Sending Office: Honorable Betty McCollum
Sent By:

        Request for Signature(s)

Support Robust Funding for Maternal and Child Health, Gavi, and Nutrition in Global Health in FY2019

**Deadline Extended to COB TODAY, Tuesday March 13**

Current signers: Reichert (R-WA), McCollum (D-MN),
McCaul (R-TX), Lee (D-CA), Ross (R-FL), Donovan (R-NY), Bera (D-CA), Kastor (D-FL),
Sessions (R-TX), Connolly (D-VA), Gallego (D-AZ), Lujan Grisham (D-NM), Eshoo (D-CA), Lewis (D-GA), Moore (D-WI), Norton (D-DC), Larsen (D-WA), Payne (D-NJ), Cicilline (D-RI),
Comstock (R-VA), Cohen (D-TN), Fitzpatrick (R-PA), Frankel (D-FL), Lynch (D-MA), Watson Coleman (D-NJ), DeSaulnier (D-CA), Davis (D-IL), Pingree (D-ME), Moulton (D-MA), Delaney (D-MD), Deutch (D-FL), McGovern (D-MA), DeFazio (D-OR), Vargas
(D-CA), Capuano (D-MA), Cárdenas (D-CA), Vela (D-TX), Sanchez (D-CA), Hastings (D-FL), Sires (D-NJ), Schrader (D-OR),
Smith (R-TX), Ellison (D-MN), Luján (D-NM), Jackson Lee (D-TX), Matsui (D-CA),
Costello (R-PA), Higgins (D-NY), Torres (D-CA), Lance (R-NJ), McEachin (D-VA), Engel (D-NY), Loebsack (D-IA), Shea-Porter (D-NH), Esty (D-CT),
Coffman (R-CO), G. Green (D-TX), Johnson (D-TX), Rush (D-IL), Brady (D-PA), Carson (D-IN), Wasserman Schultz (D-FL), Evans (D-PA), Swalwell (D-CA), Heck (D-WA), Garamendi (D-CA), Schneider (D-IL), Titus (D-NV), Sarbanes (D-MD), Bonamici (D-OR), Pallone
(D-NJ), Boyle (D-PA), Lofgren (D-CA), Ruppersberger (D-MD), Kind (D-WI), Yamuth (D-KY), Veasey (D-TX), Grijalva (D-AZ), Murphy (D-FL),
Wagner (R-MO), McNerney (D-CA), DeGette (D-CO), O’Rourke (D-TX), Lieu (D-CA), Clarke (D-NY), Jayapal (D-WA),
MacArthur (R-NJ), Beyer (D-VA), Dingell (D-MI), Kelly (D-IL), Speier (D-CA), Polis (D-CO), Carbajal (D-CA), Kildee (D-MI), Lowenthal (D-CA), Levin (D-MI), Himes (D-CT), Clay (D-MO),
Young (R-AK), Plaskett (D-VI), Waters (D-CA), Sewell (D-AL), Butterfield (D-NC), Chu (D-CA), Hanabusa (D-HI), Kuster (D-NH), Thompson (D-CA), Scott (D-GA), Schakowsky (D-IL), Lawrence (D-MI), DelBene (D-WA), C. Maloney (D-NY),
Jenkins (R-KS), Smith (D-WA), Soto (D-FL), Kinzinger (R-IL), Wilson (D-FL), Al Green (D-TX),
Pearce (R-NM), Davis (D-CA), Gabbard (D-HI), Norcross (D-NJ), Larson (D-CT),
Marshall (R-KS), Roybal-Allard (D-CA), Welch (D-VT), Khanna (D-CA), Faso (R-NY),
Doggett (D-TX), Langevin (D-RI), Adams (D-NC), Price (D-NC), Crowley (D-NY), Gomez (D-CA), Pascrell (D-NJ), Brownley (D-CA), Napolitano (D-CA), DeLauro (D-CT), Bass (D-CA),
Hultgren (R-IL), Espaillat (D-NY)


