HR 5501 RFS
(A) by amending the heading to read as 
follows: ‘‘PRIORITY TO STOP TB STRATEGY’’; 
(B) in the first sentence, by striking ‘‘In 
furnishing’’ and all that follows through ‘‘, in-
cluding funding’’ and inserting the following: 
‘‘(1) PRIORITY.—In furnishing assistance under 
subsection (c), the President shall give priority to— 
‘‘(A) activities described in the Stop TB 
Strategy, including expansion and enhancement 
of Directly Observed Treatment Short-course 
(DOTS) coverage, treatment for individuals in-
fected with both tuberculosis and HIV and 
treatment for individuals with multi-drug resist-
ant tuberculosis (MDR–TB), strengthening of 
health systems, use of the International Stand-
ards for Tuberculosis Care by all care pro-
viders, empowering individuals with tuber-
culosis, and enabling and promoting research to 
develop new diagnostics, drugs, and vaccines, 
and program-based operational research relat-
ing to tuberculosis; and 
‘‘(B) funding’’; and 
(C) in the second sentence— 
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(i) by striking ‘‘In order to’’ and all 
that follows through ‘‘not less than’’ and 
inserting the following: 
‘‘(2) AVAILABILITY OF AMOUNTS.—In order to 
meet the requirements of paragraph (1), the Presi-
dent— 
‘‘(A) shall ensure that not less than’’; 
(ii) by striking ‘‘for Directly Observed 
Treatment Short-course (DOTS) coverage 
and treatment of multi-drug resistant tu-
berculosis using DOTS–Plus,’’ and insert-
ing ‘‘to implement the Stop TB Strategy; 
and’’; and 
(iii) by striking ‘‘including’’ and all 
that follows and inserting the following: 
‘‘(B) should ensure that not less than 
$15,000,000 of the amount made available to 
carry out this section for a fiscal year is used 
to make a contribution to the Global Tuber-
culosis Drug Facility.’’. 
(5) ASSISTANCE FOR WHO AND THE STOP TU-
BERCULOSIS PARTNERSHIP.—Such section is further 
amended— 
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(A) by redesignating subsection (g) (as re-
designated by paragraph (3) of this subsection) 
as subsection (h); and 
(B) by inserting after subsection (f) (as re-
designated by paragraph (4) and amended by 
paragraph (5) of this subsection) the following 
new subsection: 
‘‘(g) ASSISTANCE FOR WHO AND THE STOP TUBER-
CULOSIS PARTNERSHIP.—In carrying out this section, the 
President, acting through the Administrator of the United 
States Agency for International Development, is author-
ized to provide increased resources to the World Health 
Organization (WHO) and the Stop Tuberculosis Partner-
ship to improve the capacity of countries with high rates 
of tuberculosis and other affected countries to implement 
the Stop TB Strategy and specific strategies related to 
addressing extensively drug resistant tuberculosis (XDR– 
TB).’’. 
(6) DEFINITIONS.—Subsection (h) of such sec-
tion (as redesignated by paragraph (5)(A) of this 
subsection) is amended— 
(A) in paragraph (1), by adding at the end 
before the period the following: ‘‘, including low 
cost and effective diagnosis and evaluation of 
treatment regimes, vaccines, and monitoring of 
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tuberculosis, as well as a reliable drug supply, 
and a management strategy for public health 
systems, with health system strengthening, pro-
motion of the use of the International Stand-
ards for Tuberculosis Care by all care pro-
viders, bacteriology under an external quality 
assessment framework, short-course chemo-
therapy, and sound reporting and recording sys-
tems’’; and 
(B) by adding after paragraph (5) the fol-
lowing new paragraph: 
‘‘(6) STOP TB STRATEGY.—The term ‘Stop TB 
Strategy’ means the six-point strategy to reduce tu-
berculosis developed by the World Health Organiza-
tion. The strategy is described in the Global Plan to 
Stop TB 2007–2016: Actions for Life, a comprehen-
sive plan developed by the Stop Tuberculosis Part-
nership that sets out the actions necessary to 
achieve the millennium development goal of cutting 
tuberculosis deaths and disease burden in half by 
2016.’’. 
