(Sec. 2) Authorizes the Secretary, acting through the Director of the Centers for Disease Control and Prevention (CDC) and in coordination with the Administrators of the U.S. Agency for International Development (AID) and Health Resources and Services Administration (HRSA), to provide: (1) HIV/AIDS prevention services, including education, counseling, testing, reduction of mother-to-child transmission, behavioral interventions for vulnerable populations, post-exposure prophylaxis, ensuring a safe blood supply, and data collection; (2) HIV/AIDS care and treatment services, including programs integrated with prevention services and family support services; (3) infrastructure and training, including institutional capacity building, laboratory support, and technical assistance and training; and (4) HIV/AIDS treatment protocols.
Authorizes the Secretary, acting through the Administrator of HRSA, in coordination with the Director of the CDC and the Administrator of AID, to provide assistance to: (1) assess existing systems of care and treatment and develop a continuum of HIV/AIDS-related services; (2) develop infrastructure and institutional capacity; (3) develop training modules and curricula; and (4) improve coordination between American medical centers and indigenous health facilities.
Requires the use of indigenous capacity in developing countries to the maximum extent practicable, including coordination with relevant government and non-governmental organizations.
Directs the Secretary, acting through the Director of the National Institutes of Health (NIH) and in coordination with the Administrator of the HRSA, to award supplemental grants for HIV/AIDS clinical education and training to entities already receiving an HIV/AIDS grant who apply and have a partnership with a health care entity in the host country. Gives priority to applicants who assess existing capacity and address the training needs of a range of health-care providers.
Authorizes the Secretary, acting through the Director of the CDC, to award a grant to an administrative organization to award subgrants to expand activities to prevent mother-to-child transmission of HIV. Requires subgrantees to be a local health, international, or partnership organization currently operating such a program of activities with relevant government support and the ability to provide antiretroviral treatment to a minimum number of infected women per service site. Permits funds to be used for therapy, treatment, personnel, laboratory costs, pharmaceuticals for related conditions, support services, and outreach and capacity building activities. Limits the amount which may be used for administrative expenses.
Directs the Secretary, acting through the Director of the Office of Global Health Affairs, to coordinate HHS international HIV/AIDS, malaria, and tuberculosis programs, ensuring compatibility and the use of best possible practices. Requires the Director to report annually to Congress.
Extends the tuberculosis prevention program through FY 2004, requiring coordination with the activities under this Act.
(Sec. 3) Directs the Secretary, acting through the Director of the Office of AIDS Research, to expand, expedite, coordinate, and annually review and report all NIH research on the development of microbicides to prevent the transmission of HIV and other sexually transmitted infections. Establishes a grant program for multidisciplinary teams to research innovative microbicide concepts, including combination microbicides. Subjects such grants to peer review.
(Sec. 4) Authorizes the Secretary of Labor, in coordination with the Secretary of HHS and the Administrator of AID, to assist in: (1) establishing workplace HIV/AIDS prevention and education programs that emphasize protections against discrimination and the creation of support environments for individuals living with HIV/AIDS; (2) developing on-site care and wellness programs; and (3) activities to strengthen collaboration among government, business, and labor.
(Sec. 5) Establishes the Secretary's authority to act internationally under specified Acts, including the State Department Basic Authorities Act of 1956 and the Foreign Service Buildings Act.
Authorizes appropriations for FY 2003 and FY 2004.
[Congressional Bills 107th Congress]
[From the U.S. Government Publishing Office]
[S. 2649 Introduced in Senate (IS)]
107th CONGRESS
2d Session
S. 2649
To provide assistance to combat the HIV/AIDS pandemic in developing
foreign countries.
_______________________________________________________________________
IN THE SENATE OF THE UNITED STATES
June 19, 2002
Mr. Kennedy (for himself and Mr. Frist) introduced the following bill;
which was read twice and referred to the Committee on Health,
Education, Labor, and Pensions
_______________________________________________________________________
A BILL
To provide assistance to combat the HIV/AIDS pandemic in developing
foreign countries.
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 ``International AIDS Treatment and
Prevention Act of 2002''.
SEC. 2. AUTHORITY OF THE DEPARTMENT OF HEALTH AND HUMAN SERVICES.
