H. R. 5501—43 
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. 
2151–4(b)) is amended by inserting ‘‘treatment,’’ after ‘‘control,’’. 
(b) AUTHORIZATION
OF APPROPRIATIONS.—Section 303 of the 
United States Leadership Against HIV/AIDS, Tuberculosis, and 
Malaria Act of 2003, and Malaria Act of 2003 (22 U.S.C. 7633) 
is amended— 
(1) in subsection (b)— 
(A) in paragraph (1), by striking ‘‘such sums as may 
be necessary for fiscal years 2004 through 2008’’ and 
inserting ‘‘$5,000,000,000 during the 5-year period begin-
ning on October 1, 2008’’; and 
(B) in paragraph (3), by striking ‘‘fiscal years 2004 
through 2008’’ and inserting ‘‘fiscal years 2009 through 
2013’’; and 
(2) by adding at the end the following: 
‘‘(c) STATEMENT
OF
POLICY.—Providing assistance for the 
prevention, control, treatment, and the ultimate eradication of 
malaria is— 
‘‘(1) a major objective of the foreign assistance program 
of the United States; and 
‘‘(2) 1 component of a comprehensive United States global 
health strategy to reduce disease burdens and strengthen 
communities around the world. 
‘‘(d) DEVELOPMENT OF A COMPREHENSIVE 5-YEAR STRATEGY.— 
The President shall establish a comprehensive, 5-year strategy to 
combat global malaria that— 
‘‘(1) strengthens the capacity of the United States to be 
an effective leader of international efforts to reduce malaria 
burden; 
‘‘(2) maintains sufficient flexibility and remains responsive 
to the ever-changing nature of the global malaria challenge; 
‘‘(3) 
includes 
specific 
objectives 
and 
multisectoral 
approaches and strategies to reduce the prevalence, mortality, 
incidence, and spread of malaria; 
‘‘(4) describes how this strategy would contribute to the 
United States’ overall global health and development goals; 
‘‘(5) clearly explains how outlined activities will interact 
with other United States Government global health activities, 
including the 5-year global AIDS strategy required under this 
Act; 
‘‘(6) expands public-private partnerships and leverage of 
resources; 
‘‘(7) coordinates among relevant Federal agencies to maxi-
mize human and financial resources and to reduce duplication 
among these agencies, foreign governments, and international 
organizations; 
‘‘(8) coordinates with other international entities, including 
the Global Fund; 
‘‘(9) maximizes United States capabilities in the areas of 
technical assistance and training and research, including vac-
cine research; and 
‘‘(10) establishes priorities and selection criteria for the 
distribution of resources based on factors such as— 
‘‘(A) the size and demographics of the population with 
malaria;
H. R. 5501—44 
‘‘(B) the needs of that population; 
‘‘(C) the country’s existing infrastructure; and 
‘‘(D) the ability to closely coordinate United States 
Government efforts with national malaria control plans 
of partner countries.’’. 
SEC. 304. MALARIA RESPONSE COORDINATOR. 
Section 304 of the United States Leadership Against HIV/ 
AIDS, Tuberculosis, and Malaria Act of 2003 (22 U.S.C. 7634) 
is amended to read as follows: 
‘‘SEC. 304. MALARIA RESPONSE COORDINATOR. 
‘‘(a) IN GENERAL.—There is established within the United 
States Agency for International Development a Coordinator of 
United States Government Activities to Combat Malaria Globally 
(referred to in this section as the ‘Malaria Coordinator’), who shall 
be appointed by the President. 
‘‘(b) AUTHORITIES.—The Malaria Coordinator, acting through 
nongovernmental organizations (including faith-based and commu-
nity-based organizations), partner country finance, health, and other 
relevant ministries, and relevant executive branch agencies as may 
be necessary and appropriate to carry out this section, is authorized 
to— 
‘‘(1) operate internationally to carry out prevention, care, 
treatment, support, capacity development, and other activities 
to reduce the prevalence, mortality, and incidence of malaria; 
‘‘(2) provide grants to, and enter into contracts and coopera-
tive 
agreements 
with, 
nongovernmental 
organizations 
(including faith-based organizations) to carry out this section; 
and 
‘‘(3) transfer and allocate executive branch agency funds 
that have been appropriated for the purposes described in para-
graphs (1) and (2). 
‘‘(c) DUTIES.— 
‘‘(1) IN GENERAL.—The Malaria Coordinator has primary 
responsibility for the oversight and coordination of all resources 
and international activities of the United States Government 
relating to efforts to combat malaria. 
‘‘(2) SPECIFIC DUTIES.—The Malaria Coordinator shall— 
‘‘(A) facilitate program and policy coordination of anti-
malarial efforts among relevant executive branch agencies 
and nongovernmental organizations by auditing, moni-
toring, and evaluating such programs; 
‘‘(B) ensure that each relevant executive branch agency 
undertakes antimalarial programs primarily in those areas 
in which the agency has the greatest expertise, technical 
capability, and potential for success; 
‘‘(C) coordinate relevant executive branch agency activi-
ties in the field of malaria prevention and treatment; 
‘‘(D) coordinate planning, implementation, and evalua-
tion with the Global AIDS Coordinator in countries in 
which both programs have a significant presence; 
‘‘(E) coordinate with national governments, inter-
national agencies, civil society, and the private sector; and 
‘‘(F) establish due diligence criteria for all recipients 
of funds appropriated by the Federal Government for 
malaria assistance.
