Budget Tracker: Status of U.S.

FY13 Funding for Key Global Health Related Accounts
(FY 2012 and FY 2013 amounts are preliminary only and will be updated as more information is available.) FY13 Request Department/ Agency Area FY12 Estimated
(millions) 1

House Passed by Committee
(millions)

Senate Change: Passed by House Subcommittee (millions) Request $(%) Passed by Committee
(millions)

Request2
(millions)

Change: FY12 - FY13
$(%)

Change: House - FY12
$(%)

Change: Senate - FY12
$(%)

Change: Senate Request $(%)

Change: Senate House
$(%)

SUMMARY
1 2 3 4 5 6 7 8 9 10 11

Global Health Initiative (GHI)4
HIV/AIDS (27+37+76+86+95) Tuberculosis (TB) (32+48+58)4 Malaria (31+82+87+96) Global Fund (42+89)5 Neglected Tropical Diseases (NTDs) (34) Maternal & Child Health (MCH) Subtotal by Key Area or Program3
(Numbers in parenthesis represent rows used to calculate totals)

$8,834.0
$5,082.4 $256.3 $806.3 $1,300.0 $89.0 $605.6 $95.0 $524.0 $75.5

$8,524.4
$4,536.0 $232.0 $775.4 $1,650.0 $67.0 $578.0 $90.0 $530.0 $66.0

$-309.6 (-3.5%)
$-546.4 (-10.8%) $-24.3 (-9.5%) $-30.9 (-3.8%) $350 (26.9%) $-22 (-24.7%) $-27.6 (-4.5%) $-5 (-5.3%) $6 (1.2%) $-9.5 (-12.6%) $605.6 $95.0 $0 (0%) $0 (0%) $27.6 (4.8%) $5 (5.6%) $650.0

$1,300.0

$0 (0%)

$-350 (-21.2%)

$1,650.0

$1,650.0 $125.0 $679.0 $122.0 $600.0 $98.0

$350 (26.9%) $36 (40.4%) $73.4 (12.1%) $27 (28.4%) $76.1 (14.5%) $22.5 (29.8%)

$0 (0%) $58 (86.6%) $101 (17.5%) $32 (35.6%) $70 (13.2%) $32 (48.5%)

$350 (26.9%)

(17)

$73.4 (12.1%) $27 (28.4%)

Nutrition (20) Family Planning & Reproductive Health (FP/RH) (26)6 Other (24+35)

PEPFAR (2+3+5)
Maternal & Child Health (MCH)
(46+57+61+70+71)

$6,638.7

$6,418.0

$-220.7 (-3.3%)
$-17.5 (-5.9%) $-24.3 (-17.8%) $0.1 (0.8%) $315.0 $0 (0%) $0 (0%) $350.0 $0 (0%) $898.2

Additional Non-GHI Amounts - Selected Areas3
12 13 14 15 16

$294.5 $137.0 $8.7 $315.0 $898.2

$277.0 $112.7 $8.8

Family Planning & Reproductive Health (FP/RH) (45+56+69)6 Nutrition (50+59+64) Water (52+60+65)7 Millennium Challenge Corporation (74)

$144.5

$7.5 (5.4%)

$31.8 (28.2%)

$400.0 $898.2

$898.2

$0 (0%)

$898.2

$85 (27%) $0 (0%)

$0 (0%)

$85 (27%) $0 (0%)

Page 1 of Last updated on June 27, 2012

Budget Tracker: Status of U.S. FY13 Funding for Key Global Health Related Accounts
(FY 2012 and FY 2013 amounts are preliminary only and will be updated as more information is available.) FY13 Request Department/ Agency Area FY12 Estimated
(millions) 1

House Passed by Committee
(millions)

Senate Change: Passed by House Subcommittee (millions) Request $(%) Passed by Committee
(millions)

Request2
(millions)

Change: FY12 - FY13
$(%)

Change: House - FY12
$(%)

Change: Senate - FY12
$(%)

Change: Senate Request $(%)

Change: Senate House
$(%)

DETAIL BY ACCOUNT
17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36

8

Global Health Programs (GHP) - USAID9
Maternal & Child Health (MCH)
Polio GAVI10

$605.6
$35.0 $130.0

$578.0

$-27.6 (-4.5%)
$15 (11.5%)

$605.6

$0 (0%)

$27.6 (4.8%)

$650.0

$679.0
$35.5

$73.4 (12.1%)
$0.5 (1.4%) $15 (11.5%)

$101 (17.5%)
$0 (0%)

$73.4 (12.1%)

