Fiscal Year 2016 Budget Process Begins
President Obama on February 2 released his $4.066 trillion fiscal year 2016 budget proposal. The proposal calls for ending sequestration and would exceed the fiscal 2016 spending caps in current law by almost $71 billion. The request would yield a deficit of $474 billion. The proposal would increase domestic discretionary spending by about 7 percent and increase research and development spending by 5.5 percent.
NIH: President Obama is proposing a $31.311 billion program level budget for the National Institutes of Health (NIH) in fiscal year 2016. That represents a $1 billion (or +3.3%) increase over the FY 2015 level. NIH highlights:
- The proposed NIH increase will allow for an additional 1,227 new research project grants and a success rate of 19.3 percent (an increase from the projected FY 2015 success rate of 17.2 percent). The projected average cost of competing awards would be $460,696.
- President Obama is calling for a 25 percent increase in the budget of the NIH Office of Disease Prevention, to $9.9 million. The funding increase is intended to fund activities guided by the Office’s Strategic Plan.
- Targeted funding increases include: the Precision Medicine Initiative (+$200M), antimicrobial resistance (+$100M), the BRAIN initiative (+$70M), and Alzheimer’s disease (+50M).
- NIH said that the estimated Biomedical Research and Development Price Index (BRDPI) in FY 2016 is 2.4 percent, up from the 2.2 percent level in FY 2015. The BRDPI exceeds the CPI by 0.8 percent in both FY 2015 and 2016.
CDC: The Administration is proposing a program level budget of $ 7.010 billion, an increase of $141 million or +2.05 percent for the Centers for Disease Control and Prevention. $914.2 million of the budget would come from the Prevention and Public Health Fund (PPHF). CDC highlights include:
- Targeted funding increases include: antibiotic resistance (+$264M), drug overdose prevention (+$54M), and stopping viral hepatitis transmission and disease (+$31M).
- The proposed budget would increase spending for public health workforce capacity by $15.2 million, allowing CDC to support an addition 80 fellows (for a total of 667 fellows).
- The President would level fund the Prevention Research Centers at $25 million, down slightly from the $25.461 million appropriated in FY 2015. In its submission to Congress, the CDC noted, “In 2013, for every $1 invested in PRCs, the PRCs generated an average of $7.99 in additional research funds.” Notably, the PRCs are proposed to be funded entirely by the PPHF, not via budget authority.
- The President would not fund the NIOSH Education and Research Centers (-$27.445M) and the Agricultural Forestry and Fishing Centers (-$24M) programs. Concerning the Education and Research Centers, CDC told Congress, “Although the budget does not include funding for the federal portion of these grants, CDC will continue to provide scientific and programmatic expertise to the ERCs as requested.”
- The proposed budget also would not fund the Centers for Public Health Preparedness (-$8.0M). CDC told Congress, “The FY 2016 budget request reflects the elimination of the Academic Centers for Public Health Preparedness. CDC will continue to support research and training for public health preparedness through the public health preparedness and response research agenda. Eliminating funding for these centers allows CDC to prioritize funding for state and local health departments through the Public Health Emergency Preparedness (PHEP) cooperative agreement.”
HRSA: The Administration is proposing a program level budget of $10.375 billion in FY 2016 for the Health Resources and Services Administration, an increase of $45 million (or +0.4%). HRSA highlights:
- The Administration is proposing not to fund Public Health Traineeships (-$2.5M). On January 30, HRSA announced that it was ending the program and ordered all existing awardees to close out their awards.
- The Administration is proposing to level fund the Public Health Training Centers at $9.864 million.
- Under the proposal, the Preventive Medicine Residency Program would also be level funded at $7.136 million.
AHRQ: The Administration is proposing a program level budget of $479.3 million for the Agency for Healthcare Research and Qualify in FY 2016, a $14.3 million increase (+3.1%). The U.S. Preventive Services Task Force would be funded at $11.6 million (+ $0.1M).
ASPPH Priorities (192 KB)