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House Committee on Appropriations hearing on the FY 2013 Budget Request for the Department of Health & Human Services

The House Committee on Appropriations, Subcommittee on Labor, Health and Human Services, Education, and Related Agencies will hold a hearing on the FY 2013 budget request for the Department of Health and Human Services (HHS) with testimony from Secretary Kathleen Sebelius. The hearing will be held on Tuesday, March 6, 2012 at 2:00 PM in Room 2358-C of the Rayburn House Office building.

Secretary Sebelius commemorates new Global Disease Detection Center in India

During a trip to India, Secretary of Health and Human Services (HHS) Kathleen Sebelius gave a speech at an event commemorating a new Global Disease Detection Center in New Delhi. The new center is the result of a partnership between the U.S. Centers for Disease Control and Prevention (CDC) and India’s National Center for Disease Control (NCDC) and “promises to help India monitor viruses and disease and better handle outbreaks.”

Learn more about the CDC’s Global Disease Detection and Emergency Response efforts and associated Regional Centers.

Secretary Sebelius discusses HHS’s role in global health and its new global health strategy

At a Kaiser Family Foundation event Secretary of Health and Human Services (HHS) Kathleen Sebelius provided introductory remarks on the role of HHS in global health and its recently released global health strategy. Secretary Sebelius’ comments were followed by a panel discussion that included representatives from the HHS Office of Global Affairs (OGA), State Department, United States Agency for International Development (USAID), Institute of Medicine (IOM), CARE, and the Kaiser Family Foundation.

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

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  • Organization/Initiative: , , , , , , ,
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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.

    President Obama announces new global HIV treatment and prevention goals; Administration statements and resources commemorating World AIDS Day

    White House:

    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.

    Additional Administration Statements and Resources Commemorating World AIDS Day:

    State Department:

    Health and Human Services (HHS):

    • 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):

    U.S. Mission to the United Nations:

    • Statement from U.S. Permanent Representative to the United Nations Ambassador Susan E. Rice.

    Peace Corps:

    • Peace Corps statement commemorating World AIDS Day.

    Department of Defense (DoD):

    • DoD statement titled “World AIDS Day Raises Awareness, Highlights Advances”.

    Department of Labor (DoL):

    • DoL Secretary Hilda Solis’ statement titled “Forging Ahead on World AIDS Day”.
    House Appropriations Committee releases FY 2012 Labor, HHS, & Education Appropriations Bill

    The House Committee on Appropriations released the draft FY 2012 Labor, Health and Human Services (HHS), and Education appropriations bill (H.R. 3070), which provides funding for global health programs through appropriations to the National Institutes of Health (NIH), including the Fogarty International Center, and the Centers for Disease Control and Prevention (CDC). The proposed bill and an accompanying funding table highlight the following amounts for global health:

    • $324.2 million for global health programs at the CDC, of which $118.0 million is for HIV/AIDS programs;
    • $71.3 million for the Fogarty International Center; and
    • The proposed bill eliminates HHS funding for the Global Fund to Fight AIDS, Tuberculosis and Malaria.

    Learn more about the U.S. global health budget using the Kaiser Family Foundation’s Budget Tracker.

    Senate Appropriations Committee to markup FY 2012 Department of State, Foreign Operations, and Related Programs; and Labor, Health and Human Services, Education, and Related Agencies Appropriations Bills

    The Senate Committee on Appropriations will hold a full Committee hearing to markup, among other things, the FY 2012 Department of State, Foreign Operations, and Related Programs; and Labor, Health and Human Services, Education, and Related Agencies Appropriations Bills.  The hearing will be held on Wednesday, September 21, 2011 at 3:00 PM in 106 Dirksen Senate Office Building.

    President Obama, Secretary Clinton, and Secretary Sebelius discuss global health issues during UNGA

    President Obama: During remarks to the United Nations General Assembly (UNGA), President Barack Obama stated that “to stop disease that spreads across borders, we must strengthen our system of public health.”  President Obama also stated that the U.S. would continue its efforts to combat HIV/AIDS, tuberculosis, and malaria, would focus on the health of mothers and children, and highlighted the recent agreement between the U.S. and the World Health Organization (WHO) to assist developing nations in meeting the International Health Regulations (IHR). 

    Secretary Clinton: Secretary of State Hillary Clinton provided remarks at the High-Level Meeting on Nutrition highlighting U.S. efforts to improve nutrition through global partnerships such as the Scaling Up Nutrition (SUN) movement and the 1,000 Day Partnership.  Secretary Clinton also stated “the United States is firmly committed to our investments in global nutrition, and we believe fervently that improving nutrition for pregnant women and children under two is one of the smartest investments anyone can make.”  At an event prior to the High-Level Meeting titled “Women and Agriculture: A Conversation on Improving Global Food Security,” Secretary Clinton discussed the role of women in improving food security and announced “that the United States is allocating $5 million this year for a new gender program within Feed the Future [FtF].”

    Secretary Sebelius: Secretary of Health and Human Services (HHS) Kathleen Sebelius provided remarks at a UNGA High-Level Meeting on Non-communicable Diseases (NCDs), stating the Obama Administration “has made chronic disease a focus in our research and global health programs” and highlighted two soon to be announced efforts aimed at promoting smoke-free workplaces and in support of tobacco cessation efforts.

    Additional Information:

    White House

    • Read a White House fact sheet outlining, among other things, the U.S. commitment to “Global Health Security.” (September 20, 2011)

    State Department

    USAID

    Senate Appropriations Subcommittee to markup Labor, Health and Human Services, and Education, and Related Agencies, Fiscal Year 2012 Appropriations Bill

    The Senate Committee on Appropriations, Subcommittee on Labor, Health and Human Services, Education, and Related Agencies will hold a hearing to markup the Labor, Health and Human Services, and Education, and Related Agencies, Fiscal Year 2012 Appropriations Bill.  The hearing will be held on Tuesday, September 20, 2011 at 2:30 PM in 124 Dirksen Senate Office Building.