850 
‘‘(cc) mortality rates from 
HIV/AIDS; 
‘‘(II) the number of patients receiving 
treatment for AIDS in each country that 
receives assistance under this Act; 
‘‘(III) an assessment of progress to-
wards the achievement of annual goals set 
forth in the timetable required under the 
5-year strategy established under section 
101 and, if annual goals are not being 
met, the reasons for such failure; and 
‘‘(IV) retention and attrition data for 
programs receiving United States assist-
ance, including mortality and loss to fol-
low-up rates, organized overall and by 
country; 
‘‘(ii) the progress made toward— 
‘‘(I) improving health care deliv-
ery systems (including the training of 
health care workers, including doctors, 
nurses, midwives, pharmacists, labora-
tory technicians, and compensated 
community health workers, and the 
use of codes of conduct for ethical re-
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851 
cruiting practices for health care 
workers); 
‘‘(II) advancing safe working 
conditions for health care workers; 
and 
‘‘(III) improving infrastructure 
to promote progress toward universal 
access to HIV/AIDS prevention, treat-
ment, and care by 2013; 
‘‘(iii) a description of coordination ef-
forts with relevant executive branch agen-
cies to link HIV/AIDS clinical and social 
services with non-HIV/AIDS services as 
part of the United States health and devel-
opment agenda; 
‘‘(iv) a detailed description of inte-
grated HIV/AIDS and food and nutrition 
programs and services, including— 
‘‘(I) the amount spent on food 
and nutrition support; 
‘‘(II) the types of activities sup-
ported; and 
‘‘(III) an assessment of the effec-
tiveness of interventions carried out to 
improve the health status of persons 
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852 
with HIV/AIDS receiving food or nu-
tritional support; 
‘‘(v) a description of efforts to im-
prove harmonization, in terms of relevant 
executive branch agencies, coordination 
with other public and private entities, and 
coordination with partner countries’ na-
tional strategic plans as called for in the 
‘Three Ones’; 
‘‘(vi) a description of— 
‘‘(I) the efforts of partner coun-
tries that were signatories to the 
Abuja Declaration on HIV/AIDS, Tu-
berculosis, and Other Related Infec-
tious Diseases to adhere to the goals 
of such Declaration in terms of invest-
ments in public health, including HIV/ 
AIDS; and 
‘‘(II) a description of the HIV/ 
AIDS investments of partner coun-
tries that were not signatories to such 
Declaration; 
‘‘(vii) a detailed description of any 
compacts 
or 
framework 
agreements 
reached or negotiated between the United 
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States and any partner countries, including 
a description of the elements of compacts 
described in subsection (e); 
‘‘(viii) a description of programs serv-
ing women and girls, including— 
‘‘(I) HIV/AIDS prevention pro-
grams that address the vulnerabilities 
of girls and women to HIV/AIDS; 
‘‘(II) information on the number 
of individuals served by programs 
aimed at reducing the vulnerabilities 
of women and girls to HIV/AIDS and 
data on the types, objectives, and du-
ration of programs to address these 
issues; 
‘‘(III) information on programs 
to address the particular needs of ad-
olescent girls and young women; and 
‘‘(IV) programs to prevent gen-
der-based violence or to assist victims 
of gender based violence as part of, or 
in coordination with, HIV/AIDS pro-
grams; 
‘‘(ix) a description of strategies, goals, 
programs, and interventions to— 
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854 
‘‘(I) address the needs and 
vulnerabilities of youth populations; 
‘‘(II) expand access among young 
men and women to evidence-based 
HIV/AIDS health care services and 
HIV prevention programs, including 
abstinence education programs; and 
‘‘(III) expand community-based 
services to meet the needs of orphans 
and of children and adolescents af-
fected by or vulnerable to HIV/AIDS 
without increasing stigmatization; 
‘‘(x) a description of— 
‘‘(I) the specific strategies funded 
to ensure the reduction of HIV infec-
tion among injection drug users; 
‘‘(II) the number of injection 
drug users, by country, reached by 
such strategies; and 
‘‘(III) medication-assisted drug 
treatment for individuals with HIV or 
at risk of HIV; 
‘‘(xi) a detailed description of pro-
gram monitoring, operations research, and 
impact evaluation research, including— 
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855 
‘‘(I) the amount of funding pro-
vided for each research type; 
‘‘(II) an analysis of cost-effective-
ness models; and 
‘‘(III) conclusions regarding the 
efficiency, effectiveness, and quality of 
services as derived from previous or 
ongoing research and monitoring ef-
forts; 
‘‘(xii) building capacity to identify, in-
vestigate, and stop nosocomial trans-
mission of infectious diseases, including 
HIV and tuberculosis; and 
‘‘(xiii) a description of staffing levels 
of United States Government HIV/AIDS 
teams in countries with significant HIV/ 
AIDS programs, including whether or not 
a full-time coordinator was on staff for the 
year. 
‘‘(g) FUNDING LIMITATION.—Of the funds made 
available to carry out this section in any fiscal year, not 
more than 7 percent may be used for the administrative 
expenses of the United States Agency for International 
Development in support of activities described in this sec-
tion, section 302, and section 303. Such amount shall be 
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856 
in addition to other amounts otherwise available for such 
purposes. 
