In this task, you are given text for US Congressional and California state bills, your task is to generate a summary for this bill.

Q: SECTION 1. AUTOMATIC INCREASE IN THE FEDERAL MEDICAL ASSISTANCE
PERCENTAGE DURING PERIODS OF NATIONAL ECONOMIC DOWNTURN.

(a) National Economic Downturn Assistance FMAP.--
(1) In general.--Section 1905 of the Social Security Act
(42 U.S.C. 1396d) is amended--
(A) in subsection (b), in the first sentence--
(i) by striking ''and (4)'' and inserting
''(4)''; and
(ii) by inserting ''and (5) with respect to
each fiscal year quarter other than the first
quarter of a national economic downturn
assistance period described in subsection
(y)(1), the Federal medical assistance
percentage for any State described in
subsection (y)(2) shall be equal to the
national economic downturn assistance FMAP
determined for the State for the quarter under
subsection (y)(3)'' before the period; and
(B) by adding at the end the following:
''(y) National Economic Downturn Assistance FMAP.--For purposes of
clause (5) of the first sentence of subsection (b):
''(1) National economic downturn assistance period.--A
national economic downturn assistance period described in this
paragraph--
''(A) begins with the first fiscal year quarter for
which the Secretary determines that for at least 23
States, the rolling average unemployment rate for that
quarter has increased by at least 10 percent over the
corresponding quarter for the most recent preceding 12-
month period for which data are available (in this
subsection referred to as the 'trigger quarter'); and
''(B) ends with the first succeeding fiscal year
quarter for which the Secretary determines that less
than 23 States have a rolling average unemployment rate
for that quarter with an increase of at least 10
percent over the corresponding quarter for the most
recent preceding 12-month period for which data are
available.
''(2) Eligible state.--A State described in this paragraph
is a State for which the Secretary determines that the rolling
average unemployment rate for the State for any quarter
occurring during a national economic downturn assistance period
described in paragraph (1) has increased over the corresponding
quarter for the most recent preceding 12-month period for which
data are available.
''(3) Determination of national economic downturn
assistance fmap.--
''(A) In general.--The national economic downturn
assistance FMAP for a fiscal year quarter determined
with respect to a State under this paragraph is equal
to the Federal medical assistance percentage for the
State for that quarter increased by the number of
percentage points determined by--
''(i) dividing--
''(I) the Medicaid additional
unemployed increased cost amount
determined under subparagraph (B) for
the quarter; by
''(II) the State's total Medicaid
quarterly spending amount determined
under subparagraph (C) for the quarter;
and
''(ii) multiplying the quotient determined
under clause (i) by 100.
''(B) Medicaid additional unemployed increased cost
amount.--For purposes of subparagraph (A)(i)(I), the
Medicaid additional unemployed increased cost amount
determined under this subparagraph with respect to a
State and a quarter is the product of the following:
''(i) State increase in rolling average
number of unemployed individuals from the base
quarter of unemployment.--
''(I) In general.--The amount
determined by subtracting the rolling
average number of unemployed
individuals in the State for the base
unemployment quarter for the State
determined under subclause (II) from
the rolling average number of
unemployed individuals in the State for
the quarter.
''(II) Base unemployment quarter
defined.--
''(aa) In general.--For
purposes of subclause (I),
except as provided in item
(bb), the base quarter for a
State is the quarter with the
lowest rolling average number
of unemployed individuals in
the State in the 12-month
period preceding the trigger
quarter for a national economic
downturn assistance period
described in paragraph (1).
''(bb) Exception.--If the
rolling average number of
unemployed individuals in a
State for a quarter occurring
during a national economic
downturn assistance period
described in paragraph (1) is
less than the rolling average
number of unemployed
individuals in the State for
the base quarter determined
under item (aa), that quarter
shall be treated as the base
quarter for the State for such
national economic downturn
assistance period.
''(ii) National average amount of
additional federal medicaid spending per
additional unemployed individual.--In the case
of--
''(I) a calendar quarter occurring
in fiscal year 2012, $350; and
''(II) a calendar quarter occurring
in any succeeding fiscal year, the
amount applicable under this clause for
calendar quarters occurring during the
preceding fiscal year, increased by the
annual percentage increase in the
medical care component of the consumer
price index for all urban consumers
(U.S. city average), as rounded up in
an appropriate manner.
''(iii) State nondisabled, nonelderly
adults and children medicaid spending index.--
''(I) In general.--With respect to
a State, the quotient (not to exceed
1.00) of--
''(aa) the State
expenditure per person in
poverty amount determined under
subclause (II); divided by--
''(bb) the National
expenditure per person in
poverty amount determined under
subclause (III).
''(II) State expenditure per person
in poverty amount.--For purposes of
subclause (I)(aa), the State
expenditure per person in poverty
amount is the quotient of--
''(aa) the total amount of
annual expenditures by the
State for providing medical
assistance under the State plan
to nondisabled, nonelderly
adults and children; divided by
''(bb) the total number of
nonelderly adults and children
in poverty who reside in the
State, as determined under
paragraph (4)(A).
''(III) National expenditure per
person in poverty amount.--For purposes
of subclause (I)(bb), the National
expenditure per person in poverty
amount is the quotient of--
''(aa) the sum of the total
amounts determined under
subclause (II)(aa) for all
States; divided by
''(bb) the sum of the total
amounts determined under
subclause (II)(bb) for all
