On March 9, 2023, President Biden released his proposed fiscal year (FY) 2024 budget that includes $6.9 trillion in mandatory and discretionary spending. The US Department of Health and Human Services (HHS) budget proposes $1.7 trillion in mandatory funding and $143 billion in discretionary budget authority, an 11.5% increase from the 2023 enacted level.
While the budget request represents the administration’s funding goals for the coming year, it also sheds light on the administration’s policy goals. With tight margins in the US House of Representatives and the US Senate, stakeholders look to these goals as possible regulatory or executive steps the Administration could implement without the need for congressional action. The Administration is touting investments in the following:
- Preparing for future public health threats
- Protecting the health of Americans, including maternal health, reproductive health, behavioral health and preventive care
- Expanding coverage and access to care
- Expanding the health workforce
Advancing science to improve health
- Ensuring effective and efficient management and stewardship, including operations, cybersecurity and program integrity.
The president’s FY 2024 budget request is the first step in the federal budget process. Administration officials will testify before several congressional committees in the coming weeks to present and discuss the proposed budget. Relevant congressional committees are already discussing the FY 2024 budget and appropriations, as time is limited between now and the end of the current FY (September 31, 2023). As the significant delays over the past FY have taught us, the congressional process can take many months and can be fraught with missed deadlines. Read on for funding and policy highlights for HHS.
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