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Government Affairs Home > Labor-HHS Appropriations > Health Professions

Health Professions Education, FY 2008 Funding

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Current Status

FY 2008 Funding
On July 18, the House of Representatives approved, 276-140, its FY 2008 Labor, Health and Human Services, and Education spending bill. The bill provides $228.3 million for Title VII health professions programs, a $43.6 million (23.6 percent) increase over FY 2007. The Title VII Centers of Excellence and Health Careers Opportunity Programs each receive $28.4 million, for a $16.6 million (139 percent) increase and $24.5 million (618 percent) increase, respectively. The primary care medicine and dentistry programs are level funded at $48.9 million, while the Area Health Education Centers receive a $2.5 million (8.9 percent) increase over the current funding level. For Title VIII, the bill provides $165.6 million, a $15.9 million (10.7 percent) increase over the current funding level.

The Senate Appropriations Committee approved its version of the spending bill on June 21. The Committee provides $187.7 million for Title VII, a $3.0 million (1.6 percent) increase. All programs are funded at FY 2007 levels, except the Public Health, Preventive Medicine, and Dental Public Health program, which receives a $1 million (12.6 percent) increase. The Senate Committee alos transfers to Allied Health and Other Disciplines $2 million for dental workforce programs previously funded under HRSA Program Management. The Senate measure provides $169.7 million for Title VIII, a $20 million (13.4 percent) increase.

As in past years, the President's FY 2008 budget eliminates all Title VII funds with the exception of the $10 million for Scholarships for Disadvantaged Students (SDS). Unlike previous years, the Administration also proposes to cut Title VIII nursing education programs to $105 million, a $45 million (30 percent) reduction below the FY 2006 level and the amount in the FY 2007 Joint Funding resolution (approximately $150 million).

FY 2007 Funding
On February 15, the President signed a spending package to fund much of the federal government for the remainder of FY 2007. The measure provides $184.7 million for the Title VII health professions programs, an increase of $39.5 million (27.2 percent) over FY 2006. The additional Title VII funds include $32 million to restore the geriatrics training programs to the FY 2005 level and an $8 million (19.6 percent) increase for primary care programs. All other Title VII programs and Title VIII programs are funded at FY 2006 levels.

AAMC Activity

A total of 54 Senators signed a letter urging appropriators to restore funding for the Title VII programs to the FY 2005 level of $300 million. The letter, sent on June 18 to Senate Labor-HHS-Education Appropriations Subcommittee Chair Tom Harkin (D-Iowa) and Ranking Member Arlen Specter (R-Pa.), was originally submitted May 4 with 39 signatures. The authors of the letter, Senators Jack Reed (D-R.I.) and Pat Roberts (R-Kan.), reopened the letter on May 15 to accommodate additional signatures. The final list included Majority Leader Harry Reid (D-Nev.), 10 members of the Appropriations Committee, and 13 Republicans. Reps. Diana DeGette (D-Colo.) and Cathy McMorris Rodgers (R-Wash.) circulated a similar letter in the House. The letter was submitted March 16 signed by 98 Members of Congress.

The AAMC sent a June 1, 2006 letter to all Members of Congress, signed by over 100 AAMC medical school and teaching hospital member institutions, urging the restoration of Title VII funds to the FY 2005 level of $300 million in the FY 2007 budget. In Spring 2006, the AAMC conducted a survey of HCOP and COE program directors, finding that cuts to Title VII jeopardize progress in addressing health disparities among minority, underserved, and rural populations. The AAMC continues to compile HCOP and COE "Profiles of Success," featuring the many students who have benefited from participation in the programs.

AAMC, as part of the Health Professions and Nursing Education Coalition (HPNEC), meets with Members of Congress, sends letters, submits testimony, and participates in Capitol Hill events to advocate increased funding for the programs. HPNEC issued a statement on February 7, criticizing the President's FY 2008 Budget Request.

Background

Title VII and Title VIII of the Public Health Service Act authorize a variety of grants for students, programs, and institutions to improve the racial and ethnic diversity, geographic distribution, and quality of the health care work force. These programs are designed to meet the nation's needs by increasing the supply of primary medical and dental care providers and public health and allied health professionals, training more health professionals in fields experiencing shortages, improving the geographic distribution of health professionals, expanding access to health care in underserved areas, and enhancing minority representation in the pool of practicing health professionals.

As this nation's health care delivery system undergoes rapid and dramatic changes, an appropriate supply and distribution of health professionals has never been more essential to the public's health. The Titles VII and VIII programs are critical to help institutions and programs respond to these current and emerging challenges and insure that all Americans have access to appropriate and timely health services.

Contacts

Tannaz Rasouli, Legislative Analyst
AAMC Government Relations
trasouli@aamc.org
(202) 828-0525

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