II

106TH CONGRESS

2D SESSION S. 2387

To improve global health by increasing assistance to developing nations with

high levels of infectious disease and premature death, by improving

children’s and women’s health and nutrition, by reducing unintended

pregnancies, and by combating the spread of infectious diseases, particularly HIV/AIDS, and for other purposes.

IN THE SENATE OF THE UNITED STATES

APRIL 11, 2000

Mr. LEAHY (for himself, Mr. JEFFORDS, Mr. KENNEDY, Mr. KERRY, Mr.

DURBIN, and Mr. WELLSTONE) introduced the following bill; which was

read twice and referred to the Committee on Foreign Relations

A BILL

To improve global health by increasing assistance to developing nations with high levels of infectious disease and

premature death, by improving children’s and women’s

health and nutrition, by reducing unintended pregnancies, and by combating the spread of infectious diseases, particularly HIV/AIDS, 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 ‘‘Global Health Act of

5 2000’’.
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1 SEC. 2. FINDINGS.

2 Congress makes the following findings:

3 (1) More than 10,000,000 children under 5

4 years of age die each year in developing nations

5 from preventable causes, and more than one-half of

6 these deaths are due to 5 conditions: pneumonia, di7 arrhea, malaria, malnutrition, and measles.

8 (2) Despite progress in making family planning

9 services available, more than 150,000,000 married

10 women in developing nations still want to space or

11 limit child-bearing, but do not have access to modern

12 contraceptives.

13 (3) According to the World Health Organiza14 tion, nearly 600,000 women die each year from com15 plications of pregnancy and childbirth, and another

16 18,000,000 women suffer pregnancy-related health

17 problems that can be permanently disabling.

18 (4) According to the World Health Organiza19 tion, 13 million people die annually from infectious

20 diseases, most of which are preventable or curable,

21 and 6 diseases account for 90 percent of these

22 deaths: pneumonia, diarrhoeal diseases, measles, tu23 berculosis, malaria, and HIV/AIDS.

24 (5) HIV/AIDS has become the world’s leading

25 infectious disease threat, with 34,000,000 people in26 fected worldwide, and more than 16,000 new infec-
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1 tions daily, of which 7,000 cases occur in people be2 tween the ages 10 through 24.

3 SEC. 3. ASSISTANCE TO IMPROVE GLOBAL HEALTH.

4 (a) EMPHASIS ON DISEASE SURVEILLANCE AND

5 PREVENTION AND RESPONSE TO DISEASE OUTBREAKS.—

6 Section 104(c) of the Foreign Assistance Act of 1961 (22

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

8 following:

9 ‘‘(4) Congress recognizes the growing threat

10 that infectious diseases and other global health prob11 lems pose to Americans and people everywhere. Ac12 cordingly, activities supported under this subsection

13 shall include activities to improve the capacity of de14 veloping nations to conduct disease surveillance and

15 prevention programs and to respond promptly and

16 effectively to disease outbreaks.’’.

17 (b) INCREASE IN FY 2001 USAID ASSISTANCE.—

18 (1) AUTHORIZATION OF APPROPRIATIONS.—To

19 carry out the purposes of section 104 of the Foreign

20 Assistance Act of 1961 (22 U.S.C. 2151b) for fiscal

21 year 2001, there is authorized to be appropriated, in

22 addition to funds otherwise available for such pur23 poses, an amount equal to the sum of—
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1 (A) the aggregate of amounts made avail2 able in fiscal year 2000 to carry out that sec3 tion with respect to—

4 (i) the health and survival of children,

5 (ii) the health and nutrition of preg6 nant women and mothers,

7 (iii) voluntary family planning,

8 (iv) combating HIV/AIDS, and

9 (v) the prevention and control of in10 fectious diseases other than HIV/AIDS;

11 plus

12 (B) $1,000,000,000.

13 (2) ALLOCATION OF FUNDS.—Of the amount

14 authorized to be appropriated in paragraph

15 3(b)(1)(B)—

16 (A) $225,000,000 should be available for

17 the health and survival of children;

18 (B) $100,000,000 should be available for

19 the health and nutrition of pregnant women

20 and mothers;

21 (C) $200,000,000 should be available for

22 voluntary family planning;

23 (D) $275,000,000 should be available to

24 combat HIV/AIDS; and
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1 (E) $200,000,000 should be available for

2 the prevention and control of infectious diseases

3 other than HIV/AIDS.

4 (3) AVAILABILITY OF FUNDS.—Amounts appro5 priated pursuant to paragraph (1) are authorized to

6 remain available until expended.

7 (c) COORDINATION AMONG FEDERAL DEPARTMENTS

8 AND AGENCIES.—It is the sense of Congress that the

9 President, acting through the Administrator of the United

10 States Agency for International Development, should co11 ordinate with the Centers for Disease Control and Preven12 tion, the National Institutes of Health, the Department

13 of State, the Department of Health and Human Services,

14 the Department of Defense, and other appropriate Federal

15 departments and agencies to ensure that United States

16 funds made available for the purposes described in para17 graph (1) are utilized effectively.

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