House Appropriators Approve Health Spending Plan for FY 19
The House Appropriations Committee approved its Labor-HHS budget for fiscal year 2019, funding key federal health, education and labor programs for the year ahead. The Substance Abuse and Mental Health Services Administration (SAMHSA) saw increases of more than $400 million to its programming, though several key programs maintained level funding to prior years, and a fund to support the expansion of Certified Behavioral Community Health Clinics (CCBHCs) faces elimination.
The appropriations bill now heads to the House floor for consideration and a vote. See the chart below for a summary of behavioral health funding levels:
|Agency/Program||FY 2019 Funding||FY 2019 vs FY 2018|
|Substance Abuse and Mental Health Services Administration||$5.6 billion||+$448 million|
|Mental Health Block Grant||$722.5 million||Level funding|
|Substance Abuse Prevention and Treatment Block Grant||$2.4 billion||+$500 million|
|Primary and Behavioral Health Care Integration||$49.9 million||Level funding|
|PBHCI Technical Assistance and Training Center||$2 million||Level funding|
|Mental Health First Aid||$20 million||Level funding|
|State Opioid Response Grants (as provided by the Bipartisan Budget Act of 2018)||$1 billion||Level funding|
|Certified Community Behavioral Health Clinics (CCBHCs) Expansion Grants||Program eliminated||-$100 billion|
|National Institutes of Health||$38.3 billion||+$1.3 billion|
Despite the progress in moving appropriations bills through the committee process, there remains great uncertainty as to how the House and Senate will reconcile their respective appropriations packages. The Senate Appropriations Committee also passed their Labor-HHS appropriations bill this week with key differences from the House’s plan. Currently, the Senate’s topline spending levels are significantly higher than the House’s, meaning the spending levels in the bills are likely to change.