I 

113TH CONGRESS 

1ST SESSION H. R. 3117 

To bring an end to the spread of HIV/AIDS in the United States and 

around the world. 

IN THE HOUSE OF REPRESENTATIVES 

SEPTEMBER 17, 2013 

Ms. LEE of California introduced the following bill; which was referred to the 

Committee on Foreign Affairs, and in addition to the Committee on Ways 

and Means, for a period to be subsequently determined by the Speaker, 

in each case for consideration of such provisions as fall within the jurisdiction of the committee concerned 

A BILL 

To bring an end to the spread of HIV/AIDS in the United 

States and around the world. 

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; TABLE OF CONTENTS. 

4 (a) SHORT TITLE.—This Act may be cited as the 

5 ‘‘Ending the HIV/AIDS Epidemic Act of 2013’’. 

6 (b) TABLE OF CONTENTS.—The table of contents of 

7 this Act is as follows: 

Sec. 1. Short title; table of contents. 

Sec. 2. Statement of policy. 

Sec. 3. Findings. 


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TITLE I—GLOBAL HIV/AIDS-FREE GENERATION STRATEGY 

Sec. 101. Global HIV/AIDS-Free Generation Strategy. 

TITLE II—USING FUNDS STRATEGICALLY TO MAXIMIZE RESULTS 

Sec. 201. Support for operations research to improve program delivery, efficiency, impact, and effectiveness. 

Sec. 202. Increasing coordination and integration of HIV/AIDS programs with 

development programs. 

Sec. 203. Increasing program effectiveness and sustainability to achieve successful country ownership. 

TITLE III—ADDRESSING LEGAL AND POLICY BARRIERS TO 

ACCESSING HEALTH CARE 

Subtitle A—General Provisions 

Sec. 301. Support for laws and regulations that improve health outcomes and 

promote human rights. 

Sec. 302. Intensifying efforts to establish effective programs for engaging key 

affected populations. 

Sec. 303. Ensuring United States trade policy does not restrict access to affordable medicines. 

Subtitle B—Repeal of Certain Provisions of Public Law 108–25 

Sec. 311. Repeal of ‘‘conscience clause’’ requirement for eligibility for assistance. 

Sec. 312. Repeal of limitation on use of funds for assistance for sex workers. 

Sec. 313. Repeal of reporting requirement on activities promoting abstinence 

and related activities. 

Sec. 314. Effective date. 

TITLE IV—DEFINITIONS 

Sec. 401. Definitions. 

1 SEC. 2. STATEMENT OF POLICY. 

2 It is the policy of the United States to achieve an 

3 AIDS-free generation, and to— 

4 (1) expand access to lifesaving antiretroviral 

5 therapy for people living with HIV/AIDS and imme6 diately link people to continuous and coordinated 

7 high-quality care when they learn they are infected 

8 with HIV; 


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1 (2) expand targeted efforts to prevent HIV in2 fection using a combination of effective, evidence3 based approaches, including the elimination of new 

4 pediatric HIV infections worldwide, routine HIV 

5 screening, and universal access to HIV prevention 

6 tools in the communities where HIV/AIDS is most 

7 heavily concentrated; 

8 (3) ensure laws, policies, and regulations do not 

9 impede access to prevention, treatment, and care for 

10 people living with HIV/AIDS or at risk for acquiring 

11 HIV; 

12 (4) accelerate research for more efficacious HIV 

13 prevention and treatments tools, a cure, and a vac14 cine; and 

15 (5) respect the human rights and dignity of 

16 persons living with HIV/AIDS. 

17 SEC. 3. FINDINGS. 

18 The Congress makes the following findings: 

19 (1) An estimated 34,000,000 people around the 

20 world were living with HIV at the end of 2010, up 

21 from 8,000,000 in 1990. 

