Representative Obey submitted an FY 2009 supplemental appropriations bill totaling “$94.2 billion, $9.3 billion above the White House request.” The supplemental bill included $10.4 billion for international affairs and $500 million for food assistance, $100 million for the Global Fund to Fight AIDS, Tuberculosis, and Malaria, and $2 billion for pandemic flu response ($200 million for global pandemic efforts).
Among other things, the resolution expresses support for achieving the target of ending malaria deaths by 2015, reaffirms the U.S. commitment to combat malaria, and urges improved coordination among U.S. and other international health programs.
Many members of Congress have issued formal statements as a result of the recent H1N1 virus outbreak. Some of the statements are provided below (this list does not include all member statements).
From the report summary: “This report identifies the legislative origins of General Provisions that pertain to foreign aid in the current Department of State, Foreign Operations, and Related Programs Appropriations Act, 2009 (division J of the Omnibus Appropriations Act, 2009; P.L. 111-8; 123 Stat. 524 at 831). . . . Over time, as enactment of foreign aid reauthorizations waned, the General Provisions of foreign appropriations measures increasingly became the place for Congress to assert its views on the role and use of U.S. foreign aid policy, put limits or conditions on assistance, or even authorize new programs.”
The bill includes provisions that would provide direct financial assistance and other resources to improve health care services and conditions (among other things) to women and children in Afghanistan.
H.Con.Res. 85 (House Budget Resolution) was introduced by Representative John Spratt (D-SC, 5th) and reported on by the House Committee on the Budget on March 27, 2009. The full House held a vote and approved the budget resolution authorizing $48.5 billion for the International Affairs budget on April 2, 2009 (the International Affairs budget contains most of the government’s funding for global health activities). The Budget Conference to resolve differences between the House and Senate budget resolutions reached an agreement and filed its report on April 27, 2009 with the International Affairs budget at $51.0 billion. The House voted (233-193) to approve the Budget Conference Agreement on April 29, 2009.
S.Con.Res. 13 (Senate Budget Resolution) was introduced by Senator Kent Conrad (D-ND) and reported on by the Senate Committee on the Budget on March 27, 2009 with $49.8 billion for the International Affairs budget (the International Affairs budget contains most of the government’s funding for global health activities). When the bill was heard by the full Senate, Senators Kerry and Lugar proposed an amendment that increased the International Affairs budget by $4 billion returning it to the President’s initial request of $53.8 billion. The Kerry-Lugar amendment was passed by the Senate on April 1, 2009. The entire budget resolution was passed by the Senate on April 2, 2009. The Budget Conference to resolve differences between the House and Senate budget resolutions reached an agreement and filed its report on April 27, 2009 with the International Affairs budget at $51.0 billion. Senate voted (53-43) to approve the Budget Conference Agreement on April 29, 2009.
The Congressional Budget Office (CBO) “estimates that implementing the bill (S.384) would cost about $6.5 billion over the 2010-2014 period.”
The Senate voted 65-31 in favor of confirming Kansas Governor Kathleen Sebelius as Secretary of Health and Human Services.
In a hearing before the Subcommittee on Government Management, Organization, and Procurement (House Committee on Oversight and Government Reform), GAO staff provided testimony on the challenges facing the development of USAID’s strategic workforce plan for its Acquisition and Assistance (A&A) efforts. GAO stated that USAID “has shifted from conducting its own activities to managing acquisition and assistance (A&A) instruments – contracts, grants, and cooperative agreements – it awards to implementing organization” and that USAID staff are now “responsible for monitoring the activities of A&A recipients to provide reasonable assurance that the funds provided are used in accordance with applicable regulations and policies and sound business practices.” GAO found that “USAID lacks the capacity to develop and implement a strategic workforce plan because it is missing two elements: (1) sufficiently reliable and up-to-date data on its overseas A&A staff levels and (2) comprehensive information on the competencies of its overseas A&A staff.”