H. R. 5501—14 
‘‘(iii) an assessment of efforts to address gender- 
specific aspects of HIV/AIDS, including gender related 
constraints to accessing services and addressing under-
lying social and economic vulnerabilities of women and 
men; 
‘‘(iv) an evaluation of the impact of treatment and 
care programs on 5-year survival rates, drug adher-
ence, and the emergence of drug resistance; 
‘‘(v) an evaluation of the impact of prevention pro-
grams on HIV incidence in relevant population groups; 
‘‘(vi) an evaluation of the impact on child health 
and welfare of interventions authorized under this Act 
on behalf of orphans and vulnerable children; 
‘‘(vii) an evaluation of the impact of programs and 
activities authorized in this Act on child mortality; 
and 
‘‘(viii) recommendations for improving the pro-
grams referred to in subparagraph (A)(i). 
‘‘(C) 
METHODOLOGIES.—Assessments 
and 
impact 
evaluations conducted under the study shall utilize sound 
statistical methods and techniques for the behavioral 
sciences, including random assignment methodologies as 
feasible. Qualitative data on process variables should be 
used for assessments and impact evaluations, wherever 
possible. 
‘‘(3) CONTRACT AUTHORITY.—The Institute of Medicine may 
enter into contracts or cooperative agreements or award grants 
to conduct the study under paragraph (2). 
‘‘(4) 
AUTHORIZATION
OF
APPROPRIATIONS.—There 
are 
authorized to be appropriated such sums as may be necessary 
to carry out the study under this subsection.’’. 
(d) REPORT.—Section 101 of such Act, as amended by this 
section, is further amended by adding at the end the following: 
‘‘(d) COMPTROLLER GENERAL REPORT.— 
‘‘(1) REPORT REQUIRED.—Not later than 3 years after the 
date of the enactment of the Tom Lantos and Henry J. Hyde 
United States Global Leadership Against HIV/AIDS, Tuber-
culosis, and Malaria Reauthorization Act of 2008, the Comp-
troller General of the United States shall submit a report 
on the global HIV/AIDS programs of the United States to 
the appropriate congressional committees. 
‘‘(2) CONTENTS.—The report required under paragraph (1) 
shall include— 
‘‘(A) a description and assessment of the monitoring 
and evaluation practices and policies in place for these 
programs; 
‘‘(B) an assessment of coordination within Federal 
agencies involved in these programs, examining both 
internal coordination within these programs and integra-
tion with the larger global health and development agenda 
of the United States; 
‘‘(C) an assessment of procurement policies and prac-
tices within these programs; 
‘‘(D) an assessment of harmonization with national 
government HIV/AIDS and public health strategies as well 
as other international efforts;
H. R. 5501—15 
‘‘(E) an assessment of the impact of global HIV/AIDS 
funding and programs on other United States global health 
programming; and 
‘‘(F) recommendations for improving the global HIV/ 
AIDS programs of the United States. 
‘‘(e) BEST PRACTICES REPORT.— 
‘‘(1) IN GENERAL.—Not later than 1 year after the date 
of the enactment of the Tom Lantos and Henry J. Hyde United 
States Global Leadership Against HIV/AIDS, Tuberculosis, and 
Malaria Reauthorization Act of 2008, and annually thereafter, 
the Global AIDS Coordinator shall publish a best practices 
report that highlights the programs receiving financial assist-
ance from the United States that have the potential for replica-
tion or adaption, particularly at a low cost, across global AIDS 
programs, including those that focus on both generalized and 
localized epidemics. 
‘‘(2) DISSEMINATION OF FINDINGS.— 
‘‘(A) PUBLICATION ON INTERNET WEBSITE.—The Global 
AIDS Coordinator shall disseminate the full findings of 
the annual best practices report on the Internet website 
of the Office of the Global AIDS Coordinator. 
‘‘(B) DISSEMINATION
GUIDANCE.—The Global AIDS 
Coordinator shall develop guidance to ensure timely 
submission and dissemination of significant information 
regarding best practices with respect to global AIDS pro-
grams. 
‘‘(f) INSPECTORS GENERAL.— 
‘‘(1) OVERSIGHT PLAN.— 
‘‘(A) DEVELOPMENT.—The Inspectors General of the 
Department of State and Broadcasting Board of Governors, 
the Department of Health and Human Services, and the 
United States Agency for International Development shall 
jointly develop 5 coordinated annual plans for oversight 
activity in each of the fiscal years 2009 through 2013, 
with regard to the programs authorized under this Act 
and sections 104A, 104B, and 104C of the Foreign Assist-
ance Act of 1961 (22 U.S.C. 2151b–2, 2151b–3, and 2151b– 
4). 
‘‘(B) CONTENTS.—The plans developed under subpara-
graph (A) shall include a schedule for financial audits, 
inspections, and performance reviews, as appropriate. 
‘‘(C) DEADLINE.— 
‘‘(i) INITIAL PLAN.—The first plan developed under 
subparagraph (A) shall be completed not later than 
the later of— 
‘‘(I) September 1, 2008; or 
‘‘(II) 60 days after the date of the enactment 
of the Tom Lantos and Henry J. Hyde United 
States Global Leadership Against HIV/AIDS, 
Tuberculosis, and Malaria Reauthorization Act of 
2008. 
