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CRS releases report on FY2013 State and Foreign Operations appropriations

The Congressional Research Service (CRS) released a report titled “State, Foreign Operations, and Related Programs: FY2012 Budget and Appropriations”. According to the summary, “[t]his report analyzes the FY2013 request and congressional action related to FY2013 State-Foreign Operations legislation.”

State Department releases fact sheet titled "The U.S. Global Health Initiative: Saving Lives and Promoting Security"

The State Department released a fact sheet titled “The U.S. Global Health Initiative: Saving Lives and Promoting Security,” which, among other things, details the GHI’s principles and targets.

Senate passes "International Protecting Girls by Preventing Child Marriage Act of 2011"

The Senate passed by voice vote the “International Protecting Girls by Preventing Child Marriage Act of 2011” (S. 414). Originally introduced in February of 2011, the bill states, among other things, 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.” 

Additional Information:

  • Senate report accompanying the bill (#112-170).
UPDATED – Senate Appropriations Committee approves FY 2013 State and Foreign Operations Appropriations Bill

The Senate Committee on Appropriations approved the FY 2013 State and Foreign Operations appropriations bill (S. 3241) by a vote of 29-1, and released a bill summary as well as a Committee Report (#112-172). The bill 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 funding for the Global Health Initiative (total funding for the GHI is not currently available as some funding provided through USAID, HHS, and DoD are not yet available). The Senate bill would provide $8.5 billion to the GHI, $625 million more than the President’s FY13 request ($7.9 billion) and $461 million more than the House FY13 appropriations bill ($8.0 billion). It is also $311 million above the FY12 amount ($8.2 billion).

In addition, the committee approved an amendment introduced by Senator Frank Lautenberg (D-NJ) that would put into place a legislative repeal of the Mexico City Policy (also known as the “Global Gag Rule”).

Area

FY12 Estimated (millions)

FY13 Request (millions)

FY13 House  (millions)

FY13 Senate  (millions)

Difference (millions)

Senate – FY12

Senate – Request

Senate – House

State Department – Global Health Programs (GHP)

HIV/AIDS Bilateral

$4,242.9

$3,700.0

$4,242.9

$3,900.0

$-342.9
 (-8.1%)

$200
 (5.4%)

$-342.9
 (-8.1%)

       UNAIDS (non-add)

$45.0

$45.0

Not Yet Available

$45.0

$0
 (0%)

$0
 (0%)

-

Global Fund*

$1,300.0

$1,650.0

$1,300.0

$1,650.0

$350
 (26.9%)

$0
 (0%)

$350
 (26.9%)

Total State-GHP

$5,542.9

$5,350.0

$5,542.9

$5,550.0

$7.1
 (0.1%)

$200
 (3.7%)

$7.1
 (0.1%)

USAID – Global Health Programs (GHP)

Maternal & Child Health (MCH)

$605.6

$578.0

$605.6

$679.0

$73.4
 (12.1%)

$101
 (17.5%)

$73.4
 (12.1%)

       Polio (non-add)

$35.0

Not Yet Available

Not Yet Available

$35.5

$0.5
 (1.4%)

-

-

       GAVI (non-add)**

$130.0

$145.0

Not Yet Available

$145.0

$15
 (11.5%)

$0
 (0%)

-

Nutrition

$95.0

$90.0

$95.0

$122.0

$27
 (28.4%)

$32
 (35.6%)

$27
 (28.4%)

Vulnerable Children

$17.5

$13.0

$17.5

$23.0

$5.5
 (31.4%)

$10
 (76.9%)

$5.5
 (31.4%)

HIV/AIDS

$350.0

$330.0

$350.0

$350.0

$0
 (0%)

$20
 (6.1%)

$0
 (0%)

Tuberculosis

$236.0

$224.0

$236.0

$285.0

$49
 (20.8%)

$61
 (27.2%)

$49
 (20.8%)

Malaria

$650.0

$619.0

$650.0

$670.0

$20
 (3.1%)

$51
 (8.2%)

$20
 (3.1%)

