Tom Lantos and Henry J. Hyde United States Global Leadership Against HIV/AIDS, Tuberculosis, and Malaria Reauthorization Act of 2008

A bill to authorize appropriations for fiscal years 2009 through 2013 to provide assistance to foreign countries to combat HIV/AIDS, tuberculosis, and malaria, and for other purposes.

4/15/2008--Reported to Senate amended. Tom Lantos and Henry J. Hyde United States Global Leadership Against HIV/AIDS, Tuberculosis, and Malaria Reauthorization Act of 2008 - Title I: Policy Planning and Coordination:
(Sec. 101) Amends the United States Leadership Against HIV/AIDS, Tuberculosis, and Malaria Act of 2003 (Act) to revise the provisions of the President's comprehensive five-year global strategy (and related report) to combat HIV/AIDS. Directs the Coordinator of United States Government Activities to Combat HIV/AIDS Globally (Coordinator) to:
(1) commission a study by the Institute of Medicine to assess progress and outcomes of U.S. global HIV/AIDS programs; and
(2) publish a best practices report. Requires a report from the Comptroller General. Directs the Inspectors General of the Department of State and Broadcasting Board of Governors, the Department of Health and Human Services (HHS), and the United States Agency for International Development (USAID) to jointly develop five coordinated annual plans for oversight activity.
(Sec. 102) Amends the State Department Basic Authorities Act of 1956 to revise and expand the Coordinator's duties, including providing for:
(1) establishment of an interagency working group on HIV/AIDS;
(2) coordination of overall U.S. HIV/AIDS policy and programs with host countries and other relevant bilateral and multilateral aid agencies;
(3) approval of U.S. programs to combat HIV/AIDS in Vietnam; and
(4) working with host countries to establish HIV/AIDS prevention programs for injection drug users and participants in the commercial sex trade. Adds Vietnam to the list of countries approved for activities relating to combating HIV/AIDS.
(Sec. 103) Expresses the sense of Congress about the importance of country coordinators, foreign service nationals, and staffing levels for country teams. Title II: Support and Multilateral Funds, Programs, and Public-Private Partnerships -
(Sec. 201) Amends the Foreign Assistance Act of 1961 to authorize FY2009-FY2013 appropriations for U.S. contributions to:
(1) tuberculosis vaccine development programs, which may include the Aeras Global TB Vaccine Foundation;
(2) the Vaccine Fund;
(3) the International AIDS Vaccine Initiative; and
(4) the Malaria Vaccine Initiative of the Program for Appropriate Technologies in Health (PATH).
(Sec. 202) Authorizes FY2009-FY2013 appropriations for the U.S. contribution to the Global Fund to Fight AIDS, Tuberculosis and Malaria. Extends through FY2013 limitations on U.S. contributions to the Fund:
(1) exceeding 33% of contributions from all sources; and
(2) respecting assistance to countries supporting acts of international terrorism. Withholds 20% of FY2010-FY2013 appropriations for the Global Fund until the Secretary of State certifies achievement of certain accountability and transparency benchmarks.
(Sec. 203) States that Congress recognizes the need to expand the range of interventions for preventing the transmission of HIV, including non-vaccine prevention methods that can be controlled by women. Amends the Public Health Service Act to direct the Office of AIDS Research (of the National Institutes of Health (NIH)) to expedite implementation of federal strategic plans for microbicide research and update such plans annually. Authorizes FY2009-FY2013 appropriations. Directs the National Institute of Allergy and Infectious Diseases (of NIH) to conduct microbicide research and development for prevention of HIV transmission in developing countries. Directs the Centers for Disease Control and Prevention (CDCP) to implement the Centers' microbicide agenda to support microbicide research and development for prevention of HIV transmission in developing countries. Authorizes FY2009-2013 appropriations. Directs USAID, in cooperation with the Coordinator, to develop and implement a program to facilitate wide scale availability of microbicides that prevent the transmission of HIV if such microbicides are proven safe and effective. Authorizes FY2009-FY2013 appropriations.
(Sec. 204) Amends the Act to authorize the Secretary of the Treasury, through the Office of Technical Assistance, to provide technical assistance to host countries to improve their public finance management systems in order to receive assistance and operate their own programs to combat HIV/AIDS, malaria, and tuberculosis. Authorizes FY2009-FY2013 appropriations.
(Sec. 205) Amends the Public Health Service Act to authorize the Secretary of Health and Human Services to participate with other countries in cooperative research, health care services, and other related activities. Eliminates the provision prohibiting the Secretary from providing financial assistance for facility construction in a foreign country.
(Sec. 206) Authorizes USAID to strengthen the capacity of developing countries to:
(1) conduct proper protocols for the introduction of new and safe vaccines;
(2) review protocols for, and improve implementation of, clinical trials and impact studies; and
(3) ensure adequate supply chain and delivery systems. Directs the Secretary of the Treasury to:
