U.S. GOVERNMENT PRINTING OFFICE

WASHINGTON : 

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89–012 2001

107th Congress, 1st Session – – – – – – – – – – – – – House Document 107–83

FISCAL YEAR 2002 BUDGET AMENDMENTS

COMMUNICATION

FROM

THE PRESIDENT OF THE UNITED STATES

TRANSMITTING

REQUESTS FOR FISCAL YEAR 2002 BUDGET AMENDMENTS FOR

THE DEPARTMENT OF HEALTH AND HUMAN SERVICES AND

INTERNATIONAL ASSISTANCE PROGRAMS

JUNE 12, 2001.—Referred to the Committee on Appropriations and ordered

to be printed

(1)

THE WHITE HOUSE,

Washington, June 11, 2001.

The SPEAKER OF THE HOUSE OF REPRESENTATIVES.

SIR: I ask the Congress to consider the enclosed requests for FY

2002 budget amendments for the Department of Health and

Human Services and International Assistance Programs. In aggregate, these requests would not increase the FY 2002 Budget totals.

The amendments include a proposal for a $200 million increase

in the U.S. Government’s commitment to the global battle against

infectious diseases. This proposal will fund a multilateral Global

Fund to Fight HIV/AIDS, Malaria, and Tuberculosis to increase

U.S. involvement in addressing these diseases and to leverage additional resources form international partner countries and private

sector entities. These funds will support an integrated approach to

prevention, treatment, and care, as well as health infrastructure

development.

The details of these requests are set forth in the enclosed letter

from the Director of the Office of Management and Budget. I concur with his comments and observations.

Sincerely,

GEORGE W. BUSH.

Enclosure.

(3)

[Estimate No. 7 107th Cong., 1st Sess.]

EXECUTIVE OFFICE OF THE PRESIDENT,

OFFICE OF MANAGEMENT AND BUDGET,

Washington, DC, June 11, 2001.

The PRESIDENT, The White House.

Submitted for your consideration are requests for FY 2002 budget amendments for the Department of Health and Human Services

and International Assistance Programs. These amendments would

not increase your proposed budget totals.

As described below and in more detail in the enclosures, the proposed amendments include the following:

International Assistance Programs

• An increase of $200 million in budget authority ($100 million

in direct appropriations and $100 million to be derived by transfer)

is requested for a new Global Fund to Fight HIV/AIDS, Malaria,

and Tuberculosis. These funds will support the development of a

multilateral trust fund that will leverage additional international

resources for prevention, treatment, and care activities for HIV/

AIDS, malaria, and tuberculosis.

The increased funding is financed by transfer and reduction proposals transmitted in this package, including the following:

Department of Health and Human Services (HHS)

• A $70 million transfer of resources from buildings and facilities

activities in the National Institutes of Health;

• A $25 million transfer of resources from the National Institute

of Allergy and Infectious Diseases in the National Institutes of

Health; and

• A $5 million transfer from general departmental management

activities in the Office of the Secretary.

International Assistance Programs

• Reductions totaling $40 million in the Economic Support Fund

($35 million in budget authority and $5 million in unobligated balances of prior-year authority);

• Reductions totaling $40 million in the Child Survival and Diseases Programs Fund ($20 million in budget authority and $20 million in unobligated balances of prior-year authority);

• A $15 million reduction in Peacekeeping Operations; and

• A $5 million reduction in Assistance to Eastern Europe and

the Baltic States.

The proposed transfers from HHS and reductions in International Assistance Programs would not affect individual program

goals or objectives.

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I have carefully reviewed these proposals and am satisfied that

they are necessary at this time. Therefore, I join the heads of the

affected Departments and agencies in recommending that you

transmit the proposals to the Congress.

Sincerely,

MITCHELL E. DANIELS, Jr.,

Director.

Enclosures.

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DEPARTMENT OF HEALTH AND HUMAN SERVICES

GENERAL PROVISIONS

FY 2002 Budget Appendix Page: 480

FY 2002 Pending Request: —

Proposed Amendment: Language

Revised Request: —

(In the appropriations language under the above heading, insert

the language that follows after Section 215.)

Sec. 216. The following amounts, appropriated in this

title, shall be transferred to International Assistance Programs, ‘‘Global Fund to Fight HIV/AIDS, Malaria, and

Tuberculosis,’’ to remain available until expended: from

National Institutes of Health, ‘‘National Institute of Allergy

and Infectious Diseases,’’ $25,000,000; from National Institutes of Health, ‘‘Buildings and Facilities,’’ $70,000,000;

and from Departmental Management, ‘‘General Departmental Management,’’ $5,000,000.

This proposed general provision would transfer a total of $100

million to the Global Fund, as part of the Department of Health

and Human Services’ (HHS’) contribution to the Federal Government’s multilateral efforts to fight the spread of infectious diseases

worldwide. Specifically, the provision would transfer: $25 million

from the National Institute of Allergy and Infectious Diseases; $70

million from buildings and facilities activities in the National Institutes of Health; and $5 million from HHS’ general departmental

management activities previously requested for the security of systems and assets used in bio-terrorism prevention and response.

These transfers would help finance the $200 million U.S. Government investment in this multilateral trust fund, proposed in an accompanying budget amendment.

Taken together with this amendment and other amendments in

this transmittal, the proposed initiative funding would not increase

the FY 2002 Budget totals.

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INTERNATIONAL ASSISTANCE PROGRAMS

INTERNATIONAL SECURITY ASSISTANCE

ECONOMIC SUPPORT FUND

FY 2002 Budget Appendix Page: 999

FY 2002 Pending Request: $2,289,000,000

Proposed Amendment: ¥$35,000,000

Revised Request: $2,254,000,000

(In the appropriations language under the above heading, delete

‘‘$2,289,000,000’’ and substitute $2,254,000,000. Also, insert the following as a new paragraph at the end, Unobligated balances available under this heading are reduced by $5,000,000.)

