I 
108TH CONGRESS 
1ST SESSION H. R. 3386
To provide assistance to combat infectious diseases in Haiti and to establish 
a comprehensive health infrastructure in Haiti, and for other purposes. 
IN THE HOUSE OF REPRESENTATIVES 
OCTOBER 29, 2003
Ms. LEE (for herself, Mrs. CHRISTENSEN, Mr. WYNN, Mr. PAYNE, Mr. 
THOMPSON of Mississippi, Ms. JACKSON-LEE of Texas, Mr. CUMMINGS, 
Ms. MILLENDER-MCDONALD, Mr. WEXLER, Mr. CONYERS, Mr. OWENS, 
and Ms. CORRINE BROWN of Florida) introduced the following bill; which 
was referred to the Committee on International Relations 
A BILL 
To provide assistance to combat infectious diseases in Haiti 
and to establish a comprehensive health infrastructure 
in Haiti, and for other purposes.
Be it enacted by the Senate and House of Representa-
tives of the United States of America in Congress assembled,
SECTION 1. SHORT TITLE; TABLE OF CONTENTS. 
(a) SHORT TITLE.—This Act may be cited as the 
‘‘New Partnership for Haiti Act of 2003’’. 
(b) TABLE OF CONTENTS.—The table of contents of 
this Act is as follows:
Sec. 1. Short title; table of contents.
TITLE I—GENERAL PROVISIONS 
Sec. 101. Findings. 
Sec. 102. Purpose. 
Sec. 103. Definitions. 
Sec. 104. Development of a comprehensive strategy. 
TITLE II—UNITED STATES ASSISTANCE FOR HAITI 
Sec. 201. Assistance for health sector development. 
Sec. 202. Assistance for health infrastructure development. 
Sec. 203. Assistance for water and sanitation infrastructure development. 
Sec. 204. Professional exchange for areas in Haiti severely affected by dilapi-
dated physical health infrastructures.
TITLE I—GENERAL PROVISIONS 
SEC. 101. FINDINGS. 
Congress finds the following: 
(1) Haiti is the most impoverished nation in the 
Western Hemisphere. 
(2) The United Nations Joint Programme on 
HIV/AIDS states that Haiti accounts for 90 percent 
of the HIV/AIDS infections and case rates in the 
Caribbean. 
(3) HIV infections and AIDS have approached 
epidemic proportions in Haiti. More than 300,000 
infected people have been identified and deaths from 
HIV/AIDS have left approximately 200,000 children 
orphaned, while more than 12,000 children in Haiti 
are living with HIV/AIDS. 
(4) The infant and maternal mortality rate in 
Haiti continues to rise and only 1 in every 10,000 
Haitians has access to a physician.
(5) The Global Fund to Fight AIDS, Tuber-
culosis and Malaria has approved the control mecha-
nisms of the Government of Haiti, which include 
measures to address transparency and for disburse-
ment of grants from the Global Fund. 
(6) The President has included Haiti in the list 
of 15 countries that qualify for United States assist-
ance to combat HIV/AIDS under the United States 
Leadership Against HIV/AIDS, Tuberculosis, and 
Malaria Act of 2003. 
(7) The people of Haiti have a constitutional 
and fundamental human right to health and govern-
ment has the obligation to fulfill these rights to the 
level of resources available. 
(8) The legal minimum daily wage in Haiti is 
approximately $.96 but many Haitians work in the 
informal economy or in subsistence agriculture for 
$.40 or less a day. 
(9) 76 percent of Haiti’s children under the age 
of five are underweight or suffer from wasting or 
stunting. 
(10) Only 46 percent of the population has ac-
cess to safe water and only 28 percent of the popu-
lation to sanitation services.
(11) 63 percent of Haitians are undernour-
ished. As stated by the United Nations Special 
Rapporteur on the Right to Food: ‘‘Despite the fact 
that global wealth and resources [are] sufficient to 
provide food for everyone, some 100,000 people [die] 
every day of hunger or hunger-related diseases 
[throughout the world].’’. 
(12) The infant mortality rate in Haiti is ap-
proximately 76 deaths for each 1,000 live female 
births and 81 deaths for each 1,000 live male births. 
(13) Life expectancy at birth in Haiti is ap-
proximately 51 years. 
(14) Approximately 80 percent of Haiti’s popu-
lation lives in abject poverty. 
(15) Unemployment and underemployment is 
widespread in Haiti as evidenced by the fact that 
more than two-thirds of the labor force are without 
formal jobs. 
