Budget Tracker: Status of U.S.

FY11 Funding for Key Global Health Related Accounts

(FY 2011 amounts are preliminary only and will be updated as more information is available.)

House Senate

FY10 FY11 Change: Markup: Change: Change: Change: Change:

Passed by Public
Bill Area Enacted Request1 FY10-FY11 Appropriations Request- FY10-FY11 Request- FY10-FY11 Law
Committee
(millions) (millions) $(%) Subcommittees Markup Markup Committee Committee
(millions)
(millions)2 $(%) $(%) $(%) $(%)

SUMMARY
Global Health Initiative $746.7
1 $8,828.2 $9,574.9
(GHI) (8.5%)
HIV/AIDS $196.5
2 $5,542.2 $5,738.7
(35+48+85+93+98) (3.5%)
Tuberculosis (TB) $7.4
3 $243.2 $250.6
(41+58+66)4 (3.1%)
$99.8
4 Malaria (39+90+94+99) $732.8 $832.6
(13.6%)
$-50.0 $100.0 $50.0
5 Global Fund (54+96) $1,050.0 $1,000.0 $1,100.0
(-4.8%) (10%) (4.8%)
Neglected Tropical $90.0 $-75.0 $15.0 $-55.0 $35.0
6 $65.0 $155.0 $80.0 $100.0
Diseases (NTDs) (43)5 (138.5%) (-48.4%) (23.1%) (-35.5%) (53.8%)
Subtotal by Maternal & Child Health $226.0 $-50.0 $176.0 $-59.0 $167.0
7 $474.0 $700.0 $650.0 $641.0
Key Area of (MCH) (22)5 (47.7%) (-7.1%) (37.1%) (-8.4%) (35.2%)
Program3 $125.0 $-100.0 $25.0 $-100.0 $25.0
8 Nutrition (26)6 $75.0 $200.0 $100.0 $100.0
(Numbers in (166.7%) (-50%) (33.3%) (-50%) (33.3%)
parenthesis
represent rows used Family Planning &
$65.0 $10.0 $75.0 $5.0 $70.0
9 to calculate totals) Reproductive Health $525.0 $590.0 $600.0 $595.0
(12.4%) (1.7%) (14.3%) (0.8%) (13.3%)
(FP/RH) (33)5
$-13.0 $-18.0 $-31.0 $-18.0 $-31.0
10 Other (30+44+45)5 $121.0 $108.0 $90.0 $90.0
(-10.7%) (-16.7%) (-25.6%) (-16.7%) (-25.6%)
$153.9
11 PEPFAR (2+3+5) $6,835.4 $6,989.3
(2.3%)
President's Malaria $100.0
12 $500.0 $600.0
Initiative (PMI)7 (20%)
Additional Amounts - Selected Areas
MCH (GHI & Other
$265.6
13 Accounts) $854.6 $1,120.2
8 (31.1%)
(22+56+65+76+80)

FP/RH (GHI & Other $67.2 $20.0 $87.2 $-15.7 $51.5

14 $648.5 $715.7 $735.7 $700.0
Accounts) (33+55+64+79)9 (10.4%) (2.8%) (13.4%) (-2.2%) (7.9%)

Page 1 of 7
Last Updated: August 4, 2010
 Budget Tracker: Status of U.S. FY11 Funding for Key Global Health Related Accounts
(FY 2011 amounts are preliminary only and will be updated as more information is available.)

House Senate

FY10 FY11 Change: Markup: Change: Change: Change: Change:

Passed by Public
Bill Area Enacted Request1 FY10-FY11 Appropriations Request- FY10-FY11 Request- FY10-FY11 Law
Committee
(millions) (millions) $(%) Subcommittees Markup Markup Committee Committee
(millions)
(millions)2 $(%) $(%) $(%) $(%)

Nutrition (GHI & Other $124.2

15 $106.7 $230.9
Accounts) (26+59+71+77)10 (116.4%)
Subtotal by $-79.6 $79.6 $0.0
16 Water (60+67+72+78)11 $315.0 $235.4 $315.0
Key Area of (-25.3%) (33.8%) (0%)
Program3
(Numbers in Feed the Future/GHFSI $-344.0
17 - $1,644.0 - $1,300.0 -
parenthesis (62+63+69+70+74+75+100)6,12 (-20.9%)
represent rows used
to calculate totals)
Millennium Challenge $175.0 $-175.0 $0.0 $-175.0 $0.0
18 $1,105.0 $1,280.0 $1,105.0 $1,105.0
Corporation (83) (15.8%) (-13.7%) (0%) (-13.7%) (0%)

