Agency for International Development, the Director 
of the Centers for Disease Control and Prevention, 
and the heads of other appropriate Federal depart-
ments and agencies, is authorized to provide assist-
ance, on such terms and conditions as the President 
may determine, to facilitate the development of the 
health sector of Haiti. 
(2) ACTIVITIES
SUPPORTED.—Assistance pro-
vided under paragraph (1) shall, to the maximum 
extent practicable, be used to carry out the following 
activities: 
(A) Develop and expand the health sector 
in Haiti by expanding the current health infra-
structure, targeting resources toward sanitation 
and water improvements, and developing best 
practices to fight serious health conditions in 
the country, including HIV/AIDS, tuberculosis, 
and malaria. 
(B) Education, prevention, care, treat-
ment, support, capacity development, and other 
activities relating to the prevention, treatment, 
and control of infectious diseases. 
(c) AUTHORIZATION OF APPROPRIATIONS.—
(1) IN GENERAL.—There are authorized to be 
appropriated to carry out this section such sums as
may be necessary for each of the fiscal years 2004 
and 2005. 
(2) AVAILABILITY.—Amounts appropriated pur-
suant to the authorization of appropriations under 
paragraph (1) are authorized to remain available 
until expended. 
SEC. 202. ASSISTANCE FOR HEALTH INFRASTRUCTURE DE-
VELOPMENT. 
(a) ASSISTANCE.—
(1) 
IN
GENERAL.—The 
President, 
acting 
through the Secretary of State and the United 
States Army Corps of Engineers, is authorized to 
provide assistance, on such terms and conditions as 
the President may determine, to facilitate the devel-
opment of the basic sanitation and transportation 
infrastructure of Haiti. 
(2) ACTIVITIES
SUPPORTED.—Assistance pro-
vided under paragraph (1) shall, to the maximum 
extent practicable, be used to carry out the following 
activities: 
(A) Expand and further develop transpor-
tation and infrastructure projects in Haiti, in-
cluding paving of roads and the availability of 
a health care vehicle or establishment of an 
emergency transportation plan in townships or
villages located more than 30 to 40 miles away 
from a health clinic. 
(B) Commission an environmental impact 
study focused on the cost of development and 
paving of primary ‘‘dirt roads’’ located up to 
30–40 miles away from major health clinics and 
provide the basic resources for the development 
and paving of such roads. 
(b) REPORT.—The President shall prepare and trans-
mit to the appropriate congressional committees a report 
that contains the results of the environmental impact 
study carried out pursuant to subsection (a)(2)(B), includ-
ing a cost analysis of carrying out the activities described 
in such subsection. 
(c) AUTHORIZATION OF APPROPRIATIONS.—
(1) IN GENERAL.—There are authorized to be 
appropriated to carry out this section such sums as 
may be necessary for each of the fiscal years 2004 
and 2005. 
(2) AVAILABILITY.—Amounts appropriated pur-
suant to the authorization of appropriations under 
paragraph (1) are authorized to remain available 
until expended.
SEC. 203. ASSISTANCE FOR WATER AND SANITATION INFRA-
STRUCTURE DEVELOPMENT. 
(a) ASSISTANCE.—
(1) 
IN
GENERAL.—The 
President, 
acting 
through the Secretary of State and the United 
States Army Corps of Engineers, is authorized to 
provide assistance, on such terms and conditions as 
the President may determine, to facilitate the devel-
opment of the water and sanitation infrastructure of 
Haiti. 
(2) ACTIVITIES
SUPPORTED.—Assistance pro-
vided under paragraph (1) shall, to the maximum 
extent practicable, be used to carry out the following 
activities: 
(A) Expand and further develop water and 
sanitation infrastructure projects in Haiti, in-
cluding assistance for development of sanitation 
and trash removal services in urban and rural 
areas of Haiti, development of sewage systems 
in areas with populations of at least 100,000 
people, assistance and educational resources to 
improve water quality and delivery, and imple-
mentation of community water reserves to be 
maintained by public-private partnerships. 
