HealthNet Medical Discussion

Odoslal: Martin Rusnak
Dátum: February 24, 2000 o 11:02:21
Subject: global funds for HIV/AIDS programs

Text správy:

Dear Colleagues :

A large portion of global funds for HIV/AIDS programs originates in
Washington, DC through appropriations made in the US Congress. This
year,
there are a number of proposed funding packages expected to be debated
in
Washington that, if approved, would add on to the current US
Contributions
to USAID, UNAIDS, CDC, and other programs.

The following is a list compiled by Carol Miller at the Global Health
Council which summarizes each of the proposed packages and lists which
Congressional members are its sponsors. If you have further questions
on
the content or intent of each of the proposed bills, please contact
Carol
.

The Global Health Council is strongly in support of the first package
on the
list "The Global Health Act of 2000". It the Council's belief that
strong
increases in funding for all health programs will have the best impact
on
health infrastructure, overall medical and HIV/AIDS prevention
education
services, and public health policy. The Council also strongly supports
the
Lifesaving Technology/Vaccine Bill and the Mother to Child Transmission
Bill.

This is purely and informational message. We will continue to
communicate
updates on the status of each of these proposals.

-----------------------------------


(no number yet)Global Health Act of 2000 - Crowley/Leahy

Representatives Crowley (D-NY), Morella (R-MD) and Pelosi (D-CA) and
Senator
Leahy (D-VT) will introduce the Global Health Act of 2000 in early
March
2000. This authorizing legislation calls for a $1 billion increase
over FY
2000 funding for exiting global health programs. Specifically, the
legislation calls for a $275 million increase to fight HIV/AIDS, $225
million for child survival programs, $200 million for family planning,
$200
million for infectious diseases (other than HIV/AIDS), and $100 million
for
maternal health. This unique legislation, looking at global health in
its'
entirety and funding existing U.S. government programs, includes
funding for
health care delivery systems to ensure that essential vaccines, drugs
and
medical devises reach the people in developing countries who need them
most.
The $1 billion increase for global health was endorsed by 112
organizations,
from Save the Children to American Association of University Women, in
a
December 15 letter to President Clinton.

HR 3519/S.2033 World Bank AIDS Prevention Trust Fund-Leach/Kerry

On January 24, Congressman Leach (D-IA) introduced the 'World Bank AIDS
Prevention Trust Fund Act' in the House of Representatives. Companion
legislation was introduced in the Senate on February 3, 2000 by
Senators
Kerry (D-MA) and Durbin (D-IL). The bill was referred to the Committee
on
Banking and Financial Services. The bill proposes that the Secretary of
the
Treasury of the United States should negotiate with the World Bank to
create
a trust fund with $100 million in US funds per year from 2001 until
2005 to
address the issue of AIDS prevention in the developing world. This
bill
came after a World Bank declaration that "AIDS is not just a public
health
problem but the foremost and fastest-growing threat to development".
Governments eligible to borrow funds from World Bank could do so for
the
purpose of addressing the AIDS epidemic in their countries. The fund
would also accept donations from governments, private sector
organizations
and NGOs.


S.2026 Global AIDS Prevention Act of 2000-Boxer

The "Global AIDS Prevention Act of 2000" introduced by Senator Barbara
Boxer
(D-CA) was referred to the Committee on Foreign Relations on February
2,
2000. The bill amends the "Foreign Assistance Act of 1961" and
authorizes a
$2 billion appropriations over 5 years for HIV/AIDS efforts. The bill
calls
for the United States Agency for International Development (USAID) to
prioritize HIV/AIDS efforts in its foreign assistance programs. These
programs must include the following comprehensive efforts: primary
prevention and education, voluntary testing and counseling, providing
medications to prevent the transmission of HIV/AIDS from mother to
child,
and care for those living with AIDS. The GAP Act specifies that at
least 50
percent of the funding ($1 billion over five years) must be used to
combat
the HIV/AIDS epidemic in sub-Saharan Africa where the regional rate of
infection is 8 percent. The bill is being co-sponsored by Gordon Smith
(R-OR) and Edward Kennedy (D-MA).


International Tuberculosis Control Act of 1999-Boxer

The International Tuberculosis Control Act of 1999 was introduced by
Senator
Barbara Boxer (D- CA) on August 4, 1999. The Act commits funding to the
developing world to control tuberculosis, where adult rates of
tuberculosis
related deaths have been on the rise, and new medical challenges like
the
HIV/AIDS epidemic, and multi-drug resistant strains of the disease
epidemic
are presenting a major obstacle to containment and treatment. This bill
amends section 104 of the Foreign Assistance Act of 1961, and
authorizes the
appropriation of $60 million to the U.S. Foreign Assistance Program to
control the disease by coordinating efforts with the World Health
Organization, the Centers for Disease Control, the National Institutes
for
Health, and other organizations toward the development and
implementation of
comprehensive TB control programs. The goal of the established
development
programs will be the detection of at least 70% of infectious
tuberculosis
and the cure of at least 85 percent of the cases detected by December
31,
2010.