(1) enter into negotiations with appropriate entities including the World Bank and GAVI Alliance to establish advanced market commitments to purchase vaccines to combat HIV/AIDS, tuberculosis, malaria, and other related infectious diseases; and
(2) report to the appropriate congressional committees. Directs the President to produce a report setting forth a strategy for vaccine development. Title III: Bilateral Efforts - Subtitle A: General Assistance and Programs -
(Sec. 301) Amends the Foreign Assistance Act of 1961 with respect to HIV/AIDS assistance policy objectives and goals to be achieved by 2013. Includes countries in Central Asia, Eastern Europe, and Latin America within the scope of assistance to combat HIV/AIDS. Revises and expands the scope of HIV/AIDS prevention activities. Sets forth congressional findings respecting compacts and framework agreements. Revises annual report provisions. Amends the Act to:
(1) authorize appropriations through FY2013 for assistance to combat HIV/AIDS; and
(2) obligate amounts from such funds through FY2013 for procurement and distribution of HIV/AIDS pharmaceuticals. Directs the Coordinator and USAID to integrate food security and nutrition activities into HIV/AIDS prevention, treatment, and care activities. Authorizes FY2009-FY2013 appropriations for such integrative activities. Provides that organizations, including faith-based organizations, receiving HIV/AIDS-related funds shall not be required to endorse or utilize activities or programs to which they have a moral or religious objection, and shall not discriminated against in the solicitation or issuance of grants, contracts, or cooperative agreements for such refusal.
(Sec. 302) Amends the Foreign Assistance Act of 1961 to set forth U.S. policy goals respecting the reduction by 2015 of tuberculosis in countries with high incidence of such disease. Sets forth eligible tuberculosis control activities, with priority to be given to activities described in the Stop TB Strategy (as defined by this Act). Authorizes the President, through USAID, to provide increased resources to the World Health Organization (WHO) and the Stop Tuberculosis Partnership to improve the capacity of countries with high tuberculosis rates and other affected countries to implement the Stop TB Strategy and specific strategies related to drug resistant tuberculosis. Amends the Act to authorize through FY2013:
(1) appropriations for activities to combat tuberculosis; and
(2) the use of certain unobligated funds for such activities.
(Sec. 303) Amends the Foreign Assistance Act of 1961 to authorize through FY2013:
(1) appropriations for assistance to combat malaria; and
(2) the use of certain unobligated funds for such assistance. Amends the Act to direct the President to establish a five-year strategy to combat global malaria.
(Sec. 304) Establishes within USAID a Coordinator of United States Government Activities to Combat Malaria Globally who shall have primary responsibility for the oversight and coordination of all resources and global U.S. government activities to combat malaria. Authorizes the President to make a U.S. contribution to the Roll Back Malaria Partnership and WHO to improve the capacity of countries with high rates of malaria and other affected countries to implement comprehensive malaria control programs. Sets forth provisions establishing CDCP malaria research and monitoring duties. Directs the President to report annually to the appropriate congressional committees respecting U.S. assistance for the prevention, treatment, control, and elimination of malaria.
(Sec. 305) Amends the Immigration and Nationality Act to eliminate infection with the etiologic agent for acquired immune deficiency syndrome (AIDS) as a public health grounds for alien nonadmission.
(Sec. 307) Amends the Act to revise requirements of the five-year strategy to combat HIV/AIDS as it pertains to mother-to-child transmission, care and treatment of family members, and care for children orphaned by HIV/AIDS.
(Sec. 308) Extends from 5 years to 10 years the annual presidential reporting requirement respecting the prevention of mother-to-child HIV transmission.
(Sec. 309) Directs the Coordinator to establish a panel of experts to be known as the Prevention of Mother-to-Child Transmission Panel to:
(1) review activities to prevent mother-to-child transmission of HIV; and
(2) recommend to the Coordinator and to the appropriate congressional committees increases of mother-to-child transmission prevention services. Authorizes FY2009-FY2011 appropriations for the Panel. Directs the Panel to submit its recommendations to the appropriate congressional committees. Terminates the panel 60 days after the report's submission. Title IV: Funding Allocations -
(Sec. 401) Authorizes appropriations to carry out the Act through FY2013.
(Sec. 403) Directs the Coordinator to:
(1) provide balanced funding for prevention activities for sexual transmission of HIV/AIDS;
(2) ensure that abstinence, delay of sexual debut, monogamy, fidelity and partner reduction programs are implemented and funded in each host country's strategy; and
(3) establish an HIV sexual transmission prevention strategy governing funding to prevent the sexual transmission of HIV in any host country with a generalized epidemic. Extends through FY2013, and revises, the set-aside for assistance for orphans and vulnerable children affected by HIV/AIDS.


