Fiscal Year 2019 appropriations process (funding bills) continues to progress. Most programs relating to global health are found in either the Labor, Health and Human Services and Education Appropriations bill or the State and Foreign Operations Appropriations bill. These two bills have been passed by the Appropriations Committee in the House and the Senate and now await consideration by the full House and the full Senate. As yet, there has not been a time scheduled for this consideration.
| Labor, Health and Human Services (LHHS) |
| Program |
FY 2018 Enacted |
House Bill |
Senate Bill |
| NIH |
$37.084 billion |
$38.334 billion |
$39.084 billion |
| NIAID |
$5.260 billion |
$5.368 billion |
$5.506 billion |
| Fogarty Center |
$75.733 million |
$76.637 million |
$78.150 million |
| CDC |
$8.3 billion |
$7.638 billion |
$7.868 billion |
Global Health
- Parasitic Diseases and Malaria
- Global HIV/AIDS
- Global Public Health Protection
|
$488.6 million
- $26 million
- $128.4 million
- $108.2 million
|
$488.621 million
- $26 million
- $128.4 million
- $108.2 million
|
$488.621 million
- $26 million
- $128.4 million
- $108.2 million
|
Emergency and Zoonotic Disease
- Antibiotic Resistance Initiative
- Vector Borne Disease
- EID
|
$614.572 million
- $168 million
- $38.6 million
- $155.457 million
|
$614.572 million
- $168 million
- $38.6 million
- $155.457 million
|
$617.572 million
- $168 million
- $38.6 million
- $158.457 million
|
| State and Foreign Operations (SFOPs) |
Global Health
- USAID
- Nutrition
- TB
- NTD
- Malaria
- MCH
- Global Health Security
|
$8.690 billion
- $3.020 billion
- $125 million
- $261 million
- $100 million
- $755 million
- $829 million
- $172.550 million
|
$8.690 billion
- $3.092 billion
- $145 million
- $302 million
- n/a
- $755 million
- $845 million
- $172.550 million
|
$8.8 billion
- $3.1 billion
- $135 million
- $275 million
- $106 million
- $755 million
- $829.5 million
- $100 million
|
| HIV/AIDS (State) |
$5.670 billion |
$6 billion |
$6 billion |
| HIV/AIDS (USAID) |
$330 million |
$330 million |
$330 million |
| The Global Fund |
$1.350 billion |
$1.350 billion |
$1.350 billion |
On June 27, the House Energy & Commerce Health Subcommittee approved the Pandemic and All-Hazards Preparedness Reauthorization Act of 2018 (PAHPRA) unanimously. The Senate Health, Education Labor and Pensions (HELP) Committee approved their version of the bill in May. PAHPRA reauthorizes bio-preparedness activities under HHS and NIAID including Project BioShield, the Biomedical Advanced Research and Development Agency (BARDA), and the Strategic National Stockpile (SNS). Current authority for the programs expire in September, though the overwhelming bipartisan support for the program suggests that it will not face strong opposition in either chamber.