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House FY 2019 L-HHS Appropriations Bill | June 27, 2018

Friday, June 29, 2018   (0 Comments)
Posted by: Andres Bachelet
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June 27, 2018

 

MEMORANDUM

 

TO:     Coalition for Clinical and Translational Science 

 

FR:     Dale Dirks and Dane Christiansen

 

RE:     House FY 2019 L-HHS Appropriations Bill

 

On Monday June 25th, the House Appropriations Committee released its draft Fiscal Year (FY) 2019 Labor-Health and Human Services-Education (L-HHS) Appropriations and accompanying committee report.

 

The draft House bill provides an increase of $1.25 billion for the National Institutes of Health (NIH), and provides categorical funding for many Centers for Disease Control & Prevention (CDC) chronic disease programs instead of consolidating funding into a block grant program (as requested by the administration’s FY 2019 budget proposal). The House draft also restores funding for most health professions training programs zeroed out in the budget proposal, yet does significantly cut some important programs.

 

It is possible that the draft bill is as far as the House will get this summer in advancing its version of the annual L-HHS spending bill. The combination of social policy (that is always a part of the L-HHS bill), de-funding of provisions of the Affordable Care Act, and election-year politics may cause the House effort to stall at this stage. Nonetheless, the draft bill will likely serve as the basis for the House position once the bill is taken up later this year.

 

In the meantime, the Senate Appropriations Committee is marking up its L-HHS bill this week. Its allocation for the measure is more generous than the House allocation, so the Senate funding levels will be better than the House. Some of the programs short-funded by the House will be restored by the Senate. We will continue to provide updates as the process moves forward.

 

The draft House FY 2019 L-HHS appropriations bill includes:

 

·         $89.2 billion for the Department of Health & Human Services (HHS), an increase of $1 billion above FY 2018.

 

o   $38.33 billion for NIH, an increase of $1.25 billion above FY 2018.

 

o   $7.64 billion for CDC, a decrease of $662.9 million from FY 2018, but after accounting for program transfers and one-time spending on items in FY 2018, the funding is a programmatic increase of $427 million. 

 

o   $6.54 billion for the Health Resources & Services Administration (HRSA), a decrease of $196.37 million below FY 2018.

 

o   $334 million for the Agency for Healthcare Research & Quality (AHRQ), level funded with FY 2018.

 

o   $5.61 billion for the Substance Abuse and Mental Health Services Administration (SAMHSA), an increase of $448 million above FY 2018 (the bill funds many opioid related programs).

 

o   $796.78 billion for the Centers for Medicare and Medicaid Services (CMS) in discretionary and mandatory funding, an increase of $49.22 million above FY 2018.

 

·         $70.91 billion for the Department of Education (Ed), an increase of $43.62 million above FY 2018.

 

Of specific interest to CCTS, the House FY 2019 L-HHS bill includes:

 

·         $38.33 billion for NIH, an increase of $1.25 billion above FY 2018.

 

o   $5.74 billion for the National Cancer Institute (NCI), an increase of $71.24 million over FY 2018.

 

§  IDeA Program cancer research language (please see below).

 

o   $2.82 billion for the National Institute of General Medical Sciences (NIGMS), an increase of $33.27 million above FY 2018.

§  365.56 million for the Institutional Development Awards (IDeA) Program, an increase of $15 million above FY 2018 (please see below).

 

o   $306.82 million for the National Institute on Minority Health and Health Disparities (NIMHD), an increase of $3.62 million over FY 2018.

 

o   $751.22 million for the National Center for Advancing Translational Sciences (NCATS), an increase of $8.87 million above FY 2018.

 

§  Not less than the FY 2018 funding level ($542.77 million) for the Clinical and Translational Science Awards (CTSA) program (please see below).

 

o   $1.9 billion for the Office of the Director, an increase of $99.54 million above FY 2018, including $595.14 million for the Common Fund, an increase of $7.02 million above FY 2018.

 

·         $334 million for AHRQ, level-funded with FY 2018.