gram carried out by the subgrantee, other com-
munications activities in support of the pro-
gram, local advisory board functions, and trans-
portation necessary to ensure program partici-
pation. 
(d) REPORTS.—The President shall require that each 
organization awarded a grant under subsection (b)(1) to 
submit an annual report that includes—
(1) the progress of programs funded under this 
section; 
(2) the benchmarks of success of programs 
funded under this section; and 
(3) recommendations of how best to proceed 
with the programs funded under this section upon 
the expiration of funding under subsection (e). 
(e) FUNDING.—There are authorized to be appro-
priated to the President, from amounts authorized to be 
appropriated under section 401, such sums as may be nec-
essary for each of the fiscal years 2004 through 2008 to 
carry out the program. 
(f) LIMITATION ON ADMINISTRATIVE EXPENSES.—
An organization shall ensure that not more than 7 percent 
of the amount of a grant received under this section by 
the organization is used for administrative expenses.
TITLE IV—AUTHORIZATION OF 
APPROPRIATIONS 
SEC. 401. AUTHORIZATION OF APPROPRIATIONS. 
(a) IN GENERAL.—There are authorized to be appro-
priated to the President to carry out this Act and the 
amendments made by this Act $3,000,000,000 for each 
of the fiscal years 2004 through 2008.
(b) AVAILABILITY.—Amounts appropriated pursuant 
to the authorization of appropriations in subsection (a) are 
authorized to remain available until expended. 
(c) AVAILABILITY OF AUTHORIZATIONS.—Authoriza-
tions of appropriations under subsection (a) shall remain 
available until the appropriations are made. 
SEC. 402. SENSE OF CONGRESS. 
(a) INCREASE
IN
HIV/AIDS ANTIRETROVIRAL 
TREATMENT.—It is a sense of the Congress that an ur-
gent priority of United States assistance programs to fight 
HIV/AIDS should be the rapid increase in distribution of 
antiretroviral treatment so that—
(1) by the end of fiscal year 2004, at least 
500,000 individuals with HIV/AIDS are receiving 
antiretroviral treatment through United States as-
sistance programs;
(2) by the end of fiscal year 2005, at least 
1,000,000 such individuals are receiving such treat-
ment; and 
(3) by the end of fiscal year 2006, at least 
2,000,000 such individuals are receiving such treat-
ment. 
(b) 
EFFECTIVE
DISTRIBUTION
OF
HIV/AIDS 
FUNDS.—It is the sense of Congress that, of the amounts 
appropriated pursuant to the authorization of appropria-
tions under section 401 for HIV/AIDS assistance, an ef-
fective distribution of such amounts would be—
(1) 55 percent of such amounts for treatment 
of individuals with HIV/AIDS; 
(2) 15 percent of such amounts for palliative 
care of individuals with HIV/AIDS; 
(3) 20 percent of such amounts for HIV/AIDS 
prevention consistent with section 104A(d) of the 
Foreign Assistance Act of 1961 (as added by section 
301 of this Act), of which such amount at least 33 
percent should be expended for abstinence-until-mar-
riage programs; and 
(4) 10 percent of such amounts for orphans 
and vulnerable children.
SEC. 403. ALLOCATION OF FUNDS. 
(a) THERAPEUTIC MEDICAL CARE.—For fiscal years 
2006 through 2008, not less than 55 percent of the 
amounts appropriated pursuant to the authorization of ap-
propriations under section 401 for HIV/AIDS assistance 
for each such fiscal year shall be expended for therapeutic 
medical care of individuals infected with HIV, of which 
such amount at least 75 percent should be expended for 
the purchase and distribution of antiretroviral pharma-
ceuticals and at least 25 percent should be expended for 
related care. For fiscal years 2006 through 2008, not less 
than 33 percent of the amounts appropriated pursuant to 
the authorization of appropriations under section 401 for 
HIV/AIDS prevention consistent with section 104A(d) of 
the Foreign Assistance Act of 1961 (as added by section 
301 of this Act) for each such fiscal year shall be expended 
for abstinence-until-marriage programs. 
(b) ORPHANS AND VULNERABLE CHILDREN.—For 
fiscal years 2006 through 2008, not less than 10 percent 
of the amounts appropriated pursuant to the authorization 
of appropriations under section 401 for HIV/AIDS assist-
ance for each such fiscal year shall be expended for assist-
ance for orphans and vulnerable children affected by HIV/
AIDS, of which such amount at least 50 percent shall be 
provided through non-profit, nongovernmental organiza-
tions, including faith-based organizations, that implement 
programs on the community level. 
SEC. 404. ASSISTANCE FROM THE UNITED STATES PRIVATE 
SECTOR TO PREVENT AND REDUCE HIV/AIDS 
IN SUB-SAHARAN AFRICA. 
It is the sense of Congress that United States busi-
nesses should be encouraged to provide assistance to sub-
Saharan African countries to prevent and reduce the inci-
dence of HIV/AIDS in sub-Saharan Africa. In providing 
such assistance, United States businesses should be en-
couraged to consider the establishment of an HIV/AIDS 
Response Fund in order to provide for coordination among 
such businesses in the collection and distribution of the 
assistance to sub-Saharan African countries.
Passed the House of Representatives May 1, 2003. 
Attest: 
JEFF TRANDAHL, 
Clerk. 
VerDate Jan 31 2003 
14:47 May 07, 2003
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E:\BILLS\H1298.PCS
H1298
Calendar No. 86
108TH CONGRESS 
1ST SESSION 
H. R. 1298
AN ACT 
To provide assistance to foreign countries to com-
bat HIV/AIDS, tuberculosis, and malaria, and 
for other purposes. 
MAY 6, 2003
Read the second time and placed on the calendar