The 303-to-115 vote sends the bill to President Bush for his signature. Mr. Bush, who first floated the idea of a campaign against AIDS in his 2003 State of the Union address, supports the five-year, $48 billion plan.
The passage of the bill was a rare instance of cooperation between the White House and the Democrat-controlled Congress. It was “born out of a willingness to work together and put the United States on the right side of history when it comes to this global pandemic,” said Representative Barbara Lee, Democrat of California, a leader on the issue.
The current $15 billion act, which expires at the end of September, has helped bring lifesaving antiretroviral drugs to about 1.7 million people and supported care for nearly 7 million. The President’s Emergency Plan for AIDS Relief, known as Pepfar, has won plaudits from some of Mr. Bush’s harshest critics.
Representative Howard L. Berman, Democrat of California and chairman of the House Foreign Affairs Committee, said the United States “has given hope to millions infected with H.I.V., which just a few years ago was tantamount to a death sentence.” H.I.V. is the virus that causes AIDS.
According to a study by Unaids and the Kaiser Family Foundation, the United States provided one-fifth of AIDS financing from all sources — governments, international aid groups and the private sector — in 2007. Of the $4.9 billion disbursed in 2007 from the Group of 8 countries, Europe and other donor governments, about 40 percent came from the United States.