI/s101/a/14/A" style="-uslm-dtd:subparagraph" styleType="OLC"> <num style="-uslm-dtd:enum" value="A">(A) </num><content style="-uslm-dtd:text">medical male circumcision;</content> </subparagraph> <subparagraph identifier="/us/sComp/108/25/tI/s101/a/14/B" style="-uslm-dtd:subparagraph" styleType="OLC"> <num style="-uslm-dtd:enum" value="B">(B) </num><content style="-uslm-dtd:text">the maintenance of a safe blood supply;</content> </subparagraph> <subparagraph identifier="/us/sComp/108/25/tI/s101/a/14/C" style="-uslm-dtd:subparagraph" styleType="OLC"> <num style="-uslm-dtd:enum" value="C">(C) </num><content style="-uslm-dtd:text">promoting universal precautions in formal and informal health care settings;</content> </subparagraph> <subparagraph identifier="/us/sComp/108/25/tI/s101/a/14/D" style="-uslm-dtd:subparagraph" styleType="OLC"> <num style="-uslm-dtd:enum" value="D">(D) </num><content style="-uslm-dtd:text">educating the public to recognize and to avoid risks to contract HIV through blood exposures during formal and informal health care and cosmetic services;</content> </subparagraph> <subparagraph identifier="/us/sComp/108/25/tI/s101/a/14/E" style="-uslm-dtd:subparagraph" styleType="OLC"> <num style="-uslm-dtd:enum" value="E">(E) </num><content style="-uslm-dtd:text">investigating suspected nosocomial infections to identify and stop further nosocomial transmission; and</content> </subparagraph> <subparagraph identifier="/us/sComp/108/25/tI/s101/a/14/F" style="-uslm-dtd:subparagraph" styleType="OLC"> <num style="-uslm-dtd:enum" value="F">(F) </num><content style="-uslm-dtd:text">other mechanisms to reduce the transmission of HIV;</content> </subparagraph> </paragraph> <paragraph identifier="/us/sComp/108/25/tI/s101/a/15" style="-uslm-dtd:paragraph" styleType="OLC"> <num style="-uslm-dtd:enum" value="15">(15) </num><content style="-uslm-dtd:text">increase support for prevention of mother-to-child transmission;</content> </paragraph> <paragraph identifier="/us/sComp/108/25/tI/s101/a/16" style="-uslm-dtd:paragraph" styleType="OLC"> <num style="-uslm-dtd:enum" value="16">(16) </num><content style="-uslm-dtd:text">build capacity within the public health sector of developing countries by improving health systems and public health infrastructure and developing indicators to measure changes in broader public health sector capabilities;</content> </paragraph> <paragraph identifier="/us/sComp/108/25/tI/s101/a/17" style="-uslm-dtd:paragraph" styleType="OLC"> <num style="-uslm-dtd:enum" value="17">(17) </num><content style="-uslm-dtd:text">increase the coordination of HIV/AIDS programs with development programs;</content> </paragraph> <paragraph identifier="/us/sComp/108/25/tI/s101/a/18" style="-uslm-dtd:paragraph" styleType="OLC"> <num style="-uslm-dtd:enum" value="18">(18) </num><chapeau style="-uslm-dtd:text">provide a framework for expanding or developing existing or new country or regional programs, including—</chapeau> <subparagraph identifier="/us/sComp/108/25/tI/s101/a/18/A" style="-uslm-dtd:subparagraph" styleType="OLC"> <num style="-uslm-dtd:enum" value="A">(A) </num><content style="-uslm-dtd:text">drafting compacts or other agreements, as appropriate;</content> </subparagraph> <subparagraph identifier="/us/sComp/108/25/tI/s101/a/18/B" style="-uslm-dtd:subparagraph" styleType="OLC"> <num style="-uslm-dtd:enum" value="B">(B) </num><content style="-uslm-dtd:text">establishing criteria and objectives for such compacts and agreements; and</content> </subparagraph> <subparagraph identifier="/us/sComp/108/25/tI/s101/a/18/C" style="-uslm-dtd:subparagraph" styleType="OLC"> <num style="-uslm-dtd:enum" value="C">(C) </num><content style="-uslm-dtd:text">promoting sustainability;</content> </subparagraph> </paragraph> <paragraph identifier="/us/sComp/108/25/tI/s101/a/19" style="-uslm-dtd:paragraph" styleType="OLC"> <num style="-uslm-dtd:enum" value="19">(19) </num><content style="-uslm-dtd:text">provide a plan for national and regional priorities for resource distribution and a global investment plan by region;</content> </paragraph> <paragraph identifier="/us/sComp/108/25/tI/s101/a/20" style="-uslm-dtd:paragraph" styleType="OLC"> <num style="-uslm-dtd:enum" value="20">(20) </num><chapeau style="-uslm-dtd:text">provide a plan to address the immediate and ongoing needs of women and girls, which—</chapeau> <subparagraph identifier="/us/sComp/108/25/tI/s101/a/20/A" style="-uslm-dtd:subparagraph" styleType="OLC"> <num style="-uslm-dtd:enum" value="A">(A) </num><content style="-uslm-dtd:text">addresses the vulnerabilities that contribute to their elevated risk of infection;</content> </subparagraph> <subparagraph identifier="/us/sComp/108/25/tI/s101/a/20/B" style="-uslm-dtd:subparagraph" styleType="OLC"> <num style="-uslm-dtd:enum" value="B">(B) </num><content style="-uslm-dtd:text">includes specific goals and targets to address these factors;</content> </subparagraph> <subparagraph identifier="/us/sComp/108/25/tI/s101/a/20/C" style="-uslm-dtd:subparagraph" styleType="OLC"> <num style="-uslm-dtd:enum" value="C">(C) </num><content style="-uslm-dtd:text">provides clear guidance to field missions to integrate gender across prevention, care, and treatment programs;</content> </subparagraph> <subparagraph identifier="/us/sComp/108/25/tI/s101/a/20/D" style="-uslm-dtd:subparagraph" styleType="OLC"> <num style="-uslm-dtd:enum" value="D">(D) </num><content style="-uslm-dtd:text">sets forth gender-specific indicators to monitor progress on outcomes and impacts of gender programs;</content> </subparagraph> <subparagraph identifier="/us/sComp/108/25/tI/s101/a/20/E" style="-uslm-dtd:subparagraph" styleType="OLC"> <num style="-uslm-dtd:enum" value="E">(E) </num><content style="-uslm-dtd:text">supports efforts in countries in which women or orphans lack inheritance rights and other fundamental protections to promote the passage, implementation, and enforcement of such laws;</content> </subparagraph> <subparagraph identifier="/us/sComp/108/25/tI/s101/a/20/F" style="-uslm-dtd:subparagraph" styleType="OLC"> <num style="-uslm-dtd:enum" value="F">(F) </num><content style="-uslm-dtd:text">supports life skills training, especially among women and girls, with the goal of reducing vulnerabilities to HIV/AIDS;</content> </subparagraph> <subparagraph identifier="/us/sComp/108/25/tI/s101/a/20/G" style="-uslm-dtd:subparagraph" styleType="OLC"> <num style="-uslm-dtd:enum" value="G">(G) </num><content style="-uslm-dtd:text">addresses and prevents gender-based violence; and</content> </subparagraph> <subparagraph identifier="/us/sComp/108/25/tI/s101/a/20/H" style="-uslm-dtd:subparagraph" styleType="OLC"> <num style="-uslm-dtd:enum" value="H">(H) </num><content style="-uslm-dtd:text">addresses the posttraumatic and psychosocial consequences and provides postexposure prophylaxis protecting against HIV infection to victims of gender-based violence and rape;</content> </subparagraph> </paragraph> <paragraph identifier="/us/sComp/108/25/tI/s101/a/21" style="-uslm-dtd:paragraph" styleType="OLC"> <num style="-uslm-dtd:enum" value="21">(21) </num><chapeau style="-uslm-dtd:text">provide a plan to—</chapeau> <subparagraph identifier="/us/sComp/108/25/tI/s101/a/21/A" style="-uslm-dtd:subparagraph" styleType="OLC"> <num style="-uslm-dtd:enum" value="A">(A) </num><content style="-uslm-dtd:text">determine the local factors that may put men and boys at elevated risk of contracting or transmitting HIV;</content> </subparagraph> <subparagraph identifier="/us/sComp/108/25/tI/s101/a/21/B" style="-uslm-dtd:subparagraph" styleType="OLC"> <num style="-uslm-dtd:enum" value="B">(B) </num><content style="-uslm-dtd:text">address male norms and behaviors to reduce these risks, including by reducing alcohol abuse;</content> </subparagraph> <subparagraph identifier="/us/sComp/108/25/tI/s101/a/21/C" style="-uslm-dtd:subparagraph" styleType="OLC"> <num style="-uslm-dtd:enum" value="C">(C) </num><content style="-uslm-dtd:text">promote responsible male behavior; and</content> </subparagraph> <subparagraph identifier="/us/sComp/108/25/tI/s101/a/21/D" style="-uslm-dtd:subparagraph" styleType="OLC"> <num style="-uslm-dtd:enum" value="D">(D) </num><content style="-uslm-dtd:text">promote male participation and leadership at the community level in efforts to promote HIV prevention, reduce stigma, promote participation in voluntary counseling and testing, and provide care, treatment, and support for persons with HIV/AIDS;</content> </subparagraph> </paragraph> <paragraph identifier="/us/sComp/108/25/tI/s101/a/22" style="-uslm-dtd:paragraph" styleType="OLC"> <num style="-uslm-dtd:enum" value="22">(22) </num><content style="-uslm-dtd:text">provide a plan to address the vulnerabilities and needs of orphans and children who are vulnerable to, or affected by, HIV/AIDS;</content> </paragraph> <paragraph identifier="/us/sComp/108/25/tI/s101/a/23" style="-uslm-dtd:paragraph" styleType="OLC"> <num style="-uslm-dtd:enum" value="23">(23) </num><content style="-uslm-dtd:text">encourage partner countries to develop health care curricula and promote access to training tailored to individuals receiving services through, or exiting from, existing programs geared to orphans and vulnerable children;</content> </paragraph> <paragraph identifier="/us/sComp/108/25/tI/s101/a/24" style="-uslm-dtd:paragraph" styleType="OLC"> <num style="-uslm-dtd:enum" value="24">(24) </num><content style="-uslm-dtd:text">provide a framework to work with international actors and partner countries toward universal access to HIV/AIDS prevention, treatment, and care programs, recognizing that prevention is of particular importance;</content> </paragraph> <paragraph identifier="/us/sComp/108/25/tI/s101/a/25" style="-uslm-dtd:paragraph" styleType="OLC"> <num style="-uslm-dtd:enum" value="25">(25) </num><content style="-uslm-dtd:text">enhance the coordination of United States bilateral efforts to combat global HIV/AIDS with other major public and private entities;</content> </paragraph> <paragraph identifier="/us/sComp/108/25/tI/s101/a/26" style="-uslm-dtd:paragraph" styleType="OLC"> <num style="-uslm-dtd:enum" value="26">(26) </num><chapeau style="-uslm-dtd:text">enhance the attention given to the national strategic HIV/AIDS plans of countries receiving United States assistance by—</chapeau> <subparagraph identifier="/us/sComp/108/25/tI/s101/a/26/A" style="-uslm-dtd:subparagraph" styleType="OLC"> <num style="-uslm-dtd:enum" value="A">(A) </num><content style="-uslm-dtd:text">reviewing the planning and programmatic decisions associated with that assistance; and</content> </subparagraph> <subparagraph identifier="/us/sComp/108/25/tI/s101/a/26/B" style="-uslm-dtd:subparagraph" styleType="OLC"> <num style="-uslm-dtd:enum" value="B">(B) </num><content style="-uslm-dtd:text">helping to strengthen such national strategies, if necessary;</content> </subparagraph> </paragraph> <paragraph identifier="/us/sComp/108/25/tI/s101/a/27" style="-uslm-dtd:paragraph" styleType="OLC"> <num style="-uslm-dtd:enum" value="27">(27) </num><chapeau style="-uslm-dtd:text">support activities described in the Global Plan to Stop TB, including—</chapeau> <subparagraph identifier="/us/sComp/108/25/tI/s101/a/27/A" style="-uslm-dtd:subparagraph" styleType="OLC"> <num style="-uslm-dtd:enum" value="A">(A) </num><content style="-uslm-dtd:text">expanding and enhancing the coverage of the Directly Observed Treatment Short-course (DOTS) in order to treat individuals infected with tuberculosis and HIV, including multi-drug resistant or extensively drug resistant tuberculosis; and</content> </subparagraph> <subparagraph identifier="/us/sComp/108/25/tI/s101/a/27/B" style="-uslm-dtd:subparagraph" styleType="OLC"> <num style="-uslm-dtd:enum" value="B">(B) </num><content style="-uslm-dtd:text">improving coordination and integration of HIV/AIDS and tuberculosis programming;</content> </subparagraph> </paragraph> <paragraph identifier="/us/sComp/108/25/tI/s101/a/28" style="-uslm-dtd:paragraph" styleType="OLC"> <num style="-uslm-dtd:enum" value="28">(28) </num><content style="-uslm-dtd:text">ensure coordination between the Global AIDS Coordinator and the Malaria Coordinator and address issues of comorbidity between HIV/AIDS and malaria; and</content> </paragraph> <paragraph identifier="/us/sComp/108/25/tI/s101/a/29" style="-uslm-dtd:paragraph" styleType="OLC"> <num style="-uslm-dtd:enum" value="29">(29) </num><content style="-uslm-dtd:text">include a longer term estimate of the projected resource needs, progress toward greater sustainability and country ownership of HIV/AIDS programs, and the anticipated role of the United States in the global effort to combat HIV/AIDS during the 10-year period beginning on October 1, 2013.</content> </paragraph> </subsection> <subsection identifier="/us/sComp/108/25/tI/s101/b" style="-uslm-dtd:subsection" styleType="OLC"> <num style="-uslm-dtd:enum" value="b">(b)<ref class="footnoteRef" idref="ID4E3CAD86EE8D4310A4C4DA989DFF90E8" style="-uslm-dtd:footnote-ref">12</ref> </num><heading style="-uslm-dtd:header">Report.—</heading><footnote id="ID4E3CAD86EE8D4310A4C4DA989DFF90E8" style="-uslm-dtd:footnote"><sup style="-uslm-dtd:superscript">12</sup><content><p style="-uslm-dtd:para; margin-left:1em">Sec. 101(b) of the Lantos/Hyde Reauthorization Act of 2008 (Public Law 110–293; 122 Stat. 2927) amended and restated subsec. (b). It previously read as follows:</p> <p style="-uslm-dtd:para; margin-left:1em">``(b) <headingText style="-uslm-dtd:header-in-text">Report</headingText>.—</p> <p style="-uslm-dtd:para; margin-left:2em">``(1) <headingText style="-uslm-dtd:header-in-text">In general</headingText>.—Not later than 270 days after the date of enactment of this Act, the President shall submit to the appropriate congressional committees a report setting forth the strategy described in subsection (a).</p> <p style="-uslm-dtd:para; margin-left:2em">``(2) <headingText style="-uslm-dtd:header-in-text">Report contents</headingText>.—The report required by paragraph (1) shall include a discussion of the elements described in paragraph (3) and may include a discussion of additional elements relevant to the strategy described in subsection (a). Such discussion may include an explanation as to why a particular element described in paragraph (3) is not relevant to such strategy.</p> <p style="-uslm-dtd:para; margin-left:2em">``(3) <headingText style="-uslm-dtd:header-in-text">Report elements</headingText>.—The elements referred to in paragraph (2) are the following:</p> <p style="-uslm-dtd:para; margin-left:4em">``(A) The objectives, general and specific, of the strategy.</p> <p style="-uslm-dtd:para; margin-left:4em">``(B) A description of the criteria for determining success of the strategy.</p> <p style="-uslm-dtd:para; margin-left:4em">``(C) A description of the manner in which the strategy will address the fundamental elements of prevention and education, care, and treatment (including increasing access to pharmaceuticals and to vaccines), the promotion of abstinence, monogamy, avoidance of substance abuse, and use of condoms, research (including incentives for vaccine development and new protocols), training of health care workers, the development of health care infrastructure and delivery systems, and avoidance of substance abuse.</p> <p style="-uslm-dtd:para; margin-left:4em">``(D) A description of the manner in which the strategy will promote the development and implementation of national and community-based multisectoral strategies and programs, including those designed to enhance leadership capacity particularly at the community level.</p> <p style="-uslm-dtd:para; margin-left:4em">``(E) A description of the specific strategies developed to meet the unique needs of women, including the empowerment of women in interpersonal situations, young people and children, including those orphaned by HIV/AIDS and those who are victims of the sex trade, rape, sexual abuse, assault, and exploitation.</p> <p style="-uslm-dtd:para; margin-left:4em">``(F) A description of the specific strategies developed to encourage men to be responsible in their sexual behavior, child rearing and to respect women including the reduction of sexual violence and coercion.</p> <p style="-uslm-dtd:para; margin-left:4em">``(G) A description of the specific strategies developed to increase women's access to employment opportunities, income, productive resources, and microfinance programs.</p> <p style="-uslm-dtd:para; margin-left:4em">``(H) A description of the programs to be undertaken to maximize United States contributions in the areas of technical assistance, training (particularly of health care workers and community-based leaders in affected sectors), and research, including the promotion of research on vaccines and microbicides.</p> <p style="-uslm-dtd:para; margin-left:4em">``(I) An identification of the relevant executive branch agencies that will be involved and the assignment of priorities to those agencies.</p> <p style="-uslm-dtd:para; margin-left:4em">``(J) A description of the role of each relevant executive branch agency and the types of programs that the agency will be undertaking.</p> <p style="-uslm-dtd:para; margin-left:4em">``(K) A description of the mechanisms that will be utilized to coordinate the efforts of the relevant executive branch agencies, to avoid duplication of efforts, to enhance on-site coordination efforts, and to ensure that each agency undertakes programs primarily in those areas where the agency has the greatest expertise, technical capabilities, and potential for success.</p> <p style="-uslm-dtd:para; margin-left:4em">``(L) A description of the mechanisms that will be utilized to ensure greater coordination between the United States and foreign governments and international organizations including the Global Fund, UNAIDS, international financial institutions, and private sector organizations.</p> <p style="-uslm-dtd:para; margin-left:4em">``(M) The level of resources that will be needed on an annual basis and the manner in which those resources would generally be allocated among the relevant executive branch agencies.</p> <p style="-uslm-dtd:para; margin-left:4em">``(N) A description of the mechanisms to be established for monitoring and evaluating programs, promoting successful models, and for terminating unsuccessful programs.</p> <p style="-uslm-dtd:para; margin-left:4em">``(O) A description of the manner in which private, nongovernmental entities will factor into the United States Government-led effort and a description of the type of partnerships that will be created to maximize the capabilities of these private sector entities and to leverage resources.</p> <p style="-uslm-dtd:para; margin-left:4em">``(P) A description of the ways in which United States leadership will be used to enhance the overall international response to the HIV/AIDS pandemic and particularly to heighten the engagement of the member states of the G–8 and to strengthen key financial and coordination mechanisms such as the Global Fund and UNAIDS.</p> <p style="-uslm-dtd:para; margin-left:4em">``(Q) A description of the manner in which the United States strategy for combating HIV/AIDS relates to and supports other United States assistance strategies in developing countries.</p> <p style="-uslm-dtd:para; margin-left:4em">``(R) A description of the programs to be carried out under the strategy that are specifically targeted at women and girls to educate them about the spread of HIV/AIDS.</p> <p style="-uslm-dtd:para; margin-left:4em">``(S) A description of efforts being made to address the unique needs of families with children with respect to HIV/AIDS, including efforts to preserve the family unit.</p> <p style="-uslm-dtd:para; margin-left:4em">``(T) An analysis of the emigration of critically important medical and public health personnel, including physicians, nurses, and supervisors from sub-Saharan African countries that are acutely impacted by HIV/AIDS, including a description of the causes, effects, and the impact on the stability of health infrastructures, as well as a summary of incentives and programs that the United States could provide, in concert with other private and public sector partners and international organizations, to stabilize health institutions by encouraging critical personnel to remain in their home countries.</p> <p style="-uslm-dtd:para; margin-left:4em">``(U) A description of the specific strategies developed to promote sustainability of HIV/AIDS pharmaceuticals (including antiretrovirals) and the effects of drug resistance on HIV/AIDS patients.</p> <p style="-uslm-dtd:para; margin-left:4em">``(V) A description of the specific strategies to ensure that the extraordinary benefit of HIV/AIDS pharmaceuticals (especially antiretrovirals) are not diminished through the illegal counterfeiting of pharmaceuticals and black market sales of such pharmaceuticals.</p> <p style="-uslm-dtd:para; margin-left:4em">``(W) An analysis of the prevalence of Human Papilloma Virus (HPV) in sub-Saharan Africa and the impact that condom usage has upon the spread of HPV in sub-Saharan Africa.''.</p></content></footnote> <paragraph identifier="/us/sComp/108/25/tI/s101/b/1" style="-uslm-dtd:paragraph" styleType="OLC"> <num style="-uslm-dtd:enum" value="1">(1) </num><heading style="-uslm-dtd:header">In general.—</heading><content style="-uslm-dtd:text">Not later than October 1, 2009, the President shall submit a report to the appropriate congressional committees that sets forth the strategy described in subsection (a).</content> </paragraph> <paragraph identifier="/us/sComp/108/25/tI/s101/b/2" style="-uslm-dtd:paragraph" styleType="OLC"> <num style="-uslm-dtd:enum" value="2">(2) </num><heading style="-uslm-dtd:header">Contents.—</heading><chapeau style="-uslm-dtd:text">The report required under paragraph (1) shall include a discussion of the following elements:</chapeau> <subparagraph identifier="/us/sComp/108/25/tI/s101/b/2/A" style="-uslm-dtd:subparagraph" styleType="OLC"> <num style="-uslm-dtd:enum" value="A">(A) </num><content style="-uslm-dtd:text">The purpose, scope, methodology, and general and specific objectives of the strategy.</content> </subparagraph> <subparagraph identifier="/us/sComp/108/25/tI/s101/b/2/B" style="-uslm-dtd:subparagraph" styleType="OLC"> <num style="-uslm-dtd:enum" value="B">(B) </num><content style="-uslm-dtd:text">The problems, risks, and threats to the successful pursuit of the strategy.</content> </subparagraph> <subparagraph identifier="/us/sComp/108/25/tI/s101/b/2/C" style="-uslm-dtd:subparagraph" styleType="OLC"> <num style="-uslm-dtd:enum" value="C">(C) </num><content style="-uslm-dtd:text">The desired goals, objectives, activities, and outcome-related performance measures of the strategy.</content> </subparagraph> <subparagraph identifier="/us/sComp/108/25/tI/s101/b/2/D" style="-uslm-dtd:subparagraph" styleType="OLC"> <num style="-uslm-dtd:enum" value="D">(D) </num><content style="-uslm-dtd:text">A description of future costs and resources needed to carry out the strategy.</content> </subparagraph> <subparagraph identifier="/us/sComp/108/25/tI/s101/b/2/E" style="-uslm-dtd:subparagraph" styleType="OLC"> <num style="-uslm-dtd:enum" value="E">(E) </num><content style="-uslm-dtd:text">A delineation of United States Government roles, responsibility, and coordination mechanisms of the strategy.</content> </subparagraph> <subparagraph identifier="/us/sComp/108/25/tI/s101/b/2/F" style="-uslm-dtd:subparagraph" styleType="OLC"> <num style="-uslm-dtd:enum" value="F">(F) </num><chapeau style="-uslm-dtd:text">A description of the strategy—</chapeau> <clause identifier="/us/sComp/108/25/tI/s101/b/2/F/i" style="-uslm-dtd:clause" styleType="OLC"> <num style="-uslm-dtd:enum" value="i">(i) </num><content style="-uslm-dtd:text">to promote harmonization of United States assistance with that of other international, national, and private actors as elucidated in the “<quotedText style="-uslm-dtd:quote">Three Ones</quotedText>”; and</content> </clause> <clause identifier="/us/sComp/108/25/tI/s101/b/2/F/ii" style="-uslm-dtd:clause" styleType="OLC"> <num style="-uslm-dtd:enum" value="ii">(ii) </num><content style="-uslm-dtd:text">to address existing challenges in harmonization and alignment.</content> </clause> </subparagraph> <subparagraph identifier="/us/sComp/108/25/tI/s101/b/2/G" style="-uslm-dtd:subparagraph" styleType="OLC"> <num style="-uslm-dtd:enum" value="G">(G) </num><chapeau style="-uslm-dtd:text">A description of the manner in which the strategy will—</chapeau> <clause identifier="/us/sComp/108/25/tI/s101/b/2/G/i" style="-uslm-dtd:clause" styleType="OLC"> <num style="-uslm-dtd:enum" value="i">(i) </num><content style="-uslm-dtd:text">further the development and implementation of the national multisectoral strategic HIV/AIDS frameworks of partner governments; and</content> </clause> <clause identifier="/us/sComp/108/25/tI/s101/b/2/G/ii" style="-uslm-dtd:clause" styleType="OLC"> <num style="-uslm-dtd:enum" value="ii">(ii) </num><content style="-uslm-dtd:text">enhance the centrality, effectiveness, and sustainability of those national plans.</content> </clause> </subparagraph> <subparagraph identifier="/us/sComp/108/25/tI/s101/b/2/H" style="-uslm-dtd:subparagraph" styleType="OLC"> <num style="-uslm-dtd:enum" value="H">(H) </num><content style="-uslm-dtd:text">A description of how the strategy will seek to achieve the specific targets described in subsection (a) and other targets, as appropriate.</content> </subparagraph> <subparagraph identifier="/us/sComp/108/25/tI/s101/b/2/I" style="-uslm-dtd:subparagraph" styleType="OLC"> <num style="-uslm-dtd:enum" value="I">(I) </num><content style="-uslm-dtd:text">A description of, and rationale for, the timetable for annual global treatment targets with country-level estimates of numbers of persons in need of antiretroviral treatment, country-level benchmarks for United States support for assistance for antiretroviral treatment, and numbers of persons enrolled in antiretroviral treatment programs receiving United States support. If global benchmarks are not achieved within the reporting period, the report shall include a description of steps being taken to ensure that global benchmarks will be achieved and a detailed breakdown and justification of spending priorities in countries in which benchmarks are not being met, including a description of other donor or national support for antiretroviral treatment in the country, if appropriate.</content> </subparagraph> <subparagraph identifier="/us/sComp/108/25/tI/s101/b/2/J" style="-uslm-dtd:subparagraph" styleType="OLC"> <num style="-uslm-dtd:enum" value="J">(J) </num><chapeau style="-uslm-dtd:text">A description of how operations research is addressed in the strategy and how such research can most effectively be integrated into care, treatment, and prevention activities in order to—</chapeau> <clause identifier="/us/sComp/108/25/tI/s101/b/2/J/i" style="-uslm-dtd:clause" styleType="OLC"> <num style="-uslm-dtd:enum" value="i">(i) </num><content style="-uslm-dtd:text">improve program quality and efficiency;</content> </clause> <clause identifier="/us/sComp/108/25/tI/s101/b/2/J/ii" style="-uslm-dtd:clause" styleType="OLC"> <num style="-uslm-dtd:enum" value="ii">(ii) </num><content style="-uslm-dtd:text">ascertain cost effectiveness;</content> </clause> <clause identifier="/us/sComp/108/25/tI/s101/b/2/J/iii" style="-uslm-dtd:clause" styleType="OLC"> <num style="-uslm-dtd:enum" value="iii">(iii) </num><content style="-uslm-dtd:text">ensure transparency and accountability;</content> </clause> <clause identifier="/us/sComp/108/25/tI/s101/b/2/J/iv" style="-uslm-dtd:clause" styleType="OLC"> <num style="-uslm-dtd:enum" value="iv">(iv) </num><content style="-uslm-dtd:text">assess population-based impact;</content> </clause> <clause identifier="/us/sComp/108/25/tI/s101/b/2/J/v" style="-uslm-dtd:clause" styleType="OLC"> <num style="-uslm-dtd:enum" value="v">(v) </num><content style="-uslm-dtd:text">disseminate findings and best practices; and</content> </clause> <clause identifier="/us/sComp/108/25/tI/s101/b/2/J/vi" style="-uslm-dtd:clause" styleType="OLC"> <num style="-uslm-dtd:enum" value="vi">(vi) </num><content style="-uslm-dtd:text">optimize delivery of services.</content> </clause> </subparagraph> <subparagraph identifier="/us/sComp/108/25/tI/s101/b/2/K" style="-uslm-dtd:subparagraph" styleType="OLC"> <num style="-uslm-dtd:enum" value="K">(K) </num><content style="-uslm-dtd:text">An analysis of United States-assisted strategies to prevent the transmission of HIV/AIDS, including methodologies to promote abstinence, monogamy, faithfulness, the correct and consistent use of male and female condoms, reductions in concurrent sexual partners, and delay of sexual debut, and of intended monitoring and evaluation approaches to measure the effectiveness of prevention programs and ensure that they are targeted to appropriate audiences.</content> </subparagraph> <subparagraph identifier="/us/sComp/108/25/tI/s101/b/2/L" style="-uslm-dtd:subparagraph" styleType="OLC"> <num style="-uslm-dtd:enum" value="L">(L) </num><content style="-uslm-dtd:text">Within the analysis required under subparagraph (K), an examination of additional planned means of preventing the transmission of HIV including medical male circumcision, maintenance of a safe blood supply, public education about risks to acquire HIV infection from blood exposures, promotion of universal precautions, investigation of suspected nosocomial infections and other tools.</content> </subparagraph> <subparagraph identifier="/us/sComp/108/25/tI/s101/b/2/M" style="-uslm-dtd:subparagraph" styleType="OLC"> <num style="-uslm-dtd:enum" value="M">(M) </num><content style="-uslm-dtd:text">A description of efforts to assist partner country and community to identify and address social, economic, or cultural factors, such as migration, urbanization, conflict, gender-based violence, lack of empowerment for women, and transportation patterns, which directly contribute to the transmission of HIV.</content> </subparagraph> <subparagraph identifier="/us/sComp/108/25/tI/s101/b/2/N" style="-uslm-dtd:subparagraph" styleType="OLC"> <num style="-uslm-dtd:enum" value="N">(N) </num><chapeau style="-uslm-dtd:text">A description of the specific targets, goals, and strategies developed to address the needs and vulnerabilities of women and girls to HIV/AIDS, including—</chapeau> <clause identifier="/us/sComp/108/25/tI/s101/b/2/N/i" style="-uslm-dtd:clause" styleType="OLC"> <num style="-uslm-dtd:enum" value="i">(i) </num><content style="-uslm-dtd:text">activities directed toward men and boys;</content> </clause> <clause identifier="/us/sComp/108/25/tI/s101/b/2/N/ii" style="-uslm-dtd:clause" styleType="OLC"> <num style="-uslm-dtd:enum" value="ii">(ii) </num><content style="-uslm-dtd:text">activities to enhance educational, microfinance, and livelihood opportunities for women and girls;</content> </clause> <clause identifier="/us/sComp/108/25/tI/s101/b/2/N/iii" style="-uslm-dtd:clause" styleType="OLC"> <num style="-uslm-dtd:enum" value="iii">(iii) </num><content style="-uslm-dtd:text">activities to promote and protect the legal empowerment of women, girls, and orphans and vulnerable children;</content> </clause> <clause identifier="/us/sComp/108/25/tI/s101/b/2/N/iv" style="-uslm-dtd:clause" styleType="OLC"> <num style="-uslm-dtd:enum" value="iv">(iv) </num><content style="-uslm-dtd:text">programs targeted toward gender-based violence and sexual coercion;</content> </clause> <clause identifier="/us/sComp/108/25/tI/s101/b/2/N/v" style="-uslm-dtd:clause" styleType="OLC"> <num style="-uslm-dtd:enum" value="v">(v) </num><content style="-uslm-dtd:text">strategies to meet the particular needs of adolescents;</content> </clause> <clause identifier="/us/sComp/108/25/tI/s101/b/2/N/vi" style="-uslm-dtd:clause" styleType="OLC"> <num style="-uslm-dtd:enum" value="vi">(vi) </num><content style="-uslm-dtd:text">assistance for victims of rape, sexual abuse, assault, exploitation, and trafficking; and</content> </clause> <clause identifier="/us/sComp/108/25/tI/s101/b/2/N/vii" style="-uslm-dtd:clause" styleType="OLC"> <num style="-uslm-dtd:enum" value="vii">(vii) </num><content style="-uslm-dtd:text">programs to prevent alcohol abuse.</content> </clause> </subparagraph> <subparagraph identifier="/us/sComp/108/25/tI/s101/b/2/O" style="-uslm-dtd:subparagraph" styleType="OLC"> <num style="-uslm-dtd:enum" value="O">(O) </num><content style="-uslm-dtd:text">A description of strategies to address male norms and behaviors that contribute to the transmission of HIV, to promote responsible male behavior, and to promote male participation and leadership in HIV/AIDS prevention, care, treatment, and voluntary counseling and testing.</content> </subparagraph> <subparagraph identifier="/us/sComp/108/25/tI/s101/b/2/P" style="-uslm-dtd:subparagraph" styleType="OLC"> <num style="-uslm-dtd:enum" value="P">(P) </num><chapeau style="-uslm-dtd:text">A description of strategies—</chapeau> <clause identifier="/us/sComp/108/25/tI/s101/b/2/P/i" style="-uslm-dtd:clause" styleType="OLC"> <num style="-uslm-dtd:enum" value="i">(i) </num><chapeau style="-uslm-dtd:text">to address the needs of orphans and vulnerable children, including an analysis of—</chapeau> <subclause identifier="/us/sComp/108/25/tI/s101/b/2/P/i/I" style="-uslm-dtd:subclause" styleType="OLC"> <num style="-uslm-dtd:enum" value="I">(I) </num><content style="-uslm-dtd:text">factors contributing to children's vulnerability to HIV/AIDS; and</content> </subclause> <subclause identifier="/us/sComp/108/25/tI/s101/b/2/P/i/II" style="-uslm-dtd:subclause" styleType="OLC"> <num style="-uslm-dtd:enum" value="II">(II) </num><content style="-uslm-dtd:text">vulnerabilities caused by the impact of HIV/AIDS on children and their families; and</content> </subclause> </clause> <clause identifier="/us/sComp/108/25/tI/s101/b/2/P/ii" style="-uslm-dtd:clause" styleType="OLC"> <num style="-uslm-dtd:enum" value="ii">(ii) </num><content style="-uslm-dtd:text">in areas of higher HIV/AIDS prevalence, to promote a community-based approach to vulnerability, maximizing community input into determining which children participate.</content> </clause> </subparagraph> <subparagraph identifier="/us/sComp/108/25/tI/s101/b/2/Q" style="-uslm-dtd:subparagraph" styleType="OLC"> <num style="-uslm-dtd:enum" value="Q">(Q) </num><content style="-uslm-dtd:text">A description of capacity-building efforts undertaken by countries themselves, including adherents of the Abuja Declaration and an assessment of the impact of International Monetary Fund macroeconomic and fiscal policies on national and donor investments in health.</content> </subparagraph> <subparagraph identifier="/us/sComp/108/25/tI/s101/b/2/R" style="-uslm-dtd:subparagraph" styleType="OLC"> <num style="-uslm-dtd:enum" value="R">(R) </num><chapeau style="-uslm-dtd:text">A description of the strategy to—</chapeau> <clause identifier="/us/sComp/108/25/tI/s101/b/2/R/i" style="-uslm-dtd:clause" styleType="OLC"> <num style="-uslm-dtd:enum" value="i">(i) </num><content style="-uslm-dtd:text">strengthen capacity building within the public health sector;</content> </clause> <clause identifier="/us/sComp/108/25/tI/s101/b/2/R/ii" style="-uslm-dtd:clause" styleType="OLC"> <num style="-uslm-dtd:enum" value="ii">(ii) </num><content style="-uslm-dtd:text">improve health care in those countries;</content> </clause> <clause identifier="/us/sComp/108/25/tI/s101/b/2/R/iii" style="-uslm-dtd:clause" styleType="OLC"> <num style="-uslm-dtd:enum" value="iii">(iii) </num><content style="-uslm-dtd:text">help countries to develop and implement national health workforce strategies;</content> </clause> <clause identifier="/us/sComp/108/25/tI/s101/b/2/R/iv" style="-uslm-dtd:clause" styleType="OLC"> <num style="-uslm-dtd:enum" value="iv">(iv) </num><content style="-uslm-dtd:text">strive to achieve goals in training, retaining, and effectively deploying health staff;</content> </clause> <clause identifier="/us/sComp/108/25/tI/s101/b/2/R/v" style="-uslm-dtd:clause" styleType="OLC"> <num style="-uslm-dtd:enum" value="v">(v) </num><content style="-uslm-dtd:text">promote the use of codes of conduct for ethical recruiting practices for health care workers; and</content> </clause> <clause identifier="/us/sComp/108/25/tI/s101/b/2/R/vi" style="-uslm-dtd:clause" styleType="OLC"> <num style="-uslm-dtd:enum" value="vi">(vi) </num><content style="-uslm-dtd:text">increase the sustainability of health programs.</content> </clause> </subparagraph> <subparagraph identifier="/us/sComp/108/25/tI/s101/b/2/S" style="-uslm-dtd:subparagraph" styleType="OLC"> <num style="-uslm-dtd:enum" value="S">(S) </num><chapeau style="-uslm-dtd:text">A description of the criteria for selection, objectives, methodology, and structure of compacts or other framework agreements with countries or regional organizations, including—</chapeau> <clause identifier="/us/sComp/108/25/tI/s101/b/2/S/i" style="-uslm-dtd:clause" styleType="OLC"> <num style="-uslm-dtd:enum" value="i">(i) </num><content style="-uslm-dtd:text">the role of civil society;</content> </clause> <clause identifier="/us/sComp/108/25/tI/s101/b/2/S/ii" style="-uslm-dtd:clause" styleType="OLC"> <num style="-uslm-dtd:enum" value="ii">(ii) </num><content style="-uslm-dtd:text">the degree of transparency;</content> </clause> <clause identifier="/us/sComp/108/25/tI/s101/b/2/S/iii" style="-uslm-dtd:clause" styleType="OLC"> <num style="-uslm-dtd:enum" value="iii">(iii) </num><content style="-uslm-dtd:text">benchmarks for success of such compacts or agreements; and</content> </clause> <clause identifier="/us/sComp/108/25/tI/s101/b/2/S/iv" style="-uslm-dtd:clause" styleType="OLC"> <num style="-uslm-dtd:enum" value="iv">(iv) </num><content style="-uslm-dtd:text">the relationship between such compacts or agreements and the national HIV/AIDS and public health strategies and commitments of partner countries.