Global AIDS and Tuberculosis Relief Act of 2000
PL 106-264 (H.R.3519), enacted 08/19/2000

114 STAT. 748 
PUBLIC LAW 106-264—AUG. 19, 2000 
Public Law 106-264 
106th Congress 
An Act 
Aug. 19, 2000 
[H.R. 3519] 
Global AIDS and 
Tuberculosis 
Relief Act of 
2000. 
Health and 
health care. 
Diseases. 
22 u s e 6801 
note. 
To provide for negotiations for the creation of a trust fund to be administered 
by the International Bank for Reconstruction and Development or the International 
Development Association to combat the AIDS epidemic. 
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 "Global AIDS and Tuberculosis 
Relief Act of 2000". 
SEC. 2. TABLE OF CONTENTS. 
The table of contents for this Act is as follows: 
Sec. 1. Short title. 
Sec. 2. Table of contents. 
TITLE I—ASSISTANCE TO COUNTRIES WITH LARGE POPULATIONS HAVING 
HIV/AIDS 
Sec. 101. Short title. 
Sec. 102. Definitions. 
Sec. 103. Findings and purposes. 
Subtitle A—United States Assistance 
Sec. 111. Additional assistance authorities to combat HIV and AIDS. 
Sec. 112. Voluntary contribution to Global Alliance for Vaccines and Immunizations 
and International AIDS Vaccine Initiative. 
Sec. 113. Coordinated donor strategy for support and education of orphans in sub-
Saharan Africa. 
Sec. 114. African Crisis Response Initiative and HIV/AIDS training. 
Subtitle B—World Bank AIDS Trust Fund 
CHAPTER 1—ESTABLISHMENT OF THE FUND 
Sec. 121. Establishment. 
Sec. 122. Grant authorities. 
Sec. 123. Administration. 
Sec. 124. Advisory Board. 
CHAPTER 2—REPORTS 
Sec. 131. Reports to Congress. 
CHAPTER 3—UNITED STATES FINANCIAL PARTICIPATION 
Sec. 141. Authorization of appropriations. 
Sec. 142. Certification requirement. 
TITLE II—INTERNATIONAL TUBERCULOSIS CONTROL 
Sec. 201. Short title. 
Sec. 202. Findings. 
Sec. 203. Assistance for tuberculosis prevention, treatment, control, and elimi-
nation. 
PUBLIC LAW 106-264—AUG. 19, 2000 
114 STAT. 749 
TITLE III—ADMINISTRATIVE AUTHORITIES 
Sec. 301. Effective program oversight. 
Sec. 302. Termination expenses. 
TITLE I—ASSISTANCE TO COUNTRIES G
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WITH LARGE POPULATIONS HAVING R
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HIV/AIDS 
2000. 
SEC. 101. SHORT TITLE. 
22 USC 6801 
This title may be cited as the "Global AIDS Research and 
Relief Act of 2000". 
SEC. 102. DEFINITIONS. 
22 USC 6801 
In this title: 
(1) AIDS.—^The term "AIDS" means the acquired immune 
deficiency syndrome. 
(2) ASSOCIATION.—^The term "Association" means the Inter-
national Development Association. 
(3) BANK.—The term "Bank" or "World Bank" means the 
International Bank for Reconstruction and Development. 
(4) HIV.—^The term "HIV" means the human immuno-
deficiency virus, the pathogen which causes AIDS. 
(5) HIV/AIDS.—The term "HIV/AIDS" means, with respect 
to an individual, an individual who is infected with HIV or 
living with AIDS. 
SEC. 103. FINDINGS AND PURPOSES. 
22 USC 6802. 
(a) FINDINGS.—Congress makes the following findings: 
(1) According to the Surgeon Greneral of the United States, 
the 
epidemic 
of human 
immunodeficiency 
virus/acquired 
immune deficiency syndrome (HIV/AIDS) will soon become the 
worst epidemic of infectious disease in recorded history, 
eclipsing both the bubonic plague of the 1300's and the 
influenza epidemic of 1918-1919 which killed more than 
20,000,000 people worldwide. 
(2) According to the Joint United Nations Programme on 
HIV/AIDS (UNAIDS), more than 34,300,000 people in the world 
today are living with HIV/AIDS, of which approximately 95 
percent live in the developing world. 
(3) UNAIDS data shows that among children age 14 and 
under worldwide, more than 3,800,000 have died from AIDS, 
more than 1,300,000 are living with the disease; and in 1 
year alone—1999—an estimated 620,000 became infected, of 
which over 90 percent were babies born to HIV-positive women. 
