IB 
Union Calendar No. 793 
115TH CONGRESS 
2D SESSION 
H. R. 6651 
[Report No. 115–1014] 
To extend certain authorities relating to United Sates efforts to combat 
HIV/AIDS, tuberculosis, and malaria globally, and for other purposes. 
IN THE HOUSE OF REPRESENTATIVES 
AUGUST 3, 2018 
Mr. SMITH of New Jersey (for himself, Ms. LEE, Mr. ROYCE of California, 
Mr. ENGEL, Ms. ROS-LEHTINEN, and Ms. BASS) introduced the following 
bill; which was referred to the Committee on Foreign Affairs 
NOVEMBER 9, 2018 
Additional sponsors: Mr. FITZPATRICK, Mr. CONNOLLY, Mr. SHERMAN, Mr. 
REICHERT, Mr. CICILLINE, Mr. MCCAUL, Mr. GARRETT, and Mr. HASTINGS 
NOVEMBER 9, 2018 
Reported with an amendment, committed to the Committee of the Whole 
House on the State of the Union, and ordered to be printed 
[Strike out all after the enacting clause and insert the part printed in italic] 
[For text of introduced bill, see copy of bill as introduced on August 3, 2018] 
VerDate Sep 11 2014 
22:29 Nov 09, 2018
Jkt 089200
PO 00000
Frm 00001
Fmt 6652
Sfmt 6652
E:\BILLS\H6651.RH
H6651
pamtmann on DSKBFK8HB2PROD with BILLS
A BILL 
To extend certain authorities relating to United Sates efforts 
to combat HIV/AIDS, tuberculosis, and malaria globally, 
and for other purposes. 
VerDate Sep 11 2014 
22:29 Nov 09, 2018
Jkt 089200
PO 00000
Frm 00002
Fmt 6652
Sfmt 6652
E:\BILLS\H6651.RH
H6651
pamtmann on DSKBFK8HB2PROD with BILLS
Be it enacted by the Senate and House of Representa-
tives of the United States of America in Congress assembled, 
SECTION 1. SHORT TITLE. 
This Act may be cited as the ‘‘PEPFAR Extension Act 
of 2018’’. 
SEC. 2. INSPECTORS GENERAL AND ANNUAL STUDY. 
Section 101 of the United States Leadership Against 
HIV/AIDS, Tuberculosis, and Malaria Act of 2003 (22 
U.S.C. 7611) is amended— 
(1) in subsection (f)(1)— 
(A) in subparagraph (A), by striking 
‘‘2018’’ and inserting ‘‘2023’’; and 
(B) in subparagraph (C)(iv)— 
(i) by striking ‘‘four’’ and inserting 
‘‘nine’’; and 
(ii) by striking ‘‘2018’’ and inserting 
‘‘2023’’; and 
(2) in subsection (g)— 
(A) in paragraph (1), by striking ‘‘2019’’ 
and inserting ‘‘2024’’; and 
(B) in paragraph (2)— 
(i) in the heading, by striking ‘‘2018’’ 
and inserting ‘‘2024’’; and 
(ii) by striking ‘‘September 30, 2018’’ 
and inserting ‘‘September 30, 2024’’. 
VerDate Sep 11 2014 
22:29 Nov 09, 2018
Jkt 089200
PO 00000
Frm 00003
Fmt 6652
Sfmt 6203
E:\BILLS\H6651.RH
H6651
pamtmann on DSKBFK8HB2PROD with BILLS
SEC. 3. PARTICIPATION IN THE GLOBAL FUND TO FIGHT 
AIDS, TUBERCULOSIS, AND MALARIA. 
Section 202(d) of the United States Leadership 
Against HIV/AIDS, Tuberculosis, and Malaria Act of 2003 
(22 U.S.C. 7622(d)) is amended— 
(1) in paragraph (4)— 
(A) in subparagraph (A)— 
(i) in clause (i), by striking ‘‘fiscal 
years 2009 through 2018’’ and inserting 
‘‘fiscal years 2004 through 2023’’; 
(ii) in clause (ii), by striking ‘‘2018’’ 
and inserting ‘‘2023’’; and 
(iii) by striking clause (vi); and 
(B) in subparagraph (B)— 
(i) by striking clause (ii); 
(ii) by redesignating clauses (iii) and 
(iv) as clauses (ii) and (iii), respectively; 
(iii) in clause (ii) (as redesignated by 
clause (ii) of this subparagraph)— 
(I) in the first sentence, by adding 
at the end before the period the fol-
lowing: ‘‘or section 104B or 104C of 
such Act’’; and 
(II) in the second sentence, by 
striking ‘‘for HIV/AIDS assistance’’; 
and 
VerDate Sep 11 2014 
22:29 Nov 09, 2018
Jkt 089200
PO 00000
Frm 00004
Fmt 6652
Sfmt 6203
E:\BILLS\H6651.RH
H6651
pamtmann on DSKBFK8HB2PROD with BILLS
(iv) in clause (iii) (as redesignated by 
clause (ii) of this subparagraph), by strik-
ing ‘‘2018’’ and inserting ‘‘2023’’; and 
(2) in paragraph (5), by striking ‘‘2018’’ and in-
serting ‘‘2023’’. 
SEC. 4. ALLOCATION OF FUNDS. 
Section 403 of the United States Leadership Against 
HIV/AIDS, Tuberculosis, and Malaria Act of 2003 (22 
U.S.C. 7673) is amended— 
(1) in subsection (b), by striking ‘‘2018’’ and in-
serting ‘‘2023’’; and 
(2) in subsection (c), in the matter preceding 
paragraph (1), by striking ‘‘2018’’ and inserting 
‘‘2023’’. 
VerDate Sep 11 2014 
22:29 Nov 09, 2018
Jkt 089200
PO 00000
Frm 00005
Fmt 6652
Sfmt 6203
E:\BILLS\H6651.RH
H6651
pamtmann on DSKBFK8HB2PROD with BILLS
Union Calendar No. 793 
115TH CONGRESS 
2D SESSION 
H. R. 6651 
[Report No. 115–1014] 
A BILL 
To extend certain authorities relating to United 
Sates efforts to combat HIV/AIDS, tuberculosis, 
and malaria globally, and for other purposes. 
NOVEMBER 9, 2018 
Reported with an amendment, committed to the Com-
mittee of the Whole House on the State of the Union, 
and ordered to be printed 
VerDate Sep 11 2014 
22:29 Nov 09, 2018
Jkt 089200
PO 00000
Frm 00006
Fmt 6651
Sfmt 6651
E:\BILLS\H6651.RH
H6651
pamtmann on DSKBFK8HB2PROD with BILLS