DETAIL BY ACCOUNT13
Global Health and Child Survival (GHCS)
GHCS (State & USAID) $734.0 $-263.0 $471.0 $-274.0 $460.0
19 $7,779.0 $8,513.0 $8,250.0 $8,239.0
Total (9.4%) (-3.1%) (6.1%) (-3.2%) (5.9%)
$593.0 $-288.0 $305.0 $-274.0 $319.0
20 USAID (GHCS) Total5 $2,420.0 $3,013.0 $2,725.0 $2,739.0
(24.5%) (-9.6%) (12.6%) (-9.1%) (13.2%)
GHI Strategic Reserve Fund $-50.0
21 14 - $100.0 - $50.0 -
(25+32+34+40+46) (-50%)
$226.0 $-50.0 $176.0 $-59.0 $167.0
22 Maternal & Child Health (MCH) $474.0 $700.0 $650.0 $641.0
(47.7%) (-7.1%) (37.1%) (-8.4%) (35.2%)
$0.8 $0.3 $1.1
23 State & Polio $32.0 $32.8 $33.1
(2.5%) (0.9%) (3.4%)
Foreign 5 $12.0 $5.0 $17.0 $15.0 $27.0
24 GAVI $78.0 $90.0 $95.0 $105.0
(15.4%) (5.6%) (21.8%) (16.7%) (34.6%)
Ops
14
25 GHI Strategic Reserve Fund - $38.0 -

$125.0 $-100.0 $25.0 $-100.0 $25.0

26 Nutrition5 $75.0 $200.0 $100.0 $100.0
(166.7%) (-50%) (33.3%) (-50%) (33.3%)
$-3.0 $3.0 $0.0
27 Micronutritients $33.0 $30.0 $33.0
(-9.1%) (10%) (0%)
$-3.0 $3.0 $0.0
28 Vitamin A $23.0 $20.0 $23.0
(-13%) (15%) (0%)
$0.0 $0.0 $0.0
29 Iodine Deficiency $2.0 $2.0 $2.0
(0%) (0%) (0%)
$0.0 $0.0 $0.0
30 Vulnerable Children $15.0 $15.0 $15.0
(0%) (0%) (0%)
$-2.0 $2.0 $0.0
31 Blind Children $2.0 $0.0 $2.0
(-100%) (100%) (0%)

Page 2 of 7
Last Updated: August 4, 2010
 Budget Tracker: Status of U.S. FY11 Funding for Key Global Health Related Accounts
(FY 2011 amounts are preliminary only and will be updated as more information is available.)

House Senate

FY10 FY11 Change: Markup: Change: Change: Change: Change:

Passed by Public
Bill Area Enacted Request1 FY10-FY11 Appropriations Request- FY10-FY11 Request- FY10-FY11 Law
Committee
(millions) (millions) $(%) Subcommittees Markup Markup Committee Committee
(millions)
(millions)2 $(%) $(%) $(%) $(%)

14
32 GHI Strategic Reserve Fund - $2.0 -

Family Planning & $65.0 $10.0 $75.0 $5.0 $70.0

33 $525.0 $590.0 $600.0 $595.0
Reproductive Health5 (12.4%) (1.7%) (14.3%) (0.8%) (13.3%)
14
34 GHI Strategic Reserve Fund - $20.0 -

$0.0 $0.0 $0.0 $0.0 $0.0

35 HIV/AIDS5 $350.0 $350.0 $350.0 $350.0
(0%) (0%) (0%) (0%) (0%)
$0.0 $6.0 $6.0
36 Microbicides $45.0 $45.0 $51.0
(0%) (13.3%) (13.3%)
$0.0
37 IAVI $28.7 $28.7
(0%)
$0.0
38 Commodity Fund $20.3 $20.3
(0%)
$95.0 $-65.0 $30.0 $-44.5 $50.5
39 Malaria $585.0 $680.0 $615.0 $635.5
(16.2%) (-9.6%) (5.1%) (-6.5%) (8.6%)
14
40 State & GHI Strategic Reserve Fund - $22.0 -