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Sponsor

• Sen. Joseph Biden [D, DE]
• and 13 Co-Sponsors
  • Sen. Christopher Dodd [D, CT]
  • Sen. Elizabeth Dole [R, NC]
  • Sen. Richard Durbin [D, IL]
  • Sen. Charles Hagel [R, NE]
  • Sen. Edward Kennedy [D, MA]
  • Sen. John Kerry [D, MA]
  • Sen. Carl Levin [D, MI]
  • Sen. Richard Lugar [R, IN]
  • Sen. John McCain [R, AZ]
  • Sen. Barack Obama [D, IL]
  • Sen. Gordon Smith [R, OR]
  • Sen. Olympia Snowe [R, ME]
  • Sen. John Sununu [R, NH]
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Committees

• Senate Foreign Relations

Amendments

This bill has 15 amendments. See All AmendmentsHide All Amendments

Amendments to S.2731

Number	Status	Purpose
S.Amdt.5073	Fail	In the nature of a substitute.
S.Amdt.5074	Offered	Amendment information not available.
S.Amdt.5075	Pass	In the nature of a substitute.
S.Amdt.5076	Pass	To provide for an emergency plan for Indian Safety and health.
S.Amdt.5077	Fail	To reduce to $35,000,000,000 the amount authorized to be appropriated to combat HIV/AIDS, tuberculosis, and malaria in developing countries during the next 5 years.
S.Amdt.5078	Fail	To limit the countries to which Federal financial assistance may be targeted under this Act.
S.Amdt.5079	Offered	To prevent certain uses of the Global Fund.
S.Amdt.5080	Offered	Amendment information not available.
S.Amdt.5081	Fail	To strike the provision requiring the development of coordinated oversight plans and to establish an independent Inspector General at the Office of the Global AIDS Coordinator.
S.Amdt.5082	Fail	To limit the period during which appropriations may be made to carry out this Act and to create a point of order in the Senate against any appropriation to carry out this Act that exceeds the amount authorized for fiscal year 2013.
S.Amdt.5083	Fail	To establish a bipartisan commission for the purpose of improving oversight and eliminating wasteful government spending under the President's Emergency Plan for AIDS Relief.
S.Amdt.5084	Pass	To reallocate the distribution of funds from the Emergency Fund for Indian Safety and Health.
S.Amdt.5085	Pass	To encourage the inclusion of cost sharing assurances and transition strategies among compacts and frameworks agreements, the activities authorized under section 104A of the Foreign Assistance Act of 1961, and the highest priorities of the Federal Government.
S.Amdt.5086	Pass	To withhold 20 percent of the Federal funding appropriated for the Global Fund until the Secretary certifies that the Global Fund has provided the State Department with access to financial and other data.
S.Amdt.5087	Pass	To advise the public about the risks of contracting HIV from blood exposures, to investigate unexplained infections, and to promote universal precautions in health care settings.

