An amendment numbered 1 printed in House Report 108-80 to establish priorities for the distribution of resources based on factors such as the size and demographics of specific nations to ensure that the countries that need assistance the most receive it first. Commissions a report by the Institutes of Medicine that compares the success rates of various programs and methods used under the strategy set forth in H.R. 1298.

1. 1

   Change 1: Inserts “and reduce duplication” after “improve coordination”

   InsertsPage 20, line 19Printed page

   In H.R. 1298 · Reported in House

   (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 [inserted: 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;

   Original wording

   Page 20, line 19, insert “and reduce duplication” after “improve coordination”.

2. 2

   Change 2: Replaces “resources; and” with “resources;”

   ReplacesPage 20, line 25Printed page

   In H.R. 1298 · Reported in House

   (6) project general levels of resources needed to achieve the stated objectives;

   (7) expand public-private partnerships and the leveraging of resources;[struck: and]

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

   Original wording

   Page 20, line 25, strike “resources; and” and insert “resources;”.

3. 3

   Change 3: Replaces “research.” with “research;”

   ReplacesPage 21, line 3Printed page

   In H.R. 1298 · Reported in House

   (7) expand public-private partnerships and the leveraging of resources; and

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

   (b) Report.--

   Original wording

   Page 21, line 3, strike “research.” and insert “research;”.

4. 4

   Change 4: Inserts new text on page 21, line 3

   InsertsPrinted page

   Inserted: (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

   Inserted: (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.

   Original wording

   Page 21, after line 3, insert the following:

5. 5

   Change 5: Inserts new text on page 26, line 13

   InsertsPrinted page

   Inserted: (c) Study; Distribution of Resources.--

   Inserted: (1) Study.--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.

   Inserted: (2) Distribution of resources.--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.

   Original wording

   Page 26, after line 13, insert the following:

6. 6

   Change 6: Replaces “in the fiscal year 2004” with “for the period of fiscal year 2004 beginning on January 1, 2004”

   ReplacesPage 34, line 21Printed page

   In H.R. 1298 · Reported in House

   (c) United States Financial Participation.--

   (1) Authorization of appropriations.--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 $1,000,000,000 [struck: in][inserted: for] the [inserted: period of ]fiscal year 2004[struck: , ][inserted: beginning on January 1, 2004, ]and such sums as may be necessary for the fiscal years 2005-2008, for contributions to the Global Fund.

   (2) Availability of funds.--Amounts appropriated under paragraph (1) are authorized to remain available until expended.

   Original wording

   Page 34, line 21, strike “in the fiscal year 2004” and insert “for the period of fiscal year 2004 beginning on January 1, 2004”.

7. 7

   Change 7: Inserts new text on page 36, line 13

   InsertsPrinted page

   Inserted: (iii) 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.

   Inserted: (iv) 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.

   Original wording

   Page 36, after line 13, insert the following:

8. 8

   Change 8: Replaces “(B) Any amount made available under this subsection that is withheld by reason of subpara…” with “(B)(i) Any amount made available under this subsection that is withheld by reason of subp…”

   ReplacesPage 36, line 14Printed page

   In H.R. 1298 · Reported in House

   (ii) If, at any time during any of the fiscal years 2004 through 2008, 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.

   (B)[inserted: (i)] Any amount made available under this subsection that is withheld by reason of subparagraph (A)[inserted: (i)] shall be contributed to the Global Fund as soon as practicable, subject to subparagraph (A), after additional contributions to the Global Fund are made from other sources.

   (C)(i) 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.

   Original wording

   Page 36, line 14, strike “(B) Any amount made available under this subsection that is withheld by reason of subparagraph (A)” and insert “(B)(i) Any amount made available under this subsection that is withheld by reason of subparagraph (A)(i)”.

9. 9

   Change 9: Inserts new text on page 36, line 19

   InsertsPrinted page

   Inserted: (ii) Any amount made available under this subsection that is withheld by reason of subparagraph (A)(iii) shall be transferred to the Activities to Combat HIV/AIDS Globally Fund and shall remain available under the same terms and conditions as funds appropriated pursuant to the authorization of appropriations under section 401 for HIV/ AIDS assistance.

   Original wording

   Page 36, after line 19, insert the following:

10. 10

    Change 10: Inserts new text on page 39, line 9

    InsertsPrinted page

    Inserted: (f) Provision of Information to Congress.--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:

    Inserted: (1) All financial and accounting statements for the Global Fund and the Activities to Combat HIV/AIDS Globally Fund, including administrative and grantee statements.

    Inserted: (2) Reports provided to the Global Fund and the Activities to Combat HIV/AIDS Globally Fund by organizations contracted to audit recipients of funds.

    Inserted: (3) 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.

    Inserted: (4) Progress reports submitted to the Global Fund and the Activities to Combat HIV/AIDS Globally Fund by grantees.

    Original wording

    Page 39, after line 9, insert the following:

11. 11

    Change 11: Adds SEC. 306. STRATEGIES TO IMPROVE INJECTION SAFETY on page 69, line 3

    Adds a sectionPrinted page

    Inserted: SEC. 306. STRATEGIES TO IMPROVE INJECTION SAFETY.

    Inserted: Section 307 of the Public Health Service Act (42 U.S.C. 242l) is amended by adding at the end the following:

    Inserted: "(d) 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.".

    Inserted: SEC. 307. STUDY ON ILLEGAL DIVERSIONS OF PRESCRIPTION DRUGS.

    Inserted: 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:

    Inserted: (1) 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.

    Inserted: (2) 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.

    Inserted: (3) 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.

    Original wording

    Page 69, after line 3, insert the following:

Read automatically from the Congressional Record. Check the original before relying on it.

As printed