I 
113TH CONGRESS 
1ST SESSION H. R. 3117 
To bring an end to the spread of HIV/AIDS in the United States and 
around the world. 
IN THE HOUSE OF REPRESENTATIVES 
SEPTEMBER 17, 2013 
Ms. LEE of California introduced the following bill; which was referred to the 
Committee on Foreign Affairs, and in addition to the Committee on Ways 
and Means, for a period to be subsequently determined by the Speaker, 
in each case for consideration of such provisions as fall within the juris-
diction of the committee concerned 
A BILL 
To bring an end to the spread of HIV/AIDS in the United 
States and around the world. 
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 
‘‘Ending the HIV/AIDS Epidemic Act of 2013’’. 
(b) TABLE OF CONTENTS.—The table of contents of 
this Act is as follows: 
Sec. 1. Short title; table of contents. 
Sec. 2. Statement of policy. 
Sec. 3. Findings. 
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TITLE I—GLOBAL HIV/AIDS-FREE GENERATION STRATEGY 
Sec. 101. Global HIV/AIDS-Free Generation Strategy. 
TITLE II—USING FUNDS STRATEGICALLY TO MAXIMIZE RESULTS 
Sec. 201. Support for operations research to improve program delivery, effi-
ciency, impact, and effectiveness. 
Sec. 202. Increasing coordination and integration of HIV/AIDS programs with 
development programs. 
Sec. 203. Increasing program effectiveness and sustainability to achieve suc-
cessful country ownership. 
TITLE III—ADDRESSING LEGAL AND POLICY BARRIERS TO 
ACCESSING HEALTH CARE 
Subtitle A—General Provisions 
Sec. 301. Support for laws and regulations that improve health outcomes and 
promote human rights. 
Sec. 302. Intensifying efforts to establish effective programs for engaging key 
affected populations. 
Sec. 303. Ensuring United States trade policy does not restrict access to af-
fordable medicines. 
Subtitle B—Repeal of Certain Provisions of Public Law 108–25 
Sec. 311. Repeal of ‘‘conscience clause’’ requirement for eligibility for assist-
ance. 
Sec. 312. Repeal of limitation on use of funds for assistance for sex workers. 
Sec. 313. Repeal of reporting requirement on activities promoting abstinence 
and related activities. 
Sec. 314. Effective date. 
TITLE IV—DEFINITIONS 
Sec. 401. Definitions. 
SEC. 2. STATEMENT OF POLICY. 
It is the policy of the United States to achieve an 
AIDS-free generation, and to— 
(1) expand access to lifesaving antiretroviral 
therapy for people living with HIV/AIDS and imme-
diately link people to continuous and coordinated 
high-quality care when they learn they are infected 
with HIV; 
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(2) expand targeted efforts to prevent HIV in-
fection using a combination of effective, evidence- 
based approaches, including the elimination of new 
pediatric HIV infections worldwide, routine HIV 
screening, and universal access to HIV prevention 
tools in the communities where HIV/AIDS is most 
heavily concentrated; 
(3) ensure laws, policies, and regulations do not 
impede access to prevention, treatment, and care for 
people living with HIV/AIDS or at risk for acquiring 
HIV; 
(4) accelerate research for more efficacious HIV 
prevention and treatments tools, a cure, and a vac-
cine; and 
(5) respect the human rights and dignity of 
persons living with HIV/AIDS. 
SEC. 3. FINDINGS. 
The Congress makes the following findings: 
(1) An estimated 34,000,000 people around the 
world were living with HIV at the end of 2010, up 
from 8,000,000 in 1990. 
(2) Developing countries continue to bear the 
brunt of the HIV/AIDS epidemic, with sub-Saharan 
Africa accounting for 68 percent of all adults and 
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children living with HIV/AIDS, 59 percent of whom 
are female. 
(3) Despite global efforts, 1,000 children 
around the world still contract HIV each day, the 
majority through mother-to-child transmission of 
HIV. 
(4) HIV prevalence among young people aged 
15 to 24 has declined in many countries most im-
pacted by HIV; nevertheless, young people still ac-
count for 42 percent of all new infections among in-
dividuals aged 15 and older. 
(5) A substantial number of HIV-positive 
women in HIV care and treatment programs or pre-
vention of mother-to-child transmission (PMTCT) 
programs experience an unplanned pregnancy. 
(6) Making contraceptive services more widely 
available through HIV care, treatment, and PMTCT 
programs would make it easier for women to coordi-
nate their HIV-related care with their pregnancy 
prevention goals, and at the same time, help prevent 
mother-to-child HIV transmission. 
(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-
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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) The United States President’s Emergency 
Plan for AIDS Relief (PEPFAR), which represents 
the largest commitment by any nation to combat a 
single disease, has saved the lives of millions of peo-
ple around the world by establishing and expanding 
the infrastructure necessary to deliver prevention, 
care, and treatment services in low-resource settings. 
(9) Early detection and treatment of HIV can 
have significant positive health effects. New research 
demonstrates conclusively that treatment of individ-
uals not only slows disease progression, but can also 
reduce the risk of transmission to other individuals 
by 96 percent. 
(10) In most countries HIV is a disease that 
discriminates, disproportionately affecting society’s 
most vulnerable. Even in generalized epidemics in 
which a significant share of the wider population is 
living with HIV/AIDS, people in vulnerable commu-
nities often have considerably higher rates of HIV 
infection. 
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