About | HeinOnline Law Journal Library | HeinOnline Law Journal Library | HeinOnline
LOG IN
LOG IN

1 1 (July 25, 2014)

handle is hein.crs/govccup0001 and id is 1 raw text is: 01;0i E.$~ & July 25, 2014 The President's Emergency Plan for AIDS Relief (PEPFAR): Summary of Recent Developments The President's Emergency Plan for AIDS Relief (PEPFAR)-the world's largest bilateral HIV/AIDS assistance program-was proposed in 2003 by former President George W. Bush. Congress authorized the program and has since continuously funded it. PEPFAR is implemented by multiple U.S. agencies and departments, including the U.S. Agency for International Development, Peace Corps, and the Departments of State, Defense, and Health and Human Services (including its implementing agencies). The program supports a wide range of bilateral HIV/AIDS prevention, treatment, and care activities, including those that address malaria and TB co-infection. It also supports multilateral efforts, such as the Global Fund to Fight AIDS, Tuberculosis, and Malaria (Global Fund). The United States has spent nearly $57 billion on fighting HIV/AIDS worldwide through PEPFAR, including more than $10 billion on the Global Fund. Under P.L. 108-25, the U.S. Leadership Against HIV/AIDS, Tuberculosis, and Malaria Act (the Leadership Act), as amended, Congress authorized $15 billion to be spent on bilateral and multilateral HIV/AIDS, tuberculosis (TB), and malaria (HTAM) programs between FY2004 and FY2008. In 2008, Congress passed P.L. 110-293, the Tom Lantos and Henry J. Hyde United States Global Leadership Against HIV/AIDS, Tuberculosis, and Malaria Reauthorization Act (the Lantos-Hyde Act), which authorized $48 billion to be spent on global HTAM programs between FY2009 and FY2013. The PEPFAR Stewardship and Oversight Act of 2013 (P.L. 113-56), enacted in December 2013, strengthened congressional oversight of PEPFAR. It also extended through FY2018 spending requirements mandating that at least 50% of HIV/AIDS funds be used on care and treatment and that at least 10% of HIV/AIDS funds be used to support orphans and vulnerable children. The Act did not include a specific funding amount for global HIV/AIDS programs. I 'I:AR Resu,t, And , '1,npac', From FY2004 through FY2014, Congress has provided nearly $57 billion for global HIV/AIDS programs (Figure 1), including more than $10 billion for the Global Fund. These investments have contributed to significant reductions in new HIV infections and AIDS deaths worldwide (Figure 2), as well as improvements in life expectancy in several PEPFAR countries (Figure 3). As of the end of FY2013, PEPFAR had supported antiretroviral treatment (ART) for 6.7 million people, and in FY2013, PEPFAR funds enabled * 17 million people affected by HIV/AIDS to access care and support services, including more than 5 million orphans and vulnerable children; * 57.7 million people to receive HIV testing and counseling; and * 780,000 HIV-positive pregnant women to receive ART to prevent mother to child HIV transmission (PMTCT) averting 240,000 infant HIV infections. Figure I. U.S. Global HIVIAIDS, TB, and Malaria Funding: FY2004-FY201 5 (current U.S. $ in millions and percent) H~vA D, i8.13Qi f3,4 i 6.96i 56,970i 6 205 TB & Malaria 1,363 3,975 i 912 i6,249 865 HIV, TB, Malaria 1 9,493 36.279 :: 7.448 ::63,219 7,010 ,'.... ..............-, .......:. × x::% ... . . x :.\ \ ..- .- ?.' \': :.... ×\ ::: \ Source: Created by CRS from correspondence with the Office of Management and Budget (0MB) and analysis of appropriations and budget justifications. Notes: Congress provides funds for the Global Fund through the State Department as part of its global HIV/AIDS appropriation. Funds for bilateral HTAM programs are outlined in the table above to compare Global Fund support against bilateral HTAM funding level. Figure 2. Number of New HIV Infections and AIDS Deaths Worldwide: 2001-2012 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Source: Adapted by CRS from the Joint United Nations Program on AIDS (UNAIDS), 2013 Global Report, 2013. .O 'T p\w -- , gnom goo mppm qq\ a , q 'S I 11LIANJILiN,

What Is HeinOnline?

HeinOnline is a subscription-based resource containing thousands of academic and legal journals from inception; complete coverage of government documents such as U.S. Statutes at Large, U.S. Code, Federal Register, Code of Federal Regulations, U.S. Reports, and much more. Documents are image-based, fully searchable PDFs with the authority of print combined with the accessibility of a user-friendly and powerful database. For more information, request a quote or trial for your organization below.



Short-term subscription options include 24 hours, 48 hours, or 1 week to HeinOnline.

Purchase Access

Contact us for annual subscription options:

Contact Us

Already a HeinOnline Subscriber?

Log In

profiles profiles most