than 30 days before each of the fiscal 
years 2015 through 2018, respectively.’’. 
SEC. 3. ANNUAL TREATMENT STUDY. 
(a) ANNUAL STUDY; MESSAGE.—Section 101(g) of 
the United States Leadership Against HIV/AIDS, Tuber-
culosis, and Malaria Act of 2003 (22 U.S.C. 7611(g)) is 
amended— 
(1) in paragraph (1), by striking ‘‘through Sep-
tember 30, 2013’’ and inserting ‘‘through September 
30, 2019’’; 
(2) by redesignating paragraph (2) as para-
graph (3); 
(3) by inserting after paragraph (1) the fol-
lowing new paragraph: 
‘‘(2) 2013 THROUGH 2018 STUDIES.—The stud-
ies required to be submitted by September 30, 2014, 
and annually thereafter through September 30, 
2018, shall include, in addition to the elements set 
forth under paragraph (1), the following elements: 
‘‘(A) A plan for conducting cost studies of 
United States assistance under section 104A of 
the Foreign Assistance Act of 1961 (22 U.S.C. 
2151b–2) in partner countries, taking into ac-
count the goal for more systematic collection of 
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data, as well as the demands of such analysis 
on available human and fiscal resources. 
‘‘(B) A comprehensive and harmonized ex-
penditure analysis by partner country, includ-
ing— 
‘‘(i) an analysis of Global Fund 
spending and partner country spending 
and comparable data across United States 
spending, Global Fund spending, and part-
ner country spending at the national level; 
or 
‘‘(ii) where providing such comparable 
data is not currently practicable, an expla-
nation of why it is not currently prac-
ticable, and when it will be practicable.’’; 
and 
(4) by adding at the end the following new 
paragraph: 
‘‘(4) DEFINITION.—In this subsection, the term 
‘partner country’ means a country that received not 
less than $5,000,000 in United States HIV/AIDS 
assistance under section 104A of the Foreign Assist-
ance Act of 1961 (22 U.S.C. 2151b–2) during the 
immediately preceding fiscal year.’’. 
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SEC. 4. PARTICIPATION IN THE GLOBAL FUND TO FIGHT 
AIDS, TUBERCULOSIS, AND MALARIA. 
(a) LIMITATION.—Section 202(d)(4) of the United 
States Leadership Against HIV/AIDS, Tuberculosis, and 
Malaria Act of 2003 (22 U.S.C. 7622(d)(4)) is amended— 
(1) by striking ‘‘2013’’ each place it appears 
and inserting ‘‘2018’’; 
(2) in subparagraph (A)(ii), by striking the last 
two sentences; 
(3) in subparagraph (B)— 
(A) in each of clauses (i) through (iv), by 
striking ‘‘under this subsection’’ and inserting 
‘‘for a contribution to the Global Fund’’; and 
(B) in clause (ii), by striking ‘‘pursuant to 
the authorization of appropriations under sec-
tion 401’’ and inserting ‘‘to carry out section 
104A of the Foreign Assistance Act of 1961’’. 
(b) WITHHOLDING FUNDS.—Section 202(d)(5) of the 
United States Leadership Against HIV/AIDS, Tuber-
culosis, and Malaria Act of 2003 (22 U.S.C. 7622(d)(5)) 
is amended— 
(1) by striking ‘‘2013’’ and inserting ‘‘2018’’; 
(2) in subparagraph (C)— 
(A) by inserting ‘‘in an open, machine 
readable format’’ after ‘‘site’’; 
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(B) by striking clause (v) and inserting the 
following: 
‘‘(v) a regular collection, analysis, and 
reporting of performance data and funding 
of grants of the Global Fund, which covers 
all principal recipients and all sub-recipi-
ents on the fiscal cycle of each grant, and 
includes the distribution of resources, by 
grant and principal recipient and sub-re-
cipient, for prevention, care, treatment, 
drugs, and commodities purchase, and 
other purposes, as practicable;’’; 
(3) in subparagraph (D)(ii), by inserting ‘‘, in 
an open machine readable format,’’ after ‘‘audits’’; 
(4) in subparagraph (E), by inserting ‘‘, in an 
open machine readable format,’’ after ‘‘publicly’’; 
(5) in subparagraph (F)— 
(A) in clause (i), by striking ‘‘and’’ at the 
end; and 
(B) by striking clause (ii) and inserting the 
following: 
‘‘(ii) all principal recipients and sub- 
recipients and the amount of funds dis-
bursed to each principal recipient and sub-
recipient on the fiscal cycle of the grant; 
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‘‘(iii) expenditure data— 
‘‘(I) tracked by principal recipi-
ents and sub-recipients by program 
area, where practicable, in prevention, 
care, and treatment, reported in a for-
mat that allows comparison with other 
funding streams in each country; or 
‘‘(II) if expenditure data is not 
available, 
outlay 
or 
disbursement 
data, and each public report shall in-
clude an explanation of progress made 
toward providing expenditure data; 
and 
‘‘(iv) high-quality grant performance 
evaluations measuring inputs, outputs, and 
outcomes, as appropriate, with the goal of 
achieving outcome reporting;’’; and 
(6) by striking subparagraph (G) and inserting 
the following: 
‘‘(G) has published an annual report on a 
publicly available Web site in an open, machine 
readable format, that includes— 
‘‘(i) a list of all countries imposing 
import duties and internal taxes on any 
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goods or services financed by the Global 
Fund; 
‘‘(ii) a description of the types of 
goods or services on which import duties 
and internal taxes are levied; 
‘‘(iii) the total cost of the import du-
ties and internal taxes; 
‘‘(iv) recovered import duties or inter-
nal taxes; and 
‘‘(v) the status of country status- 
agreements;’’. 
SEC. 5. ANNUAL REPORT. 
(a) IN GENERAL.—Section 104A(f) of the Foreign 
Assistance Act of 1961 (22 U.S.C. 2151b–2(f)) is amend-
ed to read as follows: 
‘‘(f) ANNUAL REPORT.— 
‘‘(1) IN GENERAL.—Not later than February 
15, 2014, and annually thereafter, the President 
shall submit to the Committee on Foreign Relations 
of the Senate and the Committee on Foreign Affairs 
of the House of Representatives a report in an open, 
machine readable format, on the implementation of 
this section for the prior fiscal year. 
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