My Profile e-Learning Center my.ASTHO Contact Us
  1. Home
  2. Policy & Advocacy
  3. Federal Government Affairs
  4. Legislative Alerts
  5. 2024
  6. Summary of FY25 House Appropriations Bill

Summary of FY25 House Appropriations Bill

June 26, 2024

On June 26, the House Labor Health and Human Services and Education (LHHS) appropriations subcommittee released its version of the FY25 LHHS appropriation bill and will mark up the legislation on June 27. The proposed funding levels included within the bill are subject to change as both chambers of Congress are expected to engage in negotiations before the expiration of the current fiscal year on September 30, 2024.

It is important to note that the subcommittee has not released the report text; therefore, ASTHO cannot complete a detailed analysis. The summary below was provided by the committee.

Outlook

Similar to last year, this bill is considered to be the low-water mark for funding, compared to what we expect the Senate to propose. The Senate has not begun its work on FY25 appropriations bills, but we expect that to occur in the coming weeks. As a reminder, appropriation bills must be approved on a bipartisan basis, and the funding levels included in this bill are not final but an indication of the priorities of the majority in the House.

Given what is expected to be a challenging funding season, coupled with upcoming elections in November, we expect Congress to approve a continuing resolution in October, averting a government shutdown. While the length of a potential continuing resolution remains uncertain, congressional leaders in both parties have expressed interest in potentially finalizing bills later in the calendar year or possibly in early 2025. ASTHO’s government affairs team will continue to advocate on behalf of state and territorial public health departments, encouraging Congress to increase funding for state and territorial public health programs.

The subcommittee draft text and summary (majority and minority) are available for review.

Excerpts from Subcommittee Funding Summary

Centers for Disease Control and Prevention (CDC)

The bill includes a total of $7.4 billion for CDC, a decrease of $1.8 billion below the FY24 enacted level.

  • The bill eliminates funding for the Center on Injury Prevention, a decrease of $761 million below the FY24 enacted level.
  • The bill includes $360 million for Public Health Infrastructure and Capacity, an increase of $10 million above the FY24 enacted level.
  • The bill eliminates funding for Firearm Injury and Mortality Prevention Research, a decrease of $12.5 million below the FY24 enacted level.
  • The bill eliminates funding for Opioid Overdose Prevention and Surveillance, a decrease of $506 million below the FY24 enacted level.
  • The bill eliminates funding for Rape Prevention, a decrease of $62 million below the FY24 enacted level.
  • The bill eliminates funding for Suicide Prevention, a decrease of $30 million below the FY24 enacted level.
  • The bill eliminates funding for Tobacco Prevention and Control, a decrease of $247 million below the FY24 enacted level.
  • The bill eliminates funding for the Ending the HIV Epidemic Initiative, a decrease of $220 million below the FY24 enacted level.
  • The bill eliminates funding for the Climate and Health program, a decrease of $10 million below the FY24 enacted level.
  • The bill eliminates funding for the Center for Forecasting and Analytics, a decrease of $55 million below the FY24 enacted level.
  • The bill eliminates funding for the Preventive Health and Health Services Block Grant, a decrease of $160 million below the FY24 enacted level.
  • The bill includes $564 million for Global Health, a decrease of $129 million below the FY24 enacted level.

Health Resources and Services Administration (HRSA)

The bill includes $7.4 billion for HRSA, a decrease of $647 million below the enacted FY24 level. (The comparison does not include Community Project Funding included in the FY24 enacted bill.)

  • The bill eliminates funding for Title X Family Planning, a decrease of $286 million below the FY24 enacted level.
  • The bill includes $1.9 billion for the Health Centers program, equal to the FY24 enacted level.
  • The bill includes $1.3 billion for Health Workforce training, a decrease of $62 million below the FY24 enacted level.
  • The bill includes $1.02 billion for Maternal and Child Health programs, a decrease of $152 million below the FY24 enacted level.
  • The bill eliminates funding for the Healthy Start program, a decrease of $145 million below the FY24 enacted level.
  • The bill includes $2.38 billion for the Ryan White HIV/AIDS program, a decrease of $190 million below the FY24 enacted level.

Substance Abuse and Mental Health Services Administration (SAMHSA)

The bill funds SAMHSA at $7.5 billion, an increase of $167 million above the FY24 enacted level. (The comparison does not include Community Project Funding included in the FY24 enacted bill.)

Administration for Strategic Preparedness and Response (ASPR)

The bill includes $3.6 billion for ASPR, an increase of $3 million above the FY24 enacted level.

Agency for Healthcare Research and Quality (AHRQ)

The bill eliminates funding for AHRQ, a decrease of $369 million below the FY24 enacted level.

Office of the Secretary-General Departmental Management (DGM)

The bill includes $409 million for GDM, a decrease of $244 million below the FY24 enacted level.

  • The bill eliminates funding for the Teen Pregnancy Prevention Program, a decrease of $108 million below the FY24 enacted level.
  • The bill includes $60 million for the Office of Minority Health, a decrease of $15 million below the FY24 enacted level.
  • The bill includes $45 million for the Minority HIV/AIDS Initiative, a decrease of $15 million below the FY24 enacted level.
  • The bill includes $34 million for the Office on Women’s Health, a decrease of $10 million below the FY24 enacted level.