Administration for Strategic Preparedness and Response (ASPR) 

The budget details would split current ASPR activities. The budget request would move the National Disaster Medical System, Preparedness and Response Innovation, and Health Care Readiness and Recovery from ASPR to the new Center for Preparedness and Response at CDC, providing $99 million in total for the 3 programs. This would be a significant decrease as the Health Care Readiness and Recovery program (currently known as the Hospital Preparedness Program) alone was funded at $305.055 million in FY24. The Medical Reserve Corps program would be eliminated. Other programs, including the Strategic National Stockpile and Biomedical Advanced Research and Development Authority, would be overseen by a new Assistant Secretary for a Healthy Future. It is unclear if the Assistant Secretary for Preparedness and Response role would be maintained under this proposed structure. We’ve created additional charts to reflect those funding levels should it be implemented for FY26.  

Administration for a Healthy America (AHA) 

HHS plans to combine multiple agencies—including HRSA, SAMHSA, OASH, NIEHS, and some programs from the CDC—into a new Administration for a Healthy America (AHA), which is allocated at $14 billion in discretionary funding. The Administration has indicated that more details on AHA are forthcoming, but the published documents indicate that the proposed budget would eliminate HRSA and SAMHSA moving some activities to AHA.  

AHA would administer many programs that currently support the work of local health departments that are currently in CDC, HRSA, or SAMHSA. These programs focus on primary care, maternal and child health, mental health, health workforce, environmental health, and HIV/AIDS.  Notably, the budget provides level funding at $2.5 billion for Ryan White HIV/AIDS programs currently at HRSA, while eliminating Part F of the program, and level funding at $220 million for the Ending the HIV Epidemic (EHE) Initiative activities previously at CDC. Additional details can be found in the AHA chart below, along with a list of programs proposed for elimination. We have noted above programs slated to move from CDC to AHA. 

Update: New Details on AHA Released 

The Administration published the FY26 Congressional Justification for the Administration for a Healthy America, providing us with more insight into the vision for the proposed agency. The FY 2026 President’s Budget request is $20.6 billion for the Administration for a Healthy America. The request includes $14.1 billion in discretionary funding, $6.4 billion from mandatory sources, $135.6 million in PHS Act Evaluation funding, and $35 million in user fees. Programs that were previously administered through the Office of the Assistant Secretary of Health (OASH), Health Resources and Services Administration (HRSA), Substance Abuse and Mental Health Services Administration (SAMHSA), the National Institute of Environmental Health Sciences (NIEHS), and several centers of the Centers for Disease Control and Prevention (CDC) would be encompassed in the new agency. 

The Office of Infectious Disease and HIV/AIDS Policy (OIDP)—formally at HHS—would also be housed in AHA. OIDP would support the implementation of interventions to improve prevention, diagnosis, and treatment for HIV/AIDS, sexually transmitted infections, viral hepatitis, nosocomial infections, and antibiotic-resistant organisms. OIDP is considered to be one of the primary care programs under AHA. As noted above, the budget provides level funding at $2.5 billion for Ryan White HIV/AIDS programs currently at HRSA, while eliminating Part F of the program, and level funding at $220 million for the Ending the HIV Epidemic (EHE) Initiative activities previously at CDC. This would be a significant reduction in overall HIV surveillance and prevention funding from FY24 as the budget would eliminate the remaining domestic HIV/AIDs funding at CDC. The budget notes that the Ryan White 2030 vision will expand “efforts beyond the areas funded by EHE to identify and engage individuals with HIV who are undiagnosed, or out-of-care.” HIV/AIDS is its own health resource category under the proposed structure. 

Related to substance use treatment, the budget notes that AHA will be responsible for regulating and certifying the nation’s opioid treatment programs and commits to continuing to provide technical assistance and support to states in FY26. The proposed budget would also provide a new formula-based Behavioral Health Innovation Block Grant (BHIBG), combining the Community Mental Health Services Block Grant (MHBG), the Substance Use Prevention, Treatment, and Recovery Services Block Grant (SUPTRS BG), and the State Opioid Response (SOR) grants into a single grant. According to the text, states will have the ability to fund various activities including activities to address mental illness, and substance use prevention, treatment, and recovery services. 

The budget consolidates many environmental health programs into AHA including the Safe Water program currently at CDC at level funding and the Childhood Lead Poisoning Prevention program, also at level funding. 

Programs noted as eliminated in the AHA CJ: 

Primary Care 

Environmental Health 

Health Workforce 

HIV/AIDS 

Maternal and Child Health 

Notes: The previously released skinny budget and the more recent documents have some discrepancies between program funding levels. The numbers below are reflective of the Congressional Justifications recently released. Where the documents stated that a program was eliminated, we noted it in the chart. Where funding was not explicitly eliminated but received no funding, we have marked as $0. Congress is expected to release FY26 Labor-HHS Appropriations bills later this summer. We will publish an analysis of those bills once they have been released. The AHA Congressional Justification does not list FY25 levels but does acknowledge some instances of level funding where whole programs are proposed to move to the new agency.