$145.0

$145.0

Nutrition
Micronutritients
Vitamin A

$95.0
$30.0
$20.0

$90.0

$-5 (-5.3%)

$95.0

$0 (0%)

$5 (5.6%)

$122.0
$33.5
$23.0

$27 (28.4%)
$3.5 (11.7%) $0.5 (25%)
$3 (15%)

$32 (35.6%)

$27 (28.4%)

Iodine Deficiency

$2.0

$2.0

$0 (0%)

$2.5

$0.5 (25%)

Vulnerable Children
Blind Children

$17.5
$2.5

$13.0
$0.0

$-4.5 (-25.7%)
$-2.5 (-100%)

$17.5

$0 (0%)

$4.5 (34.6%)

$23.0
$3.5

$5.5 (31.4%)
$1 (40%)

$10 (76.9%) $70 (13.2%) $20 (6.1%)
$0 (0%)

$5.5 (31.4%)

State & Foreign Ops

Family Planning & Reproductive Health (FP/RH)6 HIV/AIDS
Microbicides IAVI Commodity Fund

$524.0 $350.0
$45.0 $28.7 $20.3

$530.0 $330.0
$45.0 $28.7 $20.3

$6 (1.2%) $-20 (-5.7%)
$0 (0%) $0 (0%) $0 (0%)

$600.0 $350.0 $0 (0%) $20 (6.1%) $350.0
$45.0

$76.1 (14.5%) $0 (0%)
$0 (0%)

$0 (0%)

Malaria Tuberculosis
Global Drug Facility

$650.0 $236.0
$15.0

$619.0 $224.0
$13.5

$-31 (-4.8%) $-12 (-5.1%)
$-1.5 (-10%)

$650.0 $236.0

$0 (0%) $0 (0%)

$31 (5%) $12 (5.4%)

$650.0 $265.0

$670.0 $285.0
$15.0

$20 (3.1%) $49 (20.8%)
$0 (0%)

$51 (8.2%) $61 (27.2%)
$1.5 (11.1%)

$20 (3.1%) $49 (20.8%)

Neglected Tropical Diseases Pandemic Influenza & Other Emerging Threats

$89.0 $58.0

$67.0 $53.0

$-22 (-24.7%) $-5 (-8.6%) $75.0

$125.0 $75.0

$36 (40.4%) $17 (29.3%)

$58 (86.6%) $22 (41.5%)

USAID (GHP) Total
(17+20+24+26+27+31+32+34+35)

$2,625.0

$2,504.0

$-121 (-4.6%)

$2,474.9

$-150.1 (-5.7%)

$-29.1 (-1.2%)

$2,929.0

$304 (11.6%)

$425 (17%)

$454.1 (18.3%)

Page 2 of Last updated on June 27, 2012

Budget Tracker: Status of U.S. FY13 Funding for Key Global Health Related Accounts
(FY 2012 and FY 2013 amounts are preliminary only and will be updated as more information is available.) FY13 Request Department/ Agency Area FY12 Estimated
(millions) 1

House Passed by Committee
(millions)

Senate Change: Passed by House Subcommittee (millions) Request $(%) Passed by Committee
(millions)

Request2
(millions)
9

Change: FY12 - FY13
$(%)

Change: House - FY12
$(%)

Change: Senate - FY12
$(%)

Change: Senate Request $(%)

Change: Senate House
$(%)

Global Health Programs (GHP) - State Department
37 38 39 40 41 42 43 44

HIV/AIDS
Prevention, Care, and Treatment & Other Health System Programs UNAIDS Oversight & Management Technical Support, Strategic Information and Evaluation

$4,242.9
$3,806.3 $45.0 $174.1 $217.4

$3,700.0
$3,393.2 $45.0 $181.8 $80.0

$-542.9 (-12.8%)
$-413.2 (-10.9%) $0 (0%) $7.7 (4.4%) $-137.4 (-63.2%)

$4,242.9

$0 (0%)

$542.9 (14.7%)

$3,900.0

$-342.9 (-8.1%)
$0 (0%)

$200 (5.4%)
$0 (0%)

$-342.9 (-8.1%)

$45.0

Global Fund 5

$1,300.0
(37+42)

$1,650.0

$350 (26.9%)

$1,300.0

$0 (0%)

$-350 (-21.2%)

$1,650.0

$1,650.0

$350 (26.9%)

$0 (0%)

$350 (26.9%)

State (GHP) Total
(36+43)