FY18 signers (143): Dave Reichert (R-WA), Barbara Lee (D-CA), Michael McCaul (R-TX), Dennis Ross (R-FL), Ami Bera (D-CA), Alma Adams (D-NC), Karen Bass (D-CA), Joyce Beatty
(D-OH), Donald Beyer (D-VA), Earl Blumenauer (D-OR), Suzanne Bonamici (D-OR), Brendan Boyle (D-PA), Robert Brady (D-PA), Susan Brooks (R-IN), Julia Brownley (D-CA), G.K. Butterfield (D-NC), Michael Capuano (D-MA), Tony Cardenas (D-CA), Andre Carson
(D-IN), Kathy Castor (D-FL), David Cicilline (D-RI), Yvette Clarke (D-NY), Wm. Lacy Clay (D-MO), Mike Coffman (R-CO), Stephen Cohen (D-TN), Barbara Comstock (R-VA), Gerald Connolly (D-VA), John Conyers (D-MI), Ryan Costello (R-PA), Joe
Crowley (D-NY), Elijah Cummings (D-MD), Carlos Curbelo (R-FL), Danny Davis (D-IL), Susan Davis (D-CA), Peter DeFazio (D-OR), Diana DeGette (D-CO), John Delaney (D-MD), Rosa DeLauro (D-CT), Suzan DelBene (D-WA), Mark DeSaulnier (D-CA), Ted Deutch (D-FL),
Debbie Dingell (D-MI), Lloyd Doggett (D-TX), Daniel Donovan (R-NY), Keith Ellison (D-MN), Eliot Engel (D-NY), Anna Eshoo (D-CA), Elizabeth Esty (D-CT), Dwight Evans (D-PA), John Faso (R-NY), Brian Fitzpatrick (R-PA), Lois Frankel
(D-FL), Ruben Gallego (D-AZ), John Garamendi (D-CA), Al Green (D-TX), Raul Grijalva (D-AZ), Luis Gutierrez (D-IL), Alcee Hastings (D-FL), Denny Heck (D-WA), Brian Higgins (D-NY), Jim Himes (D-CT), Randy Hultgren (R-IL), Sheila Jackson Lee (D-TX),
Pramila Jayapal (D-WA), Lynn Jenkins (R-KS), Eddie Bernice Johnson (D-TX), William Keating (D-MA), Robin Kelly (D-IL), Joseph Kennedy (D-MA), Daniel Kildee (D-MI), Ron Kind (D-WI), Adam Kinzinger (R-IL), Ann McLane Kuster (D-NH), Leonard Lance (R-NJ),
Rick Larsen (D-WA), John Larson (D-CT), Sander Levin (D-MI), John Lewis (D-GA), Ted Lieu (D-CA), Dave Loebsack (D-IA), Zoe Lofgren (D-CA), Alan Lowenthal (D-CA), Ben Ray Lujan (D-NM), Michelle Lujan Grisham (D-NM), Stephen Lynch (D-MA), Tom MacArthur (R-NJ), Carolyn
Maloney (D-NY), Roger Marshall (R-KS), Doris Matsui (D-CA), A. Donald McEachin (D-VA), James McGovern (D-MA), Jerry McNerney (D-CA), Gregory Meeks (D-NY), Gwen Moore (D-WI), Stephanie Murphy (D-FL), Grace Napolitano (D-CA), Richard Neal (D-MA), Donald
Norcross (D-NJ), Eleanor Holmes Norton (D-DC), Beto O’Rourke (D-TX), Frank Pallone (D-NJ), Bill Pascrell (D-NJ), Donald Payne (D-NJ), Steve Pearce (R-NM), Chellie Pingree (D-ME), Robert Pittenger (R-NC), Stacey Plaskett (D-USVI), Mark Pocan
(D-WI), Jared Polis (D-CO), David Rouzer (R-NC), Lucille Roybal-Allard (D-CA), C.A. Dutch Ruppersberger (D-MD), Bobby Rush (D-IL), Linda Sanchez (D-CA), John Sarbanes (D-MD), Janice Schakowsky (D-IL), Adam Schiff (D-CA), Brad Schneider (D-IL), David
Scott (D-GA), Robert Scott (D-VA), Pete Sessions (R-TX), Carol Shea-Porter (D-NH), Kurt Shrader (D-OR), Albio Sires (D-NJ), Adam Smith (D-WA), Lamar Smith (R-TX), Darren Soto (D-FL), Jackie Speier (D-CA), Eric Swalwell (D-CA), Mark Takano
(D-CA), Mike Thompson (D-CA), Dina Titus (D-NV), Niki Tsongas (D-MA), Juan Vargas (D-CA), Marc Veasey (D-TX), Filemon Vela (D-TX), Ann Wagner (R-MO), Debbie Wasserman Schultz (D-FL), Maxine Waters (D-CA), Bonnie Watson Coleman (D-NJ), Peter Welch
(D-VT), John Yarmuth (D-KY), Don Young (R-AK)


Dear Colleague,

Please join us in sending a letter to the State and Foreign Operations Appropriations Subcommittee calling for robust funding for the global Maternal and Child Health Account, including Gavi, the Vaccine Alliance, and the Nutrition Account in Global Health
in fiscal year 2019. Text of the letter is below.