‘‘(h) DEFINITIONS.—In this section: 
‘‘(1) AIDS.—The term ‘AIDS’ means acquired 
immune deficiency syndrome. 
‘‘(2) HIV.—The term ‘HIV’ means the human 
immunodeficiency virus, the pathogen that causes 
AIDS. 
‘‘(3) 
HIV/AIDS.—The 
term 
‘HIV/AIDS’ 
means, with respect to an individual, an individual 
who is infected with HIV or living with AIDS. 
‘‘(4) RELEVANT
EXECUTIVE
BRANCH
AGEN-
CIES.—The term ‘relevant executive branch agencies’ 
means the Department of State, the United States 
Agency for International Development, the Depart-
ment of Health and Human Services (including its 
agencies and offices), and any other department or 
agency of the United States that participates in 
international HIV/AIDS activities pursuant to the 
authorities of such department or agency or this 
Act.’’. 
(b) ASSISTANCE TO COMBAT TUBERCULOSIS.—Sub-
title A of title III of the United States Leadership Against 
HIV/AIDS, Tuberculosis and Malaria Act of 2003 (22 
U.S.C. 7631 et seq.) is amended— 
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857 
(1) by redesignating section 302 as section 
302A; 
(2) in the heading of section 302A (as redesig-
nated), by inserting ‘‘OTHER PROVISIONS RELAT-
ING TO’’ before ‘‘ASSISTANCE’’; and 
(3) by inserting before section 302A (as redes-
ignated) the following new section: 
‘‘SEC. 302. ASSISTANCE TO COMBAT TUBERCULOSIS. 
‘‘(a) FINDINGS.—Congress makes the following find-
ings: 
‘‘(1) Congress recognizes the growing inter-
national problem of tuberculosis and the impact its 
continued existence has on those countries that had 
previously largely controlled the disease. 
‘‘(2) Congress further recognizes that the 
means exist to control and treat tuberculosis 
through expanded use of the DOTS (Directly Ob-
served Treatment Short-course) treatment strategy, 
including DOTS–Plus to address multi-drug resist-
ant tuberculosis, and adequate investment in newly 
created mechanisms to increase access to treatment, 
including the Global Tuberculosis Drug Facility es-
tablished in 2001 pursuant to the Amsterdam Dec-
laration to Stop TB and the Global Alliance for TB 
Drug Development. 
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858 
‘‘(b) POLICY.—It is a major objective of the foreign 
assistance program of the United States to control tuber-
culosis. In all countries in which the Government of the 
United States has established development programs, par-
ticularly in countries with the highest burden of tuber-
culosis and other countries with high rates of tuberculosis, 
the United States should support the objectives of the 
Global Plan to Stop TB, including through achievement 
of the following goals: 
‘‘(1) Reduce by half the tuberculosis death and 
disease burden from the 1990 baseline. 
‘‘(2) Sustain or exceed the detection of at least 
70 percent of sputum smear-positive cases of tuber-
culosis and the successful treatment of at least 85 
percent of the cases detected in countries with estab-
lished United States Agency for International Devel-
opment tuberculosis programs. 
‘‘(3) In support of the Global Plan to Stop TB, 
the President shall establish a comprehensive, 5-year 
United States strategy to expand and improve 
United States efforts to combat tuberculosis glob-
ally, including a plan to support— 
‘‘(A) the successful treatment of 4,500,000 
new sputum smear tuberculosis patients under 
DOTS programs by 2013, primarily through di-
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rect support for needed services, commodities, 
health workers, and training, and additional 
treatment through coordinated multilateral ef-
forts; and 
‘‘(B) the diagnosis and treatment of 
90,000 new multiple drug resistant tuberculosis 
cases by 2013, and additional treatment 
through coordinated multilateral efforts. 
‘‘(c) AUTHORIZATION.—To carry out this section and 
consistent with section 1321 of the Global Partnerships 
Act of 2013, the President is authorized to furnish assist-
ance, on such terms and conditions as the President may 
determine, for the prevention, treatment, control, and 
elimination of tuberculosis. 
‘‘(d) COORDINATION.—In carrying out this section, 
the President shall coordinate with the World Health Or-
ganization, the Global Fund to Fight AIDS, Tuberculosis, 
and Malaria, and other organizations with respect to the 
development and implementation of a comprehensive tu-
berculosis control program. 
‘‘(e) PRIORITY TO STOP TB STRATEGY.—In fur-
nishing assistance under subsection (c), the President 
shall give priority to— 
‘‘(1) direct services described in the Stop TB 
Strategy, including expansion and enhancement of 
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860 
Directly Observed Treatment Short-course (DOTS) 
coverage, rapid testing, treatment for individuals in-
fected with both tuberculosis and HIV, and treat-
ment for individuals with multi-drug resistant tuber-
culosis (MDR–TB), strengthening of health systems, 
use of the International Standards for Tuberculosis 
Care by all providers, empowering individuals with 
tuberculosis, and enabling and promoting research to 
develop new diagnostics, drugs, and vaccines, and 
program-based operational research relating to tu-
berculosis; and 
‘‘(2) funding for the Global Tuberculosis Drug 
Facility, the Stop Tuberculosis Partnership, and the 
Global Alliance for TB Drug Development. 
