House Appropriations Committee Releases FY 2022 Labor, Health and Human Services, Education, and Related Agencies (LHHS) Appropriations Bill

The House Appropriations Committee released the FY 2022 Labor, Health and Human Services, Education, and Related Agencies (LHHS) appropriations bill on July 11, 2021 and accompanying report on July 14, 2021. The LHHS appropriations bill includes funding for U.S. global health programs provided to the Centers for Disease Control and Prevention (CDC) and funding for global health research activities provided to the National Institutes of Health (NIH).[i] Key highlights of known amounts are as follows (see table for additional detail):

  • Funding provided in the bill to CDC for global health totals $842.8 million, which would be an increase of $250 million (42%) above the FY 2021 enacted level ($592.8 million) and $145 million (21%) above the President’s FY 2022 request ($697.8 million). The increase is almost entirely for funding for the global public health protection program. Key highlights are as follows:
    • Funding for the global public health protection program, which includes funding for global health security, totals $448.2 million, $245 million (121%) above the FY 2021 enacted level ($203 million) and $145 million (48%) above the FY 2022 Request ($303 million).[ii]
    • Funding for global HIV/AIDS totals $128.4 million, matching the FY 2021 enacted level and FY 2022 Request.
    • Funding for global tuberculosis (TB) totals $9.2 million, matching the FY 2021 enacted and FY 2022 Request levels.
    • Funding for global immunization totals $226 million, matching the FY 2021 enacted level and FY 2022 Request levels. Within this total are the following:
      • Funding for polio totals $176 million, matching the FY 2021 enacted level and FY 2022 Request levels.
      • Funding for CDC’s other global vaccines/measles program totals $50 million, matching the FY 2021 enacted level and FY 2022 Request levels.
    • Funding for parasitic diseases and malaria totals $31 million, $5 million (19%) above the FY 2021 enacted level and matching the FY 2022 Request.
  • Funding for the Fogarty International Center (FIC) at NIH totals $96.8 million, a $12.8 million (15%) increase above the FY 2021 enacted level and essentially matching the FY 2022 Request ($96.3 million). Other global health research amounts are not available.

Resources:

  • FY2020 Labor, Health and Human Services, and Education Appropriations Bill
  • FY2020 Labor, Health and Human Services, and Education Appropriations Report

The table (.xlsx) below compares global health funding in the FY 2022 House LHHS appropriations bill to the FY 2021 enacted funding amounts as outlined in the “Consolidated Appropriations Act, 2020” (P.L. 116-260; KFF summary here) and the President’s FY 2022 request (KFF summary here).

See KFF’s related summary on the FY 2022 House SFOPs appropriations bill here. See the KFF budget tracker for details on historical annual appropriations for global health programs.

Table: KFF Analysis of FY22 House Appropriations for Global Health
Department / Agency / Area FY21
Enacted
(millions)
FY22
Request
(millions)
FY22
House
(millions)
Difference
(millions)
FY22 House
– FY21 Enacted
FY22 House
– FY22 Request
Labor Health & Human Services (Labor HHS)
Centers for Disease Control & Prevention (CDC) – Total Global Health $592.8 $697.8 $842.8 $250
 (42.2%)
$145
 (20.8%)
Global HIV/AIDS $128.4 $128.4 $128.4 $0
(0%)
$0
(0%)
Global Tuberculosis $9.2 $9.2 $9.2 $0
(0.2%)
$0
(0%)
Global Immunization $226.0 $226.0 $226.0 $0
(0%)
$0
(0%)
Polio $176.0 $176.0 $176.0 $0
(0%)
$0
(0%)
Other Global Vaccines/Measles $50.0 $50.0 $50.0 $0
(0%)
$0
(0%)
Parasitic Diseases $26.0 $31.0 $31.0 $5
(19.2%)
$0
(0%)
Global Public Health Protection $203.2 $303.2 $448.2 $245
(120.6%)
$145
(47.8%)
Global Disease Detection and Emergency Response $193.4 $293.4 Not specified  –  –
of which Global Health Security (GHS) Not specified Not specified Not specified  –  –
Global Public Health Capacity Development $9.8 $9.8 Not specified  –  –
National Institutes of Health (NIH) – Total Global Health $892.8 Not specified Not specified  –  –
HIV/AIDS $616.7 $617.1 Not specified  –  –
Malaria $192.0 Not specified Not specified  –  –
Fogarty International Center (FIC) $84.0 $96.3 $96.8 $12.8
(15.2%)
$0.5
(0.5%)

[i] The majority of funding for global health research activities at NIH, including funding for HIV/AIDS and malaria, is not yet known because it is not specified in the FY22 House LHHS bill and is determined at the agency level.

[ii] Funding for “Global Public Health Protection,” includes “Global Disease Detection and Emergency Response,” “Global Health Security,” and “Global Public Health Capacity”. The full breakdown among areas is not yet known for the House FY22 bill.

The KFF Daily Global Health Policy Report summarized news and information on global health policy from hundreds of sources, from May 2009 through December 2020. All summaries are archived and available via search.

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