(4) Although sub-Saharan Africa has only 10 percent of 
the world's population, it is home to more than 24,500,000— 
roughly 70 percent—of the world's HIV/AIDS cases. 
(5) Worldwide, there have already been an estimated 
18,800,000 deaths because of HIV/AIDS, of which more than 
80 percent occurred in sub-Saharan Africa. 
(6) The gap between rich and poor countries in terms 
of transmission of HIV from mother to child has been 
increasing. Moreover, AIDS threatens to reverse years of steady 
progress of child survival in developing countries. UNAIDS 
believes that by the year 2010, AIDS may have increased 
114 STAT. 750 
PUBLIC LAW 106-264—AUG. 19, 2000 
mortality of children under 5 years of age by more than 100 
percent in regions most affected by the virus. 
(7) According to UNAIDS, by the end of 1999, 13,200,000 
children have lost at least one parent to AIDS, including 
12,100,000 children in sub-Saharan Africa, and are thus consid-
ered AIDS orphans. 
(8) At current infection and growth rates for HIV/AIDS, 
the National Intelligence Council estimates that the number 
of AIDS orphans worldwide will increase dramatically, poten-
tially increasing threefold or more in the next 10 years, contrib-
uting to economic decay, social fragmentation, and political 
destabilization in already volatile and strained societies. Chil-
dren without care or hope are often drawn into prostitution, 
crime, substance abuse, or child soldiery. 
(9) Donors must focus on adequate preparations for the 
explosion in the number of orphans and the burden they will 
place on families, communities, economies, and governments. 
Support structures and incentives for families, communities, 
and institutions which will provide care for children orphaned 
by HIV/AIDS, or for the children who are themselves afflicted 
by HIV/AIDS, will be essential. 
(10) The 1999 annual report by the United Nations Chil-
dren's Fund (UNICEF) states "[t]he number of orphans, particu-
larly in Africa, constitutes nothing less than an emergency, 
requiring an emergency response" and that "finding the 
resources needed to help stabilize the crisis and protect children 
is a priority that requires urgent action from the international 
community.". 
(11) The discovery of a relatively simple and inexpensive 
means of interrupting the transmission of HIV from an infected 
mother to the unborn child—namely with nevirapine (NVP), 
which costs US$4 a tablet—has created a great opportunity 
for an unprecedented partnership between the United States 
Grovemment and the governments of Asian, African and Latin 
American countries to reduce mother-to-child transmission (also 
known as "vertical transmission") of HIV. 
(12) According to UNAIDS, if implemented this strategy 
will decrease the proportion of orphans that are HIV-infected 
and decrease infant and child mortality rates in these devel-
oping regions. 
(13) A mother-to-child antiretroviral drug strategy can be 
a force for social change, providing the opportunity and impetus 
needed to address often long-standing problems of inadequate 
services and the profound stigma associated with HIV-infection 
and the AIDS disease. Strengthening the health infrastructure 
to improve mother-and-child health, antenatal, delivery and 
postnatal services, and couples counseling generates enormous 
spillover effects toward combating the AIDS epidemic in devel-
oping regions. 
(14) United States Census Bureau statistics show life 
expectancy in sub-Saharan Africa falling to around 30 years 
of age within a decade, the lowest in a century, and project 
life expectancy in 2010 to be 29 years of age in Botswana, 
30 years of age in Swaziland, 33 years of age in Namibia 
and Zimbabwe, and 36 years of age in South Africa, Malawi, 
and Rwanda, in contrast to a life expectancy of 70 years of 
PUBLIC LAW 106-264—AUG. 19, 2000 
114 STAT. 751, 
age in many of the countries without a high prevalence of 
AIDS. 
(15) A January 2000 United States National Intelligence 
Estimate (NIE) report on the global infectious disease threat 
concluded that the economic costs of infectious diseases—espe-
cially HIV/AIDS—are already significant and could reduce GDP 
by as much as 20 percent or more by 2010 in some sub-
Saharan African nations. 
(16) According to the same NIE report, HIV prevalence 
among militias in Angola and the Democratic Republic of the 
Congo are estimated at 40 to 60 percent, and at 15 to 30 
percent in Tanzania. 
(17) The HIV/AIDS epidemic is of increasing concern in 
other regions of the world, with UNAIDS estimating that there 
are more than 5,600,000 cases in South and South-east Asia, 
that the rate of HIV infection in the Caribbean is second 
only to sub-Saharan Africa, and that HIV infections have dou-
bled in just 2 years in the former Soviet Union. 
(18) Despite the discouraging statistics on the spread of 
HIV/AIDS, some developing nations—such as Uganda, Senegal, 
and Thailand—have implemented prevention programs that 
have substantially curbed the rate of HIV infection. 
