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Senate Appropriations Committee approves the State and Foreign Operations Appropriations Bill, FY 2012

The Senate Committee on Appropriations released a summary of the FY 2012 State and Foreign Operations Appropriations bill (S.1601, Committee Report) as approved by the full Committee on September 21, 2011.  The proposed bill includes funding for the U.S. Global Health Initiative (GHI) of approximately $7.9 billion from the Global Health and Child Survival (GHCS) Account, which is $810.5 million below the President’s FY 2012 budget request of $8.7 billion and $75.69 million above FY 2011 levels of $7.8 billion for the GHCS (additional funding for the GHI is provided through other spending bills).  Funding from GHCS for specific areas is as follows:

  • Maternal & Child Health (MCH): $595 million, of which $35 million is for polio eradication
  • Neglected Tropical Diseases (NTDs): $89 million
  • Malaria: $642 million
  • Tuberculosis: $225 million
  • HIV/AIDS: $4,850 million
  • Global Fund: $750 million

The proposed bill also provides for the following:

  • Family Planning/Reproductive Health: $700 million from all accounts (including the GHCS account), of which $40 million is for the United Nations Population Fund (UNFPA)
  • Millennium Challenge Corporation (MCC): $898.2 million
  • Global Agricultural and Food Security Program: $200 million

*These funding amounts are preliminary only and will be updated as more information becomes available.

House Appropriations Committee releases the State and Foreign Operations Appropriations Bill, FY 2012

The House Appropriations Committee released the FY 2012 State and Foreign Operations Appropriations bill.  The proposed bill includes funding for the U.S. Global Health Initiative (GHI) of $7.1 billion from the Global Health and Child Survival (GHCS) Account, which is $1.6 billion below the President’s FY 2012 budget request of $8.7 billion and approximately $700 million below FY 2011 levels of $7.8 billion for the GHCS (additional funding for the GHI is provided through other spending bills).  Funding for family planning/reproductive health is capped in the bill at $461 million from all accounts compared to $769 million in the President’s FY 2012 budget request and $615 million in FY 2011.  The bill would also reinstate the Global Gag Rule and prohibit the provision of any funding to the United Nations Population Fund (UNFPA). 

Timeline of the bill:

  • Released by the House Appropriations Committee on July 26, 2011.
  • Approved during markup without change or amendment by the House Appropriations Subcommittee on State, Foreign Operations, and Related Programs on July 27, 2011. 


Additional Information:

Access the FY 2012 State and Foreign Operations Appropriations bill here. (PDF)

Subcommittee markup:

  • Read Representative Hal Roger’s (R-KY, 5th – Chairman) opening remarks.
  • Read Representative Kay Granger’s (R-TX, 12th – Chairwoman) opening remarks.
  • Read Representative Norm Dicks’ (D-WA, 6th – Ranking Member) opening remarks.
  • Read Representative Nita Lowey’s (D-NY, 18th – Ranking Member) opening remarks.

Statements on release of the bill:

  • Read the House Appropriations Committee press release.
  • Read Representative Norm Dicks’ (D-WA, 6th – Ranking Member) statement.

Learn more about U.S. appropriations for global health with the Kaiser Family Foundation’s Budget Tracker.

 

Foreign Relations Authorization Act, Fiscal Year 2012 Passes the House Foreign Affairs Committee

The House Committee on Foreign Affairs passed (23-20) H.R. 2583 – Foreign Relations Authorization Act, Fiscal Year 2012.  The proposed bill, which was introduced by Representative Ileana Ros-Lehtinen (R-FL, 18th) authorizes appropriation levels for the Department of State for FY 2012 and, among other things, would also reinstate and expand the Global Gag Rule.

CRS releases report on the Global Fund to Fight AIDS, Tuberculosis and Malaria

The Congressional Research Service (CRS) released a report titled “The Global Fund to Fight AIDS, Tuberculosis, and Malaria: Issues for Congress and U.S. Contributions from FY2001 to the FY2012 Request.” In addition to background information and a summary of U.S. contributions to the Global Fund, the report “discusses changes the Global Fund has made to improve the efficiency of its programs and address allegations of corruption, . . . and analyzes issues Congress might consider as it debates the appropriate level of U.S support to provide the Fund.”

