An act to extend certain authorities relating to United States efforts to combat HIV/AIDS, tuberculosis, and malaria globally, and for other purposes
PL 115-305 (H.R.6651), enacted 12/11/2018

132 STAT. 4402 
PUBLIC LAW 115–305—DEC. 11, 2018 
Public Law 115–305 
115th Congress 
An Act 
To extend certain authorities relating to United States efforts to combat HIV/ 
AIDS, tuberculosis, and malaria globally, and for other purposes. 
Be it enacted by the Senate and House of Representatives of 
the United States of America in Congress assembled, 
SECTION 1. SHORT TITLE. 
This Act may be cited as the ‘‘PEPFAR Extension Act of 2018’’. 
SEC. 2. INSPECTORS GENERAL AND ANNUAL STUDY. 
Section 101 of the United States Leadership Against HIV/ 
AIDS, Tuberculosis, and Malaria Act of 2003 (22 U.S.C. 7611) 
is amended— 
(1) in subsection (f)(1)— 
(A) in subparagraph (A), by striking ‘‘2018’’ and 
inserting ‘‘2023’’; and 
(B) in subparagraph (C)(iv)— 
(i) by striking ‘‘four’’ and inserting ‘‘nine’’; and 
(ii) by striking ‘‘2018’’ and inserting ‘‘2023’’; and 
(2) in subsection (g)— 
(A) in paragraph (1), by striking ‘‘2019’’ and inserting 
‘‘2024’’; and 
(B) in paragraph (2)— 
(i) in the heading, by striking ‘‘2018’’ and inserting 
‘‘2024’’; and 
(ii) by striking ‘‘September 30, 2018’’ and inserting 
‘‘September 30, 2024’’. 
SEC. 3. PARTICIPATION IN THE GLOBAL FUND TO FIGHT AIDS, TUBER-
CULOSIS, AND MALARIA. 
Section 202(d) of the United States Leadership Against HIV/ 
AIDS, Tuberculosis, and Malaria Act of 2003 (22 U.S.C. 7622(d)) 
is amended— 
(1) in paragraph (4)— 
(A) in subparagraph (A)— 
(i) in clause (i), by striking ‘‘fiscal years 2009 
through 2018’’ and inserting ‘‘fiscal years 2004 through 
2023’’; 
(ii) in clause (ii), by striking ‘‘2018’’ and inserting 
‘‘2023’’; and 
(iii) by striking clause (vi); and 
(B) in subparagraph (B)— 
(i) by striking clause (ii); 
(ii) by redesignating clauses (iii) and (iv) as clauses 
(ii) and (iii), respectively; 
22 USC 7601 
note. 
PEPFAR 
Extension Act 
of 2018. 
Dec. 11, 2018 
[H.R. 6651] 
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132 STAT. 4403 
PUBLIC LAW 115–305—DEC. 11, 2018 
LEGISLATIVE HISTORY—H.R. 6651: 
HOUSE REPORTS: No. 115–1014 (Comm. on Foreign Affairs). 
CONGRESSIONAL RECORD, Vol. 164 (2018): 
Nov. 13, considered and passed House. 
Nov. 28, considered and passed Senate. 
(iii) in clause (ii) (as redesignated by clause (ii) 
of this subparagraph)— 
(I) in the first sentence, by adding at the end 
before the period the following: ‘‘or section 104B 
or 104C of such Act’’; and 
(II) in the second sentence, by striking ‘‘for 
HIV/AIDS assistance’’; and 
(iv) in clause (iii) (as redesignated by clause (ii) 
of this subparagraph), by striking ‘‘2018’’ and inserting 
‘‘2023’’; and 
(2) in paragraph (5), by striking ‘‘2018’’ and inserting 
‘‘2023’’. 
SEC. 4. ALLOCATION OF FUNDS. 
Section 403 of the United States Leadership Against HIV/ 
AIDS, Tuberculosis, and Malaria Act of 2003 (22 U.S.C. 7673) 
is amended— 
(1) in subsection (b), by striking ‘‘2018’’ and inserting 
‘‘2023’’; and 
(2) in subsection (c), in the matter preceding paragraph 
(1), by striking ‘‘2018’’ and inserting ‘‘2023’’. 
Approved December 11, 2018. 
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