</content> </clause> </subparagraph> <subparagraph identifier="/us/sComp/108/25/tI/s101/b/2/T" style="-uslm-dtd:subparagraph" styleType="OLC"> <num style="-uslm-dtd:enum" value="T">(T) </num><content style="-uslm-dtd:text">A strategy to better coordinate HIV/AIDS assistance with nutrition and food assistance programs.</content> </subparagraph> <subparagraph identifier="/us/sComp/108/25/tI/s101/b/2/U" style="-uslm-dtd:subparagraph" styleType="OLC"> <num style="-uslm-dtd:enum" value="U">(U) </num><content style="-uslm-dtd:text">A description of transnational or regional initiatives to combat regionalized epidemics in highly affected areas such as the Caribbean.</content> </subparagraph> <subparagraph identifier="/us/sComp/108/25/tI/s101/b/2/V" style="-uslm-dtd:subparagraph" styleType="OLC"> <num style="-uslm-dtd:enum" value="V">(V) </num><content style="-uslm-dtd:text">A description of planned resource distribution and global investment by region.</content> </subparagraph> <subparagraph identifier="/us/sComp/108/25/tI/s101/b/2/W" style="-uslm-dtd:subparagraph" styleType="OLC"> <num style="-uslm-dtd:enum" value="W">(W) </num><content style="-uslm-dtd:text">A description of coordination efforts in order to better implement the Stop TB Strategy and to address the problem of coinfection of HIV/AIDS and tuberculosis and of projected challenges or barriers to successful implementation.</content> </subparagraph> <subparagraph identifier="/us/sComp/108/25/tI/s101/b/2/X" style="-uslm-dtd:subparagraph" styleType="OLC"> <num style="-uslm-dtd:enum" value="X">(X) </num><content style="-uslm-dtd:text">A description of coordination efforts to address malaria and comorbidity with malaria and HIV/AIDS.</content> </subparagraph> </paragraph> </subsection> <subsection identifier="/us/sComp/108/25/tI/s101/c" style="-uslm-dtd:subsection" styleType="OLC"> <num style="-uslm-dtd:enum" value="c">(c)<ref class="footnoteRef" idref="ID965D9B6E08D140DC9619B6386C48CF02" style="-uslm-dtd:footnote-ref">13</ref> </num><heading style="-uslm-dtd:header">Study of Progress Toward Achievement of Policy Objectives.—</heading><footnote id="ID965D9B6E08D140DC9619B6386C48CF02" style="-uslm-dtd:footnote"><sup style="-uslm-dtd:superscript">13</sup><content><p style="-uslm-dtd:para; margin-left:1em">Sec. 101(c) of the Lantos/Hyde Reauthorization Act of 2008 (Public Law 110–293; 122 Stat. 2930) amended and restated subsec. (c). It previously read as follows:</p> <p style="-uslm-dtd:para; margin-left:1em">``(c) <headingText style="-uslm-dtd:header-in-text">Study; Distribution of Resources</headingText>.—</p> <p style="-uslm-dtd:para; margin-left:2em">``(1) <headingText style="-uslm-dtd:header-in-text">Study</headingText>.—Not later than 3 years after the date of the enactment of this Act, the Institute of Medicine shall publish findings comparing the success rates of the various programs and methods used under the strategy described in subsection (a) to reduce, prevent, and treat HIV/AIDS, tuberculosis, and malaria.</p> <p style="-uslm-dtd:para; margin-left:2em">``(2) <headingText style="-uslm-dtd:header-in-text">Distribution of resources</headingText>.— In prioritizing the distribution of resources under the strategy described in subsection (a), the President shall consider the findings published by the Institute of Medicine under this subsection.''.</p></content></footnote> <paragraph identifier="/us/sComp/108/25/tI/s101/c/1" style="-uslm-dtd:paragraph" styleType="OLC"> <num style="-uslm-dtd:enum" value="1">(1) </num><heading style="-uslm-dtd:header">Design and budget plan for data evaluation.—</heading><content style="-uslm-dtd:text">The Global AIDS Coordinator shall enter into a contract with the Institute of Medicine of the National Academies that provides that not later than 18 months after the date of the enactment of the Tom Lantos and Henry J. Hyde United States Global Leadership Against HIV/AIDS, Tuberculosis, and Malaria Reauthorization Act of 2008, the Institute, in consultation with the Global AIDS Coordinator and other relevant parties representing the public and private sector, shall provide the Global AIDS Coordinator with a design plan and budget for the evaluation and collection of baseline and subsequent data to address the elements set forth in paragraph (2)(B). The Global AIDS Coordinator shall submit the budget and design plan to the appropriate congressional committees.</content> </paragraph> <paragraph identifier="/us/sComp/108/25/tI/s101/c/2" style="-uslm-dtd:paragraph" styleType="OLC"> <num style="-uslm-dtd:enum" value="2">(2) </num><heading style="-uslm-dtd:header">Study.—</heading> <subparagraph identifier="/us/sComp/108/25/tI/s101/c/2/A" style="-uslm-dtd:subparagraph" styleType="OLC"> <num style="-uslm-dtd:enum" value="A">(A) </num><heading style="-uslm-dtd:header">In general.—</heading><chapeau style="-uslm-dtd:text">Not later than 4 years after the date of the enactment of the Tom Lantos and Henry J. Hyde United States Global Leadership Against HIV/AIDS, Tuberculosis, and Malaria Reauthorization Act of 2008, the Institute of Medicine of the National Academies shall publish a study that includes—</chapeau> <clause identifier="/us/sComp/108/25/tI/s101/c/2/A/i" style="-uslm-dtd:clause" styleType="OLC"> <num style="-uslm-dtd:enum" value="i">(i) </num><content style="-uslm-dtd:text">an assessment of the performance of United States-assisted global HIV/AIDS programs; and</content> </clause> <clause identifier="/us/sComp/108/25/tI/s101/c/2/A/ii" style="-uslm-dtd:clause" styleType="OLC"> <num style="-uslm-dtd:enum" value="ii">(ii) </num><content style="-uslm-dtd:text">an evaluation of the impact on health of prevention, treatment, and care efforts that are supported by United States funding, including multilateral and bilateral programs involving joint operations.</content> </clause> </subparagraph> <subparagraph identifier="/us/sComp/108/25/tI/s101/c/2/B" style="-uslm-dtd:subparagraph" styleType="OLC"> <num style="-uslm-dtd:enum" value="B">(B) </num><heading style="-uslm-dtd:header">Content.—</heading><chapeau style="-uslm-dtd:text">The study conducted under this paragraph shall include—</chapeau> <clause identifier="/us/sComp/108/25/tI/s101/c/2/B/i" style="-uslm-dtd:clause" styleType="OLC"> <num style="-uslm-dtd:enum" value="i">(i) </num><content style="-uslm-dtd:text">an assessment of progress toward prevention, treatment, and care targets;</content> </clause> <clause identifier="/us/sComp/108/25/tI/s101/c/2/B/ii" style="-uslm-dtd:clause" styleType="OLC"> <num style="-uslm-dtd:enum" value="ii">(ii) </num><content style="-uslm-dtd:text">an assessment of the effects on health systems, including on the financing and management of health systems and the quality of service delivery and staffing;</content> </clause> <clause identifier="/us/sComp/108/25/tI/s101/c/2/B/iii" style="-uslm-dtd:clause" styleType="OLC"> <num style="-uslm-dtd:enum" value="iii">(iii) </num><content style="-uslm-dtd:text">an assessment of efforts to address gender-specific aspects of HIV/AIDS, including gender related constraints to accessing services and addressing underlying social and economic vulnerabilities of women and men;</content> </clause> <clause identifier="/us/sComp/108/25/tI/s101/c/2/B/iv" style="-uslm-dtd:clause" styleType="OLC"> <num style="-uslm-dtd:enum" value="iv">(iv) </num><content style="-uslm-dtd:text">an evaluation of the impact of treatment and care programs on 5-year survival rates, drug adherence, and the emergence of drug resistance;</content> </clause> <clause identifier="/us/sComp/108/25/tI/s101/c/2/B/v" style="-uslm-dtd:clause" styleType="OLC"> <num style="-uslm-dtd:enum" value="v">(v) </num><content style="-uslm-dtd:text">an evaluation of the impact of prevention programs on HIV incidence in relevant population groups;</content> </clause> <clause identifier="/us/sComp/108/25/tI/s101/c/2/B/vi" style="-uslm-dtd:clause" styleType="OLC"> <num style="-uslm-dtd:enum" value="vi">(vi) </num><content style="-uslm-dtd:text">an evaluation of the impact on child health and welfare of interventions authorized under this Act on behalf of orphans and vulnerable children;</content> </clause> <clause identifier="/us/sComp/108/25/tI/s101/c/2/B/vii" style="-uslm-dtd:clause" styleType="OLC"> <num style="-uslm-dtd:enum" value="vii">(vii) </num><content style="-uslm-dtd:text">an evaluation of the impact of programs and activities authorized in this Act on child mortality; and</content> </clause> <clause identifier="/us/sComp/108/25/tI/s101/c/2/B/viii" style="-uslm-dtd:clause" styleType="OLC"> <num style="-uslm-dtd:enum" value="viii">(viii) </num><content style="-uslm-dtd:text">recommendations for improving the programs referred to in subparagraph (A)(i).</content> </clause> </subparagraph> <subparagraph identifier="/us/sComp/108/25/tI/s101/c/2/C" style="-uslm-dtd:subparagraph" styleType="OLC"> <num style="-uslm-dtd:enum" value="C">(C) </num><heading style="-uslm-dtd:header">Methodologies.—</heading><content style="-uslm-dtd:text">Assessments and impact evaluations conducted under the study shall utilize sound statistical methods and techniques for the behavioral sciences, including random assignment methodologies as feasible. Qualitative data on process variables should be used for assessments and impact evaluations, wherever possible.</content> </subparagraph> </paragraph> <paragraph identifier="/us/sComp/108/25/tI/s101/c/3" style="-uslm-dtd:paragraph" styleType="OLC"> <num style="-uslm-dtd:enum" value="3">(3) </num><heading style="-uslm-dtd:header">Contract authority.—</heading><content style="-uslm-dtd:text">The Institute of Medicine may enter into contracts or cooperative agreements or award grants to conduct the study under paragraph (2).</content> </paragraph> <paragraph identifier="/us/sComp/108/25/tI/s101/c/4" style="-uslm-dtd:paragraph" styleType="OLC"> <num style="-uslm-dtd:enum" value="4">(4) </num><heading style="-uslm-dtd:header">Authorization of appropriations.—</heading><content style="-uslm-dtd:text">There are authorized to be appropriated such sums as may be necessary to carry out the study under this subsection.</content> </paragraph> </subsection> <subsection identifier="/us/sComp/108/25/tI/s101/d" style="-uslm-dtd:subsection" styleType="OLC"> <num style="-uslm-dtd:enum" value="d">(d)<ref class="footnoteRef" idref="IDAB54D9A2BE534198BBAAB76A52EBCF51" style="-uslm-dtd:footnote-ref">14</ref> </num><heading style="-uslm-dtd:header">Comptroller General Report.—</heading><footnote id="IDAB54D9A2BE534198BBAAB76A52EBCF51" style="-uslm-dtd:footnote"><sup style="-uslm-dtd:superscript">14</sup><p style="-uslm-dtd:para; margin-left:1em">Sec. 101(d) of the Lantos/Hyde Reauthorization Act of 2008 (Public Law 110–293; 122 Stat. 2931) added subsecs. (d), (e), and (f).</p></footnote> <paragraph identifier="/us/sComp/108/25/tI/s101/d/1" style="-uslm-dtd:paragraph" styleType="OLC"> <num style="-uslm-dtd:enum" value="1">(1) </num><heading style="-uslm-dtd:header">Report required.—</heading><content style="-uslm-dtd:text">Not later than 3 years after the date of the enactment of the Tom Lantos and Henry J. Hyde United States Global Leadership Against HIV/AIDS, Tuberculosis, and Malaria Reauthorization Act of 2008, the Comptroller General of the United States shall submit a report on the global HIV/AIDS programs of the United States to the appropriate congressional committees.</content> </paragraph> <paragraph identifier="/us/sComp/108/25/tI/s101/d/2" style="-uslm-dtd:paragraph" styleType="OLC"> <num style="-uslm-dtd:enum" value="2">(2) </num><heading style="-uslm-dtd:header">Contents.—</heading><chapeau style="-uslm-dtd:text">The report required under paragraph (1) shall include—</chapeau> <subparagraph identifier="/us/sComp/108/25/tI/s101/d/2/A" style="-uslm-dtd:subparagraph" styleType="OLC"> <num style="-uslm-dtd:enum" value="A">(A) </num><content style="-uslm-dtd:text">a description and assessment of the monitoring and evaluation practices and policies in place for these programs;</content> </subparagraph> <subparagraph identifier="/us/sComp/108/25/tI/s101/d/2/B" style="-uslm-dtd:subparagraph" styleType="OLC"> <num style="-uslm-dtd:enum" value="B">(B) </num><content style="-uslm-dtd:text">an assessment of coordination within Federal agencies involved in these programs, examining both internal coordination within these programs and integration with the larger global health and development agenda of the United States;</content> </subparagraph> <subparagraph identifier="/us/sComp/108/25/tI/s101/d/2/C" style="-uslm-dtd:subparagraph" styleType="OLC"> <num style="-uslm-dtd:enum" value="C">(C) </num><content style="-uslm-dtd:text">an assessment of procurement policies and practices within these programs;</content> </subparagraph> <subparagraph identifier="/us/sComp/108/25/tI/s101/d/2/D" style="-uslm-dtd:subparagraph" styleType="OLC"> <num style="-uslm-dtd:enum" value="D">(D) </num><content style="-uslm-dtd:text">an assessment of harmonization with national government HIV/AIDS and public health strategies as well as other international efforts;</content> </subparagraph> <subparagraph identifier="/us/sComp/108/25/tI/s101/d/2/E" style="-uslm-dtd:subparagraph" styleType="OLC"> <num style="-uslm-dtd:enum" value="E">(E) </num><content style="-uslm-dtd:text">an assessment of the impact of global HIV/AIDS funding and programs on other United States global health programming; and</content> </subparagraph> <subparagraph identifier="/us/sComp/108/25/tI/s101/d/2/F" style="-uslm-dtd:subparagraph" styleType="OLC"> <num style="-uslm-dtd:enum" value="F">(F) </num><content style="-uslm-dtd:text">recommendations for improving the global HIV/AIDS programs of the United States.</content> </subparagraph> </paragraph> </subsection> <subsection identifier="/us/sComp/108/25/tI/s101/e" style="-uslm-dtd:subsection" styleType="OLC"> <num style="-uslm-dtd:enum" value="e">(e)<ref class="footnoteRef" style="-uslm-dtd:dangling-footnote-ref">14</ref> </num><heading style="-uslm-dtd:header">Best Practices Report.—</heading> <paragraph identifier="/us/sComp/108/25/tI/s101/e/1" style="-uslm-dtd:paragraph" styleType="OLC"> <num style="-uslm-dtd:enum" value="1">(1) </num><heading style="-uslm-dtd:header">In general.—</heading><content style="-uslm-dtd:text">Not later than 1 year after the date of the enactment of the Tom Lantos and Henry J. Hyde United States Global Leadership Against HIV/AIDS, Tuberculosis, and Malaria Reauthorization Act of 2008, and annually thereafter, the Global AIDS Coordinator shall publish a best practices report that highlights the programs receiving financial assistance from the United States that have the potential for replication or adaption, particularly at a low cost, across global AIDS programs, including those that focus on both generalized and localized epidemics.</content> </paragraph> <paragraph identifier="/us/sComp/108/25/tI/s101/e/2" style="-uslm-dtd:paragraph" styleType="OLC"> <num style="-uslm-dtd:enum" value="2">(2) </num><heading style="-uslm-dtd:header">Dissemination of findings.—</heading> <subparagraph identifier="/us/sComp/108/25/tI/s101/e/2/A" style="-uslm-dtd:subparagraph" styleType="OLC"> <num style="-uslm-dtd:enum" value="A">(A) </num><heading style="-uslm-dtd:header">Publication on internet website.—</heading><content style="-uslm-dtd:text">The Global AIDS Coordinator shall disseminate the full findings of the annual best practices report on the Internet website of the Office of the Global AIDS Coordinator.</content> </subparagraph> <subparagraph identifier="/us/sComp/108/25/tI/s101/e/2/B" style="-uslm-dtd:subparagraph" styleType="OLC"> <num style="-uslm-dtd:enum" value="B">(B) </num><heading style="-uslm-dtd:header">Dissemination guidance.—</heading><content style="-uslm-dtd:text">The Global AIDS Coordinator shall develop guidance to ensure timely submission and dissemination of significant information regarding best practices with respect to global AIDS programs.</content> </subparagraph> </paragraph> </subsection> <subsection identifier="/us/sComp/108/25/tI/s101/f" style="-uslm-dtd:subsection" styleType="OLC"> <num style="-uslm-dtd:enum" value="f">(f)<ref class="footnoteRef" style="-uslm-dtd:dangling-footnote-ref">14</ref> </num><heading style="-uslm-dtd:header">Inspectors General.—</heading> <paragraph identifier="/us/sComp/108/25/tI/s101/f/1" style="-uslm-dtd:paragraph" styleType="OLC"> <num style="-uslm-dtd:enum" value="1">(1) </num><heading style="-uslm-dtd:header">Oversight plan.—</heading> <subparagraph identifier="/us/sComp/108/25/tI/s101/f/1/A" style="-uslm-dtd:subparagraph" styleType="OLC"> <num style="-uslm-dtd:enum" value="A">(A) </num><heading style="-uslm-dtd:header">Development.—</heading><content style="-uslm-dtd:text">The Inspectors General of the Department of State and Broadcasting Board of Governors, the Department of Health and Human Services, and the United States Agency for International Development shall jointly develop coordinated annual plans for oversight activity in each of the fiscal years 2009 through March 25 of fiscal year 2025, with regard to the programs authorized under this Act and sections 104A, 104B, and 104C of the Foreign Assistance Act of 1961 (22 U.S.C. 2151b–2, 2151b–3, and 2151b–4).</content> </subparagraph> <subparagraph identifier="/us/sComp/108/25/tI/s101/f/1/B" style="-uslm-dtd:subparagraph" styleType="OLC"> <num style="-uslm-dtd:enum" value="B">(B) </num><heading style="-uslm-dtd:header">Contents.—</heading><content style="-uslm-dtd:text">The plans developed under subparagraph (A) shall include a schedule for financial audits, inspections, and performance reviews, as appropriate.</content> </subparagraph> <subparagraph identifier="/us/sComp/108/25/tI/s101/f/1/C" style="-uslm-dtd:subparagraph" styleType="OLC"> <num style="-uslm-dtd:enum" value="C">(C) </num><heading style="-uslm-dtd:header">Deadline.—</heading> <clause identifier="/us/sComp/108/25/tI/s101/f/1/C/i" style="-uslm-dtd:clause" styleType="OLC"> <num style="-uslm-dtd:enum" value="i">(i) </num><heading style="-uslm-dtd:header">Initial plan.—</heading><chapeau style="-uslm-dtd:text">The first plan developed under subparagraph (A) shall be completed not later than the later of—</chapeau> <subclause identifier="/us/sComp/108/25/tI/s101/f/1/C/i/I" style="-uslm-dtd:subclause" styleType="OLC"> <num style="-uslm-dtd:enum" value="I">(I) </num><content style="-uslm-dtd:text">September 1, 2008; or</content> </subclause> <subclause identifier="/us/sComp/108/25/tI/s101/f/1/C/i/II" style="-uslm-dtd:subclause" styleType="OLC"> <num style="-uslm-dtd:enum" value="II">(II) </num><content style="-uslm-dtd:text">60 days after the date of the enactment of the Tom Lantos and Henry J. Hyde United States Global Leadership Against HIV/AIDS, Tuberculosis, and Malaria Reauthorization Act of 2008.</content> </subclause> </clause> <clause identifier="/us/sComp/108/25/tI/s101/f/1/C/ii" style="-uslm-dtd:clause" styleType="OLC"> <num style="-uslm-dtd:enum" value="ii">(ii) </num><heading style="-uslm-dtd:header">2010 through 2013 plans.—</heading><content style="-uslm-dtd:text">Each of the plans for fiscal years 2010 through 2013 developed under subparagraph (A) shall be completed not later than 30 days before each of the fiscal years 2010 through 2013, respectively.</content> </clause> <clause identifier="/us/sComp/108/25/tI/s101/f/1/C/iii" style="-uslm-dtd:clause" styleType="OLC"> <num style="-uslm-dtd:enum" value="iii">(iii) </num><heading style="-uslm-dtd:header">2014 plan.—</heading><content style="-uslm-dtd:text">The plan developed under subparagraph (A) for fiscal year 2014 shall be completed not later than 60 days after the date of the enactment of the PEPFAR Stewardship and Oversight Act of 2013.</content> </clause> <clause identifier="/us/sComp/108/25/tI/s101/f/1/C/iv" style="-uslm-dtd:clause" styleType="OLC"> <num style="-uslm-dtd:enum" value="iv">(iv) </num><heading style="-uslm-dtd:header">Subsequent plans.—</heading><content style="-uslm-dtd:text">Each of the last eleven plans developed under subparagraph (A) shall be completed not later than 30 days before each of the fiscal years 2015 through 2025, respectively.</content> </clause> </subparagraph> </paragraph> <paragraph identifier="/us/sComp/108/25/tI/s101/f/2" style="-uslm-dtd:paragraph" styleType="OLC"> <num style="-uslm-dtd:enum" value="2">(2) </num><heading style="-uslm-dtd:header">Coordination.—</heading><chapeau style="-uslm-dtd:text">In order to avoid duplication and maximize efficiency, the Inspectors General described in paragraph (1) shall coordinate their activities with—</chapeau> <subparagraph identifier="/us/sComp/108/25/tI/s101/f/2/A" style="-uslm-dtd:subparagraph" styleType="OLC"> <num style="-uslm-dtd:enum" value="A">(A) </num><content style="-uslm-dtd:text">the Government Accountability Office; and</content> </subparagraph> <subparagraph identifier="/us/sComp/108/25/tI/s101/f/2/B" style="-uslm-dtd:subparagraph" styleType="OLC"> <num style="-uslm-dtd:enum" value="B">(B) </num><content style="-uslm-dtd:text">the Inspectors General of the Department of Commerce, the Department of Defense, the Department of Labor, and the Peace Corps, as appropriate, pursuant to the 2004 Memorandum of Agreement Coordinating Audit Coverage of Programs and Activities Implementing the President's Emergency Plan for AIDS Relief, or any successor agreement.</content> </subparagraph> </paragraph> <paragraph identifier="/us/sComp/108/25/tI/s101/f/3" style="-uslm-dtd:paragraph" styleType="OLC"> <num style="-uslm-dtd:enum" value="3">(3) </num><heading style="-uslm-dtd:header">Funding.—</heading><content style="-uslm-dtd:text">The Global AIDS Coordinator and the Coordinator of the United States Government Activities to Combat Malaria Globally shall make available necessary funds not exceeding $15,000,000 during the 5-year period beginning on October 1, 2008 to the Inspectors General described in paragraph (1) for the audits, inspections, and reviews described in that paragraph.</content> </paragraph> </subsection> <subsection identifier="/us/sComp/108/25/tI/s101/g" style="-uslm-dtd:subsection" styleType="OLC"> <num style="-uslm-dtd:enum" value="g">(g)<ref class="footnoteRef" idref="ID83D513DF10B44C4780C64E40D73D9110" style="-uslm-dtd:footnote-ref">15</ref> </num><heading style="-uslm-dtd:header">Annual Study.—</heading><footnote id="ID83D513DF10B44C4780C64E40D73D9110" style="-uslm-dtd:footnote"><sup style="-uslm-dtd:superscript">15</sup><p style="-uslm-dtd:para; margin-left:1em">Sec. 101(e) of the Lantos/Hyde Reauthorization Act of 2008 (Public Law 110–293; 122 Stat. 2933) added subsecs. (g) and (h).</p></footnote> <paragraph identifier="/us/sComp/108/25/tI/s101/g/1" style="-uslm-dtd:paragraph" styleType="OLC"> <num style="-uslm-dtd:enum" value="1">(1) </num><heading style="-uslm-dtd:header">In general.—</heading><chapeau style="-uslm-dtd:text">Not later than September 30, 2009, and annually thereafter through March 25, 2025, the Global AIDS Coordinator shall complete a study of treatment providers that—</chapeau> <subparagraph identifier="/us/sComp/108/25/tI/s101/g/1/A" style="-uslm-dtd:subparagraph" styleType="OLC"> <num style="-uslm-dtd:enum" value="A">(A) </num><content style="-uslm-dtd:text">represents a range of countries and service environments;</content> </subparagraph> <subparagraph identifier="/us/sComp/108/25/tI/s101/g/1/B" style="-uslm-dtd:subparagraph" styleType="OLC"> <num style="-uslm-dtd:enum" value="B">(B) </num><content style="-uslm-dtd:text">estimates the per-patient cost of antiretroviral HIV/AIDS treatment and the care of people with HIV/AIDS not receiving antiretroviral treatment, including a comparison of the costs for equivalent services provided by programs not receiving assistance under this Act;</content> </subparagraph> <subparagraph identifier="/us/sComp/108/25/tI/s101/g/1/C" style="-uslm-dtd:subparagraph" styleType="OLC"> <num style="-uslm-dtd:enum" value="C">(C) </num><chapeau style="-uslm-dtd:text">estimates per-patient costs across the program and in specific categories of service providers, including—</chapeau> <clause identifier="/us/sComp/108/25/tI/s101/g/1/C/i" style="-uslm-dtd:clause" styleType="OLC"> <num style="-uslm-dtd:enum" value="i">(i) </num><content style="-uslm-dtd:text">urban and rural providers;</content> </clause> <clause identifier="/us/sComp/108/25/tI/s101/g/1/C/ii" style="-uslm-dtd:clause" styleType="OLC"> <num style="-uslm-dtd:enum" value="ii">(ii) </num><content style="-uslm-dtd:text">country-specific providers; and</content> </clause> <clause identifier="/us/sComp/108/25/tI/s101/g/1/C/iii" style="-uslm-dtd:clause" styleType="OLC"> <num style="-uslm-dtd:enum" value="iii">(iii) </num><content style="-uslm-dtd:text">other subcategories, as appropriate.</content> </clause> </subparagraph> </paragraph> <paragraph identifier="/us/sComp/108/25/tI/s101/g/2" style="-uslm-dtd:paragraph" styleType="OLC"> <num style="-uslm-dtd:enum" value="2">(2) </num><heading style="-uslm-dtd:header">2013 through 2025 studies.—</heading><chapeau style="-uslm-dtd:text">The studies required to be submitted by September 30, 2014, and annually thereafter through March 25, 2025, shall include, in addition to the elements set forth under paragraph (1), the following elements:</chapeau> <subparagraph identifier="/us/sComp/108/25/tI/s101/g/2/A" style="-uslm-dtd:subparagraph" styleType="OLC"> <num style="-uslm-dtd:enum" value="A">(A) </num><content style="-uslm-dtd:text">A plan for conducting cost studies of United States assistance under section 104A of the Foreign Assistance Act of 1961 (22 U.S.C. 2151b–2) in partner countries, taking into account the goal for more systematic collection of data, as well as the demands of such analysis on available human and fiscal resources.</content> </subparagraph> <subparagraph identifier="/us/sComp/108/25/tI/s101/g/2/B" style="-uslm-dtd:subparagraph" styleType="OLC"> <num style="-uslm-dtd:enum" value="B">(B) </num><chapeau style="-uslm-dtd:text">A comprehensive and harmonized expenditure analysis by partner country, including—</chapeau> <clause identifier="/us/sComp/108/25/tI/s101/g/2/B/i" style="-uslm-dtd:clause" styleType="OLC"> <num style="-uslm-dtd:enum" value="i">(i) </num><content style="-uslm-dtd:text">an analysis of Global Fund and national partner spending and comparable data across United States, Global Fund, and national partner spending; or</content> </clause> <clause identifier="/us/sComp/108/25/tI/s101/g/2/B/ii" style="-uslm-dtd:clause" styleType="OLC"> <num style="-uslm-dtd:enum" value="ii">(ii) </num><content style="-uslm-dtd:text">where providing such comparable data is not currently practicable, an explanation of why it is not currently practicable, and when it will be practicable.</content> </clause> </subparagraph> </paragraph> <paragraph identifier="/us/sComp/108/25/tI/s101/g/3" style="-uslm-dtd:paragraph" styleType="OLC"> <num style="-uslm-dtd:enum" value="3">(3) </num><heading style="-uslm-dtd:header">Publication.—</heading><content style="-uslm-dtd:text">Not later than 90 days after the completion of each study under paragraph (1), the Global AIDS Coordinator shall make the results of such study available on a publicly accessible Web site.</content> </paragraph> <paragraph identifier="/us/sComp/108/25/tI/s101/g/4" style="-uslm-dtd:paragraph" styleType="OLC"> <num style="-uslm-dtd:enum" value="4">(4) </num><heading style="-uslm-dtd:header">Partner country defined.—</heading><content style="-uslm-dtd:text">In this subsection, the term “<term style="-uslm-dtd:term">partner country</term>” means a country with a minimum United States Government investment of HIV/AIDS assistance of at least $5,000,000 in the prior fiscal year.</content> </paragraph> </subsection> <subsection identifier="/us/sComp/108/25/tI/s101/h" style="-uslm-dtd:subsection" styleType="OLC"> <num style="-uslm-dtd:enum" value="h">(h)<ref class="footnoteRef" style="-uslm-dtd:dangling-footnote-ref">15</ref> </num><heading style="-uslm-dtd:header">Message.—</heading><chapeau style="-uslm-dtd:text">The Global AIDS Coordinator shall develop a message, to be prominently displayed by each program receiving funds under this Act, that—</chapeau> <paragraph identifier="/us/sComp/108/25/tI/s101/h/1" style="-uslm-dtd:paragraph" styleType="OLC"> <num style="-uslm-dtd:enum" value="1">(1) </num><content style="-uslm-dtd:text">demonstrates that the program is a commitment by citizens of the United States to the global fight against HIV/AIDS, tuberculosis, and malaria; and</content> </paragraph> <paragraph identifier="/us/sComp/108/25/tI/s101/h/2" style="-uslm-dtd:paragraph" styleType="OLC"> <num style="-uslm-dtd:enum" value="2">(2) </num><content style="-uslm-dtd:text">enhances awareness by program recipients that the program is an effort on behalf of the citizens of the United States.</content> </paragraph> </subsection> </section> <section identifier="/us/sComp/108/25/tI/s102" style="-uslm-dtd:section" styleType="OLC"> <num style="-uslm-dtd:enum" value="102">SEC. 102. </num><editorialNote role="uscRef" style="-uslm-dtd:usc-reference"><b>[</b><ref href="/us/usc/t22/s7612">22 U.S.C. 7612</ref><b>]</b> </editorialNote><heading style="-uslm-dtd:header">HIV/AIDS RESPONSE COORDINATOR. </heading> <subsection identifier="/us/sComp/108/25/tI/s102/a" style="-uslm-dtd:subsection" styleType="OLC"> <num style="-uslm-dtd:enum" value="a">(a) </num><heading style="-uslm-dtd:header">Establishment of Position.—</heading><chapeau style="-uslm-dtd:text">Section 1 of the State Department Basic Authorities Act of 1956 (22 U.S.C. 265(a)) is amended—<ref class="footnoteRef" idref="ID4A225422E67346228C7FDE6E255DAC5B" style="-uslm-dtd:footnote-ref">16</ref></chapeau><footnote id="ID4A225422E67346228C7FDE6E255DAC5B" style="-uslm-dtd:footnote"><sup style="-uslm-dtd:superscript">16</sup><p style="-uslm-dtd:para; margin-left:1em">For the State Department Basic Authorities Act of 1956, see <i style="-uslm-dtd:italic">Legislation on Foreign Relations Through 2008</i>, vol. II–A.</p></footnote> <paragraph identifier="/us/sComp/108/25/tI/s102/a/1" style="-uslm-dtd:paragraph" styleType="OLC"> <num style="-uslm-dtd:enum" value="1">(1) </num><content style="-uslm-dtd:text">by redesignating subsection (f) as subsection (g); and</content> </paragraph> <paragraph identifier="/us/sComp/108/25/tI/s102/a/2" style="-uslm-dtd:paragraph" styleType="OLC"> <num style="-uslm-dtd:enum" value="2">(2) </num><content style="-uslm-dtd:text">by inserting after subsection (e) the following:<quotedContent style="-uslm-dtd:quoted-block"> <subsection style="-uslm-dtd:subsection" styleType="OLC"> <num style="-uslm-dtd:enum" value="f">“(f) </num><heading style="-uslm-dtd:header">HIV/AIDS Response Coordinator.—</heading> <paragraph style="-uslm-dtd:paragraph" styleType="OLC"> <num style="-uslm-dtd:enum" value="1">“(1) </num><heading style="-uslm-dtd:header">In general.—</heading><content style="-uslm-dtd:text">There shall be established within the Department of State in the immediate office of the Secretary of State a Coordinator of United States Government Activities to Combat HIV/AIDS Globally, who shall be appointed by the President, by and with the advice and consent of the Senate. The Coordinator shall report directly to the Secretary.</content> </paragraph> <paragraph style="-uslm-dtd:paragraph" styleType="OLC"> <num style="-uslm-dtd:enum" value="2">“(2) </num><heading style="-uslm-dtd:header">Authorities and duties; definitions.—</heading> <subparagraph style="-uslm-dtd:subparagraph" styleType="OLC"> <num style="-uslm-dtd:enum" value="A">“(A) </num><heading style="-uslm-dtd:header">Authorities.—</heading><chapeau style="-uslm-dtd:text">The Coordinator, acting through such nongovernmental organizations (including faith-based and community-based organizations) and relevant executive branch agencies as may be necessary and appropriate to effect the purposes of this section, is authorized—</chapeau> <clause style="-uslm-dtd:clause" styleType="OLC"> <num style="-uslm-dtd:enum" value="i">“(i) </num><content style="-uslm-dtd:text">to operate internationally to carry out prevention, care, treatment, support, capacity development, and other activities for combatting HIV/AIDS;</content> </clause> <clause style="-uslm-dtd:clause" styleType="OLC"> <num style="-uslm-dtd:enum" value="ii">“(ii) </num><content style="-uslm-dtd:text">to transfer and allocate funds to relevant executive branch agencies; and</content> </clause> <clause style="-uslm-dtd:clause" styleType="OLC"> <num style="-uslm-dtd:enum" value="iii">“(iii) </num><content style="-uslm-dtd:text">to provide grants to, and enter into contracts with, nongovernmental organizations (including faith-based and community-based organizations) to carry out the purposes of section.</content> </clause> </subparagraph> <subparagraph style="-uslm-dtd:subparagraph" styleType="OLC"> <num style="-uslm-dtd:enum" value="B">“(B) </num><heading style="-uslm-dtd:header">Duties.—</heading> <clause style="-uslm-dtd:clause" styleType="OLC"> <num style="-uslm-dtd:enum" value="i">“(i) </num><heading style="-uslm-dtd:header">In general.—</heading><content style="-uslm-dtd:text">The Coordinator shall have primary responsibility for the oversight and coordination of all resources and international activities of the United States Government to combat the HIV/AIDS pandemic, including all programs, projects, and activities of the United States Government relating to the HIV/AIDS pandemic under the United States Leadership Against HIV/AIDS, Tuberculosis, and Malaria Act of 2003 or any amendment made by that Act.</content> </clause> <clause style="-uslm-dtd:clause" styleType="OLC"> <num style="-uslm-dtd:enum" value="ii">“(ii) </num><heading style="-uslm-dtd:header">Specific duties.—</heading><chapeau style="-uslm-dtd:text">The duties of the Coordinator shall specifically include the following:</chapeau> <subclause style="-uslm-dtd:subclause" styleType="OLC"> <num style="-uslm-dtd:enum" value="I">“(I) </num><content style="-uslm-dtd:text">Ensuring program and policy coordination among the relevant executive branch agencies and nongovernmental organizations, including auditing, monitoring, and evaluation of all such programs.</content> </subclause> <subclause style="-uslm-dtd:subclause" styleType="OLC"> <num style="-uslm-dtd:enum" value="II">“(II) </num><content style="-uslm-dtd:text">Ensuring that each relevant executive branch agency undertakes programs primarily in those areas where the agency has the greatest expertise, technical capabilities, and potential for success.</content> </subclause> <subclause style="-uslm-dtd:subclause" styleType="OLC"> <num style="-uslm-dtd:enum" value="III">“(III) </num><content style="-uslm-dtd:text">Avoiding duplication of effort.</content> </subclause> <subclause style="-uslm-dtd:subclause" styleType="OLC"> <num style="-uslm-dtd:enum" value="IV">“(IV) </num><content style="-uslm-dtd:text">Ensuring coordination of relevant executive branch agency activities in the field.</content> </subclause> <subclause style="-uslm-dtd:subclause" styleType="OLC"> <num style="-uslm-dtd:enum" value="V">“(V) </num><content style="-uslm-dtd:text">Pursuing coordination with other countries and international organizations.</content> </subclause> <subclause style="-uslm-dtd:subclause" styleType="OLC"> <num style="-uslm-dtd:enum" value="VI">“(VI) </num><content style="-uslm-dtd:text">Resolving policy, program, and funding disputes among the relevant executive branch agencies.</content> </subclause> <subclause style="-uslm-dtd:subclause" styleType="OLC"> <num style="-uslm-dtd:enum" value="VII">“(VII) </num><content style="-uslm-dtd:text">Directly approving all activities of the United States (including funding) relating to combatting HIV/AIDS in each of Botswana, Cote d'Ivoire, Ethiopia, Guyana, Haiti, Kenya, Mozambique, Namibia, Nigeria, Rwanda, South Africa, Tanzania, Uganda, Zambia, and other countries designated by the President, which other designated countries may include those countries in which the United States is implementing HIV/AIDS programs as of the date of the enactment of the United States Leadership Against HIV/AIDS, Tuberculosis, and Malaria Act of 2003.</content> </subclause> <subclause style="-uslm-dtd:subclause" styleType="OLC"> <num style="-uslm-dtd:enum" value="VIII">“(VIII) </num><content style="-uslm-dtd:text">Establishing due diligence criteria for all recipients of funds section and all activities subject to the coordination and appropriate monitoring, evaluation, and audits carried out by the Coordinator necessary to assess the measurable outcomes of such activities.</content> </subclause> </clause> </subparagraph> <subparagraph style="-uslm-dtd:subparagraph" styleType="OLC"> <num style="-uslm-dtd:enum" value="C">“(C) </num><heading style="-uslm-dtd:header">Definitions.—</heading><chapeau style="-uslm-dtd:text">In this paragraph:</chapeau> <clause style="-uslm-dtd:clause" styleType="OLC"> <num style="-uslm-dtd:enum" value="i">“(i) </num><heading style="-uslm-dtd:header">AIDS.—</heading><content style="-uslm-dtd:text">The term ‘<term style="-uslm-dtd:term">AIDS</term>’ means acquired immune deficiency syndrome.</content> </clause> <clause style="-uslm-dtd:clause" styleType="OLC"> <num style="-uslm-dtd:enum" value="ii">“(ii) </num><heading style="-uslm-dtd:header">HIV.—</heading><content style="-uslm-dtd:text">The term ‘<term style="-uslm-dtd:term">HIV</term>’ means the human immunodeficiency virus, the pathogen that causes AIDS.</content> </clause> <clause style="-uslm-dtd:clause" styleType="OLC"> <num style="-uslm-dtd:enum" value="iii">“(iii) </num><heading style="-uslm-dtd:header">HIV/AIDS.—</heading><content style="-uslm-dtd:text">The term ‘<term style="-uslm-dtd:term">HIV/AIDS</term>’ means, with respect to an individual, an individual who is infected with HIV or living with AIDS.