(b) AUTHORIZATION OF APPROPRIATIONS.—Section 
302(b) of the United States Leadership Against HIV/ 
AIDS, Tuberculosis, and Malaria Act of 2003 (22 U.S.C. 
7632(b)) is amended— 
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(1) in paragraph (1), by striking ‘‘such sums as 
may be necessary for each of the fiscal years 2004 
through 2008’’ and inserting ‘‘$4,000,000,000 for 
fiscal years 2009 through 2013’’; and 
(2) in paragraph (3), by striking ‘‘fiscal years 
2004 through 2008’’ and inserting ‘‘fiscal years 
2009 through 2013’’. 
SEC. 303. ASSISTANCE TO COMBAT MALARIA. 
(a) AMENDMENT TO THE FOREIGN ASSISTANCE ACT 
OF 1961.—Section 104C(b) of the Foreign Assistance Act 
of 1961 (22 U.S.C. 21516–4(b)) is amended by striking 
‘‘control, and cure’’ and inserting ‘‘treatment, and care’’. 
(b) AUTHORIZATION OF APPROPRIATIONS.—Section 
303(b) of the United States Leadership Against HIV/ 
AIDS, Tuberculosis, and Malaria Act of 2003 (22 U.S.C. 
7633(b)) is amended— 
(1) in paragraph (1), by striking ‘‘such sums as 
may be necessary for fiscal years 2004 through 
2008’’ and inserting ‘‘$5,000,000,000 for fiscal 
years 2009 through 2013’’; and 
(2) in paragraph (3), by striking ‘‘fiscal years 
2004 through 2008’’ and inserting ‘‘fiscal years 
2009 through 2013’’. 
(c) DEVELOPMENT
OF
A COMPREHENSIVE FIVE- 
YEAR STRATEGY.—Section 303 of the United States 
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Leadership Against HIV/AIDS, Tuberculosis, and Malaria 
Act of 2003 (22 U.S.C. 7633) is amended by adding at 
the end the following: 
‘‘(d) DEVELOPMENT OF A COMPREHENSIVE FIVE- 
YEAR STRATEGY.—The President shall establish a com-
prehensive, five-year strategy to combat global malaria 
that strengthens the capacity of the United States to be 
an effective leader of international efforts to reduce the 
global malaria disease burden. Such strategy shall main-
tain sufficient flexibility and remain responsive to the 
ever-changing nature of the global malaria challenge and 
shall— 
‘‘(1) include specific objectives, multisectoral 
approaches and strategies to treat and provide care 
to individuals infected with malaria, to prevent the 
further spread of malaria; 
‘‘(2) describe how this strategy would con-
tribute to the United States’ overall global health 
and development goals; 
‘‘(3) clearly explain how proposed activities to 
combat malaria will be coordinated with other 
United States global health activities, including the 
five-year global HIV/AIDS and tuberculosis strate-
gies developed pursuant to section 101 of this Act; 
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‘‘(4) expand public-private partnerships and 
leveraging of resources to combat malaria, including 
private sector resources; 
‘‘(5) 
coordinate 
among 
relevant 
executive 
branch agencies providing assistance to combat ma-
laria in order to maximize human and financial re-
sources and reduce unnecessary duplication among 
such agencies and other donors; 
‘‘(6) maximize United States capabilities in the 
areas of technical assistance, training, and research, 
including vaccine research, to combat malaria; and 
‘‘(7) establish priorities and selection criteria 
for the distribution of resources to combat malaria 
based on factors such as the size and demographics 
of the population with malaria, the needs of that 
population, the host countries’ existing infrastruc-
ture, and the host countries’ ability to complement 
United States efforts with strategies outlined in na-
tional malaria control plans. 
‘‘(e) MALARIA RESPONSE COORDINATOR.— 
‘‘(1) IN GENERAL.—There should be established 
within the United States Agency for International 
Development a Coordinator of United States Gov-
ernment Activities to Combat Malaria Globally, who 
should be appointed by the President. 