H. R. 5501—45 
‘‘(d) ASSISTANCE FOR THE WORLD HEALTH ORGANIZATION.—In 
carrying out this section, the President may provide financial assist-
ance to the Roll Back Malaria Partnership of the World Health 
Organization to improve the capacity of countries with high rates 
of malaria and other affected countries to implement comprehensive 
malaria control programs. 
‘‘(e) COORDINATION OF ASSISTANCE EFFORTS.—In carrying out 
this section and in accordance with section 104C of the Foreign 
Assistance Act of 1961 (22 U.S.C. 2151b–4), the Malaria Coordinator 
shall coordinate the provision of assistance by working with— 
‘‘(1) relevant executive branch agencies, including— 
‘‘(A) the Department of State (including the Office of 
the Global AIDS Coordinator); 
‘‘(B) the Department of Health and Human Services; 
‘‘(C) the Department of Defense; and 
‘‘(D) the Office of the United States Trade Representa-
tive; 
‘‘(2) relevant multilateral institutions, including— 
‘‘(A) the World Health Organization; 
‘‘(B) the United Nations Children’s Fund; 
‘‘(C) the United Nations Development Programme; 
‘‘(D) the Global Fund; 
‘‘(E) the World Bank; and 
‘‘(F) the Roll Back Malaria Partnership; 
‘‘(3) program delivery and efforts to lift barriers that would 
impede effective and comprehensive malaria control programs; 
and 
‘‘(4) partner or recipient country governments and national 
entities including universities and civil society organizations 
(including faith- and community-based organizations). 
‘‘(f) RESEARCH.—To carry out this section, the Malaria Coordi-
nator, in accordance with section 104C of the Foreign Assistance 
Act of 1961 (22 U.S.C. 1151d–4), shall ensure that operations and 
implementation research conducted under this Act will closely com-
plement the clinical and program research being undertaken by 
the National Institutes of Health. The Centers for Disease Control 
and Prevention should advise the Malaria Coordinator on priorities 
for operations and implementation research and should be a key 
implementer of this research. 
‘‘(g) MONITORING.—To ensure that adequate malaria controls 
are established and implemented, the Centers for Disease Control 
and Prevention should advise the Malaria Coordinator on moni-
toring, surveillance, and evaluation activities and be a key imple-
menter of such activities under this Act. Such activities shall com-
plement, rather than duplicate, the work of the World Health 
Organization. 
‘‘(h) ANNUAL REPORT.— 
‘‘(1) SUBMISSION.—Not later than 1 year after the date 
of the enactment of the Tom Lantos and Henry J. Hyde United 
States Global Leadership Against HIV/AIDS, Tuberculosis, and 
Malaria Reauthorization Act of 2008, and annually thereafter, 
the President shall submit a report to the appropriate congres-
sional committees that describes United States assistance for 
the prevention, treatment, control, and elimination of malaria. 
‘‘(2) CONTENTS.—The report required under paragraph (1) 
shall describe—
H. R. 5501—46 
‘‘(A) the countries and activities to which malaria 
resources have been allocated; 
‘‘(B) the number of people reached through malaria 
assistance programs, including data on children and preg-
nant women; 
‘‘(C) research efforts to develop new tools to combat 
malaria, including drugs and vaccines; 
‘‘(D) the collaboration and coordination of United States 
antimalarial efforts with the World Health Organization, 
the Global Fund, the World Bank, other donor govern-
ments, major private efforts, and relevant executive agen-
cies; 
‘‘(E) the coordination of United States antimalarial 
efforts with the national malarial strategies of other donor 
or partner governments and major private initiatives; 
‘‘(F) the estimated impact of United States assistance 
on childhood mortality and morbidity from malaria; 
‘‘(G) the coordination of antimalarial efforts with 
broader health and development programs; and 
‘‘(H) the constraints on implementation of programs 
posed by health workforce shortages or capacities; and 
‘‘(I) the number of personnel trained as health workers 
and the training levels achieved.’’. 
SEC. 305. AMENDMENT TO IMMIGRATION AND NATIONALITY ACT. 
Section 212(a)(1)(A)(i) of the Immigration and Nationality Act 
(8 U.S.C. 1182(a)(1)(A)(i)) is amended by striking ‘‘, which shall 
include infection with the etiologic agent for acquired immune defi-
ciency syndrome,’’ and inserting a semicolon. 
SEC. 306. CLERICAL AMENDMENT. 
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 by striking the heading for subtitle B and inserting 
the following: 
‘‘Subtitle B—Assistance for Women, 
Children, and Families’’. 
SEC. 307. REQUIREMENTS. 
Section 312(b) of the United States Leadership Against HIV/ 
AIDS, Tuberculosis, and Malaria Act of 2003 (22 U.S.C. 7652(b)) 
is amended by striking paragraphs (1), (2), and (3) and inserting 
the following: 
‘‘(1) establish a target for the prevention and treatment 
of mother-to-child transmission of HIV that, by 2013, will reach 
at least 80 percent of pregnant women in those countries most 
affected by HIV/AIDS in which the United States has HIV/ 
AIDS programs; 
‘‘(2) establish a target that, by 2013, the proportion of 
children receiving care and treatment under this Act is propor-
tionate to their numbers within the population of HIV infected 
individuals in each country;