,i #aac? ,,congress #a/ ,session ,h4 ,r4 #caag ,,9 ,,! ,,h\se ,,( ,,repres5tatives ,septemb] #ag1 #bjac,ms4 ,lee ( ,cali=nia introduc$ ! foll[+ bill2 :i* 0 ref]r$ to ! ,committee on ,=eign ,affairs1 & 9 addition to ! ,committee on ,ways & ,means1 = a p]iod to be subsequ5tly det]m9$ by ! ,speak]1 9 ea* case = consid]ation ( su* provisions z fall )9 ! jurisdiction ( ! committee conc]n$ ,a ,,bill ,to br+ an end to ! spread ( ,,hiv_/,,aids 9 ! ,unit$ ,/ates & ar\nd ! _w4 #a4 ,%ort title2 table ( cont5ts 7a7 ,%ort title ,?is ,act may be cit$ z ! ,end+ ! ,,hiv_/,,aids ,epidemic ,act ( #bjac4 7b7 ,table ( cont5ts ,! table ( cont5ts ( ?is ,act is z foll[s3 ,sec4 #a4 ,%ort title2 table ( cont5ts4,sec4 #b4 ,/atem5t ( policy4,sec4 #c4 ,f9d+s4,title ,i--,global ,,hiv_/,,aids-,free ,g5]ation ,strategy,sec4 #aja4 ,global ,,hiv_/,,aids-,free ,g5]ation ,/rategy4,title ,,ii--,us+ funds /rategically to maximize results,sec4 #bja4 ,support = op]ations rese>* to improve program deliv]y1 effici5cy1 impact1 & effectiv5ess4,sec4 #bjb4 ,increas+ coord9ation & integration ( ,,hiv_/,,aids programs ) developm5t programs4,sec4 #bjc4 ,increas+ program effectiv5ess & su/a9ability to a*ieve successful c\ntry own]%ip4,title ,,iii--,address+ legal & policy b>ri]s to access+ heal? care,subtitle ,a--,g5]al provisions,sec4 #cja4 ,support = laws & regulations t improve heal? outcomes & promote human rights4,sec4 #cjb4 ,int5sify+ ef=ts to e/abli% effective programs = engag+ key affect$ populations4,sec4 #cjc4 ,ensur+ ,unit$ ,/ates trade policy does n re/rict access to af=dable m$ic9es4,subtitle ,b--,repeal ( c]ta9 provisions ( ,public ,law #ajh-be,sec4 #caa4 ,repeal ( consci5ce clause requirem5t = eligibility = assi/ance4,sec4 #cab4 ,repeal ( limitation on use ( funds = assi/ance = sex work]s4,sec4 #cac4 ,repeal ( report+ requirem5t on activities promot+ ab/95ce & relat$ activities4,sec4 #cad4 ,effective date4,title ,,iv--,definitions,sec4 #dja4 ,def9itions4 #b4 ,/atem5t ( policy ,x is ! policy ( ! ,unit$ ,/ates to a*ieve an ,,aids-free g5]ation1 & to-- 7#a7 exp& access to lifesav+ antiretroviral !rapy = p liv+ ) ,,hiv_/,,aids & imm$iately l9k p to cont9u\s & coord9at$ high-quality c>e :5 !y le>n !y are infect$ ) ,,hiv2 7#b7 exp& t>get$ ef=ts to prev5t ,,hiv infection us+ a comb9ation ( effective1 evid5ce-bas$ approa*es1 includ+ ! elim9ation ( new p$iatric ,,hiv infections worldwide1 r\t9e ,,hiv scre5+1 & univ]sal access to ,,hiv prev5tion tools 9 ! communities :]e ,,hiv_/,,aids is mo/ heavily conc5trat$2 7#c7 ensure laws1 policies1 & regulations d n imp$e access to prev5tion1 treatm5t1 & c>e = p liv+ ) ,,hiv_/,,aids or at risk = acquir+ ,,hiv2 7#d7 accel]ate rese>* = m efficaci\s ,,hiv prev5tion & treatm5ts tools1 a cure1 & a vacc9e2 & 7#e7 respect ! human rights & dignity ( p]sons liv+ ) ,,hiv_/,,aids4 #c4 ,f9d+s ,! ,congress makes ! foll[+ f9d+s3 7#a7 ,an e/imat$ #cd1jjj1jjj p ar\nd ! _w 7 liv+ ) ,,hiv at ! end ( #bjaj1 up f #h1jjj1jjj 9 #aiij4 7#b7 ,develop+ c\ntries cont9ue to be> ! brunt ( ! ,,hiv_/,,aids epidemic1 ) sub-,sah>an ,africa acc\nt+ = #fh p]c5t ( all adults & *ildr5 liv+ ) ,,hiv_/,,aids1 #ei p]c5t ( :om are female4 7#c7 ,despite global ef=ts1 #a1jjj *ildr5 ar\nd ! _w /ill contract ,,hiv ea* day1 ! majority ?r\gh "m-to-*ild transmission ( ,,hiv4 7#d7 ,,hiv preval5ce among "y p ag$ #ae to #bd has decl9$ 9 _m c\ntries mo/ impact$ by ,,hiv2 nev]!less1 "y p /ill acc\nt = #db p]c5t ( all new infections among individuals ag$ #ae & old]4 7#e7 ,a sub/antial numb] ( ,,hiv-positive wom5 9 ,,hiv c>e & treatm5t programs or prev5tion ( "m-to-*ild transmission 7,,pmtct7 programs exp]i5ce an unplann$ pregnancy4 7#f7 ,mak+ contraceptive s]vices m widely available ?r\gh ,,hiv c>e1 treatm5t1 & ,,pmtct programs w\ld make x easi] = wom5 to coord9ate _! ,,hiv-relat$ c>e ) _! pregnancy prev5tion goals1 & at ! same "t1 help prev5t "m-to-*ild ,,hiv transmission4 7#g7 ,9 #bjjh1 ! ,tom ,lantos & ,h5ry ,j4 ,hyde ,unit$ ,/ates ,global ,lead]%ip ,aga9/ ,,hiv_/,,aids1 ,tub]culosis1 & ,mal>ia ,reau?orization ,act 0 enact$ into law1 reau?oriz+ ! ,presid5t's ,em]g5cy ,plan = ,,aids ,relief 7,,pepf>7 & cont9u$ ,unit$ ,/ates p>ticipation & contributions to ! ,global ,fund to ,fight ,,aids1 ,tub]culosis & ,mal>ia4 7#h7 ,! ,unit$ ,/ates ,presid5t's ,em]g5cy ,plan = ,,aids ,relief 7,,pepf>71 :i* repres5ts ! l>ge/ commitm5t by any nation to combat a s+le disease1 has sav$ ! lives ( millions ( p ar\nd ! _w by e/abli%+ & exp&+ ! infra/ructure necess>y to deliv] prev5tion1 c>e1 & treatm5t s]vices 9 l[-res\rce sett+s4 7#i7 ,e>ly detection & treatm5t ( ,,hiv c h significant positive heal? effects4 ,new rese>* demon/rates conclusively t treatm5t ( individuals n only sl[s disease progression1 b c also r$uce ! risk ( transmission to o!r individuals by #if p]c5t4 7#aj7 ,9 mo/ c\ntries ,,hiv is a disease t discrim9ates1 disproportionately affect+ society's mo/ vuln]able4 ,ev5 9 g5]aliz$ epidemics 9 :i* a significant %>e ( ! wid] population is liv+ ) ,,hiv_/,,aids1 p 9 vuln]able communities (t5 h consid]ably high] rates ( ,,hiv infection4 7#aa7 ,rea*+ m5 :o h sex ) m51 transg5d] p1 p :o inject drugs1 sex work]s1 & o!r vuln]able populations ) effective ,,hiv prev5tion & treatm5t is critical to br++ ! ,,aids epidemic "u control4 7#ab7 ,9 ,febru>y #bjac1 ! ,in/itute ( ,m$ic9e releases a report evaluat+ ,,pepf> & f\nd t ,,pepf>1 :i* has provid$ c>e & treatm5t = m ?an #e million p1 has be5 globally trans=mative1 a lifel9e t is re/or+ hope4 ,i ,global ,,hiv_/,,aids-,free ,g5]ation ,/rategy #aja4 ,global ,,hiv_/,,aids-,free ,g5]ation ,/rategy 7a7 ,/rategy ,! ,presid5t1 act+ ?r\gh ! ,coord9ator ( ,unit$ ,/ates ,gov]nm5t ,activities to ,combat ,,hiv_/,,aids ,globally1 %all e/abli% a compreh5sive1 integrat$1 #e-ye> /rategy to exp& & improve ef=ts to combat global ,,hiv_/,,aids1 :ile promot+ effici5cy & maximiz+ results4 ,! /rategy %all be ref]r$ to z ! ,global ,,hiv_/,,aids-,free ,g5]ation ,/rategy4 7b7 ,cont5ts ,! /rategy %all-- 7#a7 accel]ate progress t[>d a*iev+ ! ,unit$ ,/ates goal ( an ,,aids-free g5]ation2 7#b7 e/abli% a limit$ numb] ( measurable t>gets to accel]ate r$uctions 9 ,,hiv incid5ce & ,,hiv_/,,aids-relat$ morbidity & mortality2 7#c7 /r5g!n exi/+ & future compacts & framework agreem5ts au?oriz$ "u section #ajd;,a7d77#h7 ( ! ,=eign ,assi/ance ,act ( #aifa 7#bb ,u4,s4,c4 #baea;b-#b7;d77#h772 7#d7 /r5g!n engagem5t ) diplomatic ef=ts at all levels ( gov]nm5t to-- 7,a7 cont9ue to id5tify & promote l9kages betwe5 ef=ts to combat ,,hiv_/,,aids & o!r heal? developm5t issues & human rights issues2 7,b7 enc\rage & assi/ national gov]nm5ts to pursue policies & legal frameworks t facilitate & enable effective responses to ,,hiv prev5tion1 c>e1 & treatm5t s]vices2 & 7,c7 increase f9ancial acc\ntability2 & 7#e7 provide a plan to-- 7,a7 support e>ly diagnosis & initiation ( ,,hiv treatm5t to a*ieve accel]at$ r$uctions ( incid5ce & morbidity2 7,b7 elim9ate v]tical transmission ( ,,hiv f "m to *ild & support e>ly diagnosis & initiation ( ,,hiv treatm5t 9 infants & *ildr52 7,c7 int5sify ef=ts to exp& access to volunt>ily m$ical male circumcision1 male & female condoms & o!r prov5-effective ,,hiv prev5tion int]v5tions1 9 comb9ation ) o!r evid5ce-bas$ modalities & /ructural int]v5tions2 7,d7 r$uce ! risk ( ,,hiv infection & address ! ,,hiv-relat$ ne$s ( sex work]s1 m5 :o h sex ) m51 transg5d] p1 & p :o inject drugs2 7,e7 increase g5d] equity 9 ,,hiv_/,,aids programs & s]vices1 includ+ access to volunt>y family plann+ & reproductive heal? s]vices & r$uc+ viol5ce & co]cion2 7,f7 exp& p>tn]%ip ) implem5t]s1 rese>*]s1 & academic organizations to improve ! sci5ce t guides ! global response to ,,hiv_/,,aids2 7,g7 provide capacity developm5t support to increase mean+ful engagem5t ( civil society1 especially local indig5\s organizations1 t "w 9 ! areas ( human rights1 wom5's & "y p's heal? & rights1 & gay1 lesbian1 bisexual1 & transg5d] rights1 9 ! developm5t1 implem5tation1 monitor+1 & evaluation ( ,unit$ ,/ates-fund$ programs2 7,h7 advance ! ef=ts ( develop+ c\ntries to develop heal? sy/ems capable ( manag+ _! epidemics1 respond to broad] heal? ne$s impact+ affect$ communities1 & address new & em]g+ heal? conc]ns2 & 7,i7 def5d1 protect1 & fulfill ! human rights ( p liv+ ) ,,hiv & ^? mo/ at risk ( ,,hiv infection4 7c7 ,consultation ,9 develop+ ! /rategy1 ! ,presid5t1 act+ ?r\gh ! ,coord9ator ( ,unit$ ,/ates ,gov]nm5t ,activities to ,combat ,,hiv_/,,aids ,globally1 %all consult )-- 7#a7 ea* executive bran* ag5cy adm9i/]+ ,unit$ ,/ates =eign assi/ance relat$ to-- 7,a7 improv+ global heal?2 7,b7 /r5g!n+ f9ancial managem5t sy/ems2 & 7,c7 monitor+ & promot+ human rights & democracy2 7#b7 p]sonnel at ,unit$ ,/ates embassies & c\ntry missions involv$ 9 ! adm9i/ration ( ! types ( ,unit$ ,/ates =eign assi/ance describ$ 9 p>agraph 7#a72 7#c7 ! appropriate congressional committees ) jurisdiction ov] ! ag5cies describ$ 9 p>agraph 7#a72 7#d7 civil society & nongov]nm5tal organizations engag$ 9 improv+ heal? c>e & heal? outcomes 9 develop+ c\ntries1 includ+ indig5\s community & fai?-bas$ organizations2 7#e7 int]national organizations engag$ 9 improv+ heal? c>e & heal? outcomes 9 develop+ c\ntries & ( :i* ! ,unit$ ,/ates is a vot+ memb]1 ) :i* ! ,unit$ ,/ates coord9ates ! deliv]y ( =eign assi/ance1 or to :i* ! ,unit$ ,/ates contributes fund+ = ! purpose ( provid+ su* assi/ance2 7#f7 academic organizations1 private f\ndations1 bus9esses1 & o!r organizations engag$ 9 improv+ heal? c>e & heal? outcomes 9 develop+ c\ntries & n receiv+ ,unit$ ,/ates fund+ = su* purposes2 7#g7 o!r donor nations engag$ 9 improv+ heal? c>e & heal? outcomes 9 develop+ c\ntries2 7#h7 c\ntries receiv+ heal?-relat$ ,unit$ ,/ates =eign assi/ance2 7#i7 any o!r global1 regional1 or subregional organizations or p>tn]%ips engag$ 9 improv+ heal? c>e & heal? outcomes 9 develop+ c\ntries2 & 7#aj7 small1 disadvantag$1 & wom5-own$ bus9esses & ,unit$ ,/ates m9ority-s]v+ in/itutions1 specifically hi/orically ,black colleges & univ]sities4 7d7 ,report ,n lat] ?an #a ye> aft] ! date ( ! enactm5t ( ?is ,act1 ! ,presid5t %all submit to ,congress a report t sets =? ! /rategy describ$ 9 ?is section4 ,,ii ,us+ funds /rategically to maximize results #bja4 ,support = op]ations rese>* to improve program deliv]y1 effici5cy1 impact1 & effectiv5ess 7a7 ,s5se ( ,congress ,x is ! s5se ( ! ,congress t !re is a ne$ & urg5cy to exp& ! range ( int]v5tions = prev5t+ ! transmission ( ,,hiv1 includ+ behavioral prev5tion rese>*1 op]ations rese>* to optimize comb9ation ,,hiv prev5tion1 & rese>* on m$ical te*nology to prev5t ,,hiv infection1 includ+ microbicides1 co/-effective female condoms1 ,pre-,exposure ,prophylaxis 7,pr,e,p71 multipurpose te*nologies = ! prev5tion ( ,,hiv & un9t5d$ pregnancy1 & vacc9es4 7b7 ,/atem5t ( policy ,x %\ld be ! policy ( ! ,unit$ ,/ates to ensure t ef=ts to combat ,,hiv_/,,aids globally %\ld exp&1 int5sify1 & coord9ate op]ations rese>* to improve ! quality1 deliv]y1 & impact ( programm+1 includ+ ) respect to-- 7#a7 s]vices appropriate = m5 :o h sex ) m51 transg5d] p1 p :o inject drugs1 & sex work]s2 7#b7 /ructural int]v5tions to remove b>ri]s t inhibit effective implem5tation ( ,,hiv_/,,aids-relat$ =eign assi/ance1 includ+ ! analysis ( laws & policies t h a negative