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R47936Labor, Health and Human Services, and Education: FY2024 Appropriations

Reports · published 2024-11-04 · v9 · Active · crsreports.congress.gov ↗

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Authors
Karen E. Lynch · Ada S. Cornell · Angela Napili · Kyle D. Shohfi · Jessica Tollestrup · David H. Bradley · William R. Morton · Kavya Sekar
Report id
R47936
Summary

This report offers an overview of the FY2024 Departments of Labor, Health and Human Services, and Education, and Related Agencies (LHHS) appropriations bill. This bill includes all accounts funded through the annual appropriations process at the Department of Labor (DOL) and Department of Education (ED). It also provides annual appropriations for most agencies within the Department of Health and Human Services (HHS), with certain exceptions (e.g., the Food and Drug Administration), and for more than a dozen related agencies (including the Social Security Administration). This report primarily focuses on regular FY2024 LHHS discretionary funding enacted during the annual appropriations process. Totals generally do not include emergency-designated funds, except as noted. FY2024 Appropriations FY2024 LHHS Omnibus: On March 23, 2024, the Further Consolidated Appropriations Act, 2024 (FY2024 LHHS omnibus; H.R. 2882) was signed into law (P.L. 118-47), providing full-year LHHS appropriations (Division D). Annual discretionary LHHS appropriations totaled $227.7 billion (0.8% more than FY2023 enacted and 10.3% less than the FY2024 President’s request). It also provided $1.217 trillion in mandatory funding, for a combined LHHS total of $1.445 trillion. The distribution of discretionary funding was as follows: DOL: $13.7 billion, 1.1% less than FY2023. HHS: $117.8 billion, 2.1% more than FY2023. ED: $79.1 billion, 0.7% less than FY2023. Related Agencies: $17.1 billion, 0.3% more than FY2023. FY2024 Continuing Resolutions: Prior to the enactment of the LHHS omnibus, FY2024 appropriations were provided by a series of continuing resolutions (CRs): P.L. 118-15, P.L. 118-22, P.L. 118-35, and P.L. 118-40. In general, the FY2024 CRs funded discretionary programs at the same rate and under the same conditions as the FY2023 LHHS omnibus, with specified exceptions, and funded annually appropriated entitlements at current law levels. FY2024 LHHS Senate Action: On July 27, 2023, the Senate Appropriations Committee voted to report and reported its FY2024 LHHS bill, 26-2 (S. 2624; S.Rept. 118-84). The measure was not previously marked up in subcommittee. As reported, the bill would have provided $224.5 billion in non-emergency discretionary LHHS funds (0.6% less than comparable non-emergency FY2023 enacted levels and 11.5% less than the FY2024 President’s request). In addition, it would have provided an estimated $1.217 trillion in mandatory funding, for a combined LHHS non-emergency total of $1.442 trillion. (The bill also would have provided an additional $4.1 billion in emergency-designated discretionary appropriations [not included in the above or below totals] effectively to support regular operations for selected activities.) The distribution of proposed non-emergency discretionary funding was as follows: DOL: $13.8 billion, 0.5% less than FY2023. HHS: $113.9 billion, 1.3% less than FY2023. ED: $79.6 billion, about the same as FY2023. Related Agencies: $17.3 billion, 1.4% more than FY2023. FY2024 LHHS House Action: While the House Appropriations Committee did not report its LHHS bill, a draft bill was approved in subcommittee on July 14, 2023 (voice vote). Subsequently, the House considered an LHHS bill (H.R. 5894) but did not vote on final passage. On November 14 and 15, H.R. 5894 was considered on the House floor under the terms of a special rule (H.Res. 864) that provided the amendments that would be in order and that the bill text would be Rules Committee Print 118-13. Further proceedings were postponed after floor amendments were considered. Because the House did not vote on passage of H.R. 5894 as amended on the floor, the term “House floor bill” refers to the text of H.R. 5894 as amended by Rules Committee Print 118-13. Budget numbers for the bill do not include the effects of floor amendments. Appendix B summarizes the amendments offered and their disposition. The House floor bill would have provided $196.4 billion in discretionary LHHS funds (13.1% less than FY2023 enacted and 22.6% less than the FY2024 President’s request). In addition, it would have provided an estimated $1.217 trillion in mandatory funding, for a combined LHHS total of $1.414 trillion. The distribution of proposed discretionary funding was as follows: DOL: $9.8 billion, 29.1% less than FY2023. HHS: $103.7 billion, 10.2% less than FY2023. ED: $67.4 billion, 15.3% less than FY2023. Related Agencies: $15.5 billion, 9.1% less than FY2023. FY2024 President’s Budget Request: The President’s budget request was submitted to Congress on March 9, 2023. The President requested $253.8 billion in discretionary funding for accounts funded by the LHHS bill, which was an increase of 12.4% from FY2023 levels. In addition, the President requested $1.217 trillion in annually appropriated mandatory funding, for an LHHS total of $1.471 trillion. The distribution of requested discretionary funding was as follows: DOL: $15.5 billion, 12.0% more than FY2023. HHS: $129.6 billion, 12.3% more than FY2023. ED: $90.0 billion, 13.1% more than FY2023. Related Agencies: $18.7 billion, 9.8% more than FY2023. FY2024 Emergency-Designated Appropriations LHHS emergency-designated appropriations for FY2024 were enacted in P.L. 118-50 (H.R. 815, April 24, 2024), which provided $481 million in such appropriations for the HHS Refugee and Entrant Assistance account.

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