I 
112TH CONGRESS 
1ST SESSION H. R. 1880 
To require, on the occasion of the 30th anniversary of the first reported 
cases of AIDS, reporting on the implementation of the National HIV/ 
AIDS Strategy and on the status of international progress towards 
achieving universal access to HIV/AIDS treatment, and for other pur-
poses. 
IN THE HOUSE OF REPRESENTATIVES 
MAY 12, 2011 
Ms. LEE of California (for herself, Mr. GRIJALVA, Mr. MORAN, Mr. CONYERS, 
Mr. MEEKS, Ms. NORTON, Mr. TOWNS, Mr. COURTNEY, Ms. 
SCHAKOWSKY, Mr. FRANK of Massachusetts, Ms. WILSON of Florida, Mr. 
COHEN, Ms. RICHARDSON, Mr. NADLER, Mrs. MALONEY, Mr. SERRANO, 
Mr. RANGEL, Mr. STARK, Ms. BORDALLO, Ms. BASS of California, Mr. 
ACKERMAN, Ms. BALDWIN, Mr. BECERRA, Ms. BERKLEY, Mr. BISHOP of 
Georgia, Mr. BRALEY of Iowa, Ms. BROWN of Florida, Mr. CICILLINE, 
Mr. CLARKE of Michigan, Ms. CLARKE of New York, Mr. CLAY, Mr. 
CLEAVER, Mr. CLYBURN, Ms. DEGETTE, Mr. CROWLEY, Mr. DAVIS of 
Illinois, Mrs. DAVIS of California, Ms. DELAURO, Mr. DOGGETT, Ms. ED-
WARDS, Mr. ELLISON, Mr. FARR, Mr. FATTAH, Mr. GARAMENDI, Mr. 
GENE GREEN of Texas, Ms. HANABUSA, Mr. HASTINGS of Florida, Mr. 
HIGGINS, Mr. HOLDEN, Mr. HONDA, Ms. JACKSON LEE of Texas, Mr. 
LARSON of Connecticut, Ms. EDDIE BERNICE JOHNSON of Texas, Mr. 
JOHNSON of Georgia, Mr. LANGEVIN, Mr. LEVIN, Mr. MCNERNEY, Ms. 
MOORE, Mrs. NAPOLITANO, Mr. PASTOR of Arizona, Mr. PAYNE, Mr. 
PRICE of North Carolina, Mr. REYES, Mr. RICHMOND, Mr. RAHALL, Ms. 
ROYBAL-ALLARD, Mr. DAVID SCOTT of Georgia, Ms. SEWELL, Ms. 
SPEIER, Mr. THOMPSON of Mississippi, Mr. TONKO, Ms. TSONGAS, Mr. 
VAN HOLLEN, Ms. VELA´ZQUEZ, Ms. WASSERMAN SCHULTZ, Ms. WA-
TERS, Mr. WATT, Mr. WAXMAN, Mr. WEINER, Ms. WOOLSEY, Mr. 
MCDERMOTT, Ms. PINGREE of Maine, Mr. DOYLE, Mr. TIERNEY, Mr. 
SCHIFF, Mr. OLVER, Mr. RUSH, and Mr. JACKSON of Illinois) introduced 
the following bill; which was referred to the Committee on Energy and 
Commerce, and in addition to the Committee on Foreign Affairs, for a 
period to be subsequently determined by the Speaker, in each case for 
consideration of such provisions as fall within the jurisdiction of the com-
mittee concerned 
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A BILL 
To require, on the occasion of the 30th anniversary of the 
first reported cases of AIDS, reporting on the implemen-
tation of the National HIV/AIDS Strategy and on the 
status of international progress towards achieving uni-
versal access to HIV/AIDS treatment, and for other pur-
poses. 
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 ‘‘Status Report on the 
30th Anniversary of HIV/AIDS Act’’. 
SEC. 2. FINDINGS. 
The Congress makes the following findings: 
(1) On June 5, 1981, in the Morbidity and 
Mortality Weekly Report (MMWR), the Centers for 
Disease Control and Prevention (CDC) reported the 
identification of 5 cases of pneumocystis carinii 
pneumonia (PCP), a rare type of pneumonia typi-
cally caused by a suppressed immune system. 
