Status of FY2022 Labor, Health and Human
August 18October 29, 2021 , 2021
Services, and Education Appropriations:
Karen E. Lynch
In Brief
Specialist in Social Policy
Specialist in Social Policy
This report provides a brief summary of the status of FY2022 appropriations for the Departments
This report provides a brief summary of the status of FY2022 appropriations for the Departments
Jessica Tollestrup
of Labor, Health and Human Services, and Education, and Related Agencies (LHHS) as of
of Labor, Health and Human Services, and Education, and Related Agencies (LHHS) as of
Specialist in Social Policy
Specialist in Social Policy
August 18October 29, 2021. It also provides background on the scope of the LHHS bill generally and the , 2021. It also provides background on the scope of the LHHS bill generally and the
budgetary context for congressional decisionmaking, including the submission of the FY2022
budgetary context for congressional decisionmaking, including the submission of the FY2022
President’s budget request, budget enforcement in the absence of statutory discretionary spending President’s budget request, budget enforcement in the absence of statutory discretionary spending
limits, and the supplemental appropriations provided as part of the legislative response to the
limits, and the supplemental appropriations provided as part of the legislative response to the
COVID-19COVID-19
pandemic.
pandemic.
FY2022 LHHS appropriations are currently being provided by a continuing resolution (CR) that provides temporary funding through December 3 (Division A of H.R. 5305; P.L. 117-43). This CR was signed into law on September 30, 2021.
With regard to House action on full-year appropriations, FY2022 LHHS appropriations were passed by the House on initial With regard to House action on full-year appropriations, FY2022 LHHS appropriations were passed by the House on initial
consideration (219-208) on July 29, 2021 (Division A, H.R. 4502).consideration (219-208) on July 29, 2021 (Division A, H.R. 4502).
Previously, on July 15, 2021, the House Appropriations Previously, on July 15, 2021, the House Appropriations
Committee voted (33-25) to report the LHHS bill; the measure was subsequently reported to the House on July 19 (H.R. Committee voted (33-25) to report the LHHS bill; the measure was subsequently reported to the House on July 19 (H.R.
4502; H.Rept. 117-96). The committee reported its initial suballocations for all 12 appropriations bills, including LHHS, on 4502; H.Rept. 117-96). The committee reported its initial suballocations for all 12 appropriations bills, including LHHS, on
July 1 (H.Rept. 117-78). July 1 (H.Rept. 117-78).
Senate action on the LHHS bill has not yet occurred during the FY2022 cycle. While the Senate Appropriations Committee has not yet voted to report the legislation, the committee chair, Senator Leahy, released a majority draft of the LHHS bill and accompanying draft report language on October 18, 2021.
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Contents
Scope of the LHHS Bill ................................................................................................................... 1
Context for FY2022 ......................................................................................................................... 2
COVID-19 Pandemic Supplemental Appropriations for FY2020 and FY2021 ........................ 3 2
Timing of the FY2022 President’s Budget Submission ............................................................ 4
FY2022 Discretionary Spending Levels and Appropriations Allocations ................................ 4
FY2022 LHHS Legislative Action .................................................................................................. 6
FY2022 Continuing Appropriations .......................................................................................... 6 Congressional Action on FY2022 Full-Year Appropriations .................................................... 6 FY2022 LHHS Estimated Discretionary Funding Levels ......................................................... 7
Tables Table 1. LHHS Discretionary Appropriations: Comparison of FY2021 Enacted with
FY2022 House Appropriations Committee and Senate Majority Draft Proposals ....................... 8
Contacts Author Information ........... 6
Tables
Table 1. LHHS Discretionary Appropriations: Comparison of FY2021 Enacted with
FY2022 House Appropriations Committee Proposal .......................................................... 7
Contacts
Author Information ......................................................................................................... 7...... 9
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Status of FY2022 LHHS Appropriations: In Brief
n July 29, 2021, FY2022 LHHS appropriations were passed by the House on initial consideration (219-208) as Division A of H.R. 4502. Previously, on July 15, 2021, the
O House Appropriations Committee voted (33-25) to report the FY2022 appropriations bil
for the Departments of Labor, Health and Human Services, and Education, and Related Agencies (LHHS); the measure was subsequently reported to the House on July 19 (H.R. 4502; H.Rept.
117-96). Senate action on the LHHS bil has not yet occurred during the FY2022 cycle.iscal year (FY) 2022 LHHS appropriations are currently being provided by a continuing resolution (CR) that provides temporary funding through December 3 (Division A of H.R.
F 5305; P.L. 117-43). This CR was signed into law on September 30, 2021.