States.
''(C) State's total medicaid quarterly spending
amount.--For purposes of subparagraph (A)(i)(II), the
State's total Medicaid quarterly spending amount
determined under this subparagraph with respect to a
State and a quarter is the amount equal to--
''(i) the total amount of expenditures by
the State for providing medical assistance
under the State plan to all individuals
enrolled in the plan for the most recent fiscal
year for which data is available; divided by
''(ii) 4.
''(4) Data.--In making the determinations required under
this subsection, the Secretary shall use, in addition to the
most recent available data from the Bureau of Labor Statistics
Local Area Unemployment Statistics for each State referred to
in paragraph (5), the most recently available--
''(A) data from the Bureau of the Census with
respect to the number of nonelderly adults and children
who reside in a State described in paragraph (2) with
family income below the poverty line (as defined in
section 2110(c)(5)) applicable to a family of the size
involved (or, if the Secretary determines it
appropriate, a multiyear average of such data);
''(B) data reported to the Secretary by a State
described in paragraph (2) with respect to expenditures
for medical assistance under the State plan under this
title for nondisabled, nonelderly adults and children;
and
''(C) econometric studies of the responsiveness of
Medicaid enrollments and spending to changes in rolling
average unemployment rates and other factors, including
State spending on certain Medicaid populations.
''(5) Definition of 'rolling average number of unemployed
individuals', 'rolling average unemployment rate'.--In this
subsection, the term--
''(A) 'rolling average number of unemployed
individuals' means, with respect to a calendar quarter
and a State, the average of the 12 most recent months
of seasonally adjusted unemployment data for each
State;
''(B) 'rolling average unemployment rate' means,
with respect to a calendar quarter and a State, the
average of the 12 most recent monthly unemployment
rates for the State; and
''(C) 'monthly unemployment rate' means, with
respect to a State, the quotient of--
''(i) the monthly seasonally adjusted
number of unemployed individuals for the State;
divided by
''(ii) the monthly seasonally adjusted
number of the labor force for the State,
using the most recent data available from the Bureau of Labor
Statistics Local Area Unemployment Statistics for each State.
''(6) Increase in cap on payments to territories.--With
respect to any fiscal year quarter for which the national
economic downturn assistance Federal medical assistance
percentage applies to Puerto Rico, the Virgin Islands, Guam,
the Northern Mariana Islands, or American Samoa, the amounts
otherwise determined for such commonwealth or territory under
subsections (f) and (g) of section 1108 shall be increased by
such percentage of such amounts as the Secretary determines is
equal to twice the average increase in the national economic
downturn assistance FMAP determined for all States described in
paragraph (2) for the quarter.
''(7) Scope of application.--The national economic downturn
assistance FMAP shall only apply for purposes of payments under
section 1903 for a quarter and shall not apply with respect
to--
''(A) disproportionate share hospital payments
described in section 1923;
''(B) payments under title IV or XXI; or
''(C) any payments under this title that are based
on the enhanced FMAP described in section 2105(b).
''(8) Additional requirement for certain states.--In the
case of a State described in paragraph (2) that requires
political subdivisions within the State to contribute toward
the non-Federal share of expenditures required under section
1902(a)(2), the State shall not require that such political
subdivisions pay for any fiscal year quarters occurring during
a national economic downturn assistance period a greater
percentage of the non-Federal share of such expenditures, or a
greater percentage of the non-Federal share of payments under
section 1923, than the respective percentage that would have
been required by the State under State law in effect on the
first day of the fiscal year quarter occurring immediately
prior to the trigger quarter for the period.''.
(2) Effective date; no retroactive application.--The
amendments made by paragraph (1) take effect on January 1,
2012. In no event may a State receive a payment on the basis of
the national economic downturn assistance Federal medical
assistance percentage determined for the State under section
1905(y)(3) of the Social Security Act for amounts expended by
the State prior to January 1, 2012.
(b) GAO Study and Report.--
(1) Study.--The Comptroller General of the United States
shall analyze the previous periods of national economic
downturn, including the most recent such period in effect as of
the date of enactment of this Act, and the past and projected
effects of temporary increases in the Federal medical
assistance percentage under the Medicaid program with respect
to such periods.
(2) Report.--Not later than April 1, 2011, the Comptroller
General of the United States shall submit a report to Congress
on the results of the analysis conducted under paragraph (1).
Such report shall include such recommendations as the
Comptroller General determines appropriate for modifying the
national economic downturn assistance FMAP established under
section 1905(y) of the Social Security Act (as added by
subsection (a)) to improve the effectiveness of the application
of such percentage in addressing the needs of States during
periods of national economic downturn, including
recommendations for--
(A) improvements to the factors that begin and end
the application of such percentage;
(B) how the determination of such percentage could
be adjusted to address State and regional economic
variations during such periods; and
(C) how the determination of such percentage could
be adjusted to be more responsive to actual Medicaid
costs incurred by States during such periods, as well
as to the effects of any other specific economic
indicators that the Comptroller General determines
appropriate.

