897 
‘‘(5) the number of persons who have been di-
agnosed and started treatment for multidrug-resist-
ant tuberculosis in countries receiving United States 
bilateral foreign assistance for tuberculosis control 
programs; 
‘‘(6) a description of the collaboration and co-
ordination of United States anti-tuberculosis efforts 
with the World Health Organization, the Global 
Fund, and other major public and private entities 
within the Stop TB Strategy; 
‘‘(7) the constraints on implementation of pro-
grams posed by health workforce shortages and ca-
pacities; 
‘‘(8) the number of people trained in tuber-
culosis control; and 
‘‘(9) a breakdown of expenditures for direct pa-
tient tuberculosis services, drugs and other commod-
ities, drug management, training in diagnosis and 
treatment, health systems strengthening, research, 
and support costs. 
‘‘(h) DEFINITIONS.—In this section: 
‘‘(1) DOTS.—The term ‘DOTS’ or ‘Directly 
Observed Treatment Short-course’ means the World 
Health 
Organization-recommended 
strategy 
for 
treating tuberculosis, including— 
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898 
‘‘(A) low-cost and effective diagnosis, 
treatment, and monitoring of tuberculosis; 
‘‘(B) a reliable drug supply; 
‘‘(C) a management strategy for public 
health systems; 
‘‘(D) health system strengthening; 
‘‘(E) promotion of the use of the Inter-
national Standards for Tuberculosis Care by all 
care providers; 
‘‘(F) bacteriology under an external quality 
assessment framework; 
‘‘(G) short-course chemotherapy; and 
‘‘(H) sound reporting and recording sys-
tems. 
‘‘(2) DOTS–PLUS.—The term ‘DOTS–Plus’ 
means a comprehensive tuberculosis management 
strategy that is built upon and works as a supple-
ment to the standard DOTS strategy, and which 
takes into account specific issues (such as use of sec-
ond line anti-tuberculosis drugs) that need to be ad-
dressed in areas where there is high prevalence of 
multidrug resistant tuberculosis. 
‘‘(3) GLOBAL
ALLIANCE
FOR
TUBERCULOSIS 
DRUG
DEVELOPMENT.—The term ‘Global Alliance 
for Tuberculosis Drug Development’ means the pub-
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lic-private partnership that brings together leaders 
in health, science, philanthropy, and private industry 
to devise new approaches to tuberculosis and to en-
sure that new medications are available and afford-
able in high tuberculosis burden countries and other 
affected countries. 
‘‘(5) STOP TB STRATEGY.—The term ‘Stop TB 
Strategy’ means the 6-point strategy to reduce tu-
berculosis developed by the World Health Organiza-
tion, which is described in the Global Plan to Stop 
TB 2006–2015: Actions for Life, a comprehensive 
plan developed by the Stop TB Partnership that sets 
out the actions necessary to achieve the millennium 
development goal of cutting tuberculosis deaths and 
disease burden in half by 2015. 
‘‘(6) STOP TUBERCULOSIS PARTNERSHIP.—The 
term ‘Stop Tuberculosis Partnership’ means the 
partnership of the World Health Organization, do-
nors including the United States, high tuberculosis 
burden countries, multilateral agencies, and non-
governmental and technical agencies committed to 
short- and long-term measures required to control 
and eventually eliminate tuberculosis as a public 
health problem in the world.’’. 
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900 
(c) ASSISTANCE TO COMBAT MALARIA.—Subtitle A 
of title III of the United States Leadership Against HIV/ 
AIDS, Tuberculosis and Malaria Act of 2003 (22 U.S.C. 
7631 et seq.) is amended— 
(1) by redesignating section 303 as section 
303A; 
(2) in the heading of section 303A (as redesig-
nated), by inserting ‘‘OTHER PROVISIONS RELAT-
ING TO’’ before ‘‘ASSISTANCE’’; and 
(3) by inserting before section 303A (as redes-
ignated) the following new section: 
‘‘SEC. 303. ASSISTANCE TO COMBAT MALARIA. 
‘‘(a) FINDING.—Congress finds that malaria kills 
more people annually than any other communicable dis-
ease except tuberculosis, that more than 90 percent of all 
malaria cases are in sub-Saharan Africa, and that children 
and women are particularly at risk. Congress recognizes 
that there are cost-effective tools to decrease the spread 
of malaria and that malaria is a curable disease if prompt-
ly diagnosed and adequately treated. 
‘‘(b) POLICY.—It is a major objective of the foreign 
assistance program of the United States to provide assist-
ance for the prevention, control, treatment, and cure of 
malaria. 
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901 
‘‘(c) AUTHORIZATION.—To carry out this section and 
consistent with section 1321 of the Global Partnerships 
Act of 2012, the President is authorized to furnish assist-
ance, on such terms and conditions as the President may 
determine, for the prevention, treatment, control, and 
elimination of malaria. 
‘‘(d) COORDINATION.—In carrying out this section, 
the President shall coordinate with the World Health Or-
ganization, the Global Fund to Fight AIDS, Tuberculosis, 
and Malaria, the Department of Health and Human Serv-
ices (the Centers for Disease Control and Prevention and 
the National Institutes of Health), and other organiza-
tions with respect to the development and implementation 
of a comprehensive malaria control program.’’. 