(a) In General.--Title III of the Public Health Service Act (42
U.S.C. 241 et seq.) is amended by adding at the end the following:
``PART P--HIV/AIDS PREVENTION, CARE AND TREATMENT IN DEVELOPING
COUNTRIES
``SEC. 399AA. GENERAL AUTHORITY OF THE CENTERS FOR DISEASE CONTROL AND
PREVENTION.
``(a) Purpose.--It is the purpose of this section to provide the
Secretary, acting through the Director of the Centers for Disease
Control and Prevention, with the authority to carry out HIV/AIDS
prevention, care, treatment, support, capacity development and other
activities (determined appropriate by the Secretary) in countries with
or at risk for severe HIV epidemic with particular attention to
resource constrained countries, as determined by the Secretary.
``(b) Activities and Assistance.--In carrying out the purpose
described in subsection (a), the Secretary, acting through the Director
of the Centers for Disease Control and Prevention, in consultation with
the Administrator of the United States Agency for International
Development and the Administrator of the Health Resources and Services
Administration, may provide support and assistance under this section
relating to--
``(1) HIV prevention services provided through--
``(A) education and voluntary counseling and
testing activities, including rapid testing, the
development and application of confidentiality
protections with respect to such counseling and
testing, and the integration of such activities into
programs serving women and children;
``(B) programs to reduce the mother-to-child
transmission of HIV, including the involvement of
fathers in such programs;
``(C) activities involving behavioral interventions
for youth, women, and other vulnerable groups;
``(D) programs to prevent the transmission of HIV
and other pathogens at health care facilities
(including the use of universal precautions, equipment
sterilization, post-exposure prophylaxis for health
care workers and other individuals determined to be
appropriate, and other interventions appropriate to the
resources available), and to support the use of post
exposure prophylaxis, when indicated, for patients;
``(E) activities to ensure a safe blood supply;
``(F) programs to provide prevention, care,
treatment, and patient management services for sexually
transmitted infections to infected individuals and
individuals at risk of infection; and
``(G) activities, including laboratory support, to
collect and maintain accurate HIV/AIDS surveillance and
epidemiologic data, to target and monitor programs, and
to measure the effectiveness of interventions;
``(2) HIV/AIDS care and treatment services provided
through--
``(A) programs to provide care and treatment,
integrated with prevention services to further reduce
the transmission of HIV, for individuals living with
HIV/AIDS, including the treatment of opportunistic
infections (including tuberculosis) and the provision
of antiretroviral therapies and nutritional services;
``(B) programs to provide support services that are
needed to enhance the effectiveness of health services
and to promote family stability, including services for
family members affected by, but not infected with, HIV
such as children orphaned by AIDS; and
``(C) programs that link care and treatment
services to proven prevention programs, including
linkages with voluntary counseling and testing efforts
(including rapid testing);
``(3) infrastructure and training through--
``(A) activities to improve the health
infrastructure and institutional capacity within
participating countries, including the training of
appropriate personnel, and to assist such countries in
expanding and improving the availability of health care
facilities, to enable such countries to develop and
manage HIV/AIDS education, prevention, care and
treatment programs and to conduct evaluations of such
programs; and
``(B) activities to provide laboratory support as
well as technical assistance and training to increase
the capacity for the diagnosis, care, and treatment of
HIV/AIDS and related health conditions (including rapid
testing);
``(4) HIV/AIDS treatment protocols through--
``(A) the provision of support and assistance to
participating countries for the development of
treatment protocols for the delivery of HIV/AIDS
treatment and prevention services; and
``(B) the provision of assistance to participating
countries determined to be ready to implement the
protocols described in subparagraph (A); and
``(5) other activities determined appropriate by the
Secretary.
``(c) Utilization of Existing Capacities.--In carrying out
activities under subsection (b), the Secretary, acting through the
Director of the Centers for Disease Control and Prevention and in
consultation with the Administrator of the United States Agency for
International Development and the Administrator of the Health Resources
and Services Administration, shall, to the maximum extent practicable,
utilize existing indigenous capacity in developing countries, including
coordinating with relevant government ministries and carrying out
activities in partnership with non-governmental organizations and
affected communities.
