The Clinic just submitted a new grant proposal to USAID that is mostly centered around HIV/AIDS prevention activities. For this proposal, a group of NGO's banded together to submit one plan from the coalition (this is a first for these groups - we will see how it goes). USAID had difficulties estimating how much was available in its 2013 budget because of the uncertainties in the US national budget process. USAID had not accepted any proposals here since the beginning of the year. The US foreign aid budget, though a small part of the total US government budget, is always flexible and changing. This has consequences for programs that the Clinic and other NGO's could offer.