(d) TECHNICAL AND CONFORMING AMENDMENTS.— 
The United States Leadership Against HIV/AIDS, Tuber-
culosis and Malaria Act of 2003 (22 U.S.C. 7601 et seq.) 
is amended— 
(1) in section 3(12), by striking ‘‘Foreign As-
sistance Act of 1961’’ and inserting ‘‘Global Part-
nerships Act of 2012’’; 
(2) in section 101(f)(1)(A), by inserting at the 
end before the period the following: ‘‘(as such sec-
tions were in effect on the day before the date of the 
enactment of the Global Partnerships Act of 2012)’’; 
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902 
(3) in section 202(d)(4)(B)— 
(A) in clause (iii), by striking ‘‘section 
104A of the Foreign Assistance Act of 1961 (as 
added by section 301 of this Act)’’ and insert-
ing ‘‘section 301 of this Act’’; and 
(B) in clause (iv), by striking ‘‘sections 
104A, 104B, and 104C of the Foreign Assist-
ance Act of 1961 (as added by title III of this 
Act)’’ and inserting ‘‘sections 301, 302, and 
303 of this Act’’; 
(4) in section 204(b)(1), by striking ‘‘section 
129 of the Foreign Assistance Act of 1961 (22 
U.S.C. 2152)’’ and inserting ‘‘section 1132 of the 
Global Partnerships Act of 2012’’; 
(5) in section 301A (as redesignated)— 
(A) in subsection (b)— 
(i) in paragraph (1)— 
(I) by striking ‘‘section 104(c) of 
the Foreign Assistance Act of 1961 
(22 U.S.C. 2151b(c))’’ and inserting 
‘‘section 1304 of the Global Partner-
ships Act of 2012’’; and 
(II) by striking ‘‘section 104A of 
the Foreign Assistance Act of 1961, 
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903 
as added by subsection (a)’’ and in-
serting ‘‘section 301’’; and 
(ii) in paragraph (3), by striking ‘‘sec-
tion 104A(d)(4) of the Foreign Assistance 
Act of 1961 (as added by subsection (a))’’ 
and inserting ‘‘section 301(d)(5)’’; and 
(B) in subsection (d), by striking ‘‘under 
section 104A of the Foreign Assistance Act of 
1961’’ and inserting ‘‘under section 1304 of the 
Global Partnerships Act of 2012’’; 
(6) in section 302A(b)(1) (as redesignated)— 
(A) by striking ‘‘section 104(c) of the For-
eign Assistance Act of 1961 (22 U.S.C. 
2151b(c))’’ and inserting ‘‘section 1304 of the 
Global Partnerships Act of 2012’’; and 
(B) by striking ‘‘section 104B of the For-
eign Assistance Act of 1961, as added by sub-
section (a)’’ and inserting ‘‘section 302’’; and 
(7) in section 303A(b)(1) (as redesignated)— 
(A) by striking ‘‘section 104(c) of the For-
eign Assistance Act of 1961 (22 U.S.C. 
2151b(c))’’ and inserting ‘‘section 1304 of the 
Global Partnerships Act of 2012’’; and 
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904 
(B) by striking ‘‘section 104C of the For-
eign Assistance Act of 1961, as added by sub-
section (a)’’ and inserting ‘‘section 303’’; 
(8) in section 304A (as redesignated)— 
(A) in subsection (e), by striking ‘‘section 
104C of the Foreign Assistance Act of 1961 
(22 U.S.C. 2151b–4)’’ and inserting ‘‘section 
303’’; and 
(B) in subsection (f), by striking ‘‘section 
104C’’; 
(9) in section 312(c)(4)(C)(ii), by striking 
‘‘104A(f) of the Foreign Assistance Act of 1961’’ 
and inserting ‘‘section 301(f)’’; and 
(10) in section 403— 
(A) in subsection (a)(4), by striking ‘‘sec-
tion 104A(e) of the Foreign Assistance Act of 
1961 (22 U.S.C. 2151b–2(e))’’ and inserting 
‘‘section 301(e) of this Act’’; and 
(B) in subsection (d)(4), by striking ‘‘sec-
tion 104A(b)(1)(A) of the Foreign Assistance 
Act of 1961 (22 U.S.C. 2151b–2(b)(1)(A))’’ 
and inserting ‘‘section 301(b)(1)(A) of this 
Act’’. 
(e) CLERICAL AMENDMENT.—The table of contents 
in section 1(b) of the United States Leadership Against 
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905 
HIV/AIDS, Tuberculosis and Malaria Act of 2003 (22 
U.S.C. 7601 note) is amended by striking the items relat-
ing to sections 301 through 303 and inserting the fol-
lowing new items: 
‘‘Sec. 301. Assistance to combat HIV/AIDS. 
‘‘Sec. 301A. Other provisions relating to assistance to combat HIV/AIDS. 
‘‘Sec. 302. Assistance to combat tuberculosis. 
‘‘Sec. 302A. Other provisions relating to assistance to combat tuberculosis. 
‘‘Sec. 303. Assistance to combat malaria. 
‘‘Sec. 303A. Other provisions relating to assistance to combat malaria.’’. 
(f) TRANSFER
OF PRIOR YEAR FUNDS.—Unobli-
gated balances of funds made available under sections 
104A, 104B and 104C of the Foreign Assistance Act of 
1961 (as in effect on the day before the date of the enact-
ment of this Act) shall be transferred to, merged with, 
and made available for the same purposes as funds made 
available under sections 301, 302 and 303, respectively, 
of the United States Leadership Against HIV/AIDS, Tu-
berculosis and Malaria Act of 2003 (as added by this sec-
tion). 
SEC. 12102. AMENDMENTS TO THE MILLENNIUM CHAL-
LENGE ACT OF 2003. 
(a) EXTENSION OF COMPACTS.—Section 609(j) of 
the Millennium Challenge Act of 2003 (22 U.S.C. 7708(j)) 
is amended to read as follows: 
‘‘(j) EXTENSION OF COMPACT.— 
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