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Learn about policy issues important to medical schools and teaching hospitals, with Executive Vice President Atul Grover, M.D., Ph.D.

Washington Highlights

Congress Approves FY 2014 Omnibus Funding Bill

January 17, 2014—The House of Representatives and Senate approved an omnibus spending package (H.R. 3547) to provide funding for the federal government for the remainder of fiscal year (FY) 2014. The House voted Jan. 15, 359-67, with three Democrats joining 64 Republicans in voting against the package.  The Senate voted Jan. 16, 72-26, with 17 Republicans voting in favor of the measure. President Obama is expected to sign the legislation by Jan. 17.

The omnibus, which includes all 12 spending bills for FY 2014, provides $1.012 trillion as specified in the Bipartisan Budget Act (P.L. 113-67) [see Washington Highlights, Dec. 20, 2013].  House Appropriations Chair Hal Rogers (R-Ky.) and Senate Appropriations Chair Barbara Mikulski (D-Md.) released the omnibus late Jan. 13.

The AAMC sent a letter to all members of the House and Senate urging them to vote for the omnibus, noting, “The inclusion of the Labor-HHS bill into the omnibus breaks the current cycle of falling back on continuing resolutions, restores stability to the programs under the Subcommittee’s jurisdiction, and paves the way for a return to regular order for consideration of appropriations in FY 2015.” 

NIH: The omnibus provides $29.9 billion for the National Institutes of Health (NIH) in FY 2014.  This is a $1 billion (3.5 percent) increase over the FY 2013 budget after sequestration and transfers, but is $714 million below the FY 2013 pre-sequestration appropriation, which was $30.6 billion. These numbers do not include funding from the Interior subcommittee for National Institute of Environmental Health Sciences or the mandatory diabetes research funding.

A summary from the Senate Appropriations Committee states the $1 billion increase “should allow the NIH to continue all current research programs and begin approximately 385 additional research studies and trials.”

The omnibus retains the salary cap at Executive Level II, which is expected to be $181,500 in calendar year 2014.  The 1 percent increase from the $179,700 level was included in an executive order issued by President Obama Dec. 23.

The bill provides “up to” $9.835 million to the National Center for Advancing Translational Sciences (NCATS) for the Cures Acceleration Network and “at least” $474.7 million for the Clinical and Translational Sciences Awards program.  The bill allocates $273.3 million for the Institutional Development Awards (IDeA).

The bill provides $165 million for the National Children’s Study but mandates the NIH Director, no later than July 15, 2014, to estimate the amount needed for the study during FY 2014 and to transfer any funds in excess of the estimated need to the other Institutes and Centers in proportion to their shares of total NIH appropriation.

Health Professions: The omnibus provides $469.2 million for the Health Resources and Services Administration (HRSA)’s Title VII health professions and Title VIII nursing workforce development programs, a $31.2 million (6.4 percent) increase over the FY 2013 post-sequestration funding level.

Within this total, the bill provides $245.4 for Title VII programs, a $25 million (11.3 percent) increase over the FY 2013 post-sequestration funding level. This increase provides each Title VII line item with a slight increase above the post-sequestration levels; however the Area Health Education Centers (AHEC) program and the geriatrics, oral health, mental and behavioral health, public health and prevention, and workforce information line items receive larger increases, bringing their totals to pre-sequestration levels.

For Title VIII nursing workforce development programs, the bill provides $223.8 million, a $6 million (3 percent) increase over the FY 2013 post-sequestration funding level.

Centers for Disease Control and Prevention (CDC): The omnibus provides $5.807 billion in base budget authority for the CDC, a $370 million increase (6.8 percent) over the FY 2013 post-sequestration funding level. In addition to the base budget authority, the bill includes transfers to the agency, including an $831 million transfer from the Prevention and Public Health Fund (PPHF).

National Science Foundation (NSF): The omnibus provides $7.171 billion for NSF, a $288 million (4.2 percent) increase over the FY 2013 post-sequestration funding level. Within this total, the bill provides $5.809 billion for research and related activities, a $265 million (4.8 percent) increase over the FY 2013 post-sequestration funding level.

Food and Drug Administration (FDA): The omnibus provides $2.552 billion for FDA, a $166 million (7 percent) increase over the FY 2013 post-sequestration funding level. The FDA budget is supplemented by industry user fees, which are expected to generate $1.795 billion in FY 2014. This addition brings the FDA total to $4.347 billion, a $315 million (7.8 percent) increase over the FY 2013 post-sequestration funding level. The omnibus encourages the administration to reconsider sequestration of user fees, which are currently subject to cuts.

Contact:

Dave Moore
Senior Director, Government Relations
Telephone: 202-828-0559
Email: dbmoore@aamc.org

Tannaz Rasouli
Sr. Director, Public Policy & Strategic Outreach
Telephone: 202-828-0525
Email: trasouli@aamc.org

Alexandra Khalife
Legislative Analyst
Telephone: 202-828-0418
Email: akhalife@aamc.org

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Washington Highlights, a weekly electronic newsletter, features brief updates on the latest legislative and regulatory activities affecting medical schools and teaching hospitals.


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For More Information

Jason Kleinman
Sr. Legislative Analyst, Govt. Relations
Telephone: 202-903-0806
Email: jkleinman@aamc.org