</content> </clause> <clause style="-uslm-dtd:clause" styleType="OLC"> <num style="-uslm-dtd:enum" value="iv">“(iv) </num><heading style="-uslm-dtd:header">Relevant executive branch agencies.—</heading><content style="-uslm-dtd:text">The term ‘<term style="-uslm-dtd:term">relevant executive branch agencies</term>’ means the Department of State, the United States Agency for International Development, the Department of Health and Human Services (including the Public Health Service), and any other department or agency of the United States that participates in international HIV/AIDS activities pursuant to the authorities of such department or agency or this Act.”</content> </clause> </subparagraph> </paragraph> </subsection></quotedContent>.</content> </paragraph> </subsection> <subsection identifier="/us/sComp/108/25/tI/s102/b" style="-uslm-dtd:subsection" styleType="OLC"> <num style="-uslm-dtd:enum" value="b">(b) </num><heading style="-uslm-dtd:header">Resources.—</heading><content style="-uslm-dtd:text">Not later than 90 days after the date of enactment of this Act, the President shall specify the necessary financial and personnel resources, from funds appropriated pursuant to the authorization of appropriations under section 401 for HIV/AIDS assistance, that shall be assigned to and under the direct control of the Coordinator of United States Government Activities to Combat HIV/AIDS Globally to establish and maintain the duties and supporting activities assigned to the Coordinator by this Act and the amendments made by this Act.</content> </subsection> <subsection identifier="/us/sComp/108/25/tI/s102/c" style="-uslm-dtd:subsection" styleType="OLC"> <num style="-uslm-dtd:enum" value="c">(c) </num><heading style="-uslm-dtd:header">Establishment of Separate Account.—</heading><content style="-uslm-dtd:text">There is established in the general fund of the Treasury a separate account which shall be known as the “<quotedText style="-uslm-dtd:quote">Activities to Combat HIV/AIDS Globally Fund</quotedText>” and which shall be administered by the Coordinator of United States Government Activities to Combat HIV/AIDS Globally. There shall be deposited into the Fund all amounts appropriated pursuant to the authorization of appropriations under section 401 for HIV/AIDS assistance, except for amounts appropriated for United States contributions to the Global Fund.</content> </subsection> <subsection identifier="/us/sComp/108/25/tI/s102/d" style="-uslm-dtd:subsection" styleType="OLC"> <num style="-uslm-dtd:enum" value="d">(d)<ref class="footnoteRef" idref="ID6F0FFB5623EF4876A83705C96CF31D94" style="-uslm-dtd:footnote-ref">17</ref> </num><heading style="-uslm-dtd:header">Sense of Congress.—</heading><chapeau style="-uslm-dtd:text">It is the sense of Congress that—</chapeau><footnote id="ID6F0FFB5623EF4876A83705C96CF31D94" style="-uslm-dtd:footnote"><sup style="-uslm-dtd:superscript">17</sup><p style="-uslm-dtd:para; margin-left:1em">Sec. 103 of the Lantos/Hyde Reauthorization Act of 2008 (Public Law 110–293; 122 Stat. 2935) added subsec. (d).</p></footnote> <paragraph identifier="/us/sComp/108/25/tI/s102/d/1" style="-uslm-dtd:paragraph" styleType="OLC"> <num style="-uslm-dtd:enum" value="1">(1) </num><content style="-uslm-dtd:text">full-time country level coordinators, preferably with management experience, should head each HIV/AIDS country team for United States missions overseeing significant HIV/AIDS programs;</content> </paragraph> <paragraph identifier="/us/sComp/108/25/tI/s102/d/2" style="-uslm-dtd:paragraph" styleType="OLC"> <num style="-uslm-dtd:enum" value="2">(2) </num><content style="-uslm-dtd:text">foreign service nationals provide critically important services in the design and implementation of United States country-level HIV/AIDS programs and their skills and experience as public health professionals should be recognized within hiring and compensation practices; and</content> </paragraph> <paragraph identifier="/us/sComp/108/25/tI/s102/d/3" style="-uslm-dtd:paragraph" styleType="OLC"> <num style="-uslm-dtd:enum" value="3">(3) </num><content style="-uslm-dtd:text">staffing levels for United States country-level HIV/AIDS teams should be adequately maintained to fulfill oversight and other obligations of the positions.</content> </paragraph> </subsection> </section> <num style="-uslm-dtd:enum" value="II">TITLE II—</num><heading style="-uslm-dtd:header">SUPPORT FOR MULTILATERAL FUNDS, PROGRAMS, AND PUBLIC-PRIVATE PARTNERSHIPS </heading> <section identifier="/us/sComp/108/25/tII/s201" style="-uslm-dtd:section" styleType="OLC"> <num style="-uslm-dtd:enum" value="201">SEC. 201. </num><editorialNote role="uscRef" style="-uslm-dtd:usc-reference"><b>[</b><ref href="/us/usc/t22/s7621">22 U.S.C. 7621</ref><b>]</b> </editorialNote><heading style="-uslm-dtd:header">SENSE OF CONGRESS ON PUBLIC-PRIVATE PARTNERSHIPS. </heading> <subsection identifier="/us/sComp/108/25/tII/s201/a" style="-uslm-dtd:subsection" styleType="OLC"> <num style="-uslm-dtd:enum" value="a">(a) </num><heading style="-uslm-dtd:header">Findings.—</heading><chapeau style="-uslm-dtd:text">Congress makes the following findings:</chapeau> <paragraph identifier="/us/sComp/108/25/tII/s201/a/1" style="-uslm-dtd:paragraph" styleType="OLC"> <num style="-uslm-dtd:enum" value="1">(1) </num><content style="-uslm-dtd:text">Innovative partnerships between governments and organizations in the private sector (including foundations, universities, corporations, faith-based and community-based organizations, and other nongovernmental organizations) have proliferated in recent years, particularly in the area of health.</content> </paragraph> <paragraph identifier="/us/sComp/108/25/tII/s201/a/2" style="-uslm-dtd:paragraph" styleType="OLC"> <num style="-uslm-dtd:enum" value="2">(2) </num><content style="-uslm-dtd:text">Public-private sector partnerships multiply local and international capacities to strengthen the delivery of health services in developing countries and to accelerate research for vaccines and other pharmaceutical products that are essential to combat infectious diseases decimating the populations of these countries.</content> </paragraph> <paragraph identifier="/us/sComp/108/25/tII/s201/a/3" style="-uslm-dtd:paragraph" styleType="OLC"> <num style="-uslm-dtd:enum" value="3">(3) </num><content style="-uslm-dtd:text">These partnerships maximize the unique capabilities of each sector while combining financial and other resources, scientific knowledge, and expertise toward common goals which neither the public nor the private sector can achieve alone.</content> </paragraph> <paragraph identifier="/us/sComp/108/25/tII/s201/a/4" style="-uslm-dtd:paragraph" styleType="OLC"> <num style="-uslm-dtd:enum" value="4">(4) </num><content style="-uslm-dtd:text">Sustaining existing public-private partnerships and building new ones are critical to the success of the international community's efforts to combat HIV/AIDS and other infectious diseases around the globe.</content> </paragraph> </subsection> <subsection identifier="/us/sComp/108/25/tII/s201/b" style="-uslm-dtd:subsection" styleType="OLC"> <num style="-uslm-dtd:enum" value="b">(b) </num><heading style="-uslm-dtd:header">Sense of Congress.—</heading><chapeau style="-uslm-dtd:text">It is the sense of Congress that—</chapeau> <paragraph identifier="/us/sComp/108/25/tII/s201/b/1" style="-uslm-dtd:paragraph" styleType="OLC"> <num style="-uslm-dtd:enum" value="1">(1) </num><content style="-uslm-dtd:text">the sustainment and promotion of public-private partnerships should be a priority element of the strategy pursued by the United States to combat the HIV/AIDS pandemic and other global health crises; and</content> </paragraph> <paragraph identifier="/us/sComp/108/25/tII/s201/b/2" style="-uslm-dtd:paragraph" styleType="OLC"> <num style="-uslm-dtd:enum" value="2">(2) </num><content style="-uslm-dtd:text">the United States should systematically track the evolution of these partnerships and work with others in the public and private sector to profile and build upon those models that are most effective.</content> </paragraph> </subsection> </section> <section identifier="/us/sComp/108/25/tII/s202" style="-uslm-dtd:section" styleType="OLC"> <num style="-uslm-dtd:enum" value="202">SEC. 202. </num><editorialNote role="uscRef" style="-uslm-dtd:usc-reference"><b>[</b><ref href="/us/usc/t22/s7622">22 U.S.C. 7622</ref><b>]</b> </editorialNote><heading style="-uslm-dtd:header">PARTICIPATION IN THE GLOBAL FUND TO FIGHT AIDS, TUBERCULOSIS AND MALARIA. </heading> <subsection identifier="/us/sComp/108/25/tII/s202/a" style="-uslm-dtd:subsection" styleType="OLC"> <num style="-uslm-dtd:enum" value="a">(a)<ref class="footnoteRef" idref="IDF6F2677BDAFF4437B7304F7B0EEA0922" style="-uslm-dtd:footnote-ref">18</ref> </num><heading style="-uslm-dtd:header">Findings; Sense of Congress.—</heading><footnote id="IDF6F2677BDAFF4437B7304F7B0EEA0922" style="-uslm-dtd:footnote"><sup style="-uslm-dtd:superscript">18</sup><content><p style="-uslm-dtd:para; margin-left:1em">Sec. 202(a) of the Lantos/Hyde Reauthorization Act of 2008 (Public Law 110–293; 122 Stat. 2936) amended and restated subsec. (a). It previously read as follows:</p> <p style="-uslm-dtd:para; margin-left:1em">``(a) <headingText style="-uslm-dtd:header-in-text">Findings</headingText>.—The Congress finds as follows:</p> <p style="-uslm-dtd:para; margin-left:2em">``(1) The establishment of the Global Fund in January 2002 is consistent with the general principles for an international AIDS trust fund first outlined by the Congress in the Global AIDS and Tuberculosis Relief Act of 2000 (Public Law 106–264).</p> <p style="-uslm-dtd:para; margin-left:2em">``(2) Section 2, Article 5 of the bylaws of the Global Fund provides for the International Bank for Reconstruction and Development to serve as the initial collection trustee for the Global Fund.</p> <p style="-uslm-dtd:para; margin-left:2em">``(3) The trustee agreement signed between the Global Fund and the International Bank for Reconstruction and Development narrows the range of duties to include receiving and investing funds from donors, disbursing the funds upon the instruction of the Global Fund, reporting on trust fund resources to donors and the Global Fund, and providing an annual external audit report to the Global Fund.''.</p></content></footnote> <paragraph identifier="/us/sComp/108/25/tII/s202/a/1" style="-uslm-dtd:paragraph" styleType="OLC"> <num style="-uslm-dtd:enum" value="1">(1) </num><heading style="-uslm-dtd:header">Findings.—</heading><chapeau style="-uslm-dtd:text">Congress makes the following findings:</chapeau> <subparagraph identifier="/us/sComp/108/25/tII/s202/a/1/A" style="-uslm-dtd:subparagraph" styleType="OLC"> <num style="-uslm-dtd:enum" value="A">(A) </num><content style="-uslm-dtd:text">The establishment of the Global Fund in January 2002 is consistent with the general principles for an international AIDS trust fund first outlined by Congress in the Global AIDS and Tuberculosis Relief Act of 2000 (Public Law 106–264).</content> </subparagraph> <subparagraph identifier="/us/sComp/108/25/tII/s202/a/1/B" style="-uslm-dtd:subparagraph" styleType="OLC"> <num style="-uslm-dtd:enum" value="B">(B) </num><chapeau style="-uslm-dtd:text">The Global Fund is an innovative financing mechanism which—</chapeau> <clause identifier="/us/sComp/108/25/tII/s202/a/1/B/i" style="-uslm-dtd:clause" styleType="OLC"> <num style="-uslm-dtd:enum" value="i">(i) </num><content style="-uslm-dtd:text">has made progress in many areas in combating HIV/AIDS, tuberculosis, and malaria; and</content> </clause> <clause identifier="/us/sComp/108/25/tII/s202/a/1/B/ii" style="-uslm-dtd:clause" styleType="OLC"> <num style="-uslm-dtd:enum" value="ii">(ii) </num><content style="-uslm-dtd:text">represents the multilateral component of this Act, extending United States efforts to more than 130 countries around the world.</content> </clause> </subparagraph> <subparagraph identifier="/us/sComp/108/25/tII/s202/a/1/C" style="-uslm-dtd:subparagraph" styleType="OLC"> <num style="-uslm-dtd:enum" value="C">(C) </num><chapeau style="-uslm-dtd:text">The Global Fund and United States bilateral assistance programs—</chapeau> <clause identifier="/us/sComp/108/25/tII/s202/a/1/C/i" style="-uslm-dtd:clause" styleType="OLC"> <num style="-uslm-dtd:enum" value="i">(i) </num><content style="-uslm-dtd:text">are demonstrating increasingly effective coordination, with each possessing certain comparative advantages in the fight against HIV/AIDS, tuberculosis, and malaria; and</content> </clause> <clause identifier="/us/sComp/108/25/tII/s202/a/1/C/ii" style="-uslm-dtd:clause" styleType="OLC"> <num style="-uslm-dtd:enum" value="ii">(ii) </num><content style="-uslm-dtd:text">often work most effectively in concert with each other.</content> </clause> </subparagraph> <subparagraph identifier="/us/sComp/108/25/tII/s202/a/1/D" style="-uslm-dtd:subparagraph" styleType="OLC"> <num style="-uslm-dtd:enum" value="D">(D) </num><chapeau style="-uslm-dtd:text">The United States Government—</chapeau> <clause identifier="/us/sComp/108/25/tII/s202/a/1/D/i" style="-uslm-dtd:clause" styleType="OLC"> <num style="-uslm-dtd:enum" value="i">(i) </num><content style="-uslm-dtd:text">is the largest supporter of the Global Fund in terms of resources and technical support;</content> </clause> <clause identifier="/us/sComp/108/25/tII/s202/a/1/D/ii" style="-uslm-dtd:clause" styleType="OLC"> <num style="-uslm-dtd:enum" value="ii">(ii) </num><content style="-uslm-dtd:text">made the founding contribution to the Global Fund; and</content> </clause> <clause identifier="/us/sComp/108/25/tII/s202/a/1/D/iii" style="-uslm-dtd:clause" styleType="OLC"> <num style="-uslm-dtd:enum" value="iii">(iii) </num><content style="-uslm-dtd:text">is fully committed to the success of the Global Fund as a multilateral public-private partnership.</content> </clause> </subparagraph> </paragraph> <paragraph identifier="/us/sComp/108/25/tII/s202/a/2" style="-uslm-dtd:paragraph" styleType="OLC"> <num style="-uslm-dtd:enum" value="2">(2) </num><heading style="-uslm-dtd:header">Sense of congress.—</heading><chapeau style="-uslm-dtd:text">It is the sense of Congress that—</chapeau> <subparagraph identifier="/us/sComp/108/25/tII/s202/a/2/A" style="-uslm-dtd:subparagraph" styleType="OLC"> <num style="-uslm-dtd:enum" value="A">(A) </num><content style="-uslm-dtd:text">transparency and accountability are crucial to the long-term success and viability of the Global Fund;</content> </subparagraph> <subparagraph identifier="/us/sComp/108/25/tII/s202/a/2/B" style="-uslm-dtd:subparagraph" styleType="OLC"> <num style="-uslm-dtd:enum" value="B">(B) </num><chapeau style="-uslm-dtd:text">the Global Fund has made significant progress toward addressing concerns raised by the Government Accountability Office by—</chapeau> <clause identifier="/us/sComp/108/25/tII/s202/a/2/B/i" style="-uslm-dtd:clause" styleType="OLC"> <num style="-uslm-dtd:enum" value="i">(i) </num><content style="-uslm-dtd:text">improving risk assessment and risk management capabilities;</content> </clause> <clause identifier="/us/sComp/108/25/tII/s202/a/2/B/ii" style="-uslm-dtd:clause" styleType="OLC"> <num style="-uslm-dtd:enum" value="ii">(ii) </num><content style="-uslm-dtd:text">providing clearer guidance for and oversight of Local Fund Agents; and</content> </clause> <clause identifier="/us/sComp/108/25/tII/s202/a/2/B/iii" style="-uslm-dtd:clause" styleType="OLC"> <num style="-uslm-dtd:enum" value="iii">(iii) </num><content style="-uslm-dtd:text">strengthening the Office of the Inspector General for the Global Fund;</content> </clause> </subparagraph> <subparagraph identifier="/us/sComp/108/25/tII/s202/a/2/C" style="-uslm-dtd:subparagraph" styleType="OLC"> <num style="-uslm-dtd:enum" value="C">(C) </num><content style="-uslm-dtd:text">the provision of sufficient resources and authority to the Office of the Inspector General for the Global Fund to ensure that office has the staff and independence necessary to carry out its mandate will be a measure of the commitment of the Global Fund to transparency and accountability;</content> </subparagraph> <subparagraph identifier="/us/sComp/108/25/tII/s202/a/2/D" style="-uslm-dtd:subparagraph" styleType="OLC"> <num style="-uslm-dtd:enum" value="D">(D) </num><content style="-uslm-dtd:text">regular, publicly published financial, programmatic, and reporting audits of the Fund, its grantees, and Local Fund Agents are also important benchmarks of transparency;</content> </subparagraph> <subparagraph identifier="/us/sComp/108/25/tII/s202/a/2/E" style="-uslm-dtd:subparagraph" styleType="OLC"> <num style="-uslm-dtd:enum" value="E">(E) </num><chapeau style="-uslm-dtd:text">the Global Fund should establish and maintain a system to track—</chapeau> <clause identifier="/us/sComp/108/25/tII/s202/a/2/E/i" style="-uslm-dtd:clause" styleType="OLC"> <num style="-uslm-dtd:enum" value="i">(i) </num><content style="-uslm-dtd:text">the amount of funds disbursed to each subrecipient on the grant's fiscal cycle; and</content> </clause> <clause identifier="/us/sComp/108/25/tII/s202/a/2/E/ii" style="-uslm-dtd:clause" styleType="OLC"> <num style="-uslm-dtd:enum" value="ii">(ii) </num><content style="-uslm-dtd:text">the distribution of resources, by grant and principal recipient, for prevention, care, treatment, drug and commodity purchases, and other purposes;</content> </clause> </subparagraph> <subparagraph identifier="/us/sComp/108/25/tII/s202/a/2/F" style="-uslm-dtd:subparagraph" styleType="OLC"> <num style="-uslm-dtd:enum" value="F">(F) </num><content style="-uslm-dtd:text">relevant national authorities in recipient countries should exempt from duties and taxes all products financed by Global Fund grants and procured by any principal recipient or subrecipient for the purpose of carrying out such grants;</content> </subparagraph> <subparagraph identifier="/us/sComp/108/25/tII/s202/a/2/G" style="-uslm-dtd:subparagraph" styleType="OLC"> <num style="-uslm-dtd:enum" value="G">(G) </num><content style="-uslm-dtd:text">the Global Fund, UNAIDS, and the Global AIDS Coordinator should work together to standardize program indicators wherever possible;</content> </subparagraph> <subparagraph identifier="/us/sComp/108/25/tII/s202/a/2/H" style="-uslm-dtd:subparagraph" styleType="OLC"> <num style="-uslm-dtd:enum" value="H">(H) </num><content style="-uslm-dtd:text">for purposes of evaluating total amounts of funds contributed to the Global Fund under subsection (d)(4)(A)(i), the timetable for evaluations of contributions from sources other than the United States should take into account the fiscal calendars of other major contributors; and</content> </subparagraph> <subparagraph identifier="/us/sComp/108/25/tII/s202/a/2/I" style="-uslm-dtd:subparagraph" styleType="OLC"> <num style="-uslm-dtd:enum" value="I">(I) </num><content style="-uslm-dtd:text">the Global Fund should not support activities involving the “<quotedText style="-uslm-dtd:quote">Affordable Medicines Facility-Malaria</quotedText>” or similar entities pending compelling evidence of success from pilot programs as evaluated by the Coordinator of United States Government Activities to Combat Malaria Globally.</content> </subparagraph> </paragraph> </subsection> <subsection identifier="/us/sComp/108/25/tII/s202/b" style="-uslm-dtd:subsection" styleType="OLC"> <num style="-uslm-dtd:enum" value="b">(b) </num><heading style="-uslm-dtd:header">Authority for United States Participation.—</heading> <paragraph identifier="/us/sComp/108/25/tII/s202/b/1" style="-uslm-dtd:paragraph" styleType="OLC"> <num style="-uslm-dtd:enum" value="1">(1) </num><heading style="-uslm-dtd:header">United states participation.—</heading><content style="-uslm-dtd:text">The United States is hereby authorized to participate in the Global Fund.</content> </paragraph> <paragraph identifier="/us/sComp/108/25/tII/s202/b/2" style="-uslm-dtd:paragraph" styleType="OLC"> <num style="-uslm-dtd:enum" value="2">(2) </num><heading style="-uslm-dtd:header">Privileges and immunities.—</heading><content style="-uslm-dtd:text">The Global Fund shall be considered a public international organization for purposes of section 1 of the International Organizations Immunities Act (22 U.S.C. 288).</content> </paragraph> <paragraph identifier="/us/sComp/108/25/tII/s202/b/3" style="-uslm-dtd:paragraph" styleType="OLC"> <num style="-uslm-dtd:enum" value="3">(3)<ref class="footnoteRef" idref="ID5D2CDC45AB594F2B9B31ABC5C7E86ADD" style="-uslm-dtd:footnote-ref">19</ref> </num><heading style="-uslm-dtd:header">Statement of policy.—</heading><content style="-uslm-dtd:text">The United States Government regards the imposition by recipient countries of taxes or tariffs on goods or services provided by the Global Fund, which are supported through public and private donations, including the substantial contribution of the American people, as inappropriate and inconsistent with standards of good governance. The Global AIDS Coordinator or other representatives of the United States Government shall work with the Global Fund to dissuade governments from imposing such duties, tariffs, or taxes.</content><footnote id="ID5D2CDC45AB594F2B9B31ABC5C7E86ADD" style="-uslm-dtd:footnote"><sup style="-uslm-dtd:superscript">19</sup><p style="-uslm-dtd:para; margin-left:1em">Sec. 202(b) of the Lantos/Hyde Reauthorization Act of 2008 (Public Law 110–293; 122 Stat. 2938) added para. (3).</p></footnote> </paragraph> </subsection> <subsection identifier="/us/sComp/108/25/tII/s202/c" style="-uslm-dtd:subsection" styleType="OLC"> <num style="-uslm-dtd:enum" value="c">(c)<ref class="footnoteRef" idref="ID7958F1CB414A48CCB474A0DD3FACF93E" style="-uslm-dtd:footnote-ref">20</ref> </num><heading style="-uslm-dtd:header">Reports to Congress.—</heading><content style="-uslm-dtd:text">Not later than 1 year after the date of the enactment of this Act, and annually thereafter for the duration of the Global Fund, the President shall submit to the appropriate congressional committees a report on the Global Fund, including contributions pledged to, contributions (including donations from the private sector) received by, and projects funded by the Global Fund, and the mechanisms established for transparency and accountability in the grant-making process.</content><footnote id="ID7958F1CB414A48CCB474A0DD3FACF93E" style="-uslm-dtd:footnote"><sup style="-uslm-dtd:superscript">20</sup><p style="-uslm-dtd:para; margin-left:1em">In a memorandum of February 23, 2004 (69 F.R. 9509), the President delegated authority under secs. 202(c), 305 and 313 to the Secretary of State. The President, further, delegated the authority under sec. 101 to the Secretary of State to establish a comprehensive, integrated, 5-year strategy to combat global HIV/AIDS and to report to Congress.</p></footnote> </subsection> <subsection identifier="/us/sComp/108/25/tII/s202/d" style="-uslm-dtd:subsection" styleType="OLC"> <num style="-uslm-dtd:enum" value="d">(d) </num><heading style="-uslm-dtd:header">United States Financial Participation.—</heading> <paragraph identifier="/us/sComp/108/25/tII/s202/d/1" style="-uslm-dtd:paragraph" styleType="OLC"> <num style="-uslm-dtd:enum" value="1">(1) </num><heading style="-uslm-dtd:header">Authorization of appropriations.—</heading><content style="-uslm-dtd:text">In addition to any other funds authorized to be appropriated for bilateral or multilateral HIV/AIDS, tuberculosis, or malaria programs, of the amounts authorized to be appropriated under section 401, there are authorized to be appropriated to the President up to $2,000,000,000 for fiscal year 2009,,<ref class="footnoteRef" idref="ID365AB25C065D4A0E80DBCFB41D01ACA7" style="-uslm-dtd:footnote-ref">21</ref> and such sums as may be necessary for each of the fiscal years 2010 through 2013,<ref class="footnoteRef" idref="IDA5E010DC6BC84F8199C0DD4EF339E909" style="-uslm-dtd:footnote-ref">22</ref> for contributions to the Global Fund.</content><footnote id="ID365AB25C065D4A0E80DBCFB41D01ACA7" style="-uslm-dtd:footnote"><sup style="-uslm-dtd:superscript">21</sup><p style="-uslm-dtd:para; margin-left:1em">Sec. 202(c)(1)(A) of the Lantos/Hyde Reauthorization Act of 2008 (Public Law 110–293; 122 Stat. 2938) struck out “<quotedText style="-uslm-dtd:quote">$1,000,000,000 for the period of fiscal year 2004 beginning on January 1, 2004</quotedText>” and inserted in lieu thereof “<quotedText style="-uslm-dtd:quote">$2,000,000,000 for fiscal year 2009,</quotedText>” (resulting in a double comma).</p></footnote><footnote id="IDA5E010DC6BC84F8199C0DD4EF339E909" style="-uslm-dtd:footnote"><sup style="-uslm-dtd:superscript">22</sup><p style="-uslm-dtd:para; margin-left:1em">Sec. 202(c)(1)(B) of the Lantos/Hyde Reauthorization Act of 2008 (Public Law 110–293; 122 Stat. 2938) struck out “<quotedText style="-uslm-dtd:quote">the fiscal years 2005–2008</quotedText>” and inserted in lieu thereof “<quotedText style="-uslm-dtd:quote">each of the fiscal years 2010 through 2013</quotedText>”.</p></footnote> </paragraph> <paragraph identifier="/us/sComp/108/25/tII/s202/d/2" style="-uslm-dtd:paragraph" styleType="OLC"> <num style="-uslm-dtd:enum" value="2">(2) </num><heading style="-uslm-dtd:header">Availability of funds.—</heading><content style="-uslm-dtd:text">Amounts appropriated under paragraph (1) are authorized to remain available until expended.</content> </paragraph> <paragraph identifier="/us/sComp/108/25/tII/s202/d/3" style="-uslm-dtd:paragraph" styleType="OLC"> <num style="-uslm-dtd:enum" value="3">(3) </num><heading style="-uslm-dtd:header">Reprogramming of fiscal year 2001 funds.—</heading><chapeau style="-uslm-dtd:text">Funds made available for fiscal year 2001 under section 141 of the Global AIDS and Tuberculosis Relief Act of 2000—</chapeau> <subparagraph identifier="/us/sComp/108/25/tII/s202/d/3/A" style="-uslm-dtd:subparagraph" styleType="OLC"> <num style="-uslm-dtd:enum" value="A">(A) </num><content style="-uslm-dtd:text">are authorized to remain available until expended; and</content> </subparagraph> <subparagraph identifier="/us/sComp/108/25/tII/s202/d/3/B" style="-uslm-dtd:subparagraph" styleType="OLC"> <num style="-uslm-dtd:enum" value="B">(B) </num><content style="-uslm-dtd:text">shall be transferred to, merged with, and made available for the same purposes as, funds made available for fiscal years 2004 through 2008 under paragraph (1).</content> </subparagraph> </paragraph> <paragraph identifier="/us/sComp/108/25/tII/s202/d/4" style="-uslm-dtd:paragraph" styleType="OLC"> <num style="-uslm-dtd:enum" value="4">(4) </num><heading style="-uslm-dtd:header">Limitation.—</heading> <subparagraph identifier="/us/sComp/108/25/tII/s202/d/4/A" style="-uslm-dtd:subparagraph" styleType="OLC"> <num style="-uslm-dtd:enum" value="A">(A)</num><clause class="inline" identifier="/us/sComp/108/25/tII/s202/d/4/A/i" style="-uslm-dtd:clause" styleType="OLC"><num style="-uslm-dtd:enum" value="i">(i) </num><content style="-uslm-dtd:text">At any time during fiscal years 2004 through March 25 of fiscal year 2025, no United States contribution to the Global Fund may cause the total amount of United States Government contributions to the Global Fund to exceed 33 percent of the total amount of funds contributed to the Global Fund from all sources. Contributions to the Global Fund from the International Bank for Reconstruction and Development and the International Monetary Fund shall not be considered in determining compliance with this paragraph.</content></clause> <clause class="leftIndentDecrease1" identifier="/us/sComp/108/25/tII/s202/d/4/A/ii" style="-uslm-dtd:clause" styleType="OLC"> <num style="-uslm-dtd:enum" value="ii">(ii) </num><content style="-uslm-dtd:text">If, at any time during any of the fiscal years 2009 through March 25 of fiscal year 2025, the President determines that the Global Fund has provided assistance to a country, the government of which the Secretary of State has determined, for purposes of section 6(j)(1) of the Export Administration Act of 1979 (50 U.S.C. App. 2405(j)(1)), has repeatedly provided support for acts of international terrorism, then the United States shall withhold from its contribution for the next fiscal year an amount equal to the amount expended by the Fund to the government of each such country. <ref class="footnoteRef" idref="ID1555471114F9489E92AFBBC13A5D535B" style="-uslm-dtd:footnote-ref">23</ref></content><footnote id="ID1555471114F9489E92AFBBC13A5D535B" style="-uslm-dtd:footnote"><sup style="-uslm-dtd:superscript">23</sup><p style="-uslm-dtd:para; margin-left:1em">Sec. 202(c)(2)(A)(ii)(II) of the Lantos/Hyde Reauthorization Act of 2008 (Public Law 110–293; 122 Stat. 2938) added the last two sentences to clause (ii).</p></footnote> </clause> <clause class="leftIndentDecrease1" identifier="/us/sComp/108/25/tII/s202/d/4/A/iii" style="-uslm-dtd:clause" styleType="OLC"> <num style="-uslm-dtd:enum" value="iii">(iii) </num><content style="-uslm-dtd:text">If at any time the President determines that the expenses of the Governing, Administrative, and Advisory Bodies (including the Partnership Forum, the Foundation Board, the Secretariat, and the Technical Review Board) of the Global Fund exceed 10 percent of the total expenditures of the Fund for any 2-year period, the United States shall withhold from its contribution for the next fiscal year an amount equal the to the average annual amount expended by the Fund for such 2-year period for the expenses of the Governing, Administrative, and Advisory Bodies in excess of 10 percent of the total expenditures of the Fund.</content> </clause> <clause class="leftIndentDecrease1" identifier="/us/sComp/108/25/tII/s202/d/4/A/iv" style="-uslm-dtd:clause" styleType="OLC"> <num style="-uslm-dtd:enum" value="iv">(iv) </num><content style="-uslm-dtd:text">The President may waive the application of clause (iii) if the President determines that extraordinary circumstances warrant such a waiver. No waiver under this clause may be for any period that exceeds 1 year.</content> </clause> <clause class="leftIndentDecrease1" identifier="/us/sComp/108/25/tII/s202/d/4/A/v" style="-uslm-dtd:clause" styleType="OLC"> <num style="-uslm-dtd:enum" value="v">(v) </num><content style="-uslm-dtd:text">If, at any time during any of the fiscal years 2004 through 2008, the President determines that the salary of any individual employed by the Global Fund exceeds the salary of the Vice President of the United States (as determined under section 104 of title 3, United States Code) for that fiscal year, then the United States shall withhold from its contribution for the next fiscal year an amount equal to the aggregate amount by which the salary of each such individual exceeds the salary of the Vice President of the United States.</content> </clause> </subparagraph> <subparagraph identifier="/us/sComp/108/25/tII/s202/d/4/B" style="-uslm-dtd:subparagraph" styleType="OLC"> <num style="-uslm-dtd:enum" value="B">(B)</num><clause class="inline" identifier="/us/sComp/108/25/tII/s202/d/4/B/i" style="-uslm-dtd:clause" styleType="OLC"><num style="-uslm-dtd:enum" value="i">(i) </num><content style="-uslm-dtd:text">Any amount made available that is withheld by reason of subparagraph (A)(i) shall be contributed to the Global Fund as soon as practicable, subject to subparagraph (A)(i), after additional contributions to the Global Fund are made from other sources.</content></clause> <clause class="leftIndentDecrease1" identifier="/us/sComp/108/25/tII/s202/d/4/B/ii" style="-uslm-dtd:clause" styleType="OLC"> <num style="-uslm-dtd:enum" value="ii">(ii) </num><content style="-uslm-dtd:text">Any amount made available that is withheld by reason of clause (ii) or (iii) of subparagraph (A) is authorized to be made available to carry out section 104A of the Foreign Assistance Act of 1961 (as added by section 301 of this Act) or section 104B or 104C of such Act. Amounts made available under the preceding sentence are in addition to amounts appropriated pursuant to the authorization of appropriations under section 401 of this Act .</content> </clause> <clause class="leftIndentDecrease1" identifier="/us/sComp/108/25/tII/s202/d/4/B/iii" style="-uslm-dtd:clause" styleType="OLC"> <num style="-uslm-dtd:enum" value="iii">(iii) </num><content style="-uslm-dtd:text">Notwithstanding clause (i), after July 31 of each of the fiscal years 2009 through 2024 and March 25 of fiscal year 2025, any amount made available that is withheld by reason of subparagraph(A)(i) is authorized to be made available to carry out sections 104A, 104B, and 104C of the Foreign Assistance Act of 1961 (as added by title III of this Act).</content> </clause> </subparagraph> <subparagraph identifier="/us/sComp/108/25/tII/s202/d/4/C" style="-uslm-dtd:subparagraph" styleType="OLC"> <num style="-uslm-dtd:enum" value="C">(C)</num><clause class="inline" identifier="/us/sComp/108/25/tII/s202/d/4/C/i" style="-uslm-dtd:clause" styleType="OLC"><num style="-uslm-dtd:enum" value="i">(i) </num><content style="-uslm-dtd:text">The President may suspend the application of subparagraph (A) with respect to a fiscal year if the President determines that an international health emergency threatens the national security interests of the United States.</content></clause> <clause class="leftIndentDecrease1" identifier="/us/sComp/108/25/tII/s202/d/4/C/ii" style="-uslm-dtd:clause" styleType="OLC"> <num style="-uslm-dtd:enum" value="ii">(ii) </num><chapeau style="-uslm-dtd:text">The President shall notify the Committee on Foreign Affairs<ref class="footnoteRef" idref="ID1BA0E57DBE924724B69ED5913D8E10D8" style="-uslm-dtd:footnote-ref">24</ref> of the House of Representatives and the Committee on Foreign Relations of the Senate not less than 5 days before making a determination under clause (i) with respect to the application of subparagraph (A)(i) and shall include in the notification—</chapeau><footnote id="ID1BA0E57DBE924724B69ED5913D8E10D8" style="-uslm-dtd:footnote"><sup style="-uslm-dtd:superscript">24</sup><p style="-uslm-dtd:para; margin-left:1em">Sec. 202(c)(2)(C) of the Lantos/Hyde Reauthorization Act of 2008 (Public Law 110–293; 122 Stat. 2939) struck out “<quotedText style="-uslm-dtd:quote">Committee on International Relations</quotedText>” and inserted in lieu thereof “<quotedText style="-uslm-dtd:quote">Committee on Foreign Affairs</quotedText>”.</p></footnote> <subclause class="leftIndentDecrease1" identifier="/us/sComp/108/25/tII/s202/d/4/C/ii/I" style="-uslm-dtd:subclause" styleType="OLC"> <num style="-uslm-dtd:enum" value="I">(I) </num><content style="-uslm-dtd:text">a justification as to why increased United States Government contributions to the Global Fund is preferable to increased United States assistance to combat HIV/AIDS, tuberculosis, and malaria on a bilateral basis; and</content> </subclause> <subclause class="leftIndentDecrease1" identifier="/us/sComp/108/25/tII/s202/d/4/C/ii/II" style="-uslm-dtd:subclause" styleType="OLC"> <num style="-uslm-dtd:enum" value="II">(II) </num><content style="-uslm-dtd:text">an explanation as to why other government donors to the Global Fund are unable to provide adequate contributions to the Fund.</content> </subclause> </clause> </subparagraph> </paragraph> <paragraph identifier="/us/sComp/108/25/tII/s202/d/5" style="-uslm-dtd:paragraph" styleType="OLC"> <num style="-uslm-dtd:enum" value="5">(5)<ref class="footnoteRef" idref="ID92F74EE0F9F74BF09CB501B994858E8A" style="-uslm-dtd:footnote-ref">25</ref> </num><heading style="-uslm-dtd:header">Withholding funds.—</heading><chapeau style="-uslm-dtd:text">Notwithstanding any other provision of this Act, 20 percent of the amounts appropriated pursuant to this Act for a contribution to support the Global Fund for each of the fiscal years 2010 through 2024 and for fiscal year 2025 through March 25 of such fiscal year shall be withheld from obligation to the Global Fund until the Secretary of State certifies to the appropriate congressional committees that the Global Fund—</chapeau><footnote id="ID92F74EE0F9F74BF09CB501B994858E8A" style="-uslm-dtd:footnote"><sup style="-uslm-dtd:superscript">25</sup><p style="-uslm-dtd:para; margin-left:1em">Sec. 202(c)(3) of the Lantos/Hyde Reauthorization Act of 2008 (Public Law 110–293; 122 Stat. 2939) added paras. (5) and (6).