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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,…

Administration official discusses Lower Mekong Initiative

At an event titled “U.S. Health Partnerships in the Mekong” sponsored by the Center for Strategic & International Studies (CSIS), Assistant Secretary in the Bureau of East Asian and Pacific Affairs, Daniel Russel, provided remarks on U.S. engagement with countries in the Lower Mekong sub-region – Thailand, Laos, Cambodia, Vietnam, and…

“PEPFAR Stewardship and Oversight Act” passed by Senate

The Senate approved by unanimous consent the “PEPFAR Stewardship and Oversight Act” (S.1545). Originally introduced by Senators Robert Menendez (D-NJ) and Bob Corker (R-TN), the proposed legislation extends existing authorities for five years and strengthens oversight of the President’s Emergency Plan for AIDS Relief (PEPFAR). According to a press release from Senator Menendez, the…

“PEPFAR Stewardship and Oversight Act” passed by House

The House of Representative approved, by a voice vote, the “PEPFAR Stewardship and Oversight Act” (S.1545), which had been passed by the Senate the preceding day (November 18, 2013). Originally introduced by Senators Robert Menendez (D-NJ) and Bob Corker (R-TN), the legislation extends existing authorities for five years and strengthens oversight of…

USAID Assistant Administrator discusses TB at the annual WHO TB report launch

During remarks at the release of the World Health Organization’s (WHO) 2011 Global Tuberculosis Control Report, U.S. Agency for International Development (USAID) Assistant Administrator for Global Health Ariel Pablos-Mendez summarized USAID efforts to combat TB, HIV/TB co-infection, and drug resistant TB through initiatives such as the Global Health Initiative (GHI) and the President’s Emergency Plan for AIDS Relief (PEPFAR).

Bill introduced to provide incentives for the development of qualified infectious disease products

Senator Richard Blumenthal (D-CT) introduced S. 1734 – Generating Antibiotic Incentives Now Act of 2011.  The bill provides incentives for the development of “antibiotic drug[s] for treating, detecting, preventing, or identifying a qualifying pathogen,” including, among other infectious agents, multi-drug resistant tuberculosis.

Learn more about the House companion bill (H.R. 2182).

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

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  • Administration releases “The United States Global Health Initiative: Strategy Document”

    The Administration released “The United States Global Health Initiative: Strategy Document,” which includes information on the operational plan, targets, and implementation of the Global Health Initiative (GHI).

    Administration statements commemorating World Tuberculosis Day

    Secretary of State Hillary Clinton, U.S. Agency for International Development Administrator Dr. Rajiv Shah, and Dr. Christine Sizemore and Dr. Anthony Fauci of the National Institute of Allergy and Infectious Diseases (NIAID) at the National Institutes of Health (NIH) released statements commemorating World Tuberculosis (TB) Day and reaffirming the U.S. commitment to combating TB.