IV 
116TH CONGRESS 
1ST SESSION 
H. RES. 517 
Supporting the Global Fund to fight AIDS, tuberculosis (TB), malaria, and 
its Sixth Replenishment. 
IN THE HOUSE OF REPRESENTATIVES 
JULY 24, 2019 
Mr. ENGEL (for himself and Mr. MCCAUL) submitted the following resolution; 
which was referred to the Committee on Foreign Affairs 
RESOLUTION 
Supporting the Global Fund to fight AIDS, tuberculosis 
(TB), malaria, and its Sixth Replenishment. 
Whereas the Global Fund to fight AIDS, tuberculosis (TB), 
and malaria is an effective partnership of governments, 
the private sector, civil society, and affected communities 
to transform the response to these epidemics; 
Whereas since the Global Fund’s creation in 2002, and in 
close cooperation with the President’s Emergency Plan 
for AIDS Relief (PEPFAR), more than 27,000,000 lives 
have been saved in countries where the Global Fund in-
vests; 
Whereas the Global Fund has contributed to extraordinary 
improvements in global health, including by helping to re-
duce by half the number of AIDS-related deaths since 
2005, contributing to a 37-percent decline in TB deaths 
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•HRES 517 IH 
from 2000 to 2016, and a 60-percent decline in the num-
ber of malaria deaths since 2000; 
Whereas the Global Fund and its partners work to uphold a 
steadfast commitment to transparency and account-
ability, receiving high marks in multilateral aid reviews 
and by independent watchdogs; 
Whereas despite progress achieved to date in combating 
AIDS, TB, and malaria, significant challenges threaten 
future progress, including drug and insecticide resistance, 
reaching marginalized and vulnerable populations, and 
complacency in the fight against infectious diseases; 
Whereas United States leadership has been critical to the 
Global Fund’s success as its largest donor and through 
its oversight role on the Board of the Global Fund; 
Whereas the Global Fund amplifies and supports the results 
of United States bilateral heath programs, including the 
PEPFAR, the President’s Malaria Initiative, and the 
United States Agency for International Development TB 
program; 
Whereas a statutory cap on United States contributions to 
the Global Fund has successfully leveraged increased con-
tributions from other donors in prior Global Fund replen-
ishments and is expected to do so again during the Sixth 
Replenishment, to be held in Lyon, France, on October 
19, 2019; 
Whereas the United Kingdom and Japan, for example, al-
ready have pledged significant increases to the Global 
Fund for the Sixth Replenishment; 
Whereas the Global Fund’s requirements for cofinancing have 
spurred domestic investments, with recipient countries 
committing 41 percent more of their own funding to fight 
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AIDS, TB, and malaria for 2018 to 2020 compared to 
2015 to 2017; 
Whereas recipient countries are expected to increase their co- 
financing by 48 percent, growing to $46,000,000,000 
from 2021 to 2023; and 
Whereas with these resources secured, the Global Fund 
projects it will reduce the number of deaths due to AIDS, 
TB, and malaria by nearly 50 percent, avert 234,000,000 
infections or disease cases, and save an additional 
16,000,000 lives: Now, therefore, be it 
Resolved, That the House of Representatives— 
(1) commends the work of the Global Fund and 
its partners for their contributions in ending the 
epidemics of AIDS, TB, and malaria; 
(2) affirms previous commitments of the United 
States to providing 33 percent of the budget to the 
Global Fund, including for the Sixth Global Fund 
Replenishment, to be held on October 10, 2019, in 
Lyon, 
France, 
as 
demonstrated 
by 
the 
$1,560,000,000 provided by H.R. 2839 in the 116th 
Congress (providing FY2020 appropriations for the 
Department of State, foreign operations, and related 
programs), as passed by the House of Representa-
tives; 
(3) urges donor countries to step up the fight 
and increase their pledges for the Sixth Global Fund 
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Replenishment and supports continued diplomatic 
engagement to improve burden sharing; 
(4) urges Global Fund recipient countries to 
continue to make and meet ambitious cofinancing 
commitments to sustain progress in ending the 
epidemics of AIDS, TB, and malaria; and 
(5) encourages United States bilateral aid pro-
grams to continue their collaboration with the Global 
Fund to maximize the life-saving impact of global 
health investments. 
Æ 
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