Neglected Tropical Diseases (NTDs)

$89.0

$67.0

Not Yet Available

$125.0

$36
 (40.4%)

$58
 (86.6%)

-

Pandemic Preparedness

$58.0

$53.0

Not Yet Available

$75.0

$17
 (29.3%)

$22
 (41.5%)

-

Family Planning & Reproductive Health (FP/RH)***

$524.0

$530.0

Not Yet Available

$600.0

$76.1
 (14.5%)

$70
 (13.2%)

-

Total USAID-GHP:

$2,625.0

$2,504.0

$2,474.9

$2,929.0

$304
 (11.6%)

$425
 (17%)

$454.1
 (18.3%)

The Global Health Initiative

Total GHI (known amounts)****

$8,167.9

$7,854.0

$8,017.7

$8,479.0

$311.1
 (3.8%)

$625
 (8%)

$461.3
 (5.8%)

Total Family Planning & Reproductive Health (FP/RH) – All Accounts***

Total FP/RH***

$661.0

$642.7

$461.0

$744.5

$83.5
 (12.6%)

$101.8
 (15.8%)

$283.5
 (61.5%)

       of which GHP Account

$524.0

$530.0

Not Yet Available

$600.0

$76.1
 (14.5%)

$70
 (13.2%)

-

       of which UNFPA

$35.0

$39.0

$0.0

$44.5

$9.5
 (27.1%)

$5.5
 (14.1%)

$44.5
 (N/A)

       of which Other Accounts

$102.0

$73.7

Not Yet Available

$100.0

$-2
 (-2%)

$26.3
 (35.7%)

-

*The FY 2012 enacted amount for the Global Fund was $1.050 billion. The Administration subsequently moved $250 million from the HIV/AIDS bilateral line to the Global Fund, bringing the Global Fund amount up to $1.3 billion.     &nbs

Senate Appropriations Subcommittee releases summary of FY 2013 State and Foreign Operations Appropriations Bill

The Senate Committee on Appropriations, Subcommittee on the Department of State and Foreign Operations and Related Programs approved the FY 2013 State and Foreign Operations appropriations bill and released a bill summary. The bill includes funding for U.S. global health programs at the U.S. Agency for International Development (USAID) and the State Department comprising a significant portion of funding for the Global Health Initiative (total funding for the GHI is not currently available as some funding provided through USAID, HHS, and DoD are not yet available).

The Senate bill would provide $8.4 billion to the GHI, which is approximately $500 million more than the President’s FY13 request ($7.9 billion) and $400 million more than the House FY13 appropriations bill ($8.0 billion). It is also approximately $200 million above the FY12 amount ($8.2 billion). Of this, the Senate bill would provide the following:

  • HIV/AIDS bilateral: $4.25 billion, which is greater than the President’s Request ($4.0 billion), but below the House bill ($4.6 billion), which maintained the FY12 levels.*
  • Global Fund: $1.65 billion, which is equal to the President’s Request and greater than the House bill ($1.3 billion), which maintained the FY12 levels.*
  • Maternal & Child Health (MCH): $655 million, which is greater than the President’s Request ($578 million) and the House bill ($606 million), which maintained the FY12 levels.
  • Malaria: $650 million, which is greater than the President’s Request ($619 million), but the same as the House bill, which maintained the FY12 levels.
  • Tuberculosis: $265 million, which is greater than the President’s Request ($224 million) and the House bill ($236 million), which maintained the FY12 levels.
  • Pandemic: $75 million, which is greater than the President’s Request ($53 million) and the FY12 amount ($58 million). The House bill did not specify an amount.

In addition, the bill would provide $700 million in funding from all accounts for family planning and reproductive health (FP/RH) including $44.5 million in funding for the United Nations Population Fund (UNFPA). This is greater than the President’s request ($643 million) and the House bill ($461 million). It is also greater than FY12 levels ($661 million).

*The FY 2012 enacted amount for the Global Fund was $1.050 billion. The Administration subsequently moved $250 million from the HIV/AIDS bilateral line to the Global Fund, bringing the Global Fund amount up to $1.3 billion.