‘‘(ii) SUBSEQUENT
PLANS.—Each of the last four 
plans developed under subparagraph (A) shall be com-
pleted not later than 30 days before each of the fiscal 
years 2010 through 2013, respectively.
H. R. 5501—16 
‘‘(2) COORDINATION.—In order to avoid duplication and 
maximize efficiency, the Inspectors General described in para-
graph (1) shall coordinate their activities with— 
‘‘(A) the Government Accountability Office; and 
‘‘(B) the Inspectors General of the Department of Com-
merce, the Department of Defense, the Department of 
Labor, and the Peace Corps, as appropriate, pursuant to 
the 2004 Memorandum of Agreement Coordinating Audit 
Coverage of Programs and Activities Implementing the 
President’s Emergency Plan for AIDS Relief, or any suc-
cessor agreement. 
‘‘(3) FUNDING.—The Global AIDS Coordinator and the 
Coordinator of the United States Government Activities to Com-
bat Malaria Globally shall make available necessary funds not 
exceeding $15,000,000 during the 5-year period beginning on 
October 1, 2008 to the Inspectors General described in para-
graph (1) for the audits, inspections, and reviews described 
in that paragraph.’’. 
(e) ANNUAL STUDY; MESSAGE.—Section 101 of such Act, as 
amended by this section, is further amended by adding at the 
end the following: 
‘‘(g) ANNUAL STUDY.— 
‘‘(1) IN GENERAL.—Not later than September 30, 2009, and 
annually thereafter through September 30, 2013, the Global 
AIDS Coordinator shall complete a study of treatment providers 
that— 
‘‘(A) represents a range of countries and service 
environments; 
‘‘(B) estimates the per-patient cost of antiretroviral 
HIV/AIDS treatment and the care of people with HIV/ 
AIDS not receiving antiretroviral treatment, including a 
comparison of the costs for equivalent services provided 
by programs not receiving assistance under this Act; 
‘‘(C) estimates per-patient costs across the program 
and in specific categories of service providers, including— 
‘‘(i) urban and rural providers; 
‘‘(ii) country-specific providers; and 
‘‘(iii) other subcategories, as appropriate. 
‘‘(2) PUBLICATION.—Not later than 90 days after the comple-
tion of each study under paragraph (1), the Global AIDS Coordi-
nator shall make the results of such study available on a 
publicly accessible Web site. 
‘‘(h) MESSAGE.—The Global AIDS Coordinator shall develop 
a message, to be prominently displayed by each program receiving 
funds under this Act, that— 
‘‘(1) demonstrates that the program is a commitment by 
citizens of the United States to the global fight against HIV/ 
AIDS, tuberculosis, and malaria; and 
‘‘(2) enhances awareness by program recipients that the 
program is an effort on behalf of the citizens of the United 
States.’’. 
SEC. 102. INTERAGENCY WORKING GROUP. 
Section 1(f)(2) of the State Department Basic Authorities Act 
of 1956 (22 U.S.C. 2651a(f)(2)) is amended—
H. R. 5501—17 
(1) in subparagraph (A), by inserting ‘‘, partner country 
finance, health, and other relevant ministries,’’ after ‘‘commu-
nity based organizations)’’ each place it appears; 
(2) in subparagraph (B)(ii)— 
(A) by striking subclauses (IV) and (V); 
(B) by inserting after subclause (III) the following: 
‘‘(IV) Establishing an interagency working 
group on HIV/AIDS headed by the Global AIDS 
Coordinator and comprised of representatives from 
the United States Agency for International 
Development and the Department of Health and 
Human Services, for the purposes of coordination 
of activities relating to HIV/AIDS, including— 
‘‘(aa) meeting regularly to review progress 
in partner countries toward HIV/AIDS preven-
tion, treatment, and care objectives; 
‘‘(bb) participating in the process of identi-
fying countries to consider for increased assist-
ance based on the epidemiology of HIV/AIDS 
in those countries, including clear evidence 
of a public health threat, as well as govern-
ment commitment to address the HIV/AIDS 
problem, relative need, and coordination and 
joint planning with other significant actors; 
‘‘(cc) assisting the Coordinator in the 
evaluation, execution, and oversight of country 
operational plans; 
‘‘(dd) reviewing policies that may be 
obstacles to reaching targets set forth for HIV/ 
AIDS prevention, treatment, and care; and 
‘‘(ee) consulting with representatives from 
additional relevant agencies, including the 
National Institutes of Health, the Health 
Resources and Services Administration, the 
Department of Labor, the Department of Agri-
culture, the Millennium Challenge Corpora-
tion, the Peace Corps, and the Department 
of Defense. 
‘‘(V) Coordinating overall United States HIV/ 
AIDS policy and programs, including ensuring the 
coordination of relevant executive branch agency 
activities in the field, with efforts led by partner 
countries, and with the assistance provided by 
other relevant bilateral and multilateral aid agen-
cies and other donor institutions to promote 
harmonization with other programs aimed at pre-
venting and treating HIV/AIDS and other health 
challenges, improving primary health, addressing 
food security, promoting education and develop-
ment, and strengthening health care systems.’’; 
(C) by redesignating subclauses (VII) and VIII) as sub-
clauses (IX) and (XII), respectively; 
(D) by inserting after subclause (VI) the following: 
‘‘(VII) Holding annual consultations with non-
governmental organizations in partner countries 
that provide services to improve health, and advo-
cating on behalf of the individuals with HIV/AIDS