text: SECTION 1. SHORT TITLE.
  
      This Act may be cited as the ``International Infectious Diseases 
  Control Act of 2001''.
  
  SEC. 2. DEFINITIONS.
  
      In this Act:
              (1) AIDS.--The term ``AIDS'' means the acquired immune 
          deficiency syndrome.
              (2) Executive agency.--The term ``Executive agency'' has 
          the meaning given the term in section 105 of title 5, United 
          States Code.
              (3) Global fund.--The term ``global fund'' means the global 
          fund to fight HIV/AIDS, malaria, and tuberculosis established 
          consistent with section 4.
              (4) HIV.--The term ``HIV'' means the human immunodeficiency 
          virus, the pathogen that 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.
              (6) Secretary general.--The term ``Secretary General'' 
          means the Secretary General of the United Nations.
              (7) World bank.--The term ``World Bank'' means the 
          International Bank for Reconstruction and Development.
  
  SEC. ____03. FINDINGS.
  
      Congress makes the following findings:
              (1) HIV/AIDS, tuberculosis, and malaria disproportionately 
          affect the world's poorest countries and together will cost the 
          lives of 6,000,000 people this year alone.
              (2) According to the Joint United Nations Programme on HIV/
          AIDS (UNAIDS), more than 58,000,000 people worldwide have 
          already been infected with HIV/AIDS, a fatal disease that is 
          devastating the health, economies, and social structures in 
          dozens of countries in Africa, and increasingly in Asia, the 
          Caribbean, and Eastern Europe.
              (3) AIDS has wiped out decades of progress in improving the 
          lives of families in the developing world. As the leading cause 
          of death in Africa, AIDS has killed 17,000,000 and will claim 
          the lives of one quarter of the population, mostly productive 
          adults, in the next decade. In addition, 13,000,000 children 
          have been orphaned by AIDS--a number that will rise to 
          40,000,000 by 2010.
              (4) The World Health Organization (WHO) estimates that 
          8,000,000 people each year become sick with tuberculosis, one 
          of the most dangerous contagious diseases, easily transmitted 
          through the air from those infected. Globally, tuberculosis 
          kills at least 2,000,000 each year, is the leading killer of 
          women between 15 and 44 years old, and is the most common cause 
          of death in Africa in those with HIV/AIDS.
              (5) More than 40 percent of tuberculosis cases in the 
          United States result from importation of tuberculosis from 
          foreign-borne persons. Multidrug-resistant tuberculosis spreads 
          because of inadequate control programs and inappropriate use of 
          anti-tuberculosis drugs--mostly in the developing world. 
          Without a concerted international effort to increase the 
          implementation of WHO-approved control strategies, the United 
          States risks importation of this particularly dangerous form of 
          tuberculosis.
              (6) Malaria is a third disease that saps the social and 
          economic strength tropical developing countries. Malaria 
          affects more than 500,000,000 people each year and undermines 
          not only the health and productivity of the world's poorest 
          countries; malaria kills at least 1,000,000 each year, about 
          3,000 each day. In Africa, malaria kills a child every 40 
          seconds.
              (7) Beyond the human toll, the economic impact of AIDS, 
          malaria, and tuberculosis on regional economies is severe. 
          According to UNAIDS, HIV/AIDS alone will reduce gross domestic 
          product (GDP) of South Africa by 17 percent, or $22,000,000,000 
          over the next 10 years, and WHO estimates that sub-Saharan 
          Africa's GDP would be 32 percent, or $100,000,000,000 higher 
          now if malaria had been conquered 35 years ago. The current 
          short term economic loss and direct cost of malaria is 
          estimated to be up to $12,000,000,000 each year.
              (8) The UNAIDS program estimates it will cost 
          $3,000,000,000 for basic AIDS prevention and care services in 
          sub-Saharan Africa alone, and at least $2,000,000,000 more if 
          anti-retroviral drugs are provided widely. But in Africa, only 
          $500,000,000 is currently available from all donors, lending 
          agencies, and African governments themselves.
              (9) For tuberculosis control, WHO estimates that a total of 
          $1,000,000,000 per year will be necessary to effectively fight 
          the tuberculosis epidemic, which will be spent to identify at 
          least 70 percent of the cases and curing 85 percent of them. 
          WHO indicates that an increase of $400,000,000 per year could 
          make this goal a reality.
              (10) The Secretary General of the United Nations, Kofi 
          Annan, has called for a global fund to halt and reverse the 
          spread of HIV/AIDS, malaria, and tuberculosis. The Secretary 
          General proposed a multibillion dollar ``war chest'' financed 
          jointly by donor governments and private contributors and, 
          equally important, called on leaders from developing nations to 
  give a much higher priority in their budgets to development of 
  comprehensive health systems.
              (11) The Secretary General has outlined the following five 
          objectives for the fight against AIDS:
                      (A) To ensure that people everywhere know what to 
                  do to prevent infection.
                      (B) To prevent the transmission from mother to 
                  child.
                      (C) To provide care and treatment to those 
                  infected.
                      (D) To provide care to those affected by AIDS, 
                  especially orphans.
                      (E) To deliver scientific breakthroughs, especially 
                  vaccines.
              (12) Prevention of new infections is key, although 
          treatment and care for those infected by HIV/AIDS is an 
          increasingly critical component of the global response. 
          Improving health systems, providing home-based care, treating 
          AIDS-associated diseases like tuberculosis, providing for 
          family support and orphan care, and making anti-retroviral 
          drugs against HIV available will reduce social and economic 
          damage to families and communities.
              (13) Responding to the call from the Secretary General, the 
          African heads of state meeting at the African Summit on HIV/
          AIDS, tuberculosis, and other infectious diseases in Abuja, 
          Nigeria, April 25-27, committed to increasing to at least 15 
          percent the proportion of their budgets allocated to the health 
          sector.
              (14) Expanded United States financial support for new broad 
          based international partnerships to control HIV/AIDS, malaria, 
          and tuberculosis can help leverage substantial increases in 
          global commitments to narrow the gap between need and currently 
          available resources.
              (15) The World Bank and WHO have demonstrated that 
          investment in global public health activities to reduce HIV/
          AIDS, malaria, and tuberculosis not only is a humanitarian 
          imperative, it also helps bolster the economic and social 
          development necessary to build political and trade alliances. 
          Further, containment of international disease threats has 
          beneficial ramifications for Americans who are increasingly 
          susceptible to global infectious disease threats.
  