‘‘(f) ASSISTANCE FOR THE WORLD HEALTH ORGANI-
ZATION AND THE STOP TUBERCULOSIS PARTNERSHIP.— 
In carrying out this section, the President, acting through 
the Administrator of the United States Agency for Inter-
national Development, is authorized to provide increased 
resources to the World Health Organization and the Stop 
Tuberculosis Partnership to improve the capacity of coun-
tries with high rates of tuberculosis and other affected 
countries to implement the Stop TB Strategy and specific 
strategies related to addressing multiple drug resistant tu-
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862 
‘‘(5) the number of persons who have been di-
agnosed and started treatment for multidrug-resist-
ant tuberculosis in countries receiving United States 
bilateral foreign assistance for tuberculosis control 
programs; 
‘‘(6) a description of the collaboration and co-
ordination of United States anti-tuberculosis efforts 
with the World Health Organization, the Global 
Fund, and other major public and private entities 
within the Stop TB Strategy; 
‘‘(7) the constraints on implementation of pro-
grams posed by health workforce shortages and ca-
pacities; 
‘‘(8) the number of people trained in tuber-
culosis control; and 
‘‘(9) a breakdown of expenditures for direct pa-
tient tuberculosis services, drugs and other commod-
ities, drug management, training in diagnosis and 
treatment, health systems strengthening, research, 
and support costs. 
‘‘(h) DEFINITIONS.—In this section: 
‘‘(1) DOTS.—The term ‘DOTS’ or ‘Directly 
Observed Treatment Short-course’ means the World 
Health 
Organization-recommended 
strategy 
for 
treating tuberculosis, including— 
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‘‘(A) low-cost and effective diagnosis, 
treatment, and monitoring of tuberculosis; 
‘‘(B) a reliable drug supply; 
‘‘(C) a management strategy for public 
health systems; 
‘‘(D) health system strengthening; 
‘‘(E) promotion of the use of the Inter-
national Standards for Tuberculosis Care by all 
care providers; 
‘‘(F) bacteriology under an external quality 
assessment framework; 
‘‘(G) short-course chemotherapy; and 
‘‘(H) sound reporting and recording sys-
tems. 
‘‘(2) DOTS–PLUS.—The term ‘DOTS–Plus’ 
means a comprehensive tuberculosis management 
strategy that is built upon and works as a supple-
ment to the standard DOTS strategy, and which 
takes into account specific issues (such as use of sec-
ond line anti-tuberculosis drugs) that need to be ad-
dressed in areas where there is high prevalence of 
multidrug resistant tuberculosis. 
‘‘(3) GLOBAL
ALLIANCE
FOR
TUBERCULOSIS 
DRUG
DEVELOPMENT.—The term ‘Global Alliance 
for Tuberculosis Drug Development’ means the pub-
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lic-private partnership that brings together leaders 
in health, science, philanthropy, and private industry 
to devise new approaches to tuberculosis and to en-
sure that new medications are available and afford-
able in high tuberculosis burden countries and other 
affected countries. 
‘‘(4) STOP TB STRATEGY.—The term ‘Stop TB 
Strategy’ means the 6-point strategy to reduce tu-
berculosis developed by the World Health Organiza-
tion, which is described in the Global Plan to Stop 
TB 2006–2015: Actions for Life, a comprehensive 
plan developed by the Stop TB Partnership that sets 
out the actions necessary to achieve the millennium 
development goal of cutting tuberculosis deaths and 
disease burden in half by 2015. 
‘‘(5) STOP TUBERCULOSIS PARTNERSHIP.—The 
term ‘Stop Tuberculosis Partnership’ means the 
partnership of the World Health Organization, do-
nors including the United States, high tuberculosis 
burden countries, multilateral agencies, and non-
governmental and technical agencies committed to 
short- and long-term measures required to control 
and eventually eliminate tuberculosis as a public 
health problem in the world.’’. 
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865 
(c) ASSISTANCE TO COMBAT MALARIA.—Subtitle A 
of title III of the United States Leadership Against HIV/ 
AIDS, Tuberculosis and Malaria Act of 2003 (22 U.S.C. 
7631 et seq.) is amended— 
(1) by redesignating section 303 as section 
303A; 
(2) in the heading of section 303A (as redesig-
nated), by inserting ‘‘OTHER PROVISIONS RELAT-
ING TO’’ before ‘‘ASSISTANCE’’; and 
(3) by inserting before section 303A (as redes-
ignated) the following new section: 
‘‘SEC. 303. ASSISTANCE TO COMBAT MALARIA. 
‘‘(a) FINDING.—Congress finds that malaria kills 
more people annually than any other communicable dis-
ease except tuberculosis, that more than 90 percent of all 
malaria cases are in sub-Saharan Africa, and that children 
and women are particularly at risk. Congress recognizes 
that there are cost-effective tools to decrease the spread 
of malaria and that malaria is a curable disease if prompt-
ly diagnosed and adequately treated. 
‘‘(b) POLICY.—It is a major objective of the foreign 
assistance program of the United States to provide assist-
ance for the prevention, control, treatment, and cure of 
malaria. 
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866 
‘‘(c) AUTHORIZATION.—To carry out this section and 
consistent with section 1321 of the Global Partnerships 
Act of 2013, the President is authorized to furnish assist-
ance, on such terms and conditions as the President may 
determine, for the prevention, treatment, control, and 
elimination of malaria. 
