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House Committee on Foreign Affairs approves bill prohibiting U.S. Government funding for UNFPA

The House Committee on Foreign Affairs approved, by a vote of 23-17, H.R. 2059 – To prohibit funding to the United Nations Population Fund (UNFPA).

Additional Information:

  • Representative Ileana Ros-Lehtinen’s (R-FL, 18th; Chair) opening remarks during the Committee Markup Hearing of H.R. 2059.
  • Representative Howard Berman’s (D-CA, 28th; Ranking Member) statement at the Committee Markup Hearing of H.R. 2059.
  • Representative Ileana Ros-Lehtinen’s (R-FL, 18th; Chair) statement following Committee passage of H.R. 2059.
Congressional Budget Office releases cost estimate of bill prohibiting funding to UNFPA

The Congressional Budget Office (CBO) released a cost estimate of H.R. 2059 – A bill to prohibit funding to the United Nations Population Fund (UNFPA). The CBO “estimates that implementing the bill would have no effect on the federal budget.”

FY2012 Consolidated Appropriations Act introduced in the House

Representative Hal Rogers (R-KY, 5th; Chairman House Committee on Appropriations) introduced the “Consolidated Appropriations Act, 2012” (H.R. 3671), which includes funding for global health programs through the State Department, U.S. Agency for International Development (USAID), and the Department of Health and Human Services (HHS). Chairman Rogers also introduced a resolution (H.Con.Res. 94) that would apply a 1.83% across the board rescission to all FY 2012 appropriations except the Department of Defense (DoD), Military Construction, and Veterans Affairs.

According to the bill and the Chair’s summary, the bill also:

  • “Directs that no HIV/AIDS funding be provided for needle exchange programs”;
  • “Requires additional congressional oversight before the Administration makes public announcements of multi-year funding pledges”;
  • Requires that the Administration report back to Congress with an analysis of the potential costs (including savings and increases) of transitioning the Office of the Global AIDS Coordinator (OGAC) into USAID; and
  • Requires that the Administration report back to Congress with an analysis of transitioning the leadership of the Global Health Initiative (GHI) to USAID as outlined in the Quadrennial Diplomacy and Development Review (QDDR).

Global health appropriations included in the bill are as follows:

Department / Agency

Part of the GHI*

FY11 Enacted (millions)

FY12 Request (millions)

FY12 House Bill (H.R. 3671) (millions)**

Difference
(millions)

House – FY11

House – Request

State & Foreign Operations

USAID-GHCS

X

$2,495.0

$3,073.6

$2,625.0

$130
 (5.2%)

$-448.6
 (-14.6%)

State GHCS

X

$5,334.3

$5,641.9

$5,542.9

$208.5
 (3.9%)

$-99
 (-1.8%)

        of which GF

X

$748.5

$1,000.0

$1,050.0

$301.5
 (40.3%)

$50
 (5%)

FP/RH***

 

$615.0

$769.1

$610.0

$-5
 (-0.8%)

$-159.1
 (-20.7%)

        of which UNFPA

 

$40.0

$47.5

$35.0

$-5
 (-12.5%)

$-12.5
 (-26.3%)

MCC

 

$898.2

$1,125.1

$898.2

$0
 (0%)

$-226.9
 (-20.2%)

Water (all acounts)

 

-

-

$315.0

-

-

Health and Human Services (HHS)

CDC Global Health

 

$340.3

$381.2

$348.9

$8.6
 (2.5%)

$-32.4
 (-8.5%)

        of which HIV

X

$118.7

$118.0

$117.8

$-0.9
 (-0.8%)

$-0.2
 (-0.2%)

NIH – Global Fund

X

$297.3

$300.0

$0.0

$-297.3
 (-100%)

$-300
 (-100%)

NIH – Fogarty International Center

 

$69.4

$71.3

$69.6

$0.2
 (0.3%)

$-1.7
 (-2.4%)

Department of Defense (DoD)

