The House and Senate Committees on Appropriations announced the release of the “Consolidated Appropriations Act, 2014” (H.R. 3547), 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 bill, however, total funding for global health is not currently available as some funding provided through USAID, HHS, and DoD is not yet available. The table below compares the bill to final FY 2013 enacted (post-sequestration) and the President’s FY 2014 budget request.

According to the text of the bill as posted by the House Appropriations committee and a summary released by the Senate Appropriations Committee, funding for global health programs at USAID and the State Department (through the Global Health Programs account) would total $8,439 million, which is $124.5 million (1.5%) above the President’s request and $378 million (4.7%) above FY 2013 enacted. Funding for PEPFAR at the State Department and USAID, which supports bilateral programs and the Global Fund to Fight AIDS, Tuberculosis and Malaria (Global Fund), is at the same level as the President’s request. Funding in the bill for tuberculosis, neglected tropical diseases (NTDs), maternal and child health, nutrition, vulnerable children, pandemic influenza, and polio are above the President’s request. Funding in the bill for malaria is below the President’s request, but above FY 2013 enacted.

Total funding through all accounts for family planning and reproductive health (FP/RH), which includes $35 million for UNFPA, is below both the President’s request and FY 2013 enacted. Funding for global health activities at the Centers for Disease Control and Prevention (CDC) is $383 million, which is $10 million (2.5%) below the President’s request and $23.7 million (6.6%) above FY 2013 enacted.

Additional Information:

• House Appropriations Committee summary of the FY 2014 Omnibus – State and Foreign Operations
• House Appropriations Committee press release, which provides an overview of the bill.

*FY 2013 Final includes the effects of sequestration.
**The Senate Appropriations Committee summary of the bill states that “at least $610 million, including $35 million for the UN Population Fund” be provided for FP/RH.
***Represents combined PEPFAR funding (HIV bilateral and Global Fund) at the State Department.
****The President’s FY 2014 Budget Request for CDC included a realignment of funding for business services. This realignment of funds was not taken into account in the FY 2014 Omnibus bill and has not been included in the FY 2013 Final amounts presented in this table.
*****As part of the FY2014 budget request, the Administration proposed a restructuring of U.S. food assistance programs including a reallocation of funding provided through Food for Peace to other accounts.