H.R. 4191House108th Congress (2003-2005)In Committee

International Pediatric HIV/AIDS Network Act of 2004

Introduced April 21, 2004

Legislative Activity

Stay on top of the latest movement without scrolling through every action

1 earlier action
HouseIntro Referral Latest Action

Referred to the House Committee on International Relations.

April 21, 2004

View full timeline
HouseIntro Referral

Introduced in House

April 21, 2004

HouseIntro Referral

Referred to the House Committee on International Relations.

April 21, 2004

Floor Debate

24 members

What members said about H.R. 4191 on the floor

11 Republicans13 Democrats
Jim Kolbe
Rep. Jim KolbeR-AZ-8 · Jul 15, 2004

Mr. Chairman, I yield myself such time as I may consume. I am pleased to present to the House today the funding recommendations of the Committee on Appropriations for fiscal year 2005 for foreign…

Sheila Jackson Lee
Rep. Sheila Jackson LeeD-TX-18 · Jul 15, 2004

Mr. Chairman, there is no doubt that this must be the most popular appropriations subcommittee, because so many of us have come to the chairman and the ranking member on many of our issues. Really,…

Nita M. Lowey
Rep. Nita M. LoweyD-NY-18 · Jul 15, 2004

Mr. Chairman, I yield myself such time as I may consume. Mr. Chairman, I rise in strong support of this bill. I want to begin by thanking the gentleman from Arizona (Chairman Kolbe) for the close…

Brad Sherman
Rep. Brad ShermanD-CA-27 · Jul 15, 2004

Mr. Chairman, I offer an amendment. Mr. Chairman, I yield myself 3 minutes. I introduced this amendment on behalf of myself and the gentlewoman from Florida (Ms. Ros-Lehtinen). The gentlewoman is the…

Jesse L. Jackson, Jr.
Rep. Jesse L. Jackson, Jr.D-IL-2 · Jul 15, 2004

Mr. Chairman, I rise to commend Chairman Jim Kolbe, Ranking Member Nita Lowey, the other members of the Foreign Operations Appropriations Subcommittee and the majority and minority staffs for the…

Show 8 more
Steven R. Rothman
Rep. Steven R. RothmanD-NJ-9 · Jul 15, 2004

Mr. Chairman, I thank the gentlewoman from New York for yielding me the time. Allow me, Mr. Chairman, to first thank the gentleman from Arizona (Mr. Wicker) for all of his cooperation and that of his…

Roger F. Wicker
Rep. Roger F. WickerR-MS-1 · Jul 15, 2004

Mr. Chairman, I thank Mr. Kolbe for those words. I want to begin by agreeing with the gentlewoman from Michigan who just spoke about the bipartisan nature of this subcommittee and the product that we…

Ginny Brown-Waite
Rep. Ginny Brown-WaiteR-FL-5 · Jul 15, 2004

Mr. Chairman, I rise today to speak out against H.R. 4818, this year's Foreign Operations Appropriation Bill. I want to state my apprehension about what has been this Nation's philosophy toward…

Joe Knollenberg
Rep. Joe KnollenbergR-MI-9 · Jul 15, 2004

Mr. Chairman, I rise in strong support of this bill and encourage all of my colleagues to vote in favor of it today. I want to thank the gentleman from Arizona (Chairman Kolbe) and the gentlewoman…

Ileana Ros-Lehtinen
Rep. Ileana Ros-LehtinenR-FL-18 · Jul 15, 2004

Mr. Chairman, I thank my friend, my distinguished colleague from California, for the time, and I rise in strong support of the Sherman/Ros-Lehtinen amendment and ask my colleagues to render their…

Mark Kirk
Rep. Mark KirkR-IL-10 · Jul 15, 2004

Mr. Chairman, I rise in very strong support of this bill and the work of the gentleman from Arizona (Mr. Kolbe) and the gentlewoman from New York (Mrs. Lowey), our chair and ranking minority member.…

James C. Greenwood
Rep. James C. GreenwoodR-PA-8 · Jul 15, 2004

Mr. Chairman, today, as the House considers the Foreign Operations Appropriations Act of 2005, I respectfully submit the following statement into the record in order to raise awareness of an issue…

Joseph Crowley
Rep. Joseph CrowleyD-NY-7 · Jul 15, 2004

Mr. Chairman, I rise today in strong support of this bipartisan legislation crafted by Mr. Kolbe and my good friend from New York, Ms. Lowey. Representing one of the most diverse Congressional…

Show 11 more
Carolyn C. Kilpatrick
Rep. Carolyn C. KilpatrickD-MI-13 · Jul 15, 2004

