II

106TH CONGRESS

2D SESSION S. 2026

To amend the Foreign Assistance Act of 1961 to authorize appropriations

for HIV/AIDS efforts.

IN THE SENATE OF THE UNITED STATES

FEBRUARY 2, 2000

Mrs. BOXER (for herself, Mr. SMITH of Oregon, and Mr. KENNEDY) introduced the following bill; which was read twice and referred to the Committee on Foreign Relations

A BILL

To amend the Foreign Assistance Act of 1961 to authorize

appropriations for HIV/AIDS efforts.

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 ‘‘Global AIDS Preven5 tion Act of 2000’’.

6 SEC. 2. FINDINGS.

7 Congress makes the following findings:

8 (1) Since the beginning of the HIV/AIDS epi9 demic 2 decades ago, more than 16,300,000 people

10 worldwide have died of the disease.
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1 (2) More than 33,600,000 people in the world

2 are living with HIV/AIDS; more than 3,000,000 of

3 them are children.

4 (3) Sub-Saharan Africa has been particularly

5 hard hit by the disease, as the region has accounted

6 for—

7 (A) 84 percent of the worldwide deaths

8 from HIV/AIDS;

9 (B) two-thirds of the new infections in

10 1999; and

11 (C) 69 percent of those living with the dis12 ease.

13 (4) In sub-Saharan Africa, 55 percent of the in14 fected adults are women and, as a result, more than

15 10,000,000 children have been orphaned in sub-Sa16 haran Africa because of HIV/AIDS—a figure that

17 could double or triple in the next decade.

18 (5) According to the United Nations, HIV/

19 AIDS in sub-Saharan Africa is the ‘‘worst infectious

20 disease catastrophe since the bubonic plague’’.

21 (6) The HIV/AIDS problem in Southeast Asia

22 is growing dramatically. In 1999, 20 percent of the

23 new infections in the world were in Southeast Asia.

24 (7) New investments and treatments hold out

25 promise of making progress against the HIV/AIDS
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1 epidemic. For example, a recent study in Uganda

2 demonstrated that a new drug could prevent almost

3 one-half of the HIV transmissions from mothers to

4 infants, at a fraction of the cost of other treatments.

5 (8) Making progress against HIV/AIDS re6 quires a global commitment, with a leadership role

7 from the United States.

8 SEC. 3. AMENDMENT OF THE FOREIGN ASSISTANCE ACT OF

9 1961.

10 Section 104(c) of the Foreign Assistance Act of 1961

11 (22 U.S.C. 2151b(c)) is amended by adding at the end

12 the following new paragraph:

13 ‘‘(4)(A) Congress expects the agency primarily re14 sponsible for administering this part to make HIV/AIDS

15 a priority in the foreign assistance program and to under16 take a comprehensive, coordinated effort to combat HIV/

17 AIDS. This effort shall include providing—

18 ‘‘(i) primary prevention and education;

19 ‘‘(ii) voluntary testing and counseling;

20 ‘‘(iii) medications to prevent the transmission of

21 HIV/AIDS from mother to child; and

22 ‘‘(iv) care for those living with HIV/AIDS.

23 ‘‘(B)(i) In addition to amounts otherwise available for

24 such purpose, there are authorized to be appropriated to

25 the President to carry out this paragraph $300,000,000
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1 for fiscal year 2001, $350,000,000 for fiscal year 2002,

2 $400,000,000 for fiscal year 2003, $450,000,000 for fis3 cal year 2004, and $500,000,000 for fiscal year 2005.

4 ‘‘(ii) Not less than 50 percent of funds made available

5 each fiscal year under clause (i) shall be used to combat

6 the HIV/AIDS epidemic in sub-Saharan Africa.

7 ‘‘(iii) Funds appropriated under this subparagraph

8 are authorized to remain available until expended.’’.

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