House Appropriations Committee Approves FY 2020 Health and Human Services (HHS) Appropriations Bill

The House Appropriations Committee approved the FY 2020 Labor, Health and Human Services, and Education (LHHS) appropriations bill (and accompanying report) on May 8, 2019. The LHHS appropriations bill, which provides funding for U.S. global health programs, includes funding at the Centers for Disease Control and Prevention (CDC) and the National Institutes of Health (NIH).[i]

Key highlights are as follows (see table for additional detail):

  • Funding provided to CDC for global health totaled $524 million, an increase of $35 million above the FY 2019 enacted level ($489 million) and $74 million above the President’s FY 2020 request.
    • The bill includes $128.4 million for global HIV/AIDS, matching the FY19 enacted level and $58.9 million above the FY20 Request ($69.5 million).
    • The bill includes $10 million for global tuberculosis (TB). This funding is in addition to funding provided through a transfer from the “HIV/AIDS, Viral Hepatitis, STD and TB Prevention” account at CDC.
    • Funding for global immunization programs at CDC totals $226 million, matching the FY19 enacted level and $20 million above the FY20 Request ($206 million).
      • Funding for polio, which is included under global immunization funding, totals $176 million, matching the FY19 enacted level; the President’s FY20 request did not specify a funding amount for polio at CDC.
      • Funding for CDC’s other global vaccines/measles program, which is included under global immunization funding, totals $50 million, matching the FY19 enacted level; the President’s FY20 request did not specify a funding amount for other global vaccines/measles at CDC.
    • Funding for parasitic diseases and malaria totals $26 million, matching the FY19 enacted level and $1.5 million above the FY20 Request ($24.5 million).
    • Funding for the global public health protection program at CDC totals $133.2 million, $25 million above the FY19 enacted level ($108.2 million) and -$16.6 million below the President’s FY20 Request ($149.8 million).
      • Funding for the global disease detection and emergency response program, which is included under global public health protection, totals $123.4 million, $25 million above the FY19 enacted level ($98.4 million).
      • Funding for the global public health capacity development program, which is included under global public health protection, totals $9.8 million, matching the FY19 enacted level.
  • Funding for the Fogarty International Center (FIC) at NIH totaled $85 million, a $7 million increase above the FY 2019 enacted level ($78 million) and $18 million above the President’s FY 2020 request ($67 million).

Resources:

  • FY2020 Labor, Health and Human Services, and Education Appropriations Bill
  • FY2020 Labor, Health and Human Services, and Education Appropriations Report
  • Details on U.S. global health funding provided in the House FY 2020 State & Foreign Operations (SFOPs) Appropriations Bill, which was approved by the subcommittee on May 10, 2019 and by the full committee on May 16, 2019 can be found here.

The table (.xls) below compares global health funding in the FY 2020 House SFOPs and LHHS appropriations bills to the FY 2019 enacted funding amounts as outlined in the “Consolidated Appropriations Act, 2019” (P.L. 116-6; KFF summary here) and the President’s FY 2020 request (KFF summary here).

Table: KFF Analysis of FY20 House HHS Funding for Global Health
Department / Agency / Area FY19
Enacted
(millions)
FY20
Request
(millions)
FY20
House
(millions)
Difference
(millions)
FY20 House
– FY19 Enacted
FY20 House
– FY20 Request
Health & Human Services (HHS)
Centers for Disease Control & Prevention (CDC) – Total Global Health $488.6 $449.8 $523.6 $35.0
 (7%)
$73.9
 (16%)
Global HIV/AIDS $128.4 $69.5 $128.4 $0
(0%)
$58.9
(85%)
Global Tuberculosisi  – $10.0  –  –
Global Immunization $226.0 $206.0 $226.0 $0
(0%)
$20.0
(10%)
Polio $176.0 Not specified $176.0 $0
(0%)
 –
Other Global Vaccines/Measles $50.0 Not specified $50.0 $0
(0%)
 –
Parasitic Diseases & Malaria $26.0 $24.5 $26.0 $0
(0%)
$1.5
(6%)
Global Public Health Protectionii $108.2 $149.8 $133.2 $25.0
(23%)
$-16.6
(-11%)
Global Disease Detection and Emergency Response $98.4 Not specified $123.4 $25.0
(25%)
 –
of which Global Health Security (GHS) $50.0 $99.8 Not specified  –  –
Global Public Health Capacity Development $9.8 Not specified $9.8 $0
(0%)
 –
National Institutes of Health (NIH) – Total Global Health $880.2 $760.1 Not specified  –  –
HIV/AIDS $590.1 $511.1 Not specified  –  –
Malaria $212.0 $182.0 Not specified  –  –
Fogarty International Center (FIC) $78.1 $67.0 $84.9 $6.8
(9%)
$17.9
(27%)
Notes:
i – Tuberculosis totals do not include the transfer of funding from the “HIV/AIDS, Viral Hepatitis, STI and TB Prevention” account at CDC. In FY20, the administration proposed to transfer $7.2 million from the “HIV/AIDS, Viral Hepatitis, STI and TB Prevention” account to “Global Tuberculosis” activities.
ii – In the CDC FY20 congressional justification, this funding line is titled “Global Disease Detection and Other Programs”. The full breakdown in funding for “Global Public Health Protection,” which includes “Global Disease Detection and Emergency Response,” “Global Health Security,” and “Global Public Health Capacity” is not yet known for the draft House FY20 bill. However, the draft bill includes $99.8 million for “global public health protection,” and the committee report specifies $123.4 million for “Global Disease Detection and Emergency Response.” These totals will be updated as more information becomes available.