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President's FY2019 Budget Release

Tuesday, February 20, 2018  
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President's FY2019 Budget Release

NACCHO released a statement this week responding to the President's FY2019 budget request. NACCHO Interim Executive Director & Chief of Government Affairs Laura Hanen said in the statement: "The budget makes deep cuts that will negatively impact CDC and state and local health department's ability to do their job – which is to keep our communities healthy and safe." NACCHO has completed an analysis of how public health programs fared in the budget proposal. Also, in this week's episode of Podcast from Washington, NACCHO Government Affairs staff discuss the President's budget request and the Bipartisan Budget Act of 2018.


If the FY2019 President's budget proposal were to be enacted as written, the Centers for Disease Control and Prevention (CDC) would see a $1.4 billion cut (20%), and the Health Resources and Services Administration (HRSA) a $403 million cut.


The Prevention and Public Health Fund (PPHF) was proposed for elimination ($805 million). Most programs currently funded by PPHF received a cut. The budget proposes transferring the Strategic National Stockpile to the Assistant Secretary for Preparedness and Response. In addition, the budget proposes a $563 million cut to the Special Supplemental Nutrition Program for Women, Infants and Children (WIC).


The budget does propose a fairly robust response to the opioid misuse epidemic, including $10 billion in new resources across the Department of Health and Human Services (HHS). In FY2019, an initial allocation provides $1.2 billion to the Substance Abuse and Mental Health Services Administration (SAMHSA) for a variety of new and expanded efforts to fight the opioid crisis. State Targeted Response Grants would receive $1 billion, an increase of $503 million above the FY2018 Continuing Resolution amount for these activities. Additional funds will help states provide services to reduce injection drug use and related HIV/AIDS and Hepatitis C infection rates, allow communities to purchase the overdose-reversing drug naloxone for first responders, and expand the use of drug courts, as well as services to pregnant and postpartum women.


NACCHO will continue to advocate for funding for public health programs that protect the public's health and keep people safe. Congress will now take up this budget and write its own bills to fund the government in FY2019, which starts October 1, 2018.


Please note: the FY2018 numbers are based on the continuing resolution that goes through March 23. Congress is in the process of finishing final bills to fund FY2018 and those numbers are subject to change.

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