A: Amends title XIX (Medicaid) of the Social Security Act to authorize an automatic increase in the federal medical assistance percentage (FMAP) for any eligible state during periods of national economic downturn.

Directs the Comptroller General to analyze and report to Congress on previous periods of national economic downturn, including the most recent one, and the past and projected effects of temporary increases in the Medicaid FMAP with respect to them.
****
Q: SECTION 1. SHORT TITLE.

This Act may be cited as the ''DNA Sexual Assault Justice Act of
2002''.

SEC. 2. ASSESSMENT ON BACKLOG IN DNA ANALYSIS OF SAMPLES.

(a) Assessment.--
(1) In general.--The Attorney General shall survey each law
enforcement jurisdiction to assess the backlog of DNA testing
of rape kit samples and other sexual assault evidence.
(2) Determinations.--The Attorney General, acting through
the Director of the National Institute of Justice, shall carry
out an assessment of Federal, State, local, and tribal
territories law enforcement jurisdictions to determine the
amount of--
(A) evidence contained in rape kits that has not
been subjected to DNA testing and analysis; and
(B) evidence from sexual assault crimes that has
not been subjected to DNA testing and analysis.
(b) Report.--
(1) In general.--Not later than 1 year after the date of
enactment of this Act, the Attorney General shall submit to
Congress a report on the assessment carried out under
subsection (a).
(2) Contents.--The report submitted under paragraph (1)
shall include--
(A) the results of the assessment carried out under
subsection (a);
(B) the number of rape kit samples and other
evidence from sexual assault crimes that have not been
subjected to DNA testing and analysis; and
(C) a plan for carrying out additional assessments
and reports to continue until all law enforcement
jurisdictions report no backlog in crime scene DNA
testing and analysis.
(c) Authorization of Appropriations.--There is authorized to be
appropriated such sums as may be necessary to carry out this section.

SEC. 3. GRANTS FOR ANALYSIS OF DNA SAMPLES FROM RAPE KITS.

Section 2(a) of the DNA Analysis Backlog Elimination Act of 2000
(42 U.S.C. 14135(a)) is amended--
(1) in paragraph (2), by inserting ''including samples from
rape kits and nonsuspect cases'' after ''crime scenes''; and
(2) by adding at the end the following:
''(4) To ensure that DNA testing and analysis of samples
from rape kits and nonsuspect cases are carried out in a timely
manner.''.

