House subcommittee approves Labor and HHS spending bill for fiscal year 2023

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On June 23, the House Labor, Health and Human Services, Education, and Related Agencies (Labor-HHS) Appropriations Subcommittee approved by oral vote its spending bill for the fiscal year 2023. The bill proposes funding increases for the National Institutes of Health (NIH), health workforce programs and public health.

According to summary prepared by the committeethe bill would provide $124.2 billion to HHS, an increase of $15.6 billion (24%) over the enacted funding for fiscal year 2022 and $298 million below the request for president’s budget for fiscal year 2023 [refer to Washington Highlights, April 1].

In his opening statement, Committee of the Whole and Subcommittee Chair Rosa DeLauro (D-Conn.) described the bill’s investments in health care and public health infrastructure, students and higher education, as well as the behavioral health and public health workforce. She also highlighted the bill’s proposed investments in medical research. “As the NIH continues to be at the forefront of transformative medical research, this bill provides $47.5 billion to bolster its vital scientific breakthroughs in everything from the Cancer Moonshot Initiative to cancer research. Alzheimer’s disease and the universal flu vaccine. We are also providing the NIH with the necessary funding to continue addressing our most pressing health care crises, including maternal health and opioid abuse,” she said.

Ranking member Tom Cole (R-Okla.) thanked DeLauro for increasing investments in their “shared priorities,” including the NIH, public health infrastructure and pandemic preparedness. He also shared his appreciation for increases in “special education and programs like TRIO and GEAR UP, which help first-generation students complete college and change the trajectory of their lives.”

However, Cole and Committee of the Whole ranking member Kay Granger (R-Texas) said they would oppose the bill because of the significant increases in funding for the bill as a whole. “While these bills fund the priorities of MPs on both sides of the aisle, our economy cannot sustain such large increases in government funding. As I’ve said before, record spending equals record prices for the American people,” Granger said.

The full House Appropriations Committee will annotate the Labor and HHS spending bill for fiscal year 2023 on June 30. the accompanying report that the committee will probably publish before the full markup of the committee.

National Institutes of Health

The bill would provide a total of $47.5 billion for the NIH base budget for fiscal year 2023. The funding level represents a $2.5 billion (5.8%) increase from institutes and existing NIH centers against the President’s proposed increase of $275 million. The AAMC, as part of the nearly 400-member Ad Hoc Group for Medical Research coalition, urged lawmakers to provide $49.1 billion to the NIH in fiscal year 2023.

According to the summary, the bill calls for an increase of at least 3.2% for each of the NIH institutes and centers, with investments highlighted in research on a universal vaccine for influenza, HIV/AIDS, Alzheimer’s disease and related dementias, and INCLUDE research on Down syndrome. initiative, among other new and ongoing investments in initiatives such as Cancer Moonshot and health disparities research. The bill would also extend certain multi-year NIH grants if the project is halted due to COVID-19 and, as proposed in the president’s request, the bill would rename the National Institute on Alcohol Abuse and Alcoholism and the National Institute on Drug Abuse. .

Agency for Advanced Research Projects for Health (ARPA-H)

The bill would provide $2.75 billion for ARPA-H available through September 30, 2025, representing an increase of $1.75 (175%) over fiscal year 2022. This funding would be provided outside the NIH but within the HHS budget.

Gun Violence Prevention Research

The spending bill would double funding for firearm injury and mortality prevention research at the NIH from $12.5 million for fiscal year 2022 to $25 million and increase funding by 22 $.5 million to $35 million to the Centers for Disease Control and Prevention (CDC), as proposed by the President and supported by the AAMC.

Agency for Health Research and Quality (AHRQ)

The bill would provide $385 million to the AHRQ, which would represent an increase of $35 million (9.9%) over the comparable funding level in fiscal year 2022, but is lower than the $416 million dollars proposed by the president for the agency.

Centers for Disaster Control and Prevention

According to the summary, the bill would provide a total of $10.5 billion to the CDC, an increase of $2 billion (24%) from the level enacted for fiscal year 2022, including funding for the Fund. prevention and public health. The summary notes that half of the increase for the CDC is for “significant investments in our nation’s public health infrastructure.”

The bill’s summary highlights proposed investments in modernizing public health data surveillance and analytics at the CDC and in state and local health departments; in health equity, including financing to address the health effects of climate change; community and youth violence prevention; and the social determinants of health, including the Racial and Ethnic Approach to Community Health (REACH) program.

Health Resources and Services Administration (HRSA)

The bill provides $9.6 billion for the HRSA, an increase of $683 million from the level enacted for fiscal year 2022 and $792 million from the president’s budget request.

The bill would provide $156 million to the National Health Service Corps (NHSC), an increase of $45 million (37.5%) over the fiscal year 2022 appropriation. The NHSC is also separately receiving $292 million dollars in mandatory funding for fiscal year 2023. Additionally, the bill includes $60 million for the Primary Care Recruitment Program for Medical Student Education, an increase of $5 million (9.1% ) over fiscal year 2022. It also includes $12.7 million. for Rural Residence Planning and Development Grants, which represents an increase of $2.2 million (21%) over fiscal year 2022.

While additional details on all of HRSA’s workforce programs will not be available until the committee releases its accompanying report, the bill’s summary outlines investments in behavioral health, public health and nursing workforce and clinician well-being: $132 million to develop and train the behavioral health workforce; $25 million to establish the Public Health Loan Repayment Program; $324 million for the Nursing Workforce Development Program, an increase of $44 million from the FY2022 level; and $25 million for the Health Workforce Burnout Prevention Program.

Preparation

The summary indicates that the spending bill would provide $262 million (plus $30 million) for the Hospital Readiness Program Cooperative Agreements within the Office of the Assistant Secretary for Preparedness and Response, which is less than the $292 million total proposed by the President.

In addition, the summary highlights increased funding for other preparedness programs, including the CDC’s Public Health Emergency Preparedness Program, the Biomedical Advanced Research and Development Authority, the Strategic National Stockpile, and countermeasures efforts. pandemic influenza.

Department of Education

The bill includes $225 million for new research and development infrastructure grants to institutions serving underrepresented minorities for four years to promote transformational investments in research infrastructure.

Additionally, the bill includes new language allowing for deferred action for child arrivals. program beneficiaries and students with Temporary Protected Status to be eligible for Pell grants, as well as other categories of student financial assistance, including federal student loans, TRIO, and Gaining Early Awareness and Readiness for Undergraduate Programs.

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