Essential Financial Tools
Biological Disaster Response Funding
Joseph I. Lieberman, Chair
Thomas J. Ridge, Chair
Donna E. Shalala
Thomas A. Daschle
James C. Greenwood
Kenneth L. Wainstein
Yonah Alexander, PhD
William B. Karesh, DVM
Rachel Levinson, MA
I. Lewis Libby, JD
Gerald W. Parker, DVM, PhD
George Poste, DVM, PhD, DSc
Tevi Troy, PhD
Asha M. George, DrPH, Executive Director
Ellen P. Carlin, DVM, Senior Advisor
Robert H. Bradley, Policy Associate
Patty Prasada-Rao, MPH, Panel Coordinator
Patricia de la Sota, Event Coordinator
The Commission thanks Hudson Institute for serving as our fiscal sponsor and hosting the Commission’s public meeting on this topic, Budget Reform for Biodefense: Leadership and Coordination. We thank Michelle Mrdeza of MXM Consulting for her advice, expertise, and perspective. We thank Dr. Kavita M. Berger of Gryphon Scientific, David Haun of Grant Thornton, Dr. Monique K. Mansoura and Leslie Platt of The MITRE Corporation, Ben Nicholson, Jeff Schlegelmilch of the National Center for Disaster Preparedness at Columbia University’s Earth Institute, and other anonymous individuals for their insights and comments. We also very much appreciate our Ex Officio members who provided guidance as we developed this report. Finally, the Commission gratefully acknowledges the financial support provided by its donors.
Biological threats to America and its interests overseas are increasing. Intentionally introduced, accidentally released, and naturally occurring diseases continue to pose a risk to the nation. While we have managed to contain many of these diseases and prevent major losses of life, it is only a short matter of time before a large-scale event exceeds the ability of our country and the world to prevent biological catastrophe.
Myriad federal departments and agencies are responsible for defending against these threats. Referring to their activities as a federal biodefense enterprise suggests a coordinated interagency endeavor unified in achieving common goals, but this is not the reality that exists currently. America is more vulnerable today than it should be to a biological crisis of any scale.
The ultimate success of the recently mandated National Biodefense Strategy depends on the prioritization of the activities it directs and the attachment of funding to those activities. At present, departments and agencies request funding individually, rather than collectively and for mutual benefit. They each negotiate their annual budget requests with the Office of Management and Budget (OMB), which then submits the President’s Budget Request to Congress on a department and agency basis. OMB does not provide an analysis of biodefense spending across the government as part of this submission. Subsequently, multiple congressional subcommittees make funding decisions only for programs within their purview, but without considering overall biodefense spending or mission goals.
Such an integrated budget for biodefense would overcome the opaque, non-strategic spending approach characteristic of the status quo. An integrated budget (and the process needed to develop it) would facilitate coordination and reveal areas that would benefit from interagency funding initiatives and complementary investments. Performance evaluations and evidence-building metrics that accompany the budget would expose areas of effectiveness and ineffectiveness. This information would then support decision makers in making sound fiscal investments, closing capability gaps, and eliminating duplication of effort and resources – all of which would strengthen our national biodefense.
The White House should predicate its vision for long-term investment in biodefense on the National Biodefense Strategy. The Vice President of the United States should provide the leadership needed to facilitate this effort. OMB should develop an integrated biodefense request as part of the President’s Budget Request that includes: (1) a biodefense budget crosscut; (2) performance outcomes for biodefense projects, programs, and activities (PPAs); (3) an analysis of how PPAs contribute to the goals and objectives of the National Biodefense Strategy; and (4) a five-year budget plan.
Congressional leadership should convene a bicameral, bipartisan Biodefense Working Group (BWG) to determine the structures and processes for streamlined and comprehensive biodefense oversight. The BWG should make recommendations to reform congressional authorizations, budget resolutions, and appropriations with regard to all elements of the biodefense enterprise – prevention, deterrence, preparedness, detection, response, attribution, recovery, and mitigation. To stay ahead of the ever-increasing biological threat, Congress should also mandate the establishment of a Future Years Biodefense Budget Program, requiring estimated expenditures and proposed appropriations for at least the current and four succeeding fiscal years.
A cohesive, integrated federal budget request for biodefense would help ensure that decision makers in the Executive and Legislative Branches comprehensively understand existing investments and priorities. Informed by the National Biodefense Strategy, Congress and the White House should take up the following recommendations to strengthen America’s biodefense and use taxpayer dollars wisely.
Development of an integrated biodefense budget begins at the White House with:
Execution of an integrated biodefense budgeting process continues with:
Culmination of an integrated biodefense budgeting process occurs in Congress with:
Copyright © 2018 by the Bipartisan Commission on Biodefense. All rights reserved.
Cover image courtesy of Shutterstock.com.
Bipartisan Commission on Biodefense. Budget Reform for Biodefense: Integrated Budget Needed to Increase Return on Investment. Bipartisan Commission on Biodefense: Washington, DC. February 2018.