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H.R. 2144 – 21st Century Global Health Technology Act

Representative Albio Sires (D-NJ, 13th) introduced the bill, H.R. 2144 – 21st Century Global Health Technology Act.  The proposed bill would codify the “Health Technology Program” at the United States Agency for International Development (USAID) and direct the program to “develop, advance, and introduce affordable, available, and appropriate and primarily late-stage technologies specifically designed to: (a) improve the health and nutrition of populations in developing countries; (b) reduce maternal, newborn, and child mortality in such countries; and (c) improve the diagnosis, prevention, and reduction of disease, especially HIV/AIDS, malaria, tuberculosis, and other infectious diseases, in such countries.” The bill requires that the USAID Administrator provide an annual report to Congress on the progress of the program.

Additional Information:

  • Access Representative Sires’ press release about the bill. 
Secretary Clinton’s statements and actions on global health issues during diplomatic trip to Zambia, Tanzania, and Ethiopia

During a seven day (June 8th – June 14th) diplomatic trip to United Arab Emirates (U.A.E.), Zambia, Tanzania, and Ethiopia, Secretary of State Hillary Clinton discussed U.S. efforts to combat food security through the Feed the Future (FtF) initiative, HIV/AIDS and gender-based violence (GBV) through the President’s Emergency Plan for AIDS Relief (PEPFAR), the U.S. Global Health Initiative (GHI), and the 1,000 Days Initiative. Secretary Clinton also announced increased funding for agricultural development and food security as well as nutritional programs in Tanzania, and an additional $15 million in PEPFAR funding for Zambia.

Additional Information:


  • Read Secretary Clinton’s remarks with Zambian President Rupiah Banda where she discusses mother-to-child transmission of HIV. (June 10, 2011)
  • Read Secretary Clinton’s remarks at the University Teaching Hospital Paediatric Centre of Excellence where she announces additional PEPFAR funding. (June 11, 2011)


  • Read a State Department background briefing en route to Tanzania. (June 11, 2011)
  • Read Secretary Clinton’s announcement of food security and nutrition funding for Tanzania through FtF. (June 12, 2011)
  • Read Secretary Clinton’s remarks with Tanzanian Prime Minister Mizengo Pinda and Irish Deputy Prime Minister Tanaiste Eamon Gilmore at the High-Level Meeting on Nutrition and 1,000 Days Initiative. (June 12, 2011)
  • Read a State Department press release about Secretary Clinton’s remarks during a visit to Buguruni Health Center where she discusses PEPFAR, GBV, and the GHI. (June 12, 2011)
  • Read a State Department Dipnote blog post titled “Travel Diary: Secretary Clinton Visits Tanzania.” (June 12, 2011)
  • Read Secretary Clinton’s remarks with Tanzanian President Jakaya Kikwete where she discusses the U.S. commitment to address nutrition and food security, maternal and child health, HIV/AIDS, and sustainable development. (June 13, 2011) 
  • Read a State Department Dipnote blog post titled “Planting the Seeds To Feed the Future.” (June 14, 2011)
  • Read a State Department Dipnote blog post by U.S. Global AIDS Coordinator Ambassador Eric Goosby, titled “Secretary Clinton Highlights U.S. Partnership in Fighting AIDS.” (June 16, 2011)


  • Read Secretary Clinton’s remarks at the African Union where she discusses FtF and PEPFAR. (June 13, 2011)
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 the FY2012 Request.” In addition to background information and a summary of U.S. contributions to the Global Fund, the report “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.”

Administrator Shah delivers speech titled “Modern Development Enterprise” and announces new evaluation policy

U.S. Agency for International Development (USAID) Administrator Dr. Rajiv Shah delivered a speech titled “The Modern Development Enterprise” at the Center for Global Development. During his remarks, Administrator Shah emphasized the importance of monitoring and evaluation of U.S. development efforts and announced the release of USAID’s new evaluation policy.