Previously, on July 29, 2021, FY2022 LHHS appropriations were passed by the House on initial consideration (219-208) as Division A of H.R. 4502. While the Senate Appropriations Committee has not yet voted to report the legislation, the committee chair, Senator Leahy, released a majority draft of the LHHS bill and accompanying draft report language on October 18, 2021.1
This report provides a brief summary of the status of LHHS appropriations during the FY2022
This report provides a brief summary of the status of LHHS appropriations during the FY2022
cycle, including relevant congressional actions and a top-line comparison of discretionary funding cycle, including relevant congressional actions and a top-line comparison of discretionary funding
enacted in FY2021, versus relevant FY2022 legislative proposals as of enacted in FY2021, versus relevant FY2022 legislative proposals as of
August 18October 29, 2021. It also , 2021. It also
provides background on the scope of the provides background on the scope of the
bil bill and the context for congressional decisionmaking. and the context for congressional decisionmaking.
Congressional clients may consult the LHHS experts list in CRS Report R42638,
Congressional clients may consult the LHHS experts list in CRS Report R42638,
Appropriations:
CRS Experts, for information on which analysts to contact at the Congressional Research Service , for information on which analysts to contact at the Congressional Research Service
(CRS) with questions on specific agencies and programs funded in the LHHS (CRS) with questions on specific agencies and programs funded in the LHHS
bil bill. .
Scope of the LHHS Bill
The LHHS The LHHS
bil bill is the largest ($1.2 is the largest ($1.2
tril iontrillion in FY2021) of the 12 annual appropriations in FY2021) of the 12 annual appropriations
bil sbills when when
accounting for both mandatory and discretionary funding.accounting for both mandatory and discretionary funding.
12 It provides It provides
annual yannually appropriated appropriated
budget authority for the following federal departments and agencies: budget authority for the following federal departments and agencies:
the Department of Labor (DOL);
the Department of Labor (DOL);
most agencies at the Department of Health and Human Services (HHS), except most agencies at the Department of Health and Human Services (HHS), except
for the Food and Drug Administration (funded through the Agriculture
for the Food and Drug Administration (funded through the Agriculture
appropriations appropriations
bil bill), the Indian Health), the Indian Health
Service (funded through the Interior-Service (funded through the Interior-
Environment appropriations Environment appropriations
bil bill), and the Agency for Toxic Substances and ), and the Agency for Toxic Substances and
Disease Registry (funded through the Interior-Environment appropriations Disease Registry (funded through the Interior-Environment appropriations
bil bill); );
the Department of Education (ED); and
the Department of Education (ED); and
more than a dozen related agencies (RAs), including the Social Security more than a dozen related agencies (RAs), including the Social Security
Administration (SSA), the Corporation for National and Community Service, the
Administration (SSA), the Corporation for National and Community Service, the
Corporation for Public Broadcasting, the Institute of Museum and Library Corporation for Public Broadcasting, the Institute of Museum and Library
Services, the National Labor Relations Board, and the Railroad Retirement Services, the National Labor Relations Board, and the Railroad Retirement
Board. Board.
In general, mandatory funding represents just over 80% of the total LHHS
In general, mandatory funding represents just over 80% of the total LHHS
bil bill, supporting , supporting
annual y annually appropriated entitlements such as Medicaid and Supplemental Security Income (SSI). appropriated entitlements such as Medicaid and Supplemental Security Income (SSI).
Discretionary funds, which account for less than 20% of total funds in the bil , tend to be the focus of congressional debate during the appropriations process.2 This is because the appropriations process general y has little control over the amount of mandatory funding provided
for appropriated entitlements; rather, the authorizing statute controls the program parameters
1 See CRS
1 Senate Appropriations Committee majority staff, “Chairman Leahy Releases Remaining Nine Senate Appropriations Bills,” October 18, 2021, https://www.appropriations.senate.gov/news/majority/chairman-leahy-releases-remaining-nine-senate-appropriations-bills. See also “Shelby: Democrats’ Partisan Bills Threaten FY22 Appropriations Process,” October 18, 2021, https://www.appropriations.senate.gov/news/shelby-democrats-partisan-bills-threaten-fy22-appropriations-process.
2 See CRS Report R46859, Report R46859,
Labor, Health and Human Services, and Education: FY2021 Appropriations. .
T heThe discretionary funding provided in the LHHS appropriations act is both provided and controlled by that act. discretionary funding provided in the LHHS appropriations act is both provided and controlled by that act.
T heThe mandatory funding provided in the LHHSmandatory funding provided in the LHHS
act is controlled by provisions in authorizing law.act is controlled by provisions in authorizing law.