‘‘(d) COORDINATION.—In carrying out this section, 
the President shall coordinate with the World Health Or-
ganization, the Global Fund to Fight AIDS, Tuberculosis, 
and Malaria, the Department of Health and Human Serv-
ices (the Centers for Disease Control and Prevention and 
the National Institutes of Health), and other organiza-
tions with respect to the development and implementation 
of a comprehensive malaria control program.’’. 
(d) TECHNICAL AND CONFORMING AMENDMENTS.— 
The United States Leadership Against HIV/AIDS, Tuber-
culosis and Malaria Act of 2003 (22 U.S.C. 7601 et seq.) 
is amended— 
(1) in section 3(12), by striking ‘‘Foreign As-
sistance Act of 1961’’ and inserting ‘‘Global Part-
nerships Act of 2013’’; 
(2) in section 101(f)(1)(A), by inserting at the 
end before the period the following: ‘‘(as such sec-
tions were in effect on the day before the date of the 
enactment of the Global Partnerships Act of 2013)’’; 
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867 
(3) in section 202(d)(4)(B)— 
(A) in clause (iii), by striking ‘‘section 
104A of the Foreign Assistance Act of 1961 (as 
added by section 301 of this Act)’’ and insert-
ing ‘‘section 301 of this Act’’; and 
(B) in clause (iv), by striking ‘‘sections 
104A, 104B, and 104C of the Foreign Assist-
ance Act of 1961 (as added by title III of this 
Act)’’ and inserting ‘‘sections 301, 302, and 
303 of this Act’’; 
(4) in section 204(b)(1), by striking ‘‘section 
129 of the Foreign Assistance Act of 1961 (22 
U.S.C. 2152)’’ and inserting ‘‘section 1132 of the 
Global Partnerships Act of 2013’’; 
(5) in section 301A (as redesignated)— 
(A) in subsection (b)— 
(i) in paragraph (1)— 
(I) by striking ‘‘section 104(c) of 
the Foreign Assistance Act of 1961 
(22 U.S.C. 2151b(c))’’ and inserting 
‘‘section 1304 of the Global Partner-
ships Act of 2013’’; and 
(II) by striking ‘‘section 104A of 
the Foreign Assistance Act of 1961, 
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868 
as added by subsection (a)’’ and in-
serting ‘‘section 301’’; and 
(ii) in paragraph (3), by striking ‘‘sec-
tion 104A(d)(4) of the Foreign Assistance 
Act of 1961 (as added by subsection (a))’’ 
and inserting ‘‘section 301(d)(5)’’; and 
(B) in subsection (d), by striking ‘‘under 
section 104A of the Foreign Assistance Act of 
1961’’ and inserting ‘‘under section 1304 of the 
Global Partnerships Act of 2013’’; 
(6) in section 302A(b)(1) (as redesignated)— 
(A) by striking ‘‘section 104(c) of the For-
eign Assistance Act of 1961 (22 U.S.C. 
2151b(c))’’ and inserting ‘‘section 1304 of the 
Global Partnerships Act of 2013’’; and 
(B) by striking ‘‘section 104B of the For-
eign Assistance Act of 1961, as added by sub-
section (a)’’ and inserting ‘‘section 302’’; and 
(7) in section 303A(b)(1) (as redesignated)— 
(A) by striking ‘‘section 104(c) of the For-
eign Assistance Act of 1961 (22 U.S.C. 
2151b(c))’’ and inserting ‘‘section 1304 of the 
Global Partnerships Act of 2013’’; and 
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869 
(B) by striking ‘‘section 104C of the For-
eign Assistance Act of 1961, as added by sub-
section (a)’’ and inserting ‘‘section 303’’; 
(8) in section 304A (as redesignated)— 
(A) in subsection (e), by striking ‘‘section 
104C of the Foreign Assistance Act of 1961 
(22 U.S.C. 2151b–4)’’ and inserting ‘‘section 
303’’; and 
(B) in subsection (f), by striking ‘‘section 
104C’’; 
(9) in section 312(c)(4)(C)(ii), by striking 
‘‘104A(f) of the Foreign Assistance Act of 1961’’ 
and inserting ‘‘section 301(f)’’; and 
(10) in section 403— 
(A) in subsection (a)(4), by striking ‘‘sec-
tion 104A(e) of the Foreign Assistance Act of 
1961 (22 U.S.C. 2151b–2(e))’’ and inserting 
‘‘section 301(e) of this Act’’; and 
(B) in subsection (d)(4), by striking ‘‘sec-
tion 104A(b)(1)(A) of the Foreign Assistance 
Act of 1961 (22 U.S.C. 2151b–2(b)(1)(A))’’ 
and inserting ‘‘section 301(b)(1)(A) of this 
Act’’. 
(e) CLERICAL AMENDMENT.—The table of contents 
in section 1(b) of the United States Leadership Against 
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HIV/AIDS, Tuberculosis and Malaria Act of 2003 (22 
U.S.C. 7601 note) is amended by striking the items relat-
ing to sections 301 through 303 and inserting the fol-
lowing new items: 
‘‘Sec. 301. Assistance to combat HIV/AIDS. 
