The U.S. thus far has enacted six emergency supplemental funding bills, five of which were enacted in 2020 and one which was enacted in 2021, to address the COVID-19 pandemic:

  • the Coronavirus Preparedness and Response Supplemental Appropriations Act (P.L. 116-123) enacted on March 6, 2020;
  • the Families First Supplemental Appropriations Act (P.L. 116-127) enacted on March 18, 2020;
  • the Coronavirus Aid, Relief, and Economic Security (CARES) Act (P.L. 116-136) enacted on March 27, 2020;
  • the Paycheck Protection Program and Health Care Enhancement Act (P.L.116-139) enacted on April 24, 2020;
  • the Coronavirus Response and Relief Supplemental Appropriations Act, 2021 (P.L. 116-260) enacted on December 27, 2020; and
  • the American Rescue Plan Act of 2021 (P.L. 117-2) enacted on March 11, 2021.

While most of the funding in these bills has been for the domestic response, approximately $19 billion has been appropriated for global efforts, provided in four of the six bills – the Coronavirus Preparedness and Response Supplemental, the CARES Act, the Coronavirus Response and Relief Supplemental Appropriations Act, 2021, and the American Rescue Plan Act of 2021. The most recent bill, the American Rescue Plan Act, includes the most funding for the global response to date ($11.6 billion). The funding in these bills support the operations of U.S. agencies in other countries, including for repatriation of U.S. personnel, and funding provided directly to affected countries and international efforts. This data note tracks appropriations designated for international efforts in the emergency bills. It will be updated as needed.

Table 1 provides a list of the agencies and funding amounts specified for international efforts across each bill. Table 2 provides more details on this funding, including the expenditure period and a description of specific activities.

Table 1: Global Funding In Coronavirus Supplemental Bills – Summary Table
Agency/Department/Account
Supplemental #1:  Coronavirus Preparedness and Response Supplemental Appropriations Act
(P.L. 116-123)
Supplemental #2: Families First Supplemental Appropriations Act
(P.L. 116-127)
Supplemental #3: Coronavirus Aid, Relief, and Economic Security (CARES) Act (P.L. 116-136)
Supplemental #4: Paycheck Protection Program and Health Care Enhancement Act
(P.L.116-139)
Supplemental #5: FY2021 Omnibus and COVID Relief and Response Act
(P.L. 116-260) 
Supplemental #6: American Rescue Plan Act of 2021
(P.L. 117-2)
Total Funding Across All  Bills
Total Funding Total Funding Total Funding Total Funding Total Funding Total Funding
USAID $986,000,000  – $363,000,000  – $4,000,000,000 $4,966,000,000 $10,315,000,000
Office of Inspector General $1,000,000  –  –  –  –  – $1,000,000
Operating Expenses  –  – $95,000,000  –  – $41,000,000 $136,000,000
Global Health Programs $435,000,000  –  –  – $4,000,000,000 $905,000,000 $5,340,000,000
of which Emergency Reserve Fund $200,000,000  –  –  –  –  – $200,000,000
of which Gavi, the Vaccine Alliance  –  –  –  – $4,000,000,000  – $4,000,000,000
International Disaster Assistance $300,000,000  – $258,000,000  –  – $3,090,000,000 $3,648,000,000
Economic Support Fund $250,000,000  –  –  –  – $930,000,000 $1,180,000,000
Assistance for Europe, Eurasia and Central Asia  –  – $10,000,000  –  –  – $10,000,000
Department of State $264,000,000  – $678,000,000  – $300,000,000 $5,034,000,000 $6,276,000,000
Consular and Border Security Programs  –  –  –  – $300,000,000  – $300,000,000
Diplomatic Programs $264,000,000  – $324,000,000  –  – $204,000,000 $792,000,000
Emergencies in the Diplomatic and Consular Services  –  – $4,000,000  –  –  – $4,000,000
Global Health Programs  –  –  –  –  – $3,750,000,000 $3,750,000,000
of which HIV/AIDS  –  –  –  –  – $250,000,000 $250,000,000
of which the Global Fund  –  –  –  –  – $3,500,000,000 $3,500,000,000
International Organizations & Programs  –  –  – $580,000,000 $580,000,000
Migration and Refugee Assistance  –  – $350,000,000  –  – $500,000,000 $850,000,000
Peace Corps  –  – $88,000,000  –  –  – $88,000,000
