Last week, the White House released its Fiscal Year 2027 (FY27) President’s Budget Request and related documents, including a series of fact sheets highlighting the administration’s priority areas for the next fiscal year. While the President’s Budget is an important marker of funding priorities and new policy proposals from the administration, it is not binding. Ultimately, Congress is responsible for drafting the budget and appropriating funds to federal agencies, and they do not always align with the President’s priorities.
Overall, the budget requests $111.1 billion in discretionary funding for the Department of Health and Human Services (HHS), which would represent a cut of $15.8 billion from the FY26 enacted level or about a 13% reduction. The FY27 request includes many of the same health-related funding cuts, restructuring, and program eliminations as the FY26 request, which were largely rejected by Congress in its final FY26 funding law.
Additional details on specific funding lines are included in the charts below.
Centers for Disease Control and Prevention (CDC)
The budget would provide $5.486 billion in discretionary funding for CDC, which includes $5.280 billion in budget authority and $205 in Public Health Service Evaluation funds. This would represent a $3.62 billion, or about a 40% reduction, when compared to FY26 enacted funding levels. When factoring in the funds previously at the CDC that would be transferred to the proposed Administration for a Healthy America (AHA), the total funding reduction to existing CDC programs would be a more than 30% for FY27. The budget also does not allocate any funding from the Prevention and Public Health Fund, which the administration has tried to eliminate.
Similar to last year’s proposal, the budget request would transfer a number of CDC programs to AHA, and significantly cut or eliminate funding. This includes many programs currently in CDC’s chronic disease, HIV, and injury prevention areas. More details on AHA are below.
Key funding lines at CDC important to the work of local health departments include:
Public Health Infrastructure and Capacity, $260 million (-$100 million)
Public Health Emergency Preparedness Cooperative Agreements, $350 million (-$385 million)
317 Vaccine Program, $731.9 million (+$50 million)
Proposed realignments:
Creates the Consolidated Hepatitis, STD and Tuberculosis Prevention Grant, $300 million (-$70.3 million). This proposed block grant program would combine the following separate programs: Viral Hepatitis, Sexually Transmitted Infections (STIs), Domestic TB, and Infectious Diseases and the Opioid Epidemic.
Realignment and consolidation of the Ready Response Enterprise Data Integration and the Center for Forecasting and Outbreak Analytics activities, previously under the Public Health Preparedness and Response account, within the Public Health Data Modernization activity, and funds the overall effort at $280 million (+$65 million).
Creation of a new National Center for Chemicals and Toxins, which would be housed in the CDC and allocated $1 billion. This Center would combine the following federal programs currently at different agencies: Agency for Toxic Substances and Disease Registry (CDC), National Institute for Occupational Safety and Health (CDC), National Center for Environmental Health (CDC), the National Center for Toxicological Research (FDA), and National Institute for Environmental Health Sciences (NIH).
Administration for a Healthy America (AHA)
The FY27 request to establish AHA would consolidate chronic care and disease prevention programs across the Office of the Assistant Secretary for Health (OASH), Health Resources and Services Administration (HRSA), Substance Abuse and Mental Health Services Administration (SAMHSA), and several centers and programs at CDC. AHA would be funded at $14.7 billion in discretionary budget authority, $525.6 million in Public Health Service Evaluation funding, $115 million in user fees, and $2.2 billion in mandatory funding for a total of $17.5 billion. Some of the programs that would move from CDC to AHA would have significantly reduced funding or be eliminated.
Some key programs important to local health departments include:
Ryan White HIV/AIDS Program, $2.3 billion – eliminates Ryan White Part F
Ending the HIV Epidemic (EHE), $385 million – includes $165 million for Ryan White EHE and $220 million for EHE activities formerly carried out at CDC (no change)
Eliminates other HIV Prevention funding previously at CDC (-$755.6 million)
Maternal and Child Health Block Grant, $767.3 million (-$51.7 million)
Chronic Disease Prevention and Health Promotion programs formerly at CDC, $448 million (-$985 million)
Injury Prevention and Control programs formerly at CDC, $588 million (-$173 million)
A chart of all programs that would move to AHA and be eliminated is below. Notably, the FY26 budget request eliminated all funding for chronic disease programs; however, this year’s request would move chronic programs to AHA and retain a small amount of funding for chronic disease programs including Alzheimer’s disease and cancer prevention, while eliminating most other programs. Some key programs proposed for elimination that would impact local health departments include:
Adverse Childhood Experiences
Ryan White Part F (including AIDS Education and Training Centers and the Dental Reimbursement Program)
Community Mental Health Services Block Grant
Climate and Health
Diabetes
Drowning
Elderly Falls
Minority HIV/AIDS Fund
Million Hearts
REACH program
School Health
Substance Use Prevention, Treatment, and Recovery Services Block Grant
Substance Use Treatment Minority AIDS
State Opioid Response Grants
Title X Family Planning
Tobacco and Prevention Control
Youth Violence Prevention
Administration for Strategic Preparedness and Response (ASPR)
The budget proposes a total of $3.337 billion for ASPR, a decrease of approximately $356 million from FY26 enacted levels. Unlike the President’s FY26 budget request, the FY27 request does not propose consolidating ASPR with CDC and maintains the agency. However, it does propose the following funding levels:
Eliminates the Medical Reserve Corps, Hospital Preparedness Program, the Regional Disaster Health Response System, and other Health Care Readiness and Recovery programs.