</p></footnote> <subparagraph identifier="/us/sComp/108/25/tII/s202/d/5/A" style="-uslm-dtd:subparagraph" styleType="OLC"> <num style="-uslm-dtd:enum" value="A">(A) </num><content style="-uslm-dtd:text">has established an evaluation framework for the performance of Local Fund Agents (referred to in this paragraph as “<quotedText style="-uslm-dtd:quote">LFAs</quotedText>”);</content> </subparagraph> <subparagraph identifier="/us/sComp/108/25/tII/s202/d/5/B" style="-uslm-dtd:subparagraph" styleType="OLC"> <num style="-uslm-dtd:enum" value="B">(B) </num><content style="-uslm-dtd:text">is undertaking a systematic assessment of the performance of LFAs;</content> </subparagraph> <subparagraph identifier="/us/sComp/108/25/tII/s202/d/5/C" style="-uslm-dtd:subparagraph" styleType="OLC"> <num style="-uslm-dtd:enum" value="C">(C) </num><chapeau style="-uslm-dtd:text">has adopted, and is implementing, a policy to publish on a publicly available Web site in an open, machine readable format—</chapeau> <clause identifier="/us/sComp/108/25/tII/s202/d/5/C/i" style="-uslm-dtd:clause" styleType="OLC"> <num style="-uslm-dtd:enum" value="i">(i) </num><content style="-uslm-dtd:text">grant performance reviews;</content> </clause> <clause identifier="/us/sComp/108/25/tII/s202/d/5/C/ii" style="-uslm-dtd:clause" styleType="OLC"> <num style="-uslm-dtd:enum" value="ii">(ii) </num><content style="-uslm-dtd:text">all reports of the Inspector General of the Global Fund, in a manner that is consistent with the Policy for Disclosure of Reports of the Inspector General, approved at the 16th Meeting of the Board of the Global Fund;</content> </clause> <clause identifier="/us/sComp/108/25/tII/s202/d/5/C/iii" style="-uslm-dtd:clause" styleType="OLC"> <num style="-uslm-dtd:enum" value="iii">(iii) </num><content style="-uslm-dtd:text">decision points of the Board of the Global Fund;</content> </clause> <clause identifier="/us/sComp/108/25/tII/s202/d/5/C/iv" style="-uslm-dtd:clause" styleType="OLC"> <num style="-uslm-dtd:enum" value="iv">(iv) </num><content style="-uslm-dtd:text">reports from Board committees to the Board; and</content> </clause> <clause identifier="/us/sComp/108/25/tII/s202/d/5/C/v" style="-uslm-dtd:clause" styleType="OLC"> <num style="-uslm-dtd:enum" value="v">(v) </num><content style="-uslm-dtd:text">a regular collection, analysis, and reporting of performance data and funding of grants of the Global Fund, which covers all principal recipients and all subrecipients on the fiscal cycle of each grant, and includes the distribution of resources, by grant and principal recipient and subrecipient, for prevention, care, treatment, drugs, and commodities purchase, and other purposes as practicable;</content> </clause> </subparagraph> <subparagraph identifier="/us/sComp/108/25/tII/s202/d/5/D" style="-uslm-dtd:subparagraph" styleType="OLC"> <num style="-uslm-dtd:enum" value="D">(D) </num><chapeau style="-uslm-dtd:text">is maintaining an independent, well-staffed Office of the Inspector General that—</chapeau> <clause identifier="/us/sComp/108/25/tII/s202/d/5/D/i" style="-uslm-dtd:clause" styleType="OLC"> <num style="-uslm-dtd:enum" value="i">(i) </num><content style="-uslm-dtd:text">reports directly to the Board of the Global Fund; and</content> </clause> <clause identifier="/us/sComp/108/25/tII/s202/d/5/D/ii" style="-uslm-dtd:clause" styleType="OLC"> <num style="-uslm-dtd:enum" value="ii">(ii) </num><content style="-uslm-dtd:text">compiles regular, publicly published audits, in an open, machine readable format, of financial, programmatic, and reporting aspects of the Global Fund, its grantees, and LFAs;</content> </clause> </subparagraph> <subparagraph identifier="/us/sComp/108/25/tII/s202/d/5/E" style="-uslm-dtd:subparagraph" styleType="OLC"> <num style="-uslm-dtd:enum" value="E">(E) </num><content style="-uslm-dtd:text">has established, and is reporting publicly, in an open, machine readable format, on, standard indicators for all program areas;</content> </subparagraph> <subparagraph identifier="/us/sComp/108/25/tII/s202/d/5/F" style="-uslm-dtd:subparagraph" styleType="OLC"> <num style="-uslm-dtd:enum" value="F">(F) </num><chapeau style="-uslm-dtd:text">has established a methodology to track and is publicly reporting on—</chapeau> <clause identifier="/us/sComp/108/25/tII/s202/d/5/F/i" style="-uslm-dtd:clause" styleType="OLC"> <num style="-uslm-dtd:enum" value="i">(i) </num><content style="-uslm-dtd:text">all subrecipients and the amount of funds disbursed to each subrecipient on the grant's fiscal cycle;</content> </clause> <clause identifier="/us/sComp/108/25/tII/s202/d/5/F/ii" style="-uslm-dtd:clause" styleType="OLC"> <num style="-uslm-dtd:enum" value="ii">(ii) </num><content style="-uslm-dtd:text">all principal recipients and subrecipients and the amount of funds disbursed to each principal recipient and subrecipient on the fiscal cycle of the grant;</content> </clause> <clause identifier="/us/sComp/108/25/tII/s202/d/5/F/iii" style="-uslm-dtd:clause" styleType="OLC"> <num style="-uslm-dtd:enum" value="iii">(iii) </num><chapeau style="-uslm-dtd:text">expenditure data—</chapeau> <subclause identifier="/us/sComp/108/25/tII/s202/d/5/F/iii/I" style="-uslm-dtd:subclause" styleType="OLC"> <num style="-uslm-dtd:enum" value="I">(I) </num><content style="-uslm-dtd:text">tracked by principal recipients and subrecipients by program area, where practicable, prevention, care, and treatment and reported in a format that allows comparison with other funding streams in each country; or</content> </subclause> <subclause identifier="/us/sComp/108/25/tII/s202/d/5/F/iii/II" style="-uslm-dtd:subclause" styleType="OLC"> <num style="-uslm-dtd:enum" value="II">(II) </num><content style="-uslm-dtd:text">if such expenditure data is not available, outlay or disbursement data, and an explanation of progress made toward providing such expenditure data; and</content> </subclause> </clause> <clause identifier="/us/sComp/108/25/tII/s202/d/5/F/iv" style="-uslm-dtd:clause" styleType="OLC"> <num style="-uslm-dtd:enum" value="iv">(iv) </num><content style="-uslm-dtd:text">high-quality grant performance evaluations measuring inputs, outputs, and outcomes, as appropriate, with the goal of achieving outcome reporting;</content> </clause> </subparagraph> <subparagraph identifier="/us/sComp/108/25/tII/s202/d/5/G" style="-uslm-dtd:subparagraph" styleType="OLC"> <num style="-uslm-dtd:enum" value="G">(G) </num><chapeau style="-uslm-dtd:text">has published an annual report on a publicly available Web site in an open, machine readable format, that includes—</chapeau> <clause identifier="/us/sComp/108/25/tII/s202/d/5/G/i" style="-uslm-dtd:clause" styleType="OLC"> <num style="-uslm-dtd:enum" value="i">(i) </num><content style="-uslm-dtd:text">a list of all countries imposing import duties and internal taxes on any goods or services financed by the Global Fund;</content> </clause> <clause identifier="/us/sComp/108/25/tII/s202/d/5/G/ii" style="-uslm-dtd:clause" styleType="OLC"> <num style="-uslm-dtd:enum" value="ii">(ii) </num><content style="-uslm-dtd:text">a description of the types of goods or services on which the import duties and internal taxes are levied;</content> </clause> <clause identifier="/us/sComp/108/25/tII/s202/d/5/G/iii" style="-uslm-dtd:clause" styleType="OLC"> <num style="-uslm-dtd:enum" value="iii">(iii) </num><content style="-uslm-dtd:text">the total cost of the import duties and internal taxes;</content> </clause> <clause identifier="/us/sComp/108/25/tII/s202/d/5/G/iv" style="-uslm-dtd:clause" styleType="OLC"> <num style="-uslm-dtd:enum" value="iv">(iv) </num><content style="-uslm-dtd:text">recovered import duties or internal taxes; and</content> </clause> <clause identifier="/us/sComp/108/25/tII/s202/d/5/G/v" style="-uslm-dtd:clause" styleType="OLC"> <num style="-uslm-dtd:enum" value="v">(v) </num><content style="-uslm-dtd:text">the status of country status-agreements;</content> </clause> </subparagraph> <subparagraph identifier="/us/sComp/108/25/tII/s202/d/5/H" style="-uslm-dtd:subparagraph" styleType="OLC"> <num style="-uslm-dtd:enum" value="H">(H) </num><content style="-uslm-dtd:text">through its Secretariat, has taken meaningful steps to prevent national authorities in recipient countries from imposing taxes or tariffs on goods or services provided by the Fund;</content> </subparagraph> <subparagraph identifier="/us/sComp/108/25/tII/s202/d/5/I" style="-uslm-dtd:subparagraph" styleType="OLC"> <num style="-uslm-dtd:enum" value="I">(I) </num><content style="-uslm-dtd:text">is maintaining its status as a financing institution focused on programs directly related to HIV/AIDS, malaria, and tuberculosis;</content> </subparagraph> <subparagraph identifier="/us/sComp/108/25/tII/s202/d/5/J" style="-uslm-dtd:subparagraph" styleType="OLC"> <num style="-uslm-dtd:enum" value="J">(J) </num><chapeau style="-uslm-dtd:text">is maintaining and making progress on—</chapeau> <clause identifier="/us/sComp/108/25/tII/s202/d/5/J/i" style="-uslm-dtd:clause" styleType="OLC"> <num style="-uslm-dtd:enum" value="i">(i) </num><content style="-uslm-dtd:text">sustaining its multisectoral approach, through country coordinating mechanisms; and</content> </clause> <clause identifier="/us/sComp/108/25/tII/s202/d/5/J/ii" style="-uslm-dtd:clause" styleType="OLC"> <num style="-uslm-dtd:enum" value="ii">(ii) </num><content style="-uslm-dtd:text">the implementation of grants, as reflected in the proportion of resources allocated to different sectors, including governments, civil society, and faith- and community-based organizations; and</content> </clause> </subparagraph> <subparagraph identifier="/us/sComp/108/25/tII/s202/d/5/K" style="-uslm-dtd:subparagraph" styleType="OLC"> <num style="-uslm-dtd:enum" value="K">(K) </num><content style="-uslm-dtd:text">has established procedures providing access by the Office of Inspector General of the Department of State and Broadcasting Board of Governors, as cognizant Inspector General, and the Inspector General of the Health and Human Services and the Inspector General of the United States Agency for International Development, to Global Fund financial data, and other information relevant to United States contributions (as determined by the Inspector General in consultation with the Global AIDS Coordinator).</content> </subparagraph> </paragraph> <paragraph identifier="/us/sComp/108/25/tII/s202/d/6" style="-uslm-dtd:paragraph" styleType="OLC"> <num style="-uslm-dtd:enum" value="6">(6)<ref class="footnoteRef" style="-uslm-dtd:dangling-footnote-ref">25</ref> </num><heading style="-uslm-dtd:header">Summaries of board decisions and united states positions.—</heading><content style="-uslm-dtd:text">Following each meeting of the Board of the Global Fund, the Coordinator of United States Government Activities to Combat HIV/AIDS Globally shall report on the public website of the Coordinator a summary of Board decisions and how the United States Government voted and its positions on such decisions.</content> </paragraph> </subsection> <subsection identifier="/us/sComp/108/25/tII/s202/e" style="-uslm-dtd:subsection" styleType="OLC"> <num style="-uslm-dtd:enum" value="e">(e) </num><heading style="-uslm-dtd:header">Interagency Technical Review Panel.—</heading> <paragraph identifier="/us/sComp/108/25/tII/s202/e/1" style="-uslm-dtd:paragraph" styleType="OLC"> <num style="-uslm-dtd:enum" value="1">(1) </num><heading style="-uslm-dtd:header">Establishment.—</heading><content style="-uslm-dtd:text">The Coordinator of United States Government Activities to Combat HIV/AIDS Globally, established in section 1(f)(1) of the State Department Basic Authorities Act of 1956 (as added by section 102(a) of this Act), shall establish in the executive branch an interagency technical review panel.</content> </paragraph> <paragraph identifier="/us/sComp/108/25/tII/s202/e/2" style="-uslm-dtd:paragraph" styleType="OLC"> <num style="-uslm-dtd:enum" value="2">(2) </num><heading style="-uslm-dtd:header">Duties.—</heading><chapeau style="-uslm-dtd:text">The interagency technical review panel shall serve as a “<quotedText style="-uslm-dtd:quote">shadow</quotedText>” panel to the Global Fund by—</chapeau> <subparagraph identifier="/us/sComp/108/25/tII/s202/e/2/A" style="-uslm-dtd:subparagraph" styleType="OLC"> <num style="-uslm-dtd:enum" value="A">(A) </num><content style="-uslm-dtd:text">periodically reviewing all proposals received by the Global Fund; and</content> </subparagraph> <subparagraph identifier="/us/sComp/108/25/tII/s202/e/2/B" style="-uslm-dtd:subparagraph" styleType="OLC"> <num style="-uslm-dtd:enum" value="B">(B) </num><content style="-uslm-dtd:text">providing guidance to the United States persons who are representatives on the panels, committees, and boards of the Global Fund, on the technical efficacy, suitability, and appropriateness of the proposals, and ensuring that such persons are fully informed of technical inadequacies or other aspects of the proposals that are inconsistent with the purposes of this or any other Act relating to the provision of foreign assistance in the area of AIDS.</content> </subparagraph> </paragraph> <paragraph identifier="/us/sComp/108/25/tII/s202/e/3" style="-uslm-dtd:paragraph" styleType="OLC"> <num style="-uslm-dtd:enum" value="3">(3) </num><heading style="-uslm-dtd:header">Membership.—</heading><content style="-uslm-dtd:text">The interagency technical review panel shall consist of qualified medical and development experts who are officers or employees of the Department of Health and Human Services, the Department of State, and the United States Agency for International Development.</content> </paragraph> <paragraph identifier="/us/sComp/108/25/tII/s202/e/4" style="-uslm-dtd:paragraph" styleType="OLC"> <num style="-uslm-dtd:enum" value="4">(4) </num><heading style="-uslm-dtd:header">Chair.—</heading><content style="-uslm-dtd:text">The Coordinator referred to in paragraph (1) shall chair the interagency technical review panel.</content> </paragraph> </subsection> <subsection identifier="/us/sComp/108/25/tII/s202/f" style="-uslm-dtd:subsection" styleType="OLC"> <num style="-uslm-dtd:enum" value="f">(f) </num><heading style="-uslm-dtd:header">Monitoring by Comptroller General.—</heading> <paragraph identifier="/us/sComp/108/25/tII/s202/f/1" style="-uslm-dtd:paragraph" styleType="OLC"> <num style="-uslm-dtd:enum" value="1">(1) </num><heading style="-uslm-dtd:header">Monitoring.—</heading><content style="-uslm-dtd:text">The Comptroller General shall monitor and evaluate projects funded by the Global Fund.</content> </paragraph> <paragraph identifier="/us/sComp/108/25/tII/s202/f/2" style="-uslm-dtd:paragraph" styleType="OLC"> <num style="-uslm-dtd:enum" value="2">(2) </num><heading style="-uslm-dtd:header">Report.—</heading><content style="-uslm-dtd:text">The Comptroller General shall on a biennial basis shall prepare and submit to the appropriate congressional committees a report that contains the results of the monitoring and evaluation described in paragraph (1) for the preceding 2-year period.</content> </paragraph> </subsection> <subsection identifier="/us/sComp/108/25/tII/s202/g" style="-uslm-dtd:subsection" styleType="OLC"> <num style="-uslm-dtd:enum" value="g">(g) </num><heading style="-uslm-dtd:header">Provision of Information to Congress.—</heading><chapeau style="-uslm-dtd:text">The Coordinator of United States Government Activities to Combat HIV/AIDS Globally shall make available to the Congress the following documents within 30 days of a request by the Congress for such documents:</chapeau> <paragraph identifier="/us/sComp/108/25/tII/s202/g/1" style="-uslm-dtd:paragraph" styleType="OLC"> <num style="-uslm-dtd:enum" value="1">(1) </num><content style="-uslm-dtd:text">All financial and accounting statements for the Global Fund and the Activities to Combat HIV/AIDS Globally Fund, including administrative and grantee statements.</content> </paragraph> <paragraph identifier="/us/sComp/108/25/tII/s202/g/2" style="-uslm-dtd:paragraph" styleType="OLC"> <num style="-uslm-dtd:enum" value="2">(2) </num><content style="-uslm-dtd:text">Reports provided to the Global Fund and the Activities to Combat HIV/AIDS Globally Fund by organizations contracted to audit recipients of funds.</content> </paragraph> <paragraph identifier="/us/sComp/108/25/tII/s202/g/3" style="-uslm-dtd:paragraph" styleType="OLC"> <num style="-uslm-dtd:enum" value="3">(3) </num><content style="-uslm-dtd:text">Project proposals submitted by applicants for funding from the Global Fund and the Activities to Combat HIV/AIDS Globally Fund, but which were not funded.</content> </paragraph> <paragraph identifier="/us/sComp/108/25/tII/s202/g/4" style="-uslm-dtd:paragraph" styleType="OLC"> <num style="-uslm-dtd:enum" value="4">(4) </num><content style="-uslm-dtd:text">Progress reports submitted to the Global Fund and the Activities to Combat HIV/AIDS Globally Fund by grantees.</content> </paragraph> </subsection> <subsection identifier="/us/sComp/108/25/tII/s202/h" style="-uslm-dtd:subsection" styleType="OLC"> <num style="-uslm-dtd:enum" value="h">(h) </num><heading style="-uslm-dtd:header">Sense of the Congress Regarding Encouragement of Private Contributions to the Global Fund.—</heading><chapeau style="-uslm-dtd:text">It is the sense of the Congress that the President should—</chapeau> <paragraph identifier="/us/sComp/108/25/tII/s202/h/1" style="-uslm-dtd:paragraph" styleType="OLC"> <num style="-uslm-dtd:enum" value="1">(1) </num><chapeau style="-uslm-dtd:text">conduct an outreach campaign that is designed to—</chapeau> <subparagraph identifier="/us/sComp/108/25/tII/s202/h/1/A" style="-uslm-dtd:subparagraph" styleType="OLC"> <num style="-uslm-dtd:enum" value="A">(A) </num><chapeau style="-uslm-dtd:text">inform the public of the existence of—</chapeau> <clause identifier="/us/sComp/108/25/tII/s202/h/1/A/i" style="-uslm-dtd:clause" styleType="OLC"> <num style="-uslm-dtd:enum" value="i">(i) </num><content style="-uslm-dtd:text">the Global Fund; and</content> </clause> <clause identifier="/us/sComp/108/25/tII/s202/h/1/A/ii" style="-uslm-dtd:clause" styleType="OLC"> <num style="-uslm-dtd:enum" value="ii">(ii) </num><content style="-uslm-dtd:text">any entity that will accept private contributions intended for use by the Global Fund; and</content> </clause> </subparagraph> <subparagraph identifier="/us/sComp/108/25/tII/s202/h/1/B" style="-uslm-dtd:subparagraph" styleType="OLC"> <num style="-uslm-dtd:enum" value="B">(B) </num><content style="-uslm-dtd:text">encourage private contributions to the Global Fund; and</content> </subparagraph> </paragraph> <paragraph identifier="/us/sComp/108/25/tII/s202/h/2" style="-uslm-dtd:paragraph" styleType="OLC"> <num style="-uslm-dtd:enum" value="2">(2) </num><chapeau style="-uslm-dtd:text">encourage private contributions intended for use by the Global Fund by—</chapeau> <subparagraph identifier="/us/sComp/108/25/tII/s202/h/2/A" style="-uslm-dtd:subparagraph" styleType="OLC"> <num style="-uslm-dtd:enum" value="A">(A) </num><content style="-uslm-dtd:text">establishing and operating an Internet website, and publishing information about the website; and</content> </subparagraph> <subparagraph identifier="/us/sComp/108/25/tII/s202/h/2/B" style="-uslm-dtd:subparagraph" styleType="OLC"> <num style="-uslm-dtd:enum" value="B">(B) </num><content style="-uslm-dtd:text">making public service announcements on radio and television.</content> </subparagraph> </paragraph> </subsection> </section> <section identifier="/us/sComp/108/25/tII/s203" style="-uslm-dtd:section" styleType="OLC"> <num style="-uslm-dtd:enum" value="203">SEC. 203. </num><heading style="-uslm-dtd:header">VOLUNTARY CONTRIBUTIONS TO INTERNATIONAL VACCINE FUNDS. </heading> <subsection identifier="/us/sComp/108/25/tII/s203/a" style="-uslm-dtd:subsection" styleType="OLC"> <num style="-uslm-dtd:enum" value="a">(a) </num><heading style="-uslm-dtd:header">Vaccine Fund.—</heading><content style="-uslm-dtd:text">Section 302(k) of the Foreign Assistance Act of 1961 (22 U.S.C. 2222(k)) is amended—<elided style="-uslm-dtd:omitted-text">* * *</elided></content> </subsection> </section> <section identifier="/us/sComp/108/25/tII/s204" style="-uslm-dtd:section" styleType="OLC"> <num style="-uslm-dtd:enum" value="204">SEC. 204. </num><editorialNote role="uscRef" style="-uslm-dtd:usc-reference"><b>[</b><ref href="/us/usc/t22/s7623">22 U.S.C. 7623</ref><b>]</b> </editorialNote><heading style="-uslm-dtd:header"> <ref class="footnoteRef" idref="IDD76D266B50E249B4972E060E08B70BC1" style="-uslm-dtd:footnote-ref">26</ref> COMBATING HIV/AIDS, TUBERCULOSIS, AND MALARIA BY STRENGTHENING HEALTH POLICIES AND HEALTH SYSTEMS OF PARTNER COUNTRIES. </heading> <subsection identifier="/us/sComp/108/25/tII/s204/a" style="-uslm-dtd:subsection" styleType="OLC"> <num style="-uslm-dtd:enum" value="a">(a) </num><heading style="-uslm-dtd:header">Statement of Policy.—</heading><chapeau style="-uslm-dtd:text">It shall be the policy of the United States Government—</chapeau><footnote id="IDD76D266B50E249B4972E060E08B70BC1" style="-uslm-dtd:footnote"><sup style="-uslm-dtd:superscript">26</sup><p style="-uslm-dtd:para; margin-left:1em">Added by sec. 204(a) of the Lantos/Hyde Reauthorization Act of 2008 (Public Law 110–293; 122 Stat. 2942).</p></footnote> <paragraph identifier="/us/sComp/108/25/tII/s204/a/1" style="-uslm-dtd:paragraph" styleType="OLC"> <num style="-uslm-dtd:enum" value="1">(1) </num><chapeau style="-uslm-dtd:text">to invest appropriate resources authorized under this Act—</chapeau> <subparagraph identifier="/us/sComp/108/25/tII/s204/a/1/A" style="-uslm-dtd:subparagraph" styleType="OLC"> <num style="-uslm-dtd:enum" value="A">(A) </num><content style="-uslm-dtd:text">to carry out activities to strengthen HIV/AIDS, tuberculosis, and malaria health policies and health systems; and</content> </subparagraph> <subparagraph identifier="/us/sComp/108/25/tII/s204/a/1/B" style="-uslm-dtd:subparagraph" styleType="OLC"> <num style="-uslm-dtd:enum" value="B">(B) </num><content style="-uslm-dtd:text">to provide workforce training and capacity-building consistent with the goals and objectives of this Act; and</content> </subparagraph> </paragraph> <paragraph identifier="/us/sComp/108/25/tII/s204/a/2" style="-uslm-dtd:paragraph" styleType="OLC"> <num style="-uslm-dtd:enum" value="2">(2) </num><chapeau style="-uslm-dtd:text">to support the development of a sound policy environment in partner countries to increase the ability of such countries—</chapeau> <subparagraph identifier="/us/sComp/108/25/tII/s204/a/2/A" style="-uslm-dtd:subparagraph" styleType="OLC"> <num style="-uslm-dtd:enum" value="A">(A) </num><content style="-uslm-dtd:text">to maximize utilization of health care resources from donor countries;</content> </subparagraph> <subparagraph identifier="/us/sComp/108/25/tII/s204/a/2/B" style="-uslm-dtd:subparagraph" styleType="OLC"> <num style="-uslm-dtd:enum" value="B">(B) </num><content style="-uslm-dtd:text">to increase national investments in health and education and maximize the effectiveness of such investments;</content> </subparagraph> <subparagraph identifier="/us/sComp/108/25/tII/s204/a/2/C" style="-uslm-dtd:subparagraph" styleType="OLC"> <num style="-uslm-dtd:enum" value="C">(C) </num><content style="-uslm-dtd:text">to improve national HIV/AIDS, tuberculosis, and malaria strategies;</content> </subparagraph> <subparagraph identifier="/us/sComp/108/25/tII/s204/a/2/D" style="-uslm-dtd:subparagraph" styleType="OLC"> <num style="-uslm-dtd:enum" value="D">(D) </num><content style="-uslm-dtd:text">to deliver evidence-based services in an effective and efficient manner; and</content> </subparagraph> <subparagraph identifier="/us/sComp/108/25/tII/s204/a/2/E" style="-uslm-dtd:subparagraph" styleType="OLC"> <num style="-uslm-dtd:enum" value="E">(E) </num><content style="-uslm-dtd:text">to reduce barriers that prevent recipients of services from achieving maximum benefit from such services.</content> </subparagraph> </paragraph> </subsection> <subsection identifier="/us/sComp/108/25/tII/s204/b" style="-uslm-dtd:subsection" styleType="OLC"> <num style="-uslm-dtd:enum" value="b">(b) </num><heading style="-uslm-dtd:header">Assistance To Improve Public Finance Management Systems.—</heading> <paragraph identifier="/us/sComp/108/25/tII/s204/b/1" style="-uslm-dtd:paragraph" styleType="OLC"> <num style="-uslm-dtd:enum" value="1">(1) </num><heading style="-uslm-dtd:header">In general.—</heading><content style="-uslm-dtd:text">Consistent with the authority under section 129 of the Foreign Assistance Act of 1961 (22 U.S.C. 2152), the Secretary of the Treasury, acting through the head of the Office of Technical Assistance, is authorized to provide assistance for advisors and partner country finance, health, and other relevant ministries to improve the effectiveness of public finance management systems in partner countries to enable such countries to receive funding to carry out programs to combat HIV/AIDS, tuberculosis, and malaria and to manage such programs.</content> </paragraph> <paragraph identifier="/us/sComp/108/25/tII/s204/b/2" style="-uslm-dtd:paragraph" styleType="OLC"> <num style="-uslm-dtd:enum" value="2">(2) </num><heading style="-uslm-dtd:header">Authorization of appropriations.—</heading><content style="-uslm-dtd:text">Of the amounts authorized to be appropriated under section 401 for HIV/AIDS assistance, there are authorized to be appropriated to the Secretary of the Treasury such sums as may be necessary for each of the fiscal years 2009 through 2013 to carry out this subsection.</content> </paragraph> </subsection> <subsection identifier="/us/sComp/108/25/tII/s204/c" style="-uslm-dtd:subsection" styleType="OLC"> <num style="-uslm-dtd:enum" value="c">(c) </num><heading style="-uslm-dtd:header">Plan Required.—</heading><content style="-uslm-dtd:text">The Global AIDS Coordinator, in collaboration with the Administrator of the United States Agency for International Development (USAID), shall develop and implement a plan to combat HIV/AIDS by strengthening health policies and health systems of partner countries as part of USAID's “<quotedText style="-uslm-dtd:quote">Health Systems 2020</quotedText>” project. Recognizing that human and institutional capacity form the core of any health care system that can sustain the fight against HIV/AIDS, tuberculosis, and malaria, the plan shall include a strategy to encourage postsecondary educational institutions in partner countries, particularly in Africa, in collaboration with United States postsecondary educational institutions, including historically black colleges and universities, to develop such human and institutional capacity and in the process further build their capacity to sustain the fight against these diseases.</content> </subsection> </section> <num style="-uslm-dtd:enum" value="III">TITLE III—</num><heading style="-uslm-dtd:header">BILATERAL EFFORTS </heading> <subtitle identifier="/us/sComp/108/25/tIII/stA" style="-uslm-dtd:subtitle; -uslm-dtd-nonstandard:cap-lc 10 bold" styleType="nonstandard"> <num style="-uslm-dtd:enum" value="A">subtitle A—</num><heading style="-uslm-dtd:header">General Assistance and Programs </heading> <section identifier="/us/sComp/108/25/tIII/stA/s301" style="-uslm-dtd:section" styleType="OLC"> <num style="-uslm-dtd:enum" value="301">SEC. 301.<ref class="footnoteRef" idref="ID9C9FF7172A1C4FBA8EB119E18469187D" style="-uslm-dtd:footnote-ref">27</ref> </num><heading style="-uslm-dtd:header">ASSISTANCE TO COMBAT HIV/AIDS. </heading> <subsection identifier="/us/sComp/108/25/tIII/stA/s301/a" style="-uslm-dtd:subsection" styleType="OLC"> <num style="-uslm-dtd:enum" value="a">(a) </num><heading style="-uslm-dtd:header">Amendment of the Foreign Assistance Act of 1961.—</heading><chapeau style="-uslm-dtd:text">Chapter 1 of part I of the Foreign Assistance Act of 1961 (22 U.S.C. 2151 et seq.) is amended—</chapeau><footnote id="ID9C9FF7172A1C4FBA8EB119E18469187D" style="-uslm-dtd:footnote"><sup style="-uslm-dtd:superscript">27</sup><p style="-uslm-dtd:para; margin-left:1em">22 U.S.C. 7631.</p></footnote> <paragraph identifier="/us/sComp/108/25/tIII/stA/s301/a/1" style="-uslm-dtd:paragraph" styleType="OLC"> <num style="-uslm-dtd:enum" value="1">(1) </num><content style="-uslm-dtd:text">in section 104(c) (22 U.S.C. 2151b(c)), by striking paragraphs (4) through (7); and</content> </paragraph> <paragraph identifier="/us/sComp/108/25/tIII/stA/s301/a/2" style="-uslm-dtd:paragraph" styleType="OLC"> <num style="-uslm-dtd:enum" value="2">(2) </num><content style="-uslm-dtd:text">by inserting after section 104 the following new section:<quotedContent style="-uslm-dtd:quoted-block"> <section style="-uslm-dtd:section" styleType="OLC"> <num style="-uslm-dtd:enum" value="104A">“SEC. 104A. </num><heading style="-uslm-dtd:header">ASSISTANCE TO COMBAT HIV/AIDS. <elided style="-uslm-dtd:omitted-text">* * *”</elided></heading> </section></quotedContent> </content> </paragraph> </subsection> <subsection identifier="/us/sComp/108/25/tIII/stA/s301/b" style="-uslm-dtd:subsection" styleType="OLC"> <num style="-uslm-dtd:enum" value="b">(b) </num><heading style="-uslm-dtd:header">Authorization of Appropriations.—</heading> <paragraph identifier="/us/sComp/108/25/tIII/stA/s301/b/1" style="-uslm-dtd:paragraph" styleType="OLC"> <num style="-uslm-dtd:enum" value="1">(1) </num><heading style="-uslm-dtd:header">In general.—</heading><content style="-uslm-dtd:text">In addition to funds available under section 104(c) of the Foreign Assistance Act of 1961 (22 U.S.C. 2151b(c)) for such purpose or under any other provision of that Act, there are authorized to be appropriated to the President, from amounts authorized to be appropriated under section 401, such sums as may be necessary for each of the fiscal years 2009 through 2013<ref class="footnoteRef" idref="IDAC9F69BA5B7140E8B9AFD4BA6F1FCFC9" style="-uslm-dtd:footnote-ref">28</ref> to carry out section 104A of the Foreign Assistance Act of 1961, as added by subsection (a).</content><footnote id="IDAC9F69BA5B7140E8B9AFD4BA6F1FCFC9" style="-uslm-dtd:footnote"><sup style="-uslm-dtd:superscript">28</sup><p style="-uslm-dtd:para; margin-left:1em">Sec. 301(f)(1) of the Lantos/Hyde Reauthorization Act of 2008 (Public Law 110–293; 122 Stat. 2956) struck out “<quotedText style="-uslm-dtd:quote">fiscal years 2004 through 2008</quotedText>” and inserted in lieu thereof “<quotedText style="-uslm-dtd:quote">fiscal years 2009 through 2013</quotedText>”.</p></footnote> </paragraph> <paragraph identifier="/us/sComp/108/25/tIII/stA/s301/b/2" style="-uslm-dtd:paragraph" styleType="OLC"> <num style="-uslm-dtd:enum" value="2">(2) </num><heading style="-uslm-dtd:header">Availability of funds.—</heading><content style="-uslm-dtd:text">Amounts appropriated pursuant to paragraph (1) are authorized to remain available until expended.</content> </paragraph> <paragraph identifier="/us/sComp/108/25/tIII/stA/s301/b/3" style="-uslm-dtd:paragraph" styleType="OLC"> <num style="-uslm-dtd:enum" value="3">(3) </num><heading style="-uslm-dtd:header">Allocation of funds.—</heading><content style="-uslm-dtd:text">Of the amount authorized to be appropriated by paragraph (1) for the fiscal years 2009 through 2013,<ref class="footnoteRef" idref="ID754A8D8D9102442CA038A4E09B25526A" style="-uslm-dtd:footnote-ref">29</ref> such sums as may be necessary are authorized to be appropriated to carry out section 104A(d)(4) of the Foreign Assistance Act of 1961 (as added by subsection (a)), relating to the procurement and distribution of HIV/AIDS pharmaceuticals.</content><footnote id="ID754A8D8D9102442CA038A4E09B25526A" style="-uslm-dtd:footnote"><sup style="-uslm-dtd:superscript">29</sup><p style="-uslm-dtd:para; margin-left:1em">Sec. 301(f)(2) of the Lantos/Hyde Reauthorization Act of 2008 (Public Law 110–293; 122 Stat. 2956) struck out “<quotedText style="-uslm-dtd:quote">fiscal years 2004 through 2008</quotedText>” and inserted in lieu thereof “<quotedText style="-uslm-dtd:quote">fiscal years 2009 through 2013</quotedText>”.</p></footnote> </paragraph> </subsection> <subsection identifier="/us/sComp/108/25/tIII/stA/s301/c" style="-uslm-dtd:subsection" styleType="OLC"> <num style="-uslm-dtd:enum" value="c">(c)<ref class="footnoteRef" idref="ID9630BE6832BB4B7E8AD8EF9ABB09B75F" style="-uslm-dtd:footnote-ref">30</ref> </num><heading style="-uslm-dtd:header">Food and Nutritional Support.—</heading><footnote id="ID9630BE6832BB4B7E8AD8EF9ABB09B75F" style="-uslm-dtd:footnote"><sup style="-uslm-dtd:superscript">30</sup><content><p style="-uslm-dtd:para; margin-left:1em">Sec. 301(g) of the Lantos/Hyde Reauthorization Act of 2008 (Public Law 110–293; 122 Stat. 2956) amended and restated subsec. (c). It previously read as follows:</p> <p style="-uslm-dtd:para; margin-left:1em">``(c) <headingText style="-uslm-dtd:header-in-text">Relationship to Assistance Programs to Enhance Nutrition</headingText>.—In recognition of the fact that malnutrition may hasten the progression of HIV to AIDS and may exacerbate the decline among AIDS patients leading to a shorter life span, the Administrator of the United States Agency for International Development shall, as appropriate—</p> <p style="-uslm-dtd:para; margin-left:2em">``(1) integrate nutrition programs with HIV/AIDS activities, generally;</p> <p style="-uslm-dtd:para; margin-left:2em">``(2) provide, as a component of an anti-retroviral therapy program, support for food and nutrition to individuals infected with and affected by HIV/AIDS; and</p> <p style="-uslm-dtd:para; margin-left:2em">``(3) provide support for food and nutrition for children affected by HIV/AIDS and to communities and households caring for children affected by HIV/AIDS.''.</p></content></footnote> <paragraph identifier="/us/sComp/108/25/tIII/stA/s301/c/1" style="-uslm-dtd:paragraph" styleType="OLC"> <num style="-uslm-dtd:enum" value="1">(1) </num><heading style="-uslm-dtd:header">In general.—</heading><chapeau style="-uslm-dtd:text">As indicated in the report produced by the Institute of Medicine, entitled “<quotedText style="-uslm-dtd:quote">PEPFAR Implementation: Progress and Promise</quotedText>”, inadequate caloric intake has been clearly identified as a principal reason for failure of clinical response to antiretroviral therapy. In recognition of the impact of malnutrition as a clinical health issue for many persons living with HIV/AIDS that is often associated with health and economic impacts on these individuals and their families, the Global AIDS Coordinator and the Administrator of the United States Agency for International Development shall—</chapeau> <subparagraph identifier="/us/sComp/108/25/tIII/stA/s301/c/1/A" style="-uslm-dtd:subparagraph" styleType="OLC"> <num style="-uslm-dtd:enum" value="A">(A) </num><content style="-uslm-dtd:text">follow World Health Organization guidelines for HIV/AIDS food and nutrition services;</content> </subparagraph> <subparagraph identifier="/us/sComp/108/25/tIII/stA/s301/c/1/B" style="-uslm-dtd:subparagraph" styleType="OLC"> <num style="-uslm-dtd:enum" value="B">(B) </num><content style="-uslm-dtd:text">integrate nutrition programs with HIV/AIDS activities through effective linkages among the health, agricultural, and livelihood sectors and establish additional services in circumstances in which referrals are inadequate or impossible;</content> </subparagraph> <subparagraph identifier="/us/sComp/108/25/tIII/stA/s301/c/1/C" style="-uslm-dtd:subparagraph" styleType="OLC"> <num style="-uslm-dtd:enum" value="C">(C) </num><chapeau style="-uslm-dtd:text">provide, as a component of care and treatment programs for persons with HIV/AIDS, food and nutritional support to individuals infected with, and affected by, HIV/AIDS who meet established criteria for nutritional support (including clinically malnourished children and adults, and pregnant and lactating women in programs in need of supplemental support), including—</chapeau> <clause identifier="/us/sComp/108/25/tIII/stA/s301/c/1/C/i" style="-uslm-dtd:clause" styleType="OLC"> <num style="-uslm-dtd:enum" value="i">(i) </num><content style="-uslm-dtd:text">anthropometric and dietary assessment;</content> </clause> <clause identifier="/us/sComp/108/25/tIII/stA/s301/c/1/C/ii" style="-uslm-dtd:clause" styleType="OLC"> <num style="-uslm-dtd:enum" value="ii">(ii) </num><content style="-uslm-dtd:text">counseling; and</content> </clause> <clause identifier="/us/sComp/108/25/tIII/stA/s301/c/1/C/iii" style="-uslm-dtd:clause" styleType="OLC"> <num style="-uslm-dtd:enum" value="iii">(iii) </num><content style="-uslm-dtd:text">therapeutic and supplementary feeding;</content> </clause> </subparagraph> <subparagraph identifier="/us/sComp/108/25/tIII/stA/s301/c/1/D" style="-uslm-dtd:subparagraph" styleType="OLC"> <num style="-uslm-dtd:enum" value="D">(D) </num><content style="-uslm-dtd:text">provide food and nutritional support for children affected by HIV/AIDS and to communities and households caring for children affected by HIV/AIDS; and</content> </subparagraph> <subparagraph identifier="/us/sComp/108/25/tIII/stA/s301/c/1/E" style="-uslm-dtd:subparagraph" styleType="OLC"> <num style="-uslm-dtd:enum" value="E">(E) </num><content style="-uslm-dtd:text">in communities where HIV/AIDS and food insecurity are highly prevalent, support programs to address these often intersecting health problems through community-based assistance programs, with an emphasis on sustainable approaches.</content> </subparagraph> </paragraph> <paragraph identifier="/us/sComp/108/25/tIII/stA/s301/c/2" style="-uslm-dtd:paragraph" styleType="OLC"> <num style="-uslm-dtd:enum" value="2">(2) </num><heading style="-uslm-dtd:header">Authorization of appropriations.—</heading><content style="-uslm-dtd:text">Of the amounts authorized to be appropriated under section 401, there are authorized to be appropriated to the President such sums as may be necessary for each of the fiscal years 2009 through 2013 to carry out this subsection.</content> </paragraph> </subsection> <subsection identifier="/us/sComp/108/25/tIII/stA/s301/d" style="-uslm-dtd:subsection" styleType="OLC"> <num style="-uslm-dtd:enum" value="d">(d)<ref class="footnoteRef" idref="IDF906B15159774F11BF57D9F2023AC274" style="-uslm-dtd:footnote-ref">31</ref> </num><heading style="-uslm-dtd:header">Eligibility for Assistance.—</heading><chapeau style="-uslm-dtd:text">An organization, including a faith-based organization, that is otherwise eligible to receive assistance under section 104A of the Foreign Assistance Act of 1961, under this Act, or under any amendment made by this Act or by the Tom Lantos and Henry J. Hyde United States Global Leadership Against HIV/AIDS, Tuberculosis, and Malaria Reauthorization Act of 2008, for HIV/AIDS prevention, treatment, or care—</chapeau><footnote id="IDF906B15159774F11BF57D9F2023AC274" style="-uslm-dtd:footnote"><sup style="-uslm-dtd:superscript">31</sup><content><p style="-uslm-dtd:para; margin-left:1em">Sec. 301(h) of the Lantos/Hyde Reauthorization Act of 2008 (Public Law 110–293; 122 Stat. 2957) amended and restated subsec. (d). It previously read as follows:</p> <p style="-uslm-dtd:para; margin-left:1em">``(d) <headingText style="-uslm-dtd:header-in-text">Eligibility for Assistance</headingText>.