(16)(A) The Office of Technical Assistance 
within the Bureau of International Affairs of the 
Department of the Treasury has provided advisers 
to governments in Central and Eastern Europe and 
the independent states of the former Soviet Union to 
assist in the transition from command to market 
economies.
(B) In the typical mission, a Treasury Depart-
ment ‘‘resident advisor’’ provides assistance to a 
senior finance ministry or central bank counterpart 
in one of several areas: tax policy and administra-
tion, government debt issuance and management, fi-
nancial institutions policy and regulation, budget 
policy and management, and the prevention, detec-
tion, and prosecution of financial crimes. These resi-
dent advisers are supported by short-term experts 
and technicians. 
(17) More recently, the Department of the 
Treasury has addressed challenges in other parts of 
the world by assisting the South African Depart-
ment of Finance in restructuring its budget office 
and process, working in the Haitian Finance Min-
istry to improve apportionment and budget execu-
tion, and helping to resolve the banking crisis in In-
donesia. 
SEC. 102. PURPOSE. 
The purpose of this Act is to strengthen United 
States leadership and the effectiveness of the United 
States response to infectious diseases in Haiti and Haiti’s
struggling health sector while assisting with the rebuilding 
of physical infrastructure by—
(1) establishing a comprehensive, integrated 
strategy to develop Haiti’s health infrastructure, 
combat HIV/AIDS and other infectious diseases, 
and improve coordination among relevant Federal 
departments and agencies and between the United 
States and the Government of Haiti, nongovern-
mental organizations, and other international orga-
nizations; 
(2) providing increased resources for United 
States efforts, particularly for technical assistance 
and training, to combat HIV/AIDS, tuberculosis, 
and malaria in Haiti; 
(3) encouraging the expansion of the inter-
national community to reengage with the Govern-
ment of Haiti and expand private sector efforts and 
public-private sector partnerships to establish a 
functional health sector in Haiti; 
(4) assisting and securing a system of basic 
water, sanitation, and other physical infrastructure; 
and 
(5) encouraging a continued exchange of knowl-
edge and professionalism between the Government of 
Haiti and the United States Department of the 
Treasury through the Department’s Office of Tech-
nical Assistance within the Bureau of International
Affairs, including by providing Department of the 
Treasury advisers to work to explain such concepts 
as budgeting and the decision making process, tax 
policy as a means of financing the annual govern-
ment budget, treasury bill markets to replace central 
bank monetization of deficits, and the banking as a 
system of intermediation rather than financial ac-
counting. 
SEC. 103. DEFINITIONS. 
In this Act: 
(1) AIDS.—The term ‘‘AIDS’’ means the ac-
quired immune deficiency syndrome. 
(2) APPROPRIATE
CONGRESSIONAL
COMMIT-
TEES.—The term ‘‘appropriate congressional com-
mittees’’ means the Committee on International Re-
lations of the House of Representatives and the 
Committee on Foreign Relations of the Senate. 
(3) HIV.—The term ‘‘HIV’’ means the human 
immunodeficiency virus, the pathogen that causes 
AIDS. 
(4) 
HIV/AIDS.—The 
term 
‘‘HIV/AIDS’’ 
means, with respect to an individual, an individual 
who is infected with HIV or living with AIDS.
SEC. 104. DEVELOPMENT OF A COMPREHENSIVE STRAT-
EGY. 
The President shall seek to work with the Govern-
ment of Haiti, the international financial community, civil 
society, and other international organizations to establish 
a comprehensive and integrated strategy to combat infec-
tious diseases in Haiti and to establish a comprehensive 
health infrastructure in Haiti. 
TITLE II—UNITED STATES 
ASSISTANCE FOR HAITI 
SEC. 201. ASSISTANCE FOR HEALTH SECTOR DEVELOP-
MENT. 
(a) STATEMENT OF POLICY.—It is the policy of the 
United States—
(1) to assist in empowering the people of Haiti, 
particularly, women, young people and children, so-
cially, economically, and intellectually to seek health 
as a human right and to prevent the transmission 
and contraction of HIV/AIDS, tuberculosis, malaria, 
and other infectious and endemic diseases; and 
(2) to ensure that affordable effective health 
technologies, preventatives, and curatives are widely 
available to the people of Haiti. 
(b) ASSISTANCE.—
(1) 
IN
GENERAL.—The 
President, 
acting 
through the Administrator of the United States