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UPDATED – House Appropriations Committee approves FY2015 State and Foreign Operations Appropriations Bill

The House Committee on Appropriations approved the FY 2015 State and Foreign Operations Appropriations bill (also see the associated report), which includes funding for U.S. global health programs at the U.S. Agency for International Development (USAID) and the State Department (see table below) comprising a significant portion of U.S. funding for global health (total funding for global health is not currently available as some funding provided through USAID, HHS, and DoD is not yet available).

Funding through the House appropriations bill for global health at USAID and the State Department would be $257 million (3%) above the President’s request, but $132 million (2%) below the FY 2014 enacted level.  Bilateral HIV funding provided through the President’s Emergency Plan for AIDS Relief (PEPFAR) at the State Department is $300 million above both the President’s request and the FY 2014 levels; the Global Fund to Fight AIDS, Tuberculosis and Malaria (Global Fund) is funded at the same level as the request. Funding in the bill for tuberculosis, maternal and child health (MCH), polio, nutrition, and vulnerable children is above the President’s request while funding for malaria is equal to the President’s request. Funding for neglected tropical diseases (NTDs) and pandemic influenza was not specified in the bill or the associated report.

Among the known amounts, funding for family planning and reproductive health (FP/RH) is the only area that declined. The bill caps FP/RH funding at $461 million, $183 million below the President’s request and $149 million below the FY 2014 levels. The bill also included the following policy provisions:

• Reinstates the Mexico City Policy (also known as the “Global Gag Rule”)
• Prohibits funding for the United Nations Population Fund (UNFPA)

Department / Agency / Area FY14 Omnibus
(millions)
FY15 Request
(millions)
FY15 House Bill (millions) Difference (millions)
House – FY14 House – Request
USAID – Global Health Programs Account (GHP)
HIV/AIDS $330.0 $330.0 $330.0 $0
(0%)
$0
(0%)
Tuberculosis $236.0 $191.0 $236.0 $0
(0%)
$45
(23.6%)
Malaria $665.0 $674.0 $674.0 $9
(1.4%)
$0
(0%)
Neglected Tropical Diseases (NTDS) $100.0 $86.5 Not Yet Known - -
Maternal & Child Health (MCH) $705.0 $695.0 $732.0 $27
(3.8%)
$37
(5.3%)
of which GAVI $175.0 $200.0 $200.0 $25
(14.3%)
$0
(0%)
of which Polio $51.0 $44.5 $51.0 $0
(0%)
$6.5
(14.6%)
Nutrition $115.0 $101.0 $115.0 $0
(0%)
$14
(13.9%)
Vulnerable Children $22.0 $14.5 $22.0 $0
(0%)
$7.5
(51.7%)
Family Planning & Reproductive Health (FPRH)* $524.0 $538.0 See Below - -
Pandemic Influenza $72.5 $50.0 Not Yet Known - -
Total USAID: $2,769.5 $2,680.0 $2,637.0 $-132.5
(-4.8%)
$-43
(-1.6%)
State Department – Global Health Programs Account (GHP)
HIV $4,020.0 $4,020.0 $4,320.0 $300
(7.5%)
$300
(7.5%)
Global Fund $1,650.0 $1,350.0 $1,350.0 $-300
(-18.2%)
$0
(0%)
Total State: $5,670.0 $5,370.0 $5,670.0 $0
(0%)
$300
(5.6%)
Total GHP – State & USAID
Total USAID & State GHP:** $8,439.5 $8,050.0 $8,307.0 $-132.5
(-1.6%)
$257
(3.2%)
International Organizations & Programs (IO&P) – State & Foreign Operations
United Nations Children’s Fund (UNICEF) $132.0 $116.6 $132.0 $0
(0%)
$15.4
(13.2%)
United Nations Population Fund (UNFPA) $35.0 $35.3 $0.0 $-35
(-100%)
$-35.3
(-100%)
Family Planning & Reproductive Health (FP/RH) - State & Foreign Operations (All Accounts)*
FP/RH $610.0 $644.3 $461.0 $-149
(-24.4%)
$-183.3
(-28.4%)
of which GHP account $524.0 $538.0 Not Yet Known - -
of which ESF account $51.0 $71.0 Not Yet Known - -
of which UNFPA $35.0 $35.3 $0.0 $-35
(-100%)
$-35.3
(-100%)
Polio
Polio $59.0 $50.0 $59.0 $0
(0%)
$9
(18%)
of which GHP account $51.0 $44.5 $51.0 $0
(0%)
$6.5
(14.6%)
of which ESF account $8.0 $5.5 $8.0 $0
(0%)
$2.5
(45.5%)

*The House State & Foreign Operations (SFOPs) appropriations bill specified a total funding level for family planning and reproductive health (FP/RH) activities, but did not delineate this funding by account beyond stipulating that no funding would be provided to UNFPA.
**Represents combined PEPFAR funding (HIV bilateral and Global Fund) at the State Department.

Additional Resources:

  • House Appropriations Committee press release summarizing the bill.
  • Read the full text of the bill here.
  • Learn more about the Senate SFOPs appropriations bill (including comparisons to the House bill) here.