International HIV/AIDS, Tuberculosis, and Malaria: Key Changes to U.S. Programs and Funding [Updated July 14, 2008]   [open pdf - 151KB]

"This report will discuss changes in coordination and funding for HIV/AIDS, tuberculosis, and malaria programs proposed in H.R. 5501 and S. 2731. Some questions remain about whether programs to combat tuberculosis and malaria should be further defined and if additional reporting requirements, distinct leadership authorities, funding and program guidelines, project timetables, and coordination requirements with HIV/AIDS programs are needed. This report will be updated as events warrant. Further, H.R. 5501 and S. 2731 propose a number of changes to U.S. international HIV/AIDS, tuberculosis, and malaria programs. The bills would: add Vietnam to the list of Focus Countries; remove the 33% spending requirement on abstinence prevention efforts; establish a Global Malaria Coordinator within the U.S. Agency for International Development (USAID); set targets for coverage of pregnant women and the care of HIV-infected children; and support the sustainability of health care systems in affected countries. There are some differences between the two bills. H.R. 5501 inserts family planning program language, maintains prevention and care spending directives, and adds 14 countries in the Caribbean and three countries in sub-Saharan Africa to the list of Focus Countries. S. 2731 proposes the use of compacts or framework agreements between the United States and each country receiving HIV/AIDS funds under the reauthorization. It eliminates Immigration and Nationality Act language that bars foreign nationals with HIV/AIDS from entering the United States."

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CRS Report for Congress, RL34569
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