``(d) Health Resources and Services Administration.--In carrying
out activities under paragraphs (2) and (3) of subsection (b), the
Secretary, acting through the Director of the Centers for Disease
Control and Prevention, shall enter into interagency agreements,
monetary transfers, and contracts with the Administrator of the Health
Resources and Services Administration to ensure that such activities
benefit from the specialized expertise of such Administration related
to the assessment of needs as well as the development and
implementation of community-based systems of care and appropriate
infrastructure, including the training of health care providers and
community workers.
``(e) Blood Supply.--In carrying out activities under subsection
(b)(1)(E), the Secretary, acting through the Director of the Centers
for Disease Control and Prevention, shall assist participating
countries in developing national, regional, or local systems to--
``(1) monitor, manage, and test the blood supply to ensure
that such supply is screened for HIV;
``(2) increase recruitment and retention of appropriate
blood donors; and
``(3) provide for technology transfer and capacity building
in proven best blood safety practices appropriate to local
conditions.
``(f) Authorization of Appropriations.--There is authorized to be
appropriated to carry out this section, $400,000,000 for fiscal year
2003, and such sums as may be necessary for fiscal year 2004. Of the
amount appropriated under the preceding sentence for each fiscal year,
the Secretary shall make available $30,000,000 in fiscal year 2003 and
$45,000,000 in fiscal year 2004 to carry out subsection (b)(2)(A) and
section 399DD. Amounts appropriated under this subsection shall remain
available until expended.
``SEC. 399BB. GENERAL AUTHORITY OF THE HEALTH RESOURCES AND SERVICES
ADMINISTRATION.
``(a) Purpose.--It is the purpose of this section to provide the
Secretary, acting through the Administrator of the Health Resources and
Services Administration, with the authority to carry out HIV/AIDS care,
treatment, capacity development and other activities (determined
appropriate by the Secretary) in countries with or at risk for severe
HIV epidemic with particular attention to resource constrained
countries, as determined by the Secretary.
``(b) Activities and Assistance.--In carrying out the purpose
described in subsection (a), the Secretary, acting through the
Administrator of the Health Resources and Services Administration, in
consultation with the Director of the Centers for Disease Control and
Prevention and the Administrator of the United States Agency for
International Development, may provide assistance under this section
relating to--
``(1) activities to assist communities in assessing the
strengths and capabilities of the existing system of care and
treatment relating to HIV/AIDS and other opportunistic
infections, including critical unmet needs;
``(2) activities to assist communities in the development
and implementation of appropriate systems of care that provide
for a continuum of HIV/AIDS-related services for prevention,
treatment, palliative care, and hospice services based on an
assessment under paragraph (1);
``(3) activities to improve the health-related
infrastructure and institutional capacity of participating
countries, including the training of health care providers and
community workers, to enable such countries to develop and
manage HIV/AIDS education, prevention, care and treatment
programs and to conduct evaluations of such programs;
``(4) activities to assist in the development of training
modules and curricula on HIV/AIDS and associated conditions as
part of the professional training programs for physicians,
nurses, dentists, pharmacists, and other health care providers;
and
``(5) other activities determined appropriate by the
Secretary.
``(c) Utilization of Existing Capacities.--In carrying out
activities under subsection (b), the Secretary, acting through the
Administrator of the Health Resources and Services Administration and
in consultation with the Director of the Centers for Disease Control
and Prevention and the Administrator of the United States Agency for
International Development, shall, to the maximum extent practicable,
utilize existing indigenous capacity in participating countries,
including coordinating with relevant government ministries and carrying
out activities in partnership with non-governmental organizations and
affected communities.
``(d) Authorization of Appropriations.--There is authorized to be
appropriated to carry out this section, $40,000,000 for fiscal year
2003, and such sums as may be necessary for fiscal year 2004. Amounts
appropriated under this subsection shall remain available until
expended.
``SEC. 399CC. HIV/AIDS TRAINING PARTNERSHIP.
``(a) In General.--The Secretary, acting through the Director of
the National Institutes of Health and in coordination with the
Administrator of the Health Resources and Services Administration,
shall award supplemental grants to eligible entities to enable such
entities to provide support for clinical education and training in the
delivery of HIV/AIDS care and treatment services.