(2) In 1982, public health officials began to use 
the term ‘‘acquired immunodeficiency syndrome’’ or 
AIDS, to describe the occurrence of opportunistic in-
fections among previously healthy people that were 
subsequently associated with the initial 5 cases of 
PCP identified in the MMWR. In 1983, scientists 
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isolated and identified the virus that causes AIDS, 
which became known as human immunodeficiency 
virus (HIV). 
(3) HIV can be transmitted between persons 
through unprotected sexual contact, including vag-
inal, anal, or oral sex, through contaminated injec-
tion needles or blood transfusions, and from a moth-
er to child during pregnancy or through breast milk. 
HIV cannot be transmitted through saliva, tears, or 
sweat, casual contact, mosquitoes or other insects, or 
through the air or water. 
(4) The Joint United Nations Programme on 
HIV/AIDS (UNAIDS) estimates that since the iden-
tification of AIDS in 1981, more than 60,000,000 
people have been infected with HIV, and nearly 
30,000,000 people have died of AIDS worldwide. 
(5) In 2009, 33,300,000 people were living with 
HIV around the world, 1,800,000 people died of 
AIDS-related illnesses, and another 2,600,000 peo-
ple were newly infected. Of these numbers, children 
under the age of 15 accounted for 260,000 AIDS 
deaths, 370,000 new HIV infections, and a total of 
2,500,000 of all people living with HIV. 
(6) Developing countries continue to bear the 
brunt of the AIDS pandemic with sub-Saharan Afri-
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ca accounting for 68 percent of all adults and chil-
dren living with HIV, 60 percent of whom are 
women and girls. 
(7) In 2008, the Tom Lantos and Henry J. 
Hyde United States Global Leadership Against HIV/ 
AIDS, Tuberculosis, and Malaria Reauthorization 
Act was enacted into law, reauthorizing the Presi-
dent’s Emergency Plan for AIDS Relief (PEPFAR) 
and continued United States participation and con-
tributions to the Global Fund to Fight AIDS, Tu-
berculosis and Malaria. 
(8) Nearly 4.7 million people around the world 
currently receive support for antiretroviral treatment 
as a result of PEPFAR bilateral programs, the 
Global Fund, or both. 
(9) According to a recent report by the United 
Nations Secretary-General, more than 6 million peo-
ple were estimated to be receiving antiretroviral 
therapy in low- and middle-income countries as of 
December 2010, while about 10 million people who 
could benefit from treatment were not receiving it in 
2009. 
(10) In November 2010, UNAIDS and the 
World Health Organization launched the concept of 
‘‘Treatment 2.0’’, a radically simplified HIV treat-
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ment platform to achieve the goal of preventing 10 
million deaths and reducing new HIV infections by 
up to 1 million annually by optimizing drug regi-
mens, simplifying laboratory platforms for diagnosis 
and monitoring, reducing costs, adapting delivery 
systems, and mobilizing communities. 
(11) The CDC estimates that in the United 
States, more than 1,100,000 people are living with 
HIV, and approximately 21 percent do not know 
they are infected. 
(12) Each year, 56,300 people become newly in-
fected with HIV in the United States, and on aver-
age, an individual is infected with HIV every 91⁄2 
minutes. 
(13) A total of 617,025 people have died of 
AIDS in the United States from the beginning of 
the HIV/AIDS epidemic through 2008. 
(14) At the end of 2008, African-Americans 
represented 48 percent of all people living with HIV 
in the United States, Whites represented 33 percent, 
Hispanics represented 17 percent, Asian-Americans 
and Pacific Islanders represented 1 percent, and 
American Indians and Alaska Natives represented 
less than 1 percent. 
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(15) The leading transmission category of HIV 
infection in the United States is male-to-male sexual 
contact, followed by heterosexual contact and injec-
tion drug use. 
(16) Men who have sex with men (MSM) of all 
races remain the population most severely affected 
by the disease, accounting for 54 percent of all new 
HIV infections in 2008, with young MSM of color 
representing an increasing share of new HIV infec-
tions over the past decade. African-American MSM 
account for 35 percent of all new infections among 
all MSM and 63 percent of all new infections among 
African-American men, while Hispanic MSM ac-
count for 19 percent of all new infections among all 
MSM and 72 percent of new infections among His-
panic men. 