22 (2) Developing countries continue to bear the 

23 brunt of the HIV/AIDS epidemic, with sub-Saharan 

24 Africa accounting for 68 percent of all adults and 


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1 children living with HIV/AIDS, 59 percent of whom 

2 are female. 

3 (3) Despite global efforts, 1,000 children 

4 around the world still contract HIV each day, the 

5 majority through mother-to-child transmission of 

6 HIV. 

7 (4) HIV prevalence among young people aged 

8 15 to 24 has declined in many countries most im9 pacted by HIV; nevertheless, young people still ac10 count for 42 percent of all new infections among in11 dividuals aged 15 and older. 

12 (5) A substantial number of HIV-positive 

13 women in HIV care and treatment programs or pre14 vention of mother-to-child transmission (PMTCT) 

15 programs experience an unplanned pregnancy. 

16 (6) Making contraceptive services more widely 

17 available through HIV care, treatment, and PMTCT 

18 programs would make it easier for women to coordi19 nate their HIV-related care with their pregnancy 

20 prevention goals, and at the same time, help prevent 

21 mother-to-child HIV transmission. 

22 (7) In 2008, the Tom Lantos and Henry J. 

23 Hyde United States Global Leadership Against HIV/ 

24 AIDS, Tuberculosis, and Malaria Reauthorization 

25 Act was enacted into law, reauthorizing the PresiVerDate Mar 15 2010 23:11 Sep 18, 2013 Jkt 029200 PO 00000 Frm 00004 Fmt 6652 Sfmt 6201 E:\BILLS\H3117.IH H3117

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1 dent’s Emergency Plan for AIDS Relief (PEPFAR) 

2 and continued United States participation and con3 tributions to the Global Fund to Fight AIDS, Tu4 berculosis and Malaria. 

5 (8) The United States President’s Emergency 

6 Plan for AIDS Relief (PEPFAR), which represents 

7 the largest commitment by any nation to combat a 

8 single disease, has saved the lives of millions of peo9 ple around the world by establishing and expanding 

10 the infrastructure necessary to deliver prevention, 

11 care, and treatment services in low-resource settings. 

12 (9) Early detection and treatment of HIV can 

13 have significant positive health effects. New research 

14 demonstrates conclusively that treatment of individ15 uals not only slows disease progression, but can also 

16 reduce the risk of transmission to other individuals 

17 by 96 percent. 

18 (10) In most countries HIV is a disease that 

19 discriminates, disproportionately affecting society’s 

20 most vulnerable. Even in generalized epidemics in 

21 which a significant share of the wider population is 

22 living with HIV/AIDS, people in vulnerable commu23 nities often have considerably higher rates of HIV 

24 infection. 


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1 (11) Reaching men who have sex with men, 

2 transgender people, people who inject drugs, sex 

3 workers, and other vulnerable populations with effec4 tive HIV prevention and treatment is critical to 

5 bringing the AIDS epidemic under control. 

6 (12) In February 2013, the Institute of Medi7 cine releases a report evaluating PEPFAR and 

8 found that PEPFAR, which has provided care and 

9 treatment for more than 5 million people, has been 

10 ‘‘globally transformative’’, a ‘‘lifeline’’ that is ‘‘re11 storing hope’’. 

12 TITLE I—GLOBAL HIV/AIDS-FREE 

13 GENERATION STRATEGY 

14 SEC. 101. GLOBAL HIV/AIDS-FREE GENERATION STRATEGY. 

15 (a) STRATEGY.—The President, acting through the 

16 Coordinator of United States Government Activities to 

17 Combat HIV/AIDS Globally, shall establish a comprehen18 sive, integrated, 5-year strategy to expand and improve 

19 efforts to combat global HIV/AIDS, while promoting effi20 ciency and maximizing results. The strategy shall be re21 ferred to as the ‘‘Global HIV/AIDS-Free Generation 

22 Strategy’’. 

23 (b) CONTENTS.—The strategy shall— 

24 (1) accelerate progress toward achieving the 

25 United States goal of an AIDS-free generation; 


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1 (2) establish a limited number of measurable 