``(b) Eligible Entities.--To be eligible to receive a supplemental
grant under subsection (a), an entity shall--
``(1) be a recipient of an international HIV/AIDS clinical
research, education, or training grant awarded by the National
Institutes of Health;
``(2) provide assurances to the Secretary that the entity
has developed a partnership with a hospital-based or community-
based health care entity in the host country for the purpose of
providing services under each grant; and
``(3) prepare and submit to the Secretary an application at
such time, in such manner, and containing such information as
the Secretary may require, including a description of the
activities to be carried out with amounts received under the
grant.
``(c) Use of Funds.--An entity shall use amounts received under a
supplemental grant under subsection (a) to provide clinical education
and training in the delivery of HIV/AIDS care and treatment services.
Such education and training shall be designed to develop health care
provider capacity to deliver HIV/AIDS care and treatment services in a
variety of institutional and community-based settings.
``(d) Priority.--In awarding grants under subsection (a), the
Director of the National Institutes of Health shall give priority to
applicants that will carry out activities that assess existing provider
capacity and address the training needs of a range of health care
providers (from physicians to nurses to other health care providers).
``(e) Authorization of Appropriations.--There is authorized to be
appropriated to carry out this section, $50,000,000 for fiscal year
2003, and such sums as may be necessary for fiscal year 2004. Amounts
appropriated under this subsection shall remain available until
expended.
``SEC. 399DD. FAMILY SURVIVAL PARTNERSHIPS.
``(a) Purpose.--The purpose of this section is to provide support,
through a public-private partnership, for the provision of medical care
and support services to HIV positive parents and their children
identified through existing programs to prevent mother-to-child
transmission of HIV in countries with or at risk for severe HIV
epidemic with particular attention to resource constrained countries,
as determined by the Secretary.
``(b) Grants.--
``(1) In general.--The Secretary, acting through the
Director of the Centers for Disease Control and Prevention, is
authorized to award a grant to an eligible administrative
organization to enable the organization to award subgrants to
eligible entities to expand activities to prevent the mother-
to-child transmission of HIV by providing medical care and
support services to HIV infected parents and their children.
``(2) Administrative organization.--To be eligible to
receive a grant under paragraph (1), an administrative
organization shall--
``(A) have a demonstrable record in managing large
scale maternal and child health programs in countries
with or at risk for severe HIV epidemic with particular
attention to resource constrained countries, as
determined by the Secretary, and sufficient HIV/AIDS
expertise;
``(B) have established relationships with major
international organizations and multilateral
institutions;
``(C) provide an assurance to the Secretary that
the organization will contribute (either directly or
through private sector financial support) non-Federal
funds to the costs of the activities to be carried out
under this section in an amount that is not less than
the amount of funds provided to the organization under
a grant this section; and
``(D) prepare and submit an application to the
Secretary at such time, in such manner, and accompanied
by such information as the Secretary may require.
``(3) Use of funds.--Amounts provided under a grant awarded
under paragraph (1) shall be used--
``(A) to award subgrants to eligible entities to
enable such entities to carry out activities described
in subsection (c);
``(B) for administrative support and subgrant
management;
``(C) for administrative data collection and
reporting concerning grant activities;
``(D) for the monitoring and evaluation of grant
activities;
``(E) for training and technical assistance for
subgrantees; and
``(F) to promote sustainability.
``(c) Subgrants.--
``(1) In general.--An organization awarded a grant under
subsection (b) shall use amounts received under the grant to
award subgrants to eligible entities.
``(2) Eligibility.--To be eligible to receive a subgrant
under paragraph (1), an entity shall--
``(A) be a local health organization, an
international organization, or a partnership of such
organizations;
``(B) demonstrate to the awarding organization that
such entity--
``(i) is currently administering a proven
intervention to prevent mother-to-child
transmission of HIV in countries with or at
risk for severe HIV epidemic with particular
attention to resource constrained countries, as
determined by the Secretary;
``(ii) serves a catchment area with a
minimum HIV seroprevalence of 3 percent in
pregnant women;
``(iii) has demonstrated support for the
proposed program from relevant government
entities;
``(iv) is able to provide HIV care,
including antiretroviral treatment when
medically indicated, to HIV positive women,
men, and children with the support of the
project funding; and
``(v) has the ability to enroll a minimum
of 250 HIV infected women per service site,
based on the current uptake rate, into existing
HIV mother-to-child transmission programs; and
``(C) prepare and submit to the awarding
organization an application at such time, in such
manner, and containing such information as the
organization may require.
