Funding Priorities

Take action to urge Congress to provide funding for public health infrastructure and workforce. Read letters NACCHO has sent advocating for COVID-19 funding for local health departments.

On March 10, 2021 the Congress passed a $1.9 trillion COVID-19 relief package. This package contains billions in funding for the public health response to the COVID-19 pandemic, as well as additional funds to stimulate the economy with direct payments to individuals and to strengthen the social safety net for additional child tax credits and other supports.

On December 28, 2020, President Trump signed another COVID-19 relief package as part of the FY21 omnibus legislation to fully fund the government through the end of the fiscal year. The $900 billion package did not include any new funding for state and local governments. Click here for a complete summary of key provisions in the law.

The package includes strong funding for the governmental public health activities necessary to slow the spread of the virus, as advocated for by NACCHO, including over $22 billion for testing, contact tracing, and mitigation efforts, and nearly $9 billion for vaccine distribution and infrastructure.

On May 15, 2020, CDC announced the agency will award $10.25 billion in funding to jurisdictions using funds from the Paycheck Protection Program and Health Care Enhancement Act, 2020. These funds will be directed to states, localities, and territories to develop, purchase, administer, process, and analyze COVID-19 tests, conduct surveillance, trace contacts and related activities.

On May 12, 2020, House leadership released the Heroes Act, the next piece of COVID-19 relief legislation. NACCHO has prepared a summary of relevant public health provisions in the bill. The House passed the bill on May 15.

On April 23, 2020, CDC announced that using funds from the Coronavirus Aid, Relief, and Economic Security (CARES) Act of 2020, the agency is awarding $631 million to 64 jurisdictions through the existing Epidemiology and Laboratory Capacity for Prevention and Control of Emerging Infectious Diseases cooperative agreement.

On March 27, 2020, Congress passed and the President signed the Coronavirus Aid, Relief and Economic Security Act, a bill including $2 trillion for #COVID-19 response and to fund economic relief measures. NACCHO sent out a press release applauding the bill.

On March 6, 2020, the President signed the Coronavirus Preparedness and Response Supplemental Appropriations Act (HR 6074), an emergency supplemental funding bill providing $8.3 billion to address COVID-19. NACCHO sent out a press release applauding the bill.

  • On March 11, 2020, CDC announced an allocation of $560 million immediately for the 62 cities, states and territories that receive funding from the public health emergency preparedness program in addition to Houston, Philadelphia and the Cherokee nation.
  • On April 6, 2020, HHS announced an additional allocation of $186 million for state and local jurisdictions. A funding chart showing allocations from CDC is here.

On February 24, 2020, NACCHO and other public health partners sent a request to the Administration and Congress highlighting the activities already being undertaken by health departments as they activate to address COVID-19 and their funding needs going forward. On February 25, these needs were highlighted in a White House meeting with the leaders of NACCHO and the Association of State and Territorial Health Officials.

On December 28, President Trump signed a bill to provide FY2021 funding for the Department of Health and Human Services for the remainder of the fiscal year.

The bill includes the following:
$8 billion in regular funding for CDC, about $125 million more than FY2020. An additional $9 billion in emergency supplemental funding would also be provided to the agency.

  • $700 million from regular appropriations for emergency preparedness (PHEP) grants, an increase of $25 million.
  • $50 million for public health data modernization at CDC and local and state health departments.
  • $64 million, an increase of $2 million, for the Racial and Ethnic Approaches to Community Health Program (REACH), a program that gives grants to local health departments and community organizations to address racial and ethnic health disparities.

On March 23, 2020, NACCHO submitted testimony on FY2021 appropriations to the House Labor, Health and Human Services,
Education Appropriations Subcommittee. On May 21, 2020, NACCHO submitted testimony on FY2021 appropriations to the Senate Labor, HHS Education Appropriations Subcommittee.

In February 2020, the Administration released its FY2021 budget proposal. NACCHO's press release on the FY2021 President's budget proposal is here.

Public Affairs

Eli Briggs

Senior Director, Government Affairs

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Public Affairs

Adriane Casalotti

Chief, Government & Public Affairs

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Public Affairs

Ian Goldstein

Government Affairs Senior Specialist

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