Statements and Resources from the Obama Administration on the UN High-Level Meeting on HIV/AIDS

In a statement commemorating the United Nations General Assembly (UNGA) High-Level Meeting on HIV/AIDS, President Barack Obama described the U.S. commitment to combat HIV/AIDS through the President’s Emergency Plan for AIDS Relief (PEPFAR), increased support for the Global Fund to fight AIDS, Tuberculosis, and Malaria, and the U.S. Global Health Initiative (GHI).  In remarks delivered during the High-Level Meeting, U.S. Permanent Representative to the United Nations, Ambassador Susan Rice, described PEPFAR’s commitments to combating HIV/AIDS through prevention of maternal-to-child transmission and highlighted the successes of the initiative.

The State Department released additional resources for the High-Level Meeting including a fact sheet and a press release describing the key elements of the global action plan to combat HIV and highlighting the U.S. Global AIDS Coordinator Ambassador Eric Goosby’s announcement  of U.S. pledge to contribute an additional $75 million for preventing mother-to-child transmission.

Additional Information:

CRS releases report on global challenge of HIV/AIDS, tuberculosis, and malaria

The Congressional Research Service (CRS) released a report titled “The Global Challenge of HIV/AIDS, Tuberculosis, and Malaria.” According to the summary, “[t]his report reviews the U.S. response to HIV/AIDS, TB, and malaria and discusses several issues Congress may consider as it debates spending levels and priority areas for related programs” including funding trends, disease-specific issues, and cross-cutting issues.

Senator Lugar releases report entitled “Fraud and Abuse of Global Fund Investments at Risk Without Greater Transparency”

Senator Richard Lugar (R-IN), Ranking Member of the Senate Committee on Foreign Relations, released a minority staff report entitled, “Fraud and Abuse of Global Fund Investments at Risk Without Greater Transparency”. The report provides an historical overview of U.S. involvement with the Global Fund to Fight AIDS, Tuberculosis and Malaria though the President’s Emergency Plan for AIDS Relief (PEPFAR) and provides recommendations for improvement to both the U.S. government and the Global Fund.

Senate Appropriations Committee introduces Continuing Resolution for the remainder of FY 2011; includes overall increase in global health funding

The Senate Committee on Appropriations introduced a Continuing Resolution (CR) that would authorize appropriations for the remaining seven months of FY 2011 (the first 5 months of FY 2011 were funded under FY 2010 levels). This legislation would replace the full-year appropriations bill (H.R. 1) that was recently passed by the House on February 19, 2011. Unlike H.R. 1, which proposes to cut global health funding, the Senate CR proposes an overall increase in global health funding (see table below). Additionally, the summary of the CR provided by the Senate Committee on Appropriations categorizes State and Foreign Operations funding as part of National Security.

H.R. 755 – Investing in Our Future Act of 2011

The proposed bill would impose a 0.005% tax on the value of the currency (if greater than $10,000 USD) acquired in a currency exchange transaction. The revenue generated by this tax would be directed to three new trust funds established at the Department of the Treasury: 10% would be directed to a “Child Care Assistance Trust Fund,” 25% to a “Multilateral Global Health Trust Fund,” and 25% to a “Global Climate Change Adaptation and Mitigation Trust Fund.” The remainder would be directed to federal budget deficit reduction or reduction of the federal debt.

The Secretary of State would have authority to provide grants from the Multilateral Global Health Trust Fund to entities such as the Global Fund to Fight AIDS, Tuberculosis and Malaria and other multilateral organizations that meet specific criteria outlined in the bill. The bill also states that funding for the multilateral organizations must be in addition to and not replacing existing funding and should be used for the purposes of “addressing HIV/AIDS, tuberculosis, malaria, maternal mortality, family planning, neglected diseases, and other health issues affecting developing countries.”

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