‘‘Sec. 301A. Other provisions relating to assistance to combat HIV/AIDS. 
‘‘Sec. 302. Assistance to combat tuberculosis. 
‘‘Sec. 302A. Other provisions relating to assistance to combat tuberculosis. 
‘‘Sec. 303. Assistance to combat malaria. 
‘‘Sec. 303A. Other provisions relating to assistance to combat malaria.’’. 
(f) TRANSFER
OF PRIOR YEAR FUNDS.—Unobli-
gated balances of funds made available under sections 
104A, 104B and 104C of the Foreign Assistance Act of 
1961 (as in effect on the day before the date of the enact-
ment of this Act) shall be transferred to, merged with, 
and made available for the same purposes as funds made 
available under sections 301, 302 and 303, respectively, 
of the United States Leadership Against HIV/AIDS, Tu-
berculosis and Malaria Act of 2003 (as added by this sec-
tion). 
SEC. 11102. AMENDMENTS TO THE MILLENNIUM CHAL-
LENGE ACT OF 2003. 
(a) EXTENSION OF COMPACTS.—Section 609(j) of 
the Millennium Challenge Act of 2003 (22 U.S.C. 7708(j)) 
is amended to read as follows: 
‘‘(j) EXTENSION OF COMPACT.— 
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871 
‘‘(1) IN GENERAL.—Except as provided under 
paragraph (2), the duration of a Compact shall not 
exceed 5 years. 
‘‘(2) EXCEPTION.—The duration of a Compact 
may be extended beyond 5 years if— 
‘‘(A) the Compact was signed prior to the 
date of the enactment of the Global Partner-
ships Act of 2013; 
‘‘(B) the Board determines that a project 
included in the Compact cannot be completed in 
5 years or less; 
‘‘(C) the Board approves an extension of 
the Compact that does not extend the total du-
ration of the Compact beyond 7 years; and 
‘‘(D) the appropriate congressional com-
mittees are notified in accordance with sub-
section (i).’’. 
(b) CONCURRENT AND SUBSEQUENT COMPACTS.— 
(1) IN GENERAL.—Section 609(k) of the Mil-
lennium Challenge Act of 2003 (22 U.S.C. 7708(k)) 
is amended to read as follows: 
‘‘(k) CONCURRENT AND SUBSEQUENT COMPACTS.— 
‘‘(1) IN GENERAL.—Subject to paragraph (2), 
and in accordance with the requirements of this 
title, an eligible country and the United States— 
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872 
‘‘(A) may enter into and have in effect 
more than one Compact at any given time; and 
‘‘(B) may enter into subsequent Compacts 
after the expiration of existing Compacts. 
‘‘(2) REQUIREMENTS.—An eligible country and 
the United States may enter into concurrent or sub-
sequent Compacts if the Board determines that such 
country— 
‘‘(A) is making or has made significant, 
consistent progress in implementing the terms 
of any existing or prior Compact; and 
‘‘(B) will contribute, in the case of a can-
didate country as defined in section 606(a), not 
less than 7.5 percent of the total amount 
agreed upon for a subsequent Compact, or in 
the case of a candidate country as defined in 
section 606(b), not less than 15 percent of the 
total amount agreed upon for a subsequent 
Compact. 
‘‘(3) FUNDING.—The Corporation shall commit 
any funding for a concurrent Compact at the time 
it funds the Compact. 
‘‘(4) TIMING.—A concurrent Compact shall be 
signed not later than 2 years after the signing of the 
earlier Compact. 
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873 
‘‘(5) LIMITATION.—The Corporation may pro-
vide not more than 15 years of Compact funding to 
any country.’’. 
(2) EFFECTIVE DATE.—The amendment made 
by paragraph (1) applies with respect to Compacts 
entered into between the United States and an eligi-
ble country under the Millennium Challenge Act of 
2003 (22 U.S.C. 7701 et seq.) before, on, or after 
the date of the enactment of this Act. 
(c) MAINTAINING CANDIDATE STATUS
FOR PUR-
POSES OF INCOME CATEGORY.—Section 606 of the Mil-
lennium Challenge Act of 2003 (22 U.S.C. 7705) is 
amended— 
(1) in subsection (a)— 
(A) in paragraph (1)— 
(i) in the heading, by striking ‘‘FIS-
CAL YEAR 2004’’ and inserting ‘‘IN GEN-
ERAL’’; 
(ii) in the matter preceding subpara-
graph (A), by striking ‘‘for fiscal year 
2004’’ and inserting ‘‘for a fiscal year’’; 
(iii) in subparagraph (A) to read as 
follows: 
‘‘(A) the country— 
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874 
‘‘(i) has a per capita income that is 
not greater than the World Bank’s lower 
middle income country threshold for such 
fiscal year; and 
‘‘(ii) is among the 75 lowest per cap-
ita income countries, as identified by the 
World Bank; and’’; and 
(iv) in subparagraph (B), by striking 
‘‘subject to paragraph (3)’’ and inserting 
‘‘subject to paragraph (2)’’; 
(B) by striking paragraph (2); and 
(C) by redesignating paragraph (3) as 
paragraph (2); 
(2) in subsection (b)— 
(A) in paragraph (1)— 
(i) in the matter preceding subpara-
graph (A), by striking ‘‘for fiscal year 
2006 or a subsequent fiscal year’’ and in-
serting ‘‘for a fiscal year’’; and 
(ii) by striking subparagraphs (A) and 
(B) and inserting the following: 
‘‘(A) has a per capita income that is not 
greater than the World Bank’s lower middle in-
come country threshold for such fiscal year; 
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875 
‘‘(B) is not among the 75 lowest per capita 
income countries as identified by the World 
Bank; and 
‘‘(C) meets the requirements under sub-
section (a)(1)(B).’’; and 
(B) in paragraph (2)— 
(i) by striking ‘‘for fiscal year 2006 or 
any subsequent fiscal year’’ and inserting 
‘‘for a fiscal year’’; and 
(ii) by striking ‘‘for fiscal year 2006 
or the subsequent fiscal year, as the case 
may be’’ and inserting ‘‘for such fiscal 
year’’; 
(3) by redesignating existing subsection (c) as 
subsection (d); and 
(4) by inserting after subsection (b) the fol-
lowing: 
‘‘(c) MAINTAINING CANDIDATE STATUS.—Any can-
didate country whose per capita income changes in a given 
fiscal year such that the country’s income classification 
as ‘low income’ or ‘lower middle income’ changes, shall 
retain its candidacy at the former income category for the 
year of such transition and for the two subsequent fiscal 
years.’’. 