—An organization that is otherwise eligible to receive assistance under section 104A of the Foreign Assistance Act of 1961 (as added by subsection (a)) or under any other provision of this Act (or any amendment made by this Act) to prevent, treat, or monitor HIV/AIDS shall not be required, as a condition of receiving the assistance, to endorse or utilize a multisectoral approach to combatting HIV/AIDS, or to endorse, utilize, or participate in a prevention method or treatment program to which the organization has a religious or moral objection.''.</p></content></footnote> <paragraph identifier="/us/sComp/108/25/tIII/stA/s301/d/1" style="-uslm-dtd:paragraph" styleType="OLC"> <num style="-uslm-dtd:enum" value="1">(1) </num><chapeau style="-uslm-dtd:text">shall not be required, as a condition of receiving such assistance—</chapeau> <subparagraph identifier="/us/sComp/108/25/tIII/stA/s301/d/1/A" style="-uslm-dtd:subparagraph" styleType="OLC"> <num style="-uslm-dtd:enum" value="A">(A) </num><content style="-uslm-dtd:text">to endorse or utilize a multisectoral or comprehensive approach to combating HIV/AIDS; or</content> </subparagraph> <subparagraph identifier="/us/sComp/108/25/tIII/stA/s301/d/1/B" style="-uslm-dtd:subparagraph" styleType="OLC"> <num style="-uslm-dtd:enum" value="B">(B) </num><content style="-uslm-dtd:text">to endorse, utilize, make a referral to, become integrated with, or otherwise participate in any program or activity to which the organization has a religious or moral objection; and</content> </subparagraph> </paragraph> <paragraph identifier="/us/sComp/108/25/tIII/stA/s301/d/2" style="-uslm-dtd:paragraph" styleType="OLC"> <num style="-uslm-dtd:enum" value="2">(2) </num><content style="-uslm-dtd:text">shall not be discriminated against in the solicitation or issuance of grants, contracts, or cooperative agreements under such provisions of law for refusing to meet any requirement described in paragraph (1).</content> </paragraph> </subsection> <subsection identifier="/us/sComp/108/25/tIII/stA/s301/e" style="-uslm-dtd:subsection" styleType="OLC"> <num style="-uslm-dtd:enum" value="e">(e) </num><heading style="-uslm-dtd:header">Limitation.—</heading><content style="-uslm-dtd:text">No funds made available to carry out this Act, or any amendment made by this Act, may be used to promote or advocate the legalization or practice of prostitution or sex trafficking. Nothing in the preceding sentence shall be construed to preclude the provision to individuals of palliative care, treatment, or post-exposure pharmaceutical prophylaxis, and necessary pharmaceuticals and commodities, including test kits, condoms, and, when proven effective, microbicides.</content> </subsection> <subsection identifier="/us/sComp/108/25/tIII/stA/s301/f" style="-uslm-dtd:subsection" styleType="OLC"> <num style="-uslm-dtd:enum" value="f">(f) </num><heading style="-uslm-dtd:header">Limitation.—</heading><content style="-uslm-dtd:text">No funds made available to carry out this Act, or any amendment made by this Act, may be used to provide assistance to any group or organization that does not have a policy explicitly opposing prostitution and sex trafficking, except that this subsection shall not apply to the Global Fund to Fight AIDS, Tuberculosis and Malaria, the World Health Organization, the International AIDS Vaccine Initiative or to any United Nations agency.<ref class="footnoteRef" idref="IDE6A3AABBB74D46FEAD5F51089874E9A4" style="-uslm-dtd:footnote-ref">32</ref></content><footnote id="IDE6A3AABBB74D46FEAD5F51089874E9A4" style="-uslm-dtd:footnote"><sup style="-uslm-dtd:superscript">32</sup><p style="-uslm-dtd:para; margin-left:1em">Sec. 595(3) of the Foreign Operations, Export Financing, and Related Programs Appropriations Act, 2004 (division D of Public Law 108–199; 117 Stat. 209), added “<quotedText style="-uslm-dtd:quote">, except that this subsection shall not apply to the Global Fund to Fight AIDS, Tuberculosis and Malaria, the World Health Organization, the International AIDS Vaccine Initiative or to any United Nations agency</quotedText>”.</p></footnote> </subsection> <subsection identifier="/us/sComp/108/25/tIII/stA/s301/g" style="-uslm-dtd:subsection" styleType="OLC"> <num style="-uslm-dtd:enum" value="g">(g) </num><heading style="-uslm-dtd:header">Sense of Congress Relating to Food Assistance for Individuals Living with HIV/AIDS.—</heading> <paragraph identifier="/us/sComp/108/25/tIII/stA/s301/g/1" style="-uslm-dtd:paragraph" styleType="OLC"> <num style="-uslm-dtd:enum" value="1">(1) </num><heading style="-uslm-dtd:header">Findings.—</heading><chapeau style="-uslm-dtd:text">Congress finds the following:</chapeau> <subparagraph identifier="/us/sComp/108/25/tIII/stA/s301/g/1/A" style="-uslm-dtd:subparagraph" styleType="OLC"> <num style="-uslm-dtd:enum" value="A">(A) </num><content style="-uslm-dtd:text">The United States provides more than 60 percent of all food assistance worldwide.</content> </subparagraph> <subparagraph identifier="/us/sComp/108/25/tIII/stA/s301/g/1/B" style="-uslm-dtd:subparagraph" styleType="OLC"> <num style="-uslm-dtd:enum" value="B">(B) </num><content style="-uslm-dtd:text">According to the United Nations World Food Program and other United Nations agencies, food insecurity of individuals infected or living with HIV/AIDS is a major problem in countries with large populations of such individuals, particularly in African countries.</content> </subparagraph> <subparagraph identifier="/us/sComp/108/25/tIII/stA/s301/g/1/C" style="-uslm-dtd:subparagraph" styleType="OLC"> <num style="-uslm-dtd:enum" value="C">(C) </num><content style="-uslm-dtd:text">Although the United States is willing to provide food assistance to these countries in need, a few of the countries object to part or all of the assistance because of fears of benign genetic modifications to the foods.</content> </subparagraph> <subparagraph identifier="/us/sComp/108/25/tIII/stA/s301/g/1/D" style="-uslm-dtd:subparagraph" styleType="OLC"> <num style="-uslm-dtd:enum" value="D">(D) </num><content style="-uslm-dtd:text">Healthy and nutritious foods for individuals infected or living with HIV/AIDS are an important complement to HIV/AIDS medicines for such individuals.</content> </subparagraph> <subparagraph identifier="/us/sComp/108/25/tIII/stA/s301/g/1/E" style="-uslm-dtd:subparagraph" styleType="OLC"> <num style="-uslm-dtd:enum" value="E">(E) </num><content style="-uslm-dtd:text">Individuals infected with HIV have higher nutritional requirements than individuals who are not infected with HIV, particularly with respect to the need for protein. Also, there is evidence to suggest that the full benefit of therapy to treat HIV/AIDS may not be achieved in individuals who are malnourished, particularly in pregnant and lactating women.</content> </subparagraph> </paragraph> <paragraph identifier="/us/sComp/108/25/tIII/stA/s301/g/2" style="-uslm-dtd:paragraph" styleType="OLC"> <num style="-uslm-dtd:enum" value="2">(2) </num><heading style="-uslm-dtd:header">Sense of Congress.—</heading><content style="-uslm-dtd:text">It is therefore the sense of Congress that United States food assistance should be accepted by countries with large populations of individuals infected or living with HIV/AIDS, particularly African countries, in order to help feed such individuals.</content> </paragraph> </subsection> </section> <section identifier="/us/sComp/108/25/tIII/stA/s302" style="-uslm-dtd:section" styleType="OLC"> <num style="-uslm-dtd:enum" value="302">SEC. 302. </num><heading style="-uslm-dtd:header">ASSISTANCE TO COMBAT TUBERCULOSIS. </heading> <subsection identifier="/us/sComp/108/25/tIII/stA/s302/a" style="-uslm-dtd:subsection" styleType="OLC"> <num style="-uslm-dtd:enum" value="a">(a) </num><heading style="-uslm-dtd:header">Amendment of the Foreign Assistance Act of 1961.—</heading><content style="-uslm-dtd:text">Chapter 1 of part I of the Foreign Assistance Act of 1961 (22 U.S.C. 2151 et seq.), as amended by section 301 of this Act, is further amended by inserting after section 104A the following new section:<quotedContent style="-uslm-dtd:quoted-block"> <section style="-uslm-dtd:section" styleType="OLC"> <num style="-uslm-dtd:enum" value="104B">“SEC. 104B. </num><heading style="-uslm-dtd:header">ASSISTANCE TO COMBAT TUBERCULOSIS. <elided style="-uslm-dtd:omitted-text">* * *”</elided></heading> </section></quotedContent> </content> </subsection> <subsection identifier="/us/sComp/108/25/tIII/stA/s302/b" style="-uslm-dtd:subsection" styleType="OLC"> <num style="-uslm-dtd:enum" value="b">(b)<ref class="footnoteRef" idref="ID461CB97FC14C4E3FBC8024658CDB7DCE" style="-uslm-dtd:footnote-ref">33</ref> </num><heading style="-uslm-dtd:header">Authorization of Appropriations.—</heading><footnote id="ID461CB97FC14C4E3FBC8024658CDB7DCE" style="-uslm-dtd:footnote"><sup style="-uslm-dtd:superscript">33</sup><p style="-uslm-dtd:para; margin-left:1em">22 U.S.C. 7632.</p></footnote> <paragraph identifier="/us/sComp/108/25/tIII/stA/s302/b/1" style="-uslm-dtd:paragraph" styleType="OLC"> <num style="-uslm-dtd:enum" value="1">(1) </num><heading style="-uslm-dtd:header">In general.—</heading><content style="-uslm-dtd:text">In addition to funds available under section 104(c) of the Foreign Assistance Act of 1961 (22 U.S.C. 2151b(c)) for such purpose or under any other provision of that Act, there are authorized to be appropriated to the President, from amounts authorized to be appropriated under section 401, a total of $4,000,000,000 for the 5-year period beginning on October 1, 2008.<ref class="footnoteRef" idref="IDCAB2C24AEFDA493C8A4533C7107592CE" style="-uslm-dtd:footnote-ref">34</ref> to carry out section 104B of the Foreign Assistance Act of 1961, as added by subsection (a).</content><footnote id="IDCAB2C24AEFDA493C8A4533C7107592CE" style="-uslm-dtd:footnote"><sup style="-uslm-dtd:superscript">34</sup><p style="-uslm-dtd:para; margin-left:1em">Sec. 302(f)(1) of the Lantos/Hyde Reauthorization Act of 2008 (Public Law 110–293; 122 Stat. 2959) struck out “<quotedText style="-uslm-dtd:quote">such sums as may be necessary for each of the fiscal years 2004 through 2008</quotedText>” and inserted in lieu thereof “<quotedText style="-uslm-dtd:quote">a total of $4,000,000,000 for the 5-year period beginning on October 1, 2008.</quotedText>” (resulting in the placement of a period mid-sentence).</p></footnote> </paragraph> <paragraph identifier="/us/sComp/108/25/tIII/stA/s302/b/2" style="-uslm-dtd:paragraph" styleType="OLC"> <num style="-uslm-dtd:enum" value="2">(2) </num><heading style="-uslm-dtd:header">Availability of funds.—</heading><content style="-uslm-dtd:text">Amounts appropriated pursuant to the authorization of appropriations under paragraph (1) are authorized to remain available until expended.</content> </paragraph> <paragraph identifier="/us/sComp/108/25/tIII/stA/s302/b/3" style="-uslm-dtd:paragraph" styleType="OLC"> <num style="-uslm-dtd:enum" value="3">(3) </num><heading style="-uslm-dtd:header">Transfer of prior year funds.—</heading><content style="-uslm-dtd:text">Unobligated balances of funds made available for fiscal year 2001, 2002, or 2003 under section 104(c)(7) of the Foreign Assistance Act of 1961 (22 U.S.C. 2151b(c)(7) (as in effect immediately before the date of enactment of this Act) shall be transferred to, merged with, and made available for the same purposes as funds made available for fiscal years 2009 through 2013.<ref class="footnoteRef" idref="ID6034A5A12168416D9596DA96E43056CB" style="-uslm-dtd:footnote-ref">35</ref> under paragraph (1).</content><footnote id="ID6034A5A12168416D9596DA96E43056CB" style="-uslm-dtd:footnote"><sup style="-uslm-dtd:superscript">35</sup><p style="-uslm-dtd:para; margin-left:1em">Sec. 302(f)(2) of the Lantos/Hyde Reauthorization Act of 2008 (Public Law 110–293; 122 Stat. 2959) struck out “<quotedText style="-uslm-dtd:quote">fiscal years 2004 through 2008</quotedText>” and inserted in lieu thereof “<quotedText style="-uslm-dtd:quote">fiscal years 2009 through 2013.</quotedText>” (resulting in the placement of a period mid-sentence).</p></footnote> </paragraph> </subsection> </section> <section identifier="/us/sComp/108/25/tIII/stA/s303" style="-uslm-dtd:section" styleType="OLC"> <num style="-uslm-dtd:enum" value="303">SEC. 303. </num><heading style="-uslm-dtd:header">ASSISTANCE TO COMBAT MALARIA. </heading> <subsection identifier="/us/sComp/108/25/tIII/stA/s303/a" style="-uslm-dtd:subsection" styleType="OLC"> <num style="-uslm-dtd:enum" value="a">(a) </num><heading style="-uslm-dtd:header">Amendment of the Foreign Assistance Act of 1961.—</heading><content style="-uslm-dtd:text">Chapter 1 of part I of the Foreign Assistance Act of 1961 (22 U.S.C. 2151 et seq.), as amended by sections 301 and 302 of this Act, is further amended by inserting after section 104B the following new section:<quotedContent style="-uslm-dtd:quoted-block"> <section style="-uslm-dtd:section" styleType="OLC"> <num style="-uslm-dtd:enum" value="104C">“SEC. 104C. </num><heading style="-uslm-dtd:header">ASSISTANCE TO COMBAT MALARIA. <elided style="-uslm-dtd:omitted-text">* * *”</elided></heading> </section></quotedContent> </content> </subsection> <subsection identifier="/us/sComp/108/25/tIII/stA/s303/b" style="-uslm-dtd:subsection" styleType="OLC"> <num style="-uslm-dtd:enum" value="b">(b)<ref class="footnoteRef" idref="ID7E88A1EF0E72497E8982573C27058E77" style="-uslm-dtd:footnote-ref">36</ref> </num><heading style="-uslm-dtd:header">Authorization of Appropriations.—</heading><footnote id="ID7E88A1EF0E72497E8982573C27058E77" style="-uslm-dtd:footnote"><sup style="-uslm-dtd:superscript">36</sup><p style="-uslm-dtd:para; margin-left:1em">22 U.S.C. 7633.</p></footnote> <paragraph identifier="/us/sComp/108/25/tIII/stA/s303/b/1" style="-uslm-dtd:paragraph" styleType="OLC"> <num style="-uslm-dtd:enum" value="1">(1) </num><heading style="-uslm-dtd:header">In general.—</heading><content style="-uslm-dtd:text">In addition to funds available under section 104(c) of the Foreign Assistance Act of 1961 (22 U.S.C. 2151b(c)) for such purpose or under any other provision of that Act, there are authorized to be appropriated to the President, from amounts authorized to be appropriated under section 401, $5,000,000,000 during the 5-year period beginning on October 1, 2008<ref class="footnoteRef" idref="ID4F79A049D9584D0F9F281617C7622CA2" style="-uslm-dtd:footnote-ref">37</ref> to carry out section 104C of the Foreign Assistance Act of 1961, as added by subsection (a), including for the development of anti-malarial pharmaceuticals by the Medicines for Malaria Venture.</content><footnote id="ID4F79A049D9584D0F9F281617C7622CA2" style="-uslm-dtd:footnote"><sup style="-uslm-dtd:superscript">37</sup><p style="-uslm-dtd:para; margin-left:1em">Sec. 303(b)(1)(A) of the Lantos/Hyde Reauthorization Act of 2008 (Public Law 110–293; 122 Stat. 2960) struck out “<quotedText style="-uslm-dtd:quote">such sums as may be necessary for fiscal years 2004 through 2008</quotedText>” and inserted in lieu thereof “<quotedText style="-uslm-dtd:quote">$5,000,000,000 during the 5-year period beginning on October 1, 2008</quotedText>”.</p></footnote> </paragraph> <paragraph identifier="/us/sComp/108/25/tIII/stA/s303/b/2" style="-uslm-dtd:paragraph" styleType="OLC"> <num style="-uslm-dtd:enum" value="2">(2) </num><heading style="-uslm-dtd:header">Availability of funds.—</heading><content style="-uslm-dtd:text">Amounts appropriated pursuant to paragraph (1) are authorized to remain available until expended.</content> </paragraph> <paragraph identifier="/us/sComp/108/25/tIII/stA/s303/b/3" style="-uslm-dtd:paragraph" styleType="OLC"> <num style="-uslm-dtd:enum" value="3">(3) </num><heading style="-uslm-dtd:header">Transfer of prior year funds.—</heading><content style="-uslm-dtd:text">Unobligated balances of funds made available for fiscal year 2001, 2002, or 2003 under section 104(c) of the Foreign Assistance Act of 1961 (22 U.S.C. 2151b(c) (as in effect immediately before the date of enactment of this Act) and made available for the control of malaria shall be transferred to, merged with, and made available for the same purposes as funds made available for fiscal years 2009 through 2013<ref class="footnoteRef" idref="ID32812F02FAB742C1AEFEC3A2908F3B43" style="-uslm-dtd:footnote-ref">38</ref> under paragraph (1).</content><footnote id="ID32812F02FAB742C1AEFEC3A2908F3B43" style="-uslm-dtd:footnote"><sup style="-uslm-dtd:superscript">38</sup><p style="-uslm-dtd:para; margin-left:1em">Sec. 303(b)(1)(B) of the Lantos/Hyde Reauthorization Act of 2008 (Public Law 110–293; 122 Stat. 2960) struck out “<quotedText style="-uslm-dtd:quote">fiscal years 2004 through 2008</quotedText>” and inserted in lieu thereof “<quotedText style="-uslm-dtd:quote">fiscal years 2009 through 2013</quotedText>”.</p></footnote> </paragraph> </subsection> <subsection identifier="/us/sComp/108/25/tIII/stA/s303/c" style="-uslm-dtd:subsection" styleType="OLC"> <num style="-uslm-dtd:enum" value="c">(c) </num><heading style="-uslm-dtd:header">Conforming Amendment.—</heading><content style="-uslm-dtd:text">Section 104(c) of the Foreign Assistance Act of 1961 (22 U.S.C. 2151b(c)), as amended by section 301 of this Act, is further amended by adding after paragraph (3) the following: <elided style="-uslm-dtd:omitted-text">* * *</elided></content> </subsection> <subsection identifier="/us/sComp/108/25/tIII/stA/s303/c" style="-uslm-dtd:subsection" styleType="OLC"> <num style="-uslm-dtd:enum" value="c">(c)<ref class="footnoteRef" idref="IDC6E8EA7DCE24447EA97588AA59F51A79" style="-uslm-dtd:footnote-ref">39</ref> </num><heading style="-uslm-dtd:header">Statement of Policy.—</heading><chapeau style="-uslm-dtd:text">Providing assistance for the prevention, control, treatment, and the ultimate eradication of malaria is—</chapeau><footnote id="IDC6E8EA7DCE24447EA97588AA59F51A79" style="-uslm-dtd:footnote"><sup style="-uslm-dtd:superscript">39</sup><p style="-uslm-dtd:para; margin-left:1em">Sec. 303(b)(2) of the Lantos/Hyde Reauthorization Act of 2008 (Public Law 110–293; 122 Stat. 2960) added a second subsec. (c) and a new subsec. (d).</p></footnote> <paragraph identifier="/us/sComp/108/25/tIII/stA/s303/c/1" style="-uslm-dtd:paragraph" styleType="OLC"> <num style="-uslm-dtd:enum" value="1">(1) </num><content style="-uslm-dtd:text">a major objective of the foreign assistance program of the United States; and</content> </paragraph> <paragraph identifier="/us/sComp/108/25/tIII/stA/s303/c/2" style="-uslm-dtd:paragraph" styleType="OLC"> <num style="-uslm-dtd:enum" value="2">(2) </num><content style="-uslm-dtd:text">1 component of a comprehensive United States global health strategy to reduce disease burdens and strengthen communities around the world.</content> </paragraph> </subsection> <subsection identifier="/us/sComp/108/25/tIII/stA/s303/d" style="-uslm-dtd:subsection" styleType="OLC"> <num style="-uslm-dtd:enum" value="d">(d)<ref class="footnoteRef" style="-uslm-dtd:dangling-footnote-ref">39</ref> </num><heading style="-uslm-dtd:header">Development of a Comprehensive 5-Year Strategy.—</heading><chapeau style="-uslm-dtd:text">The President shall establish a comprehensive, 5-year strategy to combat global malaria that—</chapeau> <paragraph identifier="/us/sComp/108/25/tIII/stA/s303/d/1" style="-uslm-dtd:paragraph" styleType="OLC"> <num style="-uslm-dtd:enum" value="1">(1) </num><content style="-uslm-dtd:text">strengthens the capacity of the United States to be an effective leader of international efforts to reduce malaria burden;</content> </paragraph> <paragraph identifier="/us/sComp/108/25/tIII/stA/s303/d/2" style="-uslm-dtd:paragraph" styleType="OLC"> <num style="-uslm-dtd:enum" value="2">(2) </num><content style="-uslm-dtd:text">maintains sufficient flexibility and remains responsive to the ever-changing nature of the global malaria challenge;</content> </paragraph> <paragraph identifier="/us/sComp/108/25/tIII/stA/s303/d/3" style="-uslm-dtd:paragraph" styleType="OLC"> <num style="-uslm-dtd:enum" value="3">(3) </num><content style="-uslm-dtd:text">includes specific objectives and multisectoral approaches and strategies to reduce the prevalence, mortality, incidence, and spread of malaria;</content> </paragraph> <paragraph identifier="/us/sComp/108/25/tIII/stA/s303/d/4" style="-uslm-dtd:paragraph" styleType="OLC"> <num style="-uslm-dtd:enum" value="4">(4) </num><content style="-uslm-dtd:text">describes how this strategy would contribute to the United States' overall global health and development goals;</content> </paragraph> <paragraph identifier="/us/sComp/108/25/tIII/stA/s303/d/5" style="-uslm-dtd:paragraph" styleType="OLC"> <num style="-uslm-dtd:enum" value="5">(5) </num><content style="-uslm-dtd:text">clearly explains how outlined activities will interact with other United States Government global health activities, including the 5-year global AIDS strategy required under this Act;</content> </paragraph> <paragraph identifier="/us/sComp/108/25/tIII/stA/s303/d/6" style="-uslm-dtd:paragraph" styleType="OLC"> <num style="-uslm-dtd:enum" value="6">(6) </num><content style="-uslm-dtd:text">expands public-private partnerships and leverage of resources;</content> </paragraph> <paragraph identifier="/us/sComp/108/25/tIII/stA/s303/d/7" style="-uslm-dtd:paragraph" styleType="OLC"> <num style="-uslm-dtd:enum" value="7">(7) </num><content style="-uslm-dtd:text">coordinates among relevant Federal agencies to maximize human and financial resources and to reduce duplication among these agencies, foreign governments, and international organizations;</content> </paragraph> <paragraph identifier="/us/sComp/108/25/tIII/stA/s303/d/8" style="-uslm-dtd:paragraph" styleType="OLC"> <num style="-uslm-dtd:enum" value="8">(8) </num><content style="-uslm-dtd:text">coordinates with other international entities, including the Global Fund;</content> </paragraph> <paragraph identifier="/us/sComp/108/25/tIII/stA/s303/d/9" style="-uslm-dtd:paragraph" styleType="OLC"> <num style="-uslm-dtd:enum" value="9">(9) </num><content style="-uslm-dtd:text">maximizes United States capabilities in the areas of technical assistance and training and research, including vaccine research; and</content> </paragraph> <paragraph identifier="/us/sComp/108/25/tIII/stA/s303/d/10" style="-uslm-dtd:paragraph" styleType="OLC"> <num style="-uslm-dtd:enum" value="10">(10) </num><chapeau style="-uslm-dtd:text">establishes priorities and selection criteria for the distribution of resources based on factors such as—</chapeau> <subparagraph identifier="/us/sComp/108/25/tIII/stA/s303/d/10/A" style="-uslm-dtd:subparagraph" styleType="OLC"> <num style="-uslm-dtd:enum" value="A">(A) </num><content style="-uslm-dtd:text">the size and demographics of the population with malaria;</content> </subparagraph> <subparagraph identifier="/us/sComp/108/25/tIII/stA/s303/d/10/B" style="-uslm-dtd:subparagraph" styleType="OLC"> <num style="-uslm-dtd:enum" value="B">(B) </num><content style="-uslm-dtd:text">the needs of that population;</content> </subparagraph> <subparagraph identifier="/us/sComp/108/25/tIII/stA/s303/d/10/C" style="-uslm-dtd:subparagraph" styleType="OLC"> <num style="-uslm-dtd:enum" value="C">(C) </num><content style="-uslm-dtd:text">the country's existing infrastructure; and</content> </subparagraph> <subparagraph identifier="/us/sComp/108/25/tIII/stA/s303/d/10/D" style="-uslm-dtd:subparagraph" styleType="OLC"> <num style="-uslm-dtd:enum" value="D">(D) </num><content style="-uslm-dtd:text">the ability to closely coordinate United States Government efforts with national malaria control plans of partner countries.</content> </subparagraph> </paragraph> </subsection> </section> <section identifier="/us/sComp/108/25/tIII/stA/s304" style="-uslm-dtd:section" styleType="OLC"> <num style="-uslm-dtd:enum" value="304">SEC. 304. </num><editorialNote role="uscRef" style="-uslm-dtd:usc-reference"><b>[</b><ref href="/us/usc/t22/s7634">22 U.S.C. 7634</ref><b>]</b> </editorialNote><heading style="-uslm-dtd:header"> <ref class="footnoteRef" idref="ID75AF2AE087364A70B51D9A1493354963" style="-uslm-dtd:footnote-ref">40</ref> MALARIA RESPONSE COORDINATOR. </heading> <subsection identifier="/us/sComp/108/25/tIII/stA/s304/a" style="-uslm-dtd:subsection" styleType="OLC"> <num style="-uslm-dtd:enum" value="a">(a) </num><heading style="-uslm-dtd:header">In General.—</heading><content style="-uslm-dtd:text">There is established within the United States Agency for International Development a Coordinator of United States Government Activities to Combat Malaria Globally (referred to in this section as the “<quotedText style="-uslm-dtd:quote">Malaria Coordinator</quotedText>”), who shall be appointed by the President.</content><footnote id="ID75AF2AE087364A70B51D9A1493354963" style="-uslm-dtd:footnote"><sup style="-uslm-dtd:superscript">40</sup><content><p style="-uslm-dtd:para; margin-left:1em">Sec. 304 of the Lantos/Hyde Reauthorization Act of 2008 (Public Law 110–293; 122 Stat. 2961) amended and restated sec. 304. It originally read as follows:</p> <p style="-uslm-dtd:para">``SEC. 304. PILOT PROGRAM FOR THE PLACEMENT OF HEALTH CARE PROFESSIONALS IN OVERSEAS AREAS SEVERELY AFFECTED BY HIV/AIDS, TUBERCULOSIS, AND MALARIA.</p> <p style="-uslm-dtd:para; margin-left:1em">``(a) <headingText style="-uslm-dtd:header-in-text">In General</headingText>.—The President should establish a program to demonstrate the feasibility of facilitating the service of United States health care professionals in those areas of sub-Saharan Africa and other parts of the world severely affected by HIV/AIDS, tuberculosis, and malaria.</p> <p style="-uslm-dtd:para; margin-left:1em">``(b) <headingText style="-uslm-dtd:header-in-text">Requirements</headingText>.—Participants in the program shall—</p> <p style="-uslm-dtd:para; margin-left:2em">``(1) provide basic health care services for those infected and affected by HIV/AIDS, tuberculosis, and malaria in the area in which they are serving;</p> <p style="-uslm-dtd:para; margin-left:2em">``(2) provide on-the-job training to medical and other personnel in the area in which they are serving to strengthen the basic health care system of the affected countries;</p> <p style="-uslm-dtd:para; margin-left:2em">``(3) provide health care educational training for residents of the area in which they are serving;</p> <p style="-uslm-dtd:para; margin-left:2em">``(4) serve for a period of up to 3 years; and</p> <p style="-uslm-dtd:para; margin-left:2em">``(5) meet the eligibility requirements in subsection (d).</p> <p style="-uslm-dtd:para; margin-left:1em">``(c) <headingText style="-uslm-dtd:header-in-text">Eligibility Requirements</headingText>.—To be eligible to participate in the program, a candidate shall—</p> <p style="-uslm-dtd:para; margin-left:2em">``(1) be a national of the United States who is a trained health care professional and who meets the educational and licensure requirements necessary to be such a professional such as a physician, nurse, physician assistant, nurse practitioner, pharmacist, other type of health care professional, or other individual determined to be appropriate by the President; or</p> <p style="-uslm-dtd:para; margin-left:2em">``(2) be a retired commissioned officer of the Public Health Service Corps.</p> <p style="-uslm-dtd:para; margin-left:1em">``(d) <headingText style="-uslm-dtd:header-in-text">Recruitment</headingText>.—The President shall ensure that information on the program is widely distributed, including the distribution of information to schools for health professionals, hospitals, clinics, and nongovernmental organizations working in the areas of international health and aid.</p> <p style="-uslm-dtd:para; margin-left:1em">``(e) <headingText style="-uslm-dtd:header-in-text">Placement of Participants</headingText>.—</p> <p style="-uslm-dtd:para; margin-left:2em">``(1) <headingText style="-uslm-dtd:header-in-text">In general</headingText>.—To the maximum extent practicable, participants in the program shall serve in the poorest areas of the affected countries, where health care needs are likely to be the greatest. The decision on the placement of a participant should be made in consultation with relevant officials of the affected country at both the national and local level as well as with local community leaders and organizations.</p> <p style="-uslm-dtd:para; margin-left:2em">``(2) <headingText style="-uslm-dtd:header-in-text">Coordination</headingText>.—Placement of participants in the program shall be coordinated with the United States Agency for International Development in countries in which that Agency is conducting HIV/AIDS, tuberculosis, or malaria programs. Overall coordination of placement of participants in the program shall be made by the Coordinator of United States Government Activities to Combat HIV/AIDS Globally (as described in section 1(f) of the State Department Basic Authorities Act of 1956 (as added by section 102(a) of this Act)).</p> <p style="-uslm-dtd:para; margin-left:1em">``(f) <headingText style="-uslm-dtd:header-in-text">Incentives</headingText>.—The President may offer such incentives as the President determines to be necessary to encourage individuals to participate in the program, such as partial payment of principal, interest, and related expenses on government and commercial loans for educational expenses relating to professional health training and, where possible, deferment of repayments on such loans, the provision of retirement benefits that would otherwise be jeopardized by participation in the program, and other incentives.</p> <p style="-uslm-dtd:para; margin-left:1em">``(g) <headingText style="-uslm-dtd:header-in-text">Report</headingText>.—Not later than 18 months after the date of enactment of this Act, the President shall submit to the appropriate congressional committees a report on steps taken to establish the program, including—</p> <p style="-uslm-dtd:para; margin-left:2em">``(1) the process of recruitment, including the venues for recruitment, the number of candidates recruited, the incentives offered, if any, and the cost of those incentives;</p> <p style="-uslm-dtd:para; margin-left:2em">``(2) the process, including the criteria used, for the selection of participants;</p> <p style="-uslm-dtd:para; margin-left:2em">``(3) the number of participants placed, the countries in which they were placed, and why those countries were selected; and</p> <p style="-uslm-dtd:para; margin-left:2em">``(4) the potential for expansion of the program.</p> <p style="-uslm-dtd:para; margin-left:1em">``(h) <headingText style="-uslm-dtd:header-in-text">Authorization of Appropriations</headingText>.—</p> <p style="-uslm-dtd:para; margin-left:2em">``(1) <headingText style="-uslm-dtd:header-in-text">In general</headingText>.—In addition to amounts otherwise available for such purpose, there are authorized to be appropriated to the President, from amounts authorized to be appropriated under section 401, such sums as may be necessary for each of the fiscal years 2004 through 2008 to carry out the program.</p> <p style="-uslm-dtd:para; margin-left:2em">``(2) <headingText style="-uslm-dtd:header-in-text">Availability of funds</headingText>.—Amounts appropriated pursuant to the authorization of appropriations under paragraph (1) are authorized to remain available until expended.''.</p></content></footnote> </subsection> <subsection identifier="/us/sComp/108/25/tIII/stA/s304/b" style="-uslm-dtd:subsection" styleType="OLC"> <num style="-uslm-dtd:enum" value="b">(b) </num><heading style="-uslm-dtd:header">Authorities.—</heading><chapeau style="-uslm-dtd:text">The Malaria Coordinator, acting through nongovernmental organizations (including faith-based and community-based organizations), partner country finance, health, and other relevant ministries, and relevant executive branch agencies as may be necessary and appropriate to carry out this section, is authorized to—</chapeau> <paragraph identifier="/us/sComp/108/25/tIII/stA/s304/b/1" style="-uslm-dtd:paragraph" styleType="OLC"> <num style="-uslm-dtd:enum" value="1">(1) </num><content style="-uslm-dtd:text">operate internationally to carry out prevention, care, treatment, support, capacity development, and other activities to reduce the prevalence, mortality, and incidence of malaria;</content> </paragraph> <paragraph identifier="/us/sComp/108/25/tIII/stA/s304/b/2" style="-uslm-dtd:paragraph" styleType="OLC"> <num style="-uslm-dtd:enum" value="2">(2) </num><content style="-uslm-dtd:text">provide grants to, and enter into contracts and cooperative agreements with, nongovernmental organizations (including faith-based organizations) to carry out this section; and</content> </paragraph> <paragraph identifier="/us/sComp/108/25/tIII/stA/s304/b/3" style="-uslm-dtd:paragraph" styleType="OLC"> <num style="-uslm-dtd:enum" value="3">(3) </num><content style="-uslm-dtd:text">transfer and allocate executive branch agency funds that have been appropriated for the purposes described in paragraphs (1) and (2).</content> </paragraph> </subsection> <subsection identifier="/us/sComp/108/25/tIII/stA/s304/c" style="-uslm-dtd:subsection" styleType="OLC"> <num style="-uslm-dtd:enum" value="c">(c) </num><heading style="-uslm-dtd:header">Duties.—</heading> <paragraph identifier="/us/sComp/108/25/tIII/stA/s304/c/1" style="-uslm-dtd:paragraph" styleType="OLC"> <num style="-uslm-dtd:enum" value="1">(1) </num><heading style="-uslm-dtd:header">In general.—</heading><content style="-uslm-dtd:text">The Malaria Coordinator has primary responsibility for the oversight and coordination of all resources and international activities of the United States Government relating to efforts to combat malaria.</content> </paragraph> <paragraph identifier="/us/sComp/108/25/tIII/stA/s304/c/2" style="-uslm-dtd:paragraph" styleType="OLC"> <num style="-uslm-dtd:enum" value="2">(2) </num><heading style="-uslm-dtd:header">Specific duties.—</heading><chapeau style="-uslm-dtd:text">The Malaria Coordinator shall—</chapeau> <subparagraph identifier="/us/sComp/108/25/tIII/stA/s304/c/2/A" style="-uslm-dtd:subparagraph" styleType="OLC"> <num style="-uslm-dtd:enum" value="A">(A) </num><content style="-uslm-dtd:text">facilitate program and policy coordination of antimalarial efforts among relevant executive branch agencies and nongovernmental organizations by auditing, monitoring, and evaluating such programs;</content> </subparagraph> <subparagraph identifier="/us/sComp/108/25/tIII/stA/s304/c/2/B" style="-uslm-dtd:subparagraph" styleType="OLC"> <num style="-uslm-dtd:enum" value="B">(B) </num><content style="-uslm-dtd:text">ensure that each relevant executive branch agency undertakes antimalarial programs primarily in those areas in which the agency has the greatest expertise, technical capability, and potential for success;</content> </subparagraph> <subparagraph identifier="/us/sComp/108/25/tIII/stA/s304/c/2/C" style="-uslm-dtd:subparagraph" styleType="OLC"> <num style="-uslm-dtd:enum" value="C">(C) </num><content style="-uslm-dtd:text">coordinate relevant executive branch agency activities in the field of malaria prevention and treatment;</content> </subparagraph> <subparagraph identifier="/us/sComp/108/25/tIII/stA/s304/c/2/D" style="-uslm-dtd:subparagraph" styleType="OLC"> <num style="-uslm-dtd:enum" value="D">(D) </num><content style="-uslm-dtd:text">coordinate planning, implementation, and evaluation with the Global AIDS Coordinator in countries in which both programs have a significant presence;</content> </subparagraph> <subparagraph identifier="/us/sComp/108/25/tIII/stA/s304/c/2/E" style="-uslm-dtd:subparagraph" styleType="OLC"> <num style="-uslm-dtd:enum" value="E">(E) </num><content style="-uslm-dtd:text">coordinate with national governments, international agencies, civil society, and the private sector; and</content> </subparagraph> <subparagraph identifier="/us/sComp/108/25/tIII/stA/s304/c/2/F" style="-uslm-dtd:subparagraph" styleType="OLC"> <num style="-uslm-dtd:enum" value="F">(F) </num><content style="-uslm-dtd:text">establish due diligence criteria for all recipients of funds appropriated by the Federal Government for malaria assistance.</content> </subparagraph> </paragraph> </subsection> <subsection identifier="/us/sComp/108/25/tIII/stA/s304/d" style="-uslm-dtd:subsection" styleType="OLC"> <num style="-uslm-dtd:enum" value="d">(d) </num><heading style="-uslm-dtd:header">Assistance for the World Health Organization.—</heading><content style="-uslm-dtd:text">In carrying out this section, the President may provide financial assistance to the Roll Back Malaria Partnership of the World Health Organization to improve the capacity of countries with high rates of malaria and other affected countries to implement comprehensive malaria control programs.</content> </subsection> <subsection identifier="/us/sComp/108/25/tIII/stA/s304/e" style="-uslm-dtd:subsection" styleType="OLC"> <num style="-uslm-dtd:enum" value="e">(e) </num><heading style="-uslm-dtd:header">Coordination of Assistance Efforts.