Global Health Council’s message on President Trump’s FY 19 Proposed Budget

We received a message today from the Global Health Council regarding President Trump’s budget proposal and felt it important to share with you.  Granted, their observations are only health related, but we will work to find information about other global funding priorities to share with you.

Here is the full text of the Global Health Council’s message:

President Trump’s FY19 Proposed Budget
On Monday, President Trump released a proposed budget for Fiscal Year (FY) 2019. Similar to last year, the International Affairs Account was cut 30% from FY2017 enacted levels. Global health programs at USAID and the State Department were cut about $2 billion, with proposed cuts in every account. In addition, global health programs at the National Institutes for Health and the Centers for Disease Control and Prevention were also cut. While the budget narrative discussed the importance of global health, and more broadly development and humanitarian assistance, these proposed cuts do not match the narrative.
A few accounts:
  • Recommended U.S. contributions to Gavi, the Vaccine Alliance and The Global Fund to Fight AIDS, Malaria and Tuberculosis were cut to $250 million and $925 million respectively.
  • $302 million recommended for Family Planning/Reproductive Health, which is $300 million less or 50% reduction than FY2017 enacted. FP/RH was zeroed out in the FY18 proposed budget. In addition, U.S voluntary contributions to UNFPA did not receive a request.
  • Zeroed out funding for HIV/AIDS programs at USAID in addition to cuts to both PEPFAR and The Global Fund. In an addendum to the budget (see below), an additional $400 million is provided to PEPFAR, bringing it to the same level as the FY2018 proposed budget.
  • A 6% cut for CDC Center for Global Health, however, does include $109 million for CDC Global Public Health Protection, including $59 million for GHSA from unspent Ebola Supplemental Funding.
  • Recommended funding for The Fogarty Center, which was zeroed out in the FY2018 request, is $70 million, a $2 million decrease from FY2017 enacted.
Last year, Congress soundly rejected the President’s budget, and while we are still awaiting final FY2018 funding levels, appropriations committees for the most part maintained level funding for these accounts. Congress holds the power of the purse, and we anticipate they will set their own priorities once again.
The President’s Budget was finalized before Congress passed the Budget deal last week. As a result, non-defense discretionary spending was raised by an additional $300 billion. The White House also released an addendum with instructions on how the additional funding could be spent.
Additional Resources: