HIV/AIDS: Appropriations for Worldwide Programs in FY2001 and FY2002
CRS Report for Congress
Received through the CRS W eb
HIV/AIDS: Appropriations for Worldw ide
Programs i n F Y2001 and F Y2002
Specialist i n International Relations
Foreign Affairs, Defense, and T r ade Division
This short report i dentifies FY2002 a p p r o p r iations for worldwide HIV/AIDS
efforts and includes t ables comparing thes e a p propriations with appropriations for
FY2001. For additional i nformation, see C R S Report R S21181, HIV/AIDS
International Programs: Appropriations, FY 2002 - FY 2004.
U.S. support for the s truggl e a ga inst the i nternational HIV/AIDS epidemic is
provided t hrough s everal appropriations bills. A key c o m ponent is the HIV/AIDS
ear m a rk in the C hild Survival and Health Programs Fund1 of the Foreign Operations,
Ex port Fi n anci ng, and R el at ed P rogram s A ct . T hi s earm ark, w h i c h a s i ndi cat ed bel o w
in Table 2 , reached $435 million i n FY2002, primarily supports the b ilateral HIV/AIDS
activities of t he U.S. Agency for Int ernational Devel opment (USAID). These incl ude
programs aimed at p reventing t he spread of HIV, improving home-based care for AIDS
patients, reduci n g m o t h e r t o child transmission (MTCT) of HIV, and h elping AIDS
orphans. In addition, the U.S. contribution t o t he United Nations J oint P rogram on
HIV/AIDS (UNAIDS ) comes from t his earmark. 2 The FY2002 appropriations legi slation
sets as ide $15 million of t he Child Survival earmark for t he development of microbici des
to combat HIV i nfection, and t hese funds are t o b e m anaged by USAID. 3
Additional funds for fighting AIDS are channeled t hrough o ther bilateral economic
assistance programs funded b y t his s ame l egislation, such as the Economic Support Fund,
In t e r n a t i onal Di s ast er Assi st ance, and regi onal p rogram s for East ern E urope and t he
1 T he Child Survival Fund received t his designation i n t he FY2002 a p p r opriations legi slation.
Formerly, i t was named t he Child Survival and Disease Progr ams Fund.
2 T he UNAIDS contributio n was $17 million i n FY2001 and $18 million i n FY2002.
3 U.S. Congress. House. Making Appropriations for Foreign Operations, Export Financing, and
Related Programs Appropriations for t he Fiscal Y e ar Ending September 30, 2002. Conference
Report t o Accompany H.R. 2506. H.Rept. 107-345. Or dered t o be printed December 19, 2001.
Congressional Research Service ˜ The Library of Congress
former Soviet Union. 4 For FY2002, these funds are estimated at $40 million, 5 bringi ng
the t otal for i nternational HIV/AIDS a ssistance under t he Fo reign Operations
Appropri a t i o n s to $475 million. The FY2002 Foreign Operations Appropriations also
sets aside $10 million i n C hild Survival funds fo r a U.S. contribution t o t he In ternational
AIDS Vaccine In itiative. 6 The appropriations does not specify that the contribution come
from t he HIV/AIDS earmark, but the Administration plans to take it from t hat portion of
the C hild Survival program.
Li ke USAID, the C enters for Disease C ontrol and Pre v e n t i o n (CDC) of the
Department of Health and Human Services (HHS) al s o conducts HIV/AIDS programs
overseas. Its Global AIDS P revention (GAP) P rogram, which was active i n 2 4 countries
in FY2001, supports efforts t o s trengt hen HIV prevention, as well as treatment and care,
a n d t o improve health infrastructure. The C DC is funded t hrough t he Departme nts of
Labor, Health and Human Services, a nd Education, and Related Agencies Appropriations ,and
f o r FY2002, $143.763 million h as been appropriated for its international HIV/AIDS
activities (P.L. 107-116).
The Labor, HHS Appropriations meas ure also s et s aside $10 million for the Global
HIV/AIDS in the W orkplace In itiative o f t he Department of Labor (DOL). Acco rding t o
the Department, t his p rogram’s strategi c plan has th ree components: prevention education
i n t h e workpl ace; wor k p l a c e pol i cy d evel opm ent addressi ng t h e i ssues of st i gm a and
discrimination; and capacity building activities for governments, em ployers, and l abor to
strengthen national responses.