  SEC. 4. PURPOSES.
  
      The purposes of this Act are to provide for United States 
  participation in a global effort to--
              (1) mitigate the effects, and control the spread, of HIV/
          AIDS, malaria, and tuberculosis by supporting programs for the 
          prevention of new infections and for the care and treatment of 
          individuals infected with those diseases in countries seriously 
          affected, especially programs that provide care for children 
          orphaned by the HIV/AIDS epidemic; and
              (2) provide the resources and leadership to control AIDS, 
          malaria, and tuberculosis through support of programs that 
          emphasize--
                      (A) a science-based integrated approach that 
                  includes prevention of new infections and the treatment 
                  and care of infected individuals;
                      (B) public-private partnerships; and
                      (C) good governance.
  
  SEC. 5. GLOBAL FUND TO FIGHT HIV/AIDS, MALARIA, AND TUBERCULOSIS.
  
      (a) Efforts To Reach Agreement for Establishment of Global Fund.--
              (1) In general.--The President, in consultation with the 
          Secretary General and the heads of relevant Executive agencies, 
          shall work with foreign governments, the United Nations and its 
          relevant specialized agencies, the World Bank, and the private 
          sector to reach an agreement for the establishment of a global 
          fund to fight HIV/AIDS, malaria, and tuberculosis, to carry out 
          the purposes of section 4 (1) and (2).
              (2) Delegation of authority.--The President shall exercise 
          the authority of this subsection through the Secretary of State 
          and the Secretary of Health and Human Services, except that, 
          with respect to the World Bank, the President shall exercise 
          such authority through the Secretary of the Treasury.
      (b) Description of global fund.--The global fund should--
              (1) be a public-private partnership that includes 
          participation of, and seeks contributions from, governments, 
          foundations, the private sector, civil society, the United 
          Nations system, nongovernmental organizations, and other 
          parties;
              (2) pursue an integrated approach that includes the 
          prevention of new infections and the treatment and care of 
          infected individuals;
              (3) focus on promotion of ``best practices'' in the 
          prevention of new infections by funding a core group of 
          programs that have been proven effective and then funding 
          additional programs;
              (4) promote scientific and medical accountability by 
          requiring proposals to be reviewed and approved by medical and 
          public health experts; and
              (5) respect intellectual property rights as an important 
          incentive in the development of new drugs.
      (c) Composition.--The global fund should be composed as follows:
              (1) Board of trustees.--The global fund should be governed 
          by a board of trustees, which should be composed of 
          representatives of donors, recipients of funding, multilateral 
          agencies, and such other parties as may be authorized by the 
          agreement establishing the global fund.
              (2) Technical advisory group.--The board of trustees of the 
          global fund should establish a technical advisory group, 
          consisting of persons with demonstrated knowledge and 
          experience in the fields of public health, epidemiology, health 
          care delivery, health economics, and biomedical research, to 
          advise the board of trustees with respect to funding proposals 
          and other matters.
              (3) Secretariat and other bodies.--Other bodies, such as a 
          small secretariat, should be established to support the work of 
          the board of trustees of the global fund.
      (d) Program Objectives.--
              (1) Grant authority.--
                      (A) In general.--In carrying out the purposes of 
                  section 4 (1) and (2), the global fund, acting through 
                  its board of trustees with guidance from the technical 
                  advisory group, should provide only grants, including 
                  grants for technical assistance to support measures to 
                  build local capacity in national and local government, 
                  civil society, and the private sector, with respect to 
                  the prevention of new infections and the care and 
                  treatment of individuals infected with disease.
                      (B) Eligibility for grants.--Governments and 
                  nongovernmental organizations shall be eligible to 
                  receive grants from the global fund. Emphasis should be 
                  given to facilitating the funding of nongovernmental 
                  organizations, including both faith-based and secular 
                  groups working in communities, except that national 
                  authorities should set the overall plan and agenda for 
                  dealing with public health and infectious diseases in 
                  their countries.
              (2) Activities supported.--
