Small-Group Session

Reauthorization of the U.S. Leadership Against HIV/AIDS, Tuberculosis, and Malaria Act of 2003: Where Have We Been? Where Do We Go Next?
March 20, 2008


Michele J. Orza, ScD


Due for reauthorization this year, the United States Leadership Against HIV/AIDS, Tuberculosis, and Malaria Act of 2003 (the Leadership Act) is historic legislation that authorized $15 billion over five years for U.S. bilateral and multilateral activities to combat global AIDS, tuberculosis, and malaria. Most notably, it funded United States' participation in the Global Fund to Fight AIDS, Tuberculosis, and Malaria and the creation of both the office of the U.S. Global AIDS Coordinator and the President's Emergency Plan for AIDS Relief (PEPFAR). The reauthorizing legislation—the Tom Lantos and Henry J. Hyde United States Global Leadership Against HIV/AIDS, Tuberculosis, and Malaria Reauthorization Act of 2008—is under consideration in both the House of Representatives and the Senate.Designed for congressional staff interested in the reauthorization process, this small-group, roundtable discussion session was focused on understanding what we have learned from the first five years of the Leadership Act and how it can inform the next five years. The panel of experts briefly reviewed the major findings of their reports that bear directly on reauthorization and answered questions from participants. (Links to some of these reports are provided below.)


Thomas Kenyon, MD, MPH, Principal Deputy Global AIDS Coordinator and Chief Medical Officer, Office of the U.S. Global AIDS Coordinator, U.S. Department of State; David Gootnick, MD, Director, International Affairs and Trade, U.S. Government Accountability Office; Helen Smits, MD, MACP, Senior Consultant, Doris Duke Charitable Foundation, Vice-Chair, Committee for the Evaluation of PEPFAR, Institute of Medicine, Board on Global Health; Jennifer Kates, MA, MPA, Vice President and Director of HIV Policy, Kaiser Family Foundation; J. Stephen Morrison, PhD, Director, Africa Program and Executive Director, HIV/AIDS Task Force, Center for Strategic and International Studies

Slides from the presentations by Dr. Kenyon, Dr. Smits and Ms. Kates are available for download.

Related Materials

For more information, see these select related publications.

From the U.S. Government Accountability Office (GAO):

From the Institute of Medicine:

  • PEPFAR Implementation: Progress and Promise, (Washington, DC: National Academies of Science, 2007); to read online and for purchase information, visit

From the Kaiser Family Foundation:

From the Center for Strategic and International Studies (CSIS):

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