The Department of Agriculture Appropriations for FY2002 (P.L. 107-76) sets aside
$25 million i n S ection 416(b) food aid t o mitigat e t he effects o f AIDS o n communities
overseas (P.L. 107-76, Section 727). The S ection 416(b) program was created by the
Agricultural Act of 1949 and p rovides for the donation of s urplus food commodities.7
In the Department of Defense (DOD) Appropriations f o r F Y 2002 (P.L. 107-117),
$14 million h as been earmarked for t he DOD HIV/AIDS prev en tion education p rogram
for A fri can arm ed forces. T hi s p rogram , w hi ch i s bei n g i m p l em ent ed by t h e N aval Heal t h
Research Center (NHRC) in San Diego, assists A fri can militaries in establishing
HIV/AIDS policies for their p ersonnel, in ad apting HIV/AIDS p revention p rograms for
use b y African armed forces, and in developing i n t e r v e n tions to reduce high risk
Another source of funding for i nternational HIV/AIDS efforts i n FY2002 and b eyond
will be the m ultilateral Global Fund to Fi ght AIDS, Tuberculosis, and Malaria. The Fund
is headquartered in Geneva, S witz erland, and s ta r t i n g i n April 2002, it is ex pected to
make its first grants t o combat t he epidemic. Grant applications have be e n r e c eived
from “country partner” teams, including government, non-go v e rnmental organiz ations,
4 U.S. Congress. House. Committee on Appropriations. Foreign Operations, Export Financing,
and Related Appropriations Bill, 2002. H.Rept. 107-142, J uly 17, 2001.
5 H.Rept. 107-345.
6 For more i nformation, see t he Initiative’s website: [ http://www. iavi .org] .
7 CRS Issue Brief IB98006, Agricultural Export and Food Aid Programs , c ontinuously updated.
and t he private s ector. It i s ex p ected that about 80% of the Fund’s grants will be targeted
toward co mbating t he AIDS ep idemic, 8 although t he Fu n d h a s n o t made a s pecific
commitment in this regard.
T h e U n i ted S tates has pledged $500 million t o t he Fund, including $100 million
appropriated in t he FY2001 Supplemental Appropriations Act (Table 1 ) and $200 million
pledged for each of fiscal years 2002 and 2003. To date, C o n g ress has m ade available
$300 million, as indicated in Table 1 .
Table 1. Appropriations for U .S. C ontributions to the Global Fund
to Fight AIDS, Tuberculosis, and M alaria
Supplemental Appropriations Act, Fiscal Year 2001 (P.L. 107-20) 100
Foreign Operations Appropriations Act, 2002 (P.L. 107-115) a
Child Survival and Health Pr ograms Fund 50a
Bilateral economic assistance, FY2002 and previ ous years 50
Labor, Health and Human Services Appropriations, 2002 (P.L. 107-116) 100b
a. Acco r d ing to the legislatio n, “up to ” this amo unt ma y b e p r o vid e d .
b . Acco r d ing to the legislatio n, $ 2 5 millio n “ma y” b e tr ansfer r e d fr o m the Natio na l I nstitute o f Aller gy a nd
I nfectio us Diseases o f the N atio na l I nstitutes o f H ealth ( N I H ) a nd $ 7 5 millio n fr o m N I H b uild ings
and facilities fund s.
In reporting t he conference version o f t he FY2002 Fo reign Operations
Appropriations to the House fl o o r , R e p . J im Kolbe, Chairman of the House
Appropriations Subcommittee on F o r ei gn Operations, s ai d he was assuming t hat $40
million of t he contribution s pecified in the bill would come from t he $435 million C hild9
S u rvival HIV/AIDS earmark, and the conference report (H.Rept. 107-345) stated that $10
million would t o b e t aken from t he amount set asi de for i nfectious diseases other t han
AIDS, primarily malaria and tuberculosis. Both of t hese earmarks are part of the C hild
Survival and Health Programs Fund. The Administration i s currently planning to provide
$50 million of t he U.S. contribution t o t he Global Fund in this way.