The budget requests $938.1 million for the Strategic National Stockpile, a decrease of approximately $61.8 million from FY26 levels.
NACCHO will continue to provide updates as the FY27 federal funding process continues.
| FY27 President’s Budget Request | FY26 Enacted | +/- FY26 |
Centers for Disease Control and Prevention | $5.4 billion | $9.147 billion | -$3.7 billion |
Immunization and Respiratory Diseases | $963 million | $916.9 million | -$46.1 million |
Influenza Planning and Response | $231.358 million | $231.358 million | +/-$0 |
Domestic HIV Prevention and Research | Proposed shift to AHA at $220 million
| $1.013 billion | -$793.712 million |
New Block Grant: Viral Hepatitis, Sexually Transmitted Infections, and Tuberculosis | $300 million | N/A | +$300 million |
New Block Grant: Sexually Transmitted Infections and Tuberculosis Prevention | Encompassed in new consolidated grant program combining funded at a total $300 million | N/A |
|
Viral Hepatitis Prevention** | Encompassed in new consolidated grant program combining funded at a total $300 million | $46 million |
|
Sexually Transmitted Infections Prevention ** | Encompassed in new consolidated grant program combining funded at a total $300 million | $164.310 million |
|
Tuberculosis Prevention ** | Encompassed in new consolidated grant program combining funded at a total $300 million | $137.034 million |
|
Infectious Diseases and the Opioid Epidemic** | Realigns this funding stream into Consolidated Viral Hepatitis, Sexually Transmitted Infections (STIs) and Domestic TB funding line | $23 million |
|
Emerging and Zoonotic Infectious Diseases | $928 million | $729.272 million | +$94.492 million |
Emerging Infectious Diseases | $303.897 million to include SET-NET to Mothers and Babies, Parasitic Diseases and Malaria | $223.997 million | +27.9 million |
Food Safety | $107 million | $74 million | +$33 million |
Epidemiology and Laboratory Capacity Grants * | $40 million | $40 million | +/-$0 |
National Healthcare Safety Network | $24 million | $24 million | +/-$0 |
Advanced Molecular Detection (AMD) | $66 million | $43 million | +$23 million |
Chronic Disease Prevention and Health Promotion | $448 million | $1.43 billion | -$982 million |
Racial and Ethnic Approaches to Community Health | eliminated | $68.95 million | -$68.95 million |
Tobacco (Office of Smoking and Health) | eliminated | $246.5 million | - $246.5 million |
Tobacco * | eliminated | $200 million | - $200 million |
Million Hearts * | eliminated | $5 million | - $5 million |
Cancer Prevention and Control | Moved to AHA at $413 million for ten cancer prevention and control programs formerly at CDC | $401.04 million | +$11.96 million |
Safe Motherhood/Infant Health | eliminated | $113.5 million | - $113.5 million |
Diabetes Prevention Program | eliminated | $45 million | - $45 million |
Diabetes Prevention Program* | eliminated | $118.130 million | - $118.130 million |
School Health | eliminated | $19.4 million | - $19.4 million |
Birth Defects, Developmental Disabilities, Disabilities and Health | Moved to AHA at $154 million | $205.06 million | -$51.06 million |
Surveillance for Emerging Threats to Mothers and Babies (SET-NET) | Encompassed in Emerging Infectious Diseases: Surveillance for Emerging Threats to Mothers and Babies and Parasitic Diseases and Malaria | $23 million |
|
Climate and Health | eliminated | $10 million | -$10 million |
Environmental Health Activities | $35.6 million | $48.6 million | -$13 million |
Childhood Lead Poisoning Prevention | $51 million | $51 million | +/-$0 |
Asthma | eliminated | $33.5 million | - $33.5 million |
Environmental and Health Outcome Tracking Network | eliminated | $34 million | - $34 million |
Injury Prevention and Control | Moved to AHA at $588 million | $761.379 million | -$173.379 million |
