Tom Lantos and Henry J. Hyde U.S. Global Leadership Against HIV/AIDS, Tuberculosis, and Malaria Reauthorization Act of 2008 (PEPFAR II)
Signed into law by President Bush on July 30, 2008, the Tom Lantos and Henry J. Hyde U.S. Global Leadership Against HIV/AIDS, Tuberculosis, and Malaria Reauthorization Act of 2008 reauthorized PEPFAR at $48 billion over the next five years (2009-2013). PEPFAR’s new goals through 2013 are to prevent 12 million new infections, treat 3 million people living with AIDS and care for 12 million people, including 5 million orphans and vulnerable children.
The Reauthorization Act makes strides in moving the U.S. response from emergency to that of sustainability, including health system strengthening and partnership building. The Act also lifts the travel ban on non-U.S. citizens living with HIV and AIDS and supports increasing the availability and accessibility of female condoms.
However, PEPFAR II retains key elements from the original law that have seriously undermined prevention efforts, particularly among women and youth. This includes a funding directive to encourage abstinence and fidelity programs over effective, comprehensive prevention interventions; the failure to integrate family planning with HIV services, and the retention of the anti-prostitution loyalty oath—a requirement that foreign organizations pledge their opposition to prostitution in order to receive PEPFAR funds.
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United States Leadership Against HIV/AIDS, Tuberculosis, and Malaria Act of 2003 (PEPFAR I)
Passed by the U.S. Congress in 2003, the Act notes that the magnitude and scope of the HIV/AIDS crisis demands a comprehensive, long-term, international response focused on addressing the causes, reducing the spread, and ameliorating the consequences of the HIV/AIDS pandemic. Toward this end, the Act specifies a series of broad and specific goals, alternately delegating authority to the President for identifying measurable outcomes in some areas, and specifying by law the quantitative benchmarks to be reached within discrete periods of time in others. The legislation also establishes a new Global Coordinator’s Office within the State Department to manage the U.S. interagency response to global HIV/AIDS. The Act requires the President to report to Congress annually on the effectiveness of reducing the spread of HIV infection, particularly in women and girls and reducing mother-to-child transmission of the HIV infection.
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Last Updated ( Friday, 05 June 2009 )
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