SEC. 4. INCREASED GRANTS FOR DNA ANALYSIS.

Section 2(j) of the DNA Analysis Backlog Elimination Act of 2000
(42 U.S.C. 14135(j)) is amended--
(1) in paragraph (1)--
(A) in subparagraph (B), by striking ''and'' at the
end; and
(B) by striking subparagraph (C) and inserting the
following:
''(C) $25,000,000 for fiscal year 2003;
''(D) $25,000,000 for fiscal year 2004;
''(E) $25,000,000 for fiscal year 2005; and
''(F) $25,000,000 for fiscal year 2006.''; and
(2) in paragraph (2), by striking subparagraphs (C) and (D)
and inserting the following:
''(C) $100,000,000 for fiscal year 2003;
''(D) $100,000,000 for fiscal year 2004;
''(E) $50,000,000 for fiscal year 2005; and
''(F) $50,000,000 for fiscal year 2006.''.

SEC. 5. AUTHORITY OF LOCAL GOVERNMENTS TO APPLY FOR AND RECEIVE DNA
BACKLOG ELIMINATION GRANTS.

Section 2 of the DNA Analysis Backlog Elimination Act of 2000 (42
U.S.C. 14135) is amended--
(1) in subsection (a), by inserting ''or eligible units of
local government'' after ''eligible States'';
(2) in subsection (b)--
(A) in the matter preceding paragraph (1), by
inserting ''or unit of local government'' after
''State'' each place that term appears;
(B) in paragraph (1), by inserting ''or unit of
local government'' after ''State'';
(C) in paragraph (3), by inserting ''or unit of
local government'' after ''State'' the first time that
term appears;
(D) in paragraph (4)--
(i) by inserting ''or unit of local
government'' after ''State''; and
(ii) by striking ''and'' after the
semicolon;
(E) in paragraph (5)--
(i) by inserting ''or unit of local
government'' after ''State''; and
(ii) by striking the final period and
inserting ''; and''; and
(F) by adding at the end the following:
''(6) if the applicant is a unit of local government,
certify that the applicant participates in a State laboratory
system.'';
(3) in subsection (c), by inserting ''or unit of local
government'' after ''State'';
(4) in subsection (d)(2)(A), by inserting ''or units of
local government'' after ''States'';
(5) in subsection (e)--
(A) in paragraph (1), by inserting ''or local
government'' after ''State'' each place that term
appears; and
(B) in paragraph (2), by inserting ''or unit of
local government'' after ''State'';
(6) in subsection (f), by inserting ''or unit of local
government'' after ''State'';
(7) in subsection (g)--
(A) in paragraph (1), by inserting ''or unit of
local government'' after ''State''; and
(B) in paragraph (2), by inserting ''or units of
local government'' after ''States''; and
(8) in subsection (h), by inserting ''or unit of local
government'' after ''State'' each place that term appears.

SEC. 6. IMPROVING ELIGIBILITY CRITERIA FOR BACKLOG GRANTS.

Section 2 of the DNA Analysis Backlog Elimination Act of 2000 (42
U.S.C. 14135) is amended--
(1) in subsection (b)--
(A) in paragraph (5) (as amended by section 5), by
striking ''and'' at the end;
(B) in paragraph (6) (as added by section 5), by
striking the period at the end and inserting: '';
and''; and
(C) by adding at the end the following:
''(7) ensure that each laboratory performing DNA testing or
analysis satisfies the quality assurance protocols and
practices described in subsection (d)(2).''; and
(2) by adding at the end the following:
''(k) Priority.--In awarding grants under this section, the
Attorney General shall give priority to a State or unit of local
government that has a significant rape kit or nonsuspect case backlog
as compared to other applicants.''.

SEC. 7. AUTHORIZATION FOR GRANTS FOR IMPROVED RESPONSES TO AND
INVESTIGATION OF SEXUAL ASSAULT CASES.

