H.R. 10457House118th Congress (2023-2025)In Committee

PEPFAR Extension Act of 2024

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Updated January 20, 2026 at 8:28 PM UTC

The PEPFAR Extension Act of 2024 amends the United States Leadership Against HIV/AIDS, Tuberculosis, and Malaria Act of 2003 to push back key deadlines for the President’s Emergency Plan for AIDS Relief. It moves reporting, study, and funding timelines from 2024‑2025 out to 2030, and extends the overall program deadline to September 30, 2031. The changes affect how the program is overseen, funded, and coordinated with international partners.

Key Provisions

Extend the Inspector General’s reporting and the required annual study deadline from March 2025 to 2030, and move the program’s final deadline to September 30, 2031.
Extend the United States’ participation dates in the Global Fund to fight AIDS, tuberculosis, and malaria through 2030.
Update the fund allocation provisions so that funding can be provided through fiscal year 2030 instead of ending in 2024/2025.

Legislative Activity

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2 earlier actions

HouseIntro Referral Latest Action

Referred to the House Committee on Foreign Affairs.

Foreign Affairs Committee

December 17, 2024

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HouseIntro Referral

Introduced in House

December 17, 2024

HouseIntro Referral

Sponsor introductory remarks on measure. (CR H7303)

December 17, 2024

HouseIntro Referral

Referred to the House Committee on Foreign Affairs.

Foreign Affairs Committee

December 17, 2024

Bill Text

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Introduced in HouseIssued December 17, 2024

118th CONGRESS

2d Session

H. R. 10457

IN THE HOUSE OF REPRESENTATIVES

December 17, 2024

Ms. Lee of California (for herself, Mr. Meeks, and Ms. Kelly of Illinois) introduced the following bill; which was referred to the Committee on Foreign Affairs

A BILL

To amend the United States Leadership Against HIV/AIDS, Tuberculosis, and Malaria Act of 2003 to extend the President’s Emergency Plan for AIDS Relief program.

Short title

This Act may be cited as the PEPFAR Extension Act of 2024.

Inspectors General and annual study

Section 101 of the United States Leadership Against HIV/AIDS, Tuberculosis, and Malaria Act of 2003 (22 U.S.C. 7611) is amended—

(1)

in subsection (f)(1)—

(A)

in subparagraph (A), by striking March 25 of fiscal year 2025 and inserting 2030; and

(B)

in subparagraph (C)(iv)—

(i)

by striking eleven and inserting 16; and

(ii)

by striking 2025 and inserting 2030; and

(2)

in subsection (g)—

(A)

in paragraph (1), by striking March 25, 2025 and inserting September 30, 2031; and

(B)

in paragraph (2)—

(i)

in the heading, by striking 2024 and inserting 2031; and

(ii)

by striking March 25, 2025 and inserting September 30, 2031.

Participation in the Global Fund to Fight AIDS, Tuberculosis, and Malaria

Section 202(d) of the United States Leadership Against HIV/AIDS, Tuberculosis, and Malaria Act of 2003 (22 U.S.C. 7622(d)) is amended—

(1)

in paragraph (4)—

(A)

in subparagraph (A)—

(i)

in clause (i), by striking March 25 of fiscal year 2025 and inserting 2030; and

(ii)

in clause (ii), by striking March 25 of fiscal year 2025 and inserting 2030; and

(B)

in subparagraph (B)(iii), by striking 2024 and and all that follows through 2025 and inserting 2030; and

(2)

in paragraph (5), by striking 2024 and and all that follows through such fiscal year and inserting 2030.

Allocation of Funds

Section 403 of the United States Leadership Against HIV/AIDS, Tuberculosis, and Malaria Act of 2003 (22 U.S.C. 7673) is amended—

(1)

in subsection (b), by striking 2024 and and all that follows through such fiscal year and inserting 2030; and

(2)

in subsection (c), in the matter preceding paragraph (1), by striking 2024 and and all that follows through such fiscal year and inserting 2030.