GHC: Analysis of Global Health Provisions in House and Senate Full Committee Mark-ups

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.

Additional details from the Senate Committee-approved bill include:

  • 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%)

Additional details from the House Committee-approved bill include:

  • 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


For more details on specific funding levels, please see the Kaiser Family Foundation’s analysis of the Senate Bill here and of the House Bill here.