(B) Commission an environmental impact 
study focused on the effects of the deteriorating
water and sanitation conditions in Haiti and 
provide the necessary resources for the improve-
ment of such conditions. 
(b) REPORT.—The President shall prepare and trans-
mit to the appropriate congressional committees a report 
that contains the results of the environmental impact 
study carried out pursuant to subsection (a)(2)(B), includ-
ing a cost analysis of carrying out the activities described 
in such subsection and subparagraphs (C) and (D) of sub-
section (a)(2). 
(c) AUTHORIZATION OF APPROPRIATIONS.—
(1) IN GENERAL.—There are authorized to be 
appropriated to carry out this section such sums as 
may be necessary for each of the fiscal years 2004 
and 2005. 
(2) AVAILABILITY.—Amounts appropriated pur-
suant to the authorization of appropriations under 
paragraph (1) are authorized to remain available 
until expended.
SEC. 204. PROFESSIONAL EXCHANGE FOR AREAS IN HAITI 
SEVERELY 
AFFECTED 
BY 
DILAPIDATED 
PHYSICAL HEALTH INFRASTRUCTURES. 
(a) IN GENERAL.—The President shall establish a 
program to demonstrate the feasibility of facilitating the 
service of United States health care professionals and en-
gineers in Haiti and its localities severely affected by di-
lapidated physical and health infrastructure, including but 
not limited to development of health clinics and health 
care, roads and sanitation development, and reconstruc-
tion of public facilities such as schools, hospitals, and clin-
ics. 
(b) REQUIREMENTS.—Participants in the program 
shall provide basic services through training and participa-
tion, enter into partnerships with nongovernmental orga-
nizations and the United States Army Corp of Engineers, 
facilitate on-the-job training for residents of the area, and 
serve for a period of up to 3 years. 
(c) ELIGIBILITY REQUIREMENTS.—Candidates shall 
be residents of the Unites States who are trained profes-
sional in their respective field who meets licensure require-
ments necessary to be such a professional, including but 
not limited to physicians, nurses, nurse practictioners, 
pharmacists, and other types of health care professionals, 
engineers, architects, and any other individual determined 
to be appropriate by the President. 
(d) RECRUITMENT.—The President shall ensure that 
information on the program is widely distributed, includ-
ing the distribution of information to schools and univer-
sities where professionals attain certification, hospitals, 
clinics, nongovernmental organizations working in the
areas of international health and development, and any 
other location the President deems fit. 
(e) COORDINATION.—Placement of participants in 
the program shall be coordinated with the United States 
Agency for International Development in countries in 
which the Agency is conducting such programs. Overall 
placement of participants in the program shall be made 
by the President or his designee. 
(f) INCENTIVES.—The President may offer such in-
centives as the President determines to be necessary to 
encourage individuals to participate in the program, such 
as partial payment of principal, interest, and related ex-
penses on government and commercials loans for edu-
cational expenses relating to professional training in their 
respective fields, and where possible, deferment of repay-
ments on such loans, the provision of retirement benefits 
that would otherwise jeopardize participation in the pro-
gram, and other incentives. 
(g) REPORT.—Not later than 18 months after the 
date of enactment of the Act, the President shall transmit 
to the appropriate congressional committees a report on 
steps taken to establish the program, including—
(1) the process of recruitment, including the 
venues for recruitment, the number of candidates re-
cruited, the incentives offered, if any, and the cost 
of those incentives; 
(2) the process, including the criteria used, for 
the selection of participants; 
(3) the number of participants placed, the local-
ity in which they were placed, and why those profes-
sionals were selected for that particular region of 
Haiti; and 
(4) the potential for expansion of the program. 
(h) AUTHORIZATION OF APPROPRIATIONS.—
(1) IN GENERAL.—There are authorized to be 
appropriated to carry out this section such sums as 
may be necessary for each of the fiscal years 2004 
and 2005. 
(2) AVAILABILITY.—Amounts appropriated pur-
suant to the authorization of appropriations under 
paragraph (1) are authorized to remain available 
until expended.
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