For defini tions For definitions of these of these
and other budget terms, see U.S.and other budget terms, see U.S.
Government Accountability Office (GAO), A GlossaryGovernment Accountability Office (GAO), A Glossary
of T erms of Terms Used in the Federal Used in the Federal
BudgetBudget
Process, GAO-05-734SP, September 1, 2005, http://www.gao.gov/products/GAO-05-734SP. (Process, GAO-05-734SP, September 1, 2005, http://www.gao.gov/products/GAO-05-734SP. (
T ermsTerms of interest of interest
may includemay include
budget budget authority, appropriated entitlement, direct spending, discretionary, entitlement authority, and authority, appropriated entitlement, direct spending, discretionary, entitlement authority, and
mandatory.) mandatory.)
2 For an illustrative discussion of the distribution of funds among the different titles of the bill, and between discretionary and mandatory spending, see the summary of FY2021 LHHS appropriations in CRS Report R46859, Labor, Health and Hum an Services, and Education: FY2021 Appropriations, pp. 12-14.
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(e.g., eligibility
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Discretionary funds, which account for less than 20% of total funds in the bill, tend to be the focus of congressional debate during the appropriations process.3 This is because the appropriations process generally has little control over the amount of mandatory funding provided for appropriated entitlements; rather, the authorizing statute controls the program parameters (e.g., eligibility rules, benefit levels) that entitle certain recipients to payments. Consequently, the rules, benefit levels) that entitle certain recipients to payments. Consequently, the
focus of this report focus of this report
general ygenerally is on the discretionary spending that has been or would be provided is on the discretionary spending that has been or would be provided
for LHHSfor LHHS
programs and activities under various laws and proposals. programs and activities under various laws and proposals.
Even though discretionary appropriations represent a relatively
Even though discretionary appropriations represent a relatively
smal small share of the entire LHHS share of the entire LHHS
bil , the bil is typical ybill, the bill is typically the largest single source of nondefense discretionary funding for the the largest single source of nondefense discretionary funding for the
federal government. (The Department of Defense federal government. (The Department of Defense
bil bill is the largest single source of discretionary is the largest single source of discretionary
funding funding
overal overall.) .)
Calculating Total LHHS Budget Authority
Budget authority is the amount of money a federal agency is is the amount of money a federal agency is
legal ylegally authorized to commit authorized to commit
or spend. Appropriations or spend. Appropriations
bil s may include budget authority that becomesbil s may include budget authority that becomes
available in the current fiscal year, in future fiscal years,available in the current fiscal year, in future fiscal years,
or some or some
combination. Amounts that become available in future fiscal years are combination. Amounts that become available in future fiscal years are
typical y referred typically referred to as to as
advance
appropriations..
The amount of LHHS budget authority can be tabulated in various ways. The total amount of budget authority The amount of LHHS budget authority can be tabulated in various ways. The total amount of budget authority
provided in an appropriations bil (i.e.,provided in an appropriations bil (i.e.,
total in the bil bill) would be calculated regardless) would be calculated regardless
of the year in which the of the year in which the
funding becomes available.funding becomes available.
3 4 In someIn some
cases, however,cases, however,
such as the 302(b) such as the 302(b)
subal ocationssuballocations (discussed later), the total is (discussed later), the total is
calculated based on calculated based on
current-year appropriations (i.e.,appropriations (i.e.,
the amount of the amount of
budget authority available available for obligation in a given
fiscal year),,
which is calculated regardlesswhich is calculated regardless
of the year in which it was first appropriated.of the year in which it was first appropriated.
4 Additional y, 5 Additionally, budgetary budgetary
totals may or may not include Congressionaltotals may or may not include Congressional
Budget Office (CBO) scorekeepingBudget Office (CBO) scorekeeping
and other adjustments to reflect and other adjustments to reflect
budget enforcement conventions and special instructions of Congress.budget enforcement conventions and special instructions of Congress.
5 6
Context for FY2022
Under the congressional budget process, congressional consideration of annual appropriations Under the congressional budget process, congressional consideration of annual appropriations
traditional y traditionally is preceded by the submission of the President’s budget request and the adoption of is preceded by the submission of the President’s budget request and the adoption of
the congressional budget resolution. However, the FY2022 cycle has been affected by a number the congressional budget resolution. However, the FY2022 cycle has been affected by a number
of timing and budgetary issues related to the ongoing COVID-19 pandemic, the presidential of timing and budgetary issues related to the ongoing COVID-19 pandemic, the presidential
transition, and a lack of statutory discretionary spending limits for the first time in a decade. transition, and a lack of statutory discretionary spending limits for the first time in a decade.
Background related to these issues is provided below. Background related to these issues is provided below.
