FY19 Appropriations Update
Appropriations Committees in the House and Senate have begun to approve a handful of spending bills for fiscal year 2019. A notable exception is the Labor, Health and Human Services, Education, and Related Agencies (L-HHS) appropriations bill, which funds the Health Resources and Services Administration, the U.S. Centers for Disease Control and Prevention, and other agencies. The House and Senate Appropriations Committees are expected to mark up the L-HHS bills in mid- to late-June, though these dates could slip to later in the summer. The L-HHS bills are usually among the last to be marked up in committee.
Comment Period Opens for Proposed Changes to Title X Regulations
On June 1, HHS published in the Federal Register a proposed rule to revise its regulations for the Title X Family Planning program. The 60-day public comment period for the proposed rule closes on July 31. Among other things, the rule would prohibit Title X projects from performing, promoting, providing referrals for, or supporting abortion as a method of family planning. The biggest proposed changes are new restrictions on the ability to refer patients for abortion services as well as a requirement to maintain physical separation (in addition to the already-required financial separation) between Title X services and any abortion services provided by the Title X grantee or subrecipient. AMCHP staff continue to review the proposed rule and its potential impact on access to maternal and child health care.
Rescissions Update – Focus on CHIP
On June 7, the House passed H.R. 3, a bill to cut $14.8 billion in federal budget authority from various federal accounts from prior fiscal years. The prospects for passage in the Senate, even with a 50-vote threshold, appear slim. The rescissions package includes a proposed $7 billion cut to the budget authority for the Children’s Health Insurance Program (CHIP). Of note, the Congressional Budget Office found that the proposed cuts to CHIP’s budget authority would not result in a reduction in the number of children with health insurance. However, these cuts could have implications for other programs funded by the Labor, Health and Human Services, Education, and Related Agencies appropriations bill. Congress has until June 22 to act on the rescissions package before the legislation loses its ability to pass with just a simple majority.
Get Up-to-Date on Federal MCH Policy
The next event in the All-Member National MCH Policy Call series will take place on Thursday, July 5 from 2-3 p.m. ET.