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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

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.

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.

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.

PMI releases external evaluation

The President’s Malaria Initiative (PMI) released an external evaluation of the first five years (FY 2006-FY 2010) of the initiative. According to the report, PMI was evaluated on its ability to advance its goals, incorporate its four core principles, and partner at the global and country level. The report also provided an assessment of PMI’s program outcomes and impacts, operational research activities, and provided actionable recommendations for PMI improvement.

White House releases FY 2013 Budget Request

The White House released the FY 2013 budget request, which included funding for the U.S. Global Health Initiative (GHI) and other global health activities.  Overall, funding for the GHI is down in the FY 2013 request, with most of the reduction coming from HIV/AIDS bilateral amounts.  Most other areas saw decreases as well, except for family planning and funding for the Global Fund to Fight AIDS, Tuberculosis and Malaria and GAVI, which increased.

Area

FY12 Estimate (millions)

FY13 Request (millions)

Difference: FY13 – FY12 (millions)

The Global Health Initiative (GHI)

Total GHI

$8,827.6

$8,524.4

$-303.2
 (-3.4%)

     of which PEPFAR

$6,632.3

$6,418.0

$-214.3
 (-3.2%)

           of which HIV*

$5,082.4

$4,536.0

$-546.4
 (-10.8%)

           of which TB

$249.8

$232.0

$-17.8
 (-7.1%)

           of which Global Fund

$1,300.0

$1,650.0

$350
 (26.9%)


*Total USG bilateral funding for HIV/AIDS programs.

Area

Part of the GHI

FY12 Estimate (millions)

FY13 Request (millions)

Difference: FY13 – FY12 (millions)

U.S. Agency for International Development (USAID)

HIV

X

$350.0

$330.0

$-20
 (-5.7%)

Tuberculosis

X

$249.8

$232.0

$-17.8
 (-7.1%)

       GHP account

X

$236.0

$224.0

$-12
 (-5.1%)

       Other accounts

X

$13.8

$8.0

$-5.8
 (-42.2%)

Malaria

X

$650.0

$619.0

$-31
 (-4.8%)

MCH

X

$605.6

$578.0

$-27.6
 (-4.5%)

       of which GAVI

X

$130.0

$145.0

$15
 (11.5%)

Nutrition

X

$95.0

$90.0

$-5
 (-5.3%)

FP/RH

X

$524.0

$530.0

$6
 (1.2%)

NTDs

X

$89.0

$67.0

$-22
 (-24.7%)

Vulnerable Children

X

$17.5

$13.0

$-4.5
 (-25.7%)

Pandemic Influenza

X

$58.0

$53.0

$-5
 (-8.6%)

State Department

HIV

X

$4,242.9

$3,700.0

$-542.9
 (-12.8%)

Global Fund

X

$1,300.0

$1,650.0

$350
 (26.9%)

UNFPA

 

$35.0

$39.0

$4
 (11.4%)

National Institutes for Health (NIH)

HIV

X

$364.5

$388.9

$24.4
 (6.7%)

Malaria

X

$147.0

$147.0

$0
 (0%)

Centers for Disease Control and Prevention (CDC)

HIV

X

$117.1

$117.2

$0
 (0%)

Malaria

X

$9.3

$9.4

$0.1
 (1.1%)

Department of Defense (DoD)

HIV

X

$8.0

$0.0

$-8
 (-100%)

Malaria

X

$0.0

$0.0

-

CRS releases report on FY2012 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 FY2012 request and congressional action related to FY2012 State-Foreign Operations legislation.”

President Obama announces partnership with Burma; includes health components

During the a trip to Burma, President Obama announced a new U.S.-Burma partnership that will, among other things, address health issues including: maternal and child health, health system strengthening, HIV/AIDS, tuberculosis, and malaria.

Additional Information:

U.S. and Australia highlight global health issues during ministerial consultation

The U.S. and Australia released a Joint Communique at the conclusion of the Australia-United States Ministerial Consultation (AUSMIN) summarizing the priority issues discussed during the bilateral meeting. Among other things, the communique outlines joint efforts and plans to address global health issues including improving maternal and child health (MCH), reducing the risk and spread of emerging infectious diseases, control and elimination of malaria, and food security.

Additional Information:

  • Secretary of State Hillary Clinton’s remarks at the opening of the AUSMIN Ministerial
GAO releases report on drug quality in global health programs

The U.S. Government Accountability Office (GAO) released a report titled “Ensuring Drug Quality in Global Health Programs”, which “examined (1) the regulatory and policy requirements intended to ensure the quality of drugs procured with U.S. aid funds and (2) the systems in place to monitor drug quality in supply chains used by programs receiving U.S. foreign aid funds.” The GAO did not make any recommendations in this report.