Ahead of Biden’s Budget Proposal, A New
KFF Analysis Takes a Closer Look at Historical Trends in the Global
Health Budget
On May 28th, President
Biden will release his first detailed budget proposal, covering the
fiscal year starting in October 2021. As the largest global health donor
in the world, the new budget proposal will provide a glimpse into what
the Biden administration will be prioritizing for global health. In
preparation for the budget release, KFF released a new brief
looking at the historical trends in US funding for global health.
Since FY 2001, US global health funding provided through regular
appropriations increased by almost $10 billion. However, most of the
increase ($8.3 billion) occurred between FY 2001 - FY 2011, largely due
to the creation of PEPFAR, the Global Fund, and the President’s Malaria
Initiative. Since FY 2011, funding increases for global health have been
more modest ($1.4 billion). In addition, while most areas (TB, malaria,
etc.) increased over the last decade, funding for PEPFAR remained
stagnant and family planning and reproductive health funding decreased.
Within the last decade, the US has also provided $11.8 billion in
emergency supplemental funding in response to infectious diseases, with
90% of that funding coming within the last year as a result of the
COVID-19 pandemic. While the Biden administration has already taken steps
to bolster US global health engagement, largely in response to COVID-19,
the release of his first full budget request for FY 2022 could provide an
important window into the administration’s further priorities for global
health.
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