I

107TH CONGRESS

1ST SESSION H. R. 1269

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 HOUSE OF REPRESENTATIVES

MARCH 28, 2001

Mr. CROWLEY (for himself, Mrs. LOWEY, Mrs. MORELLA, Ms. KILPATRICK,

Mr. HINCHEY, Mr. SERRANO, Mr. RANGEL, Ms. SLAUGHTER, Mrs. MEEK

of Florida, Mr. FROST, Mr. PASTOR, Ms. DELAURO, Ms. MCKINNEY, Mr.

HILLIARD, Mr. WEXLER, Mrs. MALONEY of New York, Mr. SANDERS,

Mr. BACA, Ms. BROWN of Florida, Mr. HALL of Ohio, Mr. DELAHUNT,

Mr. FRANK, Mr. ABERCROMBIE, Ms. JACKSON-LEE of Texas, Mr.

MCGOVERN, Mr. GEORGE MILLER of California, Mr. WAXMAN, Ms.

WOOLSEY, Mr. FILNER, Ms. RIVERS, Mr. OWENS, Mr. BROWN of Ohio,

Mr. MCNULTY, Mr. ENGEL, Mr. RUSH, Ms. LEE, Mrs. MCCARTHY of

New York, Ms. WATERS, Mr. WEINER, Ms. PELOSI, Mr. BOUCHER, Ms.

SCHAKOWSKY, Mr. SABO, Mr. GONZALEZ, Mr. MCDERMOTT, Mr.

LAMPSON, Mr. BRADY of Pennsylvania, Ms. BALDWIN, Ms. CARSON of

Indiana, Mr. NADLER, Mr. ALLEN, Mr. BLUMENAUER, and Mr. SHERMAN) introduced the following bill; which was referred to the Committee

on International 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 preg-
2

•HR 1269 IH

nancies, 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 2001’’.

6 SEC. 2. FINDINGS.

7 Congress makes the following findings:

(1) Approximately 1 8 ⁄2 of all childhood deaths

9 each year in developing nations, or 4,900,000 child10 hood deaths, are caused by pneumonia, diarrheal

11 diseases, malaria, or measles. Every day approxi12 mately 13,500 children in developing nations die

13 from such conditions.

14 (2) Despite progress in making family planning

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

16 women in developing nations still want to space or

17 limit child bearing, but do not have access to mod18 ern contraceptives.

19 (3) According to the World Health Organiza20 tion, approximately 500,000 women die each year

21 from complications of pregnancy and childbirth, and

22 more than 50,000,000 women suffer from acute

23 pregnancy-related health conditions that can be per24 manently disabling.
3

•HR 1269 IH

1 (4) According to the World Health Organiza2 tion, 13,000,000 people die annually from infectious

3 diseases, most of which are preventable or curable,

4 and 6 diseases account for 90 percent of these

5 deaths: pneumonia, diarrheal diseases, measles, tu6 berculosis, malaria, and HIV/AIDS.

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

8 infectious disease threat, with 36,100,000 people in9 fected worldwide, and more than 15,000 new infec10 tions daily, of which more than 6,000 cases occur in

11 people between the ages of 15 and 24.

12 SEC. 3. ASSISTANCE TO IMPROVE GLOBAL HEALTH.

13 (a) EMPHASIS ON DISEASE SURVEILLANCE AND

14 PREVENTION AND RESPONSE TO DISEASE OUTBREAKS.—

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

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

17 following:

18 ‘‘(8) Congress recognizes the growing threat

19 that infectious diseases and other global health prob20 lems pose to Americans and people everywhere. Ac21 cordingly, activities supported under this subsection

22 shall include activities to improve the capacity of de23 veloping nations to conduct disease surveillance and

24 prevention programs and to respond promptly and

25 effectively to disease outbreaks.’’.
4

•HR 1269 IH

1 (b) INCREASE IN USAID ASSISTANCE FOR FY 2002

2 AND SUBSEQUENT FISCAL YEARS.—

3 (1) AUTHORIZATION OF APPROPRIATIONS.—To

4 carry out the purposes of section 104 of the Foreign

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

6 year 2002 and for each subsequent fiscal year, there

7 are authorized to be appropriated, in addition to

8 funds otherwise available for such purposes, the fol9 lowing amounts for the following purposes:

10 (A) The amount equal to the aggregate of

11 amounts made available for the immediately

12 preceding fiscal year to carry out that section

13 with respect to the health and survival of chil14 dren, the health and nutrition of pregnant

15 women and mothers, voluntary family planning,

16 combating HIV/AIDS, and the prevention and

17 control of infectious diseases other than HIV/

18 AIDS, to be used for such purposes.

19 (B) $1,000,000,000, to be available in ac20 cordance with paragraph (2).

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

22 authorized to be appropriated in paragraph (1)(B)—

23 (A) $275,000,000 should be available for

24 combating HIV/AIDS;
5

•HR 1269 IH

1 (B) $225,000,000 should be available for

2 the health and survival of children;

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

4 the prevention and control of infectious diseases

5 other than HIV/AIDS;

6 (D) $200,000,000 should be available for

7 voluntary family planning; and

8 (E) $100,000,000 should be available for

9 the health and nutrition of pregnant women

10 and mothers.

11 (3) AVAILABILITY OF FUNDS.—Amounts appro12 priated pursuant to paragraph (1) are authorized to

13 remain available until expended.

14 (c) COORDINATION AMONG FEDERAL DEPARTMENTS

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

16 President, acting through the Administrator of the United

17 States Agency for International Development, should co18 ordinate with the Centers for Disease Control and Preven19 tion, the National Institutes of Health, the Department

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

21 the Department of Defense, and other appropriate Federal

22 departments and agencies to ensure that United States

23 funds made available to carry out section 104 of the For24 eign Assistance Act of 1961 (22 U.S.C. 2151b) are uti25 lized effectively.
6

•HR 1269 IH

1 SEC. 4. DEFINITION.

2 In this Act, the term ‘‘HIV/AIDS’’ means infection

3 with the human immunodeficiency virus. Such term in4 cludes the acquired immune deficiency syndrome.

Æ