Home > 106th Congressional Bills > H.R. 3519 (eh) To provide for negotiations for the creation of a trust fund to be administered by the International Bank for Reconstruction and Development or the International Development Association to combat the AIDS epidemic. [Engrossed in House] %%Fi...H.R. 3519 (eh) To provide for negotiations for the creation of a trust fund to be administered by the International Bank for Reconstruction and Development or the International Development Association to combat the AIDS epidemic. [Engrossed in House] %%Fi...
In the Senate of the United States,
July 26, 2000.
Resolved, That the bill from the House of Representatives (H.R.
3519) entitled ``An Act to provide for negotiations for the creation of
a trust fund to be administered by the International Bank for
Reconstruction and Development or the International Development
Association to combat the AIDS epidemic.'', do pass with the following
AMENDMENT:
Strike out all after the enacting clause and insert:
SECTION 1. SHORT TITLE.
This Act may be cited as the ``Global AIDS and Tuberculosis Relief
Act of 2000''.
SEC. 2. TABLE OF CONTENTS.
The table of contents for this Act is as follows:
Sec. 1. Short title.
Sec. 2. Table of contents.
TITLE I--ASSISTANCE TO COUNTRIES WITH LARGE POPULATIONS HAVING HIV/AIDS
Sec. 101. Short title.
Sec. 102. Definitions.
Sec. 103. Findings and purposes.
Subtitle A--United States Assistance
Sec. 111. Additional assistance authorities to combat HIV and AIDS.
Sec. 112. Voluntary contribution to Global Alliance for Vaccines and
Immunizations and International AIDS
Vaccine Initiative.
Sec. 113. Coordinated donor strategy for support and education of
orphans in sub-Saharan Africa.
Sec. 114. African Crisis Response Initiative and HIV/AIDS training.
Subtitle B--World Bank AIDS Trust Fund
Chapter 1--Establishment of the Fund
Sec. 121. Establishment.
Sec. 122. Grant authorities.
Sec. 123. Administration.
Sec. 124. Advisory Board.
Chapter 2--Reports
Sec. 131. Reports to Congress.
Chapter 3--United States Financial Participation
Sec. 141. Authorization of appropriations.
Sec. 142. Certification requirement.
TITLE II--INTERNATIONAL TUBERCULOSIS CONTROL
Sec. 201. Short title.
Sec. 202. Findings.
Sec. 203. Assistance for tuberculosis prevention, treatment, control,
and elimination.
TITLE III--ADMINISTRATIVE AUTHORITIES
Sec. 301. Effective program oversight.
Sec. 302. Termination expenses.
TITLE I--ASSISTANCE TO COUNTRIES WITH LARGE POPULATIONS HAVING HIV/AIDS
SEC. 101. SHORT TITLE.
This title may be cited as the ``Global AIDS Research and Relief
Act of 2000''.
SEC. 102. DEFINITIONS.
In this title:
(1) AIDS.--The term ``AIDS'' means the acquired immune
deficiency syndrome.
(2) Association.--The term ``Association'' means the
International Development Association.
(3) Bank.--The term ``Bank'' or ``World Bank'' means the
International Bank for Reconstruction and Development.
(4) HIV.--The term ``HIV'' means the human immunodeficiency
virus, the pathogen which causes AIDS.
(5) HIV/AIDS.--The term ``HIV/AIDS'' means, with respect to
an individual, an individual who is infected with HIV or living
with AIDS.
SEC. 103. FINDINGS AND PURPOSES.
(a) Findings.--Congress makes the following findings:
(1) According to the Surgeon General of the United States,
the epidemic of human immunodeficiency virus/acquired immune
deficiency syndrome (HIV/AIDS) will soon become the worst
epidemic of infectious disease in recorded history, eclipsing
both the bubonic plague of the 1300's and the influenza
epidemic of 1918-1919 which killed more than 20,000,000 people
worldwide.
(2) According to the Joint United Nations Programme on HIV/
AIDS (UNAIDS), more than 34,300,000 people in the world today
are living with HIV/AIDS, of which approximately 95 percent
live in the developing world.
