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U.S. response to Ebola outbreak in West Africa – UPDATED

The information provided below lists the announcements, statements, and actions by the U.S. government to address the Ebola outbreak in West Africa. White House: White House blog post: “Ebola Update from the Desk of Dr. Anthony Fauci” (October 24, 2014) White House fact sheet: “The U.S. Government’s Response to Ebola…

U.S. announces launch of Global Health Security Agenda

During an event held at the Department of Health and Human Services (HHS), the U.S. government announced the launch of the Global Health Security Agenda, a partnership with 26 countries, the World Health Organization (WHO), the Food and Agriculture Organization (FAO), and the World Organization for Animal Health (OIE) “to…

“Cure for AIDS Act of 2013″ introduced in House

Representatives Jim Himes (D-CT, 4th) and Barbara Lee (D-CA, 13th) introduced the “Cure for AIDS Act of 2013” (H.R. 3630). Among other things, the proposed bill states “[i]t is the sense of Congress that . . . finding a cure is essential to ending the AIDS epidemic in the United…

White House releases FY 2014 Budget Request

The White House released the FY 2014 budget request, which included funding for U.S. global health activities.  Overall, funding for global health programs (at USAID and the State Department combined) increased in the FY 2014 request as compared to FY12 actual and FY13 estimated levels. This varied by specific global…

Administration actions and statements commemorating World AIDS Day

The White House released a statement from President Obama commemorating World AIDS Day (December 1, 2012). Additionally, the President signed a Presidential Proclamation recommitting the U.S. “to preventing the spread of this disease, fighting the stigma associated with infection, and ending this pandemic once and for all,” and Secretary of State Hillary Clinton announced…

"Cure for AIDS Act of 2012" introduced in House

Representative James Himes (D-CT, 4th) introduced the “Cure for AIDS Act of 2012” (H.R. 6187) in the House. Among other things, the proposed bill states “[i]t is the sense of Congress that . . . finding a cure is essential to ending the AIDS epidemic in the United States and globally . . . [and] access to AIDS treatment in the United States and globally needs to continue to be expanded but AIDS treatment is not a cure and not the ultimate solution for the tens of millions of people living with HIV/AIDS.”

The bill directs the Secretary of Defense, “acting through the Congressionally Directed Medical Research Program, . . . [to] establish and support an accelerated research program dedicated to the discovery of a cure for HIV/AIDS” and authorizes $20 million for each of fiscal years 2013 through 2017.

White House releases FY 2013 Budget Request

The White House released the FY 2013 budget request, which included funding for the U.S. Global Health Initiative (GHI) and other global health activities.  Overall, funding for the GHI is down in the FY 2013 request, with most of the reduction coming from HIV/AIDS bilateral amounts.  Most other areas saw decreases as well, except for family planning and funding for the Global Fund to Fight AIDS, Tuberculosis and Malaria and GAVI, which increased.

Area

FY12 Estimate (millions)

FY13 Request (millions)

Difference: FY13 – FY12 (millions)

The Global Health Initiative (GHI)

Total GHI

$8,827.6

$8,524.4

$-303.2
 (-3.4%)

     of which PEPFAR

$6,632.3

$6,418.0

$-214.3
 (-3.2%)

           of which HIV*

$5,082.4

$4,536.0

$-546.4
 (-10.8%)

           of which TB

$249.8

$232.0

$-17.8
 (-7.1%)

           of which Global Fund

$1,300.0

$1,650.0

$350
 (26.9%)


*Total USG bilateral funding for HIV/AIDS programs.

Area

Part of the GHI

FY12 Estimate (millions)

FY13 Request (millions)

Difference: FY13 – FY12 (millions)

U.S. Agency for International Development (USAID)

HIV

X

$350.0

$330.0

$-20
 (-5.7%)

Tuberculosis

X

$249.8

$232.0

$-17.8
 (-7.1%)

       GHP account

X

$236.0

$224.0

$-12
 (-5.1%)

       Other accounts

X

$13.8

$8.0

$-5.8
 (-42.2%)

Malaria

X

$650.0

$619.0

$-31
 (-4.8%)

MCH

X

$605.6

$578.0

$-27.6
 (-4.5%)

       of which GAVI

X

$130.0

$145.0

$15
 (11.5%)

Nutrition

X

$95.0

$90.0

$-5
 (-5.3%)

FP/RH

X

$524.0

$530.0

$6
 (1.2%)

NTDs

X

$89.0

$67.0

$-22
 (-24.7%)

Vulnerable Children

X

$17.5

$13.0

$-4.5
 (-25.7%)

Pandemic Influenza

X

$58.0

$53.0

$-5
 (-8.6%)

State Department

HIV

X

$4,242.9

$3,700.0

$-542.9
 (-12.8%)

Global Fund

X

$1,300.0

$1,650.0

$350
 (26.9%)

UNFPA

 

$35.0

$39.0

$4
 (11.4%)

National Institutes for Health (NIH)

HIV

X

$364.5

$388.9

$24.4
 (6.7%)

Malaria

X

$147.0

$147.0

$0
 (0%)

Centers for Disease Control and Prevention (CDC)

HIV

X

$117.1

$117.2

$0
 (0%)

Malaria

X

$9.3

$9.4

$0.1
 (1.1%)

Department of Defense (DoD)

HIV

X

$8.0

$0.0

$-8
 (-100%)

Malaria

X

$0.0

$0.0

-

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.
————-

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

  • Area: ,
  • Organization/Initiative: , , , , , , ,
  • Issue/Condition: , , , , , , , ,
  • 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.

    “Contingency Operations Oversight and Interagency Enhancement Act of 2011″ introduced in Congress includes health components

    Representative Russ Carnahan (D-MO, 3rd) introduced the “Contingency Operations Oversight and Interagency Enhancement Act of 2011” (H.R. 3660). The proposed bill would establish the “United States Office for Contingency Operations”, an independent agency reporting to the Department of State and the Department of Defense charged with coordinating U.S. stabilization and reconstruction efforts in foreign countries. The bill would also establish the “Stabilization and Reconstruction Emergency Reserve Fund” for, among other things, the “development of water and sanitation infrastructure, . . . providing food distribution and development of sustained production, . . . [and] providing healthcare relief and developing sustained healthcare.”