$5,542.9 $8,167.9
11,12

$5,350.0 $7,854.0

GHP (State & USAID) Total

$-192.9 (-3.5%) $-313.9 (-3.8%)
$-21.3 (-22.4%) $-2.2 (-1.5%) $0 (0%) $0 (0%) $-1.5 (-33.3%) $-0.6 (-9.1%) $-29.7 (-19%) $3.1 (11%)

$5,542.9 $8,017.7

$0 (0%) $-150.1 (-1.8%)

$192.9 (3.6%) $163.7 (2.1%)

$5,550.0 $8,479.0

$7.1 (0.1%) $311.1 (3.8%)

$200 (3.7%) $625 (8%)

$7.1 (0.1%) $461.3 (5.8%)

Economic Support Fund Account (ESF)
45 46 47 48 49 50 51 52 53 54 55

State & Foreign Ops

Family Planning & Reproductive Health (FP/RH)6 Maternal & Child Health (MCH) HIV/AIDS Tuberculosis Polio Nutrition Pandemic Influenza & Other Emerging Threats Water 7 Other Public Health Threats Agriculture & Rural Development (FtF) Other Agriculture Programs (FtF)

$95.0 $146.3 $0.3 $8.0 $4.5 $7.0

$73.7 $144.1 $0.3 $8.0 $3.0 $6.4 $0.2

$4.5

$0 (0%)

$1.5 (50%)

$156.7 $28.5

$126.9 $31.6

Page 3 of Last updated on June 27, 2012

Budget Tracker: Status of U.S. FY13 Funding for Key Global Health Related Accounts
(FY 2012 and FY 2013 amounts are preliminary only and will be updated as more information is available.) FY13 Request Department/ Agency Area FY12 Estimated
(millions) 1

House Passed by Committee
(millions)
11,12

Senate Change: Passed by House Subcommittee (millions) Request $(%) Passed by Committee
(millions)

Request2
(millions)

Change: FY12 - FY13
$(%)

Change: House - FY12
$(%)

Change: Senate - FY12
$(%)

Change: Senate Request $(%)

Change: Senate House
$(%)

Assistance for Europe, Eurasia and Central Asia Account (AEECA)
56 57 58 59 60 61 62 63

Family Planning & Reproductive Health (FP/RH)6 Maternal & Child Health (MCH) Tuberculosis Nutrition Water 7 Other Public Health Threats Agriculture & Rural Development (FtF) Other Agriculture Programs (FtF)

$7.0 $8.9 $12.3 $1.7 $1.0

Development Assistance Account (DA)12
64 65 66 67 68

Nutrition Water
7

$2.4 $124.4 $11.5 $66.1 $5.0 $-58.3 (-46.9%) $-6.5 (-56.5%)

State & Foreign Ops

Other Public Health Threats Agriculture & Rural Development (FtF) Other Agriculture Programs (FtF)

International Organizations and Programs (IO&P)
69 70

United Nations Population Fund (UNFPA)6 United Nations Children's Fund (UNICEF) United Nations Entity for Gender Equality and Women's Empowerment (UN Women)

$35.0 $131.8 $7.5

$39.0 $125.0 $7.9

$4 (11.4%) $-6.8 (-5.1%) $0.4 (5.3%)

$0.0 $131.8

$-35 (-100%) $0 (0%)

$-39 (-100%) $6.8 (5.4%)

$44.5

$44.5 $132.0 $8.0

$9.5 (27.1%) $0.2 (0.2%) $0.5 (6.7%)

$5.5 (14.1%) $7 (5.6%) $0.1 (1.3%)

$44.5 (N/A) $0.2 (0.2%)

71

State Department - Contributions to International Organizations
72 73

World Health Organization (WHO) Pan American Health Organization (PAHO)

$109.4 $63.1

$109.4 $65.7

$0 (0%) $2.6 (4.1%) $0 (0%) $0 (0%) $0 (0%) $0 (0%) $0 (0%) $0 (0%)

Direct Appropriations
74

Millennium Challenge Corporation (MCC)

$898.2

$898.2

$898.2

$898.2

$898.2

Page 4 of Last updated on June 27, 2012

Budget Tracker: Status of U.S. FY13 Funding for Key Global Health Related Accounts
(FY 2012 and FY 2013 amounts are preliminary only and will be updated as more information is available.) FY13 Request Department/ Agency Area FY12 Estimated
(millions) 1

House Passed by Committee
(millions)

Senate Change: Passed by House Subcommittee (millions) Request $(%) Passed by Committee
(millions)

Request2
(millions)

Change: FY12 - FY13
$(%)

Change: House - FY12
$(%)

Change: Senate - FY12
$(%)