COVID-19 Pandemic Supplemental Appropriations for FY2020 and
FY2021
Subsequent to the enactment of annual FY2020 LHHS appropriations and the submission of the President’s FY2021 budget, the effects of the COVID-19 pandemic on communities across the world and throughout the United States elicited a legislative response from Congress and the President. In the first months of the pandemic, four FY2020 supplemental appropriations were
part of this legislative response:6
3 Such figures include
3 For an illustrative discussion of the distribution of funds among the different titles of the bill, and between discretionary and mandatory spending, see the summary of FY2021 LHHS appropriations in CRS Report R46859, Labor, Health and Human Services, and Education: FY2021 Appropriations, pp. 12-14.
4 Such figures include advance appropriations provided in the bill for future fiscal years, butadvance appropriations provided in the bill for future fiscal years, but
do not include advance do not include advance
appropriations provided in prior years’ appropriations bills that become available in the current year.appropriations provided in prior years’ appropriations bills that become available in the current year.
4 Such figures exclude 5 Such figures exclude advance appropriations for future years, but includeadvance appropriations for future years, but include
advance appropriations from prior years that advance appropriations from prior years that
become available in the given fiscal year. become available in the given fiscal year.
56 For more information on scorekeeping, see CRS For more information on scorekeeping, see CRS
Report 98-560, Report 98-560,
Baselines and Scorekeeping in the Federal Budget
Process. See. See
also a discussionalso a discussion
of key scorekeeping guidelinesof key scorekeeping guidelines
included included in the joint explanatory statement in the joint explanatory statement
accompanying the conference report to the Balanced Budgetaccompanying the conference report to the Balanced Budget
Act of 1997 (Act of 1997 (
H.Rept. 105-217, pp. 1007-1014). 6 Other divisions of the acts that provided supplemental LHHS appropriations contained authorization provisions that in some cases relate to LHHS programs and activities—for instance, provisions providing a 6.2% increase to the federal matching assistance percentage for Medicaid and certain other programs in FFCRA, and provisions modifying student
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H.Rept. 105-217, pp. 1007-1014).
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COVID-19 Pandemic Supplemental Appropriations for FY2020 and FY2021 Subsequent to the enactment of annual FY2020 LHHS appropriations and the submission of the President’s FY2021 budget, the effects of the COVID-19 pandemic on communities across the world and throughout the United States elicited a legislative response from Congress and the President. In the first months of the pandemic, four FY2020 supplemental appropriations were part of this legislative response:7
Title III, Division A, of the Coronavirus Preparedness and Response
Title III, Division A, of the Coronavirus Preparedness and Response
Supplemental Appropriations Act, 2020 (P.L. 116-123), enacted on March 6,
Supplemental Appropriations Act, 2020 (P.L. 116-123), enacted on March 6,
2020, provided approximately $6.4 2020, provided approximately $6.4
bil ionbillion in supplemental LHHS in supplemental LHHS
funds7 funds8; ;
Title V, Division A, of the Families First Coronavirus Response Act (FFCRA,
Title V, Division A, of the Families First Coronavirus Response Act (FFCRA,
P.L. 116-127), enacted on March 18, 2020, provided $1.25
P.L. 116-127), enacted on March 18, 2020, provided $1.25
bil ionbillion in in
supplemental LHHS funds; supplemental LHHS funds;
Title VIII, Division B, of the Coronavirus Aid, Relief, and Economic Security
Title VIII, Division B, of the Coronavirus Aid, Relief, and Economic Security
Act (CARES Act, P.L. 116-136), enacted on March 27, 2020, provided $172.1
Act (CARES Act, P.L. 116-136), enacted on March 27, 2020, provided $172.1
bil ion billion in supplemental LHHSin supplemental LHHS
funds; and funds; and
Title I, Division B, of the Paycheck Protection Program and Health Care
Title I, Division B, of the Paycheck Protection Program and Health Care
Enhancement Act (PPPHCEA, P.L. 116-139), enacted on April 24, 2020,
Enhancement Act (PPPHCEA, P.L. 116-139), enacted on April 24, 2020,
provided $100 provided $100
bil ion billion in supplemental LHHSin supplemental LHHS
funds. funds.