2 targets to accelerate reductions in HIV incidence 

3 and HIV/AIDS-related morbidity and mortality; 

4 (3) strengthen existing and future compacts 

5 and framework agreements authorized under section 

6 104A(d)(8) of the Foreign Assistance Act of 1961 

7 (22 U.S.C. 2151b–2(d)(8)); 

8 (4) strengthen engagement with diplomatic ef9 forts at all levels of government to— 

10 (A) continue to identify and promote link11 ages between efforts to combat HIV/AIDS and 

12 other health development issues and human 

13 rights issues; 

14 (B) encourage and assist national govern15 ments to pursue policies and legal frameworks 

16 that facilitate and enable effective responses to 

17 HIV prevention, care, and treatment services; 

18 and 

19 (C) increase financial accountability; and 

20 (5) provide a plan to— 

21 (A) support early diagnosis and initiation 

22 of HIV treatment to achieve accelerated reduc23 tions of incidence and morbidity; 

24 (B) eliminate vertical transmission of HIV 

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1 nosis and initiation of HIV treatment in infants 

2 and children; 

3 (C) intensify efforts to expand access to 

4 voluntarily medical male circumcision, male and 

5 female condoms and other proven-effective HIV 

6 prevention interventions, in combination with 

7 other evidence-based modalities and structural 

8 interventions; 

9 (D) reduce the risk of HIV infection and 

10 address the HIV-related needs of sex workers, 

11 men who have sex with men, transgender peo12 ple, and people who inject drugs; 

13 (E) increase gender equity in HIV/AIDS 

14 programs and services, including access to vol15 untary family planning and reproductive health 

16 services and reducing violence and coercion; 

17 (F) expand partnership with implementers, 

18 researchers, and academic organizations to im19 prove the science that guides the global re20 sponse to HIV/AIDS; 

21 (G) provide capacity development support 

22 to increase meaningful engagement of civil soci23 ety, especially local indigenous organizations, 

24 that work in the areas of human rights, wom25 en’s and young people’s health and rights, and 


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1 gay, lesbian, bisexual, and transgender rights, 

2 in the development, implementation, moni3 toring, and evaluation of United States-funded 

4 programs; 

5 (H) advance the efforts of developing coun6 tries to develop health systems capable of man7 aging their epidemics, respond to broader 

8 health needs impacting affected communities, 

9 and address new and emerging health concerns; 

10 and 

11 (I) defend, protect, and fulfill the human 

12 rights of people living with HIV and those most 

13 at risk of HIV infection. 

14 (c) CONSULTATION.—In developing the strategy, the 

15 President, acting through the Coordinator of United 

16 States Government Activities to Combat HIV/AIDS Glob17 ally, shall consult with— 

18 (1) each executive branch agency administering 

19 United States foreign assistance related to— 

20 (A) improving global health; 

21 (B) strengthening financial management 

22 systems; and 

23 (C) monitoring and promoting human 

24 rights and democracy; 


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1 (2) personnel at United States embassies and 

2 country missions involved in the administration of 

3 the types of United States foreign assistance de4 scribed in paragraph (1); 

5 (3) the appropriate congressional committees 

6 with jurisdiction over the agencies described in para7 graph (1); 

8 (4) civil society and nongovernmental organiza9 tions engaged in improving health care and health 

10 outcomes in developing countries, including indige11 nous community and faith-based organizations; 

12 (5) international organizations engaged in im13 proving health care and health outcomes in devel14 oping countries and of which the United States is a 

15 voting member, with which the United States coordi16 nates the delivery of foreign assistance, or to which 

17 the United States contributes funding for the pur18 pose of providing such assistance; 

19 (6) academic organizations, private foundations, 

20 businesses, and other organizations engaged in im21 proving health care and health outcomes in devel22 oping countries and not receiving United States 

23 funding for such purposes; 


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1 (7) other donor nations engaged in improving 

2 health care and health outcomes in developing coun3 tries; 

4 (8) countries receiving health-related United 

5 States foreign assistance; 

6 (9) any other global, regional, or subregional 

7 organizations or partnerships engaged in improving 

8 health care and health outcomes in developing coun9 tries; and 

10 (10) small, disadvantaged, and women-owned 

11 businesses and United States minority-serving insti12 tutions, specifically historically Black colleges and 

13 universities. 

