The PEPFAR Extension and Reform Act of 2024 extends the U.S. government's authorities to combat HIV/AIDS, tuberculosis, and malaria globally through 2028 and 2029, moving back several key program deadlines that were set to expire in 2023 and 2024. The bill primarily affects international health organizations and foreign nonprofits that receive U.S. global health funding through PEPFAR, the President's Emergency Plan for AIDS Relief, as well as U.S. participation in the Global Fund to Fight AIDS, Tuberculosis, and Malaria. Key changes include extending the authorization for inspector general oversight activities and annual reporting requirements to 2029, and modifying requirements for how allocated funds are distributed across different regions and countries. The legislation also adds a new funding restriction prohibiting U.S. global health assistance to foreign organizations that promote or provide certain reproductive health services and gender-related medical procedures, with limited exceptions for cases of rape, incest, or threats to maternal life. The bill does not specify new appropriation amounts but operates within existing budget frameworks for these global health programs.
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