(19) AIDS, like all diseases, knows no national boundaries, 
and there is no certitude that the scale of the problem in 
one continent can be contained within that region. 
(20) Accordingly, United States financial support for med-
ical research, education, and disease containment as a global 
strategy has beneficial ramifications for millions of Americans 
and their families who are affected by this disease, and the 
entire population which is potentially susceptible. 
(b) PURPOSES.—^The purposes of this title are to— 
(1) help prevent human suffering through the prevention, 
diagnosis, and treatment of HIV/AIDS; and 
(2) help ensure the viability of economic development, sta-
bility, and national security in the developing world by 
advancing research to— 
(A) understand the causes associated with HIV/AIDS 
in developing countries; and 
(B) assist in the development of an AIDS vaccine. 
Subtitle A—United States Assistance 
SEC. 111. ADDITIONAL ASSISTANCE AUTHORITIES TO COMBAT HIV AND 
AIDS. 
(a) ASSISTANCE FOR PREVENTION OF HIV/AIDS AND VERTICAL children and 
TRANSMISSION.—Section 104(c) of the Foreign Assistance Act of youth. 
1961 (22 U.S.C. 2151b(c)) is amended by adding at the end the 
following new paragraphs: 
"(4)(A) Congress recognizes the growing international dilemma 
of children with the human immunodeficiency virus (HIV) and 
the merits of intervention programs aimed at this problem. Congress 
further recognizes that mother-to-child transmission prevention 
strategies can serve as a major force for change in developing 
regions, and it is, therefore, a major objective of the foreign assist-
ance program to control the acquired immune deficiency syndrome 
(AIDS) epidemic. 
114 STAT. 752 
PUBLIC LAW 106-264—AUG. 19, 2000 
"(B) The agency primarily responsible for administering this 
part shall— 
"(i) coordinate with UNAIDS, UNICEF, WHO, national 
and local governments, and other organizations to develop and 
implement effective strategies to prevent vertical transmission 
of HIV; and 
"(ii) coordinate with those organizations to increase inter-
vention programs and introduce voluntary counseling and 
testing, antiretroviral drugs, replacement feeding, and other 
strategies. 
"(5)(A) Congress expects the agency primarily responsible for 
administering this part to make the human immunodeficiency virus 
(HIV) and the acquired immune deficiency syndrome (AIDS) a 
priority in the foreign assistance program and to undertake a com-
prehensive, coordinated effort to combat HIV and AIDS. 
"(B) Assistance described in subparagraph (A) shall include 
help providing— 
"(i) primary prevention and education; 
"(ii) voluntary testing and counseling; 
"(iii) medications to prevent the transmission of HIV from 
mother to child; and 
"(iv) care for those living with HIV or AIDS. 
"(6)(A) In addition to amounts otherwise available for such 
purpose, there is authorized to be appropriated to the President 
$300,000,000 for each of the fiscal years 2001 and 2002 to carry 
out paragraphs (4) and (5). 
"(B) Of the funds authorized to be appropriated under subpara-
graph (A), not less than 65 percent is authorized to be available 
through United States and foreign nongovernmental organizations, 
including private and voluntary organizations, for-profit organiza-
tions, religious affiliated organizations, educational institutions, and 
research facilities. 
"(C)(i) Of the funds authorized to be appropriated by subpara-
graph (A), not less than 20 percent is authorized to be available 
for programs as part of a multidonor strategy to address the support 
and education of orphans in sub-Saharan Africa, including AIDS 
orphans. 
"(ii) Assistance made available under this subsection, and 
assistance made available under chapter 4 of part II to carry 
out the purposes of this subsection, may be made available notwith-
standing any other provision of law that restricts assistance to 
foreign countries. 
"(D) Of the funds authorized to be appropriated under subpara-
graph (A), not less than 8.3 percent is authorized to be available 
to carry out the prevention strategies for vertical transmission 
referred to in paragraph (4)(A). 
"(E) Of the funds authorized to be appropriated by subpara-
graph (A), not more than 7 percent may be used for the administra-
tive expenses of the agency primarily responsible for carrying out 
this part of this Act in support of activities described in paragraphs 
(4) and (5). 
"(F) Funds appropriated under this paragraph are authorized 
to remain available until expended.". 
(b) 
TRAINING 
AND 
TRAINING 
FACILITIES 
IN 
SUB-SAHARAN 
AFRICA.—Section 496(i)(2) of the Foreign Assistance Act of 1961 
(22 U.S.C. 2293(i)(2)) is amended by adding at the end the following 
PUBLIC LAW 106-264—AUG. 19, 2000 
114 STAT. 753 
new sentence: "In addition, providing training and training facili-
ties, in sub-Saharan Africa, for doctors and other health care pro-
viders, notwithstanding any provision of law that restricts assist-
ance to foreign countries.". 
