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.”
UPDATE: The President signed the bill into law (Public Law #112-74) on December 23, 2011 after the Conference Agreement passed the House (296-121) on December 16, 2011 and the Senate (67-32) on December 17, 2011. Additionally, the Senate voted against (43-56) a resolution (H.Con.Res. 94) that would have applied a 1.83% across-the-board rescission to all FY 2012 appropriations except the Department of Defense (DoD), Military Construction, and Veterans Affairs.
Representative Hal Rogers (R-KY, 5th; Chairman House Committee on Appropriations) released a statement announcing that a joint House-Senate Conference Committee had reached agreement on final FY 2012 Appropriations legislation (H.R. 2055), which includes funding for global health programs through the State Department, U.S. Agency for International Development (USAID), the Department of Health and Human Services (HHS), and the Department of Defense (DoD). While total funding for the Global Health Initiative (GHI) is not yet available, the appropriations detailed in this agreement totaled $8.3 billion.
Directs that no FY 2012 global health funds may be used for needle exchange programs;
Includes additional Congressional oversight before the Administration makes a multi-year funding pledge;
Requires the Administration to report back to Congress with an analysis of the potential costs/savings of transitioning the Office of the Global AIDS Coordinator (OGAC) into USAID; and
Requires the Administration to 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 as provided in the Conference Report (House Report 112-331) and Joint Statement of Managers are summarized as follows:
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.
“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)**
House – FY11
House – Request
State & Foreign Operations
of which GF
of which UNFPA
Water (all acounts)
Health and Human Services (HHS)
CDC Global Health
of which HIV
NIH – Global Fund
NIH – Fogarty International Center
Department of Defense (DoD)
The Global Health Initiative
Total GHI (known amounts)****
*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.
The State Department and U.S. Agency for International Development (USAID) released a “Joint Summary of Performance and Financial Information for FY 2012” summarizing the performance and accomplishments of the two agencies in fulfilling their diplomatic and development objectives, including efforts to address global health issues.
The Congressional Research Service (CRS) released a report titled “Abortion and Family Planning-Related Provisions in U.S. Foreign Assistance Law and Policy.” According to the summary, the “report details legislation and policies that restrict or place requirements on U.S. funding of abortion or family planning activities abroad.”
Among other things, the bill authorizes the President to â€œprovide assistance in order to support the achievement of universal access to sexual and reproductive health in developing countriesâ€ and requires the development and implementation of a strategy to link sexual and reproductive health (SRH) services to other global health efforts.
The proposed bill would “authorize assistance to improve maternal and newborn health in developing countries,” and would require the President “to develop a strategy to reduce mortality and improve maternal and newborn health in developing countries.” Additionally, the proposed bill would authorize the appropriations of “such sums as may be necessary for each of fiscal years 2011 through 2015.”
The report to the White House Council on Women and Girls summarizes the programs and efforts of the State Department and the U.S. Mission to the United Nations (USUN) to promote â€œwomen’s empowerment and human rights around the world” including efforts to prevent violence against women and to increase access to health care through the Global Health Initiative (GHI).
The proposed bill authorizes the President to provide assistance to â€œaddress the social and health issues that lead to obstetric fistulaâ€ and to â€œsupport treatment of obstetric fistulaâ€ by, among other things, increasing access to sexual and reproductive health services and improving health systems. The bill also calls for an annual report to Congress on the progress of U.S. efforts to reduce and address the impact of obstetric fistula.