‘‘(2) REPORT
ELEMENTS.—Each report sub-
mitted after February 15, 2014, shall include the 
following: 
‘‘(A) A description based on internationally 
available data, using high-quality country-based 
data where practicable, of the total global bur-
den and need for HIV/AIDS prevention, treat-
ment, and care, including— 
‘‘(i) estimates by partner country of 
the global burden and need; and 
‘‘(ii) HIV incidence, prevalence, and 
AIDS deaths for the reporting period. 
‘‘(B) Reporting on targets across preven-
tion, treatment, and care interventions in part-
ner countries, including— 
‘‘(i) a description of how those targets 
are designed to— 
‘‘(I) ensure that the annual in-
crease in new patients on antiretrovi-
ral treatment exceeds the number of 
annual new HIV infections; 
‘‘(II) reduce the number of new 
HIV infections so that it falls below 
number of deaths among persons in-
fected with HIV; and 
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‘‘(III) achieve an AIDS-free gen-
eration; 
‘‘(ii) national targets across preven-
tion, treatment, and care that are— 
‘‘(I) established by partner coun-
tries; or 
‘‘(II) where such national partner 
country-developed targets are unavail-
able, a description of progress towards 
developing national partner country 
targets; and 
‘‘(iii) bilateral programmatic targets 
across prevention, treatment, and care, in-
cluding— 
‘‘(I) the number of adults and 
children to be directly supported on 
HIV treatment under this section; 
‘‘(II) the number of adults and 
children to be otherwise supported on 
HIV treatment under this section; and 
‘‘(III) other programmatic tar-
gets for activities directly and other-
wise supported by United States-fund-
ed programs. 
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‘‘(C) A description, by partner country, of 
HIV/AIDS funding from all sources, including 
funding levels from partner countries, other do-
nors, and the private sector, as practicable. 
‘‘(D) A description of how United States 
bilateral programs, in conjunction with the 
Global Fund, other donors, and partner coun-
tries together set targets, measure progress, 
and achieve positive outcomes in partner coun-
tries. 
‘‘(E) An annual assessment of outcome in-
dicator development, dissemination, and per-
formance for programs supported under this 
section, including ongoing corrective actions to 
improve reporting. 
‘‘(F) A description and explanation of 
changes in related guidance or policies related 
to implementation of programs supported under 
this section. 
‘‘(G) An assessment and quantification of 
progress over the reporting period toward 
achieving the targets described in subparagraph 
(B), including— 
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‘‘(i) the number, by partner country, 
of persons on HIV treatment, including 
specifically— 
‘‘(I) the number of adults and 
children on HIV treatment directly 
supported by United States-funded 
programs; 
‘‘(II) the number of adults and 
children on HIV treatment otherwise 
supported by United States-funded 
programs; 
‘‘(ii) HIV treatment coverage rates by 
country; 
‘‘(iii) the net increase in persons on 
HIV treatment by partner country; 
‘‘(iv) new infections of HIV by coun-
try; 
‘‘(v) the number of HIV infections 
averted; 
‘‘(vi) antiretroviral treatment program 
retention rates, by partner country, includ-
ing— 
‘‘(I) performance against annual 
targets for program retention; and 
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‘‘(II) the retention rate of per-
sons on HIV treatment directly sup-
ported by United States-funded pro-
grams; and 
‘‘(vii) a description of supportive care, 
including management of co-morbidities. 
‘‘(H) A description of partner country and 
United States-funded HIV/AIDS prevention 
programs and policies, including— 
‘‘(i) an assessment, by partner coun-
try, of progress to achieve the targets de-
scribed in subparagraph (B), with a de-
tailed description of the metrics used to as-
sess— 
‘‘(I) programs to prevent mother 
to child transmission of HIV/AIDS, 
including coverage rates; 
‘‘(II) programs to provide or pro-
mote voluntary medical male circumci-
sion, including coverage rates; 
‘‘(III) programs for behavior- 
change; and 
‘‘(IV) other programmatic activi-
ties to prevent the transmission of 
HIV; 
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‘‘(ii) a description of antiretroviral 
treatment as prevention; and 
‘‘(iii) a description of any new pre-
ventative interventions or methodologies. 
‘‘(I) A description of the goals, scope, and 
measurement of program efforts aimed at 
women and girls. 
‘‘(J) A description of the goals, scope, and 
measurement of program efforts aimed at or-
phans, vulnerable children, and youth. 