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Introduced		Voted on by Senate		Voted on by House		Considered By President		Bill Becomes Law
March 07, 2008

Latest Vote

July 16, 2008Roll call number 181 (Amendment number S.Amdt.5077) in the Senate
Question: On the Amendment (DeMint Amdt. No. 5077 )
Amendment purpose: To reduce to $35,000,000,000 the amount authorized to be appropriated to combat HIV/AIDS, tuberculosis, and malaria in developing countries during the next 5 years.
Required percentage of 'Aye' votes: 1/2 (50%)	Percentage of 'aye' votes: 31%	Result: Amendment Rejected

Democrats Voting 'Aye'

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Sen. Claire McCaskill [D, MO]
Sen. Ben Nelson [D, NE]

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Republicans Voting 'Aye'

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Sen. Lamar Alexander [R, TN]
Sen. Wayne Allard [R, CO]
Sen. John Barrasso [R, WY]
Sen. Christopher Bond [R, MO]
Sen. Samuel Brownback [R, KS]
Sen. Jim Bunning [R, KY]
Sen. Richard Burr [R, NC]
Sen. C. Saxby Chambliss [R, GA]
Sen. Thomas Coburn [R, OK]
Sen. Bob Corker [R, TN]
Sen. John Cornyn [R, TX]
Sen. Larry Craig [R, ID]
Sen. Michael Crapo [R, ID]
Sen. Jim DeMint [R, SC]
Sen. John Ensign [R, NV]
Sen. Michael Enzi [R, WY]
Sen. Lindsey Graham [R, SC]
Sen. Charles Grassley [R, IA]
Sen. Judd Gregg [R, NH]
Sen. Kay Hutchison [R, TX]
Sen. James Inhofe [R, OK]
Sen. John Isakson [R, GA]
Sen. Jon Kyl [R, AZ]
Sen. Mitch McConnell [R, KY]
Sen. Pat Roberts [R, KS]
Sen. Jefferson Sessions [R, AL]
Sen. John Thune [R, SD]
Sen. David Vitter [R, LA]
Rep. Roger Wicker [R, MS-1]

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Others Voting 'Aye'

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Democrats Voting 'Nay'

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Sen. Daniel Akaka [D, HI]
Sen. Max Baucus [D, MT]
Sen. Joseph Biden [D, DE]
Sen. Jeff Bingaman [D, NM]
Sen. Barbara Boxer [D, CA]
Sen. Sherrod Brown [D, OH]
Sen. Robert Byrd [D, WV]
Sen. Maria Cantwell [D, WA]
Sen. Benjamin Cardin [D, MD]
Sen. Thomas Carper [D, DE]
Sen. Robert Casey [D, PA]
Sen. Hillary Clinton [D, NY]
Sen. Kent Conrad [D, ND]
Sen. Christopher Dodd [D, CT]
Sen. Byron Dorgan [D, ND]
Sen. Richard Durbin [D, IL]
Sen. Russell Feingold [D, WI]
Sen. Dianne Feinstein [D, CA]
Sen. Thomas Harkin [D, IA]
Sen. Daniel Inouye [D, HI]
Sen. Tim Johnson [D, SD]
Sen. John Kerry [D, MA]
Sen. Amy Klobuchar [D, MN]
Sen. Herbert Kohl [D, WI]
Sen. Mary Landrieu [D, LA]
Sen. Frank Lautenberg [D, NJ]
Sen. Patrick Leahy [D, VT]
Sen. Carl Levin [D, MI]
Sen. Blanche Lincoln [D, AR]
Sen. Robert Menendez [D, NJ]
Sen. Barbara Mikulski [D, MD]
Sen. Patty Murray [D, WA]
Sen. Bill Nelson [D, FL]
Sen. Mark Pryor [D, AR]
Sen. John Reed [D, RI]
Sen. Harry Reid [D, NV]
Sen. John Rockefeller [D, WV]
Sen. Ken Salazar [D, CO]
Sen. Charles Schumer [D, NY]
Sen. Debbie Ann Stabenow [D, MI]
Sen. Jon Tester [D, MT]
Sen. Jim Webb [D, VA]
Sen. Sheldon Whitehouse [D, RI]
Sen. Ron Wyden [D, OR]