(a) Authorization of Grants.--The Attorney General shall make
grants to eligible entities to--
(1) carry out sexual assault examiner training and
certification;
(2) develop sexual assault examiner programs;
(3) acquire or improve forensic equipment;
(4) train law enforcement personnel in the handling of
sexual assault cases and the collection and use of DNA samples
for use as forensic evidence; and
(5) train law enforcement personnel to recognize, detect,
report, and respond to drug-facilitated sexual assaults.
(b) Eligible Entity.--For purposes of this section, the term
''eligible entity'' means--
(1) a State;
(2) a unit of local government;
(3) a college, university, or other institute of higher
learning;
(4) sexual assault examination programs, including sexual
assault forensic examiner (SAFE) programs, sexual assault nurse
examiner (SANE) programs, and sexual assault response team
(SART) programs; and
(5) a State sexual assault coalition.
(c) Application.--To receive a grant under this section--
(1) the chief executive officer of a State, unit of local
government, or university that desires a grant under this
section shall submit to the Attorney General--
(A) an application in such form and containing such
information as the Attorney General may require;
(B) certification that the testing will be done in
a laboratory that complies with the quality assurance
and proficiency testing standards for collecting and
processing DNA samples issued by the Director of the
Federal Bureau of Investigation under section 210303 of
the DNA Identification Act of 1994 (42 U.S.C. 14131);
(C) notice that the applicant is aware of, and
utilizing, uniform protocols and standards issued by
the Department of Justice on the collection and
processing of DNA evidence at crime scenes; and
(D) if the applicant is a unit of local government,
certification that the applicant participates in a
State laboratory system; and
(2) an existing or proposed sexual assault examination
program shall submit to the Attorney General--
(A) an application in such form and containing such
information as the Attorney General may require;
(B) certification that the program complies with
the standards and recommended protocol developed by the
Attorney General pursuant to section 1405 of the
Victims of Trafficking and Violence Protection Act of
2000 (42 U.S.C. 3796gg note); and
(C) notice that the applicant is aware of, and
utilizing, uniform protocols and standards issued by
the Department of Justice on the collection and
processing of DNA evidence at crime scenes.
(d) Priority.--In awarding grants under this section, the Attorney
General shall give priority to proposed or existing sexual assault
examination programs that are serving, or will serve, populations
currently underserved by existing sexual assault examination programs.
(e) Restrictions on Use of Funds.--
(1) Supplemental funds.--Funds made available under this
section shall not be used to supplant State funds, but shall be
used to increase the amount of funds that would, in the absence
of Federal funds, be made available from State sources for the
purposes of this section.
(2) Administrative costs.--An eligible entity may not use
more than 3 percent of the funds it receives under this section
for administrative expenses.
(3) Nonexclusivity.--Nothing in this section shall be
construed to limit or restrict the ability of proposed or
existing sexual assault examination programs to apply for and
obtain Federal funding from any other agency or department or
any other Federal Grant program.
(f) Authorization of Appropriations.--There are authorized to be
appropriated to the Department of Justice $15,000,000 for each of
fiscal years 2003 through 2006 to carry out this section.

SEC. 8. AUTHORIZING JOHN DOE DNA INDICTMENTS.

(a) Limitations.--Section 3282 of title 18, United States Code, is
amended--
(1) by striking ''Except'' and inserting the following:
''(a) Limitation.--Except''; and
(2) by adding at the end the following:
''(b) DNA Profile Indictment.--
''(1) In general.--In any indictment found for an offense
under chapter 109A, if the identity of the accused is unknown,
it shall be sufficient to describe the accused as an individual
whose name is unknown, but who has a particular DNA profile.
''(2) Exception.--Any indictment described in paragraph
(1), which is found within 5 years after the offense under
chapter 109A shall have been committed, shall not be subject
to--
''(A) the limitations period described in
subsection (a); and
''(B) the provisions of chapter 208 until the
individual is arrested or served with a summons in
connection with the charges contained in the
indictment.
''(3) Definition.--For purposes of this subsection, the
term 'DNA profile' means a set of DNA identification
characteristics.''.
(b) Privacy Protection Standard.--Section 10(a) of the DNA Analysis
Backlog Elimination Act of 2000 (42 U.S.C. 14135e(a)) is amended by
inserting before the period at the end the following: ''or in section
3282(b) of title 18, United States Code.''.
(c) Rules of Criminal Procedure.--Rule 7 of the Federal Rules of
Criminal Procedure is amended in subdivision (c)(1) by adding at the
end the following: ''For purposes of an indictment referred to in
section 3282 of title 18, United States Code, if the identity of the
defendant is unknown, it shall be sufficient to describe the defendant,
in the indictment, as an individual whose name is unknown, but who has
a particular DNA profile, as defined in that section 3282.''.