Foreign $5.0 $10.0 $15.0 $0.0 $5.0

41 Ops Tuberculosis5 $225.0 $230.0 $240.0 $230.0
(2.2%) (4.3%) (6.7%) (0%) (2.2%)
$0.0 $0.0 $0.0
42 Global Drug Facility $15.0 $15.0 $15.0
(0%) (0%) (0%)
$90.0 $-75.0 $15.0 $-55.0 $35.0
43 Neglected Tropical Diseases5 $65.0 $155.0 $80.0 $100.0
(138.5%) (-48.4%) (23.1%) (-35.5%) (53.8%)

Avian Influenza & Pandemic $-31.0 $-7.5 $-38.5

44 $106.0 $75.0 $67.5
Preparedness (-29.2%) (-10%) (-36.3%)

$-13.0
45 Other Public Health Threats - $18.0 - $5.0 -
(-72.2%)
14
46 GHI Strategic Reserve Fund - $18.0 -

$141.0 $25.0 $166.0 $0.0 $141.0

47 State (GHCS) Total5 $5,359.0 $5,500.0 $5,525.0 $5,500.0
(2.6%) (0.5%) (3.1%) (0%) (2.6%)
$191.0 $-100.0 $91.0 $-100.0 $91.0
48 HIV/AIDS5 $4,609.0 $4,800.0 $4,700.0 $4,700.0
(4.1%) (-2.1%) (2%) (-2.1%) (2%)
Prevention, Care, Treatment &
$254.1
49 Other Health System $4,099.5 $4,353.6
(6.2%)
Strengthening

Page 3 of 7
Last Updated: August 4, 2010
 Budget Tracker: Status of U.S. FY11 Funding for Key Global Health Related Accounts
(FY 2011 amounts are preliminary only and will be updated as more information is available.)

House Senate

FY10 FY11 Change: Markup: Change: Change: Change: Change:

Passed by Public
Bill Area Enacted Request1 FY10-FY11 Appropriations Request- FY10-FY11 Request- FY10-FY11 Law
Committee
(millions) (millions) $(%) Subcommittees Markup Markup Committee Committee
(millions)
(millions)2 $(%) $(%) $(%) $(%)

14 $-50.0
50 GHI Strategic Reserve Fund - $100.0 - $50.0 -
(-50%)
$2.0 $0.1 $2.1
51 UNAIDS $43.0 $45.0 $45.1
(4.7%) (0.2%) (4.9%)
$0.0
52 Oversight & Management $164.3 $164.3
(0%)

Technical Support, Strategic $-65.1

53 $302.2 $237.1
Information, Evaluation (-21.5%)

$-50.0 $125.0 $75.0 $100.0 $50.0

54 Global Fund $750.0 $700.0 $825.0 $800.0
(-6.7%) (17.9%) (10%) (14.3%) (6.7%)
Economic Support Fund Account (ESF)
Family Planning &
55 Not Specified $65.3 -
Reproductive Health15
State & Maternal & Child Health
56 Not Specified $142.8 -
Foreign (MCH)15
15
57 Ops Polio Not Specified $0.0 -
$3.1
58 Tuberculosis16 $4.2 $7.3
(74.1%)
59 Nutrition15 Not Specified $3.0 -
60 Water 15 Not Specified $128.5 -
15
61 Other Public Health Threats Not Specified $31.2 -

Agriculture & Rural

62 - $107.9 -
Development (GHFSI)
Other Agriculture Programs
63 - $90.7 -
(GHFSI)
Assistance for Europe, Eurasia and Central Asia Account (AEECA)
Family Planning &
64 Not Specified $10.5 -
Reproductive Health15
Maternal & Child Health
65 Not Specified $12.2 -
(MCH)15
$-0.7
66 Tuberculosis16 $14.0 $13.3
(-4.8%)
67 Water 15 Not Specified $4.0 -

Page 4 of 7
Last Updated: August 4, 2010
 Budget Tracker: Status of U.S. FY11 Funding for Key Global Health Related Accounts
(FY 2011 amounts are preliminary only and will be updated as more information is available.)

