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The Global Fund to Fight AIDS, Tuberculosis and Malaria

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Senate Appropriations Committee releases FY11 Omnibus Appropriations Act

The Senate Committee on Appropriations released the text of the FY 2011 Omnibus Act with the following funding levels:

Total Funding for State & Foreign Operations: $53.5 billion ($3.1 billion below the President’s FY11 request; $4.7 billion above the FY10 enacted level)

Global Health and Child Survival Account (GHCS): $8.22 billion ($291 million below the President’s request; $443 million above the FY10 enacted level) with funding for specific areas is as follows:
- Maternal and Child Health: $761 million

- Family Planning and Reproductive Health: $710 million which includes funding from multiple accounts and provides $57.5 million to the United Nations Population Fund (UNFPA)

- HIV/AIDS activities and the Global Fund to Fight AIDS, Tuberculosis and Malaria: $5.85 billion:
- HIV/AIDS: $5.025 billion

- Global Fund to Fight AIDS, Tuberculosis and Malaria contribution: $825 million (Note: An additional $300 million is appropriated for the Global Fund through the Department of Health and Human Services bringing total FY11 contribution to $1.125 billion.)

Millennium Challenge Corporation: $1.10 billion ($174.7 million below the President’s FY11 request; equal to the FY10 enacted level)

Food Security and Agricultural Development: $1.4 billion ($244 million below the President’s FY11 request)

Statements and Resources from the Administration Commemorating World AIDS Day

The following U.S. government agencies and Administration officials released statements commemorating World AIDS Day:

President Barack Obama:

In a video message delivered at the opening of a White House event commemorating World AIDS Day, President Obama summarized the actions taken by his Administration, both domestically and globally, to address HIV/AIDS and called for a recommitment “to building on the tremendous progress we’ve made both in preventing and treating the disease and ending the stigma and discrimination that too often surround it.”

Secretary of State Hillary Clinton:

Secretary Clinton highlighted recent actions by the Administration that contribute to the fight against HIV/AIDS including, among other things, efforts to address AIDS a central component of the GHI, the multi-year commitment to the Global Fund to Fight AIDS, Tuberculosis and Malaria, and the efforts through PEPFAR to make “smart investments”.

Health and Human Services (HHS) Secretary Kathleen Sebelius:

In a statement and during remarks provided at a White House event commemorating World AIDS Day, Secretary Sebelius highlighted actions by the Administration responding to the HIV epidemic in the U.S. and summarized recent advances in scientific research.

United States Agency for International Development (USAID) Administrator Dr. Rajiv Shah:

Administrator Shah released a statement highlighting recent research efforts focused on HIV prevention and stated that “our goal is to provide proven safe and effective HIV prevention products to the most vulnerable populations as quickly as possible.”

U.S. Global AIDS Coordinator Ambassador Eric Goosby:

In a State Department DipNote blog post titled “Saving Lives Through Smart Investments”, Ambassador Goosby, in response to questions regarding the Administration’s ability to maintain its commitment to addressing HIV/AIDS during challenging economic times, stated that “through a range of actions, the Obama Administration is demonstrating that the U.S. commitment remains firm.” Ambassador Goosby proceeded to summarize and provide examples of the actions being taken.

U.S. Permanent Representative to the United Nations Ambassador Susan Rice:

Ambassador Rice released a statement highlighting the results of the President’s Emergency Plan for AIDS Relief (PEPFAR) and summarizing how President Obama’s Global Health Initiative (GHI) will build on the efforts of PEPFAR to address the impacts of HIV.

National Institutes of Health (NIH):
A statement from the NIH titled “Building on Success: Step by Step, Researchers Gaining Ground on HIV/AIDS” highlighted past and ongoing research efforts at the agency to address the disease. The statement included comments from NIH Director Francis S. Collins, M.D., Ph.D. and National Institute of Allergy and Infectious Diseases (NIAID) Director Anthony S. Fauci, M.D.

Peace Corps:

The Peace Corps released a statement highlighting the role that its volunteers have played to address the impacts of the disease.

H.Con.Res. 333 – Supporting the goals and ideals of World AIDS Day.

Among other things, the resolution states that Congress “supports the goals and ideals of World AIDS Day” and “supports continued funding for the President’s Emergency Plan For AIDS Relief and the Global Fund to Fight AIDS, Tuberculosis, and Malaria to provide prevention, care, and treatment to combat HIV/AIDS in developing countries.”

Obama Administration announces 3-year, $4 billion pledge and calls for reforms to the Global Fund

As part of the Third Replenishment of the Global Fund to Fight AIDS, Tuberculosis, and Malaria the Obama Administration announced a 3-year, $4 billion (FY11-FY13) pledge and a “Call to Action” to the Global Fund aimed at “develop[ing] and implement[ing] a set of reforms to maximize the impact of Global Fund grants.” Additionally, a press release from the President’s Emergency Plan for AIDS Relief (PEPFAR) on the new commitment and “Call to Action” states that future U.S. contributions to the Global Fund would be based on a “review of: 1) measurable progress in delivering on an action agenda for improved grant impact, 2) maintaining the Global Fund’s focus on combating the three diseases, and 3) continued financial support from other donors.”