SEC. 9. INCREASED GRANTS FOR COMBINED DNA INDEX (CODIS) SYSTEM.

Section 210306 of the DNA Identification Act of 1994 (42
U.S.C.14134) is amended--
(1) by striking ''There'' and inserting the following:
''(a) In General.--There''; and
(2) by adding at the end the following:
''(b) Increased Grants for CODIS.--There is authorized to be
appropriated to the Federal Bureau of Investigation to carry out a
redesign of the Combined DNA Index System (CODIS) $9,646,000 for fiscal
year 2003.''.

SEC. 10. INCREASED GRANTS FOR FEDERAL CONVICTED OFFENDER PROGRAM
(FCOP).

Section 3 of the DNA Analysis Backlog Elimination Act of 2000 (42
U.S.C. 14135a) is amended by adding at the end the following:
''(g) Authorization of Appropriations.--There is authorized to be
appropriated to the Federal Bureau of Investigation to carry out this
section $497,000 for fiscal year 2003.''.

A: DNA Sexual Assault Justice Act of 2002 - Directs the Attorney General to: (1) survey each law enforcement jurisdiction to assess the backlog of DNA testing of rape kit samples and other sexual assault evidence; and (2) make grants to eligible entities to carry out sexual assault examiner training and certification, develop sexual assault examiner programs, acquire or improve forensic equipment, and train law enforcement personnel in the handling of sexual assault cases.Amends the DNA Analysis Backlog Elimination Act of 2000 to: (1) ensure that DNA testing and analysis of samples from rape kits and non-suspect cases are carried out in a timely manner; (2) reauthorize grants; (3) authorize local governments to apply for and receive grants; (4) direct the Attorney General to give priority in awarding grants to a State or local governmental unit that has a significant rape kit or non-suspect case backlog; (5) expand the scope of DNA samples subject to privacy protections; and (6) authorize appropriations to the Federal Bureau of Investigation (FBI) for the collection and use of DNA identification information from certain Federal offenders.Amends: (1) the Federal criminal code and the Federal Rules of Criminal Procedure to authorize "John Doe" DNA indictments for sexual abuse (allows describing a person as an unknown individual who has a particular DNA profile if the identity of the accused or defendant is unknown); and (2) the DNA Identification Act of 1994 to authorize appropriations to the FBI to carry out a redesign of the Combined DNA Index System.
****
Q: SECTION 1. SHORT TITLE.

This Act may be cited as the ''PEPFAR Accountability and
Transparency Act''.

SEC. 2. EVALUATION OF HIV/AIDS PROGRAMS.

Subtitle A of title III of the United States Leadership Against
HIV/AIDS, Tuberculosis, and Malaria Act of 2003 (22 U.S.C. 7631 et
seq.) is amended by adding at the end the following:

''SEC. 308. PROGRAM MONITORING, OPERATIONS RESEARCH, AND IMPACT
EVALUATION RESEARCH.

