The House Appropriations Committee voted to advance a bill to provide FY2020 funding for the Departments of Labor, Health and Human Services (LHHS) and Education. The bill will now be scheduled for a vote by the full House. NACCHO's analysis of the FY2020 Appropriations bill can be found here.
The FY2020 President’s budget includes extreme cuts to public health programs and priorities. If the budget were to be enacted as written, the Centers for Disease Control and Prevention (CDC) would see a $763 million cut (12%), and the Health Resources and Services Administration (HRSA) would be cut by $981 million (8%). The President’s Budget is an important exercise to show the Administration’s priorities, but Congress has the final say in funding levels for federal programs and they have rejected similar funding cut proposals in the past.
Congress will now take up this budget and write its own bills to fund the government in FY2020, which starts October 1, 2019. Before laying out their funding bills for FY20, Congress must first address severely restrictive budget caps that are set to go into effect this year as a result of the Budget Control Act of 2011, also known as sequestration. Without a deal to raise the caps—something that has occurred every year since the law was passed—there will be a $55 billion reduction in the total funding available for non-defense discretionary programs, which represents an over 10% cuts in all non-defense discretionary programs, when adjusting for inflation.
Take action to urge Congress to increase the budget caps.
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Issue Areas: (in alphabetical order)
- Chronic Disease
- Emergency Preparedness
- Environmental Health
- Immunization Program
- Local Health Department Infrastructure & Workforce
- Opioid and Prescription Drug Overdose
- Prevention and Public Health Fund
|Program||FY2019 Final||FY2020 President's Budget||FY2020 House||FY2020 Senate||NACCHO Request|
|Prevention and Public Health Fund||844||894||894||894||1,000|
|Public Health Emergency Preparedness Cooperative Agreement||675||675||700||675||824|
|Hospital Preparedness Program||265||258||316||276||474|
|Medical Reserve Corps||6||4||6||6||11|
|Section 317 Immunization Program||611 (324)||533 (153)||650 (348)||611 (370)||711|
|Core Infectious Disease||425 168*||372 137*||439 173*||421 169*||428 200*|
|Epidemiology and Lab Capacity Grants||195 (40)||200||200 (40)||209 (40)||200|
|Heart Disease and Stroke Prevention||140 (57)||^||160 (57)||140 (57)||130|
|Diabetes Prevention||148 (52)||^||168||148 (52)||140|
|Opioid Overdose Prevention and Surveillance||476||476||476||476||500|
|Preventive Health & Health Services Block Grant||160 (160)||0||160||160 (160)||170|
|Childhood Lead Poisoning Prevention||35 (17)||17||40 (17)||35 (17)||35|
|Public Health Workforce||51||45||56||51||57|
|() Dollar amount from Prevention and Public Health Fund (PPHF)|
|*Amount for antibiotic resistance|
|^Could be funded by America's Health Block Grant|