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White House releases FY 2014 Budget Request

The White House released the FY 2014 budget request, which included funding for U.S. global health activities.  Overall, funding for global health programs (at USAID and the State Department combined) increased in the FY 2014 request as compared to FY12 actual and FY13 estimated levels. This varied by specific global health program area (see below).

 State Department & USAID – Global Health Programs (GHP)
 Area  FY12 Actual  FY13 CR Estimated*(millions)  FY14 Request
(millions)
 Difference:
FY14 – FY13 CR
(millions)
 Difference: FY14 – FY12
(millions)
 State Department – Global Health Programs (GHP)
 HIV  $4,242.9  $3,865.7  $4,020.0  $154.3
(4%)
 $-222.9
(-5.3%)
 Global Fund  $1,300.0  $1,567.0  $1,650.0  $83
(5.3%)
 $350
(26.9%)
 Total  $5,542.9  $5,432.7  $5,670.0  $237.3
(4.4%)
 $127.1
(2.3%)
 USAID – Global Health Programs (GHP)
 HIV  $350.0  $349.0  $330.0  $-19
(-5.4%)
 $-20
(-5.7%)
 Tuberculosis  $236.0  $235.3  $191.0  $-44.3
(-18.8%)
 $-45
(-19.1%)
 Malaria  $650.0  $648.1  $670.0  $21.9
(3.4%)
 $20
(3.1%)
 MCH  $605.6  $603.8  $680.0  $76.2
(12.6%)
 $74.5
(12.3%)
      of which GAVI  $130.0  Not yet available  $175.0  -  $45
(34.6%)
 Nutrition  $95.0  $94.7  $95.0  $0.3
(0.3%)
 $0
(0%)
 FP/RH  $528.8  $527.3  $534.0  $6.7
(1.3%)
 $5.2
(1%)
 NTDs  $89.0  $88.7  $85.0  $-3.7
(-4.2%)
 $-4
(-4.5%)
 Vulnerable Children  $17.5  $17.4  $13.0  $-4.4
(-25.5%)
 $-4.5
(-25.7%)
 Pandemic Influenza  $58.0  $57.8  $47.0  $-10.8
(-18.7%)
 $-11
(-19%)
 Total  $2,629.9  $2,622.2  $2,645.0  $22.8
(0.9%)
 $15.2
(0.6%)
 Total State & USAID GHP  $8,172.7  $8,054.9  $8,315.0  $260.1
(3.2%)
 $142.3
(1.7%)
 Other Global Health Funding
 Area  FY12 Actual  FY13 CR Estimated*
(millions)
 FY14 Request
(millions)
 Difference:
FY14 – FY13

(millions)
 Difference: FY14 – FY13
(millions)
 State Department & USAID
 Tuberculosis  $20.3  Not yet available  $8.0  -  $-12.3
(-60.6%)
 UNFPA**  $30.2  Not yet available  $37.0  -  $6.8
(22.5%)
 National Institutes for Health (NIH)
 HIV  $392.5  $372.1  $399.1  $27
(7.3%)
 $6.6
(1.7%)
 Malaria  $147.0  $139.4  $153.3  $13.9
(10%)
 $6.3
(4.3%)
 Centers for Disease Control and Prevention (CDC)
 HIV  $131.2  $124.4  $131.9  $7.6
(6.1%)
 $0.8
(0.6%)
 Malaria  $9.3  $8.8  $10.7  $1.8
(20.9%)
 $1.4
(14.6%)
 Department of Defense (DoD)
 HIV  $8.0  $8.0  $0.0  $-8
(-100%)
 $-8
(-100%)
 Malaria  $0.0  $0.0  $8.9  -  -

*FY13 are preliminary estimates that are likely to change. FY13 was calculated by using the FY13 Full-Year CR, which provided total GHP funding levels at USAID & State, applying a 0.032% across-the-board rescission (OMB estimate), and a 5% reduction due sequestration. For program estimates at USAID, the percentage increase in USAID funding between FY12 Final and FY13 CR was applied to each program area before applying reductions due to rescissions and sequestration.
**In FY12, Congress approved $35m in funding for UNFPA. However, due to policy conditions put in place by Congress annually, the actual contribution to UNFPA totaled $30.2m.