The House Committee on Appropriations released a draft 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.
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.
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.
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.”
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.
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.
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”.
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.
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.