—</heading><chapeau style="-uslm-dtd:text">In carrying out this section and in accordance with section 104C of the Foreign Assistance Act of 1961 (22 U.S.C. 2151b–4), the Malaria Coordinator shall coordinate the provision of assistance by working with—</chapeau> <paragraph identifier="/us/sComp/108/25/tIII/stA/s304/e/1" style="-uslm-dtd:paragraph" styleType="OLC"> <num style="-uslm-dtd:enum" value="1">(1) </num><chapeau style="-uslm-dtd:text">relevant executive branch agencies, including—</chapeau> <subparagraph identifier="/us/sComp/108/25/tIII/stA/s304/e/1/A" style="-uslm-dtd:subparagraph" styleType="OLC"> <num style="-uslm-dtd:enum" value="A">(A) </num><content style="-uslm-dtd:text">the Department of State (including the Office of the Global AIDS Coordinator);</content> </subparagraph> <subparagraph identifier="/us/sComp/108/25/tIII/stA/s304/e/1/B" style="-uslm-dtd:subparagraph" styleType="OLC"> <num style="-uslm-dtd:enum" value="B">(B) </num><content style="-uslm-dtd:text">the Department of Health and Human Services;</content> </subparagraph> <subparagraph identifier="/us/sComp/108/25/tIII/stA/s304/e/1/C" style="-uslm-dtd:subparagraph" styleType="OLC"> <num style="-uslm-dtd:enum" value="C">(C) </num><content style="-uslm-dtd:text">the Department of Defense; and</content> </subparagraph> <subparagraph identifier="/us/sComp/108/25/tIII/stA/s304/e/1/D" style="-uslm-dtd:subparagraph" styleType="OLC"> <num style="-uslm-dtd:enum" value="D">(D) </num><content style="-uslm-dtd:text">the Office of the United States Trade Representative;</content> </subparagraph> </paragraph> <paragraph identifier="/us/sComp/108/25/tIII/stA/s304/e/2" style="-uslm-dtd:paragraph" styleType="OLC"> <num style="-uslm-dtd:enum" value="2">(2) </num><chapeau style="-uslm-dtd:text">relevant multilateral institutions, including—</chapeau> <subparagraph identifier="/us/sComp/108/25/tIII/stA/s304/e/2/A" style="-uslm-dtd:subparagraph" styleType="OLC"> <num style="-uslm-dtd:enum" value="A">(A) </num><content style="-uslm-dtd:text">the World Health Organization;</content> </subparagraph> <subparagraph identifier="/us/sComp/108/25/tIII/stA/s304/e/2/B" style="-uslm-dtd:subparagraph" styleType="OLC"> <num style="-uslm-dtd:enum" value="B">(B) </num><content style="-uslm-dtd:text">the United Nations Children's Fund;</content> </subparagraph> <subparagraph identifier="/us/sComp/108/25/tIII/stA/s304/e/2/C" style="-uslm-dtd:subparagraph" styleType="OLC"> <num style="-uslm-dtd:enum" value="C">(C) </num><content style="-uslm-dtd:text">the United Nations Development Programme;</content> </subparagraph> <subparagraph identifier="/us/sComp/108/25/tIII/stA/s304/e/2/D" style="-uslm-dtd:subparagraph" styleType="OLC"> <num style="-uslm-dtd:enum" value="D">(D) </num><content style="-uslm-dtd:text">the Global Fund;</content> </subparagraph> <subparagraph identifier="/us/sComp/108/25/tIII/stA/s304/e/2/E" style="-uslm-dtd:subparagraph" styleType="OLC"> <num style="-uslm-dtd:enum" value="E">(E) </num><content style="-uslm-dtd:text">the World Bank; and</content> </subparagraph> <subparagraph identifier="/us/sComp/108/25/tIII/stA/s304/e/2/F" style="-uslm-dtd:subparagraph" styleType="OLC"> <num style="-uslm-dtd:enum" value="F">(F) </num><content style="-uslm-dtd:text">the Roll Back Malaria Partnership;</content> </subparagraph> </paragraph> <paragraph identifier="/us/sComp/108/25/tIII/stA/s304/e/3" style="-uslm-dtd:paragraph" styleType="OLC"> <num style="-uslm-dtd:enum" value="3">(3) </num><content style="-uslm-dtd:text">program delivery and efforts to lift barriers that would impede effective and comprehensive malaria control programs; and</content> </paragraph> <paragraph identifier="/us/sComp/108/25/tIII/stA/s304/e/4" style="-uslm-dtd:paragraph" styleType="OLC"> <num style="-uslm-dtd:enum" value="4">(4) </num><content style="-uslm-dtd:text">partner or recipient country governments and national entities including universities and civil society organizations (including faith- and community-based organizations).</content> </paragraph> </subsection> <subsection identifier="/us/sComp/108/25/tIII/stA/s304/f" style="-uslm-dtd:subsection" styleType="OLC"> <num style="-uslm-dtd:enum" value="f">(f) </num><heading style="-uslm-dtd:header">Research.—</heading><content style="-uslm-dtd:text">To carry out this section, the Malaria Coordinator, in accordance with section 104C of the Foreign Assistance Act of 1961 (22 U.S.C. 1151d–4), shall ensure that operations and implementation research conducted under this Act will closely complement the clinical and program research being undertaken by the National Institutes of Health. The Centers for Disease Control and Prevention should advise the Malaria Coordinator on priorities for operations and implementation research and should be a key implementer of this research.</content> </subsection> <subsection identifier="/us/sComp/108/25/tIII/stA/s304/g" style="-uslm-dtd:subsection" styleType="OLC"> <num style="-uslm-dtd:enum" value="g">(g) </num><heading style="-uslm-dtd:header">Monitoring.—</heading><content style="-uslm-dtd:text">To ensure that adequate malaria controls are established and implemented, the Centers for Disease Control and Prevention should advise the Malaria Coordinator on monitoring, surveillance, and evaluation activities and be a key implementer of such activities under this Act. Such activities shall complement, rather than duplicate, the work of the World Health Organization.</content> </subsection> <subsection identifier="/us/sComp/108/25/tIII/stA/s304/h" style="-uslm-dtd:subsection" styleType="OLC"> <num style="-uslm-dtd:enum" value="h">(h) </num><heading style="-uslm-dtd:header">Annual Report.—</heading> <paragraph identifier="/us/sComp/108/25/tIII/stA/s304/h/1" style="-uslm-dtd:paragraph" styleType="OLC"> <num style="-uslm-dtd:enum" value="1">(1) </num><heading style="-uslm-dtd:header">Submission.—</heading><content style="-uslm-dtd:text">Not later than 1 year after the date of the enactment of the Tom Lantos and Henry J. Hyde United States Global Leadership Against HIV/AIDS, Tuberculosis, and Malaria Reauthorization Act of 2008, and annually thereafter, the President shall submit a report to the appropriate congressional committees that describes United States assistance for the prevention, treatment, control, and elimination of malaria.</content> </paragraph> <paragraph identifier="/us/sComp/108/25/tIII/stA/s304/h/2" style="-uslm-dtd:paragraph" styleType="OLC"> <num style="-uslm-dtd:enum" value="2">(2) </num><heading style="-uslm-dtd:header">Contents.—</heading><chapeau style="-uslm-dtd:text">The report required under paragraph (1) shall describe—</chapeau> <subparagraph identifier="/us/sComp/108/25/tIII/stA/s304/h/2/A" style="-uslm-dtd:subparagraph" styleType="OLC"> <num style="-uslm-dtd:enum" value="A">(A) </num><content style="-uslm-dtd:text">the countries and activities to which malaria resources have been allocated;</content> </subparagraph> <subparagraph identifier="/us/sComp/108/25/tIII/stA/s304/h/2/B" style="-uslm-dtd:subparagraph" styleType="OLC"> <num style="-uslm-dtd:enum" value="B">(B) </num><content style="-uslm-dtd:text">the number of people reached through malaria assistance programs, including data on children and pregnant women;</content> </subparagraph> <subparagraph identifier="/us/sComp/108/25/tIII/stA/s304/h/2/C" style="-uslm-dtd:subparagraph" styleType="OLC"> <num style="-uslm-dtd:enum" value="C">(C) </num><content style="-uslm-dtd:text">research efforts to develop new tools to combat malaria, including drugs and vaccines;</content> </subparagraph> <subparagraph identifier="/us/sComp/108/25/tIII/stA/s304/h/2/D" style="-uslm-dtd:subparagraph" styleType="OLC"> <num style="-uslm-dtd:enum" value="D">(D) </num><content style="-uslm-dtd:text">the collaboration and coordination of United States antimalarial efforts with the World Health Organization, the Global Fund, the World Bank, other donor governments, major private efforts, and relevant executive agencies;</content> </subparagraph> <subparagraph identifier="/us/sComp/108/25/tIII/stA/s304/h/2/E" style="-uslm-dtd:subparagraph" styleType="OLC"> <num style="-uslm-dtd:enum" value="E">(E) </num><content style="-uslm-dtd:text">the coordination of United States antimalarial efforts with the national malarial strategies of other donor or partner governments and major private initiatives;</content> </subparagraph> <subparagraph identifier="/us/sComp/108/25/tIII/stA/s304/h/2/F" style="-uslm-dtd:subparagraph" styleType="OLC"> <num style="-uslm-dtd:enum" value="F">(F) </num><content style="-uslm-dtd:text">the estimated impact of United States assistance on childhood mortality and morbidity from malaria;</content> </subparagraph> <subparagraph identifier="/us/sComp/108/25/tIII/stA/s304/h/2/G" style="-uslm-dtd:subparagraph" styleType="OLC"> <num style="-uslm-dtd:enum" value="G">(G) </num><content style="-uslm-dtd:text">the coordination of antimalarial efforts with broader health and development programs; and</content> </subparagraph> <subparagraph identifier="/us/sComp/108/25/tIII/stA/s304/h/2/H" style="-uslm-dtd:subparagraph" styleType="OLC"> <num style="-uslm-dtd:enum" value="H">(H) </num><content style="-uslm-dtd:text">the constraints on implementation of programs posed by health workforce shortages or capacities; and</content> </subparagraph> <subparagraph identifier="/us/sComp/108/25/tIII/stA/s304/h/2/I" style="-uslm-dtd:subparagraph" styleType="OLC"> <num style="-uslm-dtd:enum" value="I">(I) </num><content style="-uslm-dtd:text">the number of personnel trained as health workers and the training levels achieved.</content> </subparagraph> </paragraph> </subsection> </section> <section identifier="/us/sComp/108/25/tIII/stA/s305" style="-uslm-dtd:section" styleType="OLC"> <num style="-uslm-dtd:enum" value="305">SEC. 305. </num><editorialNote role="uscRef" style="-uslm-dtd:usc-reference"><b>[</b><ref href="/us/usc/t22/s7635">22 U.S.C. 7635</ref><b>]</b> </editorialNote><heading style="-uslm-dtd:header"> <ref class="footnoteRef" idref="ID865680AC7D13469194B23FE0B77F3161" style="-uslm-dtd:footnote-ref">41</ref> REPORT ON TREATMENT ACTIVITIES BY RELEVANT EXECUTIVE BRANCH AGENCIES. </heading> <subsection identifier="/us/sComp/108/25/tIII/stA/s305/a" style="-uslm-dtd:subsection" styleType="OLC"> <num style="-uslm-dtd:enum" value="a">(a) </num><heading style="-uslm-dtd:header">In General.—</heading><content style="-uslm-dtd:text">Not later than 15 months after the date of enactment of this Act, the President shall submit to appropriate congressional committees a report on the programs and activities of the relevant executive branch agencies that are directed to the treatment of individuals in foreign countries infected with HIV or living with AIDS.</content><footnote id="ID865680AC7D13469194B23FE0B77F3161" style="-uslm-dtd:footnote"><sup style="-uslm-dtd:superscript">41</sup><p style="-uslm-dtd:para; margin-left:1em">In a memorandum of February 23, 2004 (69 F.R. 9509), the President delegated authority under secs. 202(c), 305 and 313 to the Secretary of State. The President, further, delegated the authority under sec. 101 to the Secretary of State to establish a comprehensive, integrated, 5-year strategy to combat global HIV/AIDS and to report to Congress.</p></footnote> </subsection> <subsection identifier="/us/sComp/108/25/tIII/stA/s305/b" style="-uslm-dtd:subsection" styleType="OLC"> <num style="-uslm-dtd:enum" value="b">(b) </num><heading style="-uslm-dtd:header">Report Elements.—</heading><chapeau style="-uslm-dtd:text">The report shall include—</chapeau> <paragraph identifier="/us/sComp/108/25/tIII/stA/s305/b/1" style="-uslm-dtd:paragraph" styleType="OLC"> <num style="-uslm-dtd:enum" value="1">(1) </num><chapeau style="-uslm-dtd:text">a description of the activities of relevant executive branch agencies with respect to—</chapeau> <subparagraph identifier="/us/sComp/108/25/tIII/stA/s305/b/1/A" style="-uslm-dtd:subparagraph" styleType="OLC"> <num style="-uslm-dtd:enum" value="A">(A) </num><content style="-uslm-dtd:text">the treatment of opportunistic infections;</content> </subparagraph> <subparagraph identifier="/us/sComp/108/25/tIII/stA/s305/b/1/B" style="-uslm-dtd:subparagraph" styleType="OLC"> <num style="-uslm-dtd:enum" value="B">(B) </num><content style="-uslm-dtd:text">the use of antiretrovirals;</content> </subparagraph> <subparagraph identifier="/us/sComp/108/25/tIII/stA/s305/b/1/C" style="-uslm-dtd:subparagraph" styleType="OLC"> <num style="-uslm-dtd:enum" value="C">(C) </num><content style="-uslm-dtd:text">the status of research into successful treatment protocols for individuals in the developing world;</content> </subparagraph> <subparagraph identifier="/us/sComp/108/25/tIII/stA/s305/b/1/D" style="-uslm-dtd:subparagraph" styleType="OLC"> <num style="-uslm-dtd:enum" value="D">(D) </num><content style="-uslm-dtd:text">technical assistance and training of local health care workers (in countries affected by the pandemic) to administer antiretrovirals, manage side effects, and monitor patients' viral loads and immune status;</content> </subparagraph> <subparagraph identifier="/us/sComp/108/25/tIII/stA/s305/b/1/E" style="-uslm-dtd:subparagraph" styleType="OLC"> <num style="-uslm-dtd:enum" value="E">(E) </num><content style="-uslm-dtd:text">the status of strategies to promote sustainability of HIV/AIDS pharmaceuticals (including antiretrovirals) and the effects of drug resistance on HIV/AIDS patients; and</content> </subparagraph> <subparagraph identifier="/us/sComp/108/25/tIII/stA/s305/b/1/F" style="-uslm-dtd:subparagraph" styleType="OLC"> <num style="-uslm-dtd:enum" value="F">(F) </num><content style="-uslm-dtd:text">the status of appropriate law enforcement officials working to ensure that HIV/AIDS pharmaceutical treatment is not diminished through illegal counterfeiting and black market sales of such pharmaceuticals;</content> </subparagraph> </paragraph> <paragraph identifier="/us/sComp/108/25/tIII/stA/s305/b/2" style="-uslm-dtd:paragraph" styleType="OLC"> <num style="-uslm-dtd:enum" value="2">(2) </num><content style="-uslm-dtd:text">information on existing pilot projects, including a discussion of why a given population was selected, the number of people treated, the cost of treatment, the mechanisms established to ensure that treatment is being administered effectively and safely, and plans for scaling up pilot projects (including projected timelines and required resources); and</content> </paragraph> <paragraph identifier="/us/sComp/108/25/tIII/stA/s305/b/3" style="-uslm-dtd:paragraph" styleType="OLC"> <num style="-uslm-dtd:enum" value="3">(3) </num><content style="-uslm-dtd:text">an explanation of how those activities relate to efforts to prevent the transmission of the HIV infection.</content> </paragraph> </subsection> </section> <section identifier="/us/sComp/108/25/tIII/stA/s306" style="-uslm-dtd:section" styleType="OLC"> <num style="-uslm-dtd:enum" value="306">SEC. 306. </num><heading style="-uslm-dtd:header">STRATEGIES TO IMPROVE INJECTION SAFETY. </heading> <content class="block" style="-uslm-dtd:text">Section 307 of the Public Health Service Act (42 U.S.C. 242l) is amended by adding at the end the following:<quotedContent style="-uslm-dtd:quoted-block"> <subsection style="-uslm-dtd:subsection" styleType="OLC"> <num style="-uslm-dtd:enum" value="d">“(d) </num><content style="-uslm-dtd:text">In carrying out immunization programs and other programs in developing countries for the prevention, treatment, and control of infectious diseases, including HIV/AIDS, tuberculosis, and malaria, the Director of the Centers for Disease Control and Prevention, in coordination with the Coordinator of United States Government Activities to Combat HIV/AIDS Globally, the National Institutes of Health, national and local government, and other organizations, such as the World Health Organization and the United Nations Children's Fund, shall develop and implement effective strategies to improve injection safety, including eliminating unnecessary injections, promoting sterile injection practices and technologies, strengthening the procedures for proper needle and syringe disposal, and improving the education and information provided to the public and to health professionals.”</content> </subsection></quotedContent>.</content> </section> <section identifier="/us/sComp/108/25/tIII/stA/s307" style="-uslm-dtd:section" styleType="OLC"> <num style="-uslm-dtd:enum" value="307">SEC. 307. </num><editorialNote role="uscRef" style="-uslm-dtd:usc-reference"><b>[</b><ref href="/us/usc/t22/s7636">22 U.S.C. 7636</ref><b>]</b> </editorialNote><heading style="-uslm-dtd:header">STUDY ON ILLEGAL DIVERSIONS OF PRESCRIPTION DRUGS. </heading> <subsection role="undesignated-level" style="-uslm-dtd:subsection" styleType="OLC"><chapeau style="-uslm-dtd:text">Not later than 180 days after enactment of this Act, the Secretary of Health and Human Services, in coordination with other agencies, shall submit a report to the Congress that includes the following:</chapeau> <paragraph identifier="/us/sComp/108/25/tIII/stA/s307/1" style="-uslm-dtd:paragraph" styleType="OLC"> <num style="-uslm-dtd:enum" value="1">(1) </num><content style="-uslm-dtd:text">A thorough accounting of evidence indicating illegal diversion into the United States of prescription drugs donated or sold for humanitarian efforts, and an estimate of the extent of such diversion.</content> </paragraph> <paragraph identifier="/us/sComp/108/25/tIII/stA/s307/2" style="-uslm-dtd:paragraph" styleType="OLC"> <num style="-uslm-dtd:enum" value="2">(2) </num><content style="-uslm-dtd:text">Recommendations to increase the administrative and enforcement powers of the United States to identify, monitor, and prevent the illegal diversion into the United States of prescription drugs donated or sold for humanitarian efforts.</content> </paragraph> <paragraph identifier="/us/sComp/108/25/tIII/stA/s307/3" style="-uslm-dtd:paragraph" styleType="OLC"> <num style="-uslm-dtd:enum" value="3">(3) </num><content style="-uslm-dtd:text">Recommendations and guidelines to advise and provide technical assistance to developing countries on how to implement a program that minimizes diversion into the United States of prescription drugs donated or sold for humanitarian efforts.</content> </paragraph> </subsection> </section> </subtitle> <subtitle identifier="/us/sComp/108/25/tIII/stB" style="-uslm-dtd:subtitle; -uslm-dtd-nonstandard:cap-lc 10 bold" styleType="nonstandard"> <num style="-uslm-dtd:enum" value="B">subtitle B—</num><heading style="-uslm-dtd:header">Assistance for Women, Children, and Families<ref class="footnoteRef" idref="ID9ADE15ADF35040018B00206D0843B07E" style="-uslm-dtd:footnote-ref">42</ref> </heading> <section identifier="/us/sComp/108/25/tIII/stB/s311" style="-uslm-dtd:section" styleType="OLC"> <num style="-uslm-dtd:enum" value="311">SEC. 311. </num><editorialNote role="uscRef" style="-uslm-dtd:usc-reference"><b>[</b><ref href="/us/usc/t22/s7651">22 U.S.C. 7651</ref><b>]</b> </editorialNote><heading style="-uslm-dtd:header">FINDINGS. </heading> <subsection role="undesignated-level" style="-uslm-dtd:subsection" styleType="OLC"><chapeau style="-uslm-dtd:text">Congress makes the following findings:</chapeau><footnote id="ID9ADE15ADF35040018B00206D0843B07E" style="-uslm-dtd:footnote"><sup style="-uslm-dtd:superscript">42</sup><p style="-uslm-dtd:para; margin-left:1em">Sec. 306 of the Lantos/Hyde Reauthorization Act of 2008 (Public Law 110–293; 122 Stat. 2963) struck out “<quotedText style="-uslm-dtd:quote">Subtitle B—Assistance for Children and Families</quotedText>” and inserted in lieu thereof “<quotedText style="-uslm-dtd:quote">Subtitle B—Assistance for Women, Children, and Families</quotedText>”.</p></footnote> <paragraph identifier="/us/sComp/108/25/tIII/stB/s311/1" style="-uslm-dtd:paragraph" styleType="OLC"> <num style="-uslm-dtd:enum" value="1">(1) </num><content style="-uslm-dtd:text">Approximately 2,000 children around the world are infected each day with HIV through mother-to-child transmission. Transmission can occur during pregnancy, labor, and delivery or through breast feeding. Over 90 percent of these cases are in developing nations with little or no access to public health facilities.</content> </paragraph> <paragraph identifier="/us/sComp/108/25/tIII/stB/s311/2" style="-uslm-dtd:paragraph" styleType="OLC"> <num style="-uslm-dtd:enum" value="2">(2) </num><content style="-uslm-dtd:text">Mother-to-child transmission is largely preventable with the proper application of pharmaceuticals, therapies, and other public health interventions.</content> </paragraph> <paragraph identifier="/us/sComp/108/25/tIII/stB/s311/3" style="-uslm-dtd:paragraph" styleType="OLC"> <num style="-uslm-dtd:enum" value="3">(3) </num><content style="-uslm-dtd:text">Certain antiretroviral drugs reduce mother-to-child transmission by nearly 50 percent. Universal availability of this drug could prevent up to 400,000 infections per year and dramatically reduce the number of AIDS-related deaths.</content> </paragraph> <paragraph identifier="/us/sComp/108/25/tIII/stB/s311/4" style="-uslm-dtd:paragraph" styleType="OLC"> <num style="-uslm-dtd:enum" value="4">(4) </num><content style="-uslm-dtd:text">At the United Nations Special Session on HIV/AIDS in June 2001, the United States committed to the specific goals with respect to the prevention of mother-to-child transmission, including the goals of reducing the proportion of infants infected with HIV by 20 percent by the year 2005 and by 50 percent by the year 2010, as specified in the Declaration of Commitment on HIV/AIDS adopted by the United Nations General Assembly at the Special Session.</content> </paragraph> <paragraph identifier="/us/sComp/108/25/tIII/stB/s311/5" style="-uslm-dtd:paragraph" styleType="OLC"> <num style="-uslm-dtd:enum" value="5">(5) </num><content style="-uslm-dtd:text">Several United States Government agencies including the United States Agency for International Development and the Centers for Disease Control are already supporting programs to prevent mother-to-child transmission in resource-poor nations and have the capacity to expand these programs rapidly by working closely with foreign governments and nongovernmental organizations.</content> </paragraph> <paragraph identifier="/us/sComp/108/25/tIII/stB/s311/6" style="-uslm-dtd:paragraph" styleType="OLC"> <num style="-uslm-dtd:enum" value="6">(6) </num><content style="-uslm-dtd:text">Efforts to prevent mother-to-child transmission can provide the basis for a broader response that includes care and treatment of mothers, fathers, and other family members who are infected with HIV or living with AIDS.</content> </paragraph> <paragraph identifier="/us/sComp/108/25/tIII/stB/s311/7" style="-uslm-dtd:paragraph" styleType="OLC"> <num style="-uslm-dtd:enum" value="7">(7) </num><content style="-uslm-dtd:text">HIV/AIDS has devastated the lives of countless children and families across the globe. Since the epidemic began, an estimated 13,200,000 children under the age of 15 have been orphaned by AIDS, that is they have lost their mother or both parents to the disease. The Joint United Nations Program on HIV/AIDS (UNAIDS) estimates that this number will double by the year 2010.</content> </paragraph> <paragraph identifier="/us/sComp/108/25/tIII/stB/s311/8" style="-uslm-dtd:paragraph" styleType="OLC"> <num style="-uslm-dtd:enum" value="8">(8) </num><content style="-uslm-dtd:text">HIV/AIDS also targets young people between the ages of 15 to 24, particularly young women, many of whom carry the burden of caring for family members living with HIV/AIDS. An estimated 10,300,000 young people are now living with HIV/AIDS. One-half of all new infections are occurring among this age group.</content> </paragraph> </subsection> </section> <section identifier="/us/sComp/108/25/tIII/stB/s312" style="-uslm-dtd:section" styleType="OLC"> <num style="-uslm-dtd:enum" value="312">SEC. 312. </num><editorialNote role="uscRef" style="-uslm-dtd:usc-reference"><b>[</b><ref href="/us/usc/t22/s7652">22 U.S.C. 7652</ref><b>]</b> </editorialNote><heading style="-uslm-dtd:header">POLICY AND REQUIREMENTS. </heading> <subsection identifier="/us/sComp/108/25/tIII/stB/s312/a" style="-uslm-dtd:subsection" styleType="OLC"> <num style="-uslm-dtd:enum" value="a">(a) </num><heading style="-uslm-dtd:header">Policy.—</heading><content style="-uslm-dtd:text">The United States Government's response to the global HIV/AIDS pandemic should place high priority on the prevention of mother-to-child transmission, the care and treatment of family members and caregivers, and the care of children orphaned by AIDS. To the maximum extent possible, the United States Government should seek to leverage its funds by seeking matching contributions from the private sector, other national governments, and international organizations.</content> </subsection> <subsection identifier="/us/sComp/108/25/tIII/stB/s312/b" style="-uslm-dtd:subsection" styleType="OLC"> <num style="-uslm-dtd:enum" value="b">(b)<ref class="footnoteRef" idref="ID9DAA461F28EB4934864F04C3CC41EA9C" style="-uslm-dtd:footnote-ref">43</ref> </num><heading style="-uslm-dtd:header">Requirements.—</heading><chapeau style="-uslm-dtd:text">The 5-year United States Government strategy required by section 101 of this Act shall—</chapeau><footnote id="ID9DAA461F28EB4934864F04C3CC41EA9C" style="-uslm-dtd:footnote"><sup style="-uslm-dtd:superscript">43</sup><content><p style="-uslm-dtd:para; margin-left:1em">Sec. 307 of the Lantos/Hyde Reauthorization Act of 2008 (Public Law 110–293; 122 Stat. 2963) struck out paras. (1) through (3), and inserted in lieu thereof paras. (1) through (6). Former paras. (1) through (3) read as follows:</p> <p style="-uslm-dtd:para; margin-left:1em">``(1) provide for meeting or exceeding the goal to reduce the rate of mother-to-child transmission of HIV by 20 percent by 2005 and by 50 percent by 2010;</p> <p style="-uslm-dtd:para; margin-left:1em">``(2) include programs to make available testing and treatment to HIV-positive women and their family members, including drug treatment and therapies to prevent mother-to-child transmission; and</p> <p style="-uslm-dtd:para; margin-left:1em">``(3) expand programs designed to care for children orphaned by AIDS.''.</p></content></footnote> <paragraph identifier="/us/sComp/108/25/tIII/stB/s312/b/1" style="-uslm-dtd:paragraph" styleType="OLC"> <num style="-uslm-dtd:enum" value="1">(1) </num><content style="-uslm-dtd:text">establish a target for the prevention and treatment of mother-to-child transmission of HIV that, by 2013, will reach at least 80 percent of pregnant women in those countries most affected by HIV/AIDS in which the United States has HIV/AIDS programs;</content> </paragraph> <paragraph identifier="/us/sComp/108/25/tIII/stB/s312/b/2" style="-uslm-dtd:paragraph" styleType="OLC"> <num style="-uslm-dtd:enum" value="2">(2) </num><content style="-uslm-dtd:text">establish a target that, by 2013, the proportion of children receiving care and treatment under this Act is proportionate to their numbers within the population of HIV infected individuals in each country;</content> </paragraph> <paragraph identifier="/us/sComp/108/25/tIII/stB/s312/b/3" style="-uslm-dtd:paragraph" styleType="OLC"> <num style="-uslm-dtd:enum" value="3">(3) </num><content style="-uslm-dtd:text">integrate care and treatment with prevention of mother-to-child transmission of HIV programs to improve outcomes for HIV-affected women and families as soon as is feasible and support strategies that promote successful follow-up and continuity of care of mother and child;</content> </paragraph> <paragraph identifier="/us/sComp/108/25/tIII/stB/s312/b/4" style="-uslm-dtd:paragraph" styleType="OLC"> <num style="-uslm-dtd:enum" value="4">(4) </num><content style="-uslm-dtd:text">expand programs designed to care for children orphaned by, affected by, or vulnerable to HIV/AIDS;</content> </paragraph> <paragraph identifier="/us/sComp/108/25/tIII/stB/s312/b/5" style="-uslm-dtd:paragraph" styleType="OLC"> <num style="-uslm-dtd:enum" value="5">(5) </num><content style="-uslm-dtd:text">ensure that women in prevention of mother-to-child transmission of HIV programs are provided with, or referred to, appropriate maternal and child services; and</content> </paragraph> <paragraph identifier="/us/sComp/108/25/tIII/stB/s312/b/6" style="-uslm-dtd:paragraph" styleType="OLC"> <num style="-uslm-dtd:enum" value="6">(6) </num><content style="-uslm-dtd:text">develop a timeline for expanding access to more effective regimes to prevent mother-to-child transmission of HIV, consistent with the national policies of countries in which programs are administered under this Act and the goal of achieving universal use of such regimes as soon as possible.</content> </paragraph> </subsection> <subsection identifier="/us/sComp/108/25/tIII/stB/s312/c" style="-uslm-dtd:subsection" styleType="OLC"> <num style="-uslm-dtd:enum" value="c">(c)<ref class="footnoteRef" idref="ID0DD24FAE69BC40C68B534A586023BD99" style="-uslm-dtd:footnote-ref">44</ref> </num><heading style="-uslm-dtd:header">Prevention of Mother-to-Child Transmission Expert Panel.—</heading><footnote id="ID0DD24FAE69BC40C68B534A586023BD99" style="-uslm-dtd:footnote"><sup style="-uslm-dtd:superscript">44</sup><p style="-uslm-dtd:para; margin-left:1em">Sec. 309 of the Lantos/Hyde Reauthorization Act of 2008 (Public Law 110–293; 122 Stat. 2964) added subsec. (c).</p></footnote> <paragraph identifier="/us/sComp/108/25/tIII/stB/s312/c/1" style="-uslm-dtd:paragraph" styleType="OLC"> <num style="-uslm-dtd:enum" value="1">(1) </num><heading style="-uslm-dtd:header">Establishment.—</heading><chapeau style="-uslm-dtd:text">The Global AIDS Coordinator shall establish a panel of experts to be known as the Prevention of Mother-to-Child Transmission Panel (referred to in this subsection as the “<quotedText style="-uslm-dtd:quote">Panel</quotedText>”) to—</chapeau> <subparagraph identifier="/us/sComp/108/25/tIII/stB/s312/c/1/A" style="-uslm-dtd:subparagraph" styleType="OLC"> <num style="-uslm-dtd:enum" value="A">(A) </num><content style="-uslm-dtd:text">provide an objective review of activities to prevent mother-to-child transmission of HIV; and</content> </subparagraph> <subparagraph identifier="/us/sComp/108/25/tIII/stB/s312/c/1/B" style="-uslm-dtd:subparagraph" styleType="OLC"> <num style="-uslm-dtd:enum" value="B">(B) </num><content style="-uslm-dtd:text">provide recommendations to the Global AIDS Coordinator and to the appropriate congressional committees for scale-up of mother-to-child transmission prevention services under this Act in order to achieve the target established in subsection (b)(1).</content> </subparagraph> </paragraph> <paragraph identifier="/us/sComp/108/25/tIII/stB/s312/c/2" style="-uslm-dtd:paragraph" styleType="OLC"> <num style="-uslm-dtd:enum" value="2">(2) </num><heading style="-uslm-dtd:header">Membership.—</heading><chapeau style="-uslm-dtd:text">The Panel shall be convened and chaired by the Global AIDS Coordinator, who shall serve as a nonvoting member. The Panel shall consist of not more than 15 members (excluding the Global AIDS Coordinator), to be appointed by the Global AIDS Coordinator not later than 1 year after the date of the enactment of this Act, including—</chapeau> <subparagraph identifier="/us/sComp/108/25/tIII/stB/s312/c/2/A" style="-uslm-dtd:subparagraph" styleType="OLC"> <num style="-uslm-dtd:enum" value="A">(A) </num><content style="-uslm-dtd:text">2 members from the Department of Health and Human Services with expertise relating to the prevention of mother-to-child transmission activities;</content> </subparagraph> <subparagraph identifier="/us/sComp/108/25/tIII/stB/s312/c/2/B" style="-uslm-dtd:subparagraph" styleType="OLC"> <num style="-uslm-dtd:enum" value="B">(B) </num><content style="-uslm-dtd:text">2 members from the United States Agency for International Development with expertise relating to the prevention of mother-to-child transmission activities;</content> </subparagraph> <subparagraph identifier="/us/sComp/108/25/tIII/stB/s312/c/2/C" style="-uslm-dtd:subparagraph" styleType="OLC"> <num style="-uslm-dtd:enum" value="C">(C) </num><content style="-uslm-dtd:text">2 representatives from among health ministers of national governments of foreign countries in which programs under this Act are administered;</content> </subparagraph> <subparagraph identifier="/us/sComp/108/25/tIII/stB/s312/c/2/D" style="-uslm-dtd:subparagraph" styleType="OLC"> <num style="-uslm-dtd:enum" value="D">(D) </num><content style="-uslm-dtd:text">3 members representing organizations implementing prevention of mother-to-child transmission activities under this Act;</content> </subparagraph> <subparagraph identifier="/us/sComp/108/25/tIII/stB/s312/c/2/E" style="-uslm-dtd:subparagraph" styleType="OLC"> <num style="-uslm-dtd:enum" value="E">(E) </num><content style="-uslm-dtd:text">2 health care researchers with expertise relating to global HIV/AIDS activities; and</content> </subparagraph> <subparagraph identifier="/us/sComp/108/25/tIII/stB/s312/c/2/F" style="-uslm-dtd:subparagraph" styleType="OLC"> <num style="-uslm-dtd:enum" value="F">(F) </num><content style="-uslm-dtd:text">representatives from among patient advocate groups, health care professionals, persons living with HIV/AIDS, and non-governmental organizations with expertise relating to the prevention of mother-to-child transmission activities, giving priority to individuals in foreign countries in which programs under this Act are administered.</content> </subparagraph> </paragraph> <paragraph identifier="/us/sComp/108/25/tIII/stB/s312/c/3" style="-uslm-dtd:paragraph" styleType="OLC"> <num style="-uslm-dtd:enum" value="3">(3) </num><heading style="-uslm-dtd:header">Duties of panel.—</heading><chapeau style="-uslm-dtd:text">The Panel shall—</chapeau> <subparagraph identifier="/us/sComp/108/25/tIII/stB/s312/c/3/A" style="-uslm-dtd:subparagraph" styleType="OLC"> <num style="-uslm-dtd:enum" value="A">(A) </num><content style="-uslm-dtd:text">assess the effectiveness of current activities in reaching the target described in subsection (b)(1);</content> </subparagraph> <subparagraph identifier="/us/sComp/108/25/tIII/stB/s312/c/3/B" style="-uslm-dtd:subparagraph" styleType="OLC"> <num style="-uslm-dtd:enum" value="B">(B) </num><content style="-uslm-dtd:text">review scientific evidence related to the provision of mother-to-child transmission prevention services, including programmatic data and data from clinical trials;</content> </subparagraph> <subparagraph identifier="/us/sComp/108/25/tIII/stB/s312/c/3/C" style="-uslm-dtd:subparagraph" styleType="OLC"> <num style="-uslm-dtd:enum" value="C">(C) </num><content style="-uslm-dtd:text">review and assess ways in which the Office of the United States Global AIDS Coordinator collaborates with international and multilateral entities on efforts to prevent mother-to-child transmission of HIV in affected countries;</content> </subparagraph> <subparagraph identifier="/us/sComp/108/25/tIII/stB/s312/c/3/D" style="-uslm-dtd:subparagraph" styleType="OLC"> <num style="-uslm-dtd:enum" value="D">(D) </num><content style="-uslm-dtd:text">identify barriers and challenges to increasing access to mother-to-child transmission prevention services and evaluate potential mechanisms to alleviate those barriers and challenges;</content> </subparagraph> <subparagraph identifier="/us/sComp/108/25/tIII/stB/s312/c/3/E" style="-uslm-dtd:subparagraph" styleType="OLC"> <num style="-uslm-dtd:enum" value="E">(E) </num><content style="-uslm-dtd:text">identify the extent to which stigma has hindered pregnant women from obtaining HIV counseling and testing or returning for results, and provide recommendations to address such stigma and its effects;</content> </subparagraph> <subparagraph identifier="/us/sComp/108/25/tIII/stB/s312/c/3/F" style="-uslm-dtd:subparagraph" styleType="OLC"> <num style="-uslm-dtd:enum" value="F">(F) </num><content style="-uslm-dtd:text">identify opportunities to improve linkages between mother-to-child transmission prevention services and care and treatment programs; and</content> </subparagraph> <subparagraph identifier="/us/sComp/108/25/tIII/stB/s312/c/3/G" style="-uslm-dtd:subparagraph" styleType="OLC"> <num style="-uslm-dtd:enum" value="G">(G) </num><content style="-uslm-dtd:text">recommend specific activities to facilitate reaching the target described in subsection (b)(1).</content> </subparagraph> </paragraph> <paragraph identifier="/us/sComp/108/25/tIII/stB/s312/c/4" style="-uslm-dtd:paragraph" styleType="OLC"> <num style="-uslm-dtd:enum" value="4">(4) </num><heading style="-uslm-dtd:header">Report.—</heading> <subparagraph identifier="/us/sComp/108/25/tIII/stB/s312/c/4/A" style="-uslm-dtd:subparagraph" styleType="OLC"> <num style="-uslm-dtd:enum" value="A">(A) </num><heading style="-uslm-dtd:header">In general.—</heading><content style="-uslm-dtd:text">Not later than 1 year after the date on which the Panel is first convened, the Panel shall submit a report containing a detailed statement of the recommendations, findings, and conclusions of the Panel to the appropriate congressional committees.</content> </subparagraph> <subparagraph identifier="/us/sComp/108/25/tIII/stB/s312/c/4/B" style="-uslm-dtd:subparagraph" styleType="OLC"> <num style="-uslm-dtd:enum" value="B">(B) </num><heading style="-uslm-dtd:header">Availability.—</heading><content style="-uslm-dtd:text">The report submitted under subparagraph (A) shall be made available to the public.</content> </subparagraph> <subparagraph identifier="/us/sComp/108/25/tIII/stB/s312/c/4/C" style="-uslm-dtd:subparagraph" styleType="OLC"> <num style="-uslm-dtd:enum" value="C">(C) </num><heading style="-uslm-dtd:header">Consideration by coordinator.—</heading><chapeau style="-uslm-dtd:text">The Coordinator shall—</chapeau> <clause identifier="/us/sComp/108/25/tIII/stB/s312/c/4/C/i" style="-uslm-dtd:clause" styleType="OLC"> <num style="-uslm-dtd:enum" value="i">(i) </num><content style="-uslm-dtd:text">consider any recommendations contained in the report submitted under subparagraph (A); and</content> </clause> <clause identifier="/us/sComp/108/25/tIII/stB/s312/c/4/C/ii" style="-uslm-dtd:clause" styleType="OLC"> <num style="-uslm-dtd:enum" value="ii">(ii) </num><content style="-uslm-dtd:text">include in the annual report required under section 104A(f) of the Foreign Assistance Act of 1961 a description of the activities conducted in response to the recommendations made by the Panel and an explanation of any recommendations not implemented at the time of the report.</content> </clause> </subparagraph> </paragraph> <paragraph identifier="/us/sComp/108/25/tIII/stB/s312/c/5" style="-uslm-dtd:paragraph" styleType="OLC"> <num style="-uslm-dtd:enum" value="5">(5) </num><heading style="-uslm-dtd:header">Authorization of appropriations.