Mr. Chairman, to my ranking member, I thank her for yielding me this time. I first want to commend the gentleman from Arizona (Chairman Kolbe) for running and steering the committee in such a way…

Anthony D. Weiner
Rep. Anthony D. WeinerD-NY-9 · Jul 15, 2004

Mr. Chairman, I thank the chairman and the ranking member for their fine work on this bill. This is an extraordinarily important bill each year. It is very easy to demagogue that we should provide…

Rob Portman
Rep. Rob PortmanR-OH-2 · Jul 15, 2004

Mr. Chairman, I rise today to express my support for H.R. 4818, the FY 2005 Foreign Operations Appropriations bill, and I want to commend Chairman Kolbe and Ranking Member Lowey for including $20…

Fortney Pete Stark
Rep. Fortney Pete StarkD-CA-13 · Jul 15, 2004

Mr. Chairman, I rise in support of the Foreign Operations Appropriations Act for Fiscal Year 2005. There are many important initiatives in this bill, specifically: the extra funding for economic…

Jim Nussle
Rep. Jim NussleR-IA-1 · Jul 15, 2004

Mr. Chairman, I rise today to speak on H.R. 4818, the Foreign Operations, Export Financing, and Related Programs Appropriations Act of Fiscal Year 2005. This is the [seventh] bill we are considering…

Earl Blumenauer
Rep. Earl BlumenauerD-OR-3 · Jul 15, 2004

Mr. Chairman, I thank the gentlewoman for yielding me time. I would join in the praise that I think is well deserved, commending the committee for what it has accomplished within a 302(b) allocation…

Patrick J. Kennedy
Rep. Patrick J. KennedyD-RI-1 · Jul 15, 2004

Mr. Chairman, I thank the gentlewoman from New York (Mrs. Lowey) and the chairman for their work on this legislation. I too want to join any colleagues in saying how important a bill like this is,…

Kay Granger
Rep. Kay GrangerR-TX-12 · Jul 15, 2004

Mr. Chairman, I thank the gentleman from Arizona (Mr. Kolbe) and ranking member, the gentlewoman from New York (Ms. Lowey), for their hard work on this bill. This is a tough appropriations year. The…

Juanita Millender-McDonald
Rep. Juanita Millender-McDonaldD-CA-37 · Jul 15, 2004

Mr. Chairman, let me thank the gentlewoman from New York (Ms. Lowey) for her ongoing strong leadership. She has been upfront on this issue since I have been in Congress and even before that. I would…

Ander Crenshaw
Rep. Ander CrenshawR-FL-4 · Jul 15, 2004

Mr. Chairman, there are a lot of good reasons to support this legislation, but let me just touch on one, the Millennium Challenge Account. It is a new way to deal with foreign aid and foreign…

Robert E. Andrews
Rep. Robert E. AndrewsD-NJ-1 · Jul 15, 2004

Mr. Chairman, I thank my very gracious friend, the gentlewoman from New York (Mrs. Lowey), for yielding me this time. Mr. Chairman, the story of boys and girls living on the street and starving to…

Bill Text

Latest available legislative text

Reading Mode
Latest
Introduced in HouseIssued April 21, 2004

I

108th CONGRESS

2d Session

H. R. 4191

IN THE HOUSE OF REPRESENTATIVES

April 21, 2004

Ms. Millender-McDonald introduced the following bill; which was referred to the Committee on International Relations

A BILL

To amend the Foreign Assistance Act of 1961 to provide for the establishment of a network of pediatric centers in certain developing countries to provide treatment and care for children with HIV/AIDS, and for other purposes.

1.

Short Title

This Act may be cited as the International Pediatric HIV/AIDS Network Act of 2004.

2.

Findings

Congress finds the following:

(1)

HIV/AIDS causes the death of more individuals than any other infectious disease, surpassing even tuberculosis and malaria, the leading causes of death since antiquity. In 2003 HIV/AIDS caused the death of more than 3,000,000 individuals.

(2)

Worldwide, approximately 40,000,000 adults and children are infected with HIV, and approximately 28,000,000 individuals have died of AIDS since the beginning of the epidemic, including approximately 5,600,000 children.

(3)

Approximately 50 percent of all new HIV infections occur among young people 15 to 24 years of age.

(4)

Each day more than 2,000 children are infected with HIV and 16 percent of all new HIV infections involve children.

(5)

In 2003 more than 700,000 children became infected with HIV and a total of approximately 2,500,000 children were living with HIV/AIDS.

