I 

118TH CONGRESS 

2D SESSION H. R. 10365 

To extend certain authorities relating to United States efforts to combat 

HIV/AIDS, tuberculosis, and malaria globally, and for other purposes. 

IN THE HOUSE OF REPRESENTATIVES 

DECEMBER 11, 2024 

Mr. JAMES introduced the following bill; which was referred to the Committee 

on Foreign Affairs 

A BILL 

To extend certain authorities relating to United States efforts to combat HIV/AIDS, tuberculosis, and malaria 

globally, and for other purposes. 

1 Be it enacted by the Senate and House of Representa2 tives of the United States of America in Congress assembled, 

3 SECTION 1. SHORT TITLE. 

4 This Act may be cited as the ‘‘PEPFAR Extension 

5 and Reform Act of 2024’’. 

6 SEC. 2. INSPECTORS GENERAL AND ANNUAL STUDY. 

7 Section 101 of the United States Leadership Against 

8 HIV/AIDS, Tuberculosis, and Malaria Act of 2003 (22 

9 U.S.C. 7611) is amended— 

10 (1) in subsection (f)(1)— 


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1 (A) in subparagraph (A), by striking 

2 ‘‘2023’’ and inserting ‘‘2028’’; and 

3 (B) in subparagraph (C)(iv)— 

4 (i) by striking ‘‘nine’’ and inserting 

5 ‘‘14’’; and 

6 (ii) by striking ‘‘2018’’ and inserting 

7 ‘‘2023’’; and 

8 (2) in subsection (g)— 

9 (A) in paragraph (1), by striking ‘‘2024’’ 

10 and inserting ‘‘2029’’; and 

11 (B) in paragraph (2)— 

12 (i) in the heading, by striking ‘‘2024’’ 

13 and inserting ‘‘2029’’; and 

14 (ii) by striking ‘‘September 30, 2024’’ 

15 and inserting ‘‘September 30, 2029’’. 

16 SEC. 3. PARTICIPATION IN THE GLOBAL FUND TO FIGHT 

17 AIDS, TUBERCULOSIS, AND MALARIA. 

18 Section 202(d) of the United States Leadership 

19 Against HIV/AIDS, Tuberculosis, and Malaria Act of 

20 2003 (22 U.S.C. 7622(d)) is amended— 

21 (1) in paragraph (4)— 

22 (A) in subparagraph (A)— 

23 (i) in clause (i), by striking ‘‘2023’’ 

24 and inserting ‘‘2028’’; and 


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1 (ii) in clause (ii), by striking ‘‘2023’’ 

2 and inserting ‘‘2028’’; and 

3 (B) in subparagraph (B)(iii), by striking 

4 ‘‘2023’’ and inserting ‘‘2028’’; and 

5 (2) in paragraph (5), by striking ‘‘2023’’ and 

6 inserting ‘‘2028’’. 

7 SEC. 4. ALLOCATION OF FUNDS. 

8 Section 403 of the United States Leadership Against 

9 HIV/AIDS, Tuberculosis, and Malaria Act of 2003 (22 

10 U.S.C. 7673) is amended— 

11 (1) in subsection (b), by striking ‘‘2023’’ and 

12 inserting ‘‘2028’’; 

13 (2) in subsection (c), in the matter preceding 

14 paragraph (1), by striking ‘‘2023’’ and inserting 

15 ‘‘2028’’; and 

16 (3) by adding at the end the following new sub17 section: 

18 ‘‘(e) LIMITATION.—None of the funds appropriated 

19 or otherwise made available by this Act for global health 

20 assistance may be made available to any foreign nonprofit, 

21 nongovernmental, or quasi-autonomous nongovernmental 

22 organization that promotes, performs, or provides con23 sultation for— 


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1 ‘‘(1) abortion, except in cases of rape or incest 

2 or when the life of the mother would be endangered 

3 if the fetus were carried to term; or 

4 ‘‘(2) gender reassignment surgery or drug 

5 issuance.’’. 

Æ 


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