(3) UNAIDS data shows that among children age 14 and under
worldwide, more than 3,800,000 have died from AIDS, more than
1,300,000 are living with the disease; and in one year alone--
1999--an estimated 620,000 became infected, of which over 90
percent were babies born to HIV-positive women.
(4) Although sub-Saharan Africa has only 10 percent of the
world's population, it is home to more than 24,500,000--roughly
70 percent--of the world's HIV/AIDS cases.
(5) Worldwide, there have already been an estimated
18,800,000 deaths because of HIV/AIDS, of which more than 80
percent occurred in sub-Saharan Africa.
(6) The gap between rich and poor countries in terms of
transmission of HIV from mother to child has been increasing.
Moreover, AIDS threatens to reverse years of steady progress of
child survival in developing countries. UNAIDS believes that by
the year 2010, AIDS may have increased mortality of children
under 5 years of age by more than 100 percent in regions most
affected by the virus.
(7) According to UNAIDS, by the end of 1999, 13,200,000
children have lost at least one parent to AIDS, including
12,100,000 children in sub-Saharan Africa, and are thus
considered AIDS orphans.
(8) At current infection and growth rates for HIV/AIDS, the
National Intelligence Council estimates that the number of AIDS
orphans worldwide will increase dramatically, potentially
increasing threefold or more in the next 10 years, contributing
to economic decay, social fragmentation, and political
destabilization in already volatile and strained societies.
Children without care or hope are often drawn into
prostitution, crime, substance abuse, or child soldiery.
(9) Donors must focus on adequate preparations for the
explosion in the number of orphans and the burden they will
place on families, communities, economies, and governments.
Support structures and incentives for families, communities,
and institutions which will provide care for children orphaned
by HIV/AIDS, or for the children who are themselves afflicted
by HIV/AIDS, will be essential.
(10) The 1999 annual report by the United Nations
Children's Fund (UNICEF) states ``[t]he number of orphans,
particularly in Africa, constitutes nothing less than an
emergency, requiring an emergency response'' and that ``finding
the resources needed to help stabilize the crisis and protect
children is a priority that requires urgent action from the
international community.''.
(11) The discovery of a relatively simple and inexpensive
means of interrupting the transmission of HIV from an infected
mother to the unborn child--namely with nevirapine (NVP), which
costs US$4 a tablet--has created a great opportunity for an
unprecedented partnership between the United States Government
and the governments of Asian, African and Latin American
countries to reduce mother-to-child transmission (also known as
``vertical transmission'') of HIV.
(12) According to UNAIDS, if implemented this strategy will
decrease the proportion of orphans that are HIV-infected and
decrease infant and child mortality rates in these developing
regions.
(13) A mother-to-child antiretroviral drug strategy can be
a force for social change, providing the opportunity and
impetus needed to address often long-standing problems of
inadequate services and the profound stigma associated with
HIV-infection and the AIDS disease. Strengthening the health
infrastructure to improve mother-and-child health, antenatal,
delivery and postnatal services, and couples counseling
generates enormous spillover effects toward combating the AIDS
epidemic in developing regions.
(14) United States Census Bureau statistics show life
expectancy in sub-Saharan Africa falling to around 30 years of
age within a decade, the lowest in a century, and project life
expectancy in 2010 to be 29 years of age in Botswana, 30 years
of age in Swaziland, 33 years of age in Namibia and Zimbabwe,
and 36 years of age in South Africa, Malawi, and Rwanda, in
contrast to a life expectancy of 70 years of age in many of the
countries without a high prevalence of AIDS.
(15) A January 2000 United States National Intelligence
Estimate (NIE) report on the global infectious disease threat
concluded that the economic costs of infectious diseases--
especially HIV/AIDS--are already significant and could reduce
GDP by as much as 20 percent or more by 2010 in some sub-
Saharan African nations.
(16) According to the same NIE report, HIV prevalence among
militias in Angola and the Democratic Republic of the Congo are
estimated at 40 to 60 percent, and at 15 to 30 percent in
Tanzania.
(17) The HIV/AIDS epidemic is of increasing concern in
other regions of the world, with UNAIDS estimating that there
are more than 5,600,000 cases in South and South-east Asia,
that the rate of HIV infection in the Caribbean is second only
to sub-Saharan Africa, and that HIV infections have doubled in
just two years in the former Soviet Union.
(18) Despite the discouraging statistics on the spread of
HIV/AIDS, some developing nations--such as Uganda, Senegal, and
Thailand--have implemented prevention programs that have
substantially curbed the rate of HIV infection.
(19) AIDS, like all diseases, knows no national boundaries,
and there is no certitude that the scale of the problem in one
continent can be contained within that region.
(20) Accordingly, United States financial support for
medical research, education, and disease containment as a
global strategy has beneficial ramifications for millions of
Americans and their families who are affected by this disease,
and the entire population which is potentially susceptible.
(b) Purposes.--The purposes of this title are to--
(1) help prevent human suffering through the prevention,
diagnosis, and treatment of HIV/AIDS; and
(2) help ensure the viability of economic development,
stability, and national security in the developing world by
advancing research to--
(A) understand the causes associated with HIV/AIDS
in developing countries; and
(B) assist in the development of an AIDS vaccine.
Subtitle A--United States Assistance
SEC. 111. ADDITIONAL ASSISTANCE AUTHORITIES TO COMBAT HIV AND AIDS.
(a) Assistance for Prevention of HIV/AIDS and Vertical
Transmission.--Section 104(c) of the Foreign Assistance Act of 1961 (22
U.S.C. 2151b(c)) is amended by adding at the end the following new
paragraphs:
``(4)(A) Congress recognizes the growing international dilemma of
children with the human immunodeficiency virus (HIV) and the merits of
intervention programs aimed at this problem. Congress further
recognizes that mother-to-child transmission prevention strategies can
serve as a major force for change in developing regions, and it is,
therefore, a major objective of the foreign assistance program to
control the acquired immune deficiency syndrome (AIDS) epidemic.
``(B) The agency primarily responsible for administering this part
shall--
``(i) coordinate with UNAIDS, UNICEF, WHO, national and
local governments, and other organizations to develop and
implement effective strategies to prevent vertical transmission
of HIV; and
``(ii) coordinate with those organizations to increase
intervention programs and introduce voluntary counseling and
testing, antiretroviral drugs, replacement feeding, and other
strategies.
``(5)(A) Congress expects the agency primarily responsible for
administering this part to make the human immunodeficiency virus (HIV)
and the acquired immune deficiency syndrome (AIDS) a priority in the
foreign assistance program and to undertake a comprehensive,
coordinated effort to combat HIV and AIDS.
``(B) Assistance described in subparagraph (A) shall include help
providing--
``(i) primary prevention and education;
``(ii) voluntary testing and counseling;
``(iii) medications to prevent the transmission of HIV from
mother to child; and
``(iv) care for those living with HIV or AIDS.
``(6)(A) In addition to amounts otherwise available for such
purpose, there is authorized to be appropriated to the President
$300,000,000 for each of the fiscal years 2001 and 2002 to carry out
paragraphs (4) and (5).
``(B) Of the funds authorized to be appropriated under subparagraph
(A), not less than 65 percent is authorized to be available through
United States and foreign nongovernmental organizations, including
private and voluntary organizations, for-profit organizations,
religious affiliated organizations, educational institutions, and
research facilities.
``(C)(i) Of the funds authorized to be appropriated by subparagraph
(A), not less than 20 percent is authorized to be available for
programs as part of a multidonor strategy to address the support and
education of orphans in sub-Saharan Africa, including AIDS orphans.
``(ii) Assistance made available under this subsection, and
assistance made available under chapter 4 of part II to carry out the
purposes of this subsection, may be made available notwithstanding any
other provision of law that restricts assistance to foreign countries.
Other Popular 106th Congressional Bills Documents:
|
| GovRecords.org presents information on various agencies of the United States Government. Even though all information is believed to be credible and accurate, no guarantees are made on the complete accuracy of our government records archive. Care should be taken to verify the information presented by responsible parties. Please see our reference page for congressional, presidential, and judicial branch contact information. GovRecords.org values visitor privacy. Please see the privacy page for more information. |
 |