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Administration statements and actions during the XIX International AIDS Conference

During the XIX International AIDS Conference, held in Washington, DC between July 22 and July 27, the Administration provided numerous resources, including blog posts and factsheets, summarizing the U.S. response to HIV/AIDS. Additionally, numerous Administration officials participated in the Conference including Secretary of state Hillary Clinton, Secretary of Health and Human Services Kathleen Sebelius; U.S. Global AIDS Coordinator Ambassador Eric Goosby; and National Institutes of Health (NIH) Director of the National Institute of Allergy and Infectious Diseases Dr. Anthony Fauci. A summary of Administration resources and speeches is provided below.

White House

President Obama provided a video message welcoming the XIX International AIDS Conference attendees.  The White house also released several fact sheets on HIV/AIDS surrounding the conference.

Fact Sheets:

State

During remarks at the opening session of the XIX International AIDS Conference, Secretary of State Hillary Clinton discussed efforts to shift the Presidents Emergency Plan for AIDS Relief (PEPFAR) from an emergency response to one that builds “sustainable health systems that will help us finally win this fight and deliver an AIDS-free generation.” Secretary Clinton also announced an additional $80 million to address mother to child transmission of HIV and an additional $37 million dedicated to new efforts to reach key populations.

U.S. Global AIDS Coordinator Ambassador Eric Goosby participated in a panel discussion where he discussed efforts to improve aid efficiency and effectiveness in the HIV response.  During a State Department event titled “Turning the Tide for Women and Girls: A Dialogue on Gender and the HIV Response,” Ambassador Eric Goosby announced that $5 million from PEPFAR would be provided to Together for Girls, “a partnership between public, private, UN and U.S. Government agencies that addresses violence against children.”

Fact Sheets:

USAID

USAID participated in various events at the XIX International AIDS Conference including a satellite event that featured discussion of “the challenges and solutions to Voluntary Medical Male Circumcision (VMMC) for HIV prevention in East and Southern Africa.”

HHS

Secretary Kathleen Sebelius provided remarks at the opening session of the XIX International AIDS Conference and announced a series of innovative public-private partnerships to address the HIV/AIDS epidemic.   Secretary Sebelius also provided remarks at a State Department event titled “Turning the Tide for Women and Girls: A Dialogue on Gender and the HIV Response.”

NIH

During a plenary session at the XIX International AIDS Conference, National Institutes of Health (NIH) Director of the National Institute of Allergy and Infectious Diseases Dr. Anthony Fauci discussed the scientific advancements of the HIV/AIDS response.  NIH also presented the latest AIDS research including treatment as prevention and the dapivirine vaginal ring.

Blogs

White House:

State Department:

USAID:

HHS:

CDC:

Department of Labor:

House Appropriations Committee releases draft FY 2013 Labor-HHS Appropriations Bill

The House Committee on Appropriations releaseddraft of the FY 2013 Labor, Health & Human Services, Education and Related Agencies appropriations bill. The draft bill provides the funding levels for global health programs at the Centers for Disease Control and Prevention (CDC) and the John E. Fogarty International Center. Additional funding for global health programs and research conducted by the National Institutes of Health (NIH) is not yet available.

Area

FY12 Enacted (millions)

FY13 Request (millions)

FY 13 House (millions)

FY13 Senate (millions)

Difference (millions)

House – FY12

House – Request

House – Senate

Centers for Disease Control and Prevention (CDC)

$347.6

$362.9

$332.4

$362.6

$-15.2
 (-4.4%)

$-30.5
 (-8.4%)

$-30.2
 (-8.3%)

       Global AIDS Program

$117.1

$117.2

$117.2

$117.1

$0
 (0%)

$0
 (0%)

$0
 (0%)

John E. Fogarty International Center

$69.6

$69.8

$69.5

$70.0

$0
 (0%)

$-0.2
 (-0.3%)

$-0.4
 (-0.6%)

U.S.-Mexico health security agreements announced during World Health Assembly

During the 65th World Health Assembly in Geneva, Switzerland, U.S. Health and Human Services (HHS) Secretary Kathleen Sebelius and Mexico Secretary of Health Salomón Chertorivski announced “a series of new steps to strengthen health security cooperation between the two countries” including the signing of a declaration adopting guidelines the two countries will follow when responding to public health events and emergencies and the renewal of an agreement on scientific and public health activities related to food safety.

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

  • 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.

    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.