House Appropriations Committee releases FY 2013 State and Foreign Operations Draft Committee Report

The House Committee on Appropriations released the FY 2013 State and Foreign Operations Draft Committee Report, which provides additional information on funding through the State and Foreign Operations appropriations bill (released May 8, 2012) for U.S. global health programs at the U.S. Agency for International Development (USAID) and the State Department. This funding comprises a significant portion of the Global Health Initiative budget (total funding for the GHI is not currently available as some funding provided through USAID, HHS, and DoD are not yet available).

The report also included the following policy provisions:

  • Reinstates the Mexico City Policy (also known as the “Global Gag Rule”)
  • Prohibits funding for the United Nations Population Fund (UNFPA)
  • No funding provided for needle exchange programs

Area

FY12 Estimated (millions)

FY13 Request (millions)

FY13 House Report (millions)

Difference (millions)

Report – FY12

Report – Request

State Department - Global Health Programs (GHP)

HIV/AIDS Bilateral

$4,242.9

$3,700.0

$4,242.9

$0
 (0%)

$542.9
 (14.7%)

Global Fund*

$1,300.0

$1,650.0

$1,300.0

$0
 (0%)

$-350
 (-21.2%)

Total State-GHP

$5,542.9

$5,350.0

$5,542.9

$0
 (0%)

$192.9
 (3.6%)

USAID – Global Health Programs (GHP)

Maternal & Child Health (MCH)

$605.6

$578.0

$605.6

$0
 (0%)

$27.6
 (4.8%)

Nutrition

$95.0

$90.0

$95.0

$0
 (0%)

$5
 (5.6%)

Vulnerable Children

$17.5

$13.0

$17.5

$0
 (0%)

$4.5
 (34.6%)

HIV/AIDS

$350.0

$330.0

$350.0

$0
 (0%)

$20
 (6.1%)

Tuberculosis

$236.0

$224.0

$236.0

$0
 (0%)

$12
 (5.4%)

Malaria

$650.0

$619.0

$650.0

$0
 (0%)

$31
 (5%)

Neglected Tropical Diseases (NTDs)

$89.0

$67.0

Not Yet Available

-

-

Pandemic Preparedness

$58.0

$53.0

Not Yet Available

-

-

Family Planning & Reproductive Health (FP/RH)**

$524.0

$530.0

Not Yet Available

-

-

Total USAID-GHP:

$2,625.0

$2,504.0

$2,474.9

$-150.1
 (-5.7%)

$-29.1
 (-1.2%)

The Global Health Initiative (GHP Account)

Total GHI (known amounts)***

$8,167.9

$7,854.0

$8,017.7

$-150.1
 (-1.8%)

$163.7
 (2.1%)

Total Family Planning & Reproductive Health (FP/RH) – All Accounts**

Total FP/RH**

$661.0

$642.7

$461.0

$-200
 (-30.3%)

$-181.7
 (-28.3%)

       of which GHP Account

$524.0

$530.0

Not Yet Available

-

-

       of which UNFPA

$35.0

$39.0

$0.0

$-35
 (-100%)

$-39
 (-100%)

       of which Other Accounts

$102.0

$73.7

Not Yet Available

-

-

*The FY 2012 enacted amount for the Global Fund was $1.050 billion. The Administration subsequently moved $250 million from the HIV/AIDS bilateral line to the Global Fund, bringing the Global Fund amount up to $1.3 billion.
**The Committee Report “limit[s] the level of funds provided in this Act for family planning to not more than $461,000,000”, but does not delineate this funding by account. FY 2012 FP/RH funding was enacted at “not less than” $610 million; according to ForeignAssistance.gov (accessed 5/16/12), the Administration has planned to provide $661 million for FP/RH in FY 2012.
***Total funding for the GHI is not currently available as some funding provided through USAID, HHS, and DoD are not yet available.

USAID releases “Global Health and Child Survival: Progress Report to Congress 2010-2011″

The U.S. Agency for International Development (USAID) released the “Global Health and Child Survival: Progress Report to Congress 2010-2011” summarizing the agency’s health development efforts for 2010-2011.

