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Resolution supporting goals and ideals of World Malaria Day introduced in Senate

Senator Roger Wicker (R-MS) introduced a resolution (S. Res. 429) supporting the goals and ideals of World Malaria Day. Among other things, the resolution commends efforts by the President’s Malaria Initiative (PMI) and the Global Fund to Fight AIDS, Tuberculosis and Malaria (Global Fund) and “supports continued leadership by the United States in bilateral, multilateral, and private sector efforts to combat malaria as a critical part of the President’s Global Health Initiative.”

PMI releases 6th Annual Malaria Report and other Administration actions commemorating World Malaria Day

On World Malaria Day, the President’s Malaria Initiative (PMI) released its 6th Annual Report, “which describes the role and contributions of the U.S. Government (USG) in the effort to reduce the burden of malaria in Africa, and to monitor antimalarial drug resistance and decrease malaria transmission in the Greater Mekong Subregion.”

Additional USG actions and statements commemorating World Malaria Day:

CDC releases "CDC Global Health Strategy 2012-2015"

The Centers for Disease Control and Prevention (CDC) released “CDC Global Health Strategy 2012-2015,” which outlines how the CDC plans to work towards four specific goals: improving the health and well-being of people around the world, improving capabilities for preparing and responding to infectious diseases and emerging health threats, building country public health capacity, and maximizing organizational capacity.

Resolution supporting goals and ideals of World Malaria Day passed in Senate

The Senate passed by voice vote a resolution (S. Res. 429) introduced by Senator Roger Wicker (R-MS) supporting the goals and ideals of World Malaria Day. Among other things, the resolution commends efforts by the President’s Malaria Initiative (PMI) and the Global Fund to Fight AIDS, Tuberculosis and Malaria (Global Fund) and “supports continued leadership by the United States in bilateral, multilateral, and private sector efforts to combat malaria as a critical part of the President’s Global Health Initiative.”

Senators Coons and Wicker announce creation of Senate Caucus on Malaria and Neglected Tropic Diseases

Senator Christopher Coons (D-DE) and Senator Roger Wicker (R-MS) announced that the Senate Malaria Working Group would become the Senate Caucus on Malaria and Neglected Tropical Diseases (NTDs), which “will focus on efforts to stem the global tide of 17 neglected tropical diseases including malaria.”

Additional Information:

Senate Appropriations Committee approves Labor HHS Appropriations Bill

The Senate Committee on Appropriations approved the FY 2013 Labor, Health & Human Services, Education and Related Agencies appropriations bill by a vote of 16-14. A report released by the committee provided the funding levels for global health programs at the Centers for Disease Control and Prevention (CDC), which comprises a portion of the Global Health Initiative (GHI) budget, and the John E. Fogarty International Center. Additional funding for global health programs and research conducted by the National Institutes of Health (NIH) is not yet available.

Area

Part of the GHI*

FY12 Enacted (millions)

FY13 Request (millions)

FY13 Senate (millions)

Difference: Senate – FY12 (millions)

Difference: Senate – Request (millions)

Centers for Disease Control and Prevention (CDC)

Global AIDS Program

X

$117.1

$117.2

$117.1

$0
 (0%)

$0
 (0%)

Global Immunization

 

$160.3

$175.4

$160.3

$0
 (0%)

$-15.1
 (-8.6%)

       Polio

 

$111.3

$126.4

$111.3

$0
 (0%)

$-15.1
 (-11.9%)

       Measles & Other Diseases

 

$49.0

$49.1

$49.0

$0
 (0%)

$-0.1
 (-0.1%)

Disease Detection & Emergency Response

 

$41.6

$41.7

$46.6

$5
 (12%)

$4.9
 (11.9%)

Parasitic Diseases & Malaria

**

$19.4

$19.4

$19.4

$0
 (0%)

$-0.1
 (-0.3%)

Global Public Health Capacity Development

 

$9.2

$9.2

$9.2

$0
 (0%)

$0
 (-0.2%)

National Public Health Institutes

 

$0.0

$0.0

$10.0

-

-

Total CDC Funding

 

$347.6

$362.9

$362.6

$15
 (4.3%)

$-0.3
 (-0.1%)

John E. Fogarty International Center

 

$69.6

$69.8

$70.0

$0.4
 (0.6%)

$0.2
 (0.3%)

*GHI: U.S. Global Health Initiative.      
**CDC funding for malaria is considered to be part of the GHI. The exact amount of malaria funding provided in the Senate Labor-HHS appropriations bill is not yet know.

CRS releases report on U.S. response to global malaria threat

The Congressional Research Service (CRS) released a report titled “U.S. Response to the Global Threat of Malaria: Basic Facts.” According to the summary, “[t]his report outlines basic facts related to global malaria, including characteristics of the epidemic and U.S. legislation, programs, funding, and partnerships related to the global response to malaria.”

CRS releases report on the Global Fund to Fight AIDS, Tuberculosis and Malaria

The Congressional Research Service (CRS) released a report titled “The Global Fund to Fight AIDS, Tuberculosis, and Malaria: Issues for Congress and U.S. Contributions from FY2001 to FY2013.” According to the summary, “[t]his report provides background information on the Global Fund, outlines U.S. funding for the Fund, discusses changes the Global Fund has made to improve the efficiency of its programs and address allegations of corruption, and analyzes issues Congress might consider as it debates the appropriate level of U.S support to provide the Fund.”

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.

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.