U.S. Global Health Assistance: Background and Issues for the 113th Congress [June 21, 2013]   [open pdf - 985KB]

"Congress has supported the growth of U.S. global health programs since the George W. Bush Administration. Combined global health funding from State-Foreign Operations, Labor-HHS [Department of Health and Human Services] and Defense appropriations rose from $1.7 billion in FY2001 to $8.9 billion in FY2012. The FY2013 Consolidated Appropriations Act (P.L. [Public Law] 113-6) includes approximately $8.4 billion for global health programs funded through State-Foreign Operations appropriations, up from $8.2 billion in FY2012. (FY2013 funding levels will likely change, however, due to sequestration.) These funds support global health programs implemented and managed by the U.S. Agency for International Development (USAID), State Department and the Global Fund to Fight AIDS, Tuberculosis [TB] and Malaria (Global Fund)--a multilateral organization aimed at fighting HIV/AIDS, TB, and malaria worldwide. The act does not specify how much should be spent on global health programs through other appropriations. Concern about infectious diseases, especially HIV/AIDS, has driven much of the budgetary increases. Excluding funding for the Global Fund, roughly 34% of the FY2001 U.S. global health budget was aimed at programs that address HIV/AIDS. By 2012, about 57% of U.S. global health spending was aimed at fighting HIV/AIDS worldwide, and the FY2014 budget request calls for nearly 54% of global health spending to be aimed at the disease."

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CRS Report for Congress, R43115
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