The Forei gn Operations Appropriations al so stat ed t h at an o t her $50 million could
be taken for the Global F u n d contribution from b ilateral economic assistance funds
appropriated for FY2002 and p revious fiscal years. However, the Administration h as not
taken u p t his option, and t he source of the remaining $50 million o f t he FY2002 pledge
to the Global Fund remains t o b e d etermined. Discussions involving USAID and HHS
on this issue are reportedly underway.
8 H.Rept. 107-142. For more on t he Fund, see its website at [http://www.gl oba lfundatm.org] .
9 Congressional Record, December 19, 2002, p. H10443.
Table 2. Appropriations for W orldw ide HIV/AIDS Programs
P r ogram F Y 2001 F Y 2002
Child Survival HIV / AIDS earma rk 300 (P.L. 106-429) a 435 (P.L. 107-115) b
International AIDS V accine Initiative 10 ( P.L. 106-429) 10 (P.L. 107-115)
Other HIV /AIDS f unds in the 15 (H.Rept.106-997) c 40 (H.Rept. 107-345)d
Foreign Operations Appropriations
CDC i nternational HIV /AIDS earma rk 104.527 (H.Rept. 106-1033)e 143.763 (P.L. 107-116)
DOL AIDS i n t h e W or kp l a c e 10 (H.Rept. 106-1033) 10 (H.Rept. 107-342)f
Section 416(b) Food Aid 25 ( H.Rept. 106-948) g 25 (P.L. 107-76) h
DOD HIV / AIDS pr e ve n t i o n e duc a t i o n 10 (P.L. 106-259) i 14 (P.L. 107-117) j
with African armed f orces
Total 474.527 677.763 k
a. Fo reign Operatio ns, Export Financing, and Related Programs Appropriatio ns Act, 2001. No te the
p o ssib ility, mentio ne d in the text, tha t $ 4 0 millio n o f this a mo unt co uld b e used a s p ar t o f a
c o nt r i b ut i o n t o t he G l o b a l F und t o Fi ght AI D S , T ub e r c ul o si s, a nd M a l a r i a .
b. Fo reign Operatio ns, Export Financing, and Related Programs Appropriatio ns Act, 2002.
c . U . S. Co ngr e ss. H o use . Ma king Appropria tions fo r Foreign Op erations, Export Financing, and Rela ted
Programs Appropria tions fo r the Fiscal Year Ending September 30, 2001, and fo r Oth er Purposes.
Co nference Report to Accomp any H.R. 4811. Or dered to b e p rinted October 24, 2001.
d . U . S. Co ngr e ss. H o use . Ma king Appropria tions fo r Foreign Op erations, Export Financing, and Rela ted
Programs Appropria tions fo r the Fiscal Ye a r E n d ing September 30, 2002. Co nference Report to
Accomp any H.R. 2506. Ordered to b e p rinted December 19, 2001.
e . U . S. Co ngr e ss. H o use . Ma king Omn ibus Consolidated and Emergency Supplementa l Appropria tions
fo r Fiscal Year 2001. Co nference Report to Accomp any H.R. 4577. Ordered to b e p rinted December
f. U . S. Co ngr e ss. House. Ma king Appropria tions fo r the Departments of Labor, Health and Hu ma n
Services, and Education, and Rela ted Agencies for th e Fiscal Year Ending September 30, 2002, and
fo r O th er Pu rp o ses. Conference Report to Accomp any H.R. 3061. Ordered to b e r eported December
g. U . S. Co ngr e ss. H o use . Making Appropriations for A griculture, Rural Development, Food and Drug
Administra tion, and Rela ted Agencies for th e Fiscal Year Ending September 30, 2001, and fo r Oth er
Purposes. Co nference Report to Accomp any H.R. 4461. Or dered to b e p rinted October 6 , 2000.
h. Agriculture, Rur al Development, Food and Drug Administration, and Related Agencies Appropriations
i. Department of Defense Appropriatio ns Act, 2001.
j . Department of Defense Appropriatio ns Act, 2002.
k. Again, no te the p o ssib ility that $ 4 0 millio n o f this a mo unt ma y b e p ut to wa r d a c o ntr ib utio n to the Glo b a l
Fund fo r AI D S, T ub e r c ul o s i s , a nd M a l a r i a .