The White House released the FY 2015 budget request on March 4, 2014, which includes funding for U.S. global health programs. A significant portion of U.S. funding for global health, including funding at the U.S. Agency for International Development (USAID) and the Department of State, is outlined in the State & Foreign Operations (SFOPs) Congressional Budget Justification (CBJ) and associated appendix (the SFOPs appendix was released on April 18, 2014). Additional funding for global health programs through the Centers for Disease Control and Prevention (CDC) is outlined in the CDC’s Congressional Justification (CJ). The table below compares the FY 2015 Request to final FY 2014 funding amounts as outlined in the “Consolidated Appropriations Act, 2014” (H.R. 3547).

In the FY 2015 budget request, funding for global health programs at USAID and the State Department (through the Global Health Programs account) would total $8,050 million, which is $389 million (4.6%) below the FY 2014 enacted level. Funding for tuberculosis, neglected tropical diseases (NTDs), pandemic influenza, maternal & child health (MCH), nutrition, and vulnerable children all declined compared to FY 2014.

While funding for bilateral HIV programs at the State Department and USAID remained flat, the base U.S. contribution to the Global Fund to Fight AIDS, Tuberculosis and Malaria (Global Fund) decreased to $300 million (18.2%) below the FY 2014 level. The State & Foreign Operations CBJ states that this base contribution “support[s] President Obama’s pledge to provide $1 for every $2 pledged by other donors,” and that “[i]n addition to [the] request for the Global Fund, the Administration’s [newly proposed] Opportunity, Growth, and Security Initiative, if enacted, [would] provide [an additional] $300 million to encourage even more ambitious pledges from other donors.”

The only program areas in the Global Health Programs account that demonstrated increases in the FY 2015 budget request were malaria and family planning & reproductive health (FP/RH). The U.S. contribution to GAVI, which is included as part of MCH funding, also increased compared to FY 2014.

(Note: Additional global health funding amounts and analysis will be added as more information becomes available.)

Notes:
*The FY15 Budget Request includes an additional $300 million in potential funding for the Global Fund that would be made available through the new “Opportunity, Growth, and Security Initiative” (if approved by Congress), but is dependent on additional pledges from other donors.
**The FY15 Budget Request for the CDC includes a realignment of funds that has been applied to the to the FY 2014 Enacted levels.
***If approved by Congress, the new “Opportunity, Growth, and Security Intiative” included in the FY15 Budget Request would provide $80 million in funding for GAFSP.
****If approved by Congress, the new “Opportunity, Growth, and Security Initiative” included in the FY 2015 Budget Request would provide an additional $350 million for MCC, “which will support at least one additional compact in 2015 or enhancements to multiple compacts with a focus on enduring partner country policy reforms and sustainable development based on robust and transparent evidence and evaluation.”

Additional Information:

• For a more detailed analysis see: The U.S. Global Health Budget: Analysis of the Fiscal Year 2015 Budget Request
• State Department: Congressional Budget Justification, fact sheets, and other resources
• CDC: Congressional Budget Justification and Global Health Fact Sheet