On March 29, President Biden released his budget proposal for Fiscal Year (FY) 2023. The budget includes a request for $127.3 billion for the Department of Health and Human Services (HHS), a 15% increase from the enacted FY2022 level. Within HHS, the budget proposes $10.675 billion for the Centers for Disease Control and Prevention (CDC), an increase of $2.23 billion from FY2022. Of particular interest to NACCHO, the budget proposes $600 million for public health infrastructure and capacity (an increase of $400 million over FY2022) and $200 million for CDC’s Data Modernization Initiative (double the FY2022 level). The budget also proposes $638 million for the Public Health Emergency Preparedness Cooperative Agreements, less than the final FY2022 appropriation. CDC has indicated they did not intend to cut any programs and that proposals under FY2022 levels were the result of not having the final FY2022 appropriations when writing the budget. Read more about the President's budget proposal here.
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. In addition, NACCHO has joined in coalition with other stakeholder to advocate for a number of public health programs and priorities:
- All CDC programs
- Vector-Borne Disease Programs
- Agency for Toxic Substances and Disease Registry
- CDC's National Center for Environmental Health
- CDC's Climate and Health Program
- CDC's Office of Smoking and Health
- CDC's Data Modernization Initiative and Center for Forecasting and Outbreak Analytics
- Public health research into firearm morbidity and mortality
- A new community violence initiative
- Domestic HIV/AIDS programs
- CDC's REACH Program
- CDC's Social Determinants of Health Program
- Opposing efforts to weaken FDA authority over tobacco products
In response to ongoing public health emergencies, NACCHO has also called on Congress to provide emergency supplemental funding for public health activities to address COVID-19 and the monkeypox virus.
On September 30, Congress passed a short-term funding bill to extend federal funding until December 16, averting a partial government shutdown that would have occurred the next day absent additional action. Congress is expected to return to negotiating FY2023 appropriations after the mid-term elections in early November.
COVID-19 Funding Announcements
NACCHO government affairs has developed a spreadsheet for members to reference all grant funding opportunities available through COVID-19 relief packages. The sheet will be updated regularly.
COVID-19 Relief Laws
On March 10, 2021 the Congress passed the American Rescue Plan Act, a $1.9 trillion COVID-19 relief package. This package contains billions in funding for the public health response to the COVID-19 pandemic, as well as additional funds to stimulate the economy with direct payments to individuals and to strengthen the social safety net for additional child tax credits and other supports.
On December 28, 2020, President Trump signed another COVID-19 relief package as part of the FY21 omnibus legislation to fully fund the government through the end of the fiscal year. The $900 billion package did not include any new funding for state and local governments. Click here for a complete summary of key provisions in the law. The package includes strong funding for the governmental public health activities necessary to slow the spread of the virus, as advocated for by NACCHO, including over $22 billion for testing, contact tracing, and mitigation efforts, and nearly $9 billion for vaccine distribution and infrastructure.
On March 27, 2020, Congress passed and the President signed the Coronavirus Aid, Relief and Economic Security Act, a bill including $2 trillion for COVID-19 response and to fund economic relief measures. NACCHO sent out a press release applauding the bill.
On March 6, 2020, the President signed the Coronavirus Preparedness and Response Supplemental Appropriations Act (HR 6074), an emergency supplemental funding bill providing $8.3 billion to address COVID-19. NACCHO sent out a press release applauding the bill.
On June 7, President Biden released his budget proposal for FY 2022. The budget contains the largest proposed investment in the Centers for Disease Control and Prevention (CDC) in two decades, investing $9.7 billion for the agency— a $1.7 billion increase over FY2021, and all budget line items in CDC divisions received increased funding. NACCHO's press release with more details and analysis on the FY2022 President's budget proposal is here.
NACCHO provided written testimony to Congress outlining funding priorities for local health departments in FY2022. NACCHO also joined in coalition to advocate for several other public health priorities. After multiple continuing resolutions to keep the government funded past the beginning of FY2022, Congress passed an omnibus appropriations bill in March 2022. A summary of the FY2022 omnibus appropriations bill, including funding levels for NACCHO priorities is available here.
Chief, Government & Public Affairs
Director, Government Affairs