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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.

Senate Appropriations Subcommittee approves FY 2012 Labor, HHS, Education Appropriations Bill

The Senate Committee on Appropriations, Subcommittee on Labor, Health and Human Services (HHS), and Education approved, during a markup hearing, the FY 2012 Labor, HHS, and Education appropriations bill (S.1599). Among other things, the bill provides funding for global health programs through appropriations to the National Institutes of Health (NIH), Centers for Disease Control and Prevention (CDC), and the Fogarty International Center. The Committee Report outlines funding amounts provided in the bill including $350.3 million for global health activities through the CDC and $299 million for the Global Fund to Fight AIDS, Tuberculosis and Malaria.

Additional Information:

  • Access a summary of the bill released by the Senate Committee on Appropriations.
  • The full Senate Committee on Appropriations is scheduled to markup the bill September 21, 2011.
  • Learn more about the status of FY 2012 appropriations using the Kaiser Family Foundation’s Budget Tracker.
U.S. and WHO sign agreement to assist developing nations meet international health regulations

The U.S. Government and the World Health Organization (WHO) signed a memorandum of understanding (MOU) aimed at helping developing nations strengthen their capabilities to meet the International Health Regulations (IHR), which “is an international agreement that requires WHO Member States to prevent and respond to acute public health risks that have the potential to cross borders and threaten people worldwide.”

POSTPONED – House Appropriations Subcommittee to markup FY 2012 Labor, Health and Human Services and Education Appropriations Bill

The House Committee on Appropriations, Subcommittee on Labor, Health and Human Services, Education, and Related Agencies will hold a hearing to markup the FY 2012 Labor, Health and Human Services and Education Appropriations Bill.  The hearing will be held on Friday, September 9, 2011 at 9:30 AM in 2358-B Rayburn House Office Building.