Summary: S.2649 — 107th Congress (2001-2002)All Information (Except Text)

Bill summaries are authored by CRS.

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Reported to Senate with amendment(s) (07/03/2002)

International AIDS Treatment and Prevention Act of 2002 - Amends the Public Health Service Act to authorize the Secretary of Health and Human Services (HHS) to act internationally to carry out prevention, care, treatment, support, capacity development, and other activities for HIV/AIDS, malaria, and tuberculosis in countries which have or are at risk for severe HIV epidemic, with particular attention to resource constrained countries.

(Sec. 2) Authorizes the Secretary, acting through the Director of the Centers for Disease Control and Prevention (CDC) and in coordination with the Administrators of the U.S. Agency for International Development (AID) and Health Resources and Services Administration (HRSA), to provide: (1) HIV/AIDS prevention services, including education, counseling, testing, reduction of mother-to-child transmission, behavioral interventions for vulnerable populations, post-exposure prophylaxis, ensuring a safe blood supply, and data collection; (2) HIV/AIDS care and treatment services, including programs integrated with prevention services and family support services; (3) infrastructure and training, including institutional capacity building, laboratory support, and technical assistance and training; and (4) HIV/AIDS treatment protocols.

Authorizes the Secretary, acting through the Administrator of HRSA, in coordination with the Director of the CDC and the Administrator of AID, to provide assistance to: (1) assess existing systems of care and treatment and develop a continuum of HIV/AIDS-related services; (2) develop infrastructure and institutional capacity; (3) develop training modules and curricula; and (4) improve coordination between American medical centers and indigenous health facilities.

Requires the use of indigenous capacity in developing countries to the maximum extent practicable, including coordination with relevant government and non-governmental organizations.

Directs the Secretary, acting through the Director of the National Institutes of Health (NIH) and in coordination with the Administrator of the HRSA, to award supplemental grants for HIV/AIDS clinical education and training to entities already receiving an HIV/AIDS grant who apply and have a partnership with a health care entity in the host country. Gives priority to applicants who assess existing capacity and address the training needs of a range of health-care providers.

Authorizes the Secretary, acting through the Director of the CDC, to award a grant to an administrative organization to award subgrants to expand activities to prevent mother-to-child transmission of HIV. Requires subgrantees to be a local health, international, or partnership organization currently operating such a program of activities with relevant government support and the ability to provide antiretroviral treatment to a minimum number of infected women per service site. Permits funds to be used for therapy, treatment, personnel, laboratory costs, pharmaceuticals for related conditions, support services, and outreach and capacity building activities. Limits the amount which may be used for administrative expenses.

Directs the Secretary, acting through the Director of the Office of Global Health Affairs, to coordinate HHS international HIV/AIDS, malaria, and tuberculosis programs, ensuring compatibility and the use of best possible practices. Requires the Director to report annually to Congress.

Extends the tuberculosis prevention program through FY 2004, requiring coordination with the activities under this Act.

(Sec. 3) Directs the Secretary, acting through the Director of the Office of AIDS Research, to expand, expedite, coordinate, and annually review and report all NIH research on the development of microbicides to prevent the transmission of HIV and other sexually transmitted infections. Establishes a grant program for multidisciplinary teams to research innovative microbicide concepts, including combination microbicides. Subjects such grants to peer review.

(Sec. 4) Authorizes the Secretary of Labor, in coordination with the Secretary of HHS and the Administrator of AID, to assist in: (1) establishing workplace HIV/AIDS prevention and education programs that emphasize protections against discrimination and the creation of support environments for individuals living with HIV/AIDS; (2) developing on-site care and wellness programs; and (3) activities to strengthen collaboration among government, business, and labor.

(Sec. 5) Establishes the Secretary's authority to act internationally under specified Acts, including the State Department Basic Authorities Act of 1956 and the Foreign Service Buildings Act.

Authorizes appropriations for FY 2003 and FY 2004.