In total, FY2020 supplemental appropriations increased regular FY2020 LHHS enacted funding
In total, FY2020 supplemental appropriations increased regular FY2020 LHHS enacted funding
by about 143%. The bulk of the supplemental funding (89%) was directed at HHS. Supplemental by about 143%. The bulk of the supplemental funding (89%) was directed at HHS. Supplemental
HHS funds totaled $248 HHS funds totaled $248
bil ion billion and represented a 261% increase over the agency’s FY2020 and represented a 261% increase over the agency’s FY2020
regular appropriations funding level. ED received the next largest increase via supplemental regular appropriations funding level. ED received the next largest increase via supplemental
funds (43%), whereas the DOL and funds (43%), whereas the DOL and
RARAs titles received the titles received the
smal estsmallest increases relative to their increases relative to their
initial initial FY2020 enacted levels (5% and 3%, respectively). FY2020 enacted levels (5% and 3%, respectively).
Al All of these additional funds were designated as an of these additional funds were designated as an
emergency requirement and thus were and thus were
effectively exempted from otherwise applicable budget enforcement requirements, such as the effectively exempted from otherwise applicable budget enforcement requirements, such as the
discretionary spending limits.discretionary spending limits.
89 (See (See
“FY2022 Discretionary Spending Levels and Appropriations
Al ocationsAllocations” for a further explanation of this issue.) for a further explanation of this issue.)
While annual appropriations for FY2021 were under discussion during the summer and
While annual appropriations for FY2021 were under discussion during the summer and
fal fall of of
2020, Congress and President Trump considered whether any additional COVID-19 response 2020, Congress and President Trump considered whether any additional COVID-19 response
funding should be enacted.funding should be enacted.
910 Ultimately, the same law (P.L. 116-260) that provided regular annual
7 Other divisions of the acts that provided supplemental LHHS appropriations contained authorization provisions that in some cases relate to LHHS programs and activities—for instance, provisions providing a 6.2% increase to the federal matching assistance percentage for Medicaid and certain other programs in FFCRA, and provisions modifying student loan subsidy costs in the CARES Act. For further information on the LHHS appropriations provided by these COVID-19 supplementals, see CRS Report R46353, COVID-19: Overview of FY2020 LHHS Supplemental Appropriations.
8 Of the amount shown for P.L. 116-123, $300 million (appropriated to the Public Health and Social Services Emergency Fund at HHS) was contingent upon future HHS actions.
9 For further information, see CRS Report R45778, Exceptions to the Budget Control Act’s Discretionary Spending Limits.
10 Prior to the enactment of full-year FY2021 LHHS funding, COVID-19-related LHHS provisions were proposed in several different appropriations measures for FY2021, including the House-passed full-year LHHS bill Ultimately, the same law (P.L. 116-260) that provided regular annual
LHHS appropriations for FY2021 in Division H also provided FY2021 supplemental discretionary appropriations in Division M. This law, which was enacted on December 27, 2020, provided a total of $154.9 bil ion in supplemental LHHS funds, al of which were designated as an emergency requirement (Title III, Division M). This funding was split roughly equal y between HHS (48%) and ED (53%). (None was enacted for DOL or RA.) The ED supplemental funding budgetary increase of $82 bil ion was 112% of its FY2021 regular appropriations. HHS
regular appropriations were increased by 75% (+$73 bil ion).10
The FY2020 and FY2021 supplemental funding was in many cases provided to LHHS accounts
and activities that also received annual appropriations. Although this funding was general y for
loan subsidy costs in the CARES Act. For further info rmation on the LHHS appropriations provided by these COVID-19 supplementals, see CRS Report R46353, COVID-19: Overview of FY2020 LHHS Supplem ental Appropriations.
7 Of the amount shown for P.L. 116-123, $300 million (appropriated to the Public Health and Social Services Emergency Fund at HHS) was contingent upon future HHS actions. 8 For further information, see CRS Report R45778, Exceptions to the Budget Control Act’s Discretionary Spending
Lim its.
9 Prior to the enactment of full-year FY2021 LHHS funding, COVID-19-related LHHS provisions were proposed in several different appropriations measures for FY2021, including the House-passed full-year LHHS bill (Division E, (Division E,
H.R. 7617), a supplemental appropriations package (Division A, H.R. 925), and the FY2021 continuing resolution H.R. 7617), a supplemental appropriations package (Division A, H.R. 925), and the FY2021 continuing resolution
(Division A, P.L. 116-159). While in some cases the budgetary(Division A, P.L. 116-159). While in some cases the budgetary
effects of the COVID-19-related provisions were effects of the COVID-19-related provisions were
designated as an emergency requirement, this was not the case universally. 10 For further information, see CRS Report R46775, Overview of COVID-19 LHHS Supplemental Appropriations:
FY2020 and FY2021.
