As Congressional recess has fully embraced August in DC we thought it would be good to bring you up to date on the budget as it concerns malaria projects and give you a snap shot of what remains to be done.
Global Health Initiative
As part of the President’s 2010 Budget, the Administration announced the framework for a new Global Health Initiative. The Initiative includes strong and growing support for malaria programs, but also broadens its focus to include other global health challenges, including child and maternal health, family planning, and neglected tropical diseases. The initiative also places increased emphasis on the importance of adopting a more integrated approach to fighting diseases and strengthening health systems.
To meet the commitments of Lantos-Hyde as well as Obama’s campaign commitments, the President’s budget invests $63 billion cumulatively over six years (2009-2014) for global health programs.
GLOBAL HEALTH FUNDING (2009 TO 2014)
|
($ in billions)
|
FY 2009 Enacted
|
FY 2010 Budget
|
Change FY10 from FY09
|
Six-Year Total (FY09 – FY14)
|
|
PEPFAR
(Global HIV/AIDS & TB) |
$6.490
|
$6.655
|
+$.165
|
|
|
Malaria
|
$.561
|
$.762
|
+$.201
|
|
|
PEPFAR & Malaria Subtotal
|
$7.051
|
$7.417
|
+$.366
|
$51
|
|
Global Health
Priorities Subtotal
|
$1.135
|
$1.228
|
+$.093
|
$12
|
|
GLOBAL HEALTH INITIATIVE TOTAL
|
$8.186
|
$8.645
|
+$.459
|
$63
|
Malaria Programs
The 2010 budget includes $762 million for malaria programs – a $201 million increase over FY2009 spending. Most of that increase is directed toward the President’s Malaria Initiative which is allocated $585 million – a 36% increase over FY09 enacted levels of $382 million. This amount comes very close to meeting the malaria community’s FY10 budget request of $800 million.
The Global Fund for AIDS, TB and Malaria, however, did not see the increases the community hoped for. The President’s budget request flatlined spending for the Global Fund at $900 million, consistent with the FY09 enacted levels. This amount falls far short of the $2 billion requested by the Global Fund to meet expected country needs.
Congressional Action
The House passed the spending bill for Foreign Operations July 9, 2009, meeting the President’s request for malaria of $585 for Malaria and $750 million for the Global Fund. The House also passed the Labor, HHS Appropriations bill, including $300 million for the Global Fund. This brings the total House passed funds for the Global Fund to $1.05 billion.
Also on July 9, the Senate Appropriations Committee passed the State and Foreign Operations Appropriations bill which included $585 million for malaria and $700 million for the Global Fund. In addition, the Senate Appropriations Committee approved $300 million for the Global Fund in the Labor, HHS Appropriations bill. This brings the total Senate funding for the Global Fund to $1 billion — $100 million above the President’s request but $50 million below the House-passed total. Both bills are awaiting consideration by the full Senate.