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Republicans Voting 'Nay'

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Sen. Robert Bennett [R, UT]
Sen. Thad Cochran [R, MS]
Sen. Norm Coleman [R, MN]
Sen. Susan Collins [R, ME]
Sen. Elizabeth Dole [R, NC]
Sen. Pete Domenici [R, NM]
Sen. Charles Hagel [R, NE]
Sen. Orrin Hatch [R, UT]
Sen. Richard Lugar [R, IN]
Sen. Mel Martinez [R, FL]
Sen. Lisa Murkowski [R, AK]
Sen. Richard Shelby [R, AL]
Sen. Gordon Smith [R, OR]
Sen. Olympia Snowe [R, ME]
Sen. Arlen Specter [R, PA]
Sen. Ted Stevens [R, AK]
Sen. John Sununu [R, NH]
Sen. George Voinovich [R, OH]

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Others Voting 'Nay'

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Sen. Joseph Lieberman [I, CT]
Sen. Bernard Sanders [I, VT]

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Democrats Voting 'Abstain'

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Sen. B. Evan Bayh [D, IN]
Sen. Edward Kennedy [D, MA]
Sen. Barack Obama [D, IL]

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Republicans Voting 'Abstain'

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Sen. John McCain [R, AZ]
Sen. John Warner [R, VA]

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Others Voting 'Abstain'

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See Full Voting History (7 votes)Hide Voting History     Show All Actions (18 actions)Hide Actions

Voting History

Date	Chamber	Question	Aye	Nay	Result
July 16, 2008	Senate	S.2731 Tom Lantos and Henry J. Hyde United States Global Leadership Against HIV/AIDS, Tuberculosis, and Malaria Reauthorization Act of 2008 On the Amendment (DeMint Amdt. No. 5077 )	31	64	Amendment Rejected	See Vote
July 16, 2008	Senate	S.2731 Tom Lantos and Henry J. Hyde United States Global Leadership Against HIV/AIDS, Tuberculosis, and Malaria Reauthorization Act of 2008 On the Amendment (Kyl Amdt. No. 5082 )	28	67	Amendment Rejected	See Vote
July 16, 2008	Senate	S.2731 Tom Lantos and Henry J. Hyde United States Global Leadership Against HIV/AIDS, Tuberculosis, and Malaria Reauthorization Act of 2008 On the Amendment (Gregg Amdt. No. 5081 )	44	51	Amendment Rejected	See Vote
July 16, 2008	Senate	S.2731 Tom Lantos and Henry J. Hyde United States Global Leadership Against HIV/AIDS, Tuberculosis, and Malaria Reauthorization Act of 2008 On the Amendment (Cornyn Amdt. No. 5083 )	32	63	Amendment Rejected	See Vote
July 15, 2008	Senate	S.2731 Tom Lantos and Henry J. Hyde United States Global Leadership Against HIV/AIDS, Tuberculosis, and Malaria Reauthorization Act of 2008 On the Amendment (Bunning Amdt. No. 5073 )	16	80	Amendment Rejected	See Vote
July 15, 2008	Senate	S.2731 Tom Lantos and Henry J. Hyde United States Global Leadership Against HIV/AIDS, Tuberculosis, and Malaria Reauthorization Act of 2008 On the Motion to Table (Motion to Table DeMint Amdt. No. 5068 )	70	24	Motion to Table Agreed to	See Vote
July 11, 2008	Senate	S.2731 Tom Lantos and Henry J. Hyde United States Global Leadership Against HIV/AIDS, Tuberculosis, and Malaria Reauthorization Act of 2008 On the Cloture Motion (Motion to Invoke Cloture on the Motion to Proceed to Consider S. 2731 )	65	3	Cloture Motion Agreed to	See Vote