National Violent Death Reporting System (NVDRS) | $24.5 million | $24.5 million | +/-$0 |
Other Injury Prevention Activities | eliminated | $29.950 million | - $29.950 million |
Opioid Abuse and Overdose Prevention and Surveillance | Proposed shift to AHA at $505.579 million | $505.579 million | +/-$0 |
Public Health Preparedness and Response | $489 million | $913.2 million | -$424.2 million |
Public Health Emergency Preparedness Cooperative Agreements | $350 million | $735 million | -$385 million |
Public Health Scientific Services | $499.6 million | $767.497 million | -$267.897 |
Public Health Workforce Development | $71 million | $71 million | +/-$0 |
Surveillance, Epidemiology, and Public Health Informatics | $327.6 million | $298.1 million | +$29.5 million |
Health Statistics | Moved to HHS Office of Strategy at $175 million | $187.397 million | -$12.397 |
CDC-Wide Activities and Program Support | $361.570 million | $396.570 million | -$35 million |
Public Health Leadership and Support | $101.570 million | $101.570 million | +/-$0 |
Preventive Health and Health Services Block Grant* | eliminated | $160 million | -$160 million |
Infectious Diseases Rapid Response Reserve Fund | $0 | $25 million | -$25 million |
Public Health Infrastructure and Capacity | $260 million | $360 million | -$100 million |
Vector-Borne Diseases (including Lyme and Tick-Borne Disease Programs) | $87.817 million | $91.6 million | -$3.783 million |
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| FY27 President’s Budget Request | FY26 Final Agreement | +/- FY26 |
Administration for Strategic Preparedness and Response | $3.3 billion | $3.692 billion | -$355 million |
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Medical Reserve Corps | eliminated | $6.24 million | -$6.24 million |
Hospital Preparedness Program | eliminated | $307.055 million | -$307.055 million |
Biomedical Advanced Research and Development Authority | $654 million | $1.015 billion | -$395.5 million |
Strategic National Stockpile | $938 million | $1 billion | -$61.8 million |
Project BioShield | $725 million | $850 million | -$125 million |
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| FY27 President’s Budget Request | FY26 Final Agreement | +/- FY26 |
Health Resources and Services Administration | Moved to AHA | $8.9 billion |
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Primary Healthcare Access: Community Health Center Fund | Moved to AHA @ $1.756 billion | $1.737 billion | +$19 million |
Public Health and Preventive Medicine | eliminated | $18 million | -$18 million |
Maternal and Child Health Block Grant | Moved to AHA at $767 million | $818.7 million | -$51.7 million |
Healthy Start | eliminated | $145.250 million | -$145.250 million |
Ryan White Part A | $2.5 billion for Ryan White HIV/AIDS Programs previously housed in HRSA
| $680.752 million |
|
Ryan White Part B | $2.5 billion for Ryan White HIV/AIDS Programs previously housed in HRSA
| $1.365 million |
|
Ending the HIV Epidemic Initiative | Moved to AHA at $165 million | $165 million | +/-$0 |
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*Supported through the Prevention and Public Health Fund, which is eliminated under the President’s Budget Request (PBR). Under the PBR, some of these proposed funding levels, including Epidemiology and Lab Capacity and Immunization and Respiratory Diseases, would now be covered under traditional budget authority in the PBR.
** The FY 2026 PBR proposes to realign the following lines into the new proposed line, Consolidated Hepatitis, STD and Tuberculosis Prevention Grant: Consolidated Viral Hepatitis, STD and Tuberculosis Prevention Grant, Viral Hepatitis, Sexually Transmitted Infections (STIs), Domestic TB, and Infectious Diseases and the Opioid Epidemic.