``(3) Local health and international organizations.--For
purposes of paragraph (2)(A)--
``(A) the term `local health organization' means a
public sector health system, non-governmental
organization, institution of higher education,
community-based organization, or non-profit health
system that provides directly, or has a clear link with
a provider for the indirect provision of, primary
health care services; and
``(B) the term `international organization' means--
``(i) a non-profit international entity;
``(ii) an international charitable
institution;
``(iii) a private voluntary international
entity; or
``(iv) a multilateral institution.
``(4) Selection of subgrant recipients.--In awarding
subgrants under this subsection, the organization shall--
``(A) consider applicants from a range of health
care settings, program approaches, and geographic
locations; and
``(B) if appropriate, award not less than 1 grant
to an applicant to fund a national system of health
care delivery to HIV positive families.
``(5) Use of subgrant funds.--An eligible entity awarded a
subgrant under this subsection shall use subgrant funds to
expand activities to prevent mother-to-child transmission of
HIV by providing medical care and support services to parents
and their children, including--
``(A) the hiring and training of local personnel,
including physicians, nurses, other health care
providers, counselors, social workers, outreach
personnel, laboratory technicians, data managers, and
administrative support personnel;
``(B) paying laboratory costs, including costs
related to necessary equipment and diagnostic testing
and monitoring (including rapid testing), complete
blood counts, standard chemistries, and liver function
testing for infants, children, and parents, and costs
related to the purchase of necessary laboratory
equipment;
``(C) purchasing pharmaceuticals for HIV-related
conditions, including antiretroviral therapies;
``(D) funding support services including adherence
and psychosocial support services;
``(E) operational support activities; and
``(F) conducting community outreach and capacity
building activities, including activities to raise the
awareness of individuals of the program carried out by
the subgrantee, other communications activities in
support of the program, local advisory board functions,
and transportation necessary to ensure program
participation.
``(d) Reports.--Not later than 6 months after the date of enactment
of this section, and annually thereafter, an administrative
organization awarded a grant under subsection (b)(1) shall submit to
the Secretary and the appropriate committees of Congress, a report that
includes--
``(A) the progress of programs funded under this
section;
``(B) the benchmarks of success of programs funded
under this section; and
``(C) recommendations of how best to proceed with
the programs funded under this section upon the
expiration of funding under subsection (e).
``(e) Funding.--In making amounts available under section 399AA(f)
to carry out this section, the Secretary shall ensure that not less
than--
``(1) $45,000,000 is made available to carry out this
section for fiscal year 2003; and
``(2) $30,000,000 is made available to carry out this
section for fiscal year 2004.
``(f) Limitation on Administrative Expenses.--An administrative
organization shall ensure that not more than 12 percent of the amount
of a grant received under this section by the organization is used for
the administrative activities described in subparagraphs (B), (C), (D),
and (E) of subsection (b)(3) and subsection (b)(5)(E).
``SEC. 399EE. INTRA-AGENCY COORDINATION OF GLOBAL HIV/AIDS INITIATIVES.
``(a) In General.--The Secretary, acting through the Director of
the Office of International Affairs (referred to in this section as the
`Director') of the Department of Health and Human Services (referred to
in this section as the `Department'), shall ensure--
``(1) the coordination of all Department programs related
to the prevention, treatment, and monitoring of HIV/AIDS in
countries with or at risk for severe HIV epidemic with
particular attention to resource constrained countries, as
determined by the Secretary (referred to in this section as
`Department programs'); and
``(2) that global HIV/AIDS activities are conducted in a
coordinated, strategic fashion, utilizing the expertise from
the various agencies within the Department, to the maximum
extent practicable.
