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FY 2015 Federal Budget & Appropriations Update Kathryn G. Schubert CRD Associates Coalition for Health Funding April 23, 2014.

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Presentation on theme: "FY 2015 Federal Budget & Appropriations Update Kathryn G. Schubert CRD Associates Coalition for Health Funding April 23, 2014."— Presentation transcript:

1 FY 2015 Federal Budget & Appropriations Update Kathryn G. Schubert CRD Associates Coalition for Health Funding April 23, 2014

2 CRD Associates Founded in 1980 Government Relations Strategic consulting

3 Background Founded in 1970 Largest nonprofit alliance to preserve and strenghten public health investments 80+ member organizations Advocate for the public health continuum – NIH, CDC, HRSA, SAMHSA, AHRQ, FDA, etc.

4 Mandatory vs. Discretionary Discretionary spending is at Congress’ “discretion” – “Defense” discretionary is military spending – “Nondefense” discretionary or “NDD” is everything else Research, education, food/drug/airline/public safety Mandatory spending enacted by law – Entitlement Programs (e.g., Medicare) To change spending, must change eligibility rules

5 Appropriations Timetable President submits budget request (Feb.) Congress adopts a Budget Resolution (April) Appropriations Committees make 302(b) allocations to 12 subcommittees (May) Subcommittees hold hearings, mark up appropriations bills (May – June) Full Committee ratifies bills (June) YOU ARE HERE

6 Appropriations Timetable (cont) House floor debate, vote (June) Senate develops and adopts its own appropriations bills (July – Sept.) Differences ironed out in Conference Committee (Sept.) To president for signature or veto (Sept. 30) New fiscal year begins (Oct. 1)

7 In Reality… Budget process rarely works as it should Continuing resolution is “parachute” for annual appropriations process – Funds federal government in absence of appropriations bills for finite period – Programs funded at current level (generally) Outstanding bills are frequently bundled in “omnibus” or “minibus” measures – FY 2013: Year of the “CRomnibus”

8 CR Funding, Number of Days

9 BCA (2011) set caps for next decade Sequestration (effective March 2013) – Cuts to all programs, projects, activities – FY2014-FY2012 cuts to spending caps Government Shutdown! (October 2013) Ryan-Murray Budget Agreement BBA 2013 – FY2014 $1.012 trillion v. FY2015 $1.013 trillion FY2016 Sequestration STILL LAW Last Year: The Worst of Times

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11 Congress passes, President signs Consolidated Appropriations Act of 2014 – Omnibus measure includes all 12 spending bills – First Labor-HHS bill since FY 2012 – Good news: increases for discretionary health programs – Bad news: levels remain below FY 2010

12 FY 2015: Better or Worse? For better… – Early agreement on topline provides stability – Shutdown left yearning for regular order – Appropriators reasserting their authority For worse… – Late start: President’s budget March 4 – “Stability:” So we thought in FY 2014 – Continued sequestration makes cutting harder – Devolution of appropriations – Election year

13 NIH Budget Authority (in billions, not adjusted for inflation)

14 Previous Cuts to NIH Funding Base funding Reduction 1942 ($700,000)-1.5% or $11, ($56.9 million)-12% or $7.8 million 1967 ($1.01 billion)-7.8% or $86 million 1970 ($1.06 billion)-4.3% or $48 million 2006 ($28.4 billion) 2011 ($30.6 billion) -0.1% or $33.7 million -0.8% or $320 million 2013 ($ billion)-5.1% or $1.55 billion

15 Changing Face of Advocacy: FY2015 and Beyond Changing world – we now lobby on the budget resolution Seek highest top-level number for our division – Caps already set Work together with other groups – A rising tide lifts all boats Appropriations = policy and programs

16 The Time is NOW!

17 Questions?


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