Global Health and Child Survival

A2: Amounts apportioned, but not yet obligated as of the date of this reapportionment, on this line are available for obligation consistent with the latest agreed-upon spending plan for Fiscal Year 2025 between the Department of State (DOS) and the Office of Management and Budget (OMB). Such spending plan submitted by DOS shall include: the allocations of such amounts by program; by country allocation; and a detailed description of how such spending plan aligns with Administration priorities. Any revisions or additions to such spending plan shall be proposed to OMB in writing no later than five business days before the anticipated obligation of funds based on such revisions or additions.  If OMB agrees to such revision or addition, OMB will notify DOS in writing, and the latest agreed-upon spend plan shall include such revision or addition. In the absence of an agreed-upon spend plan between DOS and OMB, DOS may obligate funds only as necessary for emergency life-saving programming, Federal salary and payroll expenses, or payments otherwise required by law. [Rationale: An agency spend plan or other documentation is necessary to better understand how the agency intends to obligate some or all of the apportioned funds.]

A3: Amounts on this line are automatically reapportioned to Category B line 6011 upon OMB’s approval of the agency’s FY 2025 653(a) Report to Congress. Funds are apportioned to Global Health Activities to support life-saving treatment including through the President’s Emergency Plan for AIDS Relief (PEPFAR), Global Health security, Tuberculosis, Malaria, and Polio eradication and prevention. [Rationale: Footnote signifies that this TAFS has received or may receive an automatic apportionment.]