(1) The spread of HIV/AIDS is exacerbated by 
poverty, and economic and social vulnerability, 
disempowerment, and inequality. 
(2) Food insecurity has a direct detrimental im-
pact on prevention, care, and treatment of HIV/ 
AIDS. 
(3) Programming for HIV/AIDS must address 
the underlying factors that contribute to the spread 
of the disease in order to be effective and sustain-
able. 
(4) The World Food Program estimates that 
6,400,000 people affected by HIV will need nutri-
tional support by 2008. 
(5) The highest rates of HIV infections are in 
countries with significant rates of malnutrition, es-
pecially in sub-Saharan Africa. 
(6) People living with HIV/AIDS are less pro-
ductive due to illness, which contributes to food inse-
curity for such individuals and their households 
through loss of wages and/or decreased agricultural 
production. 
(7) People caring for HIV-infected persons are 
often less productive because of the demands of car-
ing for those persons, which in turn can lead to food 
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insecurity for the infected person and the entire 
household. 
(8) Adequate nutrition can extend the time that 
people infected with HIV are able to work and be 
productive. 
(9) Food insecurity is often cited by people liv-
ing with HIV/AIDS as their number one concern. 
SEC. 3. SENSE OF CONGRESS. 
It is the sense of Congress that— 
(1) malnutrition, especially for people living 
with and affected by HIV/AIDS, is a clinical health 
issue with wider nutrition, health, and social implica-
tions for HIV-infected individuals, their families, 
and communities that must be addressed by United 
States HIV/AIDS prevention, care, treatment, and 
support programs; 
(2) international guidelines established by the 
World Health Organization should serve as the ref-
erence standard for HIV/AIDS food and nutrition 
activities supported by the President’s Emergency 
Plan for AIDS Relief (PEPFAR); 
(3) the Coordinator of United States Govern-
ment Activities to Combat HIV/AIDS Globally (com-
monly known as the ‘‘Global AIDS Coordinator’’) 
should make it a priority to work with other United 
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States Government departments and agencies, do-
nors, and multilateral institutions to increase the in-
tegration of food and nutrition support and liveli-
hood activities into prevention, care, and treatment 
activities funded by the United States and other gov-
ernments and organizations; 
(4) for the purposes of determining which HIV- 
infected individuals should be provided with nutri-
tion and food support, a patient with a body mass 
index of 18.5 or less should be considered ‘‘malnour-
ished’’ and should be given priority for nutrition and 
food support; 
(5) programs funded by the United States Gov-
ernment should include therapeutic and supple-
mentary feeding, food, and nutrition support and 
should include strong links to development programs 
that focus on support for livelihoods; and 
(6) the inability of HIV-infected individuals to 
access food for themselves or their families should 
not be allowed to impair or erode the therapeutic 
status of such individuals with respect to HIV or re-
lated comorbidities. 
SEC. 4. STATEMENT OF POLICY. 
It is the policy of the United States to— 
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(1) address the food and nutrition needs of 
HIV-infected and affected individuals, including or-
phans and vulnerable children; 
(2) fully integrate food and nutrition support 
into care, treatment, and support programs carried 
out under the United States Leadership Against 
HIV/AIDS, Tuberculosis, and Malaria Act of 2003 
(Public Law 108–25; 22 U.S.C. 7601 et seq.); 
(3) ensure that— 
(A) care, treatment, and support providers 
and healthcare workers are adequately trained 
such that they can provide accurate and in-
formed information regarding food and nutri-
tion support to patients enrolled in treatment 
and care programs and those affected by HIV; 
and 
(B) HIV-infected individuals identified as 
food insecure, as well as their households, are 
provided with adequate food and nutrition sup-
port; and 
(4) effectively link food and nutrition support to 
HIV-infected individuals and their households and 
communities provided under Public Law 108–25 to 
other food security and livelihood programs funded 
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by the United States Government and other donors 
and multilateral agencies. 
SEC. 5. INTEGRATION OF FOOD SECURITY AND NUTRITION 
ACTIVITIES 
INTO 
HIV/AIDS 
PREVENTION, 
CARE, TREATMENT, AND SUPPORT ACTIVI-
TIES. 
Section 301 of the United States Leadership Against 
HIV/AIDS, Tuberculosis, and Malaria Act of 2003 (Public 
Law 108–25; 22 U.S.C. 7631) is amended by striking sub-
section (c) and inserting the following: 
‘‘(c) INTEGRATION OF FOOD SECURITY AND NUTRI-
TION ACTIVITIES INTO PREVENTION, CARE, TREATMENT, 
AND SUPPORT ACTIVITIES.— 
‘‘(1) STATEMENT
OF
POLICY.—Congress de-
clares that food security and nutrition directly im-
pact a patient’s vulnerability to HIV infection, the 
progression of HIV to AIDS, a patient’s ability to 
begin an anti-retroviral medication treatment regi-
men, the efficacy of an anti-retroviral medication 
treatment regimen once a patient begins such a regi-
men, and the ability of communities to effectively 
cope with the HIV/AIDS epidemic and its impacts. 