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LHHS appropriations for FY2021 in Division H also provided FY2021 supplemental discretionary appropriations in Division M. This law, which was enacted on December 27, 2020, provided a total of $154.9 billion in supplemental LHHS funds, all of which were designated as an emergency requirement (Title III, Division M). This funding was split roughly equally between HHS (48%) and ED (53%). (None was enacted for DOL or RAs.) The ED supplemental funding budgetary increase of $82 billion was 112% of its FY2021 regular appropriations. HHS regular appropriations were increased by 75% (+$73 billion).11
The FY2020 and FY2021 supplemental funding was in many cases provided to LHHS accounts and activities that also received annual appropriations. Although this funding was generally for COVID-19-related response efforts, some of these efforts could include expanding basic COVID-19-related response efforts, some of these efforts could include expanding basic
infrastructure and capacity that would otherwise have been unfunded (or funded through annual infrastructure and capacity that would otherwise have been unfunded (or funded through annual
appropriations had the supplemental funding not been available). As FY2022 LHHS appropriations had the supplemental funding not been available). As FY2022 LHHS
appropriations are being consideredappropriations are being considered
in the coming months, Congress and President Biden , Congress and President Biden
wil will need to consider the extent to which any further funding supporting COVID-19 pandemic need to consider the extent to which any further funding supporting COVID-19 pandemic
response response
wil will be enacted as regular appropriations subject to the spending limits, or as an be enacted as regular appropriations subject to the spending limits, or as an
emergency requirement. They also emergency requirement. They also
wil will need to decide whether any program investments or need to decide whether any program investments or
expansions funded via previously enacted COVID-19 supplemental appropriations should be expansions funded via previously enacted COVID-19 supplemental appropriations should be
sustained. sustained.
Timing of the FY2022 President’s Budget Submission
The President’s budget request for the upcoming fiscal year is due to be submitted to Congress by The President’s budget request for the upcoming fiscal year is due to be submitted to Congress by
the first Monday in February. However, the FY2022 budget was submitted during a year in which the first Monday in February. However, the FY2022 budget was submitted during a year in which
a presidential transition occurred (on January 20, 2021). Recent Presidents have not submitted a presidential transition occurred (on January 20, 2021). Recent Presidents have not submitted
detailed budget proposals until April or May of their first year in office, although each has detailed budget proposals until April or May of their first year in office, although each has
advised Congress regarding the general contours of their economic and budgetary policies in advised Congress regarding the general contours of their economic and budgetary policies in
special messages submitted to Congress prior to that submission.special messages submitted to Congress prior to that submission.
1112 This delay This delay
al owsallows time to time to
prepare a proposal that reflects the priorities of the new administration.prepare a proposal that reflects the priorities of the new administration.
On April
On April
9, President Biden submitted to Congress an outline of his discretionary funding 9, President Biden submitted to Congress an outline of his discretionary funding
priorities for FY2022.priorities for FY2022.
1213 This preliminary document provided early highlights for numerous policy This preliminary document provided early highlights for numerous policy
areas, including several funded in the LHHS areas, including several funded in the LHHS
bil bill. The full budget request was submitted on May . The full budget request was submitted on May
28, almost four months after its due date.28, almost four months after its due date.
1314 As a result, the start of annual appropriations As a result, the start of annual appropriations
decisionmaking for FY2022 also was delayed to decisionmaking for FY2022 also was delayed to
al owallow time for Congress to consider this request. time for Congress to consider this request.
FY2022 Discretionary Spending Levels and Appropriations
Allocations
For the decade prior to FY2022, the framework for discretionary spending budget enforcement For the decade prior to FY2022, the framework for discretionary spending budget enforcement
under the congressional budget process involved both statutory and procedural elements. Those under the congressional budget process involved both statutory and procedural elements. Those
statutory elements included limits on defense and nondefense discretionary spending established statutory elements included limits on defense and nondefense discretionary spending established
by the Budget Control Act of 2011 (BCA; P.L. 112-25). LHHS appropriations are classified as by the Budget Control Act of 2011 (BCA; P.L. 112-25). LHHS appropriations are classified as
designated as an emergency requirement, this was not the case universally.
11 For further information, see CRS Report R46775, Overview of COVID-19 LHHS Supplemental Appropriations: FY2020 and FY2021.
12 See CRS Insight IN11655, Budget Submission After a Presidential Transition: Contextualizing the Biden Administration’s FY2022 Request.
13 Office of Management and Budget (OMB), The President’s FY2022 Discretionary Request, April 9, 2021, https://www.whitehouse.gov/omb/fy-2022-discretionary-request/.
14 See https://www.whitehouse.gov/omb/budget/.
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nondefense spending, and the bill nondefense spending, and the bil has the largest share of such spending compared to the other has the largest share of such spending compared to the other
annual appropriations annual appropriations
bil sbills. .