14 (d) REPORT.—Not later than 1 year after the date 

15 of the enactment of this Act, the President shall submit 

16 to Congress a report that sets forth the strategy described 

17 in this section. 

18 TITLE II—USING FUNDS STRATE19 GICALLY TO MAXIMIZE RE20 SULTS 

21 SEC. 201. SUPPORT FOR OPERATIONS RESEARCH TO IM22 PROVE PROGRAM DELIVERY, EFFICIENCY, 

23 IMPACT, AND EFFECTIVENESS. 

24 (a) SENSE OF CONGRESS.—It is the sense of the Con25 gress that there is a need and urgency to expand the range 


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1 of interventions for preventing the transmission of HIV, 

2 including behavioral prevention research, operations re3 search to optimize combination HIV prevention, and re4 search on medical technology to prevent HIV infection, in5 cluding microbicides, cost-effective female condoms, Pre6 Exposure Prophylaxis (PrEP), multipurpose technologies 

7 for the prevention of HIV and unintended pregnancy, and 

8 vaccines. 

9 (b) STATEMENT OF POLICY.—It should be the policy 

10 of the United States to ensure that efforts to combat HIV/ 

11 AIDS globally should expand, intensify, and coordinate 

12 operations research to improve the quality, delivery, and 

13 impact of programming, including with respect to— 

14 (1) services appropriate for men who have sex 

15 with men, transgender people, people who inject 

16 drugs, and sex workers; 

17 (2) structural interventions to remove barriers 

18 that inhibit effective implementation of HIV/AIDS19 related foreign assistance, including the analysis of 

20 laws and policies that have a negative health impact 

21 and put individuals at increased risk of HIV infec22 tion; 

23 (3) scalable combination of prevention and 

24 treatment approaches to HIV/AIDS; 


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1 (4) prevention and management of co2 morbidities such as tuberculosis, malaria, and viral 

3 hepatitis; and 

4 (5) identification and follow up of HIV-positive 

5 infants and children in resource-limited settings to 

6 increase the proportion of children accessing HIV 

7 treatment and care services. 

8 SEC. 202. INCREASING COORDINATION AND INTEGRATION 

9 OF HIV/AIDS PROGRAMS WITH DEVELOP10 MENT PROGRAMS. 

11 (a) STATEMENT OF POLICY.—It should be the policy 

12 of the United States to ensure that efforts to combat HIV/ 

13 AIDS globally should maximize efficiencies and the inte14 gration of services and programs to achieve reduction in 

15 HIV transmission rates and the burden of HIV-related 

16 morbidity and mortality, by means that include— 

17 (1) ensuring that women and adolescent girls 

18 with HIV or who are at risk of HIV infection and 

19 who do not wish to become pregnant have access to 

20 voluntary contraceptive services, including a range of 

21 contraceptive options, and voluntary counseling to 

22 plan families, either directly or through meaningful 

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1 grams that provide counseling and a range of con2 traceptive options; 

3 (2) integrating tuberculosis interventions with 

4 HIV services, including case-finding and tuberculosis 

5 treatment, expanding tuberculosis preventive ther6 apy, and reducing other opportunistic infections that 

7 accompany HIV/AIDS; 

8 (3) ensuring young people with HIV are pro9 vided with confidential and affordable access to 

10 youth-friendly comprehensive sexual and reproduc11 tive health services and supplies, including male and 

12 female condoms for the prevention of pregnancy and 

13 sexually transmitted diseases, as relevant; and 

14 (4) working to promote and protect the human 

15 rights of people living with HIV, including men who 

16 have sex with men, transgender people, people who 

17 inject drugs, sex workers, and other vulnerable popu18 lations, including indigenous people, migrants, inter19 nally displaced people, young people, incarcerated 

20 populations, and people with disabilities. 

