H. R. 5501—18 
and those at particular risk of contracting HIV/ 
AIDS, including organizations with members who 
are living with HIV/AIDS. 
‘‘(VIII) Ensuring, through interagency and 
international coordination, that HIV/AIDS pro-
grams of the United States are coordinated with, 
and complementary to, the delivery of related 
global health, food security, development, and edu-
cation.’’; 
(E) in subclause (IX), as redesignated by subparagraph 
(C)— 
(i) by inserting ‘‘Vietnam,’’ after ‘‘Uganda,’’; 
(ii) by inserting after ‘‘of 2003’’ the following: ‘‘and 
other countries in which the United States is imple-
menting HIV/AIDS programs as part of its foreign 
assistance program’’; and 
(iii) by adding at the end the following: ‘‘In desig-
nating additional countries under this subparagraph, 
the President shall give priority to those countries 
in which there is a high prevalence of HIV or risk 
of significantly increasing incidence of HIV within the 
general population and inadequate financial means 
within the country.’’; 
(F) by inserting after subclause (IX), as redesignated 
by subparagraph (C), the following: 
‘‘(X) Working with partner countries in which 
the HIV/AIDS epidemic is prevalent among injec-
tion drug users to establish, as a national priority, 
national HIV/AIDS prevention programs. 
‘‘(XI) Working with partner countries in which 
the HIV/AIDS epidemic is prevalent among 
individuals involved in commercial sex acts to 
establish, as a national priority, national preven-
tion programs, including education, voluntary 
testing, and counseling, and referral systems that 
link HIV/AIDS programs with programs to eradi-
cate trafficking in persons and support alternatives 
to prostitution.’’; 
(G) in subclause (XII), as redesignated by subpara-
graph (C), by striking ‘‘funds section’’ and inserting ‘‘funds 
appropriated for HIV/ AIDS assistance pursuant to the 
authorization of appropriations under section 401 of the 
United States Leadership Against HIV/AIDS, Tuberculosis, 
and Malaria Act of 2003 (22 U.S.C. 7671)’’; and 
(H) by adding at the end the following: 
‘‘(XIII) Publicizing updated drug pricing data 
to inform the purchasing decisions of pharma-
ceutical procurement partners.’’. 
SEC. 103. SENSE OF CONGRESS. 
Section 102 of the United States Leadership Against HIV/ 
AIDS, Tuberculosis, and Malaria Act of 2003 (22 U.S.C. 7612) 
is amended by adding at the end the following: 
‘‘(d) SENSE OF CONGRESS.—It is the sense of Congress that— 
‘‘(1) full-time country level coordinators, preferably with 
management experience, should head each HIV/AIDS country
H. R. 5501—19 
team for United States missions overseeing significant HIV/ 
AIDS programs; 
‘‘(2) foreign service nationals provide critically important 
services in the design and implementation of United States 
country-level HIV/AIDS programs and their skills and experi-
ence as public health professionals should be recognized within 
hiring and compensation practices; and 
‘‘(3) staffing levels for United States country-level HIV/ 
AIDS teams should be adequately maintained to fulfill oversight 
and other obligations of the positions.’’. 
TITLE 
II—SUPPORT 
FOR 
MULTILAT-
ERAL FUNDS, PROGRAMS, AND PUB-
LIC-PRIVATE PARTNERSHIPS 
SEC. 201. VOLUNTARY CONTRIBUTIONS TO INTERNATIONAL VACCINE 
FUNDS. 
Section 302 of the Foreign Assistance Act of 1961 (22 U.S.C. 
2222) is amended— 
(1) by inserting after subsection (c) the following: 
‘‘(d) TUBERCULOSIS
VACCINE
DEVELOPMENT
PROGRAMS.—In 
addition to amounts otherwise available under this section, there 
are authorized to be appropriated to the President such sums as 
may be necessary for each of the fiscal years 2009 through 2013, 
which shall be used for United States contributions to tuberculosis 
vaccine development programs, which may include the Aeras Global 
TB Vaccine Foundation.’’; 
(2) in subsection (k)— 
(A) by striking ‘‘fiscal years 2004 through 2008’’ and 
inserting ‘‘fiscal years 2009 through 2013’’; and 
(B) by striking ‘‘Vaccine Fund’’ and inserting ‘‘GAVI 
Fund’’. 
(3) in subsection (l), by striking ‘‘fiscal years 2004 through 
2008’’ and inserting ‘‘fiscal years 2009 through 2013’’; and 
(4) in subsection (m), by striking ‘‘fiscal years 2004 through 
2008’’ and inserting ‘‘fiscal years 2009 through 2013’’. 
SEC. 202. PARTICIPATION IN THE GLOBAL FUND TO FIGHT AIDS, 
TUBERCULOSIS AND MALARIA. 
(a) FINDINGS; SENSE
OF CONGRESS.—Section 202(a) of the 
United States Leadership Against HIV/AIDS, Tuberculosis, and 
Malaria Act of 2003 (22 U.S.C. 7622(a)) is amended to read as 
follows: 
‘‘(a) FINDINGS; SENSE OF CONGRESS.— 
‘‘(1) FINDINGS.—Congress makes the following findings: 
‘‘(A) The establishment of the Global Fund in January 
2002 is consistent with the general principles for an inter-
national AIDS trust fund first outlined by Congress in 
the Global AIDS and Tuberculosis Relief Act of 2000 (Public 
Law 106–264). 