(17) Among women, the rate of new HIV infec-
tion for African-American women is nearly 15 times 
higher than White women, while the rate among 
Hispanic women is nearly 4 times higher. 
(18) In 1998, Congress and the Clinton Admin-
istration created the National Minority AIDS Initia-
tive to provide technical assistance, build capacity, 
and strengthen outreach efforts among local institu-
tions and community, based organizations that serve 
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racial and ethnic minorities living with or vulnerable 
to HIV/AIDS. 
(19) In 2009, the Ryan White HIV/AIDS 
Treatment Extension Act of 2009 was enacted into 
law, reauthorizing Federal HIV/AIDS care and 
treatment programs for 4 years and making funding 
available to United States metropolitan areas, 
States, and service providers to assist affected fami-
lies and persons living with HIV/AIDS with health 
care and support services. 
(20) As of April 7, 2011, approximately 7,900 
people across 11 States were waiting to receive 
AIDS treatment through the AIDS Drug Assistance 
Program authorized by the Ryan White CARE Act. 
(21) On July 13, 2010, the President released 
a ‘‘National HIV/AIDS Strategy for the United 
States’’ along with an accompanying ‘‘Federal Im-
plementation Plan’’ to achieve the goals of reducing 
new HIV infections, increasing access to care and 
improving health outcomes for people living with 
HIV, reducing HIV-related disparities and health in-
equities, and achieving a more coordinated national 
response to the HIV epidemic. 
(22) In recognition of the 30th anniversary of 
the first reported cases of AIDS, the United Nations 
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General Assembly will hold a High Level Meeting on 
AIDS from June 8–10, 2011, to consider a new 
Declaration of Commitment on HIV/AIDS from 
United Nations member states. 
(23) The 19th International AIDS Conference 
will be held in Washington, DC, from July 22–27, 
2012, returning to the United States after a nearly 
two decade long international boycott that was lifted 
following the statutory repeal of a ban on travel and 
immigration of people living with HIV/AIDS. 
SEC. 3. REPORT ON THE IMPLEMENTATION OF THE NA-
TIONAL HIV/AIDS STRATEGY. 
(a) REPORT REQUIRED.—Not later that 6 months 
after the date of the enactment of this Act, the President, 
in consultation with the heads of all relevant agencies in-
cluding the Department of Education, the Department of 
Health and Human Services, the Department of Housing 
and Urban Development, the Department of Justice, the 
Department of Labor, the Department of Veterans Af-
fairs, and the Social Security Administration, shall trans-
mit to the Congress and make publicly available a report 
on the status of the implementation of the National HIV/ 
AIDS Strategy. 
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(b) CONTENTS.—The report required by subsection 
(a) shall include a description, analysis, and evaluation 
of— 
(1) key steps taken by the Federal Government 
towards the achievement of the goals of the National 
HIV/AIDS Strategy, including the goals of— 
(A) reducing the number of people who be-
come infected with HIV; 
(B) increasing access to care and opti-
mizing health outcomes for people living with 
HIV; and 
(C) reducing HIV-related health dispari-
ties; 
(2) the extent to which the National HIV/AIDS 
Strategy has improved coordination of efforts to 
maximize the effective delivery of HIV/AIDS preven-
tion, care, and treatment services at the community 
level, including coordination— 
(A) within and among Federal agencies 
and departments; 
(B) between the Federal Government and 
State and local governments and health depart-
ments; 
(C) between the Federal Government and 
nonprofit foundations and civil society organiza-
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tions, including community- and faith-based or-
ganizations focused on addressing the issue of 
HIV/AIDS; and 
(D) between the Federal Government and 
private businesses. 
