United States 119th Congress Status: In Committee 18 D cosponsors

HR 4627 — To amend the Foreign Assistance Act of 1961 to modify treatment activities for assistance to combat HIV/AIDS.

Last action — Referred to the House Committee on Foreign Affairs.

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  1. ✓
    Introduced
  2. 2
    In Committee
  3. 3
    Passed House
  4. 4
    Passed Senate
  5. 5
    To Executive
  6. 6
    Enacted

This bill is in committee in the House. Introduced July 23, 2025. It must pass committee before a floor vote.

Next likely step: a committee vote, then a floor vote in the House.

Prognosis

Stalled 26% · moderate confidence

Where this bill stands today.

Odds of enactment

Low

How often bills like it became law.

  • In Committee

    Current position in the legislative process.

  • 18 sponsors

    1 primary, 17 co-sponsors signed on.

  • Single-party support

    Sponsorship is currently within one party (18 D).

Prognosis reads this bill's own signals — stage, sponsorship breadth, committee status, recorded votes and cross-state momentum. Odds come from a model trained on which bills have become law.

Bill Text

Sections of law this bill changes

1 section in 1 law

From the bill's own amending language, matched to the official United States Code (current through Public Law 119-121).

Foreign assistance · 22 U.S.C. ch. 32 1 section
  • § 2151b-2 Assistance to combat HIV/AIDS Amends

    22 U.S.C. § 2151b-2 — at 2151b-2(d)

    The law today

    (a) Finding Congress recognizes that the alarming spread of HIV/AIDS in countries in sub-Saharan Africa, the Caribbean, Central Asia, Eastern Europe, Latin America and other developing countries is a major global health, national security, development, and humanitarian crisis. (b) Policy (1) Objectives It is a major objective of the foreign assistance program of the United States to provide assistance for the prevention and treatment of HIV/AIDS and the care of those affected by the disease. It is the policy objective of the United States, by 2013, to— (A) assist partner countries to— (i) prevent 12,000,000 new HIV infections worldwide; (ii) support— (I) the increase in the number of individuals with HIV/AIDS receiving antiretroviral treatment above the goal established under section 7672(a)(3) 1 of this title and increased pursuant to paragraphs (1) through (3) of section 7673(d) 1 of this title; and (II) additional treatment through coordinated multilateral efforts; (iii) support care for 12,000,000 individuals infected with or affected by HIV/AIDS, including 5,000,000 orphans and vulnerable children affected by HIV/AIDS, with an emphasis on promoting a comprehensive, coordinated system of services to be integrated throughout the continuum of care; (iv) provide at least 80 percent of the target population with access to counseling, testing, and treatment to prevent the transmission of HIV from mother-to-child; (v) provide care and treatment services to children with HIV in proportion to their percentage within the HIV-infected population of a given partner country; and (vi) train and support retention of health care professionals, paraprofessionals, and community health workers in HIV/AIDS prevention, treatment, and care, with the target of providing such training to at least 140,000 new health care professionals and paraprofessionals with an emphasis on training and in country deployment of critically needed doctors and nurses; (B) strengthen the capacity to deliver primary health care in developing countries, especially in sub-Saharan Africa; (C) support and help countries in their efforts to achieve staffing levels of at least 2.3 doctors, nurses, and midwives per 1,000 population, as called for by the World Health Organization; and (D) help partner countries to develop independent, sustainable HIV/AIDS programs. (2) Coordinated global strategy The United States and other countries with the sufficient capacity should provide assistance to countries in sub-Saharan Africa, the Caribbean, Central Asia, Eastern Europe, and Latin America, and other countries and regions confronting HIV/AIDS epidemics in a coordinated global strategy to help address generalized and concentrated epidemics through HIV/AIDS prevention, treatment, care, monitoring and evaluation, and related activities. (3) Priorities The United States Government’s response to the global HIV/AIDS pandemic and the Government’s efforts to help countries assume leadership of sustainable campaigns to combat their local epidemics should place high priority on— (A) the prevention of the transmission of HIV; (B) moving toward universal access to HIV/AIDS prevention counseling and services; (C) the inclusion of cost sharing assurances that meet the requirements under section 2151h of this title; and (D) the inclusion of transition strategies to ensure sustainability of such programs and activities, including health care systems, under other international donor support, or budget support by respective foreign governments. (c) Authorization (1) In general Consistent with section 2151b(c) of this title, the President is authorized to furnish assistance, on such terms and conditions as the President may determine, for HIV/AIDS, including to prevent, treat, and monitor HIV/AIDS, and carry out related activities, in countries in sub-Saharan Africa, the Caribbean, Central Asia, Eastern Europe, Latin America, and other countries and areas, particularly with respect to refugee p...