—</heading><content style="-uslm-dtd:text">There are authorized to be appropriated to the Panel such sums as may be necessary for each of the fiscal years 2009 through 2011 to carry out this section.</content> </paragraph> <paragraph identifier="/us/sComp/108/25/tIII/stB/s312/c/6" style="-uslm-dtd:paragraph" styleType="OLC"> <num style="-uslm-dtd:enum" value="6">(6) </num><heading style="-uslm-dtd:header">Termination.—</heading><content style="-uslm-dtd:text">The Panel shall terminate on the date that is 60 days after the date on which the Panel submits the report to the appropriate congressional committees under paragraph (4).</content> </paragraph> </subsection> </section> <section identifier="/us/sComp/108/25/tIII/stB/s313" style="-uslm-dtd:section" styleType="OLC"> <num style="-uslm-dtd:enum" value="313">SEC. 313. </num><editorialNote role="uscRef" style="-uslm-dtd:usc-reference"><b>[</b><ref href="/us/usc/t22/s7653">22 U.S.C. 7653</ref><b>]</b> </editorialNote><heading style="-uslm-dtd:header"> <ref class="footnoteRef" idref="ID00CED7EE93AF43F28D3B3C30148A50DC" style="-uslm-dtd:footnote-ref">45</ref> ANNUAL REPORTS ON PREVENTION OF MOTHER-TO-CHILD TRANSMISSION OF THE HIV INFECTION. </heading> <subsection identifier="/us/sComp/108/25/tIII/stB/s313/a" style="-uslm-dtd:subsection" styleType="OLC"> <num style="-uslm-dtd:enum" value="a">(a) </num><heading style="-uslm-dtd:header">In General.—</heading><content style="-uslm-dtd:text">Not later than 1 year after the date of the enactment of this Act, and annually thereafter for a period of 10 years,<ref class="footnoteRef" idref="IDB581E71FAEAF4423B7F36BEE6E095F89" style="-uslm-dtd:footnote-ref">46</ref> the President shall submit to appropriate congressional committees a report on the activities of relevant executive branch agencies during the reporting period to assist in the prevention of mother-to-child transmission of the HIV infection.</content><footnote id="ID00CED7EE93AF43F28D3B3C30148A50DC" style="-uslm-dtd:footnote"><sup style="-uslm-dtd:superscript">45</sup><p style="-uslm-dtd:para; margin-left:1em">In a memorandum of February 23, 2004 (69 F.R. 9509), the President delegated authority under secs. 202(c), 305 and 313 to the Secretary of State. The President, further, delegated the authority under sec. 101 to the Secretary of State to establish a comprehensive, integrated, 5-year strategy to combat global HIV/AIDS and to report to Congress.</p></footnote><footnote id="IDB581E71FAEAF4423B7F36BEE6E095F89" style="-uslm-dtd:footnote"><sup style="-uslm-dtd:superscript">46</sup><p style="-uslm-dtd:para; margin-left:1em">Sec. 308 of the Lantos/Hyde Reauthorization Act of 2008 (Public Law 110–293; 122 Stat. 2964) struck out “<quotedText style="-uslm-dtd:quote">5 years</quotedText>” and inserted in lieu thereof “<quotedText style="-uslm-dtd:quote">10 years</quotedText>”.</p></footnote> </subsection> <subsection identifier="/us/sComp/108/25/tIII/stB/s313/b" style="-uslm-dtd:subsection" styleType="OLC"> <num style="-uslm-dtd:enum" value="b">(b) </num><heading style="-uslm-dtd:header">Report Elements.—</heading><chapeau style="-uslm-dtd:text">Each report shall include—</chapeau> <paragraph identifier="/us/sComp/108/25/tIII/stB/s313/b/1" style="-uslm-dtd:paragraph" styleType="OLC"> <num style="-uslm-dtd:enum" value="1">(1) </num><content style="-uslm-dtd:text">a statement of whether or not all relevant executive branch agencies have met the goal described in section 312(b)(1); and</content> </paragraph> <paragraph identifier="/us/sComp/108/25/tIII/stB/s313/b/2" style="-uslm-dtd:paragraph" styleType="OLC"> <num style="-uslm-dtd:enum" value="2">(2) </num><chapeau style="-uslm-dtd:text">a description of efforts made by the relevant executive branch agencies to expand those activities, including—</chapeau> <subparagraph identifier="/us/sComp/108/25/tIII/stB/s313/b/2/A" style="-uslm-dtd:subparagraph" styleType="OLC"> <num style="-uslm-dtd:enum" value="A">(A) </num><content style="-uslm-dtd:text">information on the number of sites supported for the prevention of mother-to-child transmission of the HIV infection;</content> </subparagraph> <subparagraph identifier="/us/sComp/108/25/tIII/stB/s313/b/2/B" style="-uslm-dtd:subparagraph" styleType="OLC"> <num style="-uslm-dtd:enum" value="B">(B) </num><content style="-uslm-dtd:text">the specific activities supported;</content> </subparagraph> <subparagraph identifier="/us/sComp/108/25/tIII/stB/s313/b/2/C" style="-uslm-dtd:subparagraph" styleType="OLC"> <num style="-uslm-dtd:enum" value="C">(C) </num><content style="-uslm-dtd:text">the number of women tested and counseled; and</content> </subparagraph> <subparagraph identifier="/us/sComp/108/25/tIII/stB/s313/b/2/D" style="-uslm-dtd:subparagraph" styleType="OLC"> <num style="-uslm-dtd:enum" value="D">(D) </num><content style="-uslm-dtd:text">the number of women receiving preventative drug therapies.</content> </subparagraph> </paragraph> </subsection> <subsection identifier="/us/sComp/108/25/tIII/stB/s313/c" style="-uslm-dtd:subsection" styleType="OLC"> <num style="-uslm-dtd:enum" value="c">(c) </num><heading style="-uslm-dtd:header">Reporting Period Defined.—</heading><content style="-uslm-dtd:text">In this section, the term “<term style="-uslm-dtd:term">reporting period</term>” means, in the case of the initial report, the period since the date of enactment of this Act and, in the case of any subsequent report, the period since the date of submission of the most recent report.</content> </subsection> </section> <section identifier="/us/sComp/108/25/tIII/stB/s314" style="-uslm-dtd:section" styleType="OLC"> <num style="-uslm-dtd:enum" value="314">SEC. 314. </num><editorialNote role="uscRef" style="-uslm-dtd:usc-reference"><b>[</b><ref href="/us/usc/t22/s7654">22 U.S.C. 7654</ref><b>]</b> </editorialNote><heading style="-uslm-dtd:header">PILOT PROGRAM OF ASSISTANCE FOR CHILDREN AND FAMILIES AFFECTED BY HIV/AIDS. </heading> <subsection identifier="/us/sComp/108/25/tIII/stB/s314/a" style="-uslm-dtd:subsection" styleType="OLC"> <num style="-uslm-dtd:enum" value="a">(a) </num><heading style="-uslm-dtd:header">In General.—</heading><content style="-uslm-dtd:text">The President, acting through the United States Agency for International Development, should establish a program of assistance that would demonstrate the feasibility of the provision of care and treatment to orphans and other children and young people affected by HIV/AIDS in foreign countries.</content> </subsection> <subsection identifier="/us/sComp/108/25/tIII/stB/s314/b" style="-uslm-dtd:subsection" styleType="OLC"> <num style="-uslm-dtd:enum" value="b">(b) </num><heading style="-uslm-dtd:header">Program Requirements.—</heading><chapeau style="-uslm-dtd:text">The program should—</chapeau> <paragraph identifier="/us/sComp/108/25/tIII/stB/s314/b/1" style="-uslm-dtd:paragraph" styleType="OLC"> <num style="-uslm-dtd:enum" value="1">(1) </num><content style="-uslm-dtd:text">build upon and be integrated into programs administered as of the date of enactment of this Act by the relevant executive branch agencies for children affected by HIV/AIDS;</content> </paragraph> <paragraph identifier="/us/sComp/108/25/tIII/stB/s314/b/2" style="-uslm-dtd:paragraph" styleType="OLC"> <num style="-uslm-dtd:enum" value="2">(2) </num><content style="-uslm-dtd:text">work in conjunction with indigenous community-based programs and activities, particularly those that offer proven services for children;</content> </paragraph> <paragraph identifier="/us/sComp/108/25/tIII/stB/s314/b/3" style="-uslm-dtd:paragraph" styleType="OLC"> <num style="-uslm-dtd:enum" value="3">(3) </num><content style="-uslm-dtd:text">reduce the stigma of HIV/AIDS to encourage vulnerable children infected with HIV or living with AIDS and their family members and caregivers to avail themselves of voluntary counseling and testing, and related programs, including treatments;</content> </paragraph> <paragraph identifier="/us/sComp/108/25/tIII/stB/s314/b/4" style="-uslm-dtd:paragraph" styleType="OLC"> <num style="-uslm-dtd:enum" value="4">(4) </num><content style="-uslm-dtd:text">ensure the importance of inheritance rights of women, particularly women in African countries, due to the exponential growth in the number of young widows, orphaned girls, and grandmothers becoming heads of households as a result of the HIV/AIDS pandemic;</content> </paragraph> <paragraph identifier="/us/sComp/108/25/tIII/stB/s314/b/5" style="-uslm-dtd:paragraph" styleType="OLC"> <num style="-uslm-dtd:enum" value="5">(5) </num><content style="-uslm-dtd:text">provide, in conjunction with other relevant executive branch agencies, the range of services for the care and treatment, including the provision of antiretrovirals and other necessary pharmaceuticals, of children, parents, and caregivers infected with HIV or living with AIDS;</content> </paragraph> <paragraph identifier="/us/sComp/108/25/tIII/stB/s314/b/6" style="-uslm-dtd:paragraph" styleType="OLC"> <num style="-uslm-dtd:enum" value="6">(6) </num><content style="-uslm-dtd:text">provide nutritional support and food security, and the improvement of overall family health;</content> </paragraph> <paragraph identifier="/us/sComp/108/25/tIII/stB/s314/b/7" style="-uslm-dtd:paragraph" styleType="OLC"> <num style="-uslm-dtd:enum" value="7">(7) </num><content style="-uslm-dtd:text">work with parents, caregivers, and community-based organizations to provide children with educational opportunities; and</content> </paragraph> <paragraph identifier="/us/sComp/108/25/tIII/stB/s314/b/8" style="-uslm-dtd:paragraph" styleType="OLC"> <num style="-uslm-dtd:enum" value="8">(8) </num><content style="-uslm-dtd:text">provide appropriate counseling and legal assistance for the appointment of guardians and the handling of other issues relating to the protection of children.</content> </paragraph> </subsection> <subsection identifier="/us/sComp/108/25/tIII/stB/s314/c" style="-uslm-dtd:subsection" styleType="OLC"> <num style="-uslm-dtd:enum" value="c">(c) </num><heading style="-uslm-dtd:header">Report.—</heading><content style="-uslm-dtd:text">Not later than 18 months after the date of enactment of this Act, the President should submit a report on the implementation of this section to the appropriate congressional committees. Such report should include a description of activities undertaken to carry out subsection (b)(4).</content> </subsection> <subsection identifier="/us/sComp/108/25/tIII/stB/s314/d" style="-uslm-dtd:subsection" styleType="OLC"> <num style="-uslm-dtd:enum" value="d">(d) </num><heading style="-uslm-dtd:header">Authorization of Appropriations.—</heading> <paragraph identifier="/us/sComp/108/25/tIII/stB/s314/d/1" style="-uslm-dtd:paragraph" styleType="OLC"> <num style="-uslm-dtd:enum" value="1">(1) </num><heading style="-uslm-dtd:header">In general.—</heading><content style="-uslm-dtd:text">In addition to amounts otherwise available for such purpose, there are authorized to be appropriated to the President, from amounts authorized to be appropriated under section 401, such sums as may be necessary for each of the fiscal years 2004 through 2008 to carry out the program. A significant percentage of the amount appropriated pursuant to the authorization of appropriations under the preceding sentence for a fiscal year should be made available to carry out subsection (b)(4).</content> </paragraph> <paragraph identifier="/us/sComp/108/25/tIII/stB/s314/d/2" style="-uslm-dtd:paragraph" styleType="OLC"> <num style="-uslm-dtd:enum" value="2">(2) </num><heading style="-uslm-dtd:header">Availability of funds.—</heading><content style="-uslm-dtd:text">Amounts appropriated pursuant to paragraph (1) are authorized to remain available until expended.</content> </paragraph> </subsection> </section> <section identifier="/us/sComp/108/25/tIII/stB/s315" style="-uslm-dtd:section" styleType="OLC"> <num style="-uslm-dtd:enum" value="315">SEC. 315.<ref class="footnoteRef" idref="ID92DE25951A09441787CCBD4534B3CB4D" style="-uslm-dtd:footnote-ref">47</ref> </num><heading style="-uslm-dtd:header">PILOT PROGRAM ON FAMILY SURVIVAL PARTNERSHIPS. </heading> <subsection identifier="/us/sComp/108/25/tIII/stB/s315/a" style="-uslm-dtd:subsection" styleType="OLC"> <num style="-uslm-dtd:enum" value="a">(a) </num><heading style="-uslm-dtd:header">Purpose.—</heading><content style="-uslm-dtd:text">The purpose of this section is to authorize the President to establish a program, through a public-private partnership, for the provision of medical care and support services to HIV positive parents and their children identified through existing programs to prevent mother-to-child transmission of HIV in countries with or at risk for severe HIV epidemic with particular attention to resource constrained countries.</content><footnote id="ID92DE25951A09441787CCBD4534B3CB4D" style="-uslm-dtd:footnote"><sup style="-uslm-dtd:superscript">47</sup><p style="-uslm-dtd:para; margin-left:1em">22 U.S.C. 7655.</p></footnote> </subsection> <subsection identifier="/us/sComp/108/25/tIII/stB/s315/b" style="-uslm-dtd:subsection" styleType="OLC"> <num style="-uslm-dtd:enum" value="b">(b) </num><heading style="-uslm-dtd:header">Grants.—</heading> <paragraph identifier="/us/sComp/108/25/tIII/stB/s315/b/1" style="-uslm-dtd:paragraph" styleType="OLC"> <num style="-uslm-dtd:enum" value="1">(1) </num><heading style="-uslm-dtd:header">In general.—</heading><content style="-uslm-dtd:text">The President is authorized to establish a program for the award of grants to eligible administrative organizations to enable such organizations to award subgrants to eligible entities to expand activities to prevent the mother-to-child transmission of HIV by providing medical care and support services to HIV infected parents and their children.</content> </paragraph> <paragraph identifier="/us/sComp/108/25/tIII/stB/s315/b/2" style="-uslm-dtd:paragraph" styleType="OLC"> <num style="-uslm-dtd:enum" value="2">(2) </num><heading style="-uslm-dtd:header">Use of funds.—</heading><chapeau style="-uslm-dtd:text">Amounts provided under a grant awarded under paragraph (1) shall be used—</chapeau> <subparagraph identifier="/us/sComp/108/25/tIII/stB/s315/b/2/A" style="-uslm-dtd:subparagraph" styleType="OLC"> <num style="-uslm-dtd:enum" value="A">(A) </num><content style="-uslm-dtd:text">to award subgrants to eligible entities to enable such entities to carry out activities described in subsection (c);</content> </subparagraph> <subparagraph identifier="/us/sComp/108/25/tIII/stB/s315/b/2/B" style="-uslm-dtd:subparagraph" styleType="OLC"> <num style="-uslm-dtd:enum" value="B">(B) </num><content style="-uslm-dtd:text">for administrative support and subgrant management;</content> </subparagraph> <subparagraph identifier="/us/sComp/108/25/tIII/stB/s315/b/2/C" style="-uslm-dtd:subparagraph" styleType="OLC"> <num style="-uslm-dtd:enum" value="C">(C) </num><content style="-uslm-dtd:text">for administrative data collection and reporting concerning grant activities;</content> </subparagraph> <subparagraph identifier="/us/sComp/108/25/tIII/stB/s315/b/2/D" style="-uslm-dtd:subparagraph" styleType="OLC"> <num style="-uslm-dtd:enum" value="D">(D) </num><content style="-uslm-dtd:text">for the monitoring and evaluation of grant activities;</content> </subparagraph> <subparagraph identifier="/us/sComp/108/25/tIII/stB/s315/b/2/E" style="-uslm-dtd:subparagraph" styleType="OLC"> <num style="-uslm-dtd:enum" value="E">(E) </num><content style="-uslm-dtd:text">for training and technical assistance for subgrantees; and</content> </subparagraph> <subparagraph identifier="/us/sComp/108/25/tIII/stB/s315/b/2/F" style="-uslm-dtd:subparagraph" styleType="OLC"> <num style="-uslm-dtd:enum" value="F">(F) </num><content style="-uslm-dtd:text">to promote sustainability.</content> </subparagraph> </paragraph> </subsection> <subsection identifier="/us/sComp/108/25/tIII/stB/s315/c" style="-uslm-dtd:subsection" styleType="OLC"> <num style="-uslm-dtd:enum" value="c">(c) </num><heading style="-uslm-dtd:header">Subgrants.—</heading> <paragraph identifier="/us/sComp/108/25/tIII/stB/s315/c/1" style="-uslm-dtd:paragraph" styleType="OLC"> <num style="-uslm-dtd:enum" value="1">(1) </num><heading style="-uslm-dtd:header">In general.—</heading><content style="-uslm-dtd:text">An organization awarded a grant under subsection (b) shall use amounts received under the grant to award subgrants to eligible entities.</content> </paragraph> <paragraph identifier="/us/sComp/108/25/tIII/stB/s315/c/2" style="-uslm-dtd:paragraph" styleType="OLC"> <num style="-uslm-dtd:enum" value="2">(2) </num><heading style="-uslm-dtd:header">Eligibility.—</heading><chapeau style="-uslm-dtd:text">To be eligible to receive a subgrant under paragraph (1), an entity shall—</chapeau> <subparagraph identifier="/us/sComp/108/25/tIII/stB/s315/c/2/A" style="-uslm-dtd:subparagraph" styleType="OLC"> <num style="-uslm-dtd:enum" value="A">(A) </num><content style="-uslm-dtd:text">be a local health organization, an international organization, or a partnership of such organizations; and</content> </subparagraph> <subparagraph identifier="/us/sComp/108/25/tIII/stB/s315/c/2/B" style="-uslm-dtd:subparagraph" styleType="OLC"> <num style="-uslm-dtd:enum" value="B">(B) </num><chapeau style="-uslm-dtd:text">demonstrate to the awarding organization that such entity—</chapeau> <clause identifier="/us/sComp/108/25/tIII/stB/s315/c/2/B/i" style="-uslm-dtd:clause" styleType="OLC"> <num style="-uslm-dtd:enum" value="i">(i) </num><content style="-uslm-dtd:text">is currently administering a proven intervention to prevent mother-to-child transmission of HIV in countries with or at risk for severe HIV epidemic with particular attention to resource constrained countries, as determined by the President;</content> </clause> <clause identifier="/us/sComp/108/25/tIII/stB/s315/c/2/B/ii" style="-uslm-dtd:clause" styleType="OLC"> <num style="-uslm-dtd:enum" value="ii">(ii) </num><content style="-uslm-dtd:text">has demonstrated support for the proposed program from relevant government entities; and</content> </clause> <clause identifier="/us/sComp/108/25/tIII/stB/s315/c/2/B/iii" style="-uslm-dtd:clause" styleType="OLC"> <num style="-uslm-dtd:enum" value="iii">(iii) </num><content style="-uslm-dtd:text">is able to provide HIV care, including antiretroviral treatment when medically indicated, to HIV positive women, men, and children with the support of the project funding.</content> </clause> </subparagraph> </paragraph> <paragraph identifier="/us/sComp/108/25/tIII/stB/s315/c/3" style="-uslm-dtd:paragraph" styleType="OLC"> <num style="-uslm-dtd:enum" value="3">(3) </num><heading style="-uslm-dtd:header">Local health and international organizations.—</heading><chapeau style="-uslm-dtd:text">For purposes of paragraph (2)(A)—</chapeau> <subparagraph identifier="/us/sComp/108/25/tIII/stB/s315/c/3/A" style="-uslm-dtd:subparagraph" styleType="OLC"> <num style="-uslm-dtd:enum" value="A">(A) </num><content style="-uslm-dtd:text">the term “<term style="-uslm-dtd:term">local health organization</term>” means a public sector health system, nongovernmental organization, institution of higher education, community-based organization, or nonprofit health system that provides directly, or has a clear link with a provider for the indirect provision of, primary health care services; and</content> </subparagraph> <subparagraph identifier="/us/sComp/108/25/tIII/stB/s315/c/3/B" style="-uslm-dtd:subparagraph" styleType="OLC"> <num style="-uslm-dtd:enum" value="B">(B) </num><chapeau style="-uslm-dtd:text">the term “<term style="-uslm-dtd:term">international organization</term>” means—</chapeau> <clause identifier="/us/sComp/108/25/tIII/stB/s315/c/3/B/i" style="-uslm-dtd:clause" styleType="OLC"> <num style="-uslm-dtd:enum" value="i">(i) </num><content style="-uslm-dtd:text">a nonprofit international entity;</content> </clause> <clause identifier="/us/sComp/108/25/tIII/stB/s315/c/3/B/ii" style="-uslm-dtd:clause" styleType="OLC"> <num style="-uslm-dtd:enum" value="ii">(ii) </num><content style="-uslm-dtd:text">an international charitable institution;</content> </clause> <clause identifier="/us/sComp/108/25/tIII/stB/s315/c/3/B/iii" style="-uslm-dtd:clause" styleType="OLC"> <num style="-uslm-dtd:enum" value="iii">(iii) </num><content style="-uslm-dtd:text">a private voluntary international entity; or</content> </clause> <clause identifier="/us/sComp/108/25/tIII/stB/s315/c/3/B/iv" style="-uslm-dtd:clause" styleType="OLC"> <num style="-uslm-dtd:enum" value="iv">(iv) </num><content style="-uslm-dtd:text">a multilateral institution.</content> </clause> </subparagraph> </paragraph> <paragraph identifier="/us/sComp/108/25/tIII/stB/s315/c/4" style="-uslm-dtd:paragraph" styleType="OLC"> <num style="-uslm-dtd:enum" value="4">(4) </num><heading style="-uslm-dtd:header">Priority requirement.—</heading><content style="-uslm-dtd:text">In awarding subgrants under this subsection, the organization shall give priority to eligible applicants that are currently administering a program of proven intervention to HIV positive individuals to prevent mother-to-child transmission in countries with or at risk for severe HIV epidemic with particular attention to resource constrained countries, and who are currently administering a program to HIV positive women, men, and children to provide life-long care in family-centered care programs using non-Federal funds.</content> </paragraph> <paragraph identifier="/us/sComp/108/25/tIII/stB/s315/c/5" style="-uslm-dtd:paragraph" styleType="OLC"> <num style="-uslm-dtd:enum" value="5">(5) </num><heading style="-uslm-dtd:header">Selection of subgrant recipients.—</heading><chapeau style="-uslm-dtd:text">In awarding subgrants under this subsection, the organization should—</chapeau> <subparagraph identifier="/us/sComp/108/25/tIII/stB/s315/c/5/A" style="-uslm-dtd:subparagraph" styleType="OLC"> <num style="-uslm-dtd:enum" value="A">(A) </num><content style="-uslm-dtd:text">consider applicants from a range of health care settings, program approaches, and geographic locations; and</content> </subparagraph> <subparagraph identifier="/us/sComp/108/25/tIII/stB/s315/c/5/B" style="-uslm-dtd:subparagraph" styleType="OLC"> <num style="-uslm-dtd:enum" value="B">(B) </num><content style="-uslm-dtd:text">if appropriate, award not less than 1 grant to an applicant to fund a national system of health care delivery to HIV positive families.</content> </subparagraph> </paragraph> <paragraph identifier="/us/sComp/108/25/tIII/stB/s315/c/6" style="-uslm-dtd:paragraph" styleType="OLC"> <num style="-uslm-dtd:enum" value="6">(6) </num><heading style="-uslm-dtd:header">Use of subgrant funds.—</heading><chapeau style="-uslm-dtd:text">An eligible entity awarded a subgrant under this subsection shall use subgrant funds to expand activities to prevent mother-to-child transmission of HIV by providing medical treatment and care and support services to parents and their children, which may include—</chapeau> <subparagraph identifier="/us/sComp/108/25/tIII/stB/s315/c/6/A" style="-uslm-dtd:subparagraph" styleType="OLC"> <num style="-uslm-dtd:enum" value="A">(A) </num><content style="-uslm-dtd:text">providing treatment and therapy, when medically indicated, to HIV-infected women, their children, and families;</content> </subparagraph> <subparagraph identifier="/us/sComp/108/25/tIII/stB/s315/c/6/B" style="-uslm-dtd:subparagraph" styleType="OLC"> <num style="-uslm-dtd:enum" value="B">(B) </num><content style="-uslm-dtd:text">the hiring and training of local personnel, including physicians, nurses, other health care providers, counselors, social workers, outreach personnel, laboratory technicians, data managers, and administrative support personnel;</content> </subparagraph> <subparagraph identifier="/us/sComp/108/25/tIII/stB/s315/c/6/C" style="-uslm-dtd:subparagraph" styleType="OLC"> <num style="-uslm-dtd:enum" value="C">(C) </num><content style="-uslm-dtd:text">paying laboratory costs, including costs related to necessary equipment and diagnostic testing and monitoring (including rapid testing), complete blood counts, standard chemistries, and liver function testing for infants, children, and parents, and costs related to the purchase of necessary laboratory equipment;</content> </subparagraph> <subparagraph identifier="/us/sComp/108/25/tIII/stB/s315/c/6/D" style="-uslm-dtd:subparagraph" styleType="OLC"> <num style="-uslm-dtd:enum" value="D">(D) </num><content style="-uslm-dtd:text">purchasing pharmaceuticals for HIV-related conditions, including antiretroviral therapies;</content> </subparagraph> <subparagraph identifier="/us/sComp/108/25/tIII/stB/s315/c/6/E" style="-uslm-dtd:subparagraph" styleType="OLC"> <num style="-uslm-dtd:enum" value="E">(E) </num><content style="-uslm-dtd:text">funding support services, including adherence and psychosocial support services;</content> </subparagraph> <subparagraph identifier="/us/sComp/108/25/tIII/stB/s315/c/6/F" style="-uslm-dtd:subparagraph" styleType="OLC"> <num style="-uslm-dtd:enum" value="F">(F) </num><content style="-uslm-dtd:text">operational support activities; and</content> </subparagraph> <subparagraph identifier="/us/sComp/108/25/tIII/stB/s315/c/6/G" style="-uslm-dtd:subparagraph" styleType="OLC"> <num style="-uslm-dtd:enum" value="G">(G) </num><content style="-uslm-dtd:text">conducting community outreach and capacity building activities, including activities to raise the awareness of individuals of the program carried out by the subgrantee, other communications activities in support of the program, local advisory board functions, and transportation necessary to ensure program participation.</content> </subparagraph> </paragraph> </subsection> <subsection identifier="/us/sComp/108/25/tIII/stB/s315/d" style="-uslm-dtd:subsection" styleType="OLC"> <num style="-uslm-dtd:enum" value="d">(d) </num><heading style="-uslm-dtd:header">Reports.—</heading><chapeau style="-uslm-dtd:text">The President shall require that each organization awarded a grant under subsection (b)(1) to submit an annual report that includes—</chapeau> <paragraph identifier="/us/sComp/108/25/tIII/stB/s315/d/1" style="-uslm-dtd:paragraph" styleType="OLC"> <num style="-uslm-dtd:enum" value="1">(1) </num><content style="-uslm-dtd:text">the progress of programs funded under this section;</content> </paragraph> <paragraph identifier="/us/sComp/108/25/tIII/stB/s315/d/2" style="-uslm-dtd:paragraph" styleType="OLC"> <num style="-uslm-dtd:enum" value="2">(2) </num><content style="-uslm-dtd:text">the benchmarks of success of programs funded under this section; and</content> </paragraph> <paragraph identifier="/us/sComp/108/25/tIII/stB/s315/d/3" style="-uslm-dtd:paragraph" styleType="OLC"> <num style="-uslm-dtd:enum" value="3">(3) </num><content style="-uslm-dtd:text">recommendations of how best to proceed with the programs funded under this section upon the expiration of funding under subsection (e).</content> </paragraph> </subsection> <subsection identifier="/us/sComp/108/25/tIII/stB/s315/e" style="-uslm-dtd:subsection" styleType="OLC"> <num style="-uslm-dtd:enum" value="e">(e) </num><heading style="-uslm-dtd:header">Funding.—</heading><content style="-uslm-dtd:text">There are authorized to be appropriated to the President, from amounts authorized to be appropriated under section 401, such sums as may be necessary for each of the fiscal years 2004 through 2008 to carry out the program.</content> </subsection> <subsection identifier="/us/sComp/108/25/tIII/stB/s315/f" style="-uslm-dtd:subsection" styleType="OLC"> <num style="-uslm-dtd:enum" value="f">(f) </num><heading style="-uslm-dtd:header">Limitation on Administrative Expenses.—</heading><content style="-uslm-dtd:text">An organization shall ensure that not more than 7 percent of the amount of a grant received under this section by the organization is used for administrative expenses.</content> </subsection> </section> </subtitle> <num style="-uslm-dtd:enum" value="IV">TITLE IV—</num><heading style="-uslm-dtd:header">AUTHORIZATION OF APPROPRIATIONS </heading> <section identifier="/us/sComp/108/25/tIV/s401" style="-uslm-dtd:section" styleType="OLC"> <num style="-uslm-dtd:enum" value="401">SEC. 401. </num><editorialNote role="uscRef" style="-uslm-dtd:usc-reference"><b>[</b><ref href="/us/usc/t22/s7671">22 U.S.C. 7671</ref><b>]</b> </editorialNote><heading style="-uslm-dtd:header"> <ref class="footnoteRef" idref="ID2617F2D406594891B231D26E1BF64C6F" style="-uslm-dtd:footnote-ref">48</ref> AUTHORIZATION OF APPROPRIATIONS. </heading> <subsection identifier="/us/sComp/108/25/tIV/s401/a" style="-uslm-dtd:subsection" styleType="OLC"> <num style="-uslm-dtd:enum" value="a">(a) </num><heading style="-uslm-dtd:header">In General.—</heading><content style="-uslm-dtd:text">There are authorized to be appropriated to the President to carry out this Act and the amendments made by this Act $48,000,000,000 for the 5-year period beginning on October 1, 2008.<ref class="footnoteRef" idref="ID0A0E64B6C32D487F97E06F685F8F2578" style="-uslm-dtd:footnote-ref">49</ref></content><footnote id="ID2617F2D406594891B231D26E1BF64C6F" style="-uslm-dtd:footnote"><sup style="-uslm-dtd:superscript">48</sup><content><p style="-uslm-dtd:para; margin-left:1em">Sec. 203(e) of the Lantos/Hyde Reauthorization Act of 2008 (Public Law 110–293; 122 Stat. 2941) also provided the following:</p> <p style="-uslm-dtd:para">``SEC. 203. RESEARCH ON METHODS FOR WOMEN TO PREVENT TRANSMISSION OF HIV AND OTHER DISEASES.</p> <elided style="-uslm-dtd:omitted-text">* * * * * * *</elided> <p style="-uslm-dtd:para; margin-left:1em">``(e) <headingText style="-uslm-dtd:header-in-text">United States Agency for International Development</headingText>.—</p> <p style="-uslm-dtd:para; margin-left:2em">``(1) <headingText style="-uslm-dtd:header-in-text">In general</headingText>.—The Administrator of the United States Agency for International Development, in coordination with the Coordinator of United States Government Activities to Combat HIV/AIDS Globally, may facilitate availability and accessibility of microbicides, provided that such pharmaceuticals are approved, tentatively approved, or otherwise authorized for use by—</p> <p style="-uslm-dtd:para; margin-left:4em">``(A) the Food and Drug Administration;</p> <p style="-uslm-dtd:para; margin-left:4em">``(B) a stringent regulatory agency acceptable to the Secretary of Health and Human Services; or</p> <p style="-uslm-dtd:para; margin-left:4em">``(C) a quality assurance mechanism acceptable to the Secretary of Health and Human Services.</p> <p style="-uslm-dtd:para; margin-left:2em">``(2) <headingText style="-uslm-dtd:header-in-text">Authorization of appropriations</headingText>.—Of the amounts authorized to be appropriated under section 401 of the United States Leadership Against HIV/AIDS, Tuberculosis, and Malaria Act of 2003 (22 U.S.C. 7671) for HIV/AIDS assistance, there are authorized to be appropriated to the President such sums as may be necessary for each of the fiscal years 2009 through 2013 to carry out this subsection.''.</p> <p style="-uslm-dtd:para; margin-left:1em">Titles III and VII of the Department of State, Foreign Operations, and Related Programs Appropriations Act, 2009 (division H of Public Law 111–8; 123 Stat. 842, 898), provide the following:</p> <p class="centered" style="-uslm-dtd:para"> <inline class="small-caps" style="-uslm-dtd:smallcaps">``global health and child survival</inline> </p> <p class="centered" style="-uslm-dtd:para"> <inline class="small-caps" style="-uslm-dtd:smallcaps">``(including transfer of funds)</inline> </p> <p style="-uslm-dtd:para; margin-left:1em">``For necessary expenses to carry out the provisions of chapters 1 and 10 of part I of the Foreign Assistance Act of 1961, for global health activities, in addition to funds otherwise available for such purposes, $1,955,000,000, to remain available until September 30, 2010, and which shall be apportioned directly to the United States Agency for International Development: <i style="-uslm-dtd:italic">Provided, </i>That this amount shall be made available for such activities as: (1) child survival and maternal health programs; (2) immunization and oral rehydration programs; (3) other health, nutrition, water and sanitation programs which directly address the needs of mothers and children, and related education programs; (4) assistance for children displaced or orphaned by causes other than AIDS; (5) programs for the prevention, treatment, control of, and research on HIV/AIDS, tuberculosis, polio, malaria, and other infectious diseases, and for assistance to communities severely affected by HIV/AIDS, including children infected or affected by AIDS; and (6) family planning/reproductive health: <i style="-uslm-dtd:italic">Provided further, </i>That none of the funds appropriated under this paragraph may be made available for nonproject assistance, except that funds may be made available for such assistance for ongoing health activities: <i style="-uslm-dtd:italic">Provided further, </i>That of the funds appropriated under this paragraph, not to exceed $400,000, in addition to funds otherwise available for such purposes, may be used to monitor and provide oversight of child survival, maternal and family planning/reproductive health, and infectious disease programs: <i style="-uslm-dtd:italic">Provided further, </i>That of the funds appropriated under this paragraph, $75,000,000 should be made available for a United States contribution to The GAVI Fund, and up to $5,000,000 may be transferred to, and merged with, funds appropriated by this Act under the heading “<quotedText style="-uslm-dtd:quote">Operating Expenses</quotedText>” in title II for costs directly related to global health, but funds made available for such costs may not be derived from amounts made available for contributions under this and preceding provisos: <i style="-uslm-dtd:italic">Provided further, </i>That none of the funds made available in this Act nor any unobligated balances from prior appropriations Acts may be made available to any organization or program which, as determined by the President of the United States, supports or participates in the management of a program of coercive abortion or involuntary sterilization: <i style="-uslm-dtd:italic">Provided further, </i>That any determination made under the previous proviso must be made no later than 6 months after the date of enactment of this Act, and must be accompanied by the evidence and criteria utilized to make the determination: <i style="-uslm-dtd:italic">Provided further, </i>That none of the funds made available under this Act may be used to pay for the performance of abortion as a method of family planning or to motivate or coerce any person to practice abortions: <i style="-uslm-dtd:italic">Provided further, </i>That nothing in this paragraph shall be construed to alter any existing statutory prohibitions against abortion under section 104 of the Foreign Assistance Act of 1961: <i style="-uslm-dtd:italic">Provided further, </i>That none of the funds made available under this Act may be used to lobby for or against abortion: <i style="-uslm-dtd:italic">Provided further, </i>That in order to reduce reliance on abortion in developing nations, funds shall be available only to voluntary family planning projects which offer, either directly or through referral to, or information about access to, a broad range of family planning methods and services, and that any such voluntary family planning project shall meet the following requirements: (1) service providers or referral agents in the project shall not implement or be subject to quotas, or other numerical targets, of total number of births, number of family planning acceptors, or acceptors of a particular method of family planning (this provision shall not be construed to include the use of quantitative estimates or indicators for budgeting and planning purposes); (2) the project shall not include payment of incentives, bribes, gratuities, or financial reward to: (A) an individual in exchange for becoming a family planning acceptor; or (B) program personnel for achieving a numerical target or quota of total number of births, number of family planning acceptors, or acceptors of a particular method of family planning; (3) the project shall not deny any right or benefit, including the right of access to participate in any program of general welfare or the right of access to health care, as a consequence of any individual's decision not to accept family planning services; (4) the project shall provide family planning acceptors comprehensible information on the health benefits and risks of the method chosen, including those conditions that might render the use of the method inadvisable and those adverse side effects known to be consequent to the use of the method; and (5) the project shall ensure that experimental contraceptive drugs and devices and medical procedures are provided only in the context of a scientific study in which participants are advised of potential risks and benefits; and, not less than 60 days after the date on which the Administrator of the United States Agency for International Development determines that there has been a violation of the requirements contained in paragraph (1), (2), (3), or (5) of this proviso, or a pattern or practice of violations of the requirements contained in paragraph (4) of this proviso, the Administrator shall submit to the Committees on Appropriations a report containing a description of such violation and the corrective action taken by the Agency: <i style="-uslm-dtd:italic">Provided further, </i>That in awarding grants for natural family planning under section 104 of the Foreign Assistance Act of 1961 no applicant shall be discriminated against because of such applicant's religious or conscientious commitment to offer only natural family planning; and, additionally, all such applicants shall comply with the requirements of the previous proviso: <i style="-uslm-dtd:italic">Provided further, </i>That for purposes of this or any other Act authorizing or appropriating funds for the Department of State, foreign operations, and related programs, the term “<term style="-uslm-dtd:term">motivate</term>”, as it relates to family planning assistance, shall not be construed to prohibit the provision, consistent with local law, of information or counseling about all pregnancy options: <i style="-uslm-dtd:italic">Provided further, </i>That information provided about the use of condoms as part of projects or activities that are funded from amounts appropriated by this Act shall be medically accurate and shall include the public health benefits and failure rates of such use.