The resolution states that the Senate supports the goals of World Tuberculosis Day, commends the efforts of the United States Agency for International Development (USAID), the Centers for Disease Control and Prevention (CDC), the National Institutes of Health (NIH), and the Global Fund to Fight AIDS, Tuberculosis and Malaria to address the disease, and “reaffirms its commitment to global tuberculosis control made through the Lantos-Hyde United States Leadership Against HIV/AIDS, Tuberculosis and Malaria Act of 2008.”
The proposed bill would amend the Food and Drug Administration (FDA) Amendments Act of 2007, which, among other things, established a “priority review voucher” entitling pharmaceutical companies that developed a treatment for tropical diseases to an expedited review of another drug by that company or sale of the voucher to another company. The proposed bill would allow for repeated transferability (or sale) of the priority review vouchers, expand voucher eligibility to include drug development for rare pediatric diseases, and add “Chagas Disease” to the classification of tropical diseases.
S. 3686 – An original bill making appropriations for the Department of Labor, Health and Human Services, and Education, and related agencies for the fiscal year ending September 30, 2011, and for other purposes.
The Senate Committee on Appropriations approved by a vote of 17-12 the FY 2011 Labor, Health and Human Services, and Education, and related agencies bill with the following recommendations:
Health and Human Services funding for global health:
- CDC (total): $353.3 million
– Global AIDS Program: $118.1 million
- Global Immunization Program: $153.2 million
- Global Disease Detection: $37.8 million
- Global Malaria Program: $9.2 million
- Other Global Health: $35.1 million
– Fogarty International Center (FIC): $72.9 million
- The Global Fund: $300 million
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 by 2015.” 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 communitiesâ€™ development and integrate assistance programs, including health and development programs, such as nutrition [and] school feeding programs” 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.”
The bill would create an â€œOffice of Waterâ€ at USAID headed by a â€œDirector for Safe Water and Sanitationâ€ with the responsibility of implementing the Senator Paul Simon Water for the Poor Act of 2005 (P.L. 109-121) and meeting the goal of providing 100 million people with safe water and sanitation by 2015. The bill also creates the position of â€œSpecial Coordinator for International Waterâ€ at the State Department with the responsibility of coordinating U.S. diplomatic policy in relation to other international issues. The bill authorizes appropriations in the amount that â€œmay be necessary to carry out this Act.â€
Timeline of the bill:
- Introduced and referred to the Senate Foreign Relations Committee on March 17, 2009.
- Reported favorably out of the Senate Foreign Relations Committee on April 13, 2010.
- Passed the Senate by unanimous consent on September 20, 2010.
The Senate Committee on Appropriations approved by a vote of 18-12 the FY 2011 State and Foreign Operations appropriations bill with the following recommendations:
Total Funding for State & Foreign Operations: $54.06 billion ($2.6 billion below the Presidentâ€™s FY11 request; $5.3 billion above the FY10 enacted level)
Global Health and Child Survival Account (GHCS): $8.239 billion ($274 million below the Presidentâ€™s request; $460 million above the FY10 enacted level) with funding for specific areas is as follows:
– HIV/AIDS activities and the Global Fund to Fight AIDS, Tuberculosis and Malaria: $5.85 billion
– HIV/AIDS: $5.05 billion
- Global Fund to Fight AIDS, Tuberculosis and Malaria contribution: $800 million
– Malaria: $635.5 million
- Tuberculosis: $230 million
- Neglected Tropical Diseases (NTDs): $100 million
- Child Survival and Maternal Health: $641 million
- Nutrition: $100 million
- Family Planning and Reproductive Health: $700 million which includes funding from multiple accounts and provides $55 million to the United Nations Population Fund (UNFPA)
Millennium Challenge Corporation: $1.105 billion ($174.7 million below the Presidentâ€™s FY11 request; equal to the FY10 enacted level)
Feed the Future: $1.3 billion ($344 million below the President’s FY11 request)
“Global Gag” Rule Amendment:The Committee approved by a vote of 19-11 an amendment to the appropriations bill introduced by Senator Frank Lautenberg (D-NJ) that would codify into law President Obama’s decision to rescind the “global gag” rule (otherwise known as the Mexico City Policy), which prevented the U.S. from providing foreign assistance for family planning purposes to any organization that performed or promoted legal abortion.
- Area: Congress, Budget
- Information Type: Senate Bills
- Organization/Initiative: GHI, PEPFAR, USAID, MCC, State Dept., The Global Fund, PMI
- Issue/Condition: Tuberculosis, HIV/AIDS, Nutrition/Food Security, Family Planning/Reproductive Health, Maternal & Child Health, Malaria, Neglected Tropical Diseases (NTDs)
The proposed bill authorizes a cumulative appropriation of $3.5 billion over fiscal years 2010 through 2014 to provide assistance for Haiti and states that the U.S. would support investments in, among other things, “health care delivery and capacity building to strengthen the overall health care system.”
Amendments: The proposed bill was amended in the Senate Committee on Foreign Relations to provide a cumulative appropriation of $2.0 billion over fiscal years 2010 and 2011.
Timeline of the Bill:
- Introduced and referred to the Senate Committee on Foreign Relations on May 5, 2010.
- Reported favorably with amendments out of the Senate Foreign Relations Committee on May 25, 2010.
- Reported by Senator Kerry with a report (111-225) and placed on the Senate legislative calendar on July 19, 2010.
According to a press release provided by Senator Coburn, the proposed bill would make the following changes to the President’s Emergency Plan for AIDS Relief (PEPFAR):
- Requires 75% of funding be allocated for treatment purposes and sets a 5-year target to treat 5 million people for HIV/AIDS by 2013;
- Limits treatment funding for grantees to $500 per patient per year;
- Restricts grantee administrative overhead costs to 10% of total expenditures;
- Requires 5% of PEPFAR funding be set aside for the ramp up of HIV diagnosis, sets a 3-year target to conduct 1 billion rapid diagnosis test by 2013, and requires 25% of this funding be set aside to assist countries implement universal, opt-out rapid HIV testing; and
- Sets a target of reducing to zero the number of children born with HIV by working towards screening 100% of pregnant women and newborns.
The Senate Appropriations Committee approved the FY 2011 Agriculture appropriations bill by a vote of 17-12. The approved bill includes $1.69 billion for international food aid through the P.L. 480 Title II Grants Program (equal to the House appropriations bill, the President’s FY11 request, and the FY10 enacted level) and an additional $209.5 million for the McGovern-Dole International Food for Education and Child Nutrition Program ($57 million below the House; equal to the President’s FY11 request and the FY10 enacted level).
The Senate Appropriations Committee approved the spending guidance levels for Subcommittee markup of the FY 2011 appropriations bills. The Committee set State and Foreign Operations appropriations at $54.056 billion ($1.4 billion above the House; $2.6 billion below the President’s request).