‘‘(B) The Global Fund is an innovative financing mecha-
nism which— 
‘‘(i) has made progress in many areas in combating 
HIV/AIDS, tuberculosis, and malaria; and
H. R. 5501—20 
‘‘(ii) represents the multilateral component of this 
Act, extending United States efforts to more than 130 
countries around the world. 
‘‘(C) The Global Fund and United States bilateral 
assistance programs— 
‘‘(i) 
are 
demonstrating 
increasingly 
effective 
coordination, with each possessing certain comparative 
advantages in the fight against HIV/AIDS, tuber-
culosis, and malaria; and 
‘‘(ii) often work most effectively in concert with 
each other. 
‘‘(D) The United States Government— 
‘‘(i) is the largest supporter of the Global Fund 
in terms of resources and technical support; 
‘‘(ii) made the founding contribution to the Global 
Fund; and 
‘‘(iii) is fully committed to the success of the Global 
Fund as a multilateral public-private partnership. 
‘‘(2) SENSE OF CONGRESS.—It is the sense of Congress that— 
‘‘(A) transparency and accountability are crucial to the 
long-term success and viability of the Global Fund; 
‘‘(B) the Global Fund has made significant progress 
toward addressing concerns raised by the Government 
Accountability Office by— 
‘‘(i) improving risk assessment and risk manage-
ment capabilities; 
‘‘(ii) providing clearer guidance for and oversight 
of Local Fund Agents; and 
‘‘(iii) strengthening the Office of the Inspector Gen-
eral for the Global Fund; 
‘‘(C) the provision of sufficient resources and authority 
to the Office of the Inspector General for the Global Fund 
to ensure that office has the staff and independence nec-
essary to carry out its mandate will be a measure of the 
commitment of the Global Fund to transparency and 
accountability; 
‘‘(D) 
regular, 
publicly 
published 
financial, 
pro-
grammatic, and reporting audits of the Fund, its grantees, 
and Local Fund Agents are also important benchmarks 
of transparency; 
‘‘(E) the Global Fund should establish and maintain 
a system to track— 
‘‘(i) the amount of funds disbursed to each sub-
recipient on the grant’s fiscal cycle; and 
‘‘(ii) the distribution of resources, by grant and 
principal recipient, for prevention, care, treatment, 
drug and commodity purchases, and other purposes; 
‘‘(F) relevant national authorities in recipient countries 
should exempt from duties and taxes all products financed 
by Global Fund grants and procured by any principal 
recipient or subrecipient for the purpose of carrying out 
such grants; 
‘‘(G) the Global Fund, UNAIDS, and the Global AIDS 
Coordinator should work together to standardize program 
indicators wherever possible; 
‘‘(H) for purposes of evaluating total amounts of funds 
contributed 
to 
the 
Global 
Fund 
under 
subsection
H. R. 5501—21 
(d)(4)(A)(i), the timetable for evaluations of contributions 
from sources other than the United States should take 
into account the fiscal calendars of other major contribu-
tors; and 
‘‘(I) the Global Fund should not support activities 
involving the ‘Affordable Medicines Facility-Malaria’ or 
similar entities pending compelling evidence of success from 
pilot programs as evaluated by the Coordinator of United 
States Government Activities to Combat Malaria Globally.’’. 
(b) STATEMENT
OF POLICY.—Section 202(b) of such Act is 
amended by adding at the end the following: 
‘‘(3) STATEMENT OF POLICY.—The United States Govern-
ment regards the imposition by recipient countries of taxes 
or tariffs on goods or services provided by the Global Fund, 
which are supported through public and private donations, 
including the substantial contribution of the American people, 
as inappropriate and inconsistent with standards of good 
governance. The Global AIDS Coordinator or other representa-
tives of the United States Government shall work with the 
Global Fund to dissuade governments from imposing such 
duties, tariffs, or taxes.’’. 
(c) UNITED STATES FINANCIAL PARTICIPATION.—Section 202(d) 
of such Act (22 U.S.C. 7622(d)) is amended— 
(1) in paragraph (1)— 
(A) by striking ‘‘$1,000,000,000 for the period of fiscal 
year 2004 beginning on January 1, 2004’’ and inserting 
‘‘$2,000,000,000 for fiscal year 2009,’’; and 
(B) by striking ‘‘the fiscal years 2005–2008’’ and 
inserting ‘‘each of the fiscal years 2010 through 2013’’; 
(2) in paragraph (4)— 
(A) in subparagraph (A)— 
(i) in clause (i), by striking ‘‘fiscal years 2004 
through 2008’’ and inserting ‘‘fiscal years 2009 through 
2013’’; 
(ii) in clause (ii)— 
(I) by striking ‘‘during any of the fiscal years 
2004 through 2008’’ and inserting ‘‘during any of 
the fiscal years 2009 through 2013’’; and 
(II) by adding at the end the following: ‘‘The 
President may waive the application of this clause 
with respect to assistance for Sudan that is over-
seen by the Southern Country Coordinating 
Mechanism, including Southern Sudan, Southern 
Kordofan, Blue Nile State, and Abyei, if the Presi-
dent determines that the national interest or 
humanitarian reasons justify such a waiver. The 
President shall publish each waiver of this clause 
in the Federal Register and, not later than 15 
days before the waiver takes effect, shall consult 
with the Committee on Foreign Relations of the 
Senate and the Committee on Foreign Affairs of 
the House of Representatives regarding the pro-
posed waiver.’’; and 
(iii) in clause (vi)— 
(I) by striking ‘‘for the purposes’’ and inserting 
‘‘For the purposes’’;