21 (b) REPORT.—Not later than 180 days after the date 

22 of the enactment of this Act, the Secretary of State shall 

23 submit to the appropriate congressional committees a re24 port describing the utilization of efficiencies in the delivery 

25 of HIV/AIDS treatment services within and between 


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1 United States-funded bilateral and multilateral programs 

2 and partner countries, including to the extent that such 

3 gains in efficiencies are being exhausted. 

4 SEC. 203. INCREASING PROGRAM EFFECTIVENESS AND 

5 SUSTAINABILITY TO ACHIEVE SUCCESSFUL 

6 COUNTRY OWNERSHIP. 

7 (a) STATEMENT OF POLICY.—It should be the policy 

8 of the United States to ensure that efforts to combat HIV/ 

9 AIDS globally should help developing countries signifi10 cantly decrease the burden of HIV, strengthen and im11 prove their health systems, help build country ownership, 

12 and increase financial accountability to ensure sustain13 ability and equitable access to health services, including 

14 by— 

15 (1) assisting developing countries create, 

16 strengthen, and implement their own evidence-based 

17 national HIV/AIDS strategies, by means that in18 clude— 

19 (A) supporting early diagnosis and initi20 ation of HIV and tuberculosis treatment to 

21 achieve accelerated reductions of incidence and 

22 morbidity; 

23 (B) eliminating the vertical transmission of 

24 HIV from mother to child and supporting early 


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1 diagnosis and initiation of HIV treatment in in2 fants and children; 

3 (C) intensifying efforts to expand access to 

4 voluntary medical male circumcision, male and 

5 female condoms, harm reduction services, and 

6 other proven-effective HIV prevention interven7 tions, in combination with other evidence-based 

8 modalities, including structural interventions; 

9 (D) intensifying efforts to eliminate HIV 

10 infections among populations that are often at 

11 greatest risk, including sex workers, men who 

12 have sex with men, transgender individuals, and 

13 people who inject drugs, and addressing the 

14 HIV-related needs, including access to ART, of 

15 those already infected; 

16 (E) ensuring young people are provided 

17 with comprehensive knowledge, skill-building 

18 programs, in and out of school, to make in19 formed and responsible decisions for their sex20 ual health, and are provided with confidential 

21 and affordable access to youth-friendly com22 prehensive sexual and reproductive health serv23 ices and supplies, including male and female 

24 condoms; 


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1 (F) ensuring women with HIV or who are 

2 at risk of HIV infection and who do not wish 

3 to become pregnant have access to voluntary 

4 contraceptive services and commodities, and 

5 women who desire pregnancy have access to 

6 family planning counseling and maternal health 

7 services free of judgment and discrimination; 

8 and 

9 (G) encouraging policy changes to elimi10 nate discriminatory and stigmatizing polices 

11 that stand in the way of access to health serv12 ices by marginalized and poor populations in13 cluding punitive laws against HIV exposure and 

14 potential transmission, sex work, same-sex be15 havior, drug use, and gender expression; 

16 (2) supporting meaningful community involve17 ment and participation, inclusive of poor, vulnerable, 

18 or marginalized populations and their representative 

19 indigenous and civil society organizations, in deci20 sionmaking related to national HIV/AIDS strategies 

21 and the delivery of health services, including in deci22 sions related to the adoption of health policies and 

23 the total amount and distribution of health funding; 

24 (3) assisting countries to coordinate, regulate, 

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1 vided by the United States and nongovernmental or2 ganizations, including community and faith-based 

