[House Document 107-83]
[From the U.S. Government Publishing Office]



                                     

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
                                           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.
                [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.
    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.
                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.
                                ------                                

                   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.
                                ------                                  


                   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.
                                ------                                

                   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.
                                ------                                

                   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.
                                ------                                

                   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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