S.592/HR 1085 The Healthy Kids 2000 Act-Bond/Emerson

On March 11, 1999, Senator Christopher S. Bond (R-MO) introduced "The
Healthy Kids 2000 Act". This legislation is intended to improve the
health
of children by providing: 1) health care accessibility and
accountability
for mothers and newborns, 2) pediatric medical education, training and
research, and 3) public health promotion. The bill will provide mothers
and
newborns access to health insurance coverage and pregnancy related
assistance for targeted low-income women. Additionally the act
proposes the
Secretary of Health and Human Services, to establish and implement a
national monitoring and surveillance program to identify and promote
the
investigation of deaths and severe complications that occur during
pregnancy
through the Centers for Disease Control and Prevention. The bill also
calls
for the Secretary of HHS to provide coordination and assistance to
regional
poison control centers to establish a nationwide toll-free phone number
to
access the center. Representative Jo Ann Emerson (R-MO) introduced
this
bill in the house on April 9, 1999 along with 22 co-sponsors.


HR 3634 Saving Women's Lives through International Family Planning Act
of
2000-Maloney

On February 10, 2000 Representative Carolyn Maloney (D-NY) introduced
H.R.
3634, the "Saving Women's Lives through International Family Planning
Act of
2000". This bill was co-sponsored by Representatives Greenwood (R-PA),
Pelosi (D-CA), Gilman (R-NY), McKinney (D-GA), Thurman (D-FL), Campbell
(R-CA), Crowley (D-NY) Morella (R-MD), Woolsey (D-CA) Kelly (R-NY).
This
bill reinforces the president's budget request of $541.6 Million for
USAID
population assistance programs. H.R. 3634 also increases the UNFPA to
$35
Million, FY 1995 levels. This bill prevents further "Gag Rule" language
by
stating that funds to foreign NGOs and multi-lateral organizations must
be
treated the same way as foreign governments in establishing eligibility
for
population assistance funds.


S. 2030 AIDS Orphans Relief Act of 2000-Durbin

On February 3, 2000, Senator Richard J. Durbin (D-IL) introduced the
"AIDS
Orphans Relief Act of 2000." This bill is to authorize micro-finance
and
food assistance for communities affected by the AIDS. The purpose of
this
act is to make micro-finance programs an important component of United
States policy in fighting the effects of the AIDS pandemic worldwide.
Each
fiscal year the bill authorizes $50,000,000 for purposes of assisting
micro-credit programs that serve the very poor, especially women, in
communities heavily affected by AIDS. The act will also encourage
targeted
use of food and food-related assistance for humanitarian purposes in
communities affected by AIDS.


S. 2032 Mother-To-Child HIV Prevention Act of 2000-Moynihan and
Feingold

On February 3, 2000, Senator Moynihan (D-NY) and Senator Feingold
(D-WI)
introduced "Mother-to-child HIV Prevention Act of 2000. This bill
addresses the issue of mother-to-child transmission of (HIV/AIDS) in
Africa,
Asia, and Latin America. According to the legislation, there are
authorized
to be appropriated to the president, $25,000,000 for each fiscal year
2001
through 2005. Furthermore, USAID is directed to coordinate with
UNAIDS,
UNICEF, WHO, local governments, and other organizations to develop and
implement effective strategies to prevent vertical transmission of HIV;
and
coordinate with those organizations to increase in scale intervention
programs and introduce voluntary counseling and testing,
anti-retroviral
drugs, replacement feeding, and other strategies more widely in due
course.

HR 2765 AIDS Marshall Plan-Lee

On August 5, 1999 Representative Barbara Lee (D-CA) introduced the AIDS
Marshall Plan Fund for Africa Act. The Bill proposes to amend the
Foreign
Assistance Act of 1961 to establish a program to provide assistance for
HIV/AIDS research, prevention, and treatment activities in Africa. The
bill
establishes the AMPFA Corporation which is independent of the United
States
government, but would consult with the Director of the Office of
National
AIDS Policy, the Overseas Private Investment Corporation, and the heads
of
other Federal agencies involved in HIV/AIDS activities in Africa,
establish
and carry out a program to provide assistance for HIV/AIDS research,
prevention, and treatment activities in Africa. The bill was referred
to
the Committee on International Relations.


HR 1274/S. 1718 Lifesaving Vaccine Technology Act of 1999-Pelosi/Kerry

On March 24, 1999 Representative Pelosi (D-CA) introduced the
"Lifesaving
Vaccine Technology Act of 1999". The bill amends the Internal Revenue
Code
of 1986 by providing a tax credit for medical research related to the
development of vaccines against widespread diseases-specifically,
Malaria,
Tuberculosis and HIV. The credit determined under the new proposed
"Section
45D" is an amount equal to 30 percent of the 'qualified vaccine
research
expenses' for the taxable year. These expenses cannot include any
incurred
expenses that are paid by research grants-governmental or private-and
there
is a limitation against tax credit for vaccine research that is
performed
outside the United States by any entity not registered with the
Secretary.
Senator Kerry (D-MA) introduced companion legislation in the Senate on
October 12, 1999.

--------------------------------
Global Health Council
Global AIDS Program
1701 K Street, NW
Suite 600
Washington, DC 20006
tel: 202-833-5900
fax: 202-833-0075
www.globalhealth.org

Program Staff:
Ron MacInnis, Director
Marianne Tshihamba, Program Assistant
Mary Partlow, Program Officer
William Craig, Information Officer
Maria Rochelle Sanchez-Collantes, Program Intern


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