The procedural elements of budget enforcement are primarily associated with the budget
The procedural elements of budget enforcement are primarily associated with the budget
resolution. This provides a limit on total discretionary spending availableresolution. This provides a limit on total discretionary spending available
to the appropriations to the appropriations
committees (commonly referred to as a committees (commonly referred to as a
302(a) allocation) and ) and
allows the appropriations committees to create limits on spending under the limits on spending under the
jurisdiction of each appropriations subcommittee (jurisdiction of each appropriations subcommittee (
302(b) suballocations). Certain spending is ). Certain spending is
effectively exempt from these limits (commonly referred to aseffectively exempt from these limits (commonly referred to as
adjustments to those limits). In to those limits). In
recent years, adjustments that have been applied to LHHS appropriations are for recent years, adjustments that have been applied to LHHS appropriations are for
emergency
requirements, to accommodate new budget authority for specified program integrity initiatives at , to accommodate new budget authority for specified program integrity initiatives at
HHS (HHS (
health care fraud and abuse control) )
and the SSA (continuing disability reviews and and the SSA (continuing disability reviews and
11 See CRS Insight IN11655, Budget Submission After a Presidential Transition: Contextualizing the Biden
Administration’s FY2022 Request. 12 Office of Management and Budget (OMB), The President’s FY2022 Discretionary Request, April 9, 2021, https://www.whitehouse.gov/omb/fy-2022-discretionary-request/.
13 See https://www.whitehouse.gov/omb/budget/.
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redeterminations), and for DOL to fund ), and for DOL to fund
reemployment services and eligibility assessments
conducted by the states related to unemployment compensation.conducted by the states related to unemployment compensation.
14
Under current law, the15
The statutory limits on discretionary spending statutory limits on discretionary spending
expireexpired at the end of FY2021. at the end of FY2021.
This general y This generally means that, absent the imposition of new statutory limits, discretionary budget means that, absent the imposition of new statutory limits, discretionary budget
enforcement for FY2022 enforcement for FY2022
wil will occur via procedural means only. As the FY2022 appropriations occur via procedural means only. As the FY2022 appropriations
cycle progresses, however, Congress may consider whether to re-impose statutory caps, and if so, cycle progresses, however, Congress may consider whether to re-impose statutory caps, and if so,
at what levels and for what number of fiscal years. Absent statutory caps, the amount of FY2022 at what levels and for what number of fiscal years. Absent statutory caps, the amount of FY2022
discretionary spending—in total and for LHHS—discretionary spending—in total and for LHHS—
wil stil will still need to be determined. In addition, need to be determined. In addition,
Congress wil Congress will need to determine to what degree any discretionary spending for FY2022 need to determine to what degree any discretionary spending for FY2022
wil be
will be effectively exempt from budget enforcement, whether statutory or procedural. effectively exempt from budget enforcement, whether statutory or procedural.
The Senate passed (50-49) its version of the FY2022 budget resolution (S.Con.Res. 14) on
August 11, 2021. The accompanying Senate print (S.Prt. 117-16) included a proposed al ocation to the Senate Appropriations Committee.15 As of the date of this report, there has been no House
action on S.Con.Res. 14.
General yA FY2022 budget resolution has been agreed to by the House and the Senate. S.Con.Res. 14 was adopted by the Senate on August 11, 2021, and by the House (without amendment) on August 24. To provide for 302(a) allocations associated with S.Con.Res. 14, Section 4006 of the budget resolution provided the Chair of the Senate Budget Committee the authority to enter into the Congressional Record allocations consistent with the levels in the budget resolution. Those levels were filed in the Senate on September 23, 2021.16 Section 4006 provided similar authority to the Chair of the House Budget Committee and those allocations were filed on October 27, 2021.17
Generally, after the budget resolution has been approved by both chambers, the next step in the , after the budget resolution has been approved by both chambers, the next step in the
appropriations process is for each of the appropriations committees to adopt appropriations process is for each of the appropriations committees to adopt
subal ocationssuballocations from from
the total amount the total amount
al ocatedallocated to them. These 302(b) to them. These 302(b)
subal ocationssuballocations provide a limit on current-year provide a limit on current-year
(in this case, FY2022) appropriations within each subcommittee’s jurisdiction and incorporate (in this case, FY2022) appropriations within each subcommittee’s jurisdiction and incorporate
any applicable scorekeeping adjustments made by CBO. any applicable scorekeeping adjustments made by CBO.
Because S.Con.Res. 14 has not yet been
finalized, it does not provide a basis for these subal ocationsNeither the House nor the Senate has filed 302(b) suballocations pursuant to the FY2022 budget resolution. .