Millennium Challenge Corporation  –  – $2,000,000  –  –  – $2,000,000
Centers for Disease Control and Prevention $300,000,000  – $500,000,000  –  – $750,000,000 $1,550,000,000
Department of Agriculture  –  –  –  –  – $800,000,000 $800,000,000
Total Coronavirus Funding for the International Response $1,550,000,000  – $1,631,000,000  –  $4,300,000,000 $11,550,000,000 $19,031,000,000
NOTES: The second and fourth supplemental bills do not include funding for international COVID-19 efforts. Due to the use of the reconciliation process for the sixth supplemental, American Rescue Plan Act of 2021, not all funding amounts, including funding for global health, were specified by appropriation account. We have instead categorized them into accounts based on their funding purpose as described in the bill text.
SOURCES: KFF analysis of the “Coronavirus Preparedness and Response Supplemental Appropriations Act, 2020” (P.L. 116-123); House Appropriations H.R. 6074: Coronavirus Preparedness and Response Supplemental Appropriations Act, 2020 Title-By-Title Summary; Coronavirus Aid, Relief, and Economic Security (CARES) Act (P.L. 116-136) and Senate Appropriations Committee summary materials; FY2021 Omnibus and COVID Relief and Response Act (P.L. 116-260); American Rescue Plan Act of 2021 (P.L. 117-2).
Table 2: Global Funding In Coronavirus Supplemental Bills – Detailed Table
Agency/
Department/
Account
Supplemental #1:  Coronavirus Preparedness and Response Supplemental Appropriations Act (P.L. 116-123) Supplemental #3: Coronavirus Aid, Relief, and Economic Security (CARES) Act (P.L. 116-136) Supplemental #5: FY2021 Omnibus and COVID Relief and Response Act  (P.L.116-260) Supplemental #6: American Rescue Plan Act of 2021
(P.L. 117-2)
Total Funding Across All  Bills
Total Funding Expenditure Period Description Total Funding Expenditure Period Description Total Funding Expenditure Period Description Total Funding Expenditure Period Description
USAID $986,000,000  –  – $363,000,000  –  – $4,000,000,000  –  – $4,966,000,000  –  – $10,315,000,000
Office of Inspector General $1,000,000 To remain available until September 30, 2022 Oversight activities  –  –  –  –  –  –  –  –  – $1,000,000
Operating Expenses  –  –  – $95,000,000 To remain available until September 30, 2022 For an additional amount for “Operating Expenses” to prevent, prepare for, and respond to coronavirus for operational needs of USAID, including support for evacuations and ordered departures of overseas staff, surge support, increased technical support for remote functions, and other needs.  –  –  – $41,000,000 To remain available until September 30, 2022 To prevent, prepare for, and respond to coronavirus domestically or internationally, and for other operations and maintenance requirements related to coronavirus. $136,000,000
Global Health Programs $435,000,000 To remain available until September 30, 2022 To prevent, prepare for, and respond to coronavirus.  –  –  – $4,000,000,000 To remain available until September 30, 2022  – $905,000,000 To remain available until September 30, 2022 To prevent, prepare for, and respond to coronavirus, which shall include a contribution to a multilateral vaccine development partnership to support epidemic preparedness. $5,340,000,000
of which Emergency Reserve Fund $200,000,000 To remain available until September 30, 2022  –   –  –  –  –  –  –  –  –  – $200,000,000
of which Gavi, the Vaccine Alliance  –  –  –  –  –  – $4,000,000,000 To remain available until September 30, 2022 For an additional amount for “Global Health Programs” to prevent, prepare for, and respond to coronavirus, including for vaccine procurement and delivery: Provided, That such funds shall be administered by the Administrator of the United States Agency for International Development and shall be made available as a contribution to The GAVI Alliance”  –  –  – $4,000,000,000
