PEPFAR Stewardship and Oversight Act: Expiring Authorities (CRS Report for Congress)
| Release Date |
Revised March 14, 2019 |
| Report Number |
IF10797 |
| Report Type |
In Focus |
| Authors |
Tiaji Salaam-Blyther |
| Source Agency |
Congressional Research Service |
| Older Revisions |
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Summary:
Congress has prioritized fighting HIV/AIDS globally,
having authorized related activities and appropriated over
$76 billion for HIV/AIDS programs since FY2001 (Table
1). The 108th and 110th Congresses enacted two pieces of
legislation that have shaped U.S. responses to these
diseases: the “Leadership Act” of 2003, P.L. 108-25, and
the “Lantos-Hyde Act” of 2008, P.L. 110-293. Among
other things, these acts authorized appropriations for
PEPFAR and instituted congressional priorities, including
performance targets.
In 2013, when authorizations in the Lantos-Hyde Act were
set to expire, congressional commitment to fighting
HIV/AIDS remained strong, but concerns about recovering
from the Great Recession had depressed support for
enacting legislation that authorized the provision of billions
of dollars over several years. Ultimately, the 113th Congress
enacted P.L. 113-56, the PEPFAR Stewardship and
Oversight Act of 2013 (PEPFAR Stewardship Act), which
did not authorize a particular amount, but permitted further
appropriations, extended programs, and enhanced oversight.
Many of these provisions were set to expire at the end of
FY2018 (Table 2).
The 115th Congress is deliberating three bills aimed at
extending key provisions in the PEPFAR Stewardship Act:
(1) H.R. 6651, PEPFAR Extension Act of 2018; (2) its
Senate companion, S. 3476; and (3) H.R. 6856, PEPFAR
and Protections for Orphans and Vulnerable Children Act
of 2018.