‘‘(K) A description of the indicators and 
milestones used to assess effective, strategic, 
and appropriately timed partner country owner-
ship, including— 
‘‘(i) an explanation of the metrics 
used to determine whether the pace of any 
transition to such ownership is appropriate 
for such partner country, given that coun-
try’s level of readiness for such transition; 
‘‘(ii) an analysis of governmental and 
local nongovernmental capacity to sustain 
positive outcomes; 
‘‘(iii) a description of measures taken 
to improve partner country capacity to sus-
tain positive outcomes where needed; and 
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‘‘(iv) for partner countries undergoing 
a transition to greater country ownership, 
a description of strategies to assess and 
mitigate programmatic and financial risk 
to ensure continued quality of care for es-
sential services. 
‘‘(L) A description, globally and by partner 
country, of specific efforts to achieve and 
incentivize greater programmatic and cost effec-
tiveness, including— 
‘‘(i) progress toward establishing com-
mon economic metrics across prevention, 
care and treatment with partner counties 
and the Global Fund; 
‘‘(ii) average costs, by partner country 
and by core intervention; 
‘‘(iii) expenditure reporting in all pro-
gram areas, supplemented with targeted 
analyses of the cost-effectiveness of specific 
interventions; and 
‘‘(iv) import duties and internal taxes 
imposed on program commodities and serv-
ices, by partner country. 
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‘‘(M) A description of partnership frame-
work agreements with countries and regions, 
where applicable, including— 
‘‘(i) the objectives and structures of 
such agreements, including— 
‘‘(I) how such agreements are 
aligned 
with 
national 
HIV/AIDS 
plans, public health strategies, and 
commitments of such countries and 
regions; and 
‘‘(II) how such agreements incor-
porate a role for civil society; and 
‘‘(ii) what has been learned in advanc-
ing partnership framework agreements 
with countries, and regions as applicable, 
in terms of improved coordination and col-
laboration, definition of clear roles and re-
sponsibilities and implications for how to 
further strengthen these agreements with 
mutually accountable measures of prog-
ress. 
‘‘(N) A description of efforts and activities 
to engage new partners, including faith-based, 
community-based, and United States minority- 
serving institutions. 
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‘‘(O) A definition and description of the 
differentiation between directly and otherwise 
supported activities, including specific efforts to 
clarify programmatic attribution and contribu-
tion, as well as timelines for dissemination and 
implementation. 
‘‘(3) DEFINITION.—In this subsection, the term 
‘partner country’ means a country that received not 
less than $5,000,000 in United States HIV/AIDS 
assistance under this section during the immediately 
preceding fiscal year.’’. 
(b) REPORT ELEMENTS FOR FISCAL YEAR 2013 RE-
PORT.—The annual report required to be submitted by not 
later than February 15, 2014, to the Committee on For-
eign Relations of the Senate and the Committee on For-
eign Affairs of the House of Representatives under section 
104A(f) of the Foreign Assistance Act of 1961, as amend-
ed by subsection (a) of this section, shall include the re-
port elements contained in paragraph (2) of such section 
104A(f) as such section was in effect on the day before 
the date of the enactment of this Act. 
SEC. 6. ALLOCATION OF FUNDING. 
(a) ORPHANS AND VULNERABLE CHILDREN.—Sec-
tion 403(b) of the United States Leadership Against HIV/ 
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AIDS, Tuberculosis, and Malaria Act of 2003 (22 U.S.C. 
7673(b)) is amended— 
(1) by striking ‘‘2013’’ and inserting ‘‘2018’’; 
and 
(2) by striking ‘‘amounts appropriated pursuant 
to the authorization of appropriations under section 
401’’ and inserting ‘‘amounts appropriated or other-
wise made available to carry out the provisions of 
section 104A of the Foreign Assistance Act of 1961 
(22 U.S.C. 2151b–2)’’. 
(b) FUNDING ALLOCATION.—Section 403(c) of the 
United States Leadership Against HIV/AIDS, Tuber-
culosis, and Malaria Act of 2003 (22 U.S.C. 7673(c)) is 
amended— 
(1) by striking ‘‘2013’’ and inserting ‘‘2018’’; 
(2) by striking ‘‘amounts appropriated’’ and in-
serting ‘‘amounts appropriated or otherwise made 
available to carry out the provisions of section 104A 
of the Foreign Assistance Act of 1961 (22 U.S.C. 
2151b–2)’’; and 
(3) by striking ‘‘pursuant to section 401’’. 
Æ 
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