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CRS Report – “State, Foreign Operations Appropriations: A Guide to Component Accounts”

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.

White House releases FY 2012 Budget Request

The White House released the FY 2012 budget request, which included the following funding totals for the U.S. Global Health Initiative (GHI) and other global health and related activities:

b>Global Health Initiative (GHI) total: $9.8 billion, including

- $8.7155 billion from State & Foreign Operations Global Health & Child Survival (GHCS) account, and

- Over $1.0693 billion from HHS, DoD, and other State & Foreign Operations accounts.

- PEPFAR: Included in the GHI total is $7.154 billion for PEPFAR of which $1.3 billion is for the Global Fund ($1.0 billion from the State Department and $300 million from HHS).

Additional funding details on the GHI and other global health related accounts:

State and Foreign Operations funding for the global health:

- Global Health & Child Survival (GHCS): $8.7155 billion

  • USAID: $3.0736 billion
    • Maternal & Child Health: $846.0 million
    • Nutrition: $150.0
    • Vulnerable Children: $15.0 million
    • HIV/AIDS: $350.0 million
    • Family Planning/Reproductive Health: $625.6 million
    • Malaria: $691.0 million
    • Tuberculosis: $236.0 million
    • Neglected Tropical Diseases (NTDs): $100.0 million,
    • Pandemic Influenza and Other Emerging Threats: $60 million
  • Department of State: $5.6419 billion
    • HIV/AIDS: $5.6419 billion (includes $1.0 billion for the Global Fund)

Millennium Challenge Corporation: $1.125 billion

  • Health and Human Services (HHS) funding for global health:
    • National Institutes of Health (NIH):
      • HIV/AIDS Research: $489.4 million
      • Malaria Research: $110.2 million
      • Global Fund: $300.0 million
    • Centers for Disease Control and Prevention (CDC) ($ total): $381.2 million
      • Global AIDS Program: $118.0 million
      • Global Immunization Program: $163.6 million
      • Global Disease Detection & Emergency Response: $44.2 million
      • Parasitic Diseases & Malaria: $19.6 million
        • Malaria: $9.2 million
      • Global Public Health Capacity Development: $35.8 million
  • Fogarty International: $71.3 million
FY 2011 full-year Continuing Appropriations Act (H.R. 1) introduced in the House includes reductions in global health funding compared to FY 2010 totals

Representative Harold Rogers (R-KY, 5th) introduced the “Full-Year Continuing Appropriations Act, 2011” (H.R. 1) authorizing appropriations for the remaining seven months of FY 2011 (the first 5 months of FY 2011 were funded under FY 2010 level). The proposed reductions in global health funding (when compared to FY 2010 totals) included in this appropriations bill are provided in the table below.

Timeline of the bill:

- Introduced and referred to the House Committee on Appropriations and the House Committee on the Budget on February 11, 2011.

- Passed by the House (235-189) on February 19, 2011.

- The Senate Committee on Appropriations introduced an amended full-year Continuing Appropriations Act on March 4, 2011. Learn more about the Senate version here.

- The Congressional Budget Office (CBO) released a cost estimate of the Senate version on March 8, 2011.

Administration statements and resources on World Pneumonia Day

In recognition of World Pneumonia Day, the National Institutes of Health (NIH) released a statement highlighting its efforts to prevent and treat the disease including through the research of the Eunice Kennedy Shriver National Institute of Child Health and Human Development (NICHD) and in support of the Global Alliance for Clean Cookstoves.

Additional Resources:

CRS releases report on FY2012 State and Foreign Operations appropriations

The Congressional Research Service (CRS) released a report titled “State, Foreign Operations, and Related Programs: FY2012 Budget and Appropriations”. According to the summary, “This report analyzes the FY2012 request, including State Department, international broadcasting, and foreign aid highlights; recent-year funding trends; and congressional action related to FY2012 State-Foreign Operations legislation.”

Secretary Clinton announces U.S. intent to join IATI and new initiative to improve gender statistics

During the Keynote speech given at the opening session of the Fourth High-Level Forum on Aid Effectiveness (HLF-4) in Busan, South Korea, Secretary of State Hillary Clinton announced the U.S. intention to join the International Aid Transparency Initiative (IATI) and summarized how the U.S. was addressing “the concerns we hear about traditional donors” including in the areas of: country ownership, tied aid, measurement of success, flexibility, and coordination.

Secretary Clinton also participated in a panel discussion during a Special Session on Gender at the HLF-4 where she announced the Evidence and Data for Gender Equality (EDGE) initiative which aims to improve the quality of availability of gender statistics.

Additional Information from the Administration on the HLF-4:

Additional Information from the Administration on the HLF-4 Special Session on Gender:

MCC signs Compact with Indonesia during ASEAN and East Asia Summits

President Barack Obama and Secretary of State Hillary Clinton traveled to Bali, Indonesia to attend the ASEAN and East Asia Summits.  During their visit, Secretary Clinton provided remarks at the signing of a Millennium Challenge Corporation (MCC) compact with Indonesia that will focus on “adequate nutrition during the 1,000-day window from a woman’s pregnancy to a child’s second birthday.”  Following a bilateral meeting with President Yudhoyono of Indonesia, President Obama provided a statement that, among other things, highlights the $600 million MCC Compact with Indonesia. 

Additional Information

Secretary Clinton gives speech on “Creating an AIDS-Free Generation”

In a speech titled “Creating an AIDS-Free Generation” given at the National Institutes of Health (NIH), Secretary of State Hillary Clinton highlighted three interventions guiding the U.S. government’s efforts to achieve the goal of an “AIDS-Free Generation”: prevention of mother-to-child transmission, voluntary medical male circumcision, and the use of antiretroviral drugs.   Secretary Clinton also described three U.S. HIV/AIDS policy priorities: using scientifically proven results to inform U.S. policy, an increasing emphasis on country ownership, and “calling on other donor nations to do their part, including by supporting and strengthening the Global Fund.”

Additional Information:

Secretary Clinton sends letter to International Conference on Family Planning attendees

In a letter to attendees of the 2011 International Conference on Family Planning in Dakar, Senegal, Secretary of State Hillary Clinton stated, among other things, that “[f]amily planning is the basic right of all individuals and couples to have the information and means to decide freely and responsibly the number, spacing, and timing of their children, and my travels as Secretary of State have only reinforced my strong belief that continued U.S. commitment and involvement in this issue is of paramount importance.”