The House Appropriations Committee has released its draft Labor, Health and Human Services, and Education (Labor-H) funding bill for the fiscal year 2019. View a summary of the bill’s funding allocations by program online. The bill includes $177.1 billion in discretionary funding, level with the 2018 fiscal year. However, proposed increases to some programs within Labor-H would come at the expense of proposed cuts to other programs.

The Labor-HHS bill proposes increased funding for the National Institutes of Health (NIH) by $1.25 billion and includes $1 billion for state opioid response grants, along with funding for programs authorized in the 21st Century Cures Act and the Comprehensive Addiction and Recovery Act. It also proposes modest increases for some education programs: Individuals with Disabilities Education Act (IDEA), Impact Aid, Student Support and Academic Enrichment Grants, TRIO and GEAR UP, which help first-generation college students and charter schools. The 21st Century Community Learning Centers, which was eliminated in the president’s budget, would receive the fiscal year 2018 funding level of $1.212 billion.

The bill proposes $22.9 billion in discretionary funding for the Administration for Children and Families (ACF), which is $60 million above the fiscal 2018 level. Early childhood programs would see an increase of $50 million. Head Start would receive $9.9 billion, a $50 million increase, and the Child Care and Development Block Grant would receive $5.2 billion, the same as the fiscal year 2018 enacted level.  The bill proposes maintaining funding for Preschool Development Grants at $250 million, the same as the fiscal year 2018 enacted level. The bill proposes a $35 million increase for the Community Services Block Grant, for a total of $780 million for Community Service programs.

Due to these proposed program increases the following programs would either be cut below fiscal year 2018 funding levels or eliminated in the House bill.  

  • Health Resources and Services Administration (HRSA): Cut by $196 million
  • Center for Medicaid and Medicare Services program management: Cut by $168 million
  • Social Security Administration: $332 million cut to administration activities
  • Centers for Disease Control: Cut by $663 million, then increased with $848 million in transfers from the Prevention and Public Health Fund
  • Employment and Training Administration: Cut by $216
  • Eliminates Teen Pregnancy Prevention Grants: $108 million
  • Eliminates Kinship Navigator Grants: $20 million
  • Eliminates Project AWARE grants: $71 million
  • Eliminates Certified Community Behavioral Health Clinics Funding: $100 million
  • According to the summary, “The legislation contains several provisions to stop the implementation of the Affordable Care Act (ACA) including prohibiting the use of any new discretionary funding to implement ACA.”  

The Alliance for Strong Families and Communities will continue to monitor this bill and the Senate’s version of a Labor-HHS bill.

Contact Jennifer Ralston Herrera with any questions or concerns.

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