Change: Senate Request $(%) $-0.4 (-0.1%)
$0 (0%) $-15.1 (-8.6%)

Change: Senate House
$(%)

75 76 77 78 79 80 81 82 83 84 85 86 87 88 89

CDC (76+77+80+81+83+84)
Global AIDS 1 Global Immunization 1
Polio Eradication
1

1

$347.6
$117.1 $160.3
$111.3 $49.0

$363.0
$117.2 $175.4
$126.4 $49.1

$15.4 (4.4%)
$0 (0%) $15.1 (9.4%)

$362.6
$117.1 $160.3
$111.3 $49.0

$15 (4.3%)
$0 (0%) $0 (0%)
$0 (0%)

$15.1 (13.5%) $0.1 (0.1%)

$-15.1 (-11.9%) $-0.1 (-0.1%)

Other Global/Measles1

$0 (0%)

Global Disease Detection & Emergency Response1 Parasitic Diseases & Malaria 1
Malaria
1,13

$41.6 $19.4
$9.3

$41.7 $19.4
$9.4

Health & Human Services12

$0.1 (0.1%) $0.1 (0.3%) $0 (0.2%) $0.1 (1.1%)

$46.6 $19.4

$5 (12%) $0 (0%) $0 (0%) -

$4.9 (11.9%) $-0.1 (-0.3%) $0 (-0.2%) -

Global Public Health Capacity Development1 National Public Health Institutes -

$9.2 -

$9.2

$9.2 $10.0

NIH (86+87)

1,13

$511.5
1,13

$535.9
$388.9 $147.0

$24.4 (4.8%)
$24.4 (6.7%) $0 (0%)

HIV/AIDS Research

$364.5 $147.0

Malaria Research 1,13

Fogarty International Center (FIC) 1 The Global Fund (NIAID)1,5 McGovern-Dole International Food for Education and Child Nutrition Program Food for Peace (FFP-Title II) 14
Maternal & Child Health (MCH) Nutrition Water
7

$69.6 $0.0 $184.0 $1,466.0
$37.0 $99.6 $10.5

$69.8 $0.0 $184.0 $1,400.0
$38.6 $57.4 $7.1

$0.2 (0.3%) $0 (0%) $-66 (-4.5%)
$1.6 (4.4%) $-42.2 (-42.4%) $-3.4 (-32.2%)

$69.7

$0.1 (0.2%)

$-0.1 (-0.1%)

90

$180.3 $1,149.7

$-3.7 (-2%) $-316.3 (-21.6%)

$-3.7 (-2%) $-250.3 (-17.9%)

$184.0 $1,466.0

$0 (0%) $0 (0%)

$0 (0%) $66 (4.7%)

$3.7 (2%) $316.3 (27.5%)

91 92 93 94 95

Agriculture12

HIV/AIDS

13,15

$8.0 $0.0 $135.0

$0.0 $0.0 $134.0

Defense
96 97

$-8 (-100%) $-1 (-0.7%) $99.8 $-35.2 (-26.1%) $-34.2 (-25.5%) $200.0 $200.0 $65 (48.1%) $66 (49.3%) $100.2 (100.4%)

Malaria13

Treasury

Global Agriculture and Food Security Program (GAFSP)

Page 5 of 6 Last updated on June 27, 2012

Budget Tracker: Status of U.S. FY13 Funding for Key Global Health Related Accounts
(FY 2012 and FY 2013 amounts are preliminary only and will be updated as more information is available.)

