Funding Priorities

On March 11, President Trump released the FY2020 Budget Request, which totals $4.7 trillion. NACCHO's analysis of the President's FY2020 Budget Request can be found here.

NACCHO has also submitted testimony to the House Labor, Health and Human Services, Education Appropriations Subcommittee.

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.

Program FY2018 Final FY2019 Final FY2020 President's Budget NACCHO Request
Prevention and Public Health Fund 801 844 894 1,000
Public Health Emergency Preparedness Cooperative Agreement 670 675 675 824
Hospital Preparedness Program 265 265 258 474
Medical Reserve Corps 6 6 4 11
Section 317 Immunization Program 611 (324) 611 (324) 533 (153) 711
Core Infectious Disease 392 168* 425 168* 372 137* 428 200*
Epidemiology and Lab Capacity Grants 195 (40) 195 (40) 200 200
Heart Disease and Stroke Prevention 140 (53) 140 (57) ^ 130
Diabetes Prevention 148 (52) 148 (52) ^ 140
Prescription Drug Overdose 476 476 476 500
Preventive Health & Health Services Block Grant 160 (160) 160 (160) 0 170
Childhood Lead Poisoning Prevention 35 (17) 35 (17) 17 35
Public Health Workforce 51 51 45 57
() Dollar amount from Prevention and Public Health Fund (PPHF)
*Amount for antibiotic resistance
^Could be funded by America's Health Block Grant