PEPFAR and Protections for Orphans and Vulnerable Children Act of 2018

To extend certain authorities relating to United States efforts to combat HIV/AIDS, tuberculosis, and malaria globally, and for other purposes. 1. Short title This Act may be cited as the PEPFAR and Protections for Orphans and Vulnerable Children Act of 2018 2. Inspectors General and annual study Section 101 of the United States Leadership Against HIV/AIDS, Tuberculosis, and Malaria Act of 2003 ( 22 U.S.C. 7611 (1) in subsection (f)(1)— (A) in subparagraph (A), by striking 2018 2023 (B) in subparagraph (C)(iv)— (i) by striking four nine (ii) by striking 2018 2023 (2) in subsection (g)— (A) in paragraph (1), by striking 2019 2024 (B) in paragraph (2)— (i) in the heading, by striking 2018 2024 (ii) by striking September 30, 2018 September 30, 2023 3. Participation in the Global Fund to Fight AIDS, Tuberculosis, and Malaria Section 202(d) of the United States Leadership Against HIV/AIDS, Tuberculosis, and Malaria Act of 2003 ( 22 U.S.C. 7622(d) (1) in paragraph (4)— (A) in subparagraph (A)— (i) in clause (i), by striking fiscal years 2009 through 2018 fiscal years 2004 through 2023 (ii) in clause (ii), by striking 2018 2023 (iii) by striking clause (vi); and (B) in subparagraph (B)— (i) by striking clause (ii); (ii) by redesignating clauses (iii) and (iv) as clauses (ii) and (iii), respectively; (iii) in clause (ii) (as redesignated by clause (ii) of this subparagraph)— (I) in the first sentence, by adding at the end before the period the following: or section 104B or 104C of such Act (II) in the second sentence, by striking for HIV/AIDS assistance (iv) in clause (iii) (as redesignated by clause (ii) of this subparagraph), by striking 2018 2023 (2) in paragraph (5), by striking 2018 2023 4. Allocation of funds Section 403 of the United States Leadership Against HIV/AIDS, Tuberculosis, and Malaria Act of 2003 ( 22 U.S.C. 7673 (1) in subsection (b), by striking 2018 2023 (2) in subsection (c), by striking 2018 2023

Summary: PEPFAR and Protections for Orphans and Vulnerable Children Act of 2018 This bill amends the United States Leadership Against HIV/AIDS, Tuberculosis, and Malaria Act of 2003 to extend certain provisions related to the U.S. President's Emergency Plan for AIDS Relief (PEPFAR), a U.S. governmental initiative addressing the global HIV/AIDS epidemic. Specifically, the bill extends through FY2023 provisions that: require the Inspectors General of the Department of State and the U.S. Agency for Global Media, jointly with the Department of Health and Human Services and the U.S. Agency for International Development, to coordinate and conduct oversight of PEPFAR programs; limit U.S. contributions to the Global Fund to Fight AIDS, Tuberculosis and Malaria to 33% of funds contributed from all sources; require that certain fund contributions be withheld under specified circumstances, such as if funds were used to assist a country that has repeatedly supported acts of international terrorism; and require that more than half of the PEPFAR budget be allocated for specified HIV/AIDS treatment and care. The bill also extends through FY2024 annual reporting requirements relating to HIV/AIDS treatment providers and costs.