SEC. 112. VOLUNTARY CONTRIBUTION TO GLOBAL ALLIANCE FOR VAC-
CINES AND IMMUNIZATIONS AND INTERNATIONAL AIDS 
VACCINE INITIATIVE. 
(a) AUTHORIZATION OF APPROPRIATIONS.—Section 302 of 
the 
Foreign Assistance Act of 1961 (22 U.S.C. 2222) is amended by 
adding at the end the following new subsections: 
"(k) In addition to amounts otherwise available under this 
section, there is authorized to be appropriated to the President 
$50,000,000 for each of the fiscal years 2001 and 2002 to be avail-
able only for United States contributions to the Global Alliance 
for Vaccines and Immunizations. 
"(1) In addition to amounts otherwise available under this sec-
tion, there is authorized to be appropriated to the President 
$10,000,000 for each of the fiscal years 2001 and 2002 to be avail-
able only for United States contributions to the International AIDS 
Vaccine Initiative.". 
(b) REPORT.—^At the close of fiscal year 2001, the President Deadline, 
shall submit a report to the appropriate congressional committees President, 
on the effectiveness of the Global Alliance for Vaccines and 
Immunizations and the International AIDS Vaccine Initiative 
during that fiscal year in meeting the goals of— 
(1) improving access to sustainable immunization services; 
(2) expanding the use of all existing, safe, and cost-effective 
vaccines where they address a public health problem; 
(3) accelerating the development and introduction of new 
vaccines and technologies; 
(4) accelerating research and development efforts for vac-
cines needed primarily in developing countries; and 
(5) making immunization coverage a centerpiece in inter-
national development efforts. 
(c) APPROPRIATE CONGRESSIONAL COMMITTEES DEFINED.—In 
subsection (b), the term "appropriate congressional committees" 
means the Committee on Foreign Relations and the Committee 
on Appropriations of the Senate and the Committee on International 
Relations and the Committee on Appropriations of the House of 
Representatives. 
SEC. 113. COORDINATED DONOR STRATEGY FOR SUPPORT AND EDU- 
22 USC 6811. 
CATION OF ORPHANS IN SUB-SAHARAN AFRICA. 
(a) STATEMENT OF POLICY.—It is in the national interest of 
the United States to assist in mitigating the burden that will 
be placed on sub-Saharan African social, economic, and political 
institutions as these institutions struggle with the consequences 
of a dramatically increasing AIDS orphan population, many of 
whom are themselves infected by HIV and living with AIDS. Effec-
tively addressing that burden and its consequences in sub-Saharan 
Africa will require a coordinated multidonor strategy. 
(b) DEVELOPMENT OF STRATEGY.—The President shall coordi- President, 
nate the development of a multidonor strategy to provide for the 
support and education of AIDS orphans and the families, commu-
nities, and institutions most affected by the HIV/AIDS epidemic 
in sub-Saharan Africa. 
114 STAT. 754 
PUBLIC LAW 106-264—AUG. 19, 2000 
(c) DEFINITION.—In this section, the term "HIV/AIDS" means, 
with respect to an individual, an individual who is infected with 
the human immunodeficiency virus (HIV), the pathogen that causes 
the acquired immune deficiency virus (AIDS), or living with AIDS. 
22 use 6812. 
SEC. 114. AFRICAN CRISIS RESPONSE INITIATIVE AND HIV/AIDS 
TRAINING. 
(a) FINDINGS.—Congress finds that— 
(1) the spread of HIV/AIDS constitutes a threat to security 
in Africa; 
(2) civil unrest and war may contribute to the spread 
of the disease to different parts of the continent; 
(3) the percentage of soldiers in African militaries who 
are infected with HIV/AIDS is unknown, but estimates range 
in some countries as high as 40 percent; and 
(4) it is in the interests of the United States to assist 
the countries of Africa in combating the spread of HIV/AIDS. 
(b) EDUCATION ON THE PREVENTION OF THE SPREAD OF AIDS.— 
In undertaking education and training programs for military 
establishments in African countries, the United States shall ensure 
that classroom training under the African Crisis Response Initiative 
includes military-based education on the prevention of the spread 
of AIDS. 
Subtitle B—World Bank AIDS Trust Fund 
CHAPTER 1—ESTABLISHMENT OF THE FUND 
22 use 6821. 
SEC. 121. ESTABLISHMENT. 