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876 
(d) CHAIRPERSON.—Section 604(c)(5) of the Millen-
nium Challenge Act of 2003 (22 U.S.C. 7703(c)(5)) is 
amended by striking ‘‘Secretary of State’’ and inserting 
‘‘Administrator of the United States Agency for Inter-
national Development’’. 
(e) CONFORMING AMENDMENTS.—The Millennium 
Challenge Act of 2003 is amended— 
(1) 
in 
section 
603(1)(A) 
(22 
U.S.C. 
7702(1)(A)), by striking ‘‘International Relations’’ 
and inserting ‘‘Foreign Affairs’’; 
(2) 
in 
section 
605(e)(4) 
(22 
U.S.C. 
7704(e)(4))— 
(A) by striking ‘‘The prohibitions on use of 
funds contained in paragraphs (1) through (3) 
of section 104(f) of the Foreign Assistance Act 
of 1961 (22 U.S.C. 2151b(f)(1)–(3))’’ and in-
serting ‘‘The principles and restrictions on use 
of funds contained in section 1305 of the Global 
Partnerships Act of 2013’’; and 
(B) by striking ‘‘part I’’ and inserting 
‘‘title I’’; 
(3) 
in 
section 
606(a)(1)(B) 
(22 
U.S.C. 
7705(a)(1)(B))— 
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878 
medical education and research, and other’’ after 
‘‘operation of schools’’; and 
(2) in section 112(a)(5) (22 U.S.C. 2460(a)(5)) 
to read as follows: 
‘‘(5) the American Schools and Hospitals 
Abroad Program which provides financial assistance 
to the operations of American-sponsored schools, 
hospital centers for medical education and research, 
and other institutions of learning abroad;’’. 
SEC. 11105. AMENDMENTS TO THE STATE DEPARTMENT 
BASIC AUTHORITIES ACT OF 1956. 
Section 1(f)(1) of the State Department Basic Au-
thorities Act of 1956 (22 U.S.C. 2651a(f)(1)) is amend-
ed— 
(1) in the first sentence, by striking ‘‘Depart-
ment of State in the immediate office of the Sec-
retary of State’’ and inserting ‘‘United States Agen-
cy for International Development’’; and 
(2) in the second sentence, by striking ‘‘Sec-
retary’’ and inserting ‘‘Administrator of the United 
States Agency for International Development’’. 
Subtitle B—Repeals 
SEC. 11201. REPEAL OF LAWS INCORPORATED IN THIS ACT. 
The following provisions of law are hereby repealed: 
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879 
(1) The Foreign Assistance Act of 1961 (Public 
Law 87–195). 
(2) The Arms Export Control Act (Public Law 
90–629). 
(3) Sections 664 and 665 of the Foreign Rela-
tions Authorization Act, Fiscal Year 2003 (Public 
Law 107–228). 
(4) Sections 2121 and 2122 of the ADVANCE 
Democracy Act of 2007 (title XXI of Public Law 
110–53). 
SEC. 11202. REPEAL OF LAWS INCONSISTENT WITH THIS 
ACT. 
The following provisions of law are hereby repealed: 
(1) Section 601 of the Support for East Euro-
pean Democracy (SEED) Act of 1989 (Public Law 
101–179). 
(2) Section 102 of the Freedom for Russia and 
Emerging Eurasian Democracies and Open Markets 
Support Act of 1992 (Public Law 102–511). 
(3) The Foreign Affairs Reform and Restruc-
turing Act of 1998 (division G of Public Law 105– 
277). 
SEC. 11203. REPEAL OF OBSOLETE PROVISIONS OF LAW. 
The following provisions of law are hereby repealed: 
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880 
(1) The Trafficking Victims Protection Reau-
thorization Act of 2003 (Public Law 108–193). 
(2) The Torture Victims Relief Reauthorization 
Act of 2003 (Public Law 108–179). 
(3) The HELP Commission Act (section 637 of 
division B of Public Law 108–99). 