Administration officials testify at a Congressional hearing titled “PEPFAR: From Emergency to Sustainability and Advances Against HIV/AIDS”

During a House Committee on Foreign Affairs hearing titled “PEPFAR: From Emergency to Sustainability and Advances Against HIV/AIDS,” U.S. Global AIDS Coordinator Ambassador Eric Goosby discussed the successes of the President’s Emergency Plan for AIDS Relief (PEPFAR) and outlined core principles moving forward including PEPFAR’s role in the Global Health Initiative (GHI), addressing gender issues, country ownership and building local capacity, and stronger engagement with multilateral partners such as the Global Fund to Fight AIDS, Tuberculosis and Malaria. Director of the National Institute of Allergy and Infectious Diseases (NIAID) at the National Institutes of Health (NIH) Dr. Anthony Fauci summarized how NIH contributes to the PEPFAR mission through HIV/AIDS research that provides “the tools necessary to diagnose, prevent, and treat HIV.” Center for Disease Control and Prevention (CDC) Director Thomas Frieden discussed the successes of PEPFAR and outlined the guiding principles of CDC’s global health work which include: “strengthen public health capacity; better use data to improve program performance and policy; and maximize sustainable health impact through the use of existing and new systems, cost-efficiencies, partner investments, and scale-up of the highest impact interventions with a focus on populations with the greatest need.”

Prior to testimony from the Administration officials, the hearing was opened with remarks from the Committee Chair, Representative Howard Berman (D-CA, 28th), and Ranking Member, Representative Ileana Ros-Lehtinen (R-FL, 18th).

Representatives Berman and Ros-Lehtinen provide opening remarks at a Congressional hearing on PEPFAR

Representatives Howard Berman (D-CA, 28th – Chair) and Ileana Ros-Lehtinen (R-FL, 18th – Ranking Member) provided opening remarks during a hearing of the House Committee on Foreign Affairs titled “PEPFAR: From Emergency to Sustainability and Advances Against HIV/AIDS.” Representatives Berman and Ros-Lehtinen described the successes of the President’s Emergency Plan for AIDS Relief (PEPFAR) to date, the need to continue to focus on treatment as well as prevention, and emphasized the U.S. commitment to combating HIV/AIDS.

After opening remarks, the Committee took testimony from U.S. Global AIDS Coordinator Ambassador Eric Goosby, Director of the National Institute of Allergy and Infectious Diseases (NIAID) at the National Institutes of Health (NIH) Dr. Anthony Fauci, and Center for Disease Control and Prevention (CDC) Director Thomas Frieden.

State Department releases fact sheet titled “The U.S. Record on Financing for Development in 2009″

The fact sheet provides an overview of official development assistance (ODA) provided by the United States in 2009 including funding amounts by relevant U.S. agencies and departments and summary information of assistance provided for specific programmatic sectors such as: Global Health; Food Security, Agriculture and Nutrition; and Water Supply and Sanitation.

CRS Report – The Global Fund to Fight AIDS, Tuberculosis and Malaria: U.S. Contributions and Issues for Congress

From the report summary: “This report provides background information on the Global Fund, summarizes key findings on the Global Fund’s progress through 2009, outlines U.S. funding for the Fund, and analyzes issues Congress might consider as it debates the appropriate level of support to provide the Fund.”

Congressional letter urges President Obama to support the Global Fund

In a letter to President Obama, 100 members of Congress joined Representative Barbara Lee (D-CA, 9th) to urge the Obama Administration “to make a three-year commitment to the Global Fund to Fight AIDS, Tuberculosis, and Malaria of no less than $6 billion for fiscal years 2012, 2013, and 2014, in addition to any proposed bilateral funding.”

S. 3676 – Department of State, Foreign Operations, and Related Programs Appropriations Bill, 2011

The Senate Committee on Appropriations approved by a vote of 18-12 the FY 2011 State and Foreign Operations appropriations bill with the following recommendations:

Total Funding for State & Foreign Operations: $54.06 billion ($2.6 billion below the President’s FY11 request; $5.3 billion above the FY10 enacted level)

Global Health and Child Survival Account (GHCS): $8.239 billion ($274 million below the President’s request; $460 million above the FY10 enacted level) with funding for specific areas is as follows:
- HIV/AIDS activities and the Global Fund to Fight AIDS, Tuberculosis and Malaria: $5.85 billion
- HIV/AIDS: $5.05 billion

- Global Fund to Fight AIDS, Tuberculosis and Malaria contribution: $800 million
- Malaria: $635.5 million

- Tuberculosis: $230 million

- Neglected Tropical Diseases (NTDs): $100 million

- Child Survival and Maternal Health: $641 million

- Nutrition: $100 million

- Family Planning and Reproductive Health: $700 million which includes funding from multiple accounts and provides $55 million to the United Nations Population Fund (UNFPA)

Millennium Challenge Corporation: $1.105 billion ($174.7 million below the President’s FY11 request; equal to the FY10 enacted level)

Feed the Future: $1.3 billion ($344 million below the President’s FY11 request)

“Global Gag” Rule Amendment:The Committee approved by a vote of 19-11 an amendment to the appropriations bill introduced by Senator Frank Lautenberg (D-NJ) that would codify into law President Obama’s decision to rescind the “global gag” rule (otherwise known as the Mexico City Policy), which prevented the U.S. from providing foreign assistance for family planning purposes to any organization that performed or promoted legal abortion.