HIV

X

$10.0

$0.0

$8.0

$-2
 (-20%)

-

The Global Health Initiative

Total GHI (known amounts)****

 

$8,255.4

$9,133.5

$8,293.7

$38.3
 (0.5%)

$-839.9
 (-9.2%)

*GHI: U.S. Global Health Initiative.
**The FY 2012 Consolidated Appropriations Act included an across-the-board 0.189% rescission to all funding provided through the Labor-HHS portion of the bill.
***The FY 2012 Consolidated Appropriations Act states that “not less than $575,000,000 should be made available for family planning/reproductive health” through all bilateral accounts, but does not delineate this amount by account. UNFPA funding is in addition to the bilateral funding and is provided through the International Organizations and Programs (IO&P) account.
****Total funding for the GHI is not currently available as some funding provided through SFOPS, HHS, and DoD were not delineated in the FY 2012 appropriations bills.

Administration releases “The United States Global Health Initiative: Strategy Document”

The Administration released “The United States Global Health Initiative: Strategy Document,” which includes information on the operational plan, targets, and implementation of the Global Health Initiative (GHI).

Administration officials testify before Congress on the FY 2012 budget request for global health and HIV/AIDS

U.S. Global AIDS Coordinator Ambassador Eric Goosby and U.S. Agency for International Development (USAID) Deputy Assistant Administrator for Global Health Amie Batson testified before the House Committee on Appropriations, Subcommittee on State, Foreign Operations, and Related Programs on the FY 2012 budget request for global health and HIV/AIDS.

Summary of the FY11 Full-Year Continuing Appropriations Act (H.R. 1473)

Representative Harold Rogers (R-KY, 5th) introduced the “Department of Defense and Full-Year Continuing Appropriations Act, 2011” (H.R. 1473) authorizing appropriations for the remaining six months of FY 2011 (the first 6 months of FY 2011 were funded under FY 2010 levels). The proposed funding totals for global health (as compared to FY 2010 totals) included in this appropriations bill are provided in the table below.

Note: The appropriations bill (H.R. 1473) includes an across-the-board rescission of 0.2 percent to all discretionary spending; the global health funding totals for FY 11 (H.R. 1473) listed below include this rescission.

Timeline of the bill:

- Introduced and referred to the House Committee on the Budget and the House Committee on Ways and Means on April 11, 2011.

- Passed by the House (260-167) and the Senate (81-19) on April 14, 2011.

- Signed by the President (Public Law No: 112-10) on April 15, 2011.

H.R. 1319 – Global Sexual and Reproductive Health Act of 2011

Among other things, the bill authorizes the President to “provide assistance in order to support the achievement of universal access to sexual and reproductive health in developing countries” and requires the development and implementation of a strategy to link sexual and reproductive health (SRH) services to other global health efforts.

H.R. 755 – Investing in Our Future Act of 2011

The proposed bill would impose a 0.005% tax on the value of the currency (if greater than $10,000 USD) acquired in a currency exchange transaction. The revenue generated by this tax would be directed to three new trust funds established at the Department of the Treasury: 10% would be directed to a “Child Care Assistance Trust Fund,” 25% to a “Multilateral Global Health Trust Fund,” and 25% to a “Global Climate Change Adaptation and Mitigation Trust Fund.” The remainder would be directed to federal budget deficit reduction or reduction of the federal debt.

The Secretary of State would have authority to provide grants from the Multilateral Global Health Trust Fund to entities such as the Global Fund to Fight AIDS, Tuberculosis and Malaria and other multilateral organizations that meet specific criteria outlined in the bill. The bill also states that funding for the multilateral organizations must be in addition to and not replacing existing funding and should be used for the purposes of “addressing HIV/AIDS, tuberculosis, malaria, maternal mortality, family planning, neglected diseases, and other health issues affecting developing countries.”

S. 414 – International Protecting Girls by Preventing Child Marriage Act of 2011

Among other things, the bill states 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.” The bill authorizes “such sums as necessary.”