heal? impact & put individuals at increas$ risk ( ,,hiv infection2 7#c7 scalable comb9ation ( prev5tion & treatm5t approa*es to ,,hiv_/,,aids2 7#d7 prev5tion & managem5t ( co-morbidities su* z tub]culosis1 mal>ia1 & viral hepatitis2 & 7#e7 id5tification & foll[ up ( ,,hiv-positive infants & *ildr5 9 res\rce-limit$ sett+s to increase ! proportion ( *ildr5 access+ ,,hiv treatm5t & c>e s]vices4 #bjb4 ,increas+ coord9ation & integration ( ,,hiv_/,,aids programs ) developm5t programs 7a7 ,/atem5t ( policy ,x %\ld be ! policy ( ! ,unit$ ,/ates to ensure t ef=ts to combat ,,hiv_/,,aids globally %\ld maximize effici5cies & ! integration ( s]vices & programs to a*ieve r$uction 9 ,,hiv transmission rates & ! burd5 ( ,,hiv-relat$ morbidity & mortality1 by means t include-- 7#a7 ensur+ t wom5 & adolesc5t girls ) ,,hiv or :o are at risk ( ,,hiv infection & :o d n wi% to become pregnant h access to volunt>y contraceptive s]vices1 includ+ a range ( contraceptive options1 & volunt>y c\nsel+ to plan families1 ei!r directly or ?r\gh mean+ful ref]rals to exi/+ ,unit$ ,/ates ,ag5cy = ,int]national ,developm5t or local family plann+ programs t provide c\nsel+ & a range ( contraceptive options2 7#b7 integrat+ tub]culosis int]v5tions ) ,,hiv s]vices1 includ+ case-f9d+ & tub]culosis treatm5t1 exp&+ tub]culosis prev5tive !rapy1 & r$uc+ o!r opportuni/ic infections t accompany ,,hiv_/,,aids2 7#c7 ensur+ "y p ) ,,hiv are provid$ ) confid5tial & af=dable access to y\?-fri5dly compreh5sive sexual & reproductive heal? s]vices & supplies1 includ+ male & female condoms = ! prev5tion ( pregnancy & sexually transmitt$ diseases1 z relevant2 & 7#d7 work+ to promote & protect ! human rights ( p liv+ ) ,,hiv1 includ+ m5 :o h sex ) m51 transg5d] p1 p :o inject drugs1 sex work]s1 & o!r vuln]able populations1 includ+ indig5\s p1 migrants1 int]nally displac$ p1 "y p1 inc>c]at$ populations1 & p ) disabilities4 7b7 ,report ,n lat] ?an #ahj days aft] ! date ( ! enactm5t ( ?is ,act1 ! ,secret>y ( ,/ate %all submit to ! appropriate congressional committees a report describ+ ! utilization ( effici5cies 9 ! deliv]y ( ,,hiv_/,,aids treatm5t s]vices )9 & betwe5 ,unit$ ,/ates-fund$ bilat]al & multilat]al programs & p>tn] c\ntries1 includ+ to ! ext5t t su* ga9s 9 effici5cies are be+ exhau/$4 #bjc4 ,increas+ program effectiv5ess & su/a9ability to a*ieve successful c\ntry own]%ip 7a7 ,/atem5t ( policy ,x %\ld be ! policy ( ! ,unit$ ,/ates to ensure t ef=ts to combat ,,hiv_/,,aids globally %\ld help develop+ c\ntries significantly decrease ! burd5 ( ,,hiv1 /r5g!n & improve _! heal? sy/ems1 help build c\ntry own]%ip1 & increase f9ancial acc\ntability to ensure su/a9ability & equitable access to heal? s]vices1 includ+ by-- 7#a7 assi/+ develop+ c\ntries create1 /r5g!n1 & implem5t _! own evid5ce-bas$ national ,,hiv_/,,aids /rategies1 by means t include-- 7,a7 support+ e>ly diagnosis & initiation ( ,,hiv & tub]culosis treatm5t to a*ieve accel]at$ r$uctions ( incid5ce & morbidity2 7,b7 elim9at+ ! v]tical transmission ( ,,hiv f "m to *ild & support+ e>ly diagnosis & initiation ( ,,hiv treatm5t 9 infants & *ildr52 7,c7 int5sify+ ef=ts to exp& access to volunt>y m$ical male circumcision1 male & female condoms1 h>m r$uction s]vices1 & o!r prov5-effective ,,hiv prev5tion int]v5tions1 9 comb9ation ) o!r evid5ce-bas$ modalities1 includ+ /ructural int]v5tions2 7,d7 int5sify+ ef=ts to elim9ate ,,hiv infections among populations t are (t5 at greate/ risk1 includ+ sex work]s1 m5 :o h sex ) m51 transg5d] individuals1 & p :o inject drugs1 & address+ ! ,,hiv-relat$ ne$s1 includ+ access to ,,art1 ( ^? already infect$2 7,e7 ensur+ "y p are provid$ ) compreh5sive k1 skill-build+ programs1 9 & out ( s*ool1 to make in=m$ & responsible decisions = _! sexual heal?1 & are provid$ ) confid5tial & af=dable access to y\?-fri5dly compreh5sive sexual & reproductive heal? s]vices & supplies1 includ+ male & female condoms2 7,f7 ensur+ wom5 ) ,,hiv or :o are at risk ( ,,hiv infection & :o d n wi% to become pregnant h access to volunt>y contraceptive s]vices & commodities1 & wom5 :o desire pregnancy h access to family plann+ c\nsel+ & mat]nal heal? s]vices free ( judgm5t & discrim9ation2 & 7,g7 enc\rag+ policy *anges to elim9ate discrim9atory & /igmatiz+ polices t /& 9 ! way ( access to heal? s]vices by m>g9aliz$ & poor populations includ+ punitive laws aga9/ ,,hiv exposure & pot5tial transmission1 sex "w1 same-sex behavior1 drug use1 & g5d] expression2 7#b7 support+ mean+ful community involvem5t & p>ticipation1 inclusive ( poor1 vuln]able1 or m>g9aliz$ populations & _! repres5tative indig5\s & civil society organizations1 9 decisionmak+ relat$ to national ,,hiv_/,,aids /rategies & ! deliv]y ( heal? s]vices1 includ+ 9 decisions relat$ to ! adoption ( heal? policies & ! total am\nt & di/ribution ( heal? fund+2 7#c7 assi/+ c\ntries to coord9ate1 regulate1 & h>monize ! deliv]y ( heal? s]vices provid$ by ! ,unit$ ,/ates & nongov]nm5tal organizations1 includ+ community & fai?-bas$ organizations1 private f\ndations1 int]national organizations1 & o!r donors1 & to coord9ate or integrate su* s]vices ) ! heal? sy/em to ! maximum ext5t practicable2 7#d7 us+1 to ! maximum ext5t practicable1 local & regional entities = ! provision ( te*nical assi/ance1 & :]e ! capacity ( su* entities is insuffici5t1 support+ capacity build+ to enable su* entities to provide su* assi/ance2 7#e7 /r5g!n+ procurem5t & supply *a9 logi/ics to help prev5t drug & commodity /ock outs1 includ+ male & female condom %ortages1 & to help ensure ! ev5tual provision ( microbicides = ,,hiv prev5tion2 & 7#f7 provid+ te*nical assi/ance & support to