George W. Bush wades into PEPFAR fight as deadline nears

House and Senate Republicans are working on a last-ditch effort to save a global HIV-AIDS program set to expire Sept. 30 — defying influential anti-abortion and conservative groups that are lobbying against its renewal.

A health advocate familiar with the effort to re-up the law but not authorized to speak on the record said the former president has also reached out to other GOP members “very on the [down-low].” That fear has sparked a lobbying blitz with several former Republican lawmakers jumping into the fray. Those groups — including Susan B. Anthony Pro-Life America and the Heritage Foundation — have joined with Republicans in Congress, led by Smith, to oppose the standard five-year reauthorization of PEPFAR and to push for a one-year funding patch instead.

Failure to renew PEPFAR would bar Congress from increasing its nearly $7 billion yearly budget and could terminate several legal provisions in the program — including a rule that directs at least half of PEPFAR funds toward patient treatment and care. Presidential administrations could continue abiding by those rules or drop them.

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