II 
115TH CONGRESS 
2D SESSION 
H. R. 6651 
IN THE SENATE OF THE UNITED STATES 
NOVEMBER 14, 2018 
Received 
AN ACT 
To extend certain authorities relating to United States ef-
forts to combat HIV/AIDS, tuberculosis, and malaria 
globally, and for other purposes. 
Be it enacted by the Senate and House of Representa-
tives of the United States of America in Congress assembled, 
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SECTION 1. SHORT TITLE. 
This Act may be cited as the ‘‘PEPFAR Extension 
Act of 2018’’. 
SEC. 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) is amended— 
(1) in subsection (f)(1)— 
(A) in subparagraph (A), by striking 
‘‘2018’’ and inserting ‘‘2023’’; and 
(B) in subparagraph (C)(iv)— 
(i) by striking ‘‘four’’ and inserting 
‘‘nine’’; and 
(ii) by striking ‘‘2018’’ and inserting 
‘‘2023’’; and 
(2) in subsection (g)— 
(A) in paragraph (1), by striking ‘‘2019’’ 
and inserting ‘‘2024’’; and 
(B) in paragraph (2)— 
(i) in the heading, by striking ‘‘2018’’ 
and inserting ‘‘2024’’; and 
(ii) by striking ‘‘September 30, 2018’’ 
and inserting ‘‘September 30, 2024’’. 
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SEC. 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)) is amended— 
(1) in paragraph (4)— 
(A) in subparagraph (A)— 
(i) in clause (i), by striking ‘‘fiscal 
years 2009 through 2018’’ and inserting 
‘‘fiscal years 2004 through 2023’’; 
(ii) in clause (ii), by striking ‘‘2018’’ 
and inserting ‘‘2023’’; and 
(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 add-
ing at the end before the period the 
following: ‘‘or section 104B or 104C 
of such Act’’; and 
(II) in the second sentence, by 
striking ‘‘for HIV/AIDS assistance’’; 
and 
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(iv) in clause (iii) (as redesignated by 
clause (ii) of this subparagraph), by strik-
ing ‘‘2018’’ and inserting ‘‘2023’’; and 
(2) in paragraph (5), by striking ‘‘2018’’ and 
inserting ‘‘2023’’. 
SEC. 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) is amended— 
(1) in subsection (b), by striking ‘‘2018’’ and 
inserting ‘‘2023’’; and 
(2) in subsection (c), in the matter preceding 
paragraph (1), by striking ‘‘2018’’ and inserting 
‘‘2023’’. 
Passed the House of Representatives November 13, 
2018. 
Attest: 
KAREN L. HAAS, 
Clerk. 
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