International Disaster Assistance $300,000,000 To remain available until expended To prevent, prepare for, and respond to coronavirus. $258,000,000 To remain available until expended For an additional amount for “International Disaster Assistance” to prevent, prepare for, and respond to coronavirus for USAID to respond to the extraordinary needs in other countries that are underequipped to respond to the pandemic. The funding will prioritize populations affected by ongoing humanitarian crises, particularly displaced people, because of their heightened vulnerability, the elevated risk of severe outbreaks in camps and informal settlements, and anticipated disproportionate mortality in these populations.  –  –  – $3,090,000,000 To remain available until September 30, 2022 To prevent, prepare for, and respond to coronavirus, which shall include support for international disaster relief, rehabilitation, and reconstruction, for health activities, and to meet emergency food security needs. $3,648,000,000
Economic Support Fund $250,000,000 To remain available until September 30, 2022 To prevent, prepare for, and respond to coronavirus, including to address related economic, security, and stabilization requirements.  –  –  –  –  –  – $930,000,000 To remain available until September 30, 2022 To prevent, prepare for, and respond to coronavirus, which shall include activities to address economic and stabilization requirements resulting from such virus. $1,180,000,000
Assistance for Europe, Eurasia and Central Asia  –  –  – $10,000,000 FY 2020-FY 2021 Section 21004. For an additional amount for the FY 2020 appropriations amount to hire and employ individuals in the United States and overseas on a limited appointment basis from $100,000,000 to $110,000,000 under the Department of State, Foreign Operations, and Related Programs Appropriations Act, 2020.  –  –  –  –  –  – $10,000,000
Department of State $264,000,000  –  – $678,000,000  –  – $300,000,000  –  – $5,034,000,000 $6,276,000,000
Consular and Border Security Programs  –  –  –  –  –  – $300,000,000 To remain available until expended For an additional amount for “Consular and Border Security Programs” to prevent, prepare for, and respond to coronavirus, domestically or internationally, which shall be for offsetting losses resulting from the coronavirus pandemic of fees and surcharges collected and deposited into the account.  –  –  – $300,000,000
Diplomatic Programs $264,000,000 To remain available until September 30, 2022 To prevent, prepare for, and respond to coronavirus, including for maintaining consular operations, reimbursement of evacuation expenses, and emergency preparedness. $324,000,000 To remain available until September 30, 2022 For an additional amount for “Diplomatic Programs” to prevent, prepare for, and respond to coronavirus, including for necessary expenses to maintain consular operations and to provide for evacuation expenses and emergency preparedness.  –  –  – $204,000,000 To remain available until September 30, 2022 To carry out the authorities, functions, duties, and responsibilities in the conduct of the foreign affairs of the United States, to prevent, prepare for, and respond to coronavirus domestically or internationally, which shall include maintaining Department of State operations. $792,000,000
Emergencies in the Diplomatic and Consular Services  –  –  – $4,000,000 To remain available until expended Section 21005. For an additional amount for the FY 2020 appropriations amount for “Emergencies in the Diplomatic and Consular Services from $1,000,000 to $5,000,000 under the Department of State, Foreign Operations, and Related Programs Appropriations Act, 2020.  –  –  –  –  –  – $4,000,000
Global Health Programs  –  –  –  –  –  –  –  –  – $3,750,000,000  –  – $3,750,000,000
of which HIV/AIDS  –  –  –  –  –  –  –  –  – $250,000,000 To remain available until September 30, 2022 To support programs for the prevention, treatment, and control of HIV/AIDS in order to prevent, prepare for, and respond to coronavirus, including to mitigate the impact on such programs from coronavirus and support recovery from the impacts of the coronavirus. $250,000,000
of which Global Fund to Fight AIDS, Tuberculosis and Malaria  –  –  –  –  –  –  –  –  – $3,500,000,000 To remain available until September 30, 2022 This contribution shall not be considered a contribution for the purpose of applying such section 202(d)(4)(A)(i). $3,500,000,000