''(a) Program Established.--The Coordinator of United States
Government Activities to Combat HIV/AIDS Globally (referred to in this
section as the 'Coordinator') shall establish a mechanism to evaluate
global HIV/AIDS programs financed by the United States Government in
order to improve accountability, increase transparency, and ensure the
delivery of evidence-based services. Such mechanism shall include
program monitoring, operations research, and impact evaluation
research.
''(b) Definitions.--In this subsection:
''(1) Impact evaluation research.--The term 'impact
evaluation research' means the application of research methods
and statistical analysis to measure the extent to which a
change in a population-based outcome can be attributed to
program intervention instead of other environmental factors.
''(2) Operations research.--The term 'operations research'
means the application of social science research methods and
statistical analysis to judge, compare, and improve policies
and program outcomes, from the earliest stages of defining and
designing programs through their development and
implementation.
''(3) Program monitoring.--The term 'program monitoring'
means the collection, analysis, and use of routine program data
to determine how well a program is carried out and how much the
program costs.
''(4) Eligible entities.--The term 'eligible entities'
means public or private organizations, including academic
institutions, that have documented experience in analyzing and
evaluating the effectiveness of health, development, or other
international aid programs.
''(c) Use of Funds.--The Coordinator shall use amounts provided
under this section, either directly or indirectly through grants,
contracts, or cooperative agreements to eligible entities, to conduct
program monitoring, operations research, and impact evaluation research
related to programs authorized under this Act. Such activities shall be
conducted to--
''(1) improve the coverage, efficiency, effectiveness,
quality, and accessibility of services provided under this Act;
''(2) establish the cost-effectiveness of program models;
''(3) assess the population-level impact of programs
implemented, including the impact of programs on women,
children, and other at-risk or vulnerable populations;
''(4) ensure the transparency and accountability of
services provided under this Act;
''(5) disseminate and promote the utilization of evaluation
findings, lessons, and best practices in the implementation of
the programs receiving financial assistance under this Act;
''(6) encourage and evaluate innovative service models and
strategies to optimize the delivery of care, treatment, and
prevention programs financed by the United States Government;
and
''(7) strengthen ongoing program monitoring and enhance
program quality through routine program evaluations, such as
midterm and final program evaluations.
''(d) Report.--Not later than 90 days after the date of the
enactment of the PEPFAR Accountability and Transparency Act, the
Coordinator shall submit a report to Congress that describes the
resources provided under this Act for program monitoring, operations
research, and impact evaluation research during the 5-year period
ending on September 30, 2008, that describes--
''(1) the projects for which resources were obligated and
the outcomes of those projects;
''(2) the program improvements, including cost or other
resource savings, which have been made as a result of program
monitoring, operations research, and impact evaluation
research;
''(3) how program monitoring, operations research, and
impact evaluation research priorities are determined and how
input from external experts is incorporated; and
''(4) the process used to allocate funding for
implementation of program monitoring, operations research, and
impact evaluation research.
''(e) Strategic Plan.--
''(1) In general.--Not later than 1 year after the date of
the enactment of the PEPFAR Accountability and Transparency
Act, the Coordinator shall develop a 5-year strategic plan for
program monitoring, operations research, and impact evaluation
research.
''(2) Plan elements.--The plan developed under this
subsection shall include--
''(A) the amount of funding provided for program
monitoring, operations research, and impact evaluation
research under this Act available through fiscal year
2009;
''(B) strategies to address the goals described in
subsection (c);
''(C) priorities for program monitoring, operations
research, and impact evaluation research and a time
line for completion of activities associated with such
priorities; and
''(D) other information that the Coordinator
determines to be necessary.
''(3) Considerations.--In developing the plan under this
subsection, the Coordinator shall consider a range of research
priorities, including research in--
''(A) preventing new HIV infections by reducing
behavioral risks for HIV transmission, particularly in
at-risk and vulnerable populations, including--
''(i) delaying sexual debut;
''(ii) reducing the number of sexual
partners;
''(iii) practicing abstinence, fidelity,
and monogamy;
''(iv) using condoms, other effective
protection methods that have been developed and
are available, and female condoms; and
''(v) meeting the needs of discordant
couples;
''(B) improving health care delivery systems and
HIV/AIDS-related policies;
''(C) preventing mother-to-child transmission,
improving early identification of infected children,
and reducing the spread of HIV infections, particularly
in women and girls;
''(D) reducing HIV-related mortality and morbidity
of HIV;
''(E) treating adults and children infected by HIV
more effectively, including establishing better
approaches for increasing access to treatment and
increasing and sustaining treatment adherence;