(a) NEGOTIATIONS FOR ESTABLISHMENT OF TRUST FUND.—The 
Secretary of the Treasury shall seek to enter into negotiations 
with the World Bank or the Association, in consultation with the 
Administrator of the United States Agency for International 
Development and other United States Government agencies, and 
with the member nations of the World Bank or the Association 
and with other interested parties, for the establishment within 
the World Bank of— 
(1) the World Bank AIDS Trust Fund (in this subtitle 
referred to as the "Trust Fund") in accordance with the provi-
sions of this chapter; and 
(2) the Advisory Board to the Trust Fund in accordance 
with section 124. 
(b) PURPOSE.—^The purpose of the Trust Fund should be to 
use contributed funds to— 
(1) assist in the prevention and eradication of HIV/AIDS 
and the care and treatment of individuals infected with HIV/ 
AIDS; and 
(2) provide support for the establishment of programs that 
provide health care and primary and secondary education for 
children orphaned by the HIV/AIDS epidemic. 
(c) COMPOSITION.— 
(1) IN GENERAL.—^The Trust Fund should be governed by 
a Board of Trustees, which should be composed of representa-
tives of the participating donor countries to the Trust Fund. 
Individuals appointed to the Board should have demonstrated 
PUBLIC LAW 106-264—AUG. 19, 2000 
114 STAT. 755 
knowledge and experience in the fields of public health, epide-
miology, health care (including delivery systems), and develop-
ment. 
(2) UNITED STATES REPRESENTATION.— 
(A) IN GENERAL.—^Upon the effective date of this para- President, 
graph, there shall be a United States member of the Board Congress. 
of Trustees, who shall be appointed by the President, by 
and with the advice and consent of the Senate, and who 
shall have the qualifications described in paragraph (1). 
(B) EFFECTIVE AND TERMINATION DATES.— 
(i) EFFECTIVE DATE.—^This paragraph shall take Certification, 
effect upon the date the Secretary of the Treasury 
certifies to Congress that an agreement establishing 
the Trust Fund and providing for a United States 
member of the Board of Trustees is in effect. 
(ii) TERMINATION DATE.—^The position established 
by subparagraph (A) is abolished upon the date of 
termination of the Trust Fund. 
SEC. 122. GRANT AUTHORITIES. 
(a) PROGRAM OBJECTIVES.— 
(1) IN GENERAL.—In caniying out the purpose of section 
121(b), the Trust Fund, acting through the Board of Trustees, 
should provide only grants, including grants for technical assist-
ance to support measures to build local capacity in national 
and local government, civil society, and the private sector to 
lead and implement effective and affordable HIV/AIDS preven-
tion, education, treatment and care services, and research and 
development activities, including access to affordable drugs. 
(2) ACTIVITIES SUPPORTED.—^Among the activities the Trust 
Fund should provide grants for should be— 
(A) programs to promote the best practices in preven-
tion, including health education messages that emphasize 
risk avoidance such as abstinence; 
(B) measures to ensure a safe blood supply; 
(C) voluntary HIV/AIDS testing and counseling; 
(D) measures to stop mother-to-child transmission of 
HIV/AIDS, including through diagnosis of pregnant women, 
access to cost-effective treatment and counseling, and 
access to infant formula or other alternatives for infant 
feeding; 
(E) programs to provide for the support and education 
of AIDS orphans and the families, communities, and 
institutions most affected by the HIV/AIDS epidemic; 
(F) measures for the deterrence of gender-based 
violence and the provision of post-exposure prophylaxis 
to victims of rape and sexual assault; and 
(G) incentives to promote affordable access to treat-
ments against AIDS and related infections. 
(3) IMPLEMENTATION OF PROGRAM OBJECTIVES.—In carrying 
out the objectives of paragraph (1), the Trust Fund should 
coordinate its activities with governments, civil society, non-
governmental organizations, the Joint United Nations Program 
on HIV/AIDS (UNAIDS), the International Partnership Against 
AIDS in Africa, other international organizations, the private 
sector, and donor agencies working to combat the HIV/AIDS 
crisis. 
22 use 6822. 
114 STAT. 756 
PUBLIC LAW 106-264—AUG. 19, 2000 
(b) PRIORITY.—In providing grants under this section, the Trust 
Fund should give priority to countries that have the highest HIV/ 
AIDS prevalence rate or are at risk of having a high HIV/AIDS 
prevalence rate. 
(c) ELIGIBLE GRANT RECIPIENTS.—Governments and nongovern-
mental organizations should be eligible to receive grants under 
this section. 
(d) PROHIBITION.—^The Trust Fund should not make grants 
for the purpose of project development associated with bilateral 
or multilateral bank loans. 
22 use 6823. 
SEC. 123. ADMINISTRATION. 