(4) The International Anti-Corruption and 
Good Governance Act of 2000 (Public Law 106– 
309). 
(5) The Iraq Liberation Act of 1998 (Public 
Law 105–338). 
(6) The Agriculture Export Relief Act of 1998 
(Public Law 105–194). 
(7) Title I of the International Narcotics Con-
trol Corrections Act of 1994 (Public Law 103–447). 
(8) The South African Democratic Transition 
Support Act of 1993 (Public Law 103–149). 
(9) Public Law 102–270 (relating to the peace 
process in Liberia). 
(10) Title III of the Conventional Forces in Eu-
rope Treaty Implementation Act of 1991. 
(11) The Emergency Supplemental Persian 
Gulf Refugee Assistance Act of 1991 (Public Law 
102–45). 
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881 
(12) The Emergency Supplemental Assistance 
for Israel Act of 1991 (Public Law 102–21). 
(13) The Urgent Assistance for Democracy in 
Panama Act of 1990 (Public Law 101–243). 
(14) The Survival Assistance to Victims of Civil 
Strife in Central America (Public Law 101–215). 
(15) The Bangladesh Disaster Assistance Act 
of 1988 (Public Law 100–576). 
(16) The International Cooperation to Protect 
Biological Diversity (Public Law 100–530). 
(17) The Overseas Private Investment Corpora-
tion Amendments Act of 1988 (Public Law 100– 
461). 
(18) The American Aid to Poland Act of 1988 
(Part II of Public Law 100–418). 
(19) Public Law 100–276 (relating to peace, 
democracy and reconciliation in Central America). 
(20) The Special Foreign Assistance Act of 
1986 (Public Law 99–529). 
(21) The Jordan Supplemental Economic As-
sistance Authorization Act of 1985 (Public Law 99– 
88). 
(22) The African Famine Relief and Recovery 
Act of 1985 (Public Law 99–8). 
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882 
(23) The International Security and Develop-
ment Assistance Authorizations Act of 1983 (Public 
Law 98–151). 
(24) The Lebanon Emergency Assistance Act of 
1983 (Public Law 98–43). 
(25) The International Security and Develop-
ment Cooperation Act of 1981 (Public Law 97– 
113). 
(26) The International Security and Develop-
ment Cooperation Act of 1980 (Public Law 96– 
533), other than section 110 and title V of such Act. 
(27) The International Development Coopera-
tion Act of 1979 (Public Law 96–92). 
(28) The International Security Assistance Act 
of 1979 (Public Law 96–53). 
(29) The Special International Security Assist-
ance Act of 1979 (Public Law 96–35). 
(30) The International Development and Food 
Assistance Act of 1978 (Public Law 95–424). 
(31) The International Security Assistance Act 
of 1978 (Public Law 95–384). 
(32) The International Security Assistance Act 
of 1977 (Public Law 95–92). 
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883 
(33) The International Development and Food 
Assistance Act of 1977 (Public Law 95–88), other 
than sections 1, 132, and 133 of such Act. 
(34) The International Security Assistance and 
Arms Export Control Act of 1976 (Public Law 94– 
329), except for section 601. 
(35) The International Development and Food 
Assistance Act of 1975 (Public Law 94–161). 
(36) The Foreign Assistance Act of 1974 (Pub-
lic Law 93–559). 
(37) The Emergency Security Assistance Act of 
1973 (Public Law 93–199). 
(38) The Foreign Assistance Act of 1973 (Pub-
lic Law 93–189). 
(39) The Foreign Assistance Act of 1971 (Pub-
lic Law 92–226). 
(40) The Act entitled, ‘‘An Act to Amend the 
Foreign Military Sales Act, and for other purposes,’’ 
approved January 12, 1971 (Public Law 91–672). 
(41) The Special Foreign Assistance Act of 
1971 (Public Law 91–652). 
(42) The Foreign Assistance Act of 1968 (Pub-
lic Law 90–554). 
(43) The Foreign Assistance Act of 1964 (Pub-
lic Law 88–633). 
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884 
(44) The Latin American Development Act 
(Public Law 86–735). 
SEC. 11204. REPEAL OF UNNECESSARY REPORTING RE-
QUIREMENTS. 
The following provisions of law are repealed: 
(1) Section 560(g) of Public Law 103–87. 
(2) Section 104 of Public Law 102–511. 
(3) Section 1012(c) of Public Law 103–337. 
(4) Subsections (c)(4) and (c)(5) of section 601 
of Public Law 96–465. 
(5) Section 585 of division A of Public Law 
104–208. 
(6) Section 8 of Public Law 107–245. 
(7) Section 807 of Public Law 98–164. 
Subtitle C—Savings Provisions 
SEC. 11301. REFERENCES TO FORMER AUTHORITIES. 