(3) efforts by the Federal Government to edu-
cate, involve, and establish and strengthen partner-
ships with civil society organizations, including 
community- and faith-based organizations, in order 
to implement the National HIV/AIDS Strategy and 
achieve its goals; 
(4) how Federal resources are being deployed to 
implement the Strategy, including— 
(A) the amount of funding used to date, by 
each Federal agency and department, to imple-
ment the National HIV/AIDS Strategy; 
(B) a brief summary for each Federal 
agency and department of the number and 
function of all Federal employees assisting in 
implementing the Strategy; and 
(C) an estimate of the amount of funding 
necessary to implement the National HIV/AIDS 
Strategy, by each Federal agency and depart-
ment, for the next fiscal year; and 
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(5) what additional steps, if any, are necessary 
to fully implement the National HIV/AIDS Strategy, 
including— 
(A) whether any existing statutory laws, 
policies, or regulations are impeding the imple-
mentation of the National HIV/AIDS Strategy, 
at the Federal, State, or local level, and wheth-
er any changes to such laws, policies, or regula-
tions are necessary or recommended; and 
(B) whether any Federal agencies or de-
partments require additional statutory authority 
to effectively carry out their duties as part of 
the National HIV/AIDS Strategy. 
(c) USE OF PREVIOUSLY APPROPRIATED FUNDS.— 
Funding for the report required under subsection (a) shall 
derive from discretionary funds of the departments and 
agencies specified in such subsection. 
SEC. 4. REPORT ON PROGRESS TOWARDS ACHIEVING UNI-
VERSAL ACCESS TO HIV/AIDS TREATMENT. 
(a) REPORT REQUIRED.—Not later than 6 months 
after the date of the enactment of this Act, the President, 
in consultation with the Global AIDS Coordinator and the 
heads of all relevant agencies, including the Department 
of State, the Department of Health and Human Services, 
the United States Agency for International Development, 
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the Centers for Disease Control and Prevention, and the 
National Institutes of Health, shall transmit to the Con-
gress and make publicly available a report on the status 
of international progress towards achieving universal ac-
cess to HIV/AIDS treatment for people living with HIV/ 
AIDS. 
(b) CONTENTS.—The report required by subsection 
(a) shall include a description, analysis, and evaluation 
of— 
(1) the extent to which progress has been made 
in achieving the goal of universal access to HIV/ 
AIDS treatment on a country, regional, and global 
basis, as well as addressing the ongoing challenges 
and obstacles to achieving such goal, including— 
(A) for the prevention of mother-to-child 
transmission; 
(B) with respect to the most-at-risk popu-
lations (MARPs) such as injection drug users, 
sex workers and their clients, men who have sex 
with men, transgender people, and prisoners; 
(C) to ensure the availability of treatment 
as prevention strategies; 
(D) an estimate of the amount of funding 
and resources provided to date in order to 
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achieve the goal, including funding and re-
sources provided by— 
(i) the United States; 
(ii) partner countries; 
(iii) the Global Fund to Fight AIDS, 
Tuberculosis and Malaria, UNAIDS, the 
World Health Organization, and other 
multilateral institutions; 
(iv) other donor nations; 
(v) nonprofit foundations and civil-so-
ciety and nongovernmental organizations, 
including community- and faith-based or-
ganizations; and 
(vi) private businesses; and 
(E) an estimate of the amount of funding 
and resources still needed to accomplish the 
goal; 
(2) how the United States is contributing to the 
achievement of the goal of universal access to HIV/ 
AIDS treatment, including through— 
(A) improved coordination and collabora-
tion among relevant Federal agencies and de-
partments and among— 
(i) the United States; 
(ii) partner countries; 
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(iii) the Global Fund to Fight AIDS, 
Tuberculosis and Malaria, UNAIDS, the 
World Health Organization, and other 
multilateral institutions; 
(iv) other donor nations; 
(v) nonprofit foundations and civil-so-
ciety and nongovernmental organizations, 
including community- and faith-based or-
ganizations; and 
(vi) private businesses; 
(B) the identification and utilization of ef-
ficiencies in the delivery of HIV/AIDS treat-
ment services within and between United States 
funded bilateral and multilateral programs, and 
partner countries, including to the extent that 
such gains in efficiencies are being exhausted; 
(C) bilateral HIV/AIDS programs and 
