Capitol bulding

Congress Passes Fiscal Year 2023 Omnibus Appropriations Bill

Dec 22, 2022 | Kerry Allen

This week, both the Senate and House of Representatives passed, and President Joe Biden is expected to soon sign, the Consolidated Appropriations Act of 2023, which provides funding for federal programs through the rest of Fiscal Year (FY) 2023. The omnibus bill comes after months of negotiation in Congress and two stop-gap funding measures needed to keep the government funded and operated at FY2022 levels through the first several months of FY2023.

Throughout the year, NACCHO worked with appropriators in Congress to advocate for strong funding for programs important to local public health, with a particular focus on cross-cutting resources to support public health infrastructure and data modernization, as prioritized in our 2022 Federal Legislative and Policy Agenda. NACCHO provided written testimony to both the House and Senate Appropriations Subcommittees on Labor, Health and Human Services, Education and Related Agencies outlining funding priorities for local health departments in FY2023, and the final funding for those programs is outlined below.


FY2022 funding

NACCHO request

FY2023 funding

Public Health Loan Repayment


$200 million


Public Health Infrastructure and Capacity

$200 million

$1 billion

$350 million

Public Health Emergency Preparedness Cooperative Agreement

$715 million

$1 billion

$735 million

CDC – agency wide

$8.5 billion

$11 billion

$9.2 billion

Data Modernization Initiative

$100 million

$250 million

$175 million

Medical Reserve Corps

$6.24 million

$12 million

$6.24 million

NACCHO also worked with Congress to include language to help ensure federal public health dollars make it to the local level equitably and efficiently. The final omnibus encourages the Centers for Disease Control and Prevention (CDC) to require states to fund local health departments when programmatically appropriate.

Additionally, NACCHO joined in coalition with other stakeholders to advocate for a wide range of public health programs and priorities. Those programs and their funding levels are outlined in the following table.


FY2022 Funding

NACCHO request

FY2023 Funding

Department of Health and Human Services




Teen Pregnancy Prevention Program




Title X




Minority HIV/AIDS Fund




Centers for Disease Control and Prevention (CDC)




National Center for Environmental Health Programs




Climate and Health Program




National Center for Emerging and Zoonotic Infectious Diseases




Division of Vector-Borne Diseases




Lyme Disease




Epidemiology and Laboratory Capacity (ELC) grants




National Center for HIV/AIDS, Viral Hepatitis, Sexually Transmitted Diseases, and Tuberculosis Prevention




Division of HIV/AIDS Prevention




Division of Adolescent and School Health




Division of Viral Hepatitis




Division of STI Prevention




Division of Tuberculosis Elimination




Infectious Diseases and Opioid Epidemic program




National Center for Immunization and Respiratory Diseases (NCIRD)




Section 317 Immunization Programs




National Center for Chronic Disease Prevention and Health Promotion




Racial and Ethnic Approaches to Community Health (REACH) Program




Good Health and Wellness in Indian Country




Office on Smoking and Health




Social Determinants of Health




National Center for Injury Prevention and Control




CDC Firearm Morbidity and Mortality Prevention Research




Community Violence Intervention Initiative




Agency for Toxic Substances and Disease Registry




Health Resources and Services Administration




HRSA Ryan White HIV/AIDS Program




Part A of the Ryan White HIV/AIDS Program




Substance Abuse and Mental Health Services Administration




SAMHSA’s Minority HIV/AIDS Initiative Program




National Institutes of Health




HIV/AIDS research




NIH Firearm Morbidity and Mortality Prevention Research




Department of Housing and Urban Development




Housing Opportunities for People with AIDS (HOPWA)




In response to ongoing public health emergencies, NACCHO also called on Congress to provide emergency supplemental funding for public health activities to address COVID-19 and the mpox virus. Unfortunately, Congress did not include any new funding for those responses in the omnibus bill.

In addition to annual funding, the Consolidated Appropriations Act of 2023 incorporated a multitude of policy changes. Most notable to NACCHO is a provision authorizing the Public Health Workforce Loan Repayment Program, a NACCHO priority over the past several years.

The omnibus bill also includes provisions from the PREVENT Pandemics Act, a pandemic preparedness bill introduced by Senators Patty Murray (D-WA) and Richard Burr (R-NC) and approved by the Senate Health, Education, Labor and Pensions Committee in March. The PREVENT Pandemics Act includes provisions to strengthen preparedness and response at the local, state, and federal level; accelerate research and countermeasure discovery; modernize the supply chain; and ensure adequate supply of medical products. The bill would also make the Director of the CDC subject to Senate confirmation beginning in 2025.

The omnibus bill sustains enhanced fruit and vegetable benefits under the Special Supplemental Nutrition Program for Women, Infants, and Children (WIC) through the end of the fiscal year, a policy NACCHO supported. However, the bill did not include a comprehensive Child Nutrition Reauthorization that NACCHO and other stakeholders had urged. The legislation also makes changes to authorities at the Food and Drug Administration, including steps intended to address the infant formula crisis and to provide for safe opioid disposal.

NACCHO recognizes that our members care about many federal programs, all of which may not be mentioned above. We’re here to serve as a resource, so if you have any questions about the final appropriations bill, including how much funding specific programs received, please feel free to contact Kerry Allen, Director of Government Affairs, at [email protected].

About Kerry Allen

Kerry Allen is NACCHO Director of Government Affairs

More posts by Kerry Allen

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