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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.

Congressional letter expresses concern and requests clarification on PEPFAR policies, funding and strategy in Africa

In a letter to the U.S. Global AIDS Coordinator Ambassador Eric Goosby, twenty-five members of Congress expressed “concern about several reported policy and funding decisions that have impacted treatment programs supported by the President’s Emergency Plan for AIDS Relief (PEPFAR) in certain countries in African” and requested clarification on the Administration’s “strategy for reaching the goal of providing AIDS treatment to 4 million people.”

Ambassador Goosby provides an update on PEPFAR programs in Uganda

In a State Department blog post titled “PEPFAR Programs in Uganda: An Update,” U.S. Global AIDS Coordinator Ambassador Eric Goosby summarized recent challenges surrounding HIV treatment in Uganda and outlined some of the actions PEPFAR will take to address these challenges including:
– Strengthen PEPFAR’s linkages, through the Global Health Initiative (GHI), with other U.S.-supported health programs;

- Support treatment scale-up and expansion of access to HIV prevention and care services;

- Provide an immediate infusion of antiretroviral drugs;

- Provide increased short- and medium-term financial assistance;

- Promote best practices and innovations in service delivery;

- Conduct an analysis of treatment expenditures in order to develop a plan that expands access to treatment;

- Accelerate the full functioning of grants from the Global Fund to Fight AIDS, TB and Malaria; and

- “Pursue a new approach to purposeful engagement with the Government of Uganda and civil society” in order to coordination and collaboration.

House Appropriations Subcommittee completes markup of State and Foreign Operations Appropriations Bill

The House Committee on Appropriations, Subcommittee on State and Foreign Operations completed its markup of the FY 2011 State and Foreign Operations appropriations bill with the following recommendations:

Total Funding for State & Foreign Operations: $52.656 billion ($4 billion below the President’s FY11 request; $3.89 billion above the FY10 enacted level)

Global Health and Child Survival Account (GHCS): $8.25 billion ($263 million below the President’s request; $471 million above the FY10 enacted level) which includes $2.725 billion for USAID and $5.525 billion for the State Department. Funding for specific areas is as follows:
– HIV/AIDS activities and the Global Fund to Fight AIDS, Tuberculosis and Malaria: $5.875 billion
– HIV/AIDS: $5.05 billion

- Global Fund to Fight AIDS, Tuberculosis and Malaria contribution: $825 million
– Malaria: $615 million

- Family Planning and Reproductive Health: $735 million which includes funding from multiple accounts and provides $60 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)

Administrator Shah discusses the Global Health Initiative

At an event hosted by the Center for Strategic and International Studies (CSIS), U.S. Agency for International Development (USAID) Administrator Dr. Rajiv Shah, provided remarks on the “vision” and “defining features” of the Global Health Initiative (GHI) including “doing more of what works” by improving monitoring and evaluation, “expanding service platforms,” prioritizing innovation, focusing on country ownership, and using a women- and girls-centered approach. During a question and answer session at the conclusion of his remarks, Administrator Shah also discussed, among other things, the President’s Emergency Plan for AIDS Relief (PEPFAR), the Feed the Future Initiative, and procurement reform at USAID.

H.Res. 1155 – Commending the progress made by anti-tuberculosis programs

Among other things, the resolution states that the House or Representatives “(1) supports the goals of World TB Day to raise awareness about tuberculosis; (2) commends the progress made by anti-tuberculosis programs, including the U.S. Agency for International Development [USAID], the Centers for Disease Control and Prevention [CDC] and the Global Fund to Fight AIDS, Tuberculosis and Malaria; and (3) reaffirms its commitment to global tuberculosis control made through the Lantos-Hyde U.S. Leadership Against HIV/AIDS, Tuberculosis and Malaria Act of 2008.”

Timeline of the resolution:

- Introduced and referred to the House Foreign Affairs Committee and the House Energy and Commerce Committee on March 10, 2010.

- Approved by a voice vote in the House on May 12, 2010.

CRS Report – Centers for Disease Control and Prevention Global Health Programs: FY2001-FY2011

From the report summary: “This report explains the role CDC plays in U.S. global health assistance, highlights how much the agency has spent on global health efforts from FY2001 to FY2010, and discusses how funding to each of its programs has changed during this period.”

Deputy Secretary of State Jack Lew discusses U.S. global health policy at release of CSIS report on Smart Global Health Policy

Deputy Secretary of State Jacob “Jack” Lew delivered remarks on U.S. global health policy at the release of the Center for Strategic and International Studies (CSIS) Commission on Smart Global Health Policy’s final report. During his speech, Deputy Secretary Lew summarized the reasons why “the Obama Administration has made global health a central priority of U.S. foreign policy” and outlined the objectives of the Administration’s Global Health Initiative (GHI).

S.Res. 454 – Supporting the goals of World Tuberculosis Day to raise awareness about tuberculosis

The resolution states that the Senate supports the goals of World Tuberculosis Day, commends the efforts of the United States Agency for International Development (USAID), the Centers for Disease Control and Prevention (CDC), the National Institutes of Health (NIH), and the Global Fund to Fight AIDS, Tuberculosis and Malaria to address the disease, and “reaffirms its commitment to global tuberculosis control made through the Lantos-Hyde United States Leadership Against HIV/AIDS, Tuberculosis and Malaria Act of 2008.”

H.Res. 1140 – Commending the progress made by anti-tuberculosis programs

Among other things, the resolution states that the House or Representatives “(1) commends the progress made by anti-tuberculosis programs, including the U.S. Agency for International Development [USAID], the Centers for Disease Control and Prevention [CDC] and the Global Fund to Fight AIDS, Tuberculosis and Malaria; and (2) reaffirms its commitment to global tuberculosis control made through the Lantos-Hyde U.S. Leadership Against HIV/AIDS, Tuberculosis and Malaria Act of 2008.”