other bilateral global health programs; 
(D) the Global Fund to Fight AIDS, Tu-
berculosis and Malaria; 
(E) ongoing research into new, simpler, 
more effective, and cheaper HIV treatment 
regimens, including operational research to en-
sure that such treatments are adhered to and 
delivered quickly and efficiently; 
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(F) bilateral and multilateral efforts to 
strengthen recruitment, training, and retention 
of skilled indigenous health workers within na-
tional health systems of partner countries, in-
cluding to increase the effectiveness of such 
health workers and ensure their equitable dis-
tribution within the country; 
(G) bilateral and multilateral trade and in-
vestment negotiations, policies, or agreements, 
especially in cases affecting the price, quality, 
accessibility, and affordability of pharma-
ceuticals, including second-line pharmaceuticals, 
diagnostics, and medical products and devices 
(including any patents for or generic alter-
natives to such items) used to treat HIV/AIDS 
and its associated opportunistic infections or 
diseases; 
(H) participation, contribution, and leader-
ship within multilateral institutions including 
UNAIDS, the World Health Organization, the 
United Nations, international financial institu-
tions, and other such multilateral institutions; 
and 
(I) the amount of funding and resources 
provided by the United States to date, and an 
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estimate of the amount of funding and re-
sources necessary for the next fiscal year; and 
(3) the concept of ‘‘Treatment 2.0’’ as proposed 
by UNAIDS and the World Health Organization to 
improve and expand HIV treatment by optimizing 
drug regimens, simplifying laboratory platforms for 
diagnosis and monitoring, reducing costs, adapting 
delivery systems, and mobilizing communities, in-
cluding— 
(A) the progress achieved to date and any 
challenges and obstacles to the realization of 
the proposal; and 
(B) a summary of efforts by the United 
States in contributing to the realization of the 
proposal, and any such planned actions by the 
United States for the next fiscal year, includ-
ing— 
(i) any proposed changes to United 
States statutory laws, policies, or regula-
tions; and 
(ii) the amount of funding and re-
sources provided to date by the United 
States to support the proposal, and for the 
next fiscal year. 
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(c) USE OF PREVIOUSLY APPROPRIATED FUNDS.— 
Funding for the report required under subsection (a) shall 
derive from existing discretionary funds of the depart-
ments and agencies specified in such subsection. 
SEC. 5. DEFINITIONS. 
In this Act: 
(1) HIV AND HIV/AIDS.—The terms ‘‘HIV’’ and 
‘‘HIV/AIDS’’ have the meanings given to such terms 
in section 2689 of the Public Health Service Act (42 
U.S.C. 300ff–88). 
(2) 
INTERNATIONAL
FINANCIAL
INSTITU-
TION.—The term ‘‘international financial institu-
tion’’ means any of the following institutions: 
(A) The International Bank for Recon-
struction and Development. 
(B) The International Development Asso-
ciation. 
(C) The International Finance Corpora-
tion. 
(D) The Multilateral Investment Guar-
antee Agency. 
(E) The International Centre for Settle-
ment of Investment Disputes. 
(F) 
The 
Inter-American 
Development 
Bank. 
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(G) The Asian Development Bank. 
(H) The Asian Development Fund. 
(I) The African Development Bank. 
(J) The African Development Fund. 
(K) The International Monetary Fund. 
(L) The North American Development 
Bank. 
(M) The European Bank for Reconstruc-
tion and Development. 
(3) NATIONAL HIV/AIDS STRATEGY.—The term 
‘‘National HIV/AIDS Strategy’’ means the National 
HIV/AIDS Strategy of the United States developed 
by the President. 
(4) TREATMENT
AS
PREVENTION.—The term 
‘‘treatment as prevention’’ means the strategy of 
providing antiretroviral treatment to people living 
with or vulnerable to HIV/AIDS in order to decrease 
their risk of transmitting or becoming infected with 
the virus. Such strategies may include— 
(A) 
‘‘pre-exposure 
prophylaxis’’ 
which 
means the provision of antiretroviral drugs to 
uninfected individuals before possible exposure 
to the virus; and 
(B) ‘‘test and treat’’ which means the test-
ing of everyone for HIV/AIDS within a high- 
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risk group or a defined geographic area and the 
immediate provision of antiretroviral treatment 
to everyone who tests positive for the disease. 
(5) UNAIDS.—The term ‘‘UNAIDS’’ means 
the Joint United Nations Programme on HIV/AIDS. 
Æ 
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