(a) 
APPOINTMENT 
OF AN ADMINISTRATOR.—^The Board of 
Trustees, in consultation with the appropriate officials of the Bank, 
- should appoint an Administrator who should be responsible for 
managing the day-to-day operations of the Trust Fund. 
(b) AUTHORITY TO SOLICIT AND ACCEPT CONTRIBUTIONS.—^The 
Trust Fund should be authorized to solicit and accept contributions 
from governments, the private sector, and nongovernmental entities 
of all kinds. 
(c) ACCOUNTABILITY OF FUNDS AND CRITERIA FOR PROGRAMS.— 
As part of the negotiations described in section 121(a), the Secretary 
of the Treasury shall, consistent with subsection id}— 
(1) take such actions as are necessary to ensure that the 
Bank or the Association will have in effect adequate procedures 
and standards to account for and monitor the use of funds 
contributed to the Trust Fund, including the cost of admin-
istering the Trust Fund; and 
(2) seek agreement on the criteria that should be used 
to determine the programs and activities that should be assisted 
by the Trust Fund. 
(d) SELECTION OF PROJECTS AND RECIPIENTS.—^The Board of 
Trustees should establish— 
(1) criteria for the selection of projects to receive support 
from the Trust Fund; 
(2) standards and criteria regarding qualifications of recipi-
ents of such support; 
(3) such rules and procedures as may be necessary for 
cost-effective management of the Trust Fund; and 
(4) such rules and procedures as may be necessary to 
ensure transparency and accountability in the grant-making 
process. 
(e) TRANSPARENCY OF OPERATIONS.—^The Board of Trustees 
should ensure full and prompt public disclosure of the proposed 
objectives, financial organization, and operations of the Trust Fund. 
22 use 6824. 
SEC. 124. ADVISORY BOARD. 
(a) IN GENERAL.—^There should be an Advisory Board to the 
Trust Fund. 
(b) APPOINTMENTS.—^The members of the Advisory Board should 
be drawn from— 
(1) a broad range of individuals with experience and leader-
ship in the fields of development, health care (especially HIV/ 
AIDS), epidemiology, medicine, biomedical research, and social 
sciences; and 
(2) representatives of relevant United Nations agencies 
and nongovernmental organizations with on-the-ground experi-
ence in affected countries. 
PUBLIC LAW 106-264—AUG. 19, 2000 
114 STAT. 757 
(c) RESPONSIBILITIES.—^The Advisory Board should provide 
advice and guidance to the Board of Trustees on the development 
and implementation of programs and projects to be assisted by 
the Trust Fund and on leveraging donations to the Trust Fund. 
(d) PROHIBITION ON PAYMENT OF COMPENSATION.— 
(1) IN GENERAL.—Except for travel expenses (including per 
diem in lieu of subsistence), no member of the Advisory Board 
should receive compensation for services performed as a 
member of the Board. 
(2) UNITED STATES REPRESENTATIVE.—^Notwithstanding any 
other provision of law (including an international agreement), 
a representative of the United States on the Advisory Board 
may not accept compensation for services performed as a 
member of the Board, except that such representative may 
accept travel expenses, including per diem in lieu of subsistence, 
while away from the representative's home or regular place 
of business in the performance of services for the Board. 
CHAPTER 2—REPORTS 
SEC. 131. REPORTS TO CONGRESS. 
22 USC 6831. 
(a) ANNUAL REPORTS BY TREASURY SECRETARY.— 
(1) IN GENERAL.—Not later than 1 year after the date Deadline, 
of the enactment of this Act, and annually thereafter for the 
duration of the Trust Fund, the Secretary of the Treasury 
shall submit to the appropriate committees of Congress a report 
on the Trust Fund. 
(2) REPORT ELEMENTS.—^The report shall include a descrip-
tion of— 
(A) the goals of the Trust Fund; 
(B) the programs, projects, and activities, including 
any vaccination approaches, supported by the Trust Fund; 
(C) private and governmental contributions to the 
Trust Fund; and 
(D) the criteria that have been established, acceptable 
to the Secretary of the Treasury and the Administrator 
of the United States Agency for International Development, 
that would be used to determine the programs and activi-
ties that should be assisted by the Trust Fund. 
(b) GAO REPORT ON TRUST FUND EFFECTIVENESS.—Not later Deadline, 
than 2 years after the date of the enactment of this Act, the 
Comptroller General of the United States shall submit to the appro-
priate committees of the Congress a report evaluating the effective-
ness of the Trust Fund, including— 
(1) the effectiveness of the programs, projects, and activities 
described in subsection (a)(2)(B) in reducing the worldwide 
spread of AIDS; and 
(2) an assessment of the merits of continued United States 
financial contributions to the Trust Fund. 