``(b) Duties.--In carrying out this section, the Secretary shall--
``(1) review all Departmental programs to ensure proper
coordination and compatibility of the activities, strategies,
and policies of such programs; and
``(2) ensure that the Departmental programs utilize the
best possible practices for HIV/AIDS prevention, treatment, and
monitoring to improve the effectiveness of Department programs
in countries in which the Department operates.
``(c) Report.--
``(1) In general.--The Director shall prepare an annual
report that--
``(A) describes the actions that are being taken to
coordinate the multiple roles and policies of, and
foster collaboration among, the offices and agencies of
the Department that contribute to global HIV/AIDS
activities;
``(B) describes the respective roles and activities
of each of the offices and agencies of the Department;
``(C) contains any recommendations for legislative
and funding actions that are needed to create a
coherent, effective departmental approach to global
HIV/AIDS that achieves the goals for Department
programs; and
``(D) describes the progress made towards meeting
the HIV/AIDS goals and outcomes as identified by the
Director.
``(2) Submission to congress.--Not later than 1 year after
the date of enactment of this part, and annually thereafter,
the Secretary shall submit the report described in paragraph
(1) to the appropriate committees of Congress.''.
(b) Extension of Tuberculosis Prevention Program.--Section 317E(g)
of the Public Health Service Act (42 U.S.C. 247b-6(g)) is amended--
(1) in paragraph (1)(A), by striking ``2002'' and inserting
``2004'';
(2) in paragraph (2), by striking ``2002'' and inserting
``2004''; and
(3) by adding at the end the following:
``(3) Coordination.--Activities under this section shall,
to the extent practicable, be coordinated with related
activities carried out under the International AIDS Treatment
and Prevention Act of 2002 (and the amendments made by that
Act).''.
SEC. 3. MICROBICIDE RESEARCH AT THE NATIONAL INSTITUTES OF HEALTH.
Subpart I of part D of title XXIII of the Public Health Service Act
(42 U.S.C. 300cc-40 et seq.) is amended by inserting after section 2351
the following:
``SEC. 2351A. MICROBICIDES FOR PREVENTING TRANSMISSION OF HIV AND OTHER
SEXUALLY TRANSMITTED INFECTIONS.
``(a) Expansion and Coordination of Activities.--The Secretary,
acting through the Director of the Office of AIDS Research and in
coordination with other relevant institutes and offices, shall expand,
intensify, and coordinate the activities of all appropriate institutes
and components of the National Institutes of Health with respect to
research on the development of microbicides to prevent the transmission
of HIV and other sexually transmitted infections (in this section
referred to as `microbicide research').
``(b) Research Plan.--The Secretary, acting through the Director of
the Office of AIDS Research and in consultation with the Director of
the Institute of Allergy and Infectious Diseases, shall expedite the
implementation of the strategic plan for the conduct and support of
microbicide research, and shall annually review and as appropriate
revise the plan. In developing, implementing, and reviewing the plan,
the Director of the Office of AIDS Research shall consult with the
heads of other Federal agencies, including the Director of the Centers
for Disease Control and Prevention and the Administrator of the United
States Agency for International Development, involved in microbicide
research, with the microbicide research community, and with health
advocates.
``(c) Microbicide Research and Development Teams.--
``(1) In general.--The Secretary, acting through the
Director of the National Institutes of Health, shall award
grants or contracts to public and private entities for the
development and operation of multidisciplinary teams to conduct
research on innovative microbicide concepts, including
combination microbicides.
``(2) Peer review requirement.--The Director shall award a
grant or contract to an entity under paragraph (1) only if the
grant or contract has been recommended after technical and
scientific peer review in accordance with regulations under
section 492.
``(d) Report.--Not later than 1 year after the date of the initial
submission of the research plan under subsection (b), and annually
thereafter, the Secretary, acting through the Director of the Office of
AIDS Research and in consultation with the Director of the Institute of
Allergy and Infectious Diseases, shall submit to the Committee on
Energy and Commerce and the Committee on Appropriations of the House of
Representatives and the Committee on Health, Education, Labor, and
Pensions and the Committee on Appropriations of the Senate a report
that describes the activities of the National Institutes of Health
regarding microbicide research. Each such report shall include--
``(1) an updated research plan;
``(2) a description and evaluation of the progress made,
during the period for which such report is prepared, in
research on microbicides;
``(3) a summary and analysis of expenditures made, during
the period for which the report is made, for activities with
respect to microbicides research conducted and supported by the
National Institutes of Health, including the number of full-
time equivalent employees; and
``(4) recommendations as the Director of the Office of AIDS
Research considers appropriate.