‘‘(2) REQUIREMENTS.—Consistent with the 
statement of policy in paragraph (1), the Global 
AIDS Coordinator shall— 
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‘‘(A) ensure that— 
‘‘(i) an assessment, using validated 
criteria, of the food security and nutri-
tional status of each patient enrolled in 
anti-retroviral medication treatment pro-
grams supported with funds authorized 
under this Act or any amendment made by 
this Act is carried out; and 
‘‘(ii) appropriate nutritional coun-
seling is provided to each patient described 
in clause (i); 
‘‘(B) provide, as an essential component of 
anti-retroviral medication treatment programs 
supported with funds authorized under this Act 
or any amendment made by this Act, food and 
nutrition support to each HIV-infected indi-
vidual who is determined to need such support 
by the assessing health professional, and the in-
dividual’s household, for a period of not less 
than 180 days, either directly or through refer-
ral to an assistance program or organization 
with demonstrable ability to provide such sup-
port; 
‘‘(C) coordinate with the Administrator of 
the United States Agency for International De-
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velopment, the Secretary of Agriculture, and 
heads of other relevant United States Govern-
ment departments and agencies to— 
‘‘(i) ensure that, in communities in 
which a significant proportion of HIV-in-
fected individuals are in need of food and 
nutrition support, a status and needs as-
sessment for such support employing vali-
dated criteria is conducted and a plan to 
provide such support is developed and im-
plemented; 
‘‘(ii) improve and enhance coordina-
tion between food security and livelihood 
programs for HIV-infected individuals in 
focus countries and food security and liveli-
hood programs that may already exist in 
those countries; 
‘‘(iii) establish effective linkages be-
tween the health and agricultural develop-
ment and livelihoods sectors in order to en-
hance food security; and 
‘‘(iv) ensure, by providing increased 
resources if necessary, effective coordina-
tion between activities authorized under 
this Act or any amendment made by this 
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Act and activities carried out under other 
provisions of the Foreign Assistance Act of 
1961 when establishing new HIV/AIDS 
treatment sites; 
‘‘(D) develop effective, validated indicators 
which measure outcomes of nutrition and food 
security interventions carried out under this 
section and use such indicators to monitor and 
evaluate the effectiveness of such interventions; 
and 
‘‘(E) support and expand partnerships and 
linkages between United States colleges and 
universities with colleges and universities in 
focus countries in order to provide training and 
build indigenous human and institutional capac-
ity and expertise to respond to HIV/AIDS, and 
to improve capacity to address nutrition, food 
security and livelihood needs of HIV/AIDS-af-
fected and impoverished communities. 
‘‘(3) REPORT.—Not later than 180 days after 
the date of the enactment of the Global HIV/AIDS 
Food Security and Nutrition Support Act of 2007, 
and annually thereafter, the Global AIDS Coordi-
nator shall submit to Congress a report on the im-
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plementation of this subsection for the prior fiscal 
year. The report shall include a description of— 
‘‘(A) the indicators described in paragraph 
(2)(D) and a description of the effectiveness of 
interventions carried out to improve the nutri-
tional status of HIV-infected individuals; 
‘‘(B) the amount of funds provided for 
food and nutrition support for HIV-infected 
and affected individuals in the prior fiscal year 
and the projected amount of funds to be pro-
vided for such purpose for next fiscal year; and 
‘‘(C) a strategy for improving the linkage 
between assistance provided with funds author-
ized under this subsection and food security 
and livelihood programs under other provisions 
of law as well as activities funded by other do-
nors and multilateral organizations. 
‘‘(4) DEFINITIONS.—In this subsection: 
‘‘(A) FOCUS COUNTRIES.—The term ‘focus 
countries’ means countries described in section 
1(f)(2)(B)(ii)(VII) of the State Department 
Basic Authorities Act of 1956 (as added by sec-
tion 102(a) of this Act) and designated by the 
President pursuant to such section. 
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‘‘(B) GLOBAL
AIDS
COORDINATOR.—The 
term ‘Global AIDS Coordinator’ means the Co-
ordinator of United States Government Activi-
ties to Combat HIV/AIDS Globally (as de-
scribed in section 1(f) of the State Department 
Basic Authorities Act of 1956 (as added by sec-
tion 102(a) of this Act)). 
‘‘(5) AUTHORIZATION
OF
APPROPRIATIONS.— 
To carry out this subsection, there are authorized to 
be appropriated to the Global AIDS Coordinator 
such sums as may be necessary for each of the fiscal 
years 2009 through 2014.’’ 
Æ 
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