(c) APPROPRIATE COMMITTEES DEFINED.—In subsection (a), the 
term "appropriate committees" means the Committee on Foreign 
Relations and the Committee on Appropriations of the Senate and 
the Committee on International Relations, the Committee on 
Banking and Financial Services, and the Committee on Appropria-
tions of the House of Representatives. 
114 STAT. 758 
PUBLIC LAW 106-264—AUG. 19, 2000 
CHAPTER 3—UNITED STATES FINANCIAL 
PARTICIPATION 
22 u s e 6841. 
22 u s e 6842. 
International 
Tuberculosis 
eontrol Act of 
2000. 
22 u s e 2151 
note. 
22 u s e 2151b 
note. 
SEC. 141. AUTHORIZATION OF APPROPRIATIONS. 
(a) IN GENERAL.—In addition to any other funds authorized 
to be appropriated for multilateral or bilateral programs related 
to HIV/AJDS or economic development, there is authorized to be 
appropriated to the Secretary of the Treasury $150,000,000 for 
each of the fiscal years 2001 and 2002 for pa3anent to the Trust 
Fund. 
(b) ALLOCATION OF FUNDS.—Of the amounts authorized to be 
appropriated by subsection (a) for the fiscal years 2001 and 2002, 
$50,000,000 are authorized to be available each such fiscal year 
only for programs that benefit orphans. 
SEC. 142. CERTIFICATION REQUIREMENT. 
(a) IN GENERAL.—Prior to the initial obligation or expenditure 
of funds appropriated pursuant to section 141, the Secretary of 
the Treasury shall certify that adequate procedures and standards 
have been established to ensure accountability for and monitoring 
of the use of funds contributed to the Trust Fund, including the 
cost of administering the Trust Fund. 
(b) TRANSMITTAL OF CERTIFICATION.—The certification required 
by subsection (a), and the bases for that certification, shall be 
submitted by the Secretary of the Treasury to Congress. 
TITLE 
II—INTERNATIONAL 
TUBERCULOSIS 
CONTROL 
SEC. 201. SHORT TITLE. 
This title may be cited as the "International Tuberculosis Con-
trol Act of 2000". 
SEC. 202. FINDINGS. 
Congress makes the following findings: 
(1) Since the development of antibiotics in the 1950s, tuber-
culosis has been largely controlled in the United States and 
the Western World. 
(2) Due to societal factors, including growing urban decay, 
inadequate health care systems, persistent poverty, over-
crowding, and malnutrition, as well as medical factors, 
including the HIV/AIDS epidemic and the emergence of multi-
drug resistant strains of tuberculosis, tuberculosis has again 
become a leading and growing cause of adult deaths in the 
developing world. 
(3) According to the World Health Organization— 
(A) in 1998, about 1,860,000 people worldwide died 
of tuberculosis-related illnesses; 
(B) one-third of the world's total population is infected 
with tuberculosis; and 
(C) tuberculosis is the world's leading killer of women 
between 15 and 44 years old and is a leading cause of 
children becoming orphans. 
(4) Because of the ease of transmission of tuberculosis, 
its international persistence and growth pose a direct public 
PUBLIC LAW 106-264—AUG. 19, 2000 
114 STAT. 759 
health threat to those nations that had previously largely con-
trolled the disease. This is complicated in the United States 
by the growth of the homeless population, the rate of incarcer-
ation, international travel, immigration, and HIV/AIDS. 
(5) With nearly 40 percent of the tuberculosis cases in 
the United States attributable to foreign-born persons, tuber-
culosis will never be controlled in the United States until 
it is controlled abroad. 
(6) The means exist to control tuberculosis through 
screening, diagnosis, treatment, patient compliance, monitoring, 
and ongoing review of outcomes. 
(7) Efforts to control tuberculosis are complicated by several 
barriers, including— 
(A) the labor intensive and lengthy process involved 
in screening, detecting, and treating the disease; 
(B) a lack of funding, trained personnel, and medicine 
in virtually every nation with a high rate of the disease; 
(C) the unique circumstances in each country, which 
requires the development and implementation of country-
specific programs; and 
(D) the risk of having a bad tuberculosis program, 
which is worse than having no tuberculosis program 
because it would significantly increase the risk of the 
development of more widespread drug-resistant strains of 
the disease. 
(8) Eliminating the barriers to the international control 
of tuberculosis through a well-structured, comprehensive, and 
coordinated worldwide effort would be a significant step in 
dealing with the increasing public health problem posed by 
the disease. 
