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The Kaiser Family Foundation’s Policy Tracker provides a single reference point for the latest information on Congressional and Administrative action on global health, including the status of key legislation, policies and programs, government reports, hearings, events, and other resources. Links to supporting materials, such as full bill texts, Member statements, and Congressional committee information, are also provided. RSS feeds are available.  A related Budget Tracker provides updated information throughout the budget and appropriations process.

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Senate passes "International Protecting Girls by Preventing Child Marriage Act of 2011"

The Senate passed by voice vote the “International Protecting Girls by Preventing Child Marriage Act of 2011” (S. 414). Originally introduced in February of 2011, the bill states, among other things, that “child marriage undermines United States investments in foreign assistance . . . to reduce maternal and child mortality, reduce maternal illness, halt the transmission of HIV/AIDS [and] prevent gender-based violence.” The bill requires the President to establish a multi-year strategy to prevent child marriage and authorizes the President to implement a variety of foreign assistance programs directed at the needs of girls including “access to water and suitable hygiene facilities . . . [and] access to health care services and proper nutrition for adolescent girls.” 

Additional Information:

  • Senate report accompanying the bill (#112-170).
UPDATED – Senate Appropriations Committee approves FY 2013 State and Foreign Operations Appropriations Bill

The Senate Committee on Appropriations approved the FY 2013 State and Foreign Operations appropriations bill (S. 3241) by a vote of 29-1, and released a bill summary as well as a Committee Report (#112-172). The bill 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 funding for the Global Health Initiative (total funding for the GHI is not currently available as some funding provided through USAID, HHS, and DoD are not yet available). The Senate bill would provide $8.5 billion to the GHI, $625 million more than the President’s FY13 request ($7.9 billion) and $461 million more than the House FY13 appropriations bill ($8.0 billion). It is also $311 million above the FY12 amount ($8.2 billion).

In addition, the committee approved an amendment introduced by Senator Frank Lautenberg (D-NJ) that would put into place a legislative repeal of the Mexico City Policy (also known as the “Global Gag Rule”).

Area

FY12 Estimated (millions)

FY13 Request (millions)

FY13 House  (millions)

FY13 Senate  (millions)

Difference (millions)

Senate – FY12

Senate – Request

Senate – House

State Department – Global Health Programs (GHP)

HIV/AIDS Bilateral

$4,242.9

$3,700.0

$4,242.9

$3,900.0

$-342.9
 (-8.1%)

$200
 (5.4%)

$-342.9
 (-8.1%)

       UNAIDS (non-add)

$45.0

$45.0

Not Yet Available

$45.0

$0
 (0%)

$0
 (0%)

-

Global Fund*

$1,300.0

$1,650.0

$1,300.0

$1,650.0

$350
 (26.9%)

$0
 (0%)

$350
 (26.9%)

Total State-GHP

$5,542.9

$5,350.0

$5,542.9

$5,550.0

$7.1
 (0.1%)

$200
 (3.7%)

$7.1
 (0.1%)

USAID – Global Health Programs (GHP)

Maternal & Child Health (MCH)

$605.6

$578.0

$605.6

$679.0

$73.4
 (12.1%)

$101
 (17.5%)

$73.4
 (12.1%)

       Polio (non-add)

$35.0

Not Yet Available

Not Yet Available

$35.5

$0.5
 (1.4%)

-

-

       GAVI (non-add)**

$130.0

$145.0

Not Yet Available

$145.0

$15
 (11.5%)

$0
 (0%)

-

Nutrition

$95.0

$90.0

$95.0

$122.0

$27
 (28.4%)

$32
 (35.6%)

$27
 (28.4%)

Vulnerable Children

$17.5

$13.0

$17.5

$23.0

$5.5
 (31.4%)

$10
 (76.9%)

$5.5
 (31.4%)

HIV/AIDS

$350.0

$330.0

$350.0

$350.0

$0
 (0%)