House Senate

FY10 FY11 Change: Markup: Change: Change: Change: Change:

Passed by Public
Bill Area Enacted Request1 FY10-FY11 Appropriations Request- FY10-FY11 Request- FY10-FY11 Law
Committee
(millions) (millions) $(%) Subcommittees Markup Markup Committee Committee
(millions)
(millions)2 $(%) $(%) $(%) $(%)

68 Other Public Health Threats15 Not Specified $10.8 -

Agriculture & Rural

69 - $12.1 -
Development (GHFSI)
Other Agriculture Programs
70 - $37.0 -
(GHFSI)
Development Assistance Account (DA)
71 Nutrition15 Not Specified $0.4 -
72 Water 15 Not Specified $98.6 -

73 Other Public Health Threats15 Not Specified $9.6 -

Agriculture & Rural

74 - $942.3 -
State & Development (GHFSI)
Foreign Other Agriculture Programs
75 Ops - $46.1 -
(GHFSI)
Food for Peace (FFP)
Maternal & Child Health
76 Not Specified $137.2 -
(MCH)15
77 Nutrition15 Not Specified $27.5 -
78 Water 15 Not Specified $4.4 -
International Organizations and Programs (IO&P)

United Nations Population $-5.0 $10.0 $5.0 $5.0 $0.0

79 $55.0 $50.0 $60.0 $55.0
Fund (UNFPA) (-9.1%) (20%) (9.1%) (10%) (0%)

United Nations Chidren's Fund $-4.3 $6.0 $1.8

80 $132.3 $128.0 $134.0
(UNICEF) (-3.2%) (4.7%) (1.3%)

State Department - Contributions to International Organizations

World Health Organization $2.8
81 $106.6 $109.4
(WHO) (2.6%)
Pan American Health $0.7
82 $59.8 $60.5
Organization (PAHO) (1.2%)

Page 5 of 7
Last Updated: August 4, 2010
 Budget Tracker: Status of U.S. FY11 Funding for Key Global Health Related Accounts
(FY 2011 amounts are preliminary only and will be updated as more information is available.)

House Senate

FY10 FY11 Change: Markup: Change: Change: Change: Change:

Passed by Public
Bill Area Enacted Request1 FY10-FY11 Appropriations Request- FY10-FY11 Request- FY10-FY11 Law
Committee
(millions) (millions) $(%) Subcommittees Markup Markup Committee Committee
(millions)
(millions)2 $(%) $(%) $(%) $(%)

State & Direct Appropriations

Foreign Millennium Challenge $175.0 $-175.0 $0.0 $-175.0 $0.0
83 Ops $1,105.0 $1,280.0 $1,105.00 $1,105.00
Corporation (MCC) (15.8%) (-13.7%) (0%) (-13.7%) (0%)
$15.8 $1.4 $17.2
84 CDC $336.1 $351.9 $353.3
(4.7%) (0.4%) (5.1%)
$-0.9 $0.0 $-0.9
85 Global AIDS $119.0 $118.1 $118.1
(-0.8%) (0%) (-0.8%)
$-1.9 $1.4 $-0.5
86 Global Immunization $153.7 $151.8 $153.2
(-1.2%) (0.9%) (-0.3%)
$-1.2 $1.4 $0.2
87 Polio Eradication $101.8 $100.6 $102.0
(-1.2%) (1.4%) (0.2%)
$-0.7 $0.0 $-0.7
88 Other Global/Measles $51.9 $51.2 $51.2
(-1.3%) (0%) (-1.3%)
$0.0 $0.0 $0.0
89 Global Disease Detection $37.8 $37.8 $37.8
Health & (0.1%) (0%) (0.1%)
Human $-0.2 $0.0 $-0.2
90 Global Malaria $9.4 $9.2 $9.2
(-2.1%) (0%) (-2.1%)
Services
$18.8 $0.0 $18.8
91 Other Global Health $16.3 $35.1 $35.1
(115.3%) (0%) (115.3%)
$20.4
92 NIH16 $566.2 $586.6
(3.6%)
$16.4
93 HIV/AIDS Research $454.2 $470.6
(3.6%)
$4.0
94 Malaria Research $112.0 $116.0
(3.6%)
Fogarty International Center $2.9 $-0.1 $2.8
95 $70.1 $73.0 $72.9
(FIC) (4.1%) (-0.1%) (4%)
$0.0 $0.0 $0.0
96 The Global Fund (NIAID) $300.0 $300.0 $300.0
(0%) (0%) (0%)

McGovern-Dole International
$0.0 $57.0 $57.0 $0.0 $0.0
97 Agriculture Food for Education and Child $209.5 $209.5 $266.5 $209.5
(0%) (27.2%) (27.2%) (0%) (0%)
Nutrition Program

Page 6 of 7
Last Updated: August 4, 2010
 Budget Tracker: Status of U.S. FY11 Funding for Key Global Health Related Accounts
(FY 2011 amounts are preliminary only and will be updated as more information is available.)