SEC. 203. ASSISTANCE FOR TUBERCULOSIS PREVENTION, TREATMENT, 
CONTROL, AND ELIMINATION. 
Section 104(c) of the Foreign Assistance Act of 1961 (22 U.S.C. 
2151b(c)), as amended by section 111(a) of this Act, is further 
amended by adding at the end the following: 
"(7)(A) Congress recognizes the growing international problem 
of tuberculosis and the impact its continued existence has on those 
nations that had previously largely controlled the disease. Congress 
further recognizes that the means exist to control and treat tuber-
culosis, and that it is therefore a major objective of the foreign 
assistance program to control the disease. To this end. Congress 
expects the agency primarily responsible for administering this 
part— 
"(i) to coordinate with the World Health Organization, the 
Centers for Disease Control, the National Institutes of Health, 
and 
other 
organizations 
toward 
the 
development 
and 
implementation of a comprehensive tuberculosis control pro-
gram; and 
"(ii) to set as a goal the detection of at least 70 percent 
of the cases of infectious tuberculosis, and the cure of at least 
85 percent of the cases detected, in those countries in which 
the agency has established development programs, by December 
31, 2010. 
"(B) There is authorized to be appropriated to the President, 
$60,000,000 for each of the fiscal years 2001 and 2002 to be used 
114 STAT. 760 
PUBLIC LAW 106-264—AUG. 19, 2000 
to carry out this paragraph. Funds appropriated under this subpara-
graph are authorized to remain available until expended.". 
TITLE III—ADMINISTRATIVE 
AUTHORITIES 
SEC. 301. EFFECTIVE PROGRAM OVERSIGHT. 
Section 635 of the Foreign Assistance Act of 1961 (22 U.S.C. 
2395) is amended by adding at the end thereof the following new 
subsection: 
"(1) The Administrator of the agency primarily responsible for 
administering part I may use funds made available under that 
part to provide program and management oversight for activities 
that are funded under that part and that are conducted in countries 
in which the agency does not have a field mission or office.". 
SEC. 302. TERMINATION EXPENSES. 
Section 617 of the Foreign Assistance Act of 1961 (22 U.S.C. 
2367) is amended to read as follows: 
"SEC. 617. TERMINATION EXPENSES. 
"(a) IN GENERAL.—Funds made available under this Act and 
the Arms Export Control Act, may remain available for obligation 
for a period not to exceed 8 months from the date of any termination 
of assistance under such Acts for the necessary expenses of winding 
up programs related to such termination and may remain available 
until expended. Funds obligated under the authority of such Acts 
prior to the effective date of the termination of assistance may 
remain available for expenditure for the necessary expenses of 
winding up programs related to such termination notwithstanding 
any provision of law restricting the expenditure of funds. In order 
to ensure the effectiveness of such assistance, such expenses for 
orderly termination of programs may include the obligation and 
expenditure of funds to complete the training or studies outside 
their countries of origin of students whose course of study or 
training program began before assistance was terminated. 
"(b) LIABILITY TO CONTRACTORS.—For the purpose of making 
an equitable settlement of termination claims under extraordinary 
contractual relief standards, the President is authorized to adopt 
as a contract or other obligation of the United States Grovernment, 
and assume (in whole or in part) any liabilities arising thereunder, 
any contract with a United States or third-country contractor that 
had been funded with assistance under such Acts prior to the 
termination of assistance. 
"(c) TERMINATION EXPENSES.—^Amounts certified as having been 
obligated for assistance subsequently terminated by the President, 
or pursuant to any provision of law, shall continue to remain 
available and may be reobligated to meet any necessary expenses 
arising from the termination of such assistance. 
"(d) GUARANTY PROGRAMS.—Provisions of this or any other 
Act requiring the termination of assistance under this or any other 
Act shall not be construed to require the termination of guarantee 
commitments that were entered into prior to the effective date 
of the termination of assistance. 
PUBLIC LAW 106-264—AUG. 19, 2000 
114 STAT. 761 
"(e) RELATION TO OTHER PROVISIONS.—Unless specifically made 
inapplicable by another provision of law, the provisions of this 
section shall be applicable to the termination of assistance pursuant 
to any provision of law.". 
Approved August 19, 2000. 
LEGISLATIVE HISTORY—H.R. 3519: 
HOUSE REPORTS: No. 106-548 (Comm. on Banking and Financial Services). 
CONGRESSIONAL RECORD, Vol. 146 (2000): 
May 15, considered and passed House. 
July 26, considered and passed Senate, amended. 
July 27, House concurred in Senate amendment. 
WEEKLY COMPILATION OF PRESIDENTIAL DOCUMENTS, Vol. 36 (2000): 
Aug. 19, Presidential statement.