national m9i/ries ( heal?1 or _! equival5ts1 & o!r relevant m9i/ries 9 ov]see+ ! heal? sy/ems ( _! c\ntries & monitor+ & evaluat+ ! effectiv5ess ( su* sy/ems 9 r$uc+ mortality & improv+ heal? outcomes1 includ+ prep>+ = ! provision ( ,,hiv_/,,aids1 volunt>y family plann+1 non-communicable diseases1 & reproductive heal? s]vices 9 em]g5cy situations4 7b7 ,report ,n lat] ?an #ahj days aft] ! date ( ! enactm5t ( ?is ,act1 ! ,secret>y ( ,/ate %all submit to ! appropriate congressional committees a report id5tify+ b5*m>ks t are directly relevant to significantly decreas+ ! burd5 ( ! epidemic 9 ea* c\ntry receiv+ ,,hiv-relat$ =eign assi/ance & provide context = help+ c\ntries & civil society to build c\ntry own]%ip4 ,,iii ,address+ legal & policy b>ri]s to access+ heal? c>e ,a ,g5]al provisions #cja4 ,support = laws & regulations t improve heal? outcomes & promote human rights ,x %\ld be ! policy ( ! ,unit$ ,/ates to ensure t ,unit$ ,/ates =eign assi/ance %\ld enc\rage & assi/ national gov]nm5ts ( develop+ c\ntries to pursue policies & legal frameworks t improve heal? outcomes1 includ+ policies & legal frameworks t-- 7#a7 are m$ically accurate & evid5ce-bas$ & adh]e to ! late/ global public heal? /&>ds = prev5tion1 treatm5t1 & c>e2 7#b7 promote & improve ! /atus ( wom5 & y\?1 ensur+ _! ability to access & use heal? s]vices )\t fe> or risk ( g5d]-bas$ viol5ce1 reprisal1 discrim9ation1 /igmatization1 arre/1 or o!r mi/reatm5t2 7#c7 "w to remove crim9alization (1 /igmatization (1 & discrim9ation aga9/ poor1 vuln]able1 or m>g9aliz$ populations & enact laws & policies to promote & protect ! rights ( su* populations2 7#d7 avoid1 to ! maximum ext5t possible1 reliance on crim9al laws & sanctions to address heal? issues2 7#e7 incorporate relevant policy guidance t addresses /ructural b>ri]s to access+ heal? c>e2 & 7#f7 prioritize ! creation ( a legal1 political1 & social environm5t t enables access to heal? s]vices by all memb]s ( ! population4 #cjb4 ,int5sify+ ef=ts to e/abli% effective programs = engag+ key affect$ populations ,x %\ld be ! policy ( ! ,unit$ ,/ates to ensure t ef=ts to combat ,,hiv_/,,aids globally %\ld int5sify ef=ts to e/abli% effective programs = engag+ m5 :o h sex ) m51 transg5d] p1 p :o inject drugs1 & sex work]s 9 ,,hiv prev5tion1 c>e1 & treatm5t initiatives1 by means t include-- 7#a7 ensur+ ^? eligible = treatm5t receive antiretroviral treatm5t2 7#b7 provid+ /]ile syr+es1 education1 & outrea* & treatm5t = drug dep5d5ce = inject+ drug us]s ?r\gh a compreh5sive package ( s]vices2 7#c7 provid+ sexual heal? s]vices1 male & female condoms1 & o!r ,,hiv prev5tion s]vices to sex work]s1 _! cli5ts1 & p>tn]s2 & 7#d7 def5d+ human rights & inh]5t dignity by address+ laws & practices t prev5t p f access+ s]vices & provid+ legal & social s]vices to individuals & communities