1. Status of FY 2012 U.S. Global Health Budget Global Health Council ■ Washington, DC ■ October 11, 2011 Jennifer Kates & Adam Wexler Kaiser Family Foundation http://globalhealth.kff.org/ http://globalhealth.kff.org/

2. GHI Funding by Sector, FY 2012* In Millions *FY 2012 is President’s Budget Request to Congress. Additional funding for MCH, FP/RH, and nutrition is provided through other accounts not counted as part of the GHI. Sources: Kaiser Family Foundation analysis of data from the Office of Management and Budget, Agency Congressional Budget Justifications, and Congressional Appropriations Bills.

3. RequestHouseSenate USAID (GHCS)$3.07 B-$2.66 B (-14%) HIV/AIDS$350 M-$350 M (0%) TB$236 M-$225 M (-5%) Malaria$691 M-$642 M (-7%) NTDs$100 M-$89 M (-11%) MCH * $846 M ** $595 M (-30%) FP/RH * $626 M$461 M (-26%) *** $585 M (-6%) Nutrition*$150 M-$95 M (-37%) State (GHCS)$5.64 B-$5.25 B (-7%) HIV/AIDS$4,642 M-$4,500 M (-3%) Global Fund$1,000 M-$750 M (-25%) Total (GHCS)$8.72 B$7.11 B (-18%)$7.91 B (-9%) FY 2012 GHI Funding – State & Foreign Operations * Additional funding for MCH, FP/RH, and nutrition is provided through other accounts not counted as part of the GHI. ** The report accompanying the draft House appropriations bill states that “not less than fiscal year 2011 levels be allocated for child survival and maternal health programs.” *** The draft text of the House appropriations bill states that “of the funds appropriated by this Act, not more than $461,000,000 may be made available for family planning/reproductive health,” but the draft bill does not delineate this amount by account. Source: Kaiser Family Foundation analysis of data from the Office of Management and Budget, Agency Congressional Budget Justifications, Congressional Appropriations Bills.

4. RequestHouseSenate CDC HIV/AIDS$118 M$118 M (0%)$119 M (1%) Malaria$9.2 M-- NIH$900 M-- HIV/AIDS$489 M-- Malaria$110 M-- Global Fund$300 M$0 (-100%)$299 M (-0.3%) FY 2012 GHI Funding – HHS* * Additional funding for global health is provided through the CDC and Fogarty International Center, but this funding is not counted as part of the GHI. Source: Kaiser Family Foundation analysis of data from the Office of Management and Budget, Agency Congressional Budget Justifications, Congressional Appropriations Bills.

5. Policy IssueHouseSenate Global Gag RuleReinstates & Expands Eliminates UNFPA FundingPermanent Prohibition $40 M GHI Implementation-Status Report OGAC Transition to USAID-Cost Savings Report Policy Issues in Spending Bills

6. Original: Through October 4 1.503% less than FY 2011 enacted levels Current: Through November 18 1.503% less than FY 2011 enacted levels Questions: Across-the-board cuts (account & program level)? Another CR? Implications of Debt Ceiling Deal? Continuing Resolution

7. Immediate: Discretionary spending capped for the next 10 years Security & Non Security Categories International Affairs Budget classified as security for FY12 & FY13 (as is DoD, DHS, VA) Security spending capped at $684 B in FY 2012 and $686 B in FY 2013 Creation of Super Committee Super Committee: Tasked with proposing an additional $1.5 trillion in budget savings over 10 years (FY 2012-FY 2021) If Super Committee recommendations are not enacted, automatic cuts are triggered of $1.2 trillion over 10 years Debt Ceiling Deal: The Budget Control Act of 2011

8. Status of FY 2012 U.S. Global Health Budget Thank You! Jennifer Kates & Adam Wexler Kaiser Family Foundation http://globalhealth.kff.org/ http://globalhealth.kff.org/