All Bill Actions

• Jul 16, 2008: See also H.R. 5501.
• Jul 16, 2008: Returned to the Calendar. Calendar No. 698.
• Jul 16, 2008: Senate passed companion measure H.R. 5501 in lieu of this measure by Yea-Nay Vote. 80 - 16. Record Vote Number: 182.
• Jul 16, 2008: Senate incorporated this measure in H.R. 5501 as an amendment.
• Jul 16, 2008: The bill was read the third time.
• Jul 16, 2008: Considered by Senate.
• Jul 15, 2008: Considered by Senate.
• Jul 14, 2008: The committee substitute was withdrawn by Unanimous Consent.
• Jul 14, 2008: Measure laid before Senate by motion.
• Jul 14, 2008: Motion to proceed to consideration of measure agreed to in Senate.
• Jul 11, 2008: Cloture on the motion to proceed to the measure invoked in Senate by Yea-Nay Vote. 65 - 3. Record Vote Number: 174.
• Jul 09, 2008: Cloture motion on the motion to proceed presented in Senate.
• Added to calendar on Apr 15, 2008: Placed on Senate Legislative Calendar under General Orders. Calendar No. 698..
• Apr 15, 2008: Committee on Foreign Relations. Reported by Senator Biden with an amendment in the nature of a substitute. With written report No. 110-325. Minority views filed.
• Mar 13, 2008: Committee on Foreign Relations. Ordered to be reported with amendments favorably.
• Mar 07, 2008: Read twice and referred to the Committee on Foreign Relations.
• Mar 07, 2008: Sponsor introductory remarks on measure. (CR S1742-1743)
• Introduced on Mar 07, 2008.

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Related Bills:

• H.R.5501

Related Issue Areas:

• Women's health
• World health
• Women's health services
• Women
• 51 more
• Vaccines
• U.S. Agency for International Development
• Tuberculosis
• Strategic planning
• Sexual abstinence
• Sex education
• Sex crimes
• Science policy
• Rape
• Public-private partnerships
• Prostitution
• Preventive medicine
• Presidents
• President and foreign policy
• Pharmaceutical research
• Orphans
• Nutrition
• Mortality
• Medicine
• Medical research
• Medical care
• Maternal health services
• Malaria
• Immigration
• Human immunodeficiency viruses
• Health policy
• Health planning
• Health education
• Governmental investigations
• Foreign aid
• Food
• Executive reorganization
• Executive departments
• Drugs
• Developing countries
• Criminal justice
• Crimes against women
• Crime prevention
• Continuum of care
• Congressional reporting requirements
• Congressional investigations
• Congress and foreign policy
• Congress
• Condoms
• Children
• Child health
• Budgets
• Authorization
• Aliens
• AIDS (Disease)
• Foreign policy

Data from the Congressional Research Service

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In the News

July 18, 2008 Indian health and crime amendment passes Senate

The legislation pertains to the already-passed S. 2731, a $50 billion foreign assistance bill. Under the agreement brokered by Sens. John Thune, RS. ...

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July 17, 2008 Senate Passes Obama's AIDS Bill

By Cliff Kincaid Only 16 Senators, all conservative Republicans, voted against the massive $50 billion global AIDS spending bill (S. 2731) when it came up ...

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July 17, 2008 What's in a Name?

Quoting the Congressional Record from Monday, July 14th, ABC News says: "Mrs. Dole submitted an amendment to the bill (S. 2731), to authorize appropriations ...

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Blog Coverage

September 08, 2008 Health Care

President Bush calls on Congress to reauthorize the President's Emergency Plan for AIDS Relief and pass S. 2731, the Tom Lantos and Henry J. Hyde US Global Leadership Against HIV/AIDS, Tuberculosis, and Malaria Reauthorization Act. ...

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August 29, 2008 US Ban on Visitants With HIV Could End Presently

... but advocates expressed it will be included in the final variant of the measure that goes to the President. Rep. Barbara Lee, D-Calif., is patronizing companion statute law in the Firm. The Africa AIDS bill is S. 2731. Related: ...

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August 08, 2008 Travel and Immigration to US Possible for Some Applicants with HIV

Hyde US Global Leadership against HIV/AIDS, Tuberculosis, and Malaria Reauthorization Act of 2008 (S. 2731). President Bush signed the bill on July 30, 2008. In addition to authorizing $48 billion over a five-year period to fight Human ...

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