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Program Compared to FY10 Enacted Compared to FY11 Request Foreign Food Assistance (DOA) -$194 -$273 HIV AIDS, Viral Hepatitis, STD, and TB Prevention (HHS) -$1,045 -$1,118 Emerging and Zoonotic Infectious Diseases (HHS) -$272 -$277 Foreign Assistance Administration Capital Investment (DoS) -$55 -$43 Office of the Global AIDS Coordinator (PEPFAR) - $14 -$155 Economic Support Fund (DoS) -$379 -$1,854 Complex Crisis Fund (DoS) - $10 -$60 Peace Corps (DoS) -$25 -$71 Millennium Challenge Corp. MCC (DoS) -$205 -$380 International Strategic Climate Fund (DoS) -$25 -$185 Food Safety and Inspection -$10 FY 2011 CONTINUING RESOLUTION REDUCTIONS (in millions of dollars)

Impact of the CR11 Budget Deal on Global Health Programs (Laurie Garrett)

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In these slides, Laurie Garrett analyzes the effect of record spending cuts in the 2011 U.S. federal budget on foreign assistance, food programs, and global health funding. Garrett is head of the Global Health program at the Council on Foreign Relations, a Pulitzer prize winning journalist and former NPF speaker.

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Page 1: Impact of the CR11 Budget Deal on Global Health Programs (Laurie Garrett)

Program Compared to FY10 Enacted Compared to FY11 Request

Foreign Food Assistance (DOA) -$194 -$273HIV AIDS, Viral Hepatitis, STD, and TB Prevention (HHS) -$1,045 -$1,118Emerging and Zoonotic Infectious Diseases (HHS) -$272 -$277Foreign Assistance Administration Capital Investment (DoS) -$55 -$43 Office of the Global AIDS Coordinator (PEPFAR) -$14 -$155Economic Support Fund (DoS) -$379 -$1,854Complex Crisis Fund (DoS) -$10 -$60Peace Corps (DoS) -$25 -$71Millennium Challenge Corp. MCC (DoS) -$205 -$380International Strategic Climate Fund (DoS) -$25 -$185Food Safety and Inspection -$10

FY 2011 CONTINUING RESOLUTION REDUCTIONS (in millions of dollars)

Page 2: Impact of the CR11 Budget Deal on Global Health Programs (Laurie Garrett)

The White House Blog

Details of the Bipartisan Budget Deal

Posted by Dan Pfeiffer on April 09, 2011 at 06:44 PM EDT

This deal cuts spending by $78.5 billion from the President’s FY 2011 Budget request -- the largest annual spending cut in our history. These are real cuts that will save taxpayers money and have a real impact. Many will be painful, and are to programs that we support, but the fiscal situation is such that we have to act. The two sides agreed to cut $13 billion from funding for programs at the Departments of Labor, Education, and Health and Human Services as well as over $1 billion in a cut across non-defense agencies, forcing everyone to tighten their belt. There will be reductions to housing assistance programs and some health care programs along with $8 billion in cuts to our budget for State and Foreign Operations. These significant cuts to the State Department and foreign assistance will mean we will not meet some of the ambitious goals set for the nation in the President’s Budget.

Page 3: Impact of the CR11 Budget Deal on Global Health Programs (Laurie Garrett)

State Department Cuts under the CR11

Total FY11 cut = $8.4 billion less that White House FY11 request

Cuts $377 million from UN programs Cuts $130 million from World Bank, IMF,

other international finance institutions Cuts $39 million from USAID operating

budget Cuts $14 million from OGAC (aka PEPFAR) Cuts $380 million from MCC

Putting It In Perspective

The final CR will include a total of $1.049 trillion in funding, a nearly $40 billion reduction from last year’s (fiscal year 2010) levels.

40 billion is 3.813% of 1.049 Trillion

The bill provides $7.845 billion for global health programs.

That is $66 million above the FY10 enacted level.

It also provides $750 million for the Global Fund, which is equal to the FY10 enacted level.*

*The bill includes an additional "$300 million in funding for the Global Fund," according to another Senate Appropriations Committee press release on Labor, HHS, and Education spending.

Page 4: Impact of the CR11 Budget Deal on Global Health Programs (Laurie Garrett)

Department / Agency

FY10 Enacted(millions)

H.R. 1473(millions)

Difference(millions)

USAID – GHCS: $2,420.0 $2,500.0 + $80.0State Department – GHCS:

$5,359.0 $5,345.0 - $14.0

- HIV/AIDS $4,609.0 $4,595.0 - $14.0- Global Fund

$750.0 $750.0 No change

NIH:

- Global Fund$300.0 $300.0 No change

Other:

- Family Planning/Reproductive Health (FP/RH)*

$648.5 $575.0 - $73.5

- United Nations Population Fund (UNFPA)

$55.0 $40.0 - $15.0

- Millennium Challenge Corporation (MCC)$1,105.0 $900.0 - $205.0

Summary of the FY11 Full-Year Continuing Appropriations Act (H.R. 1473)Date: Apr 11, 2011 (Chart prepared by Jen Kates, KFF)Member: Representative Harold Rogers (R-KY, 5th)•Additional Information:*In FY 2010, total bilateral funding for FP/RH was enacted at $648.5 million. The FP/RH funding level proposed in H.R. 1473 does not delineate funding by account. Therefore, it is uncertain what portion of this funding is included as part of the over USAID-GHCS account funding total. H.R. 1473 does not reinstate the Global Gag Rule.