Programs Proposed for Elimination | FY26 Enacted |
Primary Care |
|
Rural Hospital Flexibility Grants | $70.277 million |
State Offices of Rural Health | $13.500 million |
Rural Hospital Stabilization Pilot Program | $14.000 million |
Rural Hospital Provider Assistance Program | $25.000 million |
Tobacco and Prevention Control, Program Level | $246.500 million
|
Nutrition, Physical Activity, and Obesity | $54.320 million |
School Health | $19.400 million |
Vision and Eye Health | $4.500 million |
Inflammatory Bowel Diseases | $3.000 million |
Interstitial Cystitis | $2.100 million |
Excessive Alcohol Use | $3.000 million |
Chronic Kidney Disease | $4.500 million |
Chronic Disease Education and Awareness | $4.500 million |
Prevention Research Centers | $28.961 million |
Heart Disease and Stroke, PL; | $156.105 million |
Diabetes, PL | $163.130 million |
National Diabetes Prevention Program | $37.300 million |
Oral Health | $21.250 million |
Safe Motherhood/Infant Health | $113.500 million |
Arthritis | $2.000 million |
Epilepsy | $11.500 million |
National Lupus Patient Registry | $14.000 million |
Racial and Ethnic Approaches to Community Health | $68.950 million |
Million Hearts | $5.000 million |
National Early Child Care Collaboratives | $5.000 million |
Hospitals Promoting Breastfeeding | $9.750 million |
Adverse Childhood Experiences | $9.000 million |
Firearm Injury and Mortality Prevention Research | $12.500 million |
Drowning | $2.000 million |
Elderly Falls | $3.050 million |
Other Injury Prevention Activities | $29.950 million |
Injury Control Research Centers | $11.000 million |
HIV/AIDS |
|
AIDS Education and Training Centers – Part F | $34.886 million |
Dental Reimbursement Program Part F | $13.620 million |
Special Projects of National Significance | $25.000 million |
Minority HIV/AIDS Fund | $56.00 million |
Maternal and Child Health |
|
Early Hearing Detection and Intervention | $18.818 million |
Emergency Medical Services for Children | $24.334 million |
Healthy Start | $145.250 million |
Family Planning | $286.479 million |
Teen Pregnancy Prevention | $107.800 million |
Office of Adolescent Health | $433 thousand |
Public Health Reports | $470 thousand |
Mental and Behavioral Health |
|
Seclusion and Restraint | $1.147 million |
Mental Health Awareness Training | $27.963 million |
Healthy Transitions | $18.451 million |
Infant and Early Childhood Mental Health | $15.000 million |
Children and Family Programs | $7.729 million |
Consumer and Family Network Grants | $3.954 million |
Mental Health System Transformation | $3.779 million |
Project LAUNCH | $19.605 million |
Primary and Behavioral Health Care Integration | $55.877 million |
Primary and Behavioral Health Care Integration TTA | $3.991 million |
Mental Health Crisis Response Partnership Pilot Program | $20.000 million |
Homelessness Prevention Programs | $28.096 million |
Criminal and Juvenile Justice Program | $11.269 million |
Assertive Community Treatment for Individuals with SMI | $6.000 million |
Homelessness Prevention Programs TTA | $2.296 million |
Mental and Behavioral Health Minority AIDS | $9.224 million |
Mental Health Minority Fellowship Program | $11.059 million |
Tribal Behavioral Health Grants | $26.250 million |
Interagency Taskforce on Trauma Informed Care | $2.000 million |
Eating Disorder Identification, Treatment, and Recovery | $2.000 million |
Community Mental Health Services Block Grant | $991.532 million |
Substance Use Treatment Minority AIDS | $66.881 million |
SAT Minority Fellowship Program | $7.136 million |
Substance Use Prevention, Treatment, and Recovery Services Block Grant | $1,933.879 billion |
State Opioid Response Grants | $1,595.000 billion |
Strategic Prevention Framework | $137.484 million |
Substance Use Prevention Minority AIDS | $43.205 million |
Sober Truth on Preventing Underage Drinking | $14.500 million |
Minority Fellowship Program | $1.321 million |
Tribal Behavioral Health Grants | $25.665 million |
Health Workforce |
|
Loan Repayment/Faculty Fellowships | $2.310 million |
Scholarships for Disadvantaged Students | $55.014 million |
Health Careers Opportunity Program | $15.000 million |
Primary Care Training and Enhancement | $49.924 million |
Oral Health Training Programs | $43.673 million |
Medical Student Education | $65.000 million |
Area Health Education Centers | $47.000 million |
Geriatric Programs | $48.245 million |
Mental and Behavioral Health | $44.053 million |
Public Health/Prevention Medicine | $18.000 million |
Advanced Nursing Education | $96.581 million |
Nursing Workforce Diversity | $22.343 million |
Nurse Education, Practice, and Retention | $65.413 million |
Nurse Faculty Loan Repayment | $28.500 million |
Policy, Research and Oversight |
|
Drug Abuse Warning Network | $10.000 million |
Behavioral Health Workforce Data and Development | $1.000 million |
Kidney X | $5.000 million |
Sexual Risk Avoidance | $35.000 million |