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Budget and Appropriations

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The AAMC and its members work with Congress and the administration to promote federal budget policies that will benefit all Americans by:

  • Strengthening the nation’s system of medical education;

  • Ensuring that safe, quality care is provided to all who need it; and

  • Supporting improved health and innovation through biomedical, behavioral, and health services research.

Federal investments in health, research, and education agencies under the Labor-HHS-Education appropriations bill and other annual spending bills are critical to supporting AAMC members in their primary missions of providing access to high-quality health care for all Americans and leading the way on scientific discovery that fuels future medical advances and educating the next generation of health care providers.

Likewise, other budget platforms—such as the president’s annual budget request, the Congressional budget resolution, and other fiscal proposals and analyses—can affect the ability of medical schools and teaching hospitals to promote the health of the American people and serve as economic engines for their communities, states, and the nation.


News and Updates


House Passes HHS Spending Bill, President Signs Into Law

September 28, 2018

The House of Representatives Sept. 26 voted 361-61 to approve the conference agreement for the fiscal year (FY) 2019 Labor-HHS-Education and Defense spending bills (H.R. 6157), providing a total of $178 billion for the Departments of Health and Human Services (HHS), Labor, and Education, including a $2 billion increase for the National Institutes of Health (NIH).


FY 2019 Labor-HHS Funding Package Nears Completion

September 21, 2018

The Senate Sept. 18 voted to approve, 93-7, the conference agreement for the fiscal year (FY) 2019 Labor-HHS-Education and Defense spending bills (H.R. 6157), providing a total of $178 billion for the Departments of Health and Human Services (HHS), Labor, and Education, including a $2 billion increase for the National Institutes of Health (NIH).


Negotiators File Compromise HHS Spending Bill

September 14, 2018

House and Senate negotiators Sept. 13 adopted a compromise agreement on the fiscal year (FY) 2019 Labor-HHS-Education and Defense spending bills (H.R. 6157) that next will go to each chamber for final approval before being sent to the president. The measure also includes a continuing resolution through Dec. 7 for any of the 12 annual spending bills that have not been finalized by the start of the new fiscal year Oct. 1.


Congress Passes First Minibus of FY 2019 Spending Bills

September 14, 2018

Both the House and Senate the week of Sept. 10 passed the first spending bills for fiscal year (FY) 2019 as a three-bill minibus containing the Energy and Water, Military Construction, Veterans Affairs, and Related Agencies (MilCon-VA), and Legislative Branch bills. The minibus was the result of a conference committee agreement to H.R. 5895 reached between the House and Senate [see Washington Highlights, Sept. 7].


Congress Passes CHGME Reauthorization

September 7, 2018

The Senate Sept. 4 passed by unanimous consent the Children's Hospital Graduate Medical Education (CHGME) Support Reauthorization Act of 2018 (H.R. 5385), clearing the bill for the President’s signature. The bill authorizes the CHGME program for five years (through 2023) at $325 million per year, a $25 million (7.7%) increase over the previous authorization. Both the House and Senate fiscal year (FY) 2019 Labor-HHS appropriations bills include $325 million for CHGME, a $10 million (3%) increase over FY 2018 (see related story).


On Government Affairs


Testimony and Correspondence