The House Appropriations Committee and the Senate Appropriations Committee both marked-up their respective Fiscal Year 2015 State, Foreign Operations Appropriations in late June. Unlike in previous years, both the House and Senate started with very similar allocations for State, Foreign Operations — $48.3 billion. This amount is about 1.5% below the allocations approved last year and 0.3% below the President’s request level for FY2015, necessitating belt tightening. The House allocated a total of $8.3 billion for global health accounts and the Senate allocated a total of $8.14 billion – a difference of approximately 2%. Global health funding last year totaled $8.44 billion, so these levels, if enacted, represent a decline of between 1.7 – 3 % in global health funding over FY14.
- The House and Senate took different approaches on funding for PEPFAR and the Global Fund. Both the House and Senate reduced the amount available for a contribution to the global fund by $300 million – allocating a total of $1.35 billion. The House, however, shifted the additional $300 million to the PEPFAR budget, allocating it $4.32 billion. The Senate removed the funds from the Global Fund allocation, but did not reallocate them to PEPFAR. These allocations fall well short of the request level of $5.038 billion made by GHC members.
- The House and Senate differed widely on their allocations for international family planning and reproductive health assistance. The House allocated $461 million and included language that would reinstate the Mexico City policy and defund the United Nations Population Fund (UNFPA). The Senate allocated $644 million, matching the President’s FY2015 request level, and did not include similar restrictions. Funding for family planning in the Senate bill totaled $610 million last year. GHC members requested that $1 billion be allocated for family planning in Fiscal Year 2015.
- Accounts funded above the President’s request: maternal and child health, nutrition, tuberculosis, polio, pandemic influenza, and neglected tropical diseases
- Account funded below the President’s request: Malaria ($669.5 million compared to a request of $674 million, a difference of 0.7%)
- Accounts funded above the President’s request: malaria, tuberculosis, maternal and child health, nutrition, vulnerable children and polio
- Consistent with recent years, the house bill did not specify amounts for neglected tropical diseases and pandemic influenza