Congressional Negotiators Agree to a FY 2015 Appropriations Deal
On Thursday evening the House passed, by a vote of 219 to 206, an agreement on an omnibus fiscal year 2015 appropriations bill to fund most of the federal government until September 30, 2015. It took 57 Democratic votes to pass the agreement as 67 Republicans voted against the measure. The Senate is expected to begin consideration of the bill on Friday. Under the agreement, the Department of Homeland Security will be funded through a continuing resolution until February 27, while some legislators consider their options for responding to the President’s immigration executive orders.
Under the earlier Ryan-Murray budget agreement in December 2013, domestic discretionary funding in fiscal year 2015 was held close to the FY 2014 level, leaving no new resources for program expansion. Most of the key accounts important to ASPPH were essentially level funded.
Agency Funding Levels
The National Institutes of Health received an appropriation of $30.084 billion, an increase of $149.696 million or +0.5%. Program level funding at the Centers for Disease Control and Prevention was set at $6.926 billion, an increase of $21.443 million or +0.31%. The Agency for Healthcare Research and Quality received an appropriation of $371.0 million, a decrease of $7.3 million or -0.2%. However, AHRQ is directly funded in FY 2015, rather than through an assessment tap transfer. The agency also will receive an additional $106 million in FY2015 from the Patient-Centered Outcomes Research Trust Fund (PCORTF) transfer mandated by the Affordable Care Act, making AHRQ’s total program level $470 million, an increase of approximately $6 million over FY 2014.
ASPPH’s Program Priorities
In addition to the funding levels for the major research agencies, ASPPH’s advocacy agenda focuses on specific programs within CDC and HRSA. All of ASPPH’s priorities were funded in FY 2015. These programs are:
The HRSA Public Health Training Centers and Public Health appear to be level-funded, with the two budget lines combined under the heading Public Health Workforce Development, which is funded at $22 million, but has $10 million in set-asides – leaving $12 million for the PHTC and PHT programs.
The agreement provides a total of $5.3 billion in Ebola emergency spending, of which $2.742 billion goes to HHS agencies and $1.771 billion to the CDC. The funding will remain available until Sept. 30, 2019.
Within the CDC allocation for Ebola, the agreement categorized funding to the following broad categories:
Public Health Emergency Preparedness $155 Million
State and Local $255 Million
Worker Training $10 Million
Migration/Quarantine $114 Million
Other $37 Million
International Response and Preparedness $1.2 Billion
Other Items of Interest