$20
 (6.1%)

$0
 (0%)

Tuberculosis

$236.0

$224.0

$236.0

$285.0

$49
 (20.8%)

$61
 (27.2%)

$49
 (20.8%)

Malaria

$650.0

$619.0

$650.0

$670.0

$20
 (3.1%)

$51
 (8.2%)

$20
 (3.1%)

Neglected Tropical Diseases (NTDs)

$89.0

$67.0

Not Yet Available

$125.0

$36
 (40.4%)

$58
 (86.6%)

-

Pandemic Preparedness

$58.0

$53.0

Not Yet Available

$75.0

$17
 (29.3%)

$22
 (41.5%)

-

Family Planning & Reproductive Health (FP/RH)***

$524.0

$530.0

Not Yet Available

$600.0

$76.1
 (14.5%)

$70
 (13.2%)

-

Total USAID-GHP:

$2,625.0

$2,504.0

$2,474.9

$2,929.0

$304
 (11.6%)

$425
 (17%)

$454.1
 (18.3%)

The Global Health Initiative

Total GHI (known amounts)****

$8,167.9

$7,854.0

$8,017.7

$8,479.0

$311.1
 (3.8%)

$625
 (8%)

$461.3
 (5.8%)

Total Family Planning & Reproductive Health (FP/RH) – All Accounts***

Total FP/RH***

$661.0

$642.7

$461.0

$744.5

$83.5
 (12.6%)

$101.8
 (15.8%)

$283.5
 (61.5%)

       of which GHP Account

$524.0

$530.0

Not Yet Available

$600.0

$76.1
 (14.5%)

$70
 (13.2%)

-

       of which UNFPA

$35.0

$39.0

$0.0

$44.5

$9.5
 (27.1%)

$5.5
 (14.1%)

$44.5
 (N/A)

       of which Other Accounts

$102.0

$73.7

Not Yet Available

$100.0

$-2
 (-2%)

$26.3
 (35.7%)

-

*The FY 2012 enacted amount for the Global Fund was $1.050 billion. The Administration subsequently moved $250 million from the HIV/AIDS bilateral line to the Global Fund, bringing the Global Fund amount up to $1.3 billion.     &nbs

USAID releases “Global Health and Child Survival: Progress Report to Congress 2010-2011″

The U.S. Agency for International Development (USAID) released the “Global Health and Child Survival: Progress Report to Congress 2010-2011” summarizing the agency’s health development efforts for 2010-2011.

Concurrent Resolution “Recognizing the potential for the virtual elimination of pediatric HIV and AIDS and keeping HIV positive mothers alive” introduced in House

Representative Trent Franks (R-AZ, 2nd) introduced a concurrent resolution (H.Con.Res. 123) titled “Recognizing the potential for the virtual elimination of pediatric HIV and AIDS and keeping HIV positive mothers alive,” which states, among other things, that Congress “supports providing women with HIV counseling and testing services where possible, and scaling up access to services that prevent mother-to-child transmission of HIV; calls for greater access to more efficacious antiretroviral drug regimens for the health of women and children living with HIV . . . ; and fully support[s] United States led, and international efforts, to create a generation free of HIV, to eliminate new pediatric HIV infections worldwide, and to keep the mothers of that generation alive.”

U.S.-Mexico health security agreements announced during World Health Assembly

During the 65th World Health Assembly in Geneva, Switzerland, U.S. Health and Human Services (HHS) Secretary Kathleen Sebelius and Mexico Secretary of Health Salomón Chertorivski announced “a series of new steps to strengthen health security cooperation between the two countries” including the signing of a declaration adopting guidelines the two countries will follow when responding to public health events and emergencies and the renewal of an agreement on scientific and public health activities related to food safety.

