II 

111TH CONGRESS 

2D SESSION S. 3627 

To ensure that United States global HIV/AIDS assistance prioritizes saving 

lives by focusing on access to treatment. 

IN THE SENATE OF THE UNITED STATES 

JULY 21, 2010 

Mr. COBURN introduced the following bill; which was read twice and referred 

to the Committee on Foreign Relations 

A BILL 

To ensure that United States global HIV/AIDS assistance 

prioritizes saving lives by focusing on access to treatment. 

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 ‘‘HIV/AIDS Save Lives 

5 First Act of 2010’’. 

6 SEC. 2. SAVING LIVES BY EXPANDING ACCESS TO HIV/AIDS 

7 TREATMENT. 

8 (a) ALLOCATION OF FUNDS.—Subsection (c) of sec9 tion 403 of the United States Leadership Against HIV/ 


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•S 3627 IS

1 AIDS, Tuberculosis, and Malaria Act of 2003 (22 U.S.C. 

2 7673(c)) is amended— 

3 (1) by redesignating paragraphs (1) through 

4 (5) as subparagraphs (A) through (E), respectively, 

5 and moving such subparagraphs, as so redesignated, 

6 2 ems to the right; 

7 (2) by striking ‘‘For each of the fiscal years 

8 2009 through 2013, more than half’’ and inserting 

9 ‘‘For each fiscal year— 

10 ‘‘(1) not less than 75 percent’’; 

11 (3) in subparagraph (E), as redesignated by 

12 paragraph (1), by striking ‘‘HIV/AIDS.’’ and insert13 ing ‘‘HIV/AIDS; and’’; and 

14 (4) by adding at the end the following new 

15 paragraphs: 

16 ‘‘(2) not less than 5 percent of the amounts so 

17 appropriated shall be expended to expand the use of 

18 rapid HIV/AIDS testing, in furtherance of the re19 quirement under subsection (d)(2); and 

20 ‘‘(3) not less than 25 percent of the amount al21 located under paragraph (2) shall be expended for 

22 assistance to countries that have adopted a national 

23 policy of universal, routine, rapid HIV/AIDS diag24 nosis of all patients of publicly funded facilities, in25 cluding pregnant women and newborns.’’. 


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•S 3627 IS

1 (b) REQUIRED MEDICAL PROGRESS.—Subsection (d) 

2 of such section is amended to read as follows: 

3 ‘‘(d) REQUIRED MEDICAL PROGRESS.—The Presi4 dent shall ensure that, by the end of fiscal year 2013— 

5 ‘‘(1) antiretroviral treatment for HIV/AIDS 

6 and associated opportunistic infections or medical 

7 monitoring of HIV-seropositive people not in clinical 

8 need of retroviral treatment has been provided to no 

9 fewer than 5,000,000 people living in countries re10 ceiving funding under this Act; 

11 ‘‘(2) no fewer than 1,000,000,000 rapid tests 

12 for HIV/AIDS have been conducted on people living 

13 in countries receiving funding under this Act; and 

14 ‘‘(3) every available intervention is provided to 

15 ensure that 100 percent of infants born to HIV-in16 fected women in countries where funds are expended 

17 pursuant to this Act are born uninfected and remain 

18 uninfected for at least the first year after birth, as 

19 measured by 100 percent diagnosis of pregnant 

20 women for HIV infection and of newborns for HIV 

21 antibodies and 100 percent treatment for each such 

22 mother or child diagnosed.’’. 

23 (c) LIMITATIONS.—Such section is further amended 

24 by adding at the end the following new subsections: 


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1 ‘‘(e) LIMITATIONS ON RECIPIENT FUNDING.—Recipi2 ents of funds appropriated pursuant to section 401— 

3 ‘‘(1) may not spend more than 10 percent of 

4 such funds on administrative expenses; and 

5 ‘‘(2) may not receive a treatment allocation ex6 ceeding an average of $500 annually per patient 

7 treated. 

8 ‘‘(f) LIMITATION ON ADMINISTRATIVE EXPENSES.— 

9 Not more than 10 percent of the amounts appropriated 

10 pursuant to the authorization of appropriations under sec11 tion 401 in a fiscal year may be made available for admin12 istrative expenses.’’. 

Æ 


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