``(f) Definition.--In this section, the term `HIV' means the human
immunodeficiency virus. Such term includes acquired immune deficiency
syndrome.''.
SEC. 4. AUTHORITY OF THE DEPARTMENT OF LABOR.
(a) Purpose.--It is the purpose of this section to provide the
Secretary of Labor with the authority to carry out workplace-based HIV/
AIDS programs in countries with or at risk for severe HIV epidemic with
particular attention to resource constrained countries, as determined
by the Secretary.
(b) Activities and Assistance.--In carrying out the purpose
described in subsection (a), the Secretary of Labor, in consultation
with the Administrator of the United States Agency for International
Development, may provide assistance under this section relating to--
(1) the establishment and implementation of workplace HIV/
AIDS prevention and education programs in countries with or at
risk for severe HIV epidemic with particular attention to
resource constrained countries, as determined by the Secretary,
including programs that emphasize protections against
discrimination and the creation of supportive environments for
individuals living with HIV/AIDS;
(2) the development and implementation of on-site care and
wellness programs that enhance the health and productivity of
the workforce in countries with or at risk for severe HIV
epidemic with particular attention to resource constrained
countries, as determined by the Secretary;
(3) activities to strengthen collaboration among
governments, business, and labor leaders to respond to the HIV/
AIDS pandemic; and
(4) other activities determined appropriate by the
Secretary.
(c) Authorization of Appropriations.--There is authorized to be
appropriated to carry out this section, $10,000,000 for fiscal year
2003, and such sums as may be necessary for fiscal year 2004. Amounts
appropriated under this subsection shall remain available until
expended.
SEC. 5. AUTHORITY FOR INTERNATIONAL PROGRAMS.
Section 307 of the Public Health Service Act (42 U.S.C. 242l) is
amended--
(1) in subsection (b)--
(A) in paragraph (6), by adding ``and'' at the end;
(B) in paragraph (7), by striking ``; and'' and
inserting a period;
(C) in the flush sentence after paragraph (7), by
inserting ``new'' before ``facility in any foreign
country''; and
(D) by striking paragraph (8); and
(2) by adding at the end the following:
``(d)(1) The Secretary is authorized to utilize the authority
contained in section 2 of the State Department Basic Authorities Act of
1956 (22 U.S.C. 2669), subject to the limitations set forth in
subsection (e).
``(2) The Secretary is authorized to use the authority contained in
section 1 of the Act of April 18, 1930 (46 Stat. 177; 22 U.S.C. 291)
and section 1 of the Foreign Service Buildings Act (22 U.S.C. 292)
directly or through contract, grant, or cooperative agreement to lease,
alter, or renovate facilities in foreign countries as necessary to
conduct programs of assistance for international health activities,
including activities relating to HIV/AIDS and other infectious
diseases, chronic and environmental diseases, and other health
activities abroad.
``(e) In exercising the authority set forth in paragraphs (1) and
(2) of subsection (d), the Secretary shall consult with the Secretary
of State to ensure that planned activities are within the legal
strictures of the State Department Basic Authorities Act of 1956 and
other applicable laws.''.
<all>
Introduced in Senate
Sponsor introductory remarks on measure. (CR S5779)
Read twice and referred to the Committee on Health, Education, Labor, and Pensions.
Committee on Health, Education, Labor, and Pensions. Ordered to be reported with an amendment in the nature of a substitute favorably.
Committee on Health, Education, Labor, and Pensions. Reported by Senator Kennedy under authority of the order of the Senate of 06/26/2002 with an amendment in the nature of a substitute. Without written report.
Committee on Health, Education, Labor, and Pensions. Reported by Senator Kennedy under authority of the order of the Senate of 06/26/2002 with an amendment in the nature of a substitute. Without written report.
Placed on Senate Legislative Calendar under General Orders. Calendar No. 484.
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