House Committee on Appropriations Releases FY 2024 Labor, Health and Human Services, Education, and Related Agencies (Labor HHS) Appropriations Bill & Accompanying Report

The House Committee on Appropriations released its FY 2024 Labor, Health and Human Services, Education, and Related Agencies (Labor HHS) appropriations bill on July 13, 2023 and accompanying report on November 3, 2023. The Labor HHS 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). Total global health funding at CDC and NIH through the Labor HHS bill is not yet known, as funding for some programs at NIH is determined at the agency level rather than specified by Congress in annual appropriations bills. Funding for global health programs at CDC totals $371 million, which is $322 million (47%) below the FY23 enacted level ($693 million), $394 million (52%) below the President’s FY24 request ($765 million), and $322 million (47%) below the Senate level ($693 million). The bill would eliminate all funding for global HIV programs at CDC and reduce funding for global public health protection compared to the enacted level; other program areas are flat funded compared to enacted levels. See the table below (downloadable table here) for additional detail on global health funding. See other budget summaries and the KFF budget tracker for details on historical annual appropriations for global health programs.

Table 1: KFF Analysis of Global Health Funding in the FY24 House Appropriations Bill
Department / Agency / Area FY23
Omnibus
(millions)
FY24 Request (millions) FY24 House
(millions)
FY24 Senate
(millions)
Difference:
FY24 House- FY23 Omnibus
Difference:
FY24 House- FY24 Request
Difference:
FY24 House- FY24 Senate
Labor Health & Human Services (Labor HHS)
Centers for Disease Control & Prevention (CDC) – Total Global Health $692.8 $765.0 $370.7 $692.8 $-322.1
(-46.5%)
$-394.3
(-51.5%)
$-322.1
(-46.5%)
Global HIV/AIDS $128.9 $128.9 $0.0 $128.9 $-128.9
(-100%)
$-128.9
(-100%)
$-128.9
(-100%)
Global Tuberculosis $11.7 $11.7 $11.7 $11.7 $0
(0%)
$0
(0%)
$0
(0%)
Global Immunization $230.0 $240.0 $230.0 $230.0 $0
(0%)
$-10
(-4.2%)
$0
(0%)
Polio $180.0 $180.0 $180.0 $180.0 $0
(0%)
$0
(0%)
$0
(0%)
Other Global Vaccines/Measles $50.0 $60.0 $50.0 $50.0 $0
(0%)
$-10
(-16.7%)
$0
(0%)
Parasitic Diseases $29.0 $31.0 $29.0 $29.0 $0
(0%)
$-2
(-6.5%)
$0
(0%)
Global Public Health Protection $293.2 $353.2 $100.0 $293.2 $-193.2
(-65.9%)
$-253.2
(-71.7%)
$-193.2
(-65.9%)
Global Disease Detection and Emergency Response Not specified Not specified Not specified Not specified
of which Global Health Security (GHS) Not specified Not specified Not specified Not specified
Global Public Health Capacity Development Not specified Not specified Not specified Not specified
National Institutes of Health (NIH) – Total Global Health  –  –  –
HIV/AIDS Not specified Not specified Not specified Not specified
Malariai $225.0 $225.0 Not specified Not specified
Fogarty International Center (FIC) $95.2 $95.0 $95.2 $95.2 $0
(0%)
$0.2
(0.2%)
$0
(0%)
Labor HHS Total  –  –
Notes:
i – The NIH FY23 and FY24 malaria amounts are estimates from the NIH Research, Condition, and Disease Categorization (RCDC) system.

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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