House Senate

FY10 FY11 Change: Markup: Change: Change: Change: Change:

Passed by Public
Bill Area Enacted Request1 FY10-FY11 Appropriations Request- FY10-FY11 Request- FY10-FY11 Law
Committee
(millions) (millions) $(%) Subcommittees Markup Markup Committee Committee
(millions)
(millions)2 $(%) $(%) $(%) $(%)

98 HIV/AIDS16 $10.0 Not Specified -

Defense
$1.0
99 Malaria16 $26.4 $27.4
(3.8%)
Multilateral Food Security $-258.0 $-158.0
100 Treasury Fund
- $408.0 - $150.0 - $250.0 -
(-63.2%) (-38.7%)

NOTES: (1) Unless otherwise noted, all “FY 11 Request” amounts are taken from agency Congressional Budget Justifications (CBJs) or communications with Agency officials or
OMB. (2) Includes information from the House Appropriations Agriculture Subcommittee markup (June 30, 2010) of the Agriculture appropriations bill and the House Appropriations
State & Foreign Operations Subcommittee markup (June 30, 2010) of the State and Foreign Operations appropriations bill. (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) Amount listed under “House – Markup: Appropriations Subcommittees” estimated based on Kaiser Family
Foundation analysis. (6) The “FY 2011 Congressional Budget Justification for Foreign Operations – Volume 2” states that “funding for nutrition programs incorporated in the Global
Hunger and Food Security Initiative is requested separately in the President’s Request; it is included in the Global Health Initiative request.” (7) FY11 amount received through
personal communication with the President’s Malaria Initiative. (8) The “FY 2011 Congressional Budget Justification for Foreign Operations – Volume 2” provides the FY10 MCH
total, but does not delineate this amount by account beyond the $474.0 million in the USAID-GHCS account. (9) The Consolidated Appropriations Act, 2010 states that “not less
than $648,457,000 should be made available for family planning/reproductive health,” but does not delineate this amount by account beyond the $525.0 million for FP/RH in the
USAID-GHCS account. The House Appropriations Subcommittee markup of the FY 2011 State and Foreign Operations Appropriations bill authorizes $735 million for FP/RH, but
does not delineate this amount by account beyond the $60 million for the United Nations Population Fund - the amount listed for the USAID-GHCS account is estimated based on
Kaiser Family Foundation analysis. The Senate Appropriations Committee press release summarizing the State and Foreign Operations appropriations bill passed by the full
committee states that “the Committee provides a total of $700 million from all accounts for family planning and reproductive health programs,” but does not delineate this amount by
account beyond $55 million for the UNFPA. (10) The “FY 2011 Congressional Budget Justification for Foreign Operations – Volume 2” provides the FY10 nutritional total, but does
not delineate this amount by account beyond the $75.0 million in the USAID-GHCS account. (11) The Consolidated Appropriations Act, 2010 states that “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,” but does not delineate this amount by account.
The FY11 budget request for water is delineated by account in the “Selected Key Interest Areas” section of the Foreign Operations Congressional Budget Justification. The Senate
Report (111-237) accompanying the FY11 State and Foreign Operations appropriations bill “recommends not less than $315,000,000 in this act for water sanitation and supply
projects pursuant to Public Law 109-121,” but does not delineate this amount by account. (12) The Feed the Future Initiative is also called the “Global Hunger and Food Security
Initiative” (GHFSI). (13) 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 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. (14) The “Executive Budget
Summary: Function 150 & Other International Programs” states that a $200 million “GHI Strategic Reserve Fund” will be established in FY2011 to support “GHI Partner Plus”
countries and will receive $100 million from the GHCS account at the State Department and $100 million from the GHCS account at USAID. (15) 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. (16) White House, Office of Management and Budget, personal communication.

SOURCES: Kaiser Family Foundation analysis of data from: FY 2011 Budget of the United States; Congressional Appropriations Bills, Press Releases, and Conference Reports;
Federal Agency Budget and Congressional Justification documents; Office of Management and Budget, personal communication.

This publication (#8045-FY2011) is available on the Kaiser Family Foundation’s website at www.kff.org.

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Last Updated: August 4, 2010