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‘‘(2) AUTHORITIES.—The Coordinator, acting 
through such nongovernmental organizations and 
relevant executive branch agencies as may be nec-
essary and appropriate to effect the purposes of sec-
tion 104C of the Foreign Assistance Act of 1961 (22 
U.S.C. 2151b–4), is authorized— 
‘‘(A) to operate internationally to carry out 
prevention, treatment, care, support, capacity 
development of health systems, and other activi-
ties for combating malaria; 
‘‘(B) to transfer and allocate funds to rel-
evant executive branch agencies; 
‘‘(C) to provide grants to, and enter into 
contracts with, nongovernmental organizations 
to carry out the purposes of such section 104C; 
‘‘(D) to enter into contracts and transfer 
and allocate funds to international organiza-
tions to carry out the purposes of such section 
104C; and 
‘‘(E) to coordinate with a public-private 
partnership to discover and develop effective 
new antimalarial drugs, including drugs for 
multi-drug resistant malaria and malaria in 
pregnant women. 
‘‘(3) DUTIES.— 
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‘‘(A) IN GENERAL.—The Coordinator shall 
have primary responsibility for the oversight 
and coordination of all resources and global 
United States government activities to combat 
malaria. 
‘‘(B) SPECIFIC DUTIES.—The Coordinator 
shall— 
‘‘(i) facilitate program and policy co-
ordination 
among 
relevant 
executive 
branch agencies and nongovernmental or-
ganizations, including auditing, monitoring 
and evaluation of such programs; 
‘‘(ii) ensure that each relevant execu-
tive branch agency has sufficient resources 
to execute programs in areas in which the 
agency has the greatest expertise, technical 
capability, and potential for success; 
‘‘(iii) coordinate with the Office of the 
Coordinator of United States Government 
Activities to Combat HIV/AIDS Globally 
and equivalent managers of other relevant 
executive branch agencies that are imple-
menting global health programs to develop 
and implement program plans, country- 
level interactions, and recipient administra-
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tive requirements in countries in which 
more than one program operates; 
‘‘(iv) coordinate relevant executive 
branch agency activities in the field, in-
cluding coordination of planning, imple-
mentation, and evaluation of malaria pro-
grams with HIV/AIDS programs in coun-
tries in which both programs are being 
carried out; 
‘‘(v) pursue coordinate program im-
plementation with host governments, other 
donors, and the private sector; and 
‘‘(vi) establish due diligence criteria 
for all recipients of funds appropriated 
pursuant to the authorizations of appro-
priations under section 401 for malaria as-
sistance. 
‘‘(f) ASSISTANCE TO WHO.—In carrying out this sec-
tion, the President is authorized to make a United States 
contribution to the Roll Back Malaria Partnership and the 
World Health Organization (WHO) to improve the capac-
ity of countries with high rates of malaria and other af-
fected countries to implement comprehensive malaria con-
trol programs. 
‘‘(g) ANNUAL REPORT.— 
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‘‘(1) IN GENERAL.—Not later than 270 days 
after the date of the enactment of the Tom Lantos 
and Henry J. Hyde Global Leadership Against HIV/ 
AIDS, Tuberculosis, and Malaria Reauthorization 
Act of 2008, and annually thereafter, the President 
shall transmit to the appropriate congressional com-
mittees a report on United States assistance for the 
prevention, treatment, control, and elimination of 
malaria. 
‘‘(2) MATTERS TO BE INCLUDED.—The report 
required under paragraph (1) shall include a de-
scription of— 
‘‘(A) the countries and activities to which 
malaria assistance has been allocated; 
‘‘(B) the number of people reached 
through malaria assistance programs; 
‘‘(C) the percentage and number of chil-
dren and mothers reached through malaria as-
sistance programs; 
‘‘(D) research efforts to develop new tools 
to combat malaria, including drugs and vac-
cines; 
‘‘(E) collaboration with the World Health 
Organization (WHO), the Global Fund to Fight 
AIDS, Tuberculosis and Malaria, other donor 
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