3 organizations, private foundations, international or4 ganizations, and other donors, and to coordinate or 

5 integrate such services with the health system to the 

6 maximum extent practicable; 

7 (4) using, to the maximum extent practicable, 

8 local and regional entities for the provision of tech9 nical assistance, and where the capacity of such enti10 ties is insufficient, supporting capacity building to 

11 enable such entities to provide such assistance; 

12 (5) strengthening procurement and supply 

13 chain logistics to help prevent drug and commodity 

14 stock outs, including male and female condom short15 ages, and to help ensure the eventual provision of 

16 microbicides for HIV prevention; and 

17 (6) providing technical assistance and support 

18 to national ministries of health, or their equivalents, 

19 and other relevant ministries in overseeing the 

20 health systems of their countries and monitoring and 

21 evaluating the effectiveness of such systems in re22 ducing mortality and improving health outcomes, in23 cluding preparing for the provision of HIV/AIDS, 

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1 eases, and reproductive health services in emergency 

2 situations. 

3 (b) REPORT.—Not later than 180 days after the date 

4 of the enactment of this Act, the Secretary of State shall 

5 submit to the appropriate congressional committees a re6 port identifying benchmarks that are directly relevant to 

7 significantly decreasing the burden of the epidemic in each 

8 country receiving HIV-related foreign assistance and pro9 vide context for helping countries and civil society to build 

10 country ownership. 

11 TITLE III—ADDRESSING LEGAL 

12 AND POLICY BARRIERS TO 

13 ACCESSING HEALTH CARE 

14 Subtitle A—General Provisions 

15 SEC. 301. SUPPORT FOR LAWS AND REGULATIONS THAT IM16 PROVE HEALTH OUTCOMES AND PROMOTE 

17 HUMAN RIGHTS. 

18 It should be the policy of the United States to ensure 

19 that United States foreign assistance should encourage 

20 and assist national governments of developing countries 

21 to pursue policies and legal frameworks that improve 

22 health outcomes, including policies and legal frameworks 

23 that— 


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1 (1) are medically accurate and evidence-based 

2 and adhere to the latest global public health stand3 ards for prevention, treatment, and care; 

4 (2) promote and improve the status of women 

5 and youth, ensuring their ability to access and use 

6 health services without fear or risk of gender-based 

7 violence, reprisal, discrimination, stigmatization, ar8 rest, or other mistreatment; 

9 (3) work to remove criminalization of, stig10 matization of, and discrimination against poor, vul11 nerable, or marginalized populations and enact laws 

12 and policies to promote and protect the rights of 

13 such populations; 

14 (4) avoid, to the maximum extent possible, reli15 ance on criminal laws and sanctions to address 

16 health issues; 

17 (5) incorporate relevant policy guidance that 

18 addresses structural barriers to accessing health 

19 care; and 

20 (6) prioritize the creation of a legal, political, 

21 and social environment that enables access to health 

22 services by all members of the population. 


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1 SEC. 302. INTENSIFYING EFFORTS TO ESTABLISH EFFEC2 TIVE PROGRAMS FOR ENGAGING KEY AF3 FECTED POPULATIONS. 

4 It should be the policy of the United States to ensure 

5 that efforts to combat HIV/AIDS globally should intensify 

6 efforts to establish effective programs for engaging men 

7 who have sex with men, transgender people, people who 

8 inject drugs, and sex workers in HIV prevention, care, and 

9 treatment initiatives, by means that include— 

10 (1) ensuring those eligible for treatment receive 

11 antiretroviral treatment; 

12 (2) providing sterile syringes, education, and 

13 outreach and treatment for drug dependence for in14 jecting drug users through a comprehensive package 

15 of services; 

16 (3) providing sexual health services, male and 

17 female condoms, and other HIV prevention services 

18 to sex workers, their clients, and partners; and 

19 (4) defending human rights and inherent dig20 nity by addressing laws and practices that prevent 

21 people from accessing services and providing legal 

22 and social services to individuals and communities to 

23 facilitate access to services and to reduce violence, 

24 stigma, and discrimination. 


