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What’s in the Federal Budget for health?

Increase for Title V MCH Block Grant in FY18 Omnibus Appropriations

The omnibus appropriations bill passed by Congress March 23 to fund the government through the remainder of FY2018 includes a $10 million increase for the Title V Maternal and Child Health Services Block Grant over the FY17 level. The bill text can be found here (details regarding Maternal and Child Health on page 919). The report language can be found here (details on Maternal and Child Health begin on page 8 with spending tables on page 96).

Here’s a quick summary of notable features of the appropriations package compiled by AMCHP:

HRSA

  • Title V MCH Block Grant: $651,700,000 ($10 million increase)
    • The increase specifically calls for a $3 million increase to the SPRANS portion of the Block Grant and directs funding for Infant-Toddler Court Teams (which were previously funded out of the Administration for Children and Families (ACF)).
    • The remaining $7 million increase is presumably for the portion of the Block Grant that is distributed by formula to states.
  • Autism and Other Developmental Disorders: $49,099,000 ($2 million increase)
  • Heritable Disorders Program: $15,883,000 ($2 million increase specifically for newborn screening for Severe Combined Immune Deficiency and related disorders)
  • Healthy Start: $110,500,000 ($7 million increase)
  • Emergency Medical Services for Children: $22,334,000 ($2.17 million increase)
  • Screening and Treatment for Maternal Depression: $5,000,000 (new)
    • For grants to states to establish, improve, or maintain programs to train professionals to screen, assess, and treat for maternal depression in women who are pregnant or who have given birth within the preceding 12 months
      Pediatric Mental Health Care Access: $10,000,000 (new)
  • To expand access to behavioral health services in pediatric primary care by supporting the development of pediatric mental health care telehealth access programs
  • Title X Family Planning: $286,479,000 (level, but significant given threats to cut the program)

CDC

  • Overall increase of $1 billion
  • Birth Defects and Developmental Disabilities: $140,560,000 ($3 million increase)
  • Chronic Disease: $915,346,000 ($138 million increase)
  • Injury Prevention and Control: $648,559,000 ($362,500,000 increase, predominantly for Opioid Prescription Drug Overdose (PDO) Prevention Activity)
  • Clarification that the Secretary of Health and Human Services has stated the CDC has the authority to conduct research on the causes of gun violence

Other

  • Overall $4 billion to address opioid epidemic spread across multiple agencies
  • Teen Pregnancy Prevention Program: $101,000,000 (level, but significant given threats to cut the program)
  • Child Abuse Prevention and Treatment Act (CAPTA) Infant Plans of Safe Care: Increase of $60,000,000 for CAPTA State Grants, directing states to prioritize infant plans of safe care

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