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FY2012 Consolidated Appropriations Act introduced in the House

Representative Hal Rogers (R-KY, 5th; Chairman House Committee on Appropriations) introduced the “Consolidated Appropriations Act, 2012” (H.R. 3671), which includes funding for global health programs through the State Department, U.S. Agency for International Development (USAID), and the Department of Health and Human Services (HHS). Chairman Rogers also introduced a resolution (H.Con.Res. 94) that would apply a 1.83% across the board rescission to all FY 2012 appropriations except the Department of Defense (DoD), Military Construction, and Veterans Affairs.

According to the bill and the Chair’s summary, the bill also:

  • “Directs that no HIV/AIDS funding be provided for needle exchange programs”;
  • “Requires additional congressional oversight before the Administration makes public announcements of multi-year funding pledges”;
  • Requires that the Administration report back to Congress with an analysis of the potential costs (including savings and increases) of transitioning the Office of the Global AIDS Coordinator (OGAC) into USAID; and
  • Requires that the Administration 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 included in the bill are as follows:

Department / Agency

Part of the GHI*

FY11 Enacted (millions)

FY12 Request (millions)

FY12 House Bill (H.R. 3671) (millions)**

Difference
(millions)

House – FY11

House – Request

State & Foreign Operations

USAID-GHCS

X

$2,495.0

$3,073.6

$2,625.0

$130
 (5.2%)

$-448.6
 (-14.6%)

State GHCS

X

$5,334.3

$5,641.9

$5,542.9

$208.5
 (3.9%)

$-99
 (-1.8%)

        of which GF

X

$748.5

$1,000.0

$1,050.0

$301.5
 (40.3%)

$50
 (5%)

FP/RH***

 

$615.0

$769.1

$610.0

$-5
 (-0.8%)

$-159.1
 (-20.7%)

        of which UNFPA

 

$40.0

$47.5

$35.0

$-5
 (-12.5%)

$-12.5
 (-26.3%)

MCC

 

$898.2

$1,125.1

$898.2

$0
 (0%)

$-226.9
 (-20.2%)

Water (all acounts)

 

-

-

$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

Total GHI (known amounts)****

 

$8,255.4

$9,133.5

$8,293.7

$38.3
 (0.5%)

$-839.9
 (-9.2%)

*GHI: U.S. Global Health Initiative.
**The FY 2012 Consolidated Appropriations Act included an across-the-board 0.189% rescission to all funding provided through the Labor-HHS portion of the bill.
***The FY 2012 Consolidated Appropriations Act states that “not less than $575,000,000 should be made available for family planning/reproductive health” through all bilateral accounts, but does not delineate this amount by account. UNFPA funding is in addition to the bilateral funding and is provided through the International Organizations and Programs (IO&P) account.
****Total funding for the GHI is not currently available as some funding provided through SFOPS, HHS, and DoD were not delineated in the FY 2012 appropriations bills.

“Senator Paul Simon Water for the World Act of 2012″ introduced in Congress

Representatives Earl Blumenauer (D-OR, 3rd) and Ted Poe (R-TX, 2nd) introduced the “Senator Paul Simon Water for the World Act of 2012” (H.R. 3658). The stated purpose of the act “is to strengthen implementation of the Senator Paul Simon Water for the Poor Act of 2005 (Public Law 109–121) by: (1) improving coordination and oversight of water, sanitation, and hygiene programs within and between United States Government agencies; (2) increasing the sustainability of United States Government-supported water, sanitation, and hygiene programs; (3) enhancing water, sanitation, and hygiene expertise within the United States Agency for International Development; and (4) integrating water and sanitation into programs and strategies for food security, global health, environment, education, and gender equality.”

Among other things, the act would create water focused positions at both USAID (Global Water Coordinator) and the State Department (Special Advisor for Water Resources) and would require USAID to develop a “Safe Water, Sanitation, and Hygiene Strategy” every four years.

Both Representative Blumenauer and Representative Poe issued press releases about the proposed legislation.

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).

World Water Day: U.S. signs MOU with the World Bank and other Administration actions commemorating World Water Day

In commemoration of World Water Day, Secretary of State Hillary Clinton signed a Memorandum of Understanding (MOU) with the World Bank with the aim of “leverage[ing] the considerable expertise and assets of the two partners to help developing countries achieve water security and improve water quality.” During the ceremony, Secretary Clinton, Under Secretary for Democracy and Global Affairs Maria Otero, and U.S. Agency for International Development Deputy Administrator (USAID) Don Steinberg provided remarks on U.S. global water efforts. The State Department and USAID also highlighted its efforts to address water and sanitation issues through multiple blog posts, press releases, and fact sheets.

In advance of World Water Day, Under Secretary Otero participated in a State Department video discussion titled “Conversations With America: Global Water Issues.”

Administration officials testify before Congress on the FY 2012 budget request for global health and HIV/AIDS

U.S. Global AIDS Coordinator Ambassador Eric Goosby and U.S. Agency for International Development (USAID) Deputy Assistant Administrator for Global Health Amie Batson testified before the House Committee on Appropriations, Subcommittee on State, Foreign Operations, and Related Programs on the FY 2012 budget request for global health and HIV/AIDS.

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.

S. 414 – International Protecting Girls by Preventing Child Marriage Act of 2011

Among other things, the bill states that “child marriage undermines United States investments in foreign assistance . . . to reduce maternal and child mortality, reduce maternal illness, halt the transmission of HIV/AIDS [and] prevent gender-based violence.” The bill requires the President to establish a multi-year strategy to prevent child marriage and authorizes the President to implement a variety of foreign assistance programs directed at the needs of girls including “access to water and suitable hygiene facilities . . . [and] access to health care services and proper nutrition for adolescent girls.” The bill authorizes “such sums as necessary.”

USAID Global Water Coordinator discusses USAID's water, sanitation, and hygiene programs

During remarks titled “Water Supply, Sanitation, and Hygiene Programming,” given at the Center for Strategic and International Studies, U.S. Agency for International Development (USAID) Global Water Coordinator Christian Holmes outlined global water, sanitation, and hygiene (WASH) challenges and highlighted, among other things, U.S. efforts to address these challenges through programs under the Water for the Poor Act (WfP), Feed the Future (FtF) Initiative, the Global Health Initiative (GHI), and the Global Climate Change Initiative (GCCI).  Global Water Coordinator Holmes also stated that USAID’s WASH programs would increasingly emphasize the areas of behavior change, sanitation and market development, sustainability, women and girls, and integration with Humanitarian Assistance efforts.

State Department official discusses the role of women in addressing global water challenges

In a speech titled “Women in Water: Stewards and Agents of Change,” Maria Otero, Under Secretary for Democracy and Global Affairs, discussed the role of women in addressing global water challenges and highlighted U.S. efforts aimed at addressing these challenges.

Education for All Act introduced in the House includes global health components

Representative Nita Lowey (D-NY, 18th) introduced the bill, H.R. 2705 – Education for All Act of 2011.  The proposed bill would establish U.S. policy and principles aimed at achieving universal education and would require the President to develop a strategy “to promote quality universal basic education.” While the proposed bill is primarily focused on education, it also includes improving health conditions part of the guiding principles and overall education strategy. Specifically, the bill states that the U.S. should “utilize schools as the foundation for communities’ development and integrate assistance programs, including health and development programs, nutrition and school feeding programs, [and] sanitation and hygiene education” and that the U.S. should work to reduce the impact of HIV/AIDS on education systems “by equipping teachers with the skills needed for HIV/AIDS prevention and support for persons with, or affected by, HIV/AIDS.”