(a) IN GENERAL.—Effective beginning on the date 
of the enactment of this Act— 
(1) any reference to part I of the Foreign As-
sistance Act of 1961 shall be deemed to be a ref-
erence to title I of this Act; 
(2) any reference to section 104(f) of the For-
eign Assistance Act of 1961 shall be deemed to be 
a reference to section 1305 of this Act; 
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885 
(3) any reference to section 104A, 104B, or 
104C of the Foreign Assistance Act of 1961 shall be 
deemed to be a reference to section 301, 302, or 
303, respectively, of the United States Leadership 
Against HIV/AIDS, Tuberculosis and Malaria Act of 
2003 (as added by this Act); 
(4) any reference to section 109 or 610 of the 
Foreign Assistance Act of 1961 shall be deemed to 
be a reference to section 9602 of this Act; 
(5) any reference to section 116(a) or 502B of 
the Foreign Assistance Act of 1961 shall be deemed 
to be a reference to section 9101 of this Act; 
(6) any reference to section 116(d) of the For-
eign Assistance Act of 1961 shall be deemed to be 
a reference to section 3102 of this Act; 
(7) any reference to section 451 of the Foreign 
Assistance Act of 1961 shall be deemed to be a ref-
erence to section 9601 of this Act; 
(8) any reference to chapter 4 of part II of the 
Foreign Assistance Act of 1961 shall be deemed to 
be a reference to subtitle A of title IV of this Act; 
(9) any reference to section 614 of the Foreign 
Assistance Act of 1961 shall be deemed to be a ref-
erence to section 9603 of this Act; 
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886 
(10) any reference to section 620A of the For-
eign Assistance Act of 1961 shall be deemed to be 
a reference to section 9401 of this Act; 
(11) any reference to section 620H of the For-
eign Assistance Act of 1961 shall be deemed to be 
a reference to section 9402 of this Act; 
(12) any reference to section 620M of the For-
eign Assistance Act of 1961 shall be deemed to be 
a reference to section 9102 of this Act; 
(13) any reference to section 632 of the For-
eign Assistance Act of 1961 shall be deemed to be 
a reference to section 10504 of this Act; 
(14) any reference to section 634 of the For-
eign Assistance Act of 1961 shall be deemed to be 
a reference to section 8302 of this Act; 
(15) any reference to section 634A of the For-
eign Assistance Act of 1961 shall be deemed to be 
a reference to section 8401 of this Act; and 
(16) any reference to section 653 of the For-
eign Assistance Act of 1961 shall be deemed to be 
a reference to section 8303 of this Act. 
(b) UNITED STATES AGENCY FOR INTERNATIONAL 
DEVELOPMENT.—References in any provision of law to 
the ‘‘Agency for International Development’’ shall be 
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887 
deemed to be a reference to the ‘‘United States Agency 
for International Development’’. 
SEC. 11302. REPEAL OF PROVISIONS AMENDING OTHER 
LAWS. 
Except as otherwise provided in this Act, the repeal 
by this Act of any provision of law that amended or re-
pealed another provision of law does not affect in any way 
that amendment or repeal. 
SEC. 11303. SAVINGS PROVISIONS. 
(a) IN GENERAL.—Except as may be expressly pro-
vided to the contrary in this Act, all determinations, au-
thorizations, regulations, orders, contracts, agreements, 
and other actions issued, undertaken, or entered into 
under authority of any provision of law repealed by this 
Act shall continue in full force and effect until modified 
by appropriate authority. 
(b) CONDITIONS.—Wherever provisions of this Act 
establish conditions which must be complied with before 
use may be made of authority contained in, or funds made 
available to carry out the provisions of, this Act, compli-
ance with, or satisfaction of, substantially similar condi-
tions under provisions repealed by this Act shall be 
deemed to constitute compliance with the conditions estab-
lished by this Act. 
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888 
(c) AVAILABILITY OF FUNDS.—Funds made available 
pursuant to provisions of law repealed by this Act shall, 
unless otherwise authorized or provided by law, remain 
available for their original purposes in accordance with the 
provisions of law originally applicable thereto, or in ac-
cordance with the provisions of law currently applicable 
to those purposes. 
(d) REFERENCES.—References in law to provisions 
repealed by this Act may hereafter be deemed to be ref-
erences to corresponding provisions of this Act, on a case- 
by-case basis as may be appropriate. 
(e) CERTAIN PRESIDENTIAL APPOINTEES.—The re-
peal by this Act of any provision of the Foreign Assistance 
Act of 1961 providing for the appointment of an individual 
to a position by the President, by and with the advice and 
consent of the Senate, and the reenactment by this Act 
of that provision in substantively identical form does not 
require the reappointment of the individual holding that 
position on the effective date of this Act. 
(f) GUARANTEES AND LOANS UNDER FORMER AU-
THORITY.—Guarantees committed or outstanding under 
the former authorities of sections 108, 222, and 222A of 
the Foreign Assistance Act of 1961, as in effect on the 
day before the date of the enactment of this Act, loans 
obligated under section 108 on or before such date, the 
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889 
fees and interest collected in connection with such guaran-
tees and loans, and income on claims receivable with re-
spect to such guarantees and loans, shall continue to be 
subject to provisions of such Act originally applicable to 
those guarantees and loans and the Federal Credit Reform 
Act of 1990. 
(g) SEVERABILITY.—If any provision of this Act, or 
the application of such provision to any person or cir-
cumstance, shall be held invalid, the validity of the remain-
der of this Act, and of the applicability of such provision 
to other persons or circumstances, shall not be affected 
thereby. 
SEC. 11304. EFFECTIVE DATE. 
This Act and the amendments made by this Act shall 
take effect on the date of the enactment of this Act. 
Æ 
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