(A) the term ‘‘local health organization’’ 
means a public sector health system, nongovern-
mental organization, institution of higher edu-
cation, community-based organization, or non-
profit health system that provides directly, or 
has a clear link with a provider for the indirect 
provision of, primary health care services; and 
(B) the term ‘‘international organization’’ 
means—
(i) a nonprofit international entity; 
(ii) an international charitable insti-
tution; 
(iii) a private voluntary international 
entity; or 
(iv) a multilateral institution. 
(4) PRIORITY REQUIREMENT.—In awarding sub-
grants under this subsection, the organization shall 
give priority to eligible applicants that are currently 
administering a program of proven intervention to 
HIV positive individuals to prevent mother-to-child 
transmission in countries with or at risk for severe 
HIV epidemic with particular attention to resource 
constrained countries, and who are currently admin-
istering a program to HIV positive women, men, and
children to provide life-long care in family-centered 
care programs using non-Federal funds. 
(5) SELECTION OF SUBGRANT RECIPIENTS.—In 
awarding subgrants under this subsection, the organi-
zation should—
(A) consider applicants from a range of 
health care settings, program approaches, and 
geographic locations; and 
(B) if appropriate, award not less than 1 
grant to an applicant to fund a national system 
of health care delivery to HIV positive families. 
(6) USE OF SUBGRANT FUNDS.—An eligible enti-
ty awarded a subgrant under this subsection shall use 
subgrant funds to expand activities to prevent moth-
er-to-child transmission of HIV by providing medical 
treatment and care and support services to parents 
and their children, which may include—
(A) providing treatment and therapy, when 
medically indicated, to HIV-infected women, 
their children, and families; 
(B) the hiring and training of local per-
sonnel, including physicians, nurses, other health 
care providers, counselors, social workers, out-
reach personnel, laboratory technicians, data 
managers, and administrative support personnel;
(C) paying laboratory costs, including costs 
related to necessary equipment and diagnostic 
testing and monitoring (including rapid testing), 
complete blood counts, standard chemistries, and 
liver function testing for infants, children, and 
parents, and costs related to the purchase of nec-
essary laboratory equipment; 
(D) purchasing pharmaceuticals for HIV-
related 
conditions, 
including 
antiretroviral 
therapies; 
(E) funding support services, including ad-
herence and psychosocial support services; 
(F) operational support activities; and 
(G) conducting community outreach and 
capacity building activities, including activities 
to raise the awareness of individuals of the pro-
gram carried out by the subgrantee, other com-
munications activities in support of the pro-
gram, local advisory board functions, and trans-
portation necessary to ensure program participa-
tion. 
(d) REPORTS.—The President shall require that each 
organization awarded a grant under subsection (b)(1) to 
submit an annual report that includes—
(1) the progress of programs funded under this 
section; 
(2) the benchmarks of success of programs funded 
under this section; and 
(3) recommendations of how best to proceed with 
the programs funded under this section upon the expi-
ration of funding under subsection (e). 
(e) FUNDING.—There are authorized to be appro-
priated to the President, from amounts authorized to be ap-
propriated under section 401, such sums as may be nec-
essary for each of the fiscal years 2004 through 2008 to 
carry out the program. 
(f) LIMITATION ON ADMINISTRATIVE EXPENSES.—An 
organization shall ensure that not more than 7 percent of 
the amount of a grant received under this section by the 
organization is used for administrative expenses. 
TITLE IV—AUTHORIZATION OF 
APPROPRIATIONS 
SEC. 401. AUTHORIZATION OF APPROPRIATIONS. 
(a) IN GENERAL.—There are authorized to be appro-
priated to the President to carry out this Act and the 
amendments made by this Act $3,000,000,000 for each of 
the fiscal years 2004 through 2008.
(b) AVAILABILITY.—Amounts appropriated pursuant 
to the authorization of appropriations in subsection (a) are 
authorized to remain available until expended. 
(c) AVAILABILITY OF AUTHORIZATIONS.—Authoriza-
tions of appropriations under subsection (a) shall remain 
available until the appropriations are made. 
SEC. 402. SENSE OF CONGRESS. 
(a) INCREASE IN HIV/AIDS ANTIRETROVIRAL TREAT-
MENT.—It is a sense of the Congress that an urgent priority 
of United States assistance programs to fight HIV/AIDS 
should 
be 
the 
rapid 
increase 
in 
distribution 
of 
antiretroviral treatment so that—
(1) by the end of fiscal year 2004, at least 
500,000 individuals with HIV/AIDS are receiving 
antiretroviral treatment through United States assist-
ance programs; 
(2) by the end of fiscal year 2005, at least 
1,000,000 such individuals are receiving such treat-
ment; and 
(3) by the end of fiscal year 2006, at least 
2,000,000 such individuals are receiving such treat-
ment. 
(b) 
EFFECTIVE
DISTRIBUTION
OF
HIV/AIDS 
FUNDS.—It is the sense of Congress that, of the amounts 
appropriated pursuant to the authorization of appropria-
tions under section 401 for HIV/AIDS assistance, an effec-
tive distribution of such amounts would be—
(1) 55 percent of such amounts for treatment of 
individuals with HIV/AIDS; 
(2) 15 percent of such amounts for palliative 
care of individuals with HIV/AIDS; 
(3) 20 percent of such amounts for HIV/AIDS 
prevention consistent with section 104A(d) of the For-
eign Assistance Act of 1961 (as added by section 301 
of this Act); and 
(4) 10 percent of such amounts for orphans and 
vulnerable children. 
SEC. 403. ALLOCATION OF FUNDS. 
For fiscal years 2006 through 2008, not less than 55 
percent of the amounts appropriated pursuant to the au-
thorization of appropriations under section 401 for HIV/
AIDS assistance for each such fiscal year shall be expended 
for therapeutic medical care of individuals infected with 
HIV, of which such amount at least 75 percent should be 
expended for the purchase and distribution of antiretroviral 
pharmaceuticals and at least 25 percent should be expended 
for related care.
Union Calendar No. 38
108TH CONGRESS 
1ST SESSION 
H. R. 1298
[Report No. 108–60] 
A BILL 
To provide assistance to foreign countries to com-
bat HIV/AIDS, tuberculosis, and malaria, and 
for other purposes. 
APRIL 7, 2003
Reported with an amendment, committed to the Com-
mittee of the Whole House on the State of the Union, 
and ordered to be printed