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

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SEC. 302. ASSISTANCE TO COMBAT TUBERCULOSIS.

    (a) Amendment of the Foreign Assistance Act of 1961.--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:

``SEC. 104B. <<NOTE: 22 USC 2151b-3.>> ASSISTANCE TO COMBAT 
            TUBERCULOSIS.

    ``(a) Findings.--Congress makes the following findings:
            ``(1) Congress recognizes the growing international problem 
        of tuberculosis and the impact its continued existence has on 
        those countries that had previously largely controlled the 
        disease.
            ``(2) Congress further recognizes that the means exist to 
        control and treat tuberculosis through expanded use of the DOTS 
        (Directly Observed Treatment Short-course) treatment strategy, 
        including DOTS-Plus to address multi-drug resistant

[[Page 117 STAT. 735]]

        tuberculosis, and adequate investment in newly created 
        mechanisms to increase access to treatment, including the Global 
        Tuberculosis Drug Facility established in 2001 pursuant to the 
        Amsterdam Declaration to Stop TB and the Global Alliance for TB 
        Drug Development.

    ``(b) Policy.--It is a major objective of the foreign assistance 
program of the United States to control tuberculosis, including the 
detection of at least 70 percent of the cases of infectious 
tuberculosis, and the cure of at least 85 percent of the cases detected, 
not later than December 31, 2005, in those countries classified by the 
World Health Organization as among the highest tuberculosis burden, and 
not later than December 31, 2010, in all countries in which the United 
States Agency for International Development has established development 
programs.
    ``(c) Authorization.--To carry out this section and consistent with 
section 104(c), the President is authorized to furnish assistance, on 
such terms and conditions as the President may determine, for the 
prevention, treatment, control, and elimination of tuberculosis.

    ``(d) Coordination.--In <<NOTE: President.>> carrying out this 
section, the President shall coordinate with the World Health 
Organization, the Global Fund to Fight AIDS, Tuberculosis, and Malaria, 
and other organizations with respect to the development and 
implementation of a comprehensive tuberculosis control program.

    ``(e) Priority to DOTS Coverage.--In <<NOTE: President.>> furnishing 
assistance under subsection (c), the President shall give priority to 
activities that increase Directly Observed Treatment Short-course (DOTS) 
coverage and treatment of multi-drug resistant tuberculosis where needed 
using DOTS-Plus, including funding for the Global Tuberculosis Drug 
Facility, the Stop Tuberculosis Partnership, and the Global Alliance for 
TB Drug Development. In order to meet the requirement of the preceding 
sentence, the President should ensure that not less than 75 percent of 
the amount made available to carry out this section for a fiscal year 
should be expended for antituberculosis drugs, supplies, direct patient 
services, and training in diagnosis and treatment for Directly Observed 
Treatment Short-course (DOTS) coverage and treatment of multi-drug 
resistant tuberculosis using DOTS-Plus, including substantially 
increased funding for the Global Tuberculosis Drug Facility.

    ``(f) Definitions.--In this section:
            ``(1) DOTS.--The term `DOTS' or `Directly Observed Treatment 
        Short-course' means the World Health Organization-recommended 
        strategy for treating tuberculosis.
            ``(2) DOTS-plus.--The term `DOTS-Plus' means a comprehensive 
        tuberculosis management strategy that is built upon and works as 
        a supplement to the standard DOTS strategy, and which takes into 
        account specific issues (such as use of second line anti-
        tuberculosis drugs) that need to be addressed in areas where 
        there is high prevalence of multi-drug resistant tuberculosis.
            ``(3) Global alliance for tuberculosis drug development.--
        The term `Global Alliance for Tuberculosis Drug Development' 
        means the public-private partnership that brings together 
        leaders in health, science, philanthropy, and private industry 
        to devise new approaches to tuberculosis and to ensure that new 
        medications are available and affordable in high tuberculosis 
        burden countries and other affected countries.

[[Page 117 STAT. 736]]

            ``(4) Global tuberculosis drug facility.--The term `Global 
        Tuberculosis Drug Facility (GDF)' means the new initiative of 
        the Stop Tuberculosis Partnership to increase access to high-
        quality tuberculosis drugs to facilitate DOTS expansion.
            ``(5) Stop tuberculosis partnership.--The term `Stop 
        Tuberculosis Partnership' means the partnership of the World 
        Health Organization, donors including the United States, high 
        tuberculosis burden countries, multilateral agencies, and 
        nongovernmental and technical agencies committed to short- and 
        long-term measures required to control and eventually eliminate 
        tuberculosis as a public health problem in the world.''.

    (b) Authorization of <<NOTE: 22 USC 7632.>> Appropriations.--
            (1) In general.--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 2004 
        through 2008 to carry out section 104B of the Foreign Assistance 
        Act of 1961, as added by subsection (a).
            (2) Availability of funds.--Amounts appropriated pursuant to 
        the authorization of appropriations under paragraph (1) are 
        authorized to remain available until expended.
            (3) Transfer of prior year funds.--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 2004 through 2008 under paragraph (1).