                      (A) In general.--Activities supported under 
                  paragraph (1) should include efforts to lead and 
                  implement effective and affordable HIV/AIDS, malaria, 
                  and tuberculosis programs, including programs focused 
                  on prevention and health education and treatment and 
                  care services, including access to affordable drugs.
                      (B) Emphasis on strong political leadership.--
                  Emphasis should be given to ensuring strong political 
                  leadership in recipient countries, through the 
                  development and implementation of effective strategies 
                  against HIV/AIDS, tuberculosis, and malaria; 
                  development of well managed, transparently administered 
                  health systems; and monitoring and evaluation of 
                  programs supported by the global fund.
                      (C) Initial priority on combating hiv/aids.--In 
                  view of the globalization of the AIDS epidemic, initial 
                  priority should be given to programs to combat HIV/
                  AIDS. Such programs should include the promotion of 
                  ``best practices'' in the prevention of new infections, 
                  including education that emphasizes risk avoidance such 
                  as abstinence, measures to stop mother-to-child 
                  transmission, and efforts to provide for the support 
                  and education of AIDS orphans and the families, 
                  communities, and institutions most affected by HIV/
                  AIDS.
      (e) Reports to Congress.--
              (1) Annual reports by the president.--Not later than one 
          year after the date of the enactment of this Act, and annually 
          thereafter for the duration of the global fund, the President 
          shall submit to the appropriate committees of Congress a report 
          on the global fund, including its structure, objectives, 
          contributions, funded projects, and assessment of its 
          effectiveness.
              (2) Appropriate committees defined.--In paragraph (1), the 
          term ``appropriate committees of Congress'' 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.
      (f) United States Financial Participation.--
              (1) Authorization of appropriations.--In addition to any 
          other funds authorized for multilateral or bilateral programs 
          related to HIV/AIDS, malaria, tuberculosis, or economic 
          development, there is authorized to be appropriated to the 
          Department of State $200,000,000 for fiscal year 2002 and 
          $500,000,000 for fiscal year 2003 for payment to the global 
          fund.
              (2) Reprogramming of fiscal year 2001 funds.--Funds made 
          available for fiscal year 2001 under section 141 of the Global 
          AIDS and Tuberculosis Relief Act of 2000 (as in effect 
          immediately before the date of enactment of this Act)--
                      (A) are authorized to remain available until 
                  expended; and
                      (B) shall be transferred to, merged with, and made 
                  available for the same purposes as, funds made 
                  available for fiscal year 2002 under paragraph (1).
              (3) Certification requirement.--
                      (A) In general.--Before the initial obligation or 
                  expenditure of funds appropriated under paragraph (1) 
                  or reprogrammed under paragraph (2), the President 
                  shall certify that adequate procedures and standards 
                  have been established to ensure accountability for and 
                  monitoring of the use of funds contributed to the 
                  global fund, including the cost of administering the 
                  global fund.
                      (B) Transmittal of certification.--The 
                  certification required by subparagraph (A), and the 
                  bases for that certification, shall be submitted by the 
                  President to Congress.
              (4) Statutory construction.--Nothing in this Act may be 
          construed to substitute for, or reduce resource levels 
          otherwise appropriated by Congress for, bilateral and 
          multilateral HIV/AIDS, malaria, and tuberculosis programs.
  
  SEC. 6. REPEAL.
  
      Subtitle B of title I of the Global AIDS and Tuberculosis Relief 
  Act of 2000 (22 U.S.C. 6821 et seq.) is hereby repealed.
target: International Infectious Diseases Control Act of 2001 - Directs the President to work with foreign governments, the United Nations (UN), the World bank, and the private sector to agree to the establishment of a global fund to fight HIV/AIDS, malaria, and tuberculosis through the provision of grants to governments and nongovernmental organizations for implementation of effective and affordable HIV/AIDS, malaria, and tuberculosis programs (with initial priority to programs to combat HIV/AIDS), urging emphasis be given to ensuring strong political leadership in recipient countries.Amends the Global AIDS and Tuberculosis Relief Act of 2000 to repeal the establishment of the World Bank AIDS Trust Fund.
feat_title: A bill to expand assistance to countries seriously affected by HIV/AIDS, malaria, and tuberculosis.