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UPDATED – White House releases FY15 Budget Request

UPDATED – April 22, 2014 The White House released the FY 2015 budget request on March 4, 2014, which includes funding for U.S. global health programs. A significant portion of U.S. funding for global health, including funding at the U.S. Agency for International Development (USAID) and the Department of State,…

USAID releases 2013 Health-Related Research Report to Congress

The U.S. Agency for International Development (USAID) released its 2013 research-related report to Congress. Titled “Health-Related Research and Development Progress Report: An Update of the 2011-2015 Health Research Strategy,” the report “provides an update, broken down by health area, on the agency’s work under its multi-year strategy for health-related research…

Secretary of State John Kerry testifies before House and Senate Subcommittees on FY15 budget request

Secretary of State John Kerry testified before the House Appropriations Subcommittee on State, Foreign Operations, and Related Programs (March 12), Senate Appropriations Subcommittee on Foreign Operations (March 13), and House Foreign Affairs Committee (March 13) on the State and Foreign Operations FY15 budget request. During opening remarks at the House…

CRS releases report on U.S. global health assistance

The Congressional Research Service (CRS) released a report titled “U.S. Global Health Assistance: Background and Issues for the 113th Congress.” The report provides an overview of U.S. global health programs, including appropriations, implementing agencies, and initiatives, and highlights specific issues for Congress, including funding levels, U.S. leadership of global health…

Senate Appropriations Committee approves FY 2014 State and Foreign Operations Appropriations Bill

The Senate Committee on Appropriations approved, by a vote of 23-7, the FY 2014 State and Foreign Operations Appropriations bill (S.1372), which 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 U.S. funding…

FY14 Omnibus Appropriations Act Released

The House and Senate Committees on Appropriations announced the release of the “Consolidated Appropriations Act, 2014” (H.R. 3547), which includes funding for U.S. global health programs. A significant portion of U.S. funding for global health, including funding at the U.S. Agency for International Development (USAID) and the Department of State,…

UPDATED: House-Senate Conference Committee releases FY 2012 Appropriations Agreement

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.
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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.

According to the Conference Report and the Joint Statement of Managers, the legislation also:

  • 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:

Area

Part of the GHI*

FY11 Enacted (millions)

FY12 Request (millions)

FY12 Conference Agreement
(millions)**

Difference
(millions)

Conference – FY11

Conference – Request

State & Foreign Operations

Maternal & Child Health (MCH)

X

$548.9

$846.0

$605.6

$56.7
 (10.3%)

$-240.5
 (-28.4%)

        GAVI (non-add)

X

$90.0

$115.0

$100.0

$10
 (11.1%)

$-15
 (-13%)

Nutrition

X

$89.8

$150.0

$95.0

$5.2
 (5.8%)

$-55
 (-36.7%)

Vulnerable Children

X

$15.0

$15.0

$17.5

$2.5
 (16.9%)

$2.5
 (16.7%)

HIV/AIDS

X

$4,935.1

$4,991.9

$4,842.9

$-92.3
 (-1.9%)

$-149
 (-3%)

        USAID

X

$349.3

$350.0

$350.0

$0.7
 (0.2%)

$0
 (0%)

        State Department

X

$4,585.8

$4,641.9

$4,492.9

$-93
 (-2%)

$-149
 (-3.2%)

Global Fund

X

$748.5

$1,000.0

$1,050.0

$301.5
 (40.3%)

$50
 (5%)

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

 

$615.0

$769.1

$610.0

$-5
 (-0.8%)

$-159.1
 (-20.7%)

        GHCS Account

X

$524.0

$625.6

$524.0

$0
 (0%)

$-101.7
 (-16.2%)

        Other Bilateral Accounts

 

$51.1

$96.0

$51.1

$0
 (0%)

$-45
 (-46.8%)

        UNFPA

 

$40.0

$47.5

$35.0

$-5
 (-12.5%)

$-12.5
 (-26.3%)

Tuberculosis

X

$224.6

$236.0

$236.0

$11.5
 (5.1%)

$0
 (0%)

Malaria

X

$618.8

$691.0

$650.0

$31.2
 (5%)

$-41
 (-5.9%)

Neglected Tropical Diseases (NTDs)

X

$76.8

$100.0

$89.0

$12.2
 (15.8%)

$-11
 (-11%)

Pandemic Preparedness

X

$47.9

$60.0

$58.0

$10.1
 (21.1%)

$-2
 (-3.3%)

MCC

 

$898.2

$1,125.1

$898.2

$0
 (0%)

$-226.9
 (-20.2%)

Water

 

-

-

$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

  • Area: ,
  • Organization/Initiative: , , , , , , ,
  • Issue/Condition: , , , , , , , ,
  • 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.

