President Barack Obama provided remarks at a World AIDS Day event hosted by ONE and (RED) at the George Washington University and issued a presidential proclamation to commemorate World AIDS Day. During his remarks, President Obama announced new treatment and prevention goals of “providing anti-retroviral drugs to more than 1.5 million HIV-positive pregnant women over the next two years . . . [and] helping 6 million people get treatment by the end of 2013” – an increase of 2 million over the prior target, and called on countries to fulfill their commitments to The Global Fund to Fight AIDS, Tuberculosis and Malaria.
The White House also released a fact sheet titled “The Beginning of the End of AIDS” summarizing efforts to combat HIV/AIDS through the President’s Emergency Plan for AIDS Relief (PEPFAR).
Statement from HHS Secretary Kathleen Sebelius on World AIDS Day. Secretary Sebelius also announced the appointment of Nancy Mahon, Executive Director of the MAC AIDS Fund, as the Chair of the Presidential Advisory Council on HIV/AIDS (PACHA).
Statement by National Institutes of Health (NIH) Director Dr. Francis Collins, NIH Office of AIDS Research Dr. Jack Whitescarver, and NIAID Director Dr. Anthony Fauci.
U.S. Agency for International Development (USAID):
USAID Administrator Shah writes USAID Impact Blog post titled “World AIDS Day: New Advances Are Critical to Achieving the Vision of an AIDS-free Generation”.
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.
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:
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.
“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)**
House – FY11
House – Request
State & Foreign Operations
of which GF
of which UNFPA
Water (all acounts)
Health and Human Services (HHS)
CDC Global Health
of which HIV
NIH – Global Fund
NIH – Fogarty International Center
Department of Defense (DoD)
The Global Health Initiative
Total GHI (known amounts)****
*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.
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.”
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.
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.
This report provides an overview of appropriations for State, Foreign Operations, and Related Programs, and includes summaries of specific accounts, such as the Global Health and Child Survival (GHCS), which are considered part of the overall 150 International Affairs Budget Function in appropriations legislation.
The House Committee on Foreign Affairs passed (23-20)Â H.R. 2583 â€“ Foreign Relations Authorization Act, Fiscal Year 2012.Â The proposed bill, which was introduced by Representative Ileana Ros-Lehtinen (R-FL, 18th)Â authorizes appropriation levels for the Department of State for FY 2012 and, among other things, would also reinstate and expandÂ the Global Gag Rule.
The State Department released a fact sheet titled “The U.S. Commitment to Development” that summarizes the U.S. commitment â€œto helping the worldâ€™s poor through a broad variety of mechanisms.â€ The fact sheet provides an overview of existing U.S. development programs and initiatives, such as the Millennium Challenge Account and the Presidentâ€™s Global Health Initiative, as well as U.S. involvement in specific issue areas, such as food security, water, and sanitation issues.