Budget & Spending

PEPFAR is the U.S. government's largest fully-funded global health program.

PEPFAR Funding

In 2003, President George W. Bush launched the President’s Emergency Plan for AIDS Relief (PEPFAR), pledging $15 billion over five years to combat HIV/AIDS. The United States’ commitment to addressing HIV/AIDS globally was renewed on July 30, 2008, when PEPFAR was reauthorized for $48 billion, for use from FY 2009 through FY 2013. In addition to funds to fight HIV/AIDS, it also includes funding for tuberculosis and malaria.

More Information on PEPFAR Funding

Budget Process

The annual U.S. federal budget cycle begins the first Monday in February when the President submits a budget, outlining the Administration's spending priorities.  The President's budget often sets the tone for Congress' development of a budget resolution, which governs the allocations House and Senate Appropriations Committees use to develop 13 annual spending bills for federal agencies.

Global AIDS funding is provided in the Foreign Operations and Labor, Health and Human Services appropriations bills, which, if the process goes smoothly, are agreed to by the House and Senate in advance of the federal fiscal year beginning October 1.  The Office of the Global AIDS Coordinator (OGAC) budgets according to the allocations provided by Congress and the policy of the Administration. Funding figures by program are reported to Congress by the Office of the Global AIDS Coordinator.