UPDATE: The House Appropriations Committee approved the FY 2020 SFOPs appropriations bill (and accompanying report) on May 16, 2019. Please see the updated KFF analysis for additional details on global health funding amounts in the House FY 2020 SFOPs bill.

ORIGINAL POST: The House Appropriations Subcommittee approved the FY 2020 State & Foreign Operations (SFOPs) appropriations bill on May 10, 2019, while the full committee approved the FY 2020 Labor, Health and Human Services, and Education (LHHS) appropriations bill (and accompanying report) on May 8, 2019. These two bills include most funding for U.S. global health programs. The SFOPs bill includes funding at the State Department and the U.S. Agency for International Development (USAID), while the LHHS appropriations bill includes funding at the Centers for Disease Control and Prevention (CDC) and the National Institutes of Health (NIH).[i]

Key highlights are as follows (see table for additional detail):

SFOPs: STATE DEPARTMENT & USAID

• Funding provided to the State Department and USAID through the Global Health Programs (GHP) account, which represents the bulk of global health assistance, totaled $9.3 billion, an increase of $459 million above the FY 2019 enacted level and almost $3 billion above the President’s FY 2020 request.
• Details included in the bill are as follows:
  • Bilateral HIV funding through the President’s Emergency Plan for AIDS Relief (PEPFAR) at the State Department is $4,370 million in the SFOPs bill, matching the FY19 level and $1,020 million above the President’s FY 2020 request. Additional bilateral HIV funding provided through USAID is not yet known.
  • The bill includes $1,560 million as the U.S. contribution to the Global Fund to Fight AIDS, Tuberculosis and Malaria (Global Fund), an increase of $210 million above the FY19 level ($1,350 million) and $602 million above the President’s FY 2020 request ($958 million).
  • Bilateral Family Planning and Reproductive Health (FP/RH) funding provided through the GHP account totaled $750 million, an increase of $226 million above the FY19 enacted level ($524 million) and $513 million above the FY20 Request ($237 million). Historically, additional FP/RH funding has been provided through the Economic Support Fund (ESF) account ($51 million in FY19), but such amounts are not yet known.
  • The bill included $55.5 million as the U.S. contribution to the United Nations Population Fund (UNFPA), an increase of $23 million above the FY19 level ($32.5 million); the FY20 Request proposed eliminating funding for UNFPA.
  • The bill also included the following policy provisions: a permanent repeal of the Mexico City Policy (MCP), as reinstated by President Trump via executive order on January 22, 2017 (see KFF’s Mexico City Policy explainer), and a prohibition on using any current or prior SFOPs appropriations to implement the MCP.

Labor HHS: CDC & NIH

• Funding provided to CDC for global health totaled $514 million, an increase of $25 million above the FY 2019 enacted level ($489 million) and $57 million above the President’s FY 2020 request.
• Funding for the Fogarty International Center (FIC) at NIH totaled $85 million, a $7 million increase above the FY 2019 enacted level ($78 million) and $18 million above the President’s FY 2020 request ($67 million).

Resources:

• FY2020 State and Foreign Operations Appropriations Bill – Subcommittee Draft Bill
• FY2020 Labor, Health and Human Services, and Education Appropriations Bill – Full Committee Draft Bill and Report

The table (.xls) below compares global health funding in the FY 2020 House SFOPs and LHHS appropriations bills to the FY 2019 enacted funding amounts as outlined in the “Consolidated Appropriations Act, 2019” (P.L. 116-6; KFF summary here) and the President’s FY 2020 request (KFF summary here).