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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.

Senate Appropriations Committee introduces Continuing Resolution for the remainder of FY 2011; includes overall increase in global health funding

The Senate Committee on Appropriations introduced a Continuing Resolution (CR) that would authorize appropriations for the remaining seven months of FY 2011 (the first 5 months of FY 2011 were funded under FY 2010 levels). This legislation would replace the full-year appropriations bill (H.R. 1) that was recently passed by the House on February 19, 2011. Unlike H.R. 1, which proposes to cut global health funding, the Senate CR proposes an overall increase in global health funding (see table below). Additionally, the summary of the CR provided by the Senate Committee on Appropriations categorizes State and Foreign Operations funding as part of National Security.

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.

FY 2011 full-year Continuing Appropriations Act (H.R. 1) introduced in the House includes reductions in global health funding compared to FY 2010 totals

Representative Harold Rogers (R-KY, 5th) introduced the “Full-Year Continuing Appropriations Act, 2011” (H.R. 1) authorizing appropriations for the remaining seven months of FY 2011 (the first 5 months of FY 2011 were funded under FY 2010 level). The proposed reductions in global health funding (when compared to FY 2010 totals) included in this appropriations bill are provided in the table below.

Timeline of the bill:

- Introduced and referred to the House Committee on Appropriations and the House Committee on the Budget on February 11, 2011.

- Passed by the House (235-189) on February 19, 2011.

- The Senate Committee on Appropriations introduced an amended full-year Continuing Appropriations Act on March 4, 2011. Learn more about the Senate version here.

- The Congressional Budget Office (CBO) released a cost estimate of the Senate version on March 8, 2011.

Secretary Clinton announces new U.S. Water Partnership; Administration actions and resources commemorating World Water Day

During a speech commemorating World Water Day, Secretary of State Hillary Clinton announced the launch of the U.S. Water Partnership (USWP), a public-private partnership that, according to a State Department press release, “seeks to mobilize U.S.-based knowledge, expertise and resources to improve water security around the world – particularly in those countries most in need.” The State Department also released a fact sheet providing details about the partnership.

Additional Administration actions and resources commemorating World Water Day:

PEPFAR releases FY 2013 Country Operational Plan Guidance

The U.S. President’s Emergency Plan for AIDS Relief (PEPFAR) released the “PEPFAR FY 2013 Country Operational Plan (COP) Guidance” outlining the U.S. Government’s (USG) “annual investments and anticipated results in HIV/AIDS and [is] the basis for approval of annual USG bilateral HIV/AIDS funding in most countries.”

State Department releases fact sheet titled “The United States and the Global Alliance for Clean Cookstoves”

The State Department released a fact sheet titled “The United States and the Global Alliance for Clean Cookstoves” detailing the goals of the partnership as well as the U.S. commitment, which includes, among other things, a pledge of $50.82 million over 5 years and the involvement of numerous U.S. government departments.

White House releases FY 2011 Budget

The White House released the FY 2011 budget request, which included the following funding totals for the U.S. Global Health Initiative (GHI) and other global health and related activities:

Global Health Initiative (GHI) total: $9.572 billion, including

- $8.513 billion from State & Foreign Operations Global Health & Child Survival (GHCS) account, and

- $1.059 billion from HHS, DoD, and other State & Foreign Operations accounts.

- PEPFAR: Included in the GHI total is $6.990 billion for PEPFAR of which $1 billion is for the Global Fund ($700 million 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 global health:

- Global Health & Child Survival (GHCS): $8.513 billion
- USAID: $3.013 billion
- Maternal Health & Child Health/Nutrition: $900.0 million
- Maternal & Child Health: $700.0 million

- Nutrition: $200.0
- Vulnerable Children: $15.0 million

- HIV/AIDS: $350.0 million

- Family Planning/Reproductive Health: $590.0 million

- Other Infectious Diseases: $1,158.0 million, which includes
- Malaria: $680.0 million,

- Tuberculosis: $230.0 million ,

- Neglected Tropical Diseases (NTDs): $155.0 million,

- Pandemic Influenza and Other Emerging Threats: $75 million, and

- Other Public Health Threats: $18 million.
- Department of State: $5.500 billion
- HIV/AIDS: $5.500 billion (includes $700 million for the Global Fund)
- Millennium Challenge Corporation: $1.280 billion

Health and Human Services funding for global health:

- CDC ($351.9 total):
- Global AIDS Program: $118.1 million

- Global Immunization Program: $152.8 million

- Global Disease Detection: $37.8 million

- Global Malaria Program: $9.2 million

- Other Global Health: $35.1 million
- Global Fund: $300.0 million

- Fogarty International: $73.0 million

U.S. Officials declare swine flu a ‘public health emergency’ in the United States

Representatives from the Department of Health and Human Services (HHS), the Centers for Disease Control and Prevention (CDC), and the Department for Homeland Security held a press conference detailing the U.S. response to recent cases of swine influenza A (H1N1), or swine flu. Secretary of Homeland Security, Janet Napolitano announced that HHS had declared a “public health emergency”. This designation enables the USG to mobilize treatment stockpiles and allocate additional resources for detection and tracking of the flu. The USG also announced that it is working closely with health officials from Mexico and Canada and with the World Health Organization to monitor the situation and the CDC has deployed staff domestically and internationally to provide guidance and technical support.