Filling the need for trusted information on national health issues…

Trending on kff Ebola Marketplaces Consumer Resources

UPDATED – Senate Appropriations Committee approves FY 2015 State and Foreign Operations Appropriations Bill

The Senate Committee on Appropriations, approved the FY 2015 State and Foreign Operations Appropriations bill, 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).

According to the committee report, bilateral HIV programs through the President’s Emergency Plan for AIDS Relief (PEPFAR) at the State Department are funded at the same level as the President’s request, but $300 million below the related House appropriations bill. Funding for the Global Fund to Fight AIDS, Tuberculosis and Malaria (Global Fund) matches both the President’s request and the House bill.

Funding for tuberculosis, neglected tropical diseases (NTDs), maternal and child health (MCH), nutrition, pandemic influenza, and polio is above the President’s request while funding for malaria is slightly below the President’s request; all of these areas are below the levels provided in the House bill.

Total funding for family planning and reproductive health (FP/RH) programs in the bill matches the President’s request and is $183m (40%) above the House appropriations bill.

Department / Agency / Area FY14
Enacted
(millions)
FY15 Request
(millions)
FY15 House Bill (millions) FY15 Senate Bill (millions) Difference (millions)
Senate – FY14 Senate – Request Senate – House
USAID – Global Health Programs Account (GHP)
HIV/AIDS $330.0 $330.0 $330.0 $330.0 $0
(0%)
$0
(0%)
$0
(0%)
Tuberculosis $236.0 $191.0 $236.0 $225.0 $-11
(-4.7%)
$34
(17.8%)
$-11
(-4.7%)
Malaria $665.0 $674.0 $674.0 $669.5 $4.5
(0.7%)
$-4.5
(-0.7%)
$-4.5
(-0.7%)
Neglected Tropical Diseases (NTDS) $100.0 $86.5 Not Yet Known $100.0 $0
(0%)
$13.5
(15.6%)
-
Maternal & Child Health (MCH) $705.0 $695.0 $732.0 $700.0
$-5
(-0.7%)
$5
(0.7%)
$-32
(-4.4%)
of which GAVI $175.0 $200.0 $200.0 $200.0 $25
(14.3%)
$0
(0%)
$0
(0%)
of which Polio $51.0 $44.5 $51.0 $51.5 $0.5
(1%)
$7
(15.7%)
$0.5
(1%)
Nutrition $115.0 $101.0 $115.0 $111.0
$-4
(-3.5%)
$10
(9.9%)
$-4
(-3.5%)
Vulnerable Children $22.0 $14.5 $22.0 $22.0
$0
(0%)
$7.5
(51.7%)
$0
(0%)
Family Planning & Reproductive Health (FPRH)* $524.0 $538.0 See Below $539.0
$15
(2.9%)
$1
(0.2%)
-
Pandemic Influenza $72.5 $50.0 Not Yet Known $72.5 $0
(0%)
$22.5
(45%)
-
Total USAID: $2,769.5 $2,680.0 $2,637.0 $2,769.0
$-0.5
(0%)
$89
(3.3%)
$123
(5%)
State Department – Global Health Programs Account (GHP)
HIV $4,020.0 $4,020.0 $4,320.0 $4,020.0 $0
(0%)
$0
(0%)
$-300
(-6.9%)
of which UNAIDS $45.0 $45.0 Not Yet Known $45.0 $0
(0%)
$0
(0%)
-
Global Fund $1,650.0 $1,350.0 $1,350.0 $1,350.0 $-300
(-18.2%)
$0
(0%)
$0
(0%)
Total State:** $5,670.0 $5,370.0 $5,670.0 $5,370.0 $-300
(-5.3%)
$0
(0%)
$-300
(-5.3%)
Total GHP – State & USAID
Total State & USAID GHP: $8,439.5 $8,050.0 $8,307.0 $8,139.0 $-300.5
(-3.6%)
$89
(1.1%)
$-168
(-2%)
International Organizations & Programs (IO&P) – State & Foreign Operations
United Nations Children’s Fund (UNICEF) $132.0 $116.6 $132.0 $132.0 $0
(0%)
$15.4
(13.2%)
$0
(0%)
United Nations Population Fund (UNFPA) $35.0 $35.3 $0.0 $37.5 $2.5
(7.1%)
$2.2
(6.2%)
$37.5
(NA)
Family Planning & Reproductive Health (FP/RH) – State & Foreign Operations (All Accounts)*
FP/RH $610.0 $644.3 $461.0 $644.0 $34.3
(5.6%)
$0
(0%)
$183.3
(39.8%)
of which GHP account $524.0 $538.0 Not Yet Known $539.0 $15
(2.9%)
$1
(0.2%)
-
of which ESF account $51.0 $71.0 Not Yet Known $67.8 $16.8
(32.9%)
$-3.2
(-4.5%)
-
of which UNFPA $35.0 $35.3 $0.0 $37.5 $2.5
(7.1%)
$2.2
(6.2%)
$37.5
(NA)
Polio – State & Foreign Operations (All Accounts)
Polio $59.0 $50.0 $59.0 $59.0 $0
(0%)
$9
(18%)
$0
(0%)
of which GHP account $51.0 $44.5 $51.0 $51.5 $0.5
(1%)
$7
(15.7%)
$0.5
(1%)
of which ESF account $8.0 $5.5 $8.0 $7.5 $-0.5
(-6.3%)
$2
(36.4%)
$-0.5
(-6.3%)
*The House specified total funding levels for family planning and reproductive health (FP/RH) activities, but did not delineate this funding by account beyond stipulating the U.S. contribution to UNFPA.
**Represents combined PEPFAR funding (HIV bilateral and Global Fund) at the State Department.

Additional Information:

  • Learn more about the House SFOPs appropriations bill here.