International Organizations & Programs  –  –  –  –  –  –  –  –  – $580,000,000 To remain available until September 30, 2022 To prevent, prepare for, and respond to coronavirus, which shall include support for the priorities and objectives of the United Nations Global Humanitarian Response Plan COVID-19 through voluntary contributions to international organizations and programs administered by such organizations. $580,000,000
Migration and Refugee Assistance  –  –  – $350,000,000 To remain available until expended For an additional amount for “Migration and Refugee Assistance” to prevent, prepare for, and respond to coronavirus  for the Department of State to contribute to pending appeals from the UN High Commissioner for Refugees, International Committee of the Red Cross, and other partners to prepare for, and respond to, coronavirus among vulnerable refugee populations abroad.  –  –  – $500,000,000 To remain available until September 30, 2022 To prevent, prepare for, and respond to coronavirus. Funds appropriated shall not be made available for the costs of resettling refugees
in the United States.
$850,000,000
Peace Corps  –  –  – $88,000,000 To remain available until September 30, 2022 For an additional amount for “Peace Corps” to prevent, prepare for, and respond to coronavirus to support evacuations of all overseas volunteers, relocation of U.S. direct hires on authorized or ordered departure, and certain benefits for returned volunteers, including health care.  –  –  –  –  –  – $88,000,000
Millennium Challenge Corporation  –  –  – $2,000,000 To remain available until expended Section 21006. For an additional amount for “Millennium Challenge Corporation: increasing from $105,000,000 to $107,000,000 under the Department of State, Foreign Operations, and Related Programs Appropriations Act, 2020, to increase the amount it can spend to cover additional costs due to staff evacuations.  –  –  –  –  –  – $2,000,000
Centers for Disease Control and Prevention $300,000,000 To remain available until September 30, 2022 Global disease detection and emergency response $500,000,000 To remain available until September 30, 2024 For global disease detection and emergency response  –  –  – $750,000,000 To remain available until expended To combat SARS-CoV-2, COVID-19, and other emerging infectious diseases threats globally, including efforts related to global health security, global disease detection and response, global health protection, global immunization, and global coordination on public health. $1,550,000,000
Department of Agriculture  –  –  –  –  –  –  –  –  – $800,000,000 To remain available until September 30, 2022 To use the Commodity Credit Corporation
to acquire and make available commodities under section 406(b)
of the Food for Peace Act 
$800,000,000
Total Coronavirus Funding for the International Response $1,550,000,000  –   – $1,631,000,000  –  – $4,300,000,000  –  – $11,550,000,000  –  – $19,031,000,000
NOTES: The second and fourth supplemental bills do not include funding for international COVID-19 efforts and are not included in this table. Due to the use of the reconciliation process for the sixth supplemental, American Rescue Plan Act of 2021, not all funding amounts, including funding for global health, were specified by appropriation account. We have instead categorized them into accounts based on their funding purpose as described in the bill text.
SOURCES: KFF analysis of the “Coronavirus Preparedness and Response Supplemental Appropriations Act, 2020” (P.L. 116-123); House Appropriations H.R. 6074: Coronavirus Preparedness and Response Supplemental Appropriations Act, 2020 Title-By-Title Summary; Coronavirus Aid, Relief, and Economic Security (CARES) Act (P.L. 116-136) and Senate Appropriations Committee summary materials; FY2021 Omnibus and COVID Relief and Response Act (P.L. 116-260); American Rescue Plan Act of 2021 (P.L. 117-2).

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