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1 SEC. 303. ENSURING UNITED STATES TRADE POLICY DOES 

2 NOT RESTRICT ACCESS TO AFFORDABLE 

3 MEDICINES. 

4 In administering title III of the Trade Act of 1974 

5 (19 U.S.C. 2411 et seq.), the United States Government 

6 shall not seek, through negotiation or otherwise, the rev7 ocation or revision of any intellectual property law or pol8 icy of a low- or middle-income country that regulates HIV 

9 and opportunistic infection pharmaceuticals or medical 

10 technologies if the law or policy of the country— 

11 (1) promotes access to affordable HIV and op12 portunistic infection pharmaceuticals or medical 

13 technologies for affected populations in that country; 

14 and 

15 (2) provides intellectual property protection 

16 consistent with the Agreement on Trade-Related As17 pects of Intellectual Property Rights referred to in 

18 section 101(d)(15) of the Uruguay Round Agree19 ments Act (19 U.S.C. 3511(d)(15)). 

20 Subtitle B—Repeal of Certain 

21 Provisions of Public Law 108–25 

22 SEC. 311. REPEAL OF ‘‘CONSCIENCE CLAUSE’’ REQUIRE23 MENT FOR ELIGIBILITY FOR ASSISTANCE. 

24 Section 301 of the United States Leadership Against 

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

26 U.S.C. 7631) is amended by striking subsection (d). 


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1 SEC. 312. REPEAL OF LIMITATION ON USE OF FUNDS FOR 

2 ASSISTANCE FOR SEX WORKERS. 

3 Section 301 of the United States Leadership Against 

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

5 U.S.C. 7631), as amended by section 311 of this Act, is 

6 further amended by striking subsections (e) and (f). 

7 SEC. 313. REPEAL OF REPORTING REQUIREMENT ON AC8 TIVITIES PROMOTING ABSTINENCE AND RE9 LATED ACTIVITIES. 

10 Section 403(a)(2) of the United States Leadership 

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

12 2003 (22 U.S.C. 7673(a)(2)) is amended— 

13 (1) by striking ‘‘(2) PREVENTION STRATEGY.— 

14 ’’ and all that follows through ‘‘In carrying out para15 graph (1)’’ and inserting ‘‘(2) PREVENTION STRAT16 EGY.—In carrying out paragraph (1)’’; and 

17 (2) by striking subparagraph (B). 

18 SEC. 314. EFFECTIVE DATE. 

19 This subtitle and the amendments made by this sub20 title— 

21 (1) take effect on the date of the enactment of 

22 this Act; and 

23 (2) apply with respect to funds made available 

24 to carry out the United States Leadership Against 

25 HIV/AIDS, Tuberculosis, and Malaria Act of 2003 


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1 or any amendment made by that Act on or after 

2 such date of enactment. 

3 TITLE IV—DEFINITIONS 

4 SEC. 401. DEFINITIONS. 

5 In this Act: 

6 (1) APPROPRIATE CONGRESSIONAL COMMIT7 TEES.—The term ‘‘appropriate congressional com8 mittees’’ means— 

9 (A) the Committee on Foreign Affairs and 

10 the Committee on Appropriations of the House 

11 of Representatives; and 

12 (B) the Committee on Foreign Relations 

13 and the Committee on Appropriations of the 

14 Senate. 

15 (2) AIDS.—The term ‘‘AIDS’’ means the ac16 quired immune deficiency syndrome. 

17 (3) HIV.—The term ‘‘HIV’’ means the human 

18 immunodeficiency virus, the pathogen that causes 

19 AIDS. 

20 (4) HIV/AIDS.—The term ‘‘HIV/AIDS’’ 

21 means, with respect to an individual, an individual 

22 who is infected with HIV or living with AIDS. 

Æ 


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