Yep, it’s awful. They are funding $4 billion less than last year. $4 Billion.
The Republican majority of the House Appropriations Committee released their draft version of the FY2012 Labor-HHS-Education Appropriations bill with a budget that was $4 billion less than FY2011. There is no markup scheduled for this bill, thus members of the Subcommittee will not be able to weigh-in on the proposed bill. The funding levels contained in this bill will serve as the House marker when in conference negotiations on final spending levels with the Senate. As this is a draft bill, there is no report language, so some details on funding levels are not known. NASTAD has included an updated chart. (link is below)
The bill includes many policy riders, targeting funding for syringe exchange programs, the Affordable Care Act, and Planned Parenthood. The bill bans the use of federal funding for syringe exchange programs. The bill also includes language that prohibits funding for the implementation of the Affordable Care Act, including the elimination of the Prevention and Public Health Fund. In addition, Planned Parenthood and its affiliates can only receive funding after certifying that the organization will not perform abortions with non-federal funds.
Both the House and the Senate have voted on a continuing resolution that will fund government programs through November 18.
Some of the House draft bill highlights include:
Department of Health and Human Services:
Health Resources and Services Administration
Ryan White Program
The House bill flat funds all parts of the Ryan White Program, including ADAP. The Senate bill includes a $15 million increase to ADAP bringing the total to $900 million and it flat funds all other parts of the Ryan White Program.
The Title X Family Planning program was eliminated in the House bill. The program was flat funded at $299.4 million in the Senate version of the bill.
Community Health Centers
Community Health Centers received a decrease of $4.7 million from FY2011 in the House version of the bill. The Senate bill increased funding for Community Health Centers by $200 million from FY2011.
Centers for Disease Control and Prevention:
Center for HIV/AIDS, Viral Hepatitis, STD, and TB
In the House bill, funding for the Center for HIV/AIDS, Viral Hepatitis, STD, and TB Prevention was reduced by $32.7 million. There is not detail about how these cuts will be divided among the Divisions or if DASH will be included in the Center.
The Senate bill level funds CDC’s HIV/AIDS and STD prevention programs, including HIV prevention by health departments, HIV surveillance, the Enhanced HIV Testing Initiative and Improving HIV Program Effectiveness Program. DASH was flat funded as well. The Division of Viral Hepatitis received an increase of $10 million for testing.
The House version of the bill bans the use of federal funds for syringe exchange programs, whereas the Senate version of the bill maintains current law on the use of federal funding for syringe exchange.
The House bill does not provide detail about funding of the Section 317 Immunization Program. The program received a $50 million increase from FY2011 in the Senate bill.
Prevention Block Grant
The Preventative Health and Health Services Block Grant was funded at $100 million, a $19.1 million increase from FY2011 in the House version of the bill. The program was eliminated in the Senate version of the bill and the President’s budget proposal.
Prevention and Public Health Fund
In the House version of the bill, all funding for the Prevention and Public Health Fund was eliminated. In the Senate version of the bill, the Prevention and Public Health Fund received an increase of $135 million.
Agency for Children and Families
Teen Pregnancy Prevention Initiative
The House bill reduced funding for the Teen Pregnancy Prevention Initiative by $84.7 million to $20 million. In addition to this reduction, the House bill provides $20 million for the Community-Based Abstinence Education (CBAE) grant program, which was previously not funded and the bill removes language requiring the Teen Pregnancy Prevention Initiative programs to be evidence based.
The Senate bill level funds the Teen Pregnancy Prevention Initiative, maintains language requiring programs to be evidence based, and does not provide any funding for the CBAE program.
Substance Abuse and Mental Health Services Administration
The House bill’s funding of SAMHSA is still being determined. In the Senate bill, SAMHSA Primary and Behavioral Health Care Integration was level funded at $63 million. The Senate Committee also encouraged SAMHSA to develop a demonstration project on hepatitis education and testing for patients and providers.
National Institutes of Health
NIH received an increase of $1 billion in the House bill, bringing their total funding to $31.7 billion. The House bill also eliminates the transfer of $297 million from the NIH to the Global HIV/AIDS Fund. The Senate decreased NIH by $190 million from FY2011 levels and requested a transfer of $299 million to the Global HIV/AIDS Fund.
Department of Housing and Urban Development:
Housing Opportunities for Persons With AIDS
The House Transportation, Housing and Urban Development Appropriations bill flat funds the HOPWA program, while the Senate bill reduces the HOPWA program by $4.3 million, for a total of $330 million.
The House State-Foreign Operations Appropriations bill provided $7.1 billion for global health programs, but does not specify a funding amount for the Global Fund to Fight HIV, TB and Malaria. The House Labor-HHS-Education Appropriations bill eliminated the $300 million transfer from NIH to the Global HIV/AIDS Fund.
The Senate State-Foreign Operations Appropriations bill provided $5.6 billion for global HIV/AIDS programs. The Global Fund to Fight HIV, TB and Malaria was flat funded at $750 million (and $299 million in the Senate Labor HHS bill) and Bilateral HIV/AIDS received $50 million less than FY2011.