This amendment would decrease the pending FY 2002 request

for the Economic Support Fund (ESF) by $35 million. This reduction includes $25 million from Policy Initiatives, $5 million from

the Accelerated Economic Recovery in Asia program, and $5 million

from the Countries in Transition program. These reductions to the

pending FY 2002 request would not affect program goals or objectives.

This amendment would also reduce the unobligated balances in

ESF by $5 million in FY 2002 for the Countries in Transition program. This reduction in balances would not seriously impact program operations.

This decrease would help finance the $200 million U.S. Government investment in the new Global Fund to Fight HIV/AIDS, Malaria, and Tuberculosis, proposed in an accompanying budget

amendment.

Taken together with this amendment and other amendments in

this transmittal, the proposed initiative funding would not increase

the FY 2002 Budget totals.

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INTERNATIONAL ASSISTANCE PROGRAMS

INTERNATIONAL SECURITY ASSISTANCE

PEACEKEEPING OPERATION

FY 2002 Budget Appendix Page: 1002

FY 2002 Pending Request: $150,000,000

Proposed Amendment: ¥$15,000,000

Revised Request: $135,000,000

This amendment would decrease the pending FY 2002 request

for Peacekeeping Operations by $15 million, of which $10 million

would be from Africa regional programs and $5 million would be

from the Africa Crisis Response Initiative. The activities supported

by these resources could be reduced in FY 2002 without serious

programmatic impact.

This decrease would help finance the $200 million U.S. Government investment in the new Global Fund to Fight HIV/AIDS, Malaria, and Tuberculosis, proposed in an accompanying budget

amendment.

Taken together with this amendment and other amendments in

this transmittal, the proposed initiative funding would not increase

the FY 2002 Budget totals.

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INTERNATIONAL ASSISTANCE PROGRAMS

MULTILATERAL ASSISTANCE

FY 2002 Budget Appendix Page: 1013

FY 2002 Pending Request: —

Proposed Amendment: $100,000,000

Portion Derived by Transfer: $100,000,000

Revised Request: $200,000,000 (initiative total)

(Insert the appropriations language that follows after the material under the heading ‘‘International Affairs Technical Assistance’’.)

GLOBAL FUND TO FIGHT HIV/AIDS, MALARIA, AND TUBERCULOSIS

For a contribution by the President to a global trust fund to fight HIV/AIDS, malaria, and tuberculosis, $100,000,000, to remain

available until expended: Provided, That the President is hereby authorized to make such contribution on such terms and conditions as

he may determine. This amendment would provide $100 million for a new multilateral Global Fund to Fight HIV/AIDS, Malaria, and Tuberculosis to

increase U.S. involvement in assisting in the global battle against

HIV/AIDS, malaria, and tuberculosis. An additional $100 million

would be derived by transfer from the National Institute of Allergy

and Infectious Diseases and the buildings and facilities activities in

the National Institutes of Health and the Department of Health

and Human Services’ general departmental management activities.

This initiative would also enable the United States to leverage

additional resources from international partner countries and private sector entities. These funds would support an integrated approach to prevention, treatment, and care as well as health infrastructure development. This $200 million requested for this initiative is offset by reductions and transfers proposed in accompanying budget amendments.

Taken together, these amendments would not increase the proposed budget totals.

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INTERNATIONAL ASSISTANCE PROGRAMS

AGENCY FOR INTERNATIONAL DEVELOPMENT

CHILD SURVIVAL AND DISEASE PROGRAMS FUND

FY 2002 Budget Appendix Page: 1017–1018

FY 2002 Pending Request: $1,011,000,000

Proposed Amendment: ¥$20,000,000

Revised Request: $991,000,000

(In the appropriations language under the above heading, delete

‘‘$1,011,000,000’’ and substitute $991,000,000. Also, insert the following as a new paragraph at the end, Unobligated balances available under this heading are reduced by $20,000,000.)

This amendment would reduce the pending FY 2002 request for

the Child Survival and Disease Programs Fund by $20 million.

This amendment would also reduce the prior-year unobligated balances in the Fund by $20 million in FY 2002. These amounts had

already been specifically identified for a contribution to a multilateral HIV/AIDS trust fund; therefore, this reduction would not impact program operations.

This decrease would help finance the $200 million U.S. Government investment in the new Global Fund to Fight HIV/AIDS, Malaria, and Tuberculosis, proposed in an accompanying budget

amendment.

Taken together with this amendment and other amendments in

this transmittal, the proposed initiative funding would not increase

the FY 2002 Budget totals.

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INTERNATIONAL ASSISTANCE PROGRAMS

AGENCY FOR INTERNATIONAL DEVELOPMENT

ASSISTANCE FOR EASTERN EUROPE AND THE BALTIC STATES

FY 2002 Budget Appendix Page: 1019

FY 2002 Pending Request: $610,000,000

Proposed Amendment: ¥$5,000,000

Revised Request: $605,000,000

This amendment would decrease the pending FY 2002 request

for Assistance for Eastern Europe and the Baltic States for regional

programs by $5 million. This reduction would have no serious programmatic impact.

This decrease would help finance the $200 million U.S. Government investment in the new Global Fund to Fight HIV/AIDS, Malaria, and Tuberculosis, proposed in an accompanying budget

amendment.

Taken together with this amendment and other amendments in

this transmittal, the proposed initiative funding would not increase

the FY 2002 Budget totals.

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