Pub.L. 108-026 To extend the Temporary Extended Unemployment Compensation Act of 2002. <> ...

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                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;

[[Page 117 STAT. 716]]

                    (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

[[Page 117 STAT. 717]]

        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''.

SEC. 3. <<NOTE: 22 USC 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 
        International Relations of the House of Representatives.
            (3) 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.
            (4) HIV.--The term ``HIV'' means the human immunodeficiency 
        virus, the pathogen that 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.
            (6) 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.

SEC. 4. <<NOTE: 22 USC 7603.>> 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

[[Page 117 STAT. 718]]

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

SEC. 5. <<NOTE: Deadline. 22 USC 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.

                TITLE I--POLICY PLANNING AND COORDINATION

SEC. 101. DEVELOPMENT OF A COMPREHENSIVE, FIVE-YEAR, GLOBAL STRATEGY.

    (a) Strategy.--The <<NOTE: President. 22 USC 7611.>> 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--
            (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);
            (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;
            (3) assign priorities for relevant executive branch 
        agencies;
            (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;
            (5) improve coordination and reduce duplication among 
        relevant executive branch agencies, foreign governments, and 
        international organizations;
            (6) project general levels of resources needed to achieve 
        the stated objectives;
            (7) expand public-private partnerships and the leveraging of 
        resources;

[[Page 117 STAT. 719]]

            (8) maximize United States capabilities in the areas of 
        technical assistance and training and research, including 
        vaccine research;
            (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
            (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.

    (b) Report.--
            (1) In general.--Not <<NOTE: Deadline. President.>> 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).
            (2) Report contents.--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.
            (3) Report elements.--The elements referred to in paragraph 
        (2) are the following:
                    (A) The objectives, general and specific, of the 
                strategy.
                    (B) A description of the criteria for determining 
                success of the strategy.
                    (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.
                    (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.
                    (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.
                    (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.
                    (G) A description of the specific strategies 
                developed to increase women's access to employment 
                opportunities, income, productive resources, and 
                microfinance programs.

[[Page 117 STAT. 720]]

                    (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.
                    (I) An identification of the relevant executive 
                branch agencies that will be involved and the assignment 
                of priorities to those agencies.
                    (J) A description of the role of each relevant 
                executive branch agency and the types of programs that 
                the agency will be undertaking.
                    (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.
                    (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.
                    (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.
                    (N) A description of the mechanisms to be 
                established for monitoring and evaluating programs, 
                promoting successful models, and for terminating 
                unsuccessful programs.
                    (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 

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