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.

Program

FY2022 funding

NACCHO request

FY2023 funding

Public Health Loan Repayment

N/A

$200 million

N/A

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.

Program

FY2022 Funding

NACCHO request

FY2023 Funding

Department of Health and Human Services

$108.3B

N/A

$120.7B

Teen Pregnancy Prevention Program

$101M

$150M

$101M

Title X

$286M

$512M

$286M

Minority HIV/AIDS Fund

$56.9M

$60M

$60M

Centers for Disease Control and Prevention (CDC)

$8.5B

$11B

$9.2B

National Center for Environmental Health Programs

$228M

$402M

$247M

Climate and Health Program

$10M

$110M

$10M

National Center for Emerging and Zoonotic Infectious Diseases

$693M

N/A

$7512M

Division of Vector-Borne Diseases

$54M

$58.6M

$62.6M

Lyme Disease

$20.5M

$16.5M

$26M

Epidemiology and Laboratory Capacity (ELC) grants

$40M

$50M

$40M

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

$1.35B

N/A

$1.39B

Division of HIV/AIDS Prevention

$755M

$823M

$755M

Division of Adolescent and School Health

$36.1M

$100M

$38.1M

Division of Viral Hepatitis

$41M

$140M

$43M

Division of STI Prevention

$164M

$329M

$174M

Division of Tuberculosis Elimination

$135M

$225M

$137M

Infectious Diseases and Opioid Epidemic program

$18M

$150M

$23M

National Center for Immunization and Respiratory Diseases (NCIRD)

$868M

N/A

$919M

Section 317 Immunization Programs

$651M

$860M

$682M

National Center for Chronic Disease Prevention and Health Promotion

$1.34B

N/A

$1.43B

Racial and Ethnic Approaches to Community Health (REACH) Program

$66M

$75.5M

$69M

Good Health and Wellness in Indian Country

$22.5M

$27M

$24M

Office on Smoking and Health

$128M

$310M

$126M

Social Determinants of Health

$8M

$153M

$8M

National Center for Injury Prevention and Control

$714M

N/A

$7619M

CDC Firearm Morbidity and Mortality Prevention Research

$12.5M

$35M

$12.5M

Community Violence Intervention Initiative

$0

$250M

$0

Agency for Toxic Substances and Disease Registry

$80.50

$100M

$85M

Health Resources and Services Administration

$8.85B

N/A

$9.7B

HRSA Ryan White HIV/AIDS Program

$2.50B

$2.94B

$2.6B

Part A of the Ryan White HIV/AIDS Program

$671M

$751.1M

$681M

Substance Abuse and Mental Health Services Administration

$6.5B

N/A

$7.5B

SAMHSA’s Minority HIV/AIDS Initiative Program

$119M

$160M

$119M

National Institutes of Health

$45B

N/A

$47.5B

HIV/AIDS research

$3.2B

$3.9B

$3.3B

NIH Firearm Morbidity and Mortality Prevention Research

$12.5M

$25M

$12.5M

Department of Housing and Urban Development

$56.5B

N/A

$58.2B

Housing Opportunities for People with AIDS (HOPWA)

$450M

$600M

$499M

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

Related Posts

Us capitol building

Budget Reconciliation: How It Could Impact Medicaid &...

See updates on the FY25 federal budget.

Mar 14, 2025 | Victoria Van de Vate

Budget Reconciliation: How It Could Impact Medicaid &...

Sen Patty Murray Russell 1
  • Policy

NACCHO’s 2025 Hill Day Builds Important Connections...

On February 26, local health officials from across the country joined NACCHO...

Mar 07, 2025 | Molly Curington

NACCHO’s 2025 Hill Day Builds Important Connections...

Senate Conducts Confirmation Hearings for HHS Secretary...

This week, Secretary of Health and Human Services (HHS) nominee, Robert F....

Jan 31, 2025

Senate Conducts Confirmation Hearings for HHS Secretary...

Screenshot 2025 01 31 160547
  • Tools & Resources

Level Up Your Advocacy: How to Be a Public Health...

With a new Presidential Administration in office and the 119th Congress in full...

Jan 31, 2025 | Molly Curington

Level Up Your Advocacy: How to Be a Public Health...

I Stock 1405816313 1

Public Health is Local: NACCHO’s Recommendations for the...

The incoming Presidential Administration and 119th Congress have a unique...

Oct 22, 2024 | Victoria Van de Vate

Public Health is Local: NACCHO’s Recommendations for the...

Doctor Prescription Medication Health

House Ways and Means Health Subcommittee Hearing on...

The House Ways & Means Health Subcommittee held a hearing to examine chronic...

Sep 27, 2024 | Lauren Soule, Anastaseya Kulikova

House Ways and Means Health Subcommittee Hearing on...

United States Supreme Court

Chevron Overturned: What the Supreme Court Action Means...

The most recent U.S. Supreme Court term was filled with notable decisions on...

Aug 23, 2024 | Molly Curington

Chevron Overturned: What the Supreme Court Action Means...

Capitol Close Up Dome

Senate Appropriations Committee Passes FY25 Labor-HHS...

The Senate Appropriations Committee passed the FY25 Labor-HHS Appropriations...

Aug 09, 2024 | Victoria Van de Vate, Lauren Soule

Senate Appropriations Committee Passes FY25 Labor-HHS...

US Washington Capitol

Energy & Commerce Hearing with CDC Officials

This week the House Energy and Commerce Subcommittee on Health held a hearing...

Jul 26, 2024 | Victoria Van de Vate

Energy & Commerce Hearing with CDC Officials

Back to Top