to facilitate access to s]vices & to r$uce viol5ce1 /igma1 & discrim9ation4 #cjc4 ,ensur+ ,unit$ ,/ates trade policy does n re/rict access to af=dable m$ic9es ,9 adm9i/]+ title ,,iii ( ! ,trade ,act ( #aigd 7#ai ,u4,s4,c4 #bdaa et seq471 ! ,unit$ ,/ates ,gov]nm5t %all n seek1 ?r\gh negotiation or o!rwise1 ! revocation or revision ( any intellectual prop]ty law or policy ( a l[- or middle-income c\ntry t regulates ,,hiv & opportuni/ic infection ph>maceuticals or m$ical te*nologies if ! law or policy ( ! c\ntry-- 7#a7 promotes access to af=dable ,,hiv & opportuni/ic infection ph>maceuticals or m$ical te*nologies = affect$ populations 9 t c\ntry2 & 7#b7 provides intellectual prop]ty protection consi/5t ) ! ,agreem5t on ,trade-,relat$ ,aspects ( ,intellectual ,prop]ty ,rights ref]r$ to 9 section #aja7;d77#ae7 ( ! ,uruguay ,r\nd ,agreem5ts ,act 7#ai ,u4,s4,c4 #ceaa7;d77#ae774 ,b ,repeal ( c]ta9 provisions ( ,public ,law #ajh-be #caa4 ,repeal ( consci5ce clause requirem5t = eligibility = assi/ance ,section #cja ( ! ,unit$ ,/ates ,lead]%ip ,aga9/ ,,hiv_/,,aids1 ,tub]culosis1 & ,mal>ia ,act ( #bjjc 7#bb ,u4,s4,c4 #gfca7 is am5d$ by /rik+ subsection 7d74 #cab4 ,repeal ( limitation on use ( funds = assi/ance = sex work]s ,section #cja ( ! ,unit$ ,/ates ,lead]%ip ,aga9/ ,,hiv_/,,aids1 ,tub]culosis1 & ,mal>ia ,act ( #bjjc 7#bb ,u4,s4,c4 #gfca71 z am5d$ by section #caa ( ?is ,act1 is fur!r am5d$ by /rik+ subsections 7e7 & 7f74 #cac4 ,repeal ( report+ requirem5t on activities promot+ ab/95ce & relat$ activities ,section #djc7;a77#b7 ( ! ,unit$ ,/ates ,lead]%ip ,aga9/ ,,hiv_/,,aids1 ,tub]culosis1 & ,mal>ia ,act ( #bjjc 7#bb ,u4,s4,c4 #gfgc7;a77#b77 is am5d$-- 7#a7 by /rik+ 7#b7 ,prev5tion /rategy4-- & all t foll[s ?r\gh ,9 c>ry+ out p>agraph 7#a7 & ins]t+ 7#b7 ,prev5tion /rategy4--,9 c>ry+ out p>agraph 7#a72 & 7#b7 by /rik+ subp>agraph 7,b74 #cad4 ,effective date ,?is subtitle & ! am5dm5ts made by ?is subtitle-- 7#a7 take effect on ! date ( ! enactm5t ( ?is ,act2 & 7#b7 apply ) respect to funds made available to c>ry out ! ,unit$ ,/ates ,lead]%ip ,aga9/ ,,hiv_/,,aids1 ,tub]culosis1 & ,mal>ia ,act ( #bjjc or any am5dm5t made by t ,act on or aft] su* date ( enactm5t4 ,,iv ,def9itions #dja4 ,def9itions ,9 ?is ,act3 7#a7 ,appropriate congressional committees ,! t]m appropriate congressional committees means-- 7,a7 ! ,committee on ,=eign ,affairs & ! ,committee on ,appropriations ( ! ,h\se ( ,repres5tatives2 & 7,b7 ! ,committee on ,=eign ,relations & ! ,committee on ,appropriations ( ! ,s5ate4 7#b7 ,,aids ,! t]m ,,aids means ! acquir$ immune defici5cy syndrome4 7#c7 ,,hiv ,! t]m ,,hiv means ! human immunodefici5cy virus1 ! pa?og5 t causes ,,aids4 7#d7 ,,hiv_/,,aids ,! t]m ,,hiv_/,,aids means1 ) respect to an individual1 an individual :o is infect$ ) ,,hiv or liv+ ) ,,aids4