1. Short title This Act may be cited as the PEPFAR Extension Act of 2018 . 2. Inspectors General and annual study Section 101 of the United States Leadership Against HIV/AIDS, Tuberculosis, and Malaria Act of 2003 ( 22 U.S.C. 7611 ) is amended— (1) in subsection (f)(1)— (A) in subparagraph (A), by striking 2018 and inserting 2023 ; and (B) in subparagraph (C)(iv)— (i) by striking four and inserting 9 ; and (ii) by striking 2018 and inserting 2023 ; and (2) in subsection (g)— (A) in paragraph (1), by striking 2019 and inserting 2024 ; and (B) in paragraph (2)— (i) in the heading, by striking 2018 and inserting 2024 ; and (ii) in the matter preceding subparagraph (A), by striking September 30, 2018 and inserting September 30, 2024 . 3. Participation in the Global Fund to Fight AIDS, Tuberculosis, and Malaria Section 202(d) of the United States Leadership Against HIV/AIDS, Tuberculosis, and Malaria Act of 2003 ( 22 U.S.C. 7622(d) ) is amended— (1) in paragraph (4)— (A) in subparagraph (A)— (i) in clause (i), by striking fiscal years 2009 through 2018 and inserting fiscal years 2004 through 2023 ; (ii) in clause (ii), by striking 2018 and inserting 2023 ; and (iii) by striking clause (vi); and (B) in subparagraph (B)— (i) by striking clause (ii); (ii) by redesignating clauses (iii) and (iv) as clauses (ii) and (iii), respectively; (iii) in clause (ii), as redesignated— (I) in the first sentence, by inserting before the period at the end the following: or section 104B or 104C of such Act ; and (II) in the second sentence, by striking for HIV/AIDS assistance ; and (iv) in clause (iii), as redesignated, by striking 2018 and inserting 2023 ; and (2) in paragraph (5), in the matter preceding subparagraph (A), by striking 2018 and inserting 2023 . 4. Allocation of funds Section 403 of the United States Leadership Against HIV/AIDS, Tuberculosis, and Malaria Act of 2003 ( 22 U.S.C. 7673 ) is amended— (1) in subsection (b), by striking 2018 and inserting 2023