CRS releases report on global challenge of HIV/AIDS, tuberculosis, and malaria

The Congressional Research Service (CRS) released a report titled “The Global Challenge of HIV/AIDS, Tuberculosis, and Malaria.” According to the summary, “[t]his report reviews the U.S. response to HIV/AIDS, TB, and malaria and discusses several issues Congress may consider as it debates spending levels and priority areas for related programs” including funding trends, disease-specific issues, and cross-cutting issues.

Senator Sherrod Brown urges President Obama to include TB as a “prominent” part of the Global Health Initiative

Senator Brown wrote a letter to President Obama urging him “to make global tuberculosis (TB) control a prominent component of the Global Health Initiative (GHI).” In his letter, Senator Brown stated that “a request of $650 million for bilateral TB programs in fiscal year 2011 would represent a significant step in the right direction.”

Bipartisan Congressional letter to the President expresses support for “robust” FY 2011 International Affairs Budget

Congressman Berman sent a letter signed by 189 members of Congress expressing to the President “strong support for a robust International Affairs Budget” for FY 2011 stating that programs funded through the International Affairs budget support interventions for those “who live under oppressive poverty, face starvation, battle HIV/AIDS, malaria and other diseases and suffer the consequences of conflict and insecurity.”

H.R. 3288 – Consolidated Appropriations Act, 2010

Originally introduced as the “Transportation, and Housing and Urban Development, and Related Agencies Appropriations Act, 2010,” H.R. 3288 was reported out of a Joint House-Senate Conference Committee on December 8, 2009 as a consolidated appropriations act that included the “Department of Labor, Health and Human Services, and Education, and Related Agencies Appropriations Act, 2010” and the “Department of State, Foreign Operations, and Related Programs Appropriations Act, 2010”.

Health and Human Services funding for global health:

- CDC ($328 total):
- Global AIDS Program: $119.0 million

- Global Immunization Program: $153.7 million

- Global Disease Detection: $37.8 million

- Global Malaria Program: $9.4 million

- Other Global Health: $8.5 million
- Global Fund: $300.0 million

- Fogarty International: $70.1 million

- Pandemic Flu (includes the Office of the Secretary and CDC): $432.3 million

State and Foreign Operations funding for global health:

- Global Health & Child Survival: $7.779 billion
- Child Survival and Maternal Health: $549.0 million

- Vulnerable Children: $15.0 million

- HIV/AIDS: $350.0 million

- Family Planning/Reproductive Health: $525.0 million

- Other Infectious Diseases: $981.0 million (includes $585.0 million for malaria, $225.0 million for tuberculosis, and $65.0 million for neglected tropical diseases)
- Department of State:
- HIV/AIDS: $5.359 billion (includes $750 million for the Global Fund)
- Agriculture and Food Security: $1.170 billion

- Water and Sanitation: $315 million

- Millennium Challenge Corporation: $1.105 billion

Timeline of the bill:

- Introduced as the “Transportation, and Housing and Urban Development, and Related Agencies Appropriations Act, 2010” and reported out of the House Committee on Appropriations on July 22, 2009.

- Passed a vote in the House (256-168) on July 23, 2009.

- Reported out of the Senate Committee on Appropriations with an amendment on August 5, 2009.

- Passed a vote in the Senate (73-25) on September 17, 2009.

- Reported out of a joint House-Senate Committee as the “Consolidated Appropriations Act, 2010” on December 8, 2009.

- The joint House-Senate Conference Committee report passed a vote in the House (221-202) on December 10, 2009.

- The joint House-Senate Conference Committee report passed a vote in the Senate (57-35) on December 13, 2009.

- The President signed the bill into law on December 16, 2009.

CRS Report – State, Foreign Operations, and Related Programs: FY2010 Budget and Appropriations

From the report summary: “This report analyzes the FY2010 request, recent-year funding trends, and congressional action for FY2010, which includes the July 9 House approval of H.R. 3081, the State-Foreign Operations Appropriations bill for FY2010, July 9 Senate Appropriations Committee passage of its bill (S. 1434), and passage of H.R. 3288, the Consolidated Appropriations Act, 2010, signed into law December 16, 2009 (P.L. 111-117).