22 U.S.C. § 7655 — Pilot program on family survival partnerships

(a) Purpose: This section authorizes the President to create a program, through a public-private partnership, to provide medical care and support services to HIV-positive parents and children identified through existing prevention programs, in countries with a severe HIV epidemic or at risk of one, with special attention to countries with limited resources. (b) Grants: (1) The President may set up a grant program so that eligible administrative organizations can award subgrants to eligible entities, to expand mother-to-child HIV prevention by providing medical care and support to infected parents and children. (2) Grant money must be used to (A) fund those subgrants; (B) cover administrative support and subgrant management; (C) collect and report data on grant activities; (D) monitor and evaluate grant activities; (E) train and provide technical assistance to subgrantees; and (F) promote the program's long-term sustainability. (c) Subgrants: (1) An organization that gets a grant under (b) must use the money to award subgrants to eligible entities. (2) To qualify for a subgrant, an entity must be a local health organization, an international organization, or a partnership of either, and must show the awarding organization that it is currently running a proven mother-to-child prevention program (as the President determines) in an at-risk or affected country, has support from relevant local government bodies, and can provide HIV care — including antiretroviral treatment when needed — to HIV-positive women, men, and children with the grant funding. A "local health organization" means a public health system, nongovernmental organization, university, community group, or nonprofit health system that provides primary care directly or through a clear referral link; an "international organization" means a nonprofit international entity, international charity, private voluntary international group, or multilateral institution. (4) When awarding subgrants, the organization must prioritize applicants already running proven prevention programs and family-centered lifelong care programs funded with non-federal money. (5) The organization should consider applicants from a range of care settings, approaches, and locations, and, where appropriate, fund at least one applicant to run a national HIV family care delivery system. (6) A subgrantee must use its funds to expand mother-to-child prevention by providing medical treatment and support to parents and children, which may include treatment and therapy for infected women, children, and families; hiring and training local staff such as doctors, nurses, counselors, and lab technicians; paying for lab costs including equipment, testing, and monitoring; buying HIV-related pharmaceuticals including antiretrovirals; funding adherence and psychosocial support; covering operational costs; and doing community outreach and capacity building, including raising awareness, other communications, local advisory boards, and transportation to help people participate in the program. (d) Reports: Each organization that gets a grant under (b)(1) must submit an annual report covering (1) the progress of programs the grant funds, (2) benchmarks showing how successful those programs have been, and (3) recommendations for what to do with the programs once (e)'s funding runs out. (e) Funding: Congress may appropriate, from money authorized under section 7671, whatever the President needs for fiscal years 2004 through 2008 to run the program. (f) Limitation on administrative expenses: An organization that gets a grant under this section can spend no more than 7 percent of it on administrative expenses.