SEC. 303. ASSISTANCE TO COMBAT MALARIA.

    (a) Amendment of the Foreign Assistance Act of 1961.--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:

``SEC. 104C. <<NOTE: 22 USC 2151b-4.>> ASSISTANCE TO COMBAT MALARIA.

    ``(a) Finding.--Congress finds that malaria kills more people 
annually than any other communicable disease except tuberculosis, that 
more than 90 percent of all malaria cases are in sub-Saharan Africa, and 
that children and women are particularly at risk. Congress recognizes 
that there are cost-effective tools to decrease the spread of malaria 
and that malaria is a curable disease if promptly diagnosed and 
adequately treated.
    ``(b) Policy.--It is a major objective of the foreign assistance 
program of the United States to provide assistance for the prevention, 
control, and cure of malaria.
    ``(c) Authorization.--To carry out this section and consistent with 
section 104(c), the President is authorized to furnish assistance, on 
such terms and conditions as the President may determine, for the 
prevention, treatment, control, and elimination of malaria.
    ``(d) Coordination.--In <<NOTE: President.>> carrying out this 
section, the President shall coordinate with the World Health 
Organization, the Global Fund to Fight AIDS, Tuberculosis, and Malaria, 
the Department of Health and Human Services (the Centers for Disease 
Control

[[Page 117 STAT. 737]]

and Prevention and the National Institutes of Health), and other 
organizations with respect to the development and implementation of a 
comprehensive malaria control program.''.

    (b) Authorization of <<NOTE: 22 USC 7633.>> Appropriations.--
            (1) In general.--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 fiscal years 2004 through 2008 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.
            (2) Availability of funds.--Amounts appropriated pursuant to 
        paragraph (1) are authorized to remain available until expended.
            (3) Transfer of prior year funds.--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 2004 through 
        2008 under paragraph (1).

    (c) Conforming Amendment.--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:
    ``(4) Relationship to other laws.--Assistance made available under 
this subsection and sections 104A, 104B, and 104C, and assistance made 
available under chapter 4 of part II to carry out the purposes of this 
subsection and the provisions cited in this paragraph, may be made 
available notwithstanding any other provision of law that restricts 
assistance to foreign countries, except for the provisions of this 
subsection, the provisions of law cited in this paragraph, subsection 
(f), section 634A of this Act, and provisions of law that limit 
assistance to organizations that support or participate in a program of 
coercive abortion or involuntary sterilization included under the Child 
Survival and Health Programs Fund heading in the Consolidated 
Appropriations Resolution, 2003 (Public Law 108-7).''.

SEC. 304. <<NOTE: 22 USC 7634.>> PILOT PROGRAM FOR THE PLACEMENT OF 
            HEALTH CARE PROFESSIONALS IN OVERSEAS AREAS SEVERELY 
            AFFECTED BY HIV/AIDS, TUBERCULOSIS, AND MALARIA.

    (a) In General.--The <<NOTE: President.>> 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.

    (b) Requirements.--Participants in the program shall--
            (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;

[[Page 117 STAT. 738]]

            (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;
            (3) provide health care educational training for residents 
        of the area in which they are serving;
            (4) serve for a period of up to 3 years; and
            (5) meet the eligibility requirements in subsection (d).

    (c) Eligibility Requirements.--To be eligible to participate in the 
program, a candidate shall--
            (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
            (2) be a retired commissioned officer of the Public Health 
        Service Corps.

    (d) Recruitment.--The <<NOTE: President.>> 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.

    (e) Placement of Participants.--
            (1) In general.--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.
            (2) Coordination.--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)).

    (f) Incentives.--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.
    (g) Report.--Not <<NOTE: Deadline. President.>> 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--
            (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;
            (2) the process, including the criteria used, for the 
        selection of participants;

[[Page 117 STAT. 739]]

            (3) the number of participants placed, the countries in 
        which they were placed, and why those countries were selected; 
        and
            (4) the potential for expansion of the program.

    (h) Authorization of Appropriations.--
            (1) In general.--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.
            (2) Availability of funds.--Amounts appropriated pursuant to 
        the authorization of appropriations under paragraph (1) are 
        authorized to remain available until expended.

SEC. 305. <<NOTE: 22 USC 7635.>> REPORT ON TREATMENT ACTIVITIES BY 
            RELEVANT EXECUTIVE BRANCH AGENCIES.

    (a) In General.--Not <<NOTE: President. Deadline.>> 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.

    (b) Report Elements.--The report shall include--
            (1) a description of the activities of relevant executive 
        branch agencies with respect to--
                    (A) the treatment of opportunistic infections;
                    (B) the use of antiretrovirals;
                    (C) the status of research into successful treatment 
                protocols for individuals in the developing world;

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