</p> <p style="-uslm-dtd:para; margin-left:1em">``In addition, for necessary expenses to carry out the provisions of the Foreign Assistance Act of 1961 for the prevention, treatment, and control of, and research on, HIV/AIDS, $5,159,000,000, to remain available until expended, and which shall be apportioned directly to the Department of State: <i style="-uslm-dtd:italic">Provided, </i>That of the funds appropriated under this paragraph, not less than $600,000,000 shall be made available, notwithstanding any other provision of law, except for the United States Leadership Against HIV/AIDS, Tuberculosis and Malaria Act of 2003 (Public Law 108–25), as amended, for a United States contribution to the Global Fund to Fight AIDS, Tuberculosis and Malaria, and shall be expended at the minimum rate necessary to make timely payment for projects and activities: <i style="-uslm-dtd:italic">Provided further, </i>That up to 5 percent of the aggregate amount of funds made available to the Global Fund in fiscal year 2009 may be made available to the United States Agency for International Development for technical assistance related to the activities of the Global Fund: <i style="-uslm-dtd:italic">Provided further, </i>That of the funds appropriated under this paragraph, up to $14,000,000 may be made available, in addition to amounts otherwise available for such purposes, for administrative expenses of the Office of the Global AIDS Coordinator.</p> <p class="centered" style="-uslm-dtd:para"> <inline class="small-caps" style="-uslm-dtd:smallcaps">``global health activities</inline> </p> <p style="-uslm-dtd:para; margin-left:1em">``<headingText style="-uslm-dtd:header-in-text">Sec. </headingText>7060. (a) Funds appropriated by titles III and IV of this Act that are made available for bilateral assistance for child survival activities or disease programs including activities relating to research on, and the prevention, treatment and control of, HIV/AIDS may be made available notwithstanding any other provision of law except for the provisions under the heading “<quotedText style="-uslm-dtd:quote">Global Health and Child Survival</quotedText>” and the United States Leadership Against HIV/AIDS, Tuberculosis, and Malaria Act of 2003 (117 Stat. 711; 22 U.S.C. 7601 et seq.), as amended: <i style="-uslm-dtd:italic">Provided, </i>That of the funds appropriated under title III of this Act, not less than $545,000,000 should be made available for family planning/reproductive health.</p> <p style="-uslm-dtd:para; margin-left:1em">``(b) Notwithstanding any other provision of this Act, 10 percent of the funds that are appropriated by this Act for a contribution to support the Global Fund to Fight AIDS, Tuberculosis and Malaria (the “<quotedText style="-uslm-dtd:quote">Global Fund</quotedText>”) shall be withheld from obligation to the Global Fund until the Secretary of State reports to the Committees on Appropriations that the Global Fund—</p> <p style="-uslm-dtd:para; margin-left:2em">``(1) is releasing incremental disbursements only if grantees demonstrate progress against clearly defined performance indicators; and</p> <p style="-uslm-dtd:para; margin-left:2em">``(2) is implementing a reporting system that breaks down grantee budget allocations by programmatic activity.''.</p> <p style="-uslm-dtd:para; margin-left:1em">See also in that Act, sec. 7030—International Financial Institutions (123 Stat. 874); and sec. 7079—United Nations Population Fund (123 Stat. 909).</p></content></footnote> </subsection> <subsection identifier="/us/sComp/108/25/tIV/s401/b" style="-uslm-dtd:subsection" styleType="OLC"> <num style="-uslm-dtd:enum" value="b">(b) </num><heading style="-uslm-dtd:header">Availability.—</heading><content style="-uslm-dtd:text">Amounts appropriated pursuant to the authorization of appropriations in subsection (a) are authorized to remain available until expended.</content> </subsection><footnote id="ID0A0E64B6C32D487F97E06F685F8F2578" style="-uslm-dtd:footnote"><sup style="-uslm-dtd:superscript">49</sup><content><p style="-uslm-dtd:para; margin-left:1em">Sec. 401(a) of the Lantos/Hyde Reauthorization Act of 2008 (Public Law 110–293; 122 Stat. 2966) struck out “<quotedText style="-uslm-dtd:quote">$3,000,000,000 for each of the fiscal years 2004 through 2008</quotedText>” and inserted in lieu thereof “<quotedText style="-uslm-dtd:quote">$48,000,000,000 for the 5-year period beginning on October 1, 2008</quotedText>”; and sec. 401(b) of that Act provided the following:</p> <p style="-uslm-dtd:para; margin-left:1em">``(b) <headingText style="-uslm-dtd:header-in-text">Sense of Congress</headingText>.—It is the sense of the Congress that the appropriations authorized under section 401(a) of the United States Leadership Against HIV/AIDS, Tuberculosis, and Malaria Act of 2003, as amended by subsection (a), should be allocated among fiscal years 2009 through 2013 in a manner that allows for the appropriations to be gradually increased in a manner that is consistent with program requirements, absorptive capacity, and priorities set forth in such Act, as amended by this Act.''.</p> <p style="-uslm-dtd:para; margin-left:1em">Title XI of the Supplemental Appropriations Act, 2009 (Public Law 111–32; 123 Stat. 1892), provides the following:</p> <p class="centered" style="-uslm-dtd:para"> <inline class="small-caps" style="-uslm-dtd:smallcaps">``global health and child survival</inline> </p> <p style="-uslm-dtd:para; margin-left:1em">``For an additional amount for “<quotedText style="-uslm-dtd:quote">Global Health and Child Survival</quotedText>”, $150,000,000, to remain available until September 30, 2010: <i style="-uslm-dtd:italic">Provided, </i>That $50,000,000 shall be made available for pandemic preparedness and response: <i style="-uslm-dtd:italic">Provided further, </i>That $100,000,000 shall be made available, notwithstanding any other provision of law, except for the United States Leadership Against HIV/AIDS, Tuberculosis and Malaria Act of 2003 (Public Law 108–25), for a United States contribution to the Global Fund to Fight AIDS, Tuberculosis and Malaria: <i style="-uslm-dtd:italic">Provided further, </i>That notwithstanding any other provision of law, to include minimum funding requirements or funding directives, if the President determines and reports to the Committees on Appropriations that the human-to-human transmission of the H1N1 virus is efficient and sustained, severe, and is spreading internationally, funds made available under the headings “<quotedText style="-uslm-dtd:quote">Global Health and Child Survival</quotedText>”, “<quotedText style="-uslm-dtd:quote">Development Assistance</quotedText>”, “<quotedText style="-uslm-dtd:quote">Economic Support Fund</quotedText>”, and “<quotedText style="-uslm-dtd:quote">Millennium Challenge Corporation</quotedText>” in prior Acts making appropriations for the Department of State, foreign operations, and related programs may be made available to combat the H1N1 virus: <i style="-uslm-dtd:italic">Provided further, </i>That funds made available pursuant to the authority of the previous proviso shall be subject to prior consultation with, and the regular notification procedures of, the Committees on Appropriations.''.</p></content></footnote> <subsection identifier="/us/sComp/108/25/tIV/s401/c" style="-uslm-dtd:subsection" styleType="OLC"> <num style="-uslm-dtd:enum" value="c">(c) </num><heading style="-uslm-dtd:header">Availability of Authorizations.—</heading><content style="-uslm-dtd:text">Authorizations of appropriations under subsection (a) shall remain available until the appropriations are made.</content> </subsection> </section> <section identifier="/us/sComp/108/25/tIV/s402" style="-uslm-dtd:section" styleType="OLC"> <num style="-uslm-dtd:enum" value="402">SEC. 402. </num><editorialNote role="uscRef" style="-uslm-dtd:usc-reference"><b>[</b><ref href="/us/usc/t22/s7672">22 U.S.C. 7672</ref><b>]</b> </editorialNote><heading style="-uslm-dtd:header">SENSE OF CONGRESS. </heading> <subsection identifier="/us/sComp/108/25/tIV/s402/a" style="-uslm-dtd:subsection" styleType="OLC"> <num style="-uslm-dtd:enum" value="a">(a) </num><heading style="-uslm-dtd:header">Increase in HIV/AIDS Antiretroviral Treatment.—</heading><chapeau style="-uslm-dtd:text">It is a sense of the Congress that an urgent priority of United States assistance programs to fight HIV/AIDS should be the rapid increase in distribution of antiretroviral treatment so that—</chapeau> <paragraph identifier="/us/sComp/108/25/tIV/s402/a/1" style="-uslm-dtd:paragraph" styleType="OLC"> <num style="-uslm-dtd:enum" value="1">(1) </num><content style="-uslm-dtd:text">by the end of fiscal year 2004, at least 500,000 individuals with HIV/AIDS are receiving antiretroviral treatment through United States assistance programs;</content> </paragraph> <paragraph identifier="/us/sComp/108/25/tIV/s402/a/2" style="-uslm-dtd:paragraph" styleType="OLC"> <num style="-uslm-dtd:enum" value="2">(2) </num><content style="-uslm-dtd:text">by the end of fiscal year 2005, at least 1,000,000 such individuals are receiving such treatment; and</content> </paragraph> <paragraph identifier="/us/sComp/108/25/tIV/s402/a/3" style="-uslm-dtd:paragraph" styleType="OLC"> <num style="-uslm-dtd:enum" value="3">(3) </num><content style="-uslm-dtd:text">by the end of fiscal year 2006, at least 2,000,000 such individuals are receiving such treatment.</content> </paragraph> </subsection> <subsection identifier="/us/sComp/108/25/tIV/s402/b" style="-uslm-dtd:subsection" styleType="OLC"> <num style="-uslm-dtd:enum" value="b">(b)<ref class="footnoteRef" idref="IDB1965A1E839343D69C73177126F613BE" style="-uslm-dtd:footnote-ref">50</ref> </num><heading style="-uslm-dtd:header">Effective Distribution of HIV/AIDS Funds.—</heading><content style="-uslm-dtd:text">It is the sense of Congress that, of the amounts appropriated pursuant to the authorization of appropriations under section 401 for HIV/AIDS assistance, 10 percent should be used for orphans and vulnerable children.</content><footnote id="IDB1965A1E839343D69C73177126F613BE" style="-uslm-dtd:footnote"><sup style="-uslm-dtd:superscript">50</sup><content><p style="-uslm-dtd:para; margin-left:1em">Sec. 402 of the Lantos/Hyde Reauthorization Act of 2008 (Public Law 110–293; 122 Stat. 2966) struck out “<quotedText style="-uslm-dtd:quote">an effective distribution of such amounts would be—</quotedText>” and all that follows through the succeeding paras. to, but not including, “<quotedText style="-uslm-dtd:quote">for orphans and vulnerable children.</quotedText>”, and inserted in lieu thereof “<quotedText style="-uslm-dtd:quote">10 percent should be used</quotedText>”. The subsection previously read as follows:</p> <p style="-uslm-dtd:para; margin-left:1em">``(b) <headingText style="-uslm-dtd:header-in-text">Effective Distribution of HIV/AIDS Funds</headingText>.—It is the sense of Congress that, of the amounts appropriated pursuant to the authorization of appropriations under section 401 for HIV/AIDS assistance, an effective distribution of such amounts would be</p> <p style="-uslm-dtd:para; margin-left:2em">``(1) 55 percent of such amounts for treatment of individuals with HIV/AIDS;</p> <p style="-uslm-dtd:para; margin-left:2em">``(2) 15 percent of such amounts for palliative care of individuals with HIV/AIDS;</p> <p style="-uslm-dtd:para; margin-left:2em">``(3) 20 percent of such amounts for HIV/AIDS prevention consistent with section 104A(d) of the Foreign Assistance Act of 1961 (as added by section 301 of this Act), of which such amount at least 33 percent should be expended for abstinence-until-marriage programs; and</p> <p style="-uslm-dtd:para; margin-left:2em">``(4) 10 percent of such amounts for orphans and vulnerable children.''.</p></content></footnote> </subsection> </section> <section identifier="/us/sComp/108/25/tIV/s403" style="-uslm-dtd:section" styleType="OLC"> <num style="-uslm-dtd:enum" value="403">SEC. 403. </num><editorialNote role="uscRef" style="-uslm-dtd:usc-reference"><b>[</b><ref href="/us/usc/t22/s7673">22 U.S.C. 7673</ref><b>]</b> </editorialNote><heading style="-uslm-dtd:header">ALLOCATION OF FUNDS. </heading> <subsection identifier="/us/sComp/108/25/tIV/s403/a" style="-uslm-dtd:subsection" styleType="OLC"> <num style="-uslm-dtd:enum" value="a">(a)<ref class="footnoteRef" idref="IDCF6E6A3F4D8D4DDC855956F181FC4763" style="-uslm-dtd:footnote-ref">51</ref> </num><heading style="-uslm-dtd:header">Balanced Funding Requirement.—</heading><footnote id="IDCF6E6A3F4D8D4DDC855956F181FC4763" style="-uslm-dtd:footnote"><sup style="-uslm-dtd:superscript">51</sup><content><p style="-uslm-dtd:para; margin-left:1em">Sec. 403(1) of the Lantos/Hyde Reauthorization Act of 2008 (Public Law 110–293; 122 Stat. 2966) amended and restated subsec. (a), which previously read as follows:</p> <p style="-uslm-dtd:para; margin-left:1em">``(a) <headingText style="-uslm-dtd:header-in-text">Therapeutic Medical Care</headingText>.—For fiscal years 2006 through 2008, not less than 55 percent of the amounts appropriated pursuant to the authorization of appropriations under section 401 for HIV/AIDS assistance for each such fiscal year shall be expended for therapeutic medical care of individuals infected with HIV, of which such amount at least 75 percent should be expended for the purchase and distribution of antiretroviral pharmaceuticals and at least 25 percent should be expended for related care. For fiscal years 2006 through 2008, not less than 33 percent of the amounts appropriated pursuant to the authorization of appropriations under section 401 for HIV/AIDS prevention consistent with section 104A(d) of the Foreign Assistance Act of 1961 (as added by section 301 of this Act) for each such fiscal year shall be expended for abstinence-until-marriage programs.''.</p></content></footnote> <paragraph identifier="/us/sComp/108/25/tIV/s403/a/1" style="-uslm-dtd:paragraph" styleType="OLC"> <num style="-uslm-dtd:enum" value="1">(1) </num><heading style="-uslm-dtd:header">In general.—</heading><chapeau style="-uslm-dtd:text">The Global AIDS Coordinator shall—</chapeau> <subparagraph identifier="/us/sComp/108/25/tIV/s403/a/1/A" style="-uslm-dtd:subparagraph" styleType="OLC"> <num style="-uslm-dtd:enum" value="A">(A) </num><content style="-uslm-dtd:text">provide balanced funding for prevention activities for sexual transmission of HIV/AIDS; and</content> </subparagraph> <subparagraph identifier="/us/sComp/108/25/tIV/s403/a/1/B" style="-uslm-dtd:subparagraph" styleType="OLC"> <num style="-uslm-dtd:enum" value="B">(B) </num><content style="-uslm-dtd:text">ensure that activities promoting abstinence, delay of sexual debut, monogamy, fidelity, and partner reduction are implemented and funded in a meaningful and equitable way in the strategy for each host country based on objective epidemiological evidence as to the source of infections and in consultation with the government of each host county involved in HIV/AIDS prevention activities.</content> </subparagraph> </paragraph> <paragraph identifier="/us/sComp/108/25/tIV/s403/a/2" style="-uslm-dtd:paragraph" styleType="OLC"> <num style="-uslm-dtd:enum" value="2">(2) </num><heading style="-uslm-dtd:header">Prevention strategy.—</heading> <subparagraph identifier="/us/sComp/108/25/tIV/s403/a/2/A" style="-uslm-dtd:subparagraph" styleType="OLC"> <num style="-uslm-dtd:enum" value="A">(A) </num><heading style="-uslm-dtd:header">Establishment.—</heading><content style="-uslm-dtd:text">In carrying out paragraph (1), the Global AIDS Coordinator shall establish an HIV sexual transmission prevention strategy governing the expenditure of funds authorized under this Act to prevent the sexual transmission of HIV in any host country with a generalized epidemic.</content> </subparagraph> <subparagraph identifier="/us/sComp/108/25/tIV/s403/a/2/B" style="-uslm-dtd:subparagraph" styleType="OLC"> <num style="-uslm-dtd:enum" value="B">(B) </num><heading style="-uslm-dtd:header">Report.—</heading><content style="-uslm-dtd:text">In each host country described in subparagraph (A), if the strategy established under subparagraph (A) provides less than 50 percent of the funds described in subparagraph (A) for activities promoting abstinence, delay of sexual debut, monogamy, fidelity, and partner reduction, the Global AIDS Coordinator shall, not later than 30 days after the issuance of this strategy, report to the appropriate congressional committees on the justification for this decision.</content> </subparagraph> </paragraph> <paragraph identifier="/us/sComp/108/25/tIV/s403/a/3" style="-uslm-dtd:paragraph" styleType="OLC"> <num style="-uslm-dtd:enum" value="3">(3) </num><heading style="-uslm-dtd:header">Exclusion.—</heading><content style="-uslm-dtd:text">Programs and activities that implement or purchase new prevention technologies or modalities, such as medical male circumcision, public education about risks to acquire HIV infection from blood exposures, promoting universal precautions, investigating suspected nosocomial infections, pre-exposure pharmaceutical prophylaxis to prevent transmission of HIV, or microbicides and programs and activities that provide counseling and testing for HIV or prevent mother-to-child prevention of HIV, shall not be included in determining compliance with paragraph (2).</content> </paragraph> <paragraph identifier="/us/sComp/108/25/tIV/s403/a/4" style="-uslm-dtd:paragraph" styleType="OLC"> <num style="-uslm-dtd:enum" value="4">(4) </num><heading style="-uslm-dtd:header">Report.—</heading><chapeau style="-uslm-dtd:text">Not later than 1 year after the date of the enactment of the Tom Lantos and Henry J. Hyde United States Global Leadership Against HIV/AIDS, Tuberculosis, and Malaria Reauthorization Act of 2008, and annually thereafter as part of the annual report required under section 104A(e) of the Foreign Assistance Act of 1961 (22 U.S.C. 2151b–2(e)), the President shall—</chapeau> <subparagraph identifier="/us/sComp/108/25/tIV/s403/a/4/A" style="-uslm-dtd:subparagraph" styleType="OLC"> <num style="-uslm-dtd:enum" value="A">(A) </num><content style="-uslm-dtd:text">submit a report on the implementation of paragraph (2) for the most recently concluded fiscal year to the appropriate congressional committees; and</content> </subparagraph> <subparagraph identifier="/us/sComp/108/25/tIV/s403/a/4/B" style="-uslm-dtd:subparagraph" styleType="OLC"> <num style="-uslm-dtd:enum" value="B">(B) </num><content style="-uslm-dtd:text">make the report described in subparagraph (A) available to the public.</content> </subparagraph> </paragraph> </subsection> <subsection identifier="/us/sComp/108/25/tIV/s403/b" style="-uslm-dtd:subsection" styleType="OLC"> <num style="-uslm-dtd:enum" value="b">(b) </num><heading style="-uslm-dtd:header">Orphans and Vulnerable Children.—</heading><content style="-uslm-dtd:text">For fiscal years 2009 through 2024 and fiscal year 2025 through March 25 of such fiscal year, not less than 10 percent of the amounts appropriated or otherwise made available to carry out the provisions of section 104A of the Foreign Assistance Act of 1961 (22 U.S.C. 2151b–2) for HIV/AIDS assistance for each such fiscal year shall be expended for assistance for orphans and other children affected by, or vulnerable to,<ref class="footnoteRef" idref="ID0687AC4A3F1847E7AD6B6DC0BD8F407B" style="-uslm-dtd:footnote-ref">52</ref> HIV/AIDS, of which such amount at least 50 percent shall be provided through non-profit, nongovernmental organizations, including faith-based organizations, that implement programs on the community level.</content><footnote id="ID0687AC4A3F1847E7AD6B6DC0BD8F407B" style="-uslm-dtd:footnote"><sup style="-uslm-dtd:superscript">52</sup><p style="-uslm-dtd:para; margin-left:1em">Sec. 403(2)(B) of the Lantos/Hyde Reauthorization Act of 2008 (Public Law 110–293; 122 Stat. 2967) struck out “<quotedText style="-uslm-dtd:quote">vulnerable children affected by</quotedText>” and inserted in lieu thereof “<quotedText style="-uslm-dtd:quote">other children affected by, or vulnerable to,</quotedText>”.</p></footnote> </subsection> <subsection identifier="/us/sComp/108/25/tIV/s403/c" style="-uslm-dtd:subsection" styleType="OLC"> <num style="-uslm-dtd:enum" value="c">(c)<ref class="footnoteRef" idref="IDE8AC84F0E9974AFABE270921C02A7D5F" style="-uslm-dtd:footnote-ref">53</ref> </num><heading style="-uslm-dtd:header">Funding Allocation.—</heading><chapeau style="-uslm-dtd:text">For each of the fiscal years 2009 through 2024 and for fiscal year 2025 through March 25 of such fiscal year, more than half of the amounts appropriated or otherwise made available to carry out the provisions of section 104A of the Foreign Assistance Act of 1961 (22 U.S.C. 2151b–2) shall be expended for—</chapeau><footnote id="IDE8AC84F0E9974AFABE270921C02A7D5F" style="-uslm-dtd:footnote"><sup style="-uslm-dtd:superscript">53</sup><p style="-uslm-dtd:para; margin-left:1em">Sec. 403(3) of the Lantos/Hyde Reauthorization Act of 2008 (Public Law 110–293; 122 Stat. 2967) added subsecs. (c) and (d).</p></footnote> <paragraph identifier="/us/sComp/108/25/tIV/s403/c/1" style="-uslm-dtd:paragraph" styleType="OLC"> <num style="-uslm-dtd:enum" value="1">(1) </num><content style="-uslm-dtd:text">antiretroviral treatment for HIV/AIDS;</content> </paragraph> <paragraph identifier="/us/sComp/108/25/tIV/s403/c/2" style="-uslm-dtd:paragraph" styleType="OLC"> <num style="-uslm-dtd:enum" value="2">(2) </num><content style="-uslm-dtd:text">clinical monitoring of HIV-seropositive people not in need of antiretroviral treatment;</content> </paragraph> <paragraph identifier="/us/sComp/108/25/tIV/s403/c/3" style="-uslm-dtd:paragraph" styleType="OLC"> <num style="-uslm-dtd:enum" value="3">(3) </num><content style="-uslm-dtd:text">care for associated opportunistic infections;</content> </paragraph> <paragraph identifier="/us/sComp/108/25/tIV/s403/c/4" style="-uslm-dtd:paragraph" styleType="OLC"> <num style="-uslm-dtd:enum" value="4">(4) </num><content style="-uslm-dtd:text">nutrition and food support for people living with HIV/AIDS; and</content> </paragraph> <paragraph identifier="/us/sComp/108/25/tIV/s403/c/5" style="-uslm-dtd:paragraph" styleType="OLC"> <num style="-uslm-dtd:enum" value="5">(5) </num><content style="-uslm-dtd:text">other essential HIV/AIDS-related medical care for people living with HIV/AIDS.</content> </paragraph> </subsection> <subsection identifier="/us/sComp/108/25/tIV/s403/d" style="-uslm-dtd:subsection" styleType="OLC"> <num style="-uslm-dtd:enum" value="d">(d)<ref class="footnoteRef" style="-uslm-dtd:dangling-footnote-ref">53</ref> </num><heading style="-uslm-dtd:header">Treatment, Prevention, and Care Goals.—</heading><chapeau style="-uslm-dtd:text">For each of the fiscal years 2009 through 2013—</chapeau> <paragraph identifier="/us/sComp/108/25/tIV/s403/d/1" style="-uslm-dtd:paragraph" styleType="OLC"> <num style="-uslm-dtd:enum" value="1">(1) </num><content style="-uslm-dtd:text">the treatment goal under section 402(a)(3) shall be increased above 2,000,000 by at least the percentage increase in the amount appropriated for bilateral global HIV/AIDS assistance for such fiscal year compared with fiscal year 2008;</content> </paragraph> <paragraph identifier="/us/sComp/108/25/tIV/s403/d/2" style="-uslm-dtd:paragraph" styleType="OLC"> <num style="-uslm-dtd:enum" value="2">(2) </num><content style="-uslm-dtd:text">any increase in the treatment goal under section 402(a)(3) above the percentage increase in the amount appropriated for bilateral global HIV/AIDS assistance for such fiscal year compared with fiscal year 2008 shall be based on long-term requirements, epidemiological evidence, the share of treatment needs being met by partner governments and other sources of treatment funding, and other appropriate factors;</content> </paragraph> <paragraph identifier="/us/sComp/108/25/tIV/s403/d/3" style="-uslm-dtd:paragraph" styleType="OLC"> <num style="-uslm-dtd:enum" value="3">(3) </num><content style="-uslm-dtd:text">the treatment goal under section 402(a)(3) shall be increased above the number calculated under paragraph (1) by the same percentage that the average United States Government cost per patient of providing treatment in countries receiving bilateral HIV/AIDS assistance has decreased compared with fiscal year 2008; and</content> </paragraph> <paragraph identifier="/us/sComp/108/25/tIV/s403/d/4" style="-uslm-dtd:paragraph" styleType="OLC"> <num style="-uslm-dtd:enum" value="4">(4) </num><content style="-uslm-dtd:text">the prevention and care goals established in clauses (i) and (iv) of section 104A(b)(1)(A) of the Foreign Assistance Act of 1961 (22 U.S.C. 2151b-2(b)(1)(A)) shall be increased consistent with epidemiological evidence and available resources.</content> </paragraph> </subsection> </section> <section identifier="/us/sComp/108/25/tIV/s404" style="-uslm-dtd:section" styleType="OLC"> <num style="-uslm-dtd:enum" value="404">SEC. 404. </num><editorialNote role="uscRef" style="-uslm-dtd:usc-reference"><b>[</b><ref href="/us/usc/t22/s7674">22 U.S.C. 7674</ref><b>]</b> </editorialNote><heading style="-uslm-dtd:header">ASSISTANCE FROM THE UNITED STATES PRIVATE SECTOR TO PREVENT AND REDUCE HIV/AIDS IN SUB-SAHARAN AFRICA. </heading> <content class="block" style="-uslm-dtd:text">It is the sense of Congress that United States businesses should be encouraged to provide assistance to sub-Saharan African countries to prevent and reduce the incidence of HIV/AIDS in sub-Saharan Africa. In providing such assistance, United States businesses should be encouraged to consider the establishment of an HIV/AIDS Response Fund in order to provide for coordination among such businesses in the collection and distribution of the assistance to sub-Saharan African countries.</content> </section> <num style="-uslm-dtd:enum" value="V">TITLE V—</num><heading style="-uslm-dtd:header">INTERNATIONAL FINANCIAL INSTITUTIONS </heading> <section identifier="/us/sComp/108/25/tV/s501" style="-uslm-dtd:section" styleType="OLC"> <num style="-uslm-dtd:enum" value="501">SEC. 501. </num><heading style="-uslm-dtd:header">MODIFICATION OF THE ENHANCED HIPC INITIATIVE. </heading> <content class="block" style="-uslm-dtd:text">Title XVI of the International Financial Institutions Act (22 U.S.C. 262p–262p–7) is amended by adding at the end the following new section: <elided style="-uslm-dtd:omitted-text">* * *</elided><ref class="footnoteRef" idref="IDD0B3C00A1CD44C88963B97634752BB05" style="-uslm-dtd:footnote-ref">54</ref></content><footnote id="IDD0B3C00A1CD44C88963B97634752BB05" style="-uslm-dtd:footnote"><sup style="-uslm-dtd:superscript">54</sup><p style="-uslm-dtd:para; margin-left:1em">Sec. 501 added a new sec. 1625 to the International Financial Institutions Act (22 U.S.C. 262p–8). For text, see <i style="-uslm-dtd:italic">Legislation on Foreign Relations Through 2008</i>, vol. III.</p></footnote> </section> <section identifier="/us/sComp/108/25/tV/s502" style="-uslm-dtd:section" styleType="OLC"> <num style="-uslm-dtd:enum" value="502">SEC. 502. </num><editorialNote role="uscRef" style="-uslm-dtd:usc-reference"><b>[</b><ref href="/us/usc/t22/s7681">22 U.S.C. 7681</ref><b>]</b> </editorialNote><heading style="-uslm-dtd:header">REPORT ON EXPANSION OF DEBT RELIEF TO NON-HIPC COUNTRIES. </heading> <subsection identifier="/us/sComp/108/25/tV/s502/a" style="-uslm-dtd:subsection" styleType="OLC"> <num style="-uslm-dtd:enum" value="a">(a) </num><heading style="-uslm-dtd:header">In General.—</heading><chapeau style="-uslm-dtd:text">Not later than 90 days after the date of enactment of this Act, the Secretary of the Treasury shall submit to Congress a report on—</chapeau> <paragraph identifier="/us/sComp/108/25/tV/s502/a/1" style="-uslm-dtd:paragraph" styleType="OLC"> <num style="-uslm-dtd:enum" value="1">(1) </num><content style="-uslm-dtd:text">the options and costs associated with the expansion of debt relief provided by the Enhanced HIPC Initiative to include poor countries that were not eligible for inclusion in the Enhanced HIPC Initiative;</content> </paragraph> <paragraph identifier="/us/sComp/108/25/tV/s502/a/2" style="-uslm-dtd:paragraph" styleType="OLC"> <num style="-uslm-dtd:enum" value="2">(2) </num><content style="-uslm-dtd:text">options for burden-sharing among donor countries and multilateral institutions of costs associated with the expansion of debt relief; and</content> </paragraph> <paragraph identifier="/us/sComp/108/25/tV/s502/a/3" style="-uslm-dtd:paragraph" styleType="OLC"> <num style="-uslm-dtd:enum" value="3">(3) </num><content style="-uslm-dtd:text">options, in addition to debt relief, to ensure debt sustainability in poor countries, particularly in cases when the poor country has suffered an external economic shock or a natural disaster.</content> </paragraph> </subsection> <subsection identifier="/us/sComp/108/25/tV/s502/b" style="-uslm-dtd:subsection" styleType="OLC"> <num style="-uslm-dtd:enum" value="b">(b) </num><heading style="-uslm-dtd:header">Specific Options To Be Considered.—</heading><content style="-uslm-dtd:text">Among the options for the expansion of debt relief provided by the Enhanced HIPC Initiative, consideration should be given to making eligible for that relief poor countries for which outstanding public and publicly guaranteed debt requires annual payments in excess of 10 percent or, in the case of a country suffering a public health crisis (as defined in section 1625(e) of the Financial Institutions Act, as added by section 501 of this Act), not more than 5 percent, of the amount of the annual current revenues received by the country from internal resources.</content> </subsection> <subsection identifier="/us/sComp/108/25/tV/s502/c" style="-uslm-dtd:subsection" styleType="OLC"> <num style="-uslm-dtd:enum" value="c">(c) </num><heading style="-uslm-dtd:header">Enhanced HIPC Initiative Defined.—</heading><content style="-uslm-dtd:text">In this section, the term “<term style="-uslm-dtd:term">Enhanced HIPC Initiative</term>” means the multilateral debt initiative for heavily indebted poor countries presented in the Report of G–7 Finance Ministers on the Cologne Debt Initiative to the Cologne Economic Summit, Cologne, June 18–20, 1999.</content> </subsection> </section> <section identifier="/us/sComp/108/25/tV/s503" style="-uslm-dtd:section" styleType="OLC"> <num style="-uslm-dtd:enum" value="503">SEC. 503. </num><editorialNote role="uscRef" style="-uslm-dtd:usc-reference"><b>[</b><ref href="/us/usc/t22/s7682">22 U.S.C. 7682</ref><b>]</b> </editorialNote><heading style="-uslm-dtd:header"> <ref class="footnoteRef" idref="ID0A5699A98E7F4B4893FDF53E6240E701" style="-uslm-dtd:footnote-ref">55</ref> AUTHORIZATION OF APPROPRIATIONS. </heading> <subsection identifier="/us/sComp/108/25/tV/s503/a" style="-uslm-dtd:subsection" styleType="OLC"> <num style="-uslm-dtd:enum" value="a">(a) </num><heading style="-uslm-dtd:header">In General.—</heading><content style="-uslm-dtd:text">There are authorized to be appropriated to the President such sums as may be necessary for the fiscal year 2004 and each fiscal year thereafter to carry out section 1625 of the International Financial Institutions Act, as added by section 501 of this Act.</content><footnote id="ID0A5699A98E7F4B4893FDF53E6240E701" style="-uslm-dtd:footnote"><sup style="-uslm-dtd:superscript">55</sup><content><p style="-uslm-dtd:para; margin-left:1em">Title III of the Department of State, Foreign Operations, and Related Programs Appropriations Act, 2009 (division H of Public Law 111–8; 123 Stat. 853), provides the following:</p> <p class="centered" style="-uslm-dtd:para"> <inline class="small-caps" style="-uslm-dtd:smallcaps">``debt restructuring</inline> </p> <p style="-uslm-dtd:para; margin-left:1em">``For the cost, as defined in section 502 of the Congressional Budget Act of 1974, of modifying loans and loan guarantees, as the President may determine, for which funds have been appropriated or otherwise made available for programs within the International Affairs Budget Function 150, including the cost of selling, reducing, or canceling amounts owed to the United States as a result of concessional loans made to eligible countries, pursuant to parts IV and V of the Foreign Assistance Act of 1961, of modifying concessional credit agreements with least developed countries, as authorized under section 411 of the Agricultural Trade Development and Assistance Act of 1954, as amended, of concessional loans, guarantees and credit agreements, as authorized under section 572 of the Foreign Operations, Export Financing, and Related Programs Appropriations Act, 1989 (Public Law 100–461), and of canceling amounts owed, as a result of loans or guarantees made pursuant to the Export-Import Bank Act of 1945, by countries that are eligible for debt reduction pursuant to title V of H.R. 3425 as enacted into law by section 1000(a)(5) of Public Law 106–113, $60,000,000, to remain available until September 30, 2011: <i style="-uslm-dtd:italic">Provided, </i>That not less than $20,000,000 of the funds appropriated under this heading shall be made available to carry out the provisions of part V of the Foreign Assistance Act of 1961: <i style="-uslm-dtd:italic">Provided further, </i>That amounts paid to the HIPC Trust Fund may be used only to fund debt reduction under the enhanced HIPC initiative by—</p> <p style="-uslm-dtd:para; margin-left:2em">``(1) the Inter-American Development Bank;</p> <p style="-uslm-dtd:para; margin-left:2em">``(2) the African Development Fund;</p> <p style="-uslm-dtd:para; margin-left:2em">``(3) the African Development Bank; and</p> <p style="-uslm-dtd:para; margin-left:2em">``(4) the Central American Bank for Economic Integration:</p> <p style="-uslm-dtd:para; margin-left:6em">``<i style="-uslm-dtd:italic">Provided further, </i>That funds may not be paid to the HIPC Trust Fund for the benefit of any country if the Secretary of State has credible evidence that the government of such country is engaged in a consistent pattern of gross violations of internationally recognized human rights or in military or civil conflict that undermines its ability to develop and implement measures to alleviate poverty and to devote adequate human and financial resources to that end: <i style="-uslm-dtd:italic">Provided further, </i>That on the basis of final appropriations, the Secretary of the Treasury shall consult with the Committees on Appropriations concerning which countries and international financial institutions are expected to benefit from a United States contribution to the HIPC Trust Fund during the fiscal year: <i style="-uslm-dtd:italic">Provided further, </i>That the Secretary of the Treasury shall notify the Committees on Appropriations not less than 15 days in advance of the signature of an agreement by the United States to make payments to the HIPC Trust Fund of amounts for such countries and institutions: <i style="-uslm-dtd:italic">Provided further, </i>That the Secretary of the Treasury may disburse funds designated for debt reduction through the HIPC Trust Fund only for the benefit of countries that—</p> <p style="-uslm-dtd:para; margin-left:2em">``(1) have committed, for a period of 24 months, not to accept new market-rate loans from the international financial institution receiving debt repayment as a result of such disbursement, other than loans made by such institutions to export-oriented commercial projects that generate foreign exchange which are generally referred to as “<quotedText style="-uslm-dtd:quote">enclave</quotedText>” loans; and</p> <p style="-uslm-dtd:para; margin-left:2em">``(2) have documented and demonstrated their commitment to redirect their budgetary resources from international debt repayments to programs to alleviate poverty and promote economic growth that are additional to or expand upon those previously available for such purposes:</p> <p style="-uslm-dtd:para; margin-left:6em">``<i style="-uslm-dtd:italic">Provided further, </i>That any limitation of subsection (e) of section 411 of the Agricultural Trade Development and Assistance Act of 1954 shall not apply to funds appropriated under this heading: <i style="-uslm-dtd:italic">Provided further, </i>That none of the funds made available under this heading in this or any other appropriations Act shall be made available for Sudan or Burma unless the Secretary of the Treasury determines and notifies the Committees on Appropriations that a democratically elected government has taken office.''.</p> <p style="-uslm-dtd:para; margin-left:1em">See also <i style="-uslm-dtd:italic">Legislation on Foreign Relations Through 2008</i>, vol. I–B, for legislation on international debt relief.</p></content></footnote> </subsection> <subsection identifier="/us/sComp/108/25/tV/s503/b" style="-uslm-dtd:subsection" styleType="OLC"> <num style="-uslm-dtd:enum" value="b">(b) </num><heading style="-uslm-dtd:header">Availability of Funds.—</heading><content style="-uslm-dtd:text">Amounts appropriated pursuant to subsection (a) are authorized to remain available until expended.</content> </subsection> </section>