Senate Appropriations Subcommittee releases summary of FY 2013 State and Foreign Operations Appropriations Bill

The Senate Committee on Appropriations, Subcommittee on the Department of State and Foreign Operations and Related Programs approved the FY 2013 State and Foreign Operations appropriations bill and released a bill summary. The bill includes funding for U.S. global health programs at the U.S. Agency for International Development (USAID) and the State Department comprising a significant portion of funding for the Global Health Initiative (total funding for the GHI is not currently available as some funding provided through USAID, HHS, and DoD are not yet available).

The Senate bill would provide $8.4 billion to the GHI, which is approximately $500 million more than the President’s FY13 request ($7.9 billion) and $400 million more than the House FY13 appropriations bill ($8.0 billion). It is also approximately $200 million above the FY12 amount ($8.2 billion). Of this, the Senate bill would provide the following:

  • HIV/AIDS bilateral: $4.25 billion, which is greater than the President’s Request ($4.0 billion), but below the House bill ($4.6 billion), which maintained the FY12 levels.*
  • Global Fund: $1.65 billion, which is equal to the President’s Request and greater than the House bill ($1.3 billion), which maintained the FY12 levels.*
  • Maternal & Child Health (MCH): $655 million, which is greater than the President’s Request ($578 million) and the House bill ($606 million), which maintained the FY12 levels.
  • Malaria: $650 million, which is greater than the President’s Request ($619 million), but the same as the House bill, which maintained the FY12 levels.
  • Tuberculosis: $265 million, which is greater than the President’s Request ($224 million) and the House bill ($236 million), which maintained the FY12 levels.
  • Pandemic: $75 million, which is greater than the President’s Request ($53 million) and the FY12 amount ($58 million). The House bill did not specify an amount.

In addition, the bill would provide $700 million in funding from all accounts for family planning and reproductive health (FP/RH) including $44.5 million in funding for the United Nations Population Fund (UNFPA). This is greater than the President’s request ($643 million) and the House bill ($461 million). It is also greater than FY12 levels ($661 million).

*The FY 2012 enacted amount for the Global Fund was $1.050 billion. The Administration subsequently moved $250 million from the HIV/AIDS bilateral line to the Global Fund, bringing the Global Fund amount up to $1.3 billion.

State Department releases fact sheet titled "The U.S. Global Health Initiative: Saving Lives and Promoting Security"

The State Department released a fact sheet titled “The U.S. Global Health Initiative: Saving Lives and Promoting Security,” which, among other things, details the GHI’s principles and targets.

USAID releases new Counter-Trafficking in Persons Policy

During a White House event, U.S. Agency for International Development (USAID) Administrator Dr. Rajiv Shah announced the launch of the Agency’s new “Counter-Trafficking in Persons Policy” (CTIP). The new policy outlines the guiding principles and program objectives for USAID’s efforts to combat trafficking in persons.

Additional Information:

Senate Committee on Appropriations hearing on the FY 2013 Budget Request for State & Foreign Operations

The Senate Committee on Appropriations will hold a hearing on the FY 2013 Budget Request for the State Department and Foreign Operations with testimony from Secretary of State Hillary Clinton. The hearing will be held on Tuesday, February 28, 2012 at 10:00 AM in Room 192 of the Dirksen Senate Office building.

Secretary Clinton testifies before House Committees on FY 2013 budget request

Secretary of State Hillary Clinton testified before the Senate Appropriations Subcommittee on State, Foreign Operations and Related Programs and the Senate Committee on Foreign Relations on the FY 2013 budget request. During testimony before both Committees, Secretary Clinton summarized the priorities of the FY 2013 budget request for the State and Foreign Operations and, among other things, highlighted efforts through the Global Health Initiative (GHI) and Feed the Future Initiative (FtF).

Additional Information:

Senate Committee on Appropriations, Subcommittee on State, Foreign Operations and Related Programs

  • Access hearing webcast and Senator Patrick Leahy’s (D-VT, Chair) opening remarks.

Senate Committee on Foreign Relations