PDF _ RL34569 - International HIV/AIDS, Tuberculosis, and Malaria: Key Changes to U.S. Programs and Funding
25-Aug-2008; Kellie Moss; 22 p.

Update: Previous Editions:
August 25, 2008

Abstract: The United States Leadership Against HIV/AIDS, Tuberculosis, and Malaria Act of 2003 (P.L. 108-25) authorizes $15 billion for U.S. global efforts to combat HIV/AIDS, tuberculosis (TB), and malaria from FY2004 through FY2008. It also authorizes the Office of the Global AIDS Coordinator (OGAC) to oversee U.S. government efforts to combat HIV/AIDS internationally. These efforts to combat HIV/AIDS implement the President’s Emergency Plan for AIDS Relief (PEPFAR), a program proposed by President Bush in January 2003.

President Bush requested $30 billion for the reauthorization of PEPFAR from FY2009 through FY2013, estimating it would support HIV/AIDS treatments for 2.5 million people, the prevention of more than 12 million new HIV infections, and care for more than 12 million HIV-affected people, including 5 million orphans and vulnerable children.

On July 24, 2008, Congress reauthorized $48 billion for U.S. international HIV/AIDS, tuberculosis, and malaria programs through FY2013 in H.R. 5501, the Tom Lantos and Henry J. Hyde United States Global Leadership Against HIV/AIDS, Tuberculosis, and Malaria Reauthorization Act of 2008 (hereafter referred to as the Reauthorization Act). The President signed H.R. 5501 into law (P.L. 110-293) on July 30, 2008.

The Reauthorization Act makes a number of changes to U.S. international HIV/AIDS, tuberculosis, and malaria programs. It increases funding for U.S. efforts to fight HIV/AIDS, tuberculosis, and malaria and for U.S. contributions to the Global Fund to Fight AIDS, Tuberculosis, and Malaria (Global Fund). It adds Vietnam to the list of PEPFAR Focus Countries; proposes the use of compacts or framework agreements between the United States and each country receiving HIV/AIDS funds under the reauthorization; and removes the 33% spending requirement on abstinence prevention efforts, as well as the 20% spending recommendation on prevention efforts overall. It establishes a Global Malaria Coordinator within the U.S. Agency for International Development (USAID) and supports the sustainability of health care systems in affected countries. It eliminates Immigration and Nationality Act (INA) language that statutorily bars foreign nationals with HIV/AIDS from entering the United States.

This report discusses changes in coordination and funding for HIV/AIDS, tuberculosis, and malaria programs as directed in the Reauthorization Act. It provides background on PEPFAR implementation including results and funding through FY2008. It then discusses similarities and differences between H.R. 5501 as passed by the House on April 2, 2008, and H.R. 5501 as passed by the Senate on July 16, 2008. Finally, it details key outcomes in the legislation as enacted. This report will be updated as events warrant.

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Topics: Pollution, Risk & Reform, General Interest

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