I
107TH CONGRESS
2D SESSION
H. R. 3975
To provide for acceptance of the Fourth Amendment to the Articles of
Agreement of the International Monetary Fund, to provide for the Special
Drawing Rights allocated to the United States pursuant to the amend-
ment to be contributed to the Global Fund to Fight AIDS, Tuberculosis
and Malaria, and to require the Secretary of the Treasury to seek
negotiations for the purpose of inducing the other member countries
of the International Monetary Fund to make similar contributions to
that Global Fund, and for other purposes.
IN THE HOUSE OF REPRESENTATIVES
MARCH 14, 2002
Mr. LEACH (for himself and Ms. LEE) introduced the following bill; which was
referred to the Committee on Financial Services
A BILL
To provide for acceptance of the Fourth Amendment to
the Articles of Agreement of the International Monetary
Fund, to provide for the Special Drawing Rights allo-
cated to the United States pursuant to the amendment
to be contributed to the Global Fund to Fight AIDS,
Tuberculosis and Malaria, and to require the Secretary
of the Treasury to seek negotiations for the purpose
of inducing the other member countries of the Inter-
national Monetary Fund to make similar contributions
to that Global Fund, and for other purposes.
Be it enacted by the Senate and House of Representa-
tives of the United States of America in Congress assembled,
SECTION 1. FINDINGS.
The Congress makes the following findings:
(1) According to the Surgeon General of the
United States, the epidemic of human immuno-
deficiency virus/acquired immune deficiency syn-
drome (HIV/AIDS) will soon become the worst epi-
demic of infectious disease in recorded history,
eclipsing the bubonic plague of the 1300’s and the
influenza epidemic of 1918–1919, the latter killing
more than 20,000,000 people worldwide.
(2) The gap between rich and poor countries in
terms of transmission of HIV from mother to child
has been increasing, threatening to reverse years of
steady progress of child survival in developing coun-
tries to the point that UNAIDS believes that by the
year 2010 AIDS may have increased mortality of
children under 5 years of age by more than 100 per-
cent in regions most affected by the virus.
(3) At current infection and growth rates for
HIV/AIDS, the National Intelligence Council esti-
mates that the number of AIDS orphans worldwide
will increase dramatically, potentially increasing
threefold or more in the next 10 years, contributing
to economic decay, social fragmentation, and polit-
ical destabilization in already volatile societies as
children without care or hope are drawn into pros-
titution, crime, substance abuse, or child soldiery.
(4) A January 2000 United States National In-
telligence Estimate (NIE) report on the global infec-
tious disease threat concluded that the economic
costs of infectious diseases—especially HIV/AIDS—
are already significant and could reduce gross do-
mestic product by 20 percent or more by 2010 in
some sub-Saharan African nations.
(5) Despite the discouraging statistics on the
spread of HIV/AIDS, some developing nations, such
as Uganda, Senegal, and Thailand, have imple-
mented prevention programs that have substantially
curbed the rate of HIV infection.
(6) Accordingly, because infectious diseases do
not respect international boundaries, United States
financial support for medical research, education,
and disease containment as a global strategy has
enormous benefits for all Americans.
(7) Given the cost of combating AIDS and
other infectious diseases worldwide, a contribution to
the Global Fund to Fight AIDS, Tuberculosis and
Malaria of all Special Drawing Rights authorized to
be allocated to the United States under a proposed
Fourth Amendment to the Articles of Agreement of
the International Monetary Fund would be a signifi-
cant step in combating this epidemic.
(8) In September 1997, the international com-
munity endorsed the proposed Fourth Amendment,
but the amendment has not been implemented be-
cause the Executive Branch has not requested Con-
gressional authorization for United States approval
of the Fourth Amendment.
(9) The proposed Fourth Amendment has been
accepted by 109 of the 110 members of the Inter-
national Monetary Fund, representing 72.18 percent
of the total voting power of the International Mone-
tary Fund.
(10) Whereas approval of the proposed Fourth
Amendment by the United States, which holds 17.16
percent of the voting power at the International
Monetary Fund, would enable the Special Drawing
Rights to be allocated to the United States.
(11) The Global Fund to Fight AIDS, Tuber-
culosis and Malaria is a method for leveraging re-
sources from donor nations to meet the extraor-
dinary need for resources by creating a much strong-
er multilateral ‘‘burden-sharing’’ approach to com-
bating the HIV/AIDS crisis.
SEC. 2. ACCEPTANCE OF FOURTH AMENDMENT TO THE AR-
TICLES OF AGREEMENT OF THE FUND; CON-
TRIBUTION OF SPECIAL DRAWING RIGHTS TO
THE GLOBAL FUND TO FIGHT AIDS, TUBER-
CULOSIS AND MALARIA.
The Bretton Woods Agreements Act (22 U.S.C. 286–
286nn) is amended by adding at the end the following:
‘‘SEC. 64. ACCEPTANCE OF FOURTH AMENDMENT TO THE
ARTICLES OF AGREEMENT OF THE FUND;
CONTRIBUTION 
OF 
SPECIAL 
DRAWING
RIGHTS TO THE GLOBAL FUND TO FIGHT
AIDS, TUBERCULOSIS AND MALARIA.
‘‘(a) ACCEPTANCE OF FOURTH AMENDMENT TO THE
ARTICLES OF AGREEMENT.—The United States Governor
of the Fund shall, on behalf of the United States, accept
the amendments to the Articles of Agreement of the Fund
approved in resolution numbered 52–4 of the Board of
Governors of the Fund.
‘‘(b) CONTRIBUTION OF SPECIAL DRAWING RIGHTS
TO THE GLOBAL FUND TO FIGHT AIDS, TUBERCULOSIS
AND MALARIA.—
‘‘(1) INSTRUCTION
TO
SEEK
AGREEMENT
TO
ALLOW THE GLOBAL FUND TO HOLD SPECIAL DRAW-