Budget Tracker: Notes
NOTES: (1) Includes information from the Consolidated Appropriations Act, 2012 (H.R. 2055; Public Law #112-74), which included an across-the-board 0.189% rescission applied to all funding through the Labor-HHS portion of the bill, FY 2013 Congressional Budget Justifications, and Agency FY 2012 Operational Plans. Agriculture appropriations were finalized as part of the Consolidated and Further Continuing Appropriations Act, 2012 (H.R. 2112; Public Law #112-55). (2) Unless otherwise noted, all “FY13 Request” amounts are taken from agency Congressional Budget Justifications (CBJs), ForeignAssistance.gov or communications with Agency officials or OMB. (3) Subtotals by some key areas may not include all available funding at this time and therefore may not be directly comparable to prior year estimates. These will be updated as more information becomes available. (4) Funding for HIV/TB co-infection is included in the sub-total for HIV but not TB. (5) The FY 2012 enacted amount for the Global Fund was $1.050 billion. The Administration subsequently moved $250 million from the HIV/AIDS bilateral line to the Global Fund, bringing the Global Fund amount up to $1.3 billion. (6) The Conference Report (112-331) accompanying the Consolidated Appropriations Act, 2012 (H.R. 2055; Public Law #112-74) states that of the bilateral “funds appropriated under title III of this Act, not less than $575,000,000 should be made available for family planning reproductive health,” but does not delineate this amount by account beyond $523.95 million through the USAID-GHCS account; UNFPA funding is in addition to the bilateral funding and is provided through the International Organizations and Programs (IO&P) account. The House FY 2013 State and Foreign Operations appropriations bill states that “of the funds appropriated by this Act, not more than $461,000,000 may be available for family planning/reproductive health,” but does not delineate this amount by account beyond stipulating that no funds may be made available as a contribution to UNFPA. There is a discrepancy in the FP/RH funding levels between the Senate FY 2013 State and Foreign Operations appropriations bill (S.3241) and the associated bill report (#112-172). The bill approved by the Senate Appropriations Committee states that “not less than $700 million should be made available for family planning/reproductive health” through bilateral accounts in addition to $44.5 million in funding for the UNFPA for a total of $744.5 million; the accompanying Committee Report (#112-172) provides “a total of $700,000,000 from all accounts in this act for family planning and reproductive health programs,” including $600 million through the Global Health Programs (GHP) account, $55.5 million through the Economic Support Fund (ESF), and $44.5 million for UNFPA. The FP/RH funding amounts listed in the appropriations bill are used for this analysis. (7) The Conference Report (112-331) accompanying the Consolidated Appropriations Act, 2012 (H.R. 2055; Public Law #112-74) states that “of the funds appropriated by this Act, not less than $315,000,000 shall be made available for water and sanitation supply projects pursuant to the Senator Paul Simon Water for the Poor Act of 2005 (Public Law 109-121).” The House FY 2013 State and Foreign Operations appropriations bill states that “of the funds appropriated by this Act, not less than $315,000,000 shall be made available for water and sanitation supply projects pursuant to the Senator Paul Simon Water for the Poor Act of 2005 (Public Law 109121).” The Senate FY 2013 State and Foreign Operations appropriations bill states that “of the funds appropriated by this Act, not less than $400,000,000 shall be made available for water and sanitation supply projects pursuant to the Senator Paul Simon Water for the Poor Act of 2005 (Public Law 109-121).” (8) Not included are activities that (a) fulfill an intelligence function for the purposes of providing strategic or tactical information to high-level decision makers; (b) address biological threat reduction through law or treaty enforcement or personnel and physical security of laboratory facilities; and (c) address the health of U.S. personnel abroad (such as the planning activities of the State Department’s Offices of Medical Services or Consular Services). Also not included at this time is funding for MCH, nutrition, and water through the Food for Peace Program and health-related humanitarian assistance, which is not currently counted in the U.S. government's global health portfolio and is difficult to isolate within the humanitarian assistance budget. (9) The “Global Health Programs” (GHP) account was formerly the “Global Health and Child Survival” (GHCS) account. (10) The FY 2012 enacted amount for GAVI was $100 million. The Administration subsequently moved $30 million from maternal and child health funding to GAVI, bringing the GAVI amount up to 130 million. (11) According to the State Department Executive Budget Summary “the FY 2013 budget normalizes foreign assistance resources by requesting funding for programs formerly supported through the Assistance for Europe, Eurasia and Central Asia (AEECA) account in the ESF account as well as in the Global Health Programs (GHP) and International Narcotics Control and Law Enforcement (INCLE) accounts.” (12) Some funding amounts are determined at the agency level, and may not be earmarked by Congress (e.g., NIH estimates international HIV research funding each year). These will be updated as more information becomes available. (13) White House, Office of Management and Budget, personal communication. (14) Food for Peace funding is appropriated to the U.S. Department of Agriculture and is administered by the U.S. Agency for International Development. (15) The FY 2012 Department of Defense Appropriations Act (H.R.2219) and the Conference ort (112-331) accompanying the Consolidated Appropriations Act, 2012 (H.R. 2055) states that “not less than $8,000,000 shall be available for HIV prevention educational activities undertaken in connection with United States military training, exercises, and humanitarian assistance activities conducted primarily in African nations.” SOURCES: Kaiser Family Foundation analysis of data from: FY 2013 Budget of the United States; Congressional Appropriations Bills, Press Releases, and Conference Reports; Federal Agency Budget and Congressional Justification documents and FY 2012 Operating Plans; ForeignAssistance.gov (accessed June 27, 2012); Office of Management and Budget, personal communication.

Page 6 of 6 Last updated on June 27, 2012

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