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President Trump Releases FY2020 Budget Request

Saturday, March 16, 2019  
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President Trump Releases FY2020 Budget Request 
*From NACCHO's News From Washington

The President's FY2020 budget request was released on Monday. Overall the budget request cuts nearly $30 billion from non-defense discretionary programs.  

The budget requests a 12% reduction to discretionary health programs, including a $750 million cut to the Centers for Disease Control and Prevention's (CDC) program budget, a $5.4 billion cut to the National Institutes of Health (NIH), a $1 billion cut to the Health Resources and Services Administration (HRSA), a $200 million cut to the Agency for Healthcare Research and Quality (AHRQ) (the equivalent of 44%), and a $62 million cut to the Substance Abuse and Mental Health Services Administration (SAMHSA). The budget would also cut the Environmental Protection Agency budget by 31% and the Office of National Drug Control Policy by more than 95% by moving the office's two major grant programs into other federal agencies.  

The budget would also slash food stamps and farm programs, including those that were endorsed by lawmakers in the 2018 farm bill. The budget calls for a $220 billion cut to the Supplemental Nutrition Assistance Program (SNAP) over the next 10 years by implementing work requirements for able-bodied, adult SNAP recipients without dependents—a provision rejected by Congress during the last Farm Bill reauthorization.  

The proposal does request some new funding for certain administrative activities. For example, it includes a $643 million increase for the Food and Drug Administration (FDA), including a proposal for new user fees to help evaluate e-cigarettes. The FDA's total budget would rise to $6.1 billion. 

In addition, the budget asks for $291 million in additional spending for the Administration's domestic HIV initiative. At the same time, it calls for cuts to global HIV investments, including a $1 billion cut to the President's Emergency Plan for AIDS Relief (PEPFAR) and reductions in funding for the Global Fund to Fight AIDS, Tuberculosis, and Malaria.

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