I 
107TH CONGRESS 
2D SESSION 
H. R. 5761
To provide assistance to foreign countries to combat HIV/AIDS, tuberculosis, 
and malaria, and for other purposes. 
IN THE HOUSE OF REPRESENTATIVES 
NOVEMBER 19, 2002
Mr. HYDE (for himself and Mr. LANTOS) introduced the following bill; which 
was referred to the Committee on International Relations 
A BILL 
To provide assistance to foreign countries to combat HIV/
AIDS, tuberculosis, and malaria, 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. SHORT TITLE; TABLE OF CONTENTS. 
(a) SHORT TITLE.—This Act may be cited as the 
‘‘United States Leadership Against HIV/AIDS, Tuber-
culosis, and Malaria Act of 2002’’. 
(b) TABLE OF CONTENTS.—The table of contents for 
this Act is as follows:
Sec. 2. Findings. 
Sec. 3. Definitions. 
Sec. 4. Purpose. 
Sec. 5. Authority to consolidate and combine reports.
TITLE I—POLICY PLANNING AND COORDINATION 
Sec. 101. Development of a comprehensive, five-year, global strategy. 
Sec. 102. Comprehensive plan to empower women to prevent the spread of 
HIV/AIDS. 
Sec. 103. HIV/AIDS Response Coordinator. 
Sec. 104. Report on reversing the exodus of critical talent. 
TITLE II—SUPPORT FOR MULTILATERAL FUNDS, PROGRAMS, 
AND PUBLIC-PRIVATE PARTNERSHIPS 
Sec. 201. Sense of Congress on public-private partnerships. 
Sec. 202. Participation in the Global Fund to Fight AIDS, Tuberculosis, and 
Malaria. 
Sec. 203. Voluntary contributions to international vaccine funds. 
TITLE III—BILATERAL EFFORTS 
Subtitle A—General Assistance and Programs 
Sec. 301. Assistance to combat HIV/AIDS. 
Sec. 302. Assistance to combat tuberculosis. 
Sec. 303. Assistance to combat malaria. 
Sec. 304. Pilot program for the placement of health care professionals in over-
seas areas severely affected by HIV/AIDS, tuberculosis, and 
malaria. 
Sec. 305. Report on treatment activities by relevant Executive branch agencies. 
Subtitle B—Assistance for Children and Families 
Sec. 311. Findings. 
Sec. 312. Policy and requirements. 
Sec. 313. Annual reports on prevention of mother-to-child transmission of the 
HIV infection. 
Sec. 314. Pilot program of assistance for children and families affected by HIV/
AIDS. 
TITLE IV—BUSINESS PRINCIPLES 
Sec. 401. Principles for United States firms operating in countries affected by 
the HIV/AIDS pandemic.
SEC. 2. FINDINGS. 
Congress makes the following findings: 
(1) During the last 20 years, HIV/AIDS has 
assumed pandemic proportions, spreading from the 
most severely affected region, sub-Saharan Africa, to 
all corners of the world, and leaving an unprece-
dented path of death and devastation.
(2) According to the Joint United Nations Pro-
gramme on HIV/AIDS (UNAIDS), more than 
60,000,000 people worldwide have been infected with 
HIV 
since 
the 
epidemic 
began; 
more 
than 
22,000,000 of these have lost their lives to the dis-
ease; and more than 13,000,000 children have been 
orphaned by the disease. HIV/AIDS is the fourth-
highest cause of death in the world. 
(3) At the end of 2001, an estimated 
40,000,000 people were infected with HIV or living 
with AIDS. Of these, more than 2,700,000 were 
children under the age of fifteen and more than 
17,600,000 were women. Women are four times 
more vulnerable to infection than are men and are 
becoming infected at increasingly high rates because 
in many societies women lack control over sexual en-
counters and cannot insist on the use of protective 
measures. Women and children who are refugees or 
are internally displaced persons are especially vul-
nerable to sexual violence, thereby increasing the 
possibility of HIV infection. 
(4) As the leading cause of death in sub-Saha-
ran Africa, AIDS has killed more than 17,000,000 
people (more than 3 times the number of AIDS 
deaths in the rest of the world) and will claim the
lives of one-quarter of the population, mostly adults, 
in the next decade. 
(5) An estimated 1,800,000 people in Latin 
America and the Caribbean and another 7,100,000 
people in Asia and the Pacific region are infected 
with HIV or living with AIDS. Infection rates are 
rising alarmingly in Eastern Europe (especially in 
the Russian Federation), Central Asia, and China. 
(6) HIV/AIDS threatens personal security by 
affecting the health, lifespan, and productive capac-
ity of the individual and the social cohesion and eco-
nomic well-being of the family. 
(7) HIV/AIDS undermines the economic secu-
rity of a country and individual businesses in that 
country by weakening the productivity and longevity 
of the labor force across a broad array of economic
sectors and by reducing the potential for economic 
growth over the long term. 
(8) HIV/AIDS destabilizes communities by 
striking at the most mobile and educated members 
of society, many of whom are responsible for secu-
rity at the local level and governance at the national 
and subnational levels as well as many teachers, 
health care personnel, and other community workers 
vital to community development and the effort to
combat HIV/AIDS. In some countries the over-
whelming challenges of the HIV/AIDS epidemic are 
accelerating the outward migration of critically im-
portant health care professionals. 
(9) HIV/AIDS weakens the defenses of coun-
tries severely affected by the HIV/AIDS crisis 
through high infection rates among members of their 
military forces. According to UNAIDS, in sub-Saha-
ran Africa, many military forces have infection rates 
as much as five times that of the civilian population. 
(10) HIV/AIDS poses a serious security issue 
for the international community by—
(A) increasing the potential for political in-
stability and economic devastation, particularly 
in those countries and regions most severely af-
fected by the disease; and 
(B) decreasing the capacity to resolve con-
flicts through the introduction of peacekeeping 
forces because the environments into which 
these forces are introduced pose a high risk for 
the spread of HIV/AIDS. 
(11) The devastation wrought by the HIV/
AIDS pandemic is compounded by the prevalence of 
tuberculosis and malaria, particularly in developing 
countries where the poorest and most vulnerable