''(F) addressing the vulnerabilities of married and
unmarried women and girls to HIV infection, including
those who are victims of rape, sexual violence, and
coercion;
''(G) integrating family planning into HIV/AIDS
prevention, care, and treatment strategies and
services;
''(H) encouraging men to be responsible for their
sexual behavior and to respect women, including the
reduction and elimination of sexual violence and
coercion;
''(I) developing models for scaling up HIV
counseling, testing with informed consent, and other
approaches that promote risk reduction and access to
care and treatment;
''(J) addressing risks associated with substance
use;
''(K) promoting the most effective models for
scaling up care and treatment access;
''(L) ensuring a safe blood supply;
''(M) improving injection safety, including
eliminating unnecessary injections and promoting
sterile injection practices and technologies;
''(N) improving health care workers' occupational
health and safety;
''(O) strengthening hospice and palliative care;
''(P) scaling up the provision of prevention, care
and treatment services to children, including those
orphaned by HIV/AIDS;
''(Q) preventing HIV through male circumcision; and
''(R) other research that the Coordinator
determines to be necessary.
''(4) Consultation.--In developing the strategic plan and
implementing, disseminating, and promoting the use of program
monitoring, operations research, and impact evaluation
research, the Coordinator shall consult with representatives
of--
''(A) the National Institutes of Health;
''(B) the United States Agency for International
Development;
''(C) the Centers for Disease Control and
Prevention;
''(D) the Agency for Healthcare Research and
Quality;
''(E) the Department of Health and Human Services;
''(F) the Department of Labor;
''(G) other Federal agencies engaged in global HIV/
AIDS programs;
''(H) multilateral structures, such as the United
Nations and the Global Fund To Fight AIDS, Tuberculosis
and Malaria;
''(I) national governments of foreign countries in
which programs under this Act are administered;
''(J) organizations implementing programmatic
activities under this Act; and
''(K) other organizations with expertise in
monitoring and evaluating international HIV/AIDS
programs.
''(5) Meeting and public comment.--The Coordinator shall--
''(A) not later than 180 days after the date of the
enactment of the PEPFAR Accountability and Transparency
Act, hold a public meeting at which the public may
present its views on the current needs and gaps in
program monitoring, operations research, and impact
evaluation research;
''(B) during the 30-day period following the public
meeting held pursuant to subparagraph (A), collect
written comments from the public; and
''(C) publish the comments received pursuant to
subparagraph (B) on the Office of the Global AIDS
Coordinator's Internet Web site.
''(6) Review of strategic plan.--The Coordinator shall--
''(A) not later than 1 year after the date of the
enactment of the PEPFAR Accountability and Transparency
Act, present the strategic plan developed under this
subsection to the appropriate congressional committees;
''(B) publish the strategic plan in the Federal
Register and on the Office of the Global AIDS
Coordinator's Internet Web site;
''(C) during the 60-day period following the
publication of the plan under subparagraph (B), solicit
written comments on the plan from the public;
''(D) hold a meeting at which the public is given
an opportunity to present its views on the plan; and
''(E) after consideration of the views and comments
received from the public, make any necessary revisions
to the plan.
''(f) Best Practices Report.--The Coordinator shall annually
publish a best practices report that highlights the programs that have
the potential for translation, particularly at a low cost, across
global AIDS programs, including those that focus on both generalized
and localized epidemics, receiving financial assistance from the United
States.
''(g) Dissemination of Findings.--
''(1) In general.--The Coordinator shall disseminate the
full findings of the multiple operations research and impact
evaluation research and program level monitoring efforts on the
Office of the Global AIDS Coordinator's Internet website in
order to improve transparency and public availability of
information about operations research and impact evaluation
research.
''(2) Dissemination guidance.--The Coordinator shall
develop guidance to ensure timely submission and dissemination
of all impact evaluation research, operations research, and
program monitoring findings. The time lines and processes
included in such guidance shall take into account the
publication process for peer-reviewed scientific or academic
journals and the discussion of such research findings at a
scientific meeting or any other public or private forum, so as
to maintain the scientific process without unduly restricting
dissemination of information.
''(h) Authorization of Appropriations.--In addition to funds made
available under section 401(a), there are authorized to be appropriated
such sums as may be necessary to carry out this section.''.

A:
PEPFAR Accountability and Transparency Act - Amends the United States Leadership Against HIV/AIDS, Tuberculosis, and Malaria Act of 2003 to direct the Coordinator of United States Government Activities to Combat HIV/AIDS Globally to: (1) establish a mechanism to evaluate global HIV/AIDS programs financed by the U.S. government in order to improve accountability, increase transparency, and ensure the delivery of evidence-based services; and (2) develop a five-year strategic plan for program monitoring, operations research, and impact evaluation research.
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