House Appropriations Committee releases FY 2013 State and Foreign Operations Appropriations Bill

The House Committee on Appropriations released the FY 2013 State and Foreign Operations Appropriations bill, which included 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 funding for the Global Health Initiative (total funding for the GHI is not currently available as some funding provided through USAID, HHS, and DoD are not yet available). Funding through the appropriations bill for the GHI at USAID and State would be $164 million (2%) greater than the President’s request.

With the exception of family planning and reproductive health (FP/RH) funding, and funding for PEPFAR at the State Department, the bill did not delineate specific amounts for other programmatic areas (e.g. TB, malaria, etc.).

The bill also included the following policy provisions:

  • Reinstates the Mexico City Policy (also known as the “Global Gag Rule”)
  • Prohibits funding for the United Nations Population Fund (UNFPA)
  • No funding provided for needle exchange programs (according to a press release accompanying the bill)

Department / Agency

FY12 Estimated (millions)

FY13 Request (millions)

FY13 House Bill 
(millions)

Difference (millions)

House – FY12

House – Request

State & Foreign Operations – Global Health Programs (GHP)

USAID

$2,625.0

$2,504.0

$2,474.9

$-150.1
 (-5.7%)

$-29.1
 (-1.2%)

State*

$5,542.9

$5,350.0

$5,542.9

$0
 (0%)

$192.9
 (3.6%)

Total GHI (known amounts)**

$8,167.9

$7,854.0

$8,017.7

$-150.1
 (-1.8%)

$163.7
 (2.1%)

Family Planning & Reproductive Health (FP/RH)

FP/RH***

$661.0

$642.7

$461.0

$-200
 (-30.3%)

$-181.7
 (-28.3%)

       of which UNFPA

$35.0

$39.0

$0.0

$-35
 (-100%)

$-39
 (-100%)

*Represents combined PEPFAR funding (HIV bilateral and Global Fund) at the State Department.
**Total funding for the GHI is not currently available as some funding provided through USAID, HHS, and DoD are not yet available.
***The House FY 2013 State and Foreign Operations bill states that “Of the funds appropriated by this Act, not more than $461,000,000 may be made available for family planning/reproductive health.” FY 2012 FP/RH funding was enacted at “not less than” $610 million; according to ForeignAssistance.gov (accessed 5/16/12), the Administration has planned to provide $661 million for FP/RH in FY 2012.

USAID releases “USAID’s Global Health Strategic Framework: Better Health for Development”

The U.S. Agency for International Development (USAID) released “USAID’S Global Health Strategic Framework: Better Health for Development” for fiscal years 2012-2016.  The framework states that it incorporates the principles of the Global Health Initiative (GHI), and outlines, among other things, USAID’s core health priorities, which include saving mothers and children, fostering an AIDS-free generation, combating infectious disease, increasing the availability and use of voluntary family planning, and strengthening health systems. The framework also summarizes the agency’s strategic approaches guiding its global health efforts: technical leadership; partnerships; science, technology, and development; scaling up of proven interventions; and strengthening local health system capacity.

USAID Administrator Shah testifies before House Committee on Foreign Affairs on FY13 budget request

U.S. Agency for International Development (USAID) Administrator Dr. Rajiv Shah testified before the House Committee on Foreign Affairs and provided a summary of the FY13 budget request for USAID highlighting efforts through the Feed the Future Initiative and the Global Health Initiative (GHI) including the President’s Emergency Plan for AIDS Relief (PEPFAR) and the President’s Malaria Initiative (PMI).

Additional Information:

  • Opening remarks by Representative Ileana Ros-Lehtinen (R-FL, 18th; Committee Chair) expressing, among other things, her opposition to a proposed increase in FY13 funding for family planning and reproductive health (FP/RH).
  • Opening remarks by Representative Howard Berman (D-CA, 28th; Ranking Member) calling for, among other things, a revision and updating of the Foreign Assistance Act of 1961.