White House Releases FY16 Budget Request
The White House released the FY 2016 budget request on February 2, 2015, which includes funding for U.S. global health programs. A significant portion of U.S. funding for global health, including funding at the U.S. Agency for International Development (USAID) and the Department of State, is outlined in the State & Foreign Operations (SFOPs) Congressional Budget Justification (CBJ), however, total funding for global health is not currently available as some funding provided through USAID, Health and Human Services (HHS), and the Department of Defense (DoD) is not yet available. The table below compares the FY 2016 request to final FY 2015 enacted funding amounts as outlined in the “Consolidated and Further Appropriations Act, 2015” (H.R. 83).
In the FY 2016 budget request, funding for global health programs at USAID and the State Department (through the Global Health Programs account) would total $8,181 million, which is $273 million (3%) below the FY 2015 enacted level. Funding for tuberculosis, neglected tropical diseases (NTDs), global health security (formerly pandemic influenza and emerging threats), nutrition, and vulnerable children all declined compared to FY 2015, while malaria, maternal & child health (MCH), and family planning & reproductive health (FP/RH) funding increased. The U.S. contribution to Gavi, the Vaccine Alliance, which is included as part of MCH funding, also increased compared to the FY 2015 enacted level.
While funding for bilateral HIV programs at the State Department and USAID remained essentially flat, the base U.S. contribution to the Global Fund to Fight AIDS, Tuberculosis and Malaria (Global Fund) is $1,107 million or $243 million (18%) below the FY 2015 level. The SFOPs CBJ states that the $1,107 million would fulfill “President Obama’s pledge to provide $1 for every $2 pledged by other donors to the Global Fund and completing the U.S. commitment to the 2014-2016 replenishment.”
(Note: Additional global health funding amounts and analysis will be added as more information becomes available.)