For additional information, or to sign onto the letter, please contact Isaac Tobis (Reichert) at 5-7761 or , or Libby Foley (McCollum) at 5-6631 or by
COB Monday, March 12th.


Dave Reichert                    Betty McCollum



Dear Chairman Rogers and Ranking Member Lowey:

Thank you for your commitment to fiscal responsibility and ensuring our nation’s priorities are addressed. We share your interest in preserving effective, evidence-based, and sustainable poverty-focused foreign assistance that saves lives and creates economic
stability in developing countries. We also appreciate the leadership you have taken to ensure substantial support for Maternal and Child Health (MCH) and Nutrition efforts globally. As you begin to consider the Department of State, Foreign Operations, and
Related Programs Appropriations Bill for fiscal year 2019, we strongly urge you to allocate robust funding for MCH – including Gavi, the Vaccine Alliance, and Nutrition in Global Health.

These vital investments in the maternal and child survival programs build the foundation for the U.S. goal of ending preventable child and maternal deaths globally within a generation. The U.S. Agency for International Development (USAID) has developed benchmark
targets for this goal and an evidence-based roadmap to save an additional 15 million child lives and 600,000 women’s lives by the year 2020. There is consensus among scientists and global health experts that this is possible. But achieving this bold goal requires
continued Congressional commitment and support for critical maternal and child survival and nutrition programs.

By continuing strong U.S. leadership, and in close collaboration with partner countries, we are seeing real and measurable progress. The annual number of under-five deaths has drastically fallen from 12.6 million in 1990 to 5.6 million in 2016. Additionally,
in the 25 countries where U.S. involvement has been the greatest, maternal mortality has declined an average of 5 percent each year, faster than the global average. While great strides have been made to increase maternal, newborn and child health, the world
is not yet on track to meet the goal of ending preventable child and maternal deaths within a generation globally.

Each day, more than 800 women, almost entirely from developing countries, die from preventable causes related to pregnancy and childbirth. Additionally, over 15,000 children, who are under the age of five, die of mainly preventable and/or treatable conditions
such as prematurity, pneumonia and diarrhea — with malnutrition being the underlying cause in 45 percent of those deaths. Newborn deaths are also a growing proportion of child mortality, with one million children dying on the day they are born. Moreover, when
a woman dies, her children are less likely to go to school, get immunized, and have access to good nutrition, and they are up to 10 times more likely to die in childhood than children whose mothers are alive.

Our nation’s MCH and Nutrition programs allow for the delivery of low cost, life-saving services for newborns, children, and women throughout developing countries. These programs provide access to skilled birth attendants and emergency obstetric care; training
for frontline health workers; clean water, sanitation, and hygiene; life-saving health commodities; and research and development of new lifesaving tools.

These accounts also support Gavi, the Vaccine Alliance, which provides new and underutilized vaccines to developing countries, global polio eradication and measles elimination efforts, and nutrition-specific programs for women and children, especially in
the 1,000 days between pregnancy and a child’s second birthday. These programs can make a tremendous impact on children’s ability to learn and later secure employment and provide for their families as adults. Without quality nutrition and early intervention
health services, a child’s physical and cognitive development is at risk of being stunted. Almost a quarter of the world’s children never reach their full learning, social, and economic potential because of this.

Therefore, funding for maternal and child health globally is among the most cost-effective, life-saving investments the U.S. can make to ensure children survive and thrive. We applaud your leadership and urge you to continue strong support for these programs.
It is vital to make robust investments while maintaining other critical humanitarian and development programs that support the well-being of women, newborns, and children to reach our shared goal of ending preventable child and maternal deaths globally. We
look forward to working with you to help the United States maintain its leadership in this global effort.



Dave Reichert              Betty McCollum

Michael McCaul          Barbara Lee

Dennis Ross                 Ami Bera

Dan Donovan

Related Legislative Issues

Selected legislative information:Appropriations, Foreign Affairs, HealthCare

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