    White House releases FY 2012 Budget Request

    The White House released the FY 2012 budget request, which included the following funding totals for the U.S. Global Health Initiative (GHI) and other global health and related activities:

    b>Global Health Initiative (GHI) total: $9.8 billion, including

    - $8.7155 billion from State & Foreign Operations Global Health & Child Survival (GHCS) account, and

    - Over $1.0693 billion from HHS, DoD, and other State & Foreign Operations accounts.

    - PEPFAR: Included in the GHI total is $7.154 billion for PEPFAR of which $1.3 billion is for the Global Fund ($1.0 billion from the State Department and $300 million from HHS).

    Additional funding details on the GHI and other global health related accounts:

    State and Foreign Operations funding for the global health:

    - Global Health & Child Survival (GHCS): $8.7155 billion

    • USAID: $3.0736 billion
      • Maternal & Child Health: $846.0 million
      • Nutrition: $150.0
      • Vulnerable Children: $15.0 million
      • HIV/AIDS: $350.0 million
      • Family Planning/Reproductive Health: $625.6 million
      • Malaria: $691.0 million
      • Tuberculosis: $236.0 million
      • Neglected Tropical Diseases (NTDs): $100.0 million,
      • Pandemic Influenza and Other Emerging Threats: $60 million
    • Department of State: $5.6419 billion
      • HIV/AIDS: $5.6419 billion (includes $1.0 billion for the Global Fund)

    Millennium Challenge Corporation: $1.125 billion

    • Health and Human Services (HHS) funding for global health:
      • National Institutes of Health (NIH):
        • HIV/AIDS Research: $489.4 million
        • Malaria Research: $110.2 million
        • Global Fund: $300.0 million
      • Centers for Disease Control and Prevention (CDC) ($ total): $381.2 million
        • Global AIDS Program: $118.0 million
        • Global Immunization Program: $163.6 million
        • Global Disease Detection & Emergency Response: $44.2 million
        • Parasitic Diseases & Malaria: $19.6 million
          • Malaria: $9.2 million
        • Global Public Health Capacity Development: $35.8 million
    • Fogarty International: $71.3 million
    President Obama, Secretary Clinton, and Secretary Sebelius discuss global health issues during UNGA

    President Obama: During remarks to the United Nations General Assembly (UNGA), President Barack Obama stated that “to stop disease that spreads across borders, we must strengthen our system of public health.”  President Obama also stated that the U.S. would continue its efforts to combat HIV/AIDS, tuberculosis, and malaria, would focus on the health of mothers and children, and highlighted the recent agreement between the U.S. and the World Health Organization (WHO) to assist developing nations in meeting the International Health Regulations (IHR). 

    Secretary Clinton: Secretary of State Hillary Clinton provided remarks at the High-Level Meeting on Nutrition highlighting U.S. efforts to improve nutrition through global partnerships such as the Scaling Up Nutrition (SUN) movement and the 1,000 Day Partnership.  Secretary Clinton also stated “the United States is firmly committed to our investments in global nutrition, and we believe fervently that improving nutrition for pregnant women and children under two is one of the smartest investments anyone can make.”  At an event prior to the High-Level Meeting titled “Women and Agriculture: A Conversation on Improving Global Food Security,” Secretary Clinton discussed the role of women in improving food security and announced “that the United States is allocating $5 million this year for a new gender program within Feed the Future [FtF].”

    Secretary Sebelius: Secretary of Health and Human Services (HHS) Kathleen Sebelius provided remarks at a UNGA High-Level Meeting on Non-communicable Diseases (NCDs), stating the Obama Administration “has made chronic disease a focus in our research and global health programs” and highlighted two soon to be announced efforts aimed at promoting smoke-free workplaces and in support of tobacco cessation efforts.

    Additional Information:

    White House

    • Read a White House fact sheet outlining, among other things, the U.S. commitment to “Global Health Security.” (September 20, 2011)

    State Department

    USAID