(6)

In 2003 approximately 500,000 children died from AIDS. By the end of 2003 a total of more than 5,600,000 children had died from AIDS since the beginning of the epidemic.

(7)

The HIV/AIDS epidemic has a devastating impact on children and families. More than 14,000,000 children have been orphaned as a result of HIV/AIDS, of whom 95 percent live in sub-Saharan Africa.

(8)

The following represents the approximate number of children under the age of 15 who are living with HIV/AIDS in the countries indicated: 270,000 in Nigeria, 250,000 in South Africa, 230,000 in Ethiopia, 220,000 in Kenya, 170,000 in Tanzania, 150,000 in Zambia, 110,000 in Uganda, 84,000 in Côte d’Ivoire, 80,000 in Mozambique, 65,000 in Rwanda, 30,000 in Namibia, 170,000 in India, 2,000 in the People’s Republic of China, and 800 in Guyana.

(9)

These countries are developing countries in which very few individuals infected with HIV have access to antiretroviral therapies.

(10)

Approximately 50 percent of all individuals who become infected with HIV acquire the virus before the age of 25 and die from AIDS or AIDS-related illnesses before the age of 35. The propensity of HIV to infect adolescents and young adults poses a unique threat to children for acquisition of the virus.

(11)

In addition, 95 percent of HIV/AIDS-associated deaths occur in developing countries. Some projections indicate that by 2005 the number of individuals infected with HIV in Africa may double to approximately 60,000,000 individuals. Asia, especially India and the People’s Republic of China, is acknowledged to represent the next region to experience a major increase in the HIV/AIDS epidemic.

(12)

There is also a lack of health care professionals with expertise or experience in treating children infected with HIV, including the provision of therapy, dosing, administration, and monitoring. Treatment for children infected with HIV is not as widely available as it is for adults infected with HIV and thus children represent a disproportionate share of those individuals infected with HIV who do not have access treatment.

(13)

Most health care professionals in developing countries lack formal education or training in pediatric HIV/AIDS treatment, have limited access to relevant scientific and medical literature, and do not network or collaborate with their colleagues in other institutions on any regular basis.

(14)

Formal research training for such health care professionals is almost non-existent, as well as studies specifically designed to address practical and affordable approaches to the prevention and treatment of HIV/AIDS. Infrastructure for the conduct of HIV/AIDS clinical research is lacking in most developing countries.

(15)

The establishment of a network of pediatric centers to provide treatment and care for children with HIV/AIDS in developing countries and the training of pediatric health care professionals would be an important contribution to the prevention, treatment, and monitoring of HIV/AIDS cases in those countries.

(16)

The establishment of this network will mean that approximately 40,000 children with HIV/AIDS will receive treatment and care at the pediatric centers during the five year-period beginning immediately after the establishment of the network. This will dramatically enhance the global infrastructure and capacity for HIV/AIDS care and treatment and clinical research. Each center would become self-sustaining after the initial five year-period.

(17)

These centers will be developed and staffed collaboratively by United States and local professionals. The centers would be modeled after two landmark international pediatric HIV/AIDS care and treatment centers already established and operating in Constanta, Romania, and Gaborone, Botswana.

(18)

Based on the model of the pediatric HIV/AIDS care and treatment centers in Constanta, Romania and Gaborone, Botswana, these centers will make a valuable contribution not only to the treatment of HIV/AIDS, but also to routine care, psychosocial care, and nutritional and other child life services.

3.

Amendments to the Foreign Assistance Act of 1961

(a)

Network of Pediatric HIV/AIDS Centers

Section 104A(d) of the Foreign Assistance Act of 1961 (22 U.S.C. 2151b-2(d)) is amended by adding at the end the following new paragraph:

(8)

Network of pediatric hiv/aids centers

The establishment and operation by one or more public-private partnership entities described in paragraph (7) of a network of pediatric centers in countries in sub-Saharan Africa, the Republic of India, the People’s Republic of China, the Co-operative Republic of Guyana, and other countries and areas with high rates of HIV/AIDS to provide treatment and care for children with HIV/AIDS in such countries and areas and to provide training of pediatric health care professionals at such centers.

.

(b)

Funding

Section 104A of the Foreign Assistance Act of 1961 is amended—

(1)

by redesignating subsection (g) as subsection (h); and

(2)

by inserting after subsection (f) the following new subsection:

(g)

Funding for Network of Pediatric HIV/AIDS Centers

Of the funds made available to carry out this section for fiscal years 2005 through 2009, not less than $10,000,000 for each such fiscal year is authorized to be made available to carry out subsection (d)(8).

.