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Budget/Appropriations


FY2015 Senate Appropriations Bill

On July 24, the Senate Labor-Health and Human Services (HHS)-Education FY2015 appropriations bill and report were publicly released, six weeks after the bill was marked up in Subcommittee but then abruptly cancelled for full Committee markup on June 12. 

After the measure was reported out of subcommittee on June 10, consideration in full Committee was postponed and eventually derailed over Democratic leadership concerns regarding Republican plans to offer a series of provocative amendments. It is unlikely that the bill will move any further through regular order in the Senate. The unveiling of the Senate bill's funding details signals the end to the appropriations process for FY2015 for the Senate's spending package as a stand-alone bill.

The Senate bill does offer insight into the Chairman's priorities, and what Chairman Tom Harkin (D-IA) would like to fund in his last appropriations cycle before retiring at the end of this year. 

NACCHO has provided the following resources that give more information about what was included in the Senate bill:  

 
FY2015 President's Budget Proposal Summary for Public Health Programs

NACCHO has created a summary of the President's FY2015 Budget Proposal on how the President's budget effects public health programs and local health departments.

 
NACCHO's FY2015 Appropriations Priorities

HHS Program
($ in millions)
FY2013

 FY2014

FY2015
President's Budget
FY2015
Senate Bill (not passed)

NACCHO Request
Prevention and Public Health Fund (PPHF)
(numbers in italics are from PPHF)
949 928
1,000 927 1,000
Public Health Emergency Preparedness
Cooperative Agreements
613 645 617 644 675
Section 317 Immunization Program (PPHF) 552
(91)
612
(160)
561
(127)
612
(160)
650

 

Partnerships to Improve Community Health (Community Prevention Grants) - 80 80 90 100
CDC Food Safety 31

40

50

40 50
Epidemiology and Lab Capacity Grants (PPHF)
91
(40)
91
(40)
104
(40)
91
(40)
94
Preventive Health & Health Services Block Grant (PPHF)
75 160
(160)
0
(0)
160
(160)
160
Public Health Workforce (PPHF)
64
(15)
52 67
(15)
52 67
Hospital Preparedness Program
358 255 255 255 300
Medical Reserve Corps
11 11 9 9 11

 
Background Information
 
FY2014 Omnibus Bill

The final FY2014 Labor-Health and Human Services (HHS)-Education appropriations bill is funded at $156.8 billion. This figure is higher than the FY2013 post-sequester number of $149.6 billion, and closer to the Senate's FY2014 mark of $164.3 billion than the House's earlier $121.8 billion level. Public health programs fared well overall with many programs being restored to almost pre-sequester levels. However there are some programs that received deep cutsor were eliminated.  More details can be found below.

A noteworthy development is that the Prevention and Public Health Fund (PPHF) was appropriated through Congressional action for the first time since it was created as part of the Affordable Care Act (ACA).   

  • NACCHO Summary of FY2014 Omnibus bill
  • Chart showing historical tracking of funding for public health programs
  • Chart including Prevention and Public Health Fund allocation
  • Committee report language - directing agency actions on LHHS funding

 

 
NACCHO Fact Sheets