    1 other bill also changes this section · Follow it → Official text at uscode.house.gov ↗

How this bill changes current law

9 changes Share ↗

Compared against current U.S. Code AI-generated reading aid — verify against the official bill.

The bill modifies existing laws to enhance assistance for HIV/AIDS prevention efforts by incorporating pre-exposure prophylaxis (PrEP) and designating certain activities as core life-saving humanitarian assistance.

  • 22 U.S.C. 2151b-2(d)(1)

    including → which shall be considered to be core life-saving humanitarian assistance before including

    The introduction of the phrase emphasizes that the included activities are essential humanitarian assistance.

  • 22 U.S.C. 2151b-2(d)(1)(J)

    . → ;

    This change creates a continuation of the list of assistance types.

  • 22 U.S.C. 2151b-2(d)(1)(K)

    . → ; and

    This maintains the structure of a list while allowing for additional items to be added.

  • 22 U.S.C. 2151b-2(d)(1)

    (L) assistance to provide HIV pre-exposure prophylaxis (PrEP) medications.

    This addition explicitly includes PrEP medications as part of the assistance provided.

  • 22 U.S.C. 2151b-2(d)(2)(D)

    and

    This alteration confirms the termination of a list while seamlessly integrating another item.

  • 22 U.S.C. 2151b-2(d)(2)(E)

    ; → .

    This change finalizes the list cleanly without trailing punctuation.

  • 22 U.S.C. 2151b-2(d)(3)(A)

    (including at-risk populations in accordance with scientific-based analysis as designated by the World Health Organization) after specific populations

    This addition provides specificity about the populations targeted for assistance.

  • 22 U.S.C. 2151b-2(d)(3)(A)

    including → which shall be considered to be core life-saving humanitarian assistance, including pre- and

    This rephrasing emphasizes the importance of the efforts as core humanitarian assistance and includes additional activities.

  • 22 U.S.C. 2151b-2(d)(3)(A)

    , which shall be considered to be core life-saving humanitarian assistance

    This concludes the provision with a strong emphasis on the nature of the assistance.

Action History

  1. Introduced in House

  2. Introduced in House

  3. Referred to the House Committee on Foreign Affairs.

Sponsors

Sponsorship breakdown

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1 sponsors · 17 co-sponsors · 529 not signed on

Sponsors (1)

Co-sponsors (17)

Not signed on (529)

529 members have not signed on to this bill.

Show all 529 →

"Not signed on" means a member has not sponsored or co-sponsored this bill — it does not imply opposition. Members flagged Voted No have a recorded No vote on this bill.

Whip count is in markup. Polling the chamber and every recorded vote this session. Only the first open is slow. It’s instant for you after this. Calling the roll · Tallying · Engrossing

Subjects

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Frequently asked questions

Who sponsors HR 4627?
HR 4627 is sponsored by Ansari, Yassamin (Democratic), Carson, André (Democratic), Cohen, Steve (Democratic), Evans, Dwight (Democratic), Gottheimer, Josh (Democratic), Hernández, Pablo Jose (Democratic), Johnson, Henry C. "Hank" (Democratic), Krishnamoorthi, Raja (Democratic), McIver, LaMonica (Democratic), Norton, Eleanor Holmes (Democratic), Pocan, Mark (Democratic), Pressley, Ayanna (Democratic), Simon, Lateefah (Democratic), Soto, Darren (Democratic), Thanedar, Shri (Democratic), Tlaib, Rashida (Democratic), Wasserman Schultz, Debbie (Democratic), and Watson Coleman, Bonnie (Democratic).
What is the current status of HR 4627?
This bill is in committee in the House. Introduced July 23, 2025. It must pass committee before a floor vote.
Where can I track HR 4627?
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