However, earlier this year the House provided for budget enforcement in the absence of a budget
However, earlier this year the House provided for budget enforcement in the absence of a budget
resolution resolution
by adoptingprior to initial floor consideration of the FY2022 appropriations measures by adopting a deeming resolution, H.Res. 467 on June 14, 2021. H.Res. 467 on June 14, 2021.
1618 This resolution provided for 302(a) This resolution provided for 302(a)
al ocationsallocations to the House Appropriations Committee at a specified level, to the House Appropriations Committee at a specified level,
provided limits on
15 For further information, see CRS Report R45778, Exceptions to the Budget Control Act’s Discretionary Spending Limits.
16 “Publication of Budgetary Material,” Congressional Record, daily edition, Vol. 167, No. 165 (September 23, 2021), pp. S6667-S6668.
17 Publication of Budgetary Material,” Congressional Record, daily edition, Vol. 167, No. 189 (October 27, 2021), pp. H5956-H5957.
18 For a discussion of budget enforcement through methods such as H.Res. 467, see CRS Report R44296, Deeming Resolutions: Budget Enforcement in the Absence of a Budget Resolution.
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Status of FY2022 LHHS Appropriations: In Brief
provided limits on advance appropriations,advance appropriations,
17 and al owed19 and allowed adjustments to those adjustments to those
al ocationsallocations for emergency for emergency
requirements, health care fraud and abuse control, and continuing disability reviews and requirements, health care fraud and abuse control, and continuing disability reviews and
redeterminations (as redeterminations (as
wel well as other purposes that do not apply to LHHS).as other purposes that do not apply to LHHS).
1820 Pursuant to this Pursuant to this
resolution, the Chair of the House Budget Committee, Representative Yarmuth, published in the resolution, the Chair of the House Budget Committee, Representative Yarmuth, published in the
Congressional Record the House Appropriations Committee the House Appropriations Committee
al ocationsallocations on June 24. on June 24.
1921 The House The House
Appropriations Committee reported their initialAppropriations Committee reported their initial
302(b) subal ocations for al 302(b) suballocations for all 12 subcommittees 12 subcommittees
on July 1 (H.Rept. 117-78).on July 1 (H.Rept. 117-78).
2022 The discretionary budget authority The discretionary budget authority
subal ocation for LHHS of
14 For further information, see CRS Report R45778, Exceptions to the Budget Control Act’s Discretionary Spending
Lim its.
15 See S.Prt. 117-16, p. 110, https://www.budget.senate.gov/imo/media/doc/CPRT -117SPRT 45298.pdf. 16 For a discussion of budget enforcement through methods such as H.Res. 467, see CRS Report R44296, Deeming
Resolutions: Budget Enforcem ent in the Absence of a Budget Resolution .
17 Advance appropriations become available for obligation one or more fiscal years after the budget year covered by the appropriations act . T he FY2022 LHHS appropriations bill generally would contain advance appropriations for FY2023 and FY2024 for certain programs and activities. For further information, see CRS Report R43482, Advance
Appropriations, Forward Funding, and Advance Funding: Concepts, Practice, and Budget Process Considerations . 18 H.Res. 467 further provided that the BCA cap adjustments (Section 251(b) of the Balanced Budget and Emergency Deficit Control Act) would not apply to allocations established pursuant to that resolution. However, the adjustment for reemployment services and eligibilit y assessments would continue to be in effect for FY2022 through FY2027 pursuant to Section 314(g) of the Congressional Budget Act, subject to specified limits.
19 “Publication of Budgetary Material,” Congressional Record, daily edition, Vol. 167, No. 110 (June 24, 2021), p. H3130. 20 Suballocations are commonly adjusted through the appropriations cycle to account for changing priorities. For FY2022, the House Appropriations Committee reported revised suballocations on July 16 ( H.Rept. 117-91) to incorporate the cap adjustments where applicable, but otherwise the suballocation for the LHHS subcommittee was the
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$237.466 bil ion represents a 36% (+$63.4 bil ion) increase relative to FY2021. That amount does
not include funding subject to adjustments, such as for emergency requirements.
FY2022 LHHS Legislative Action
The House completed initial floor consideration of FY2022 LHHS appropriations on July 29, 2021, with the passage (219-208) of H.R. 4502. Those LHHS appropriations were packaged for the purposes of floor consideration with six other appropriations acts, with LHHS appropriations
being in Division A of H.R. 4502.21 Floor action was regulated by the terms of a special rule (H.Res. 555) that made in order 56 amendments to the LHHS title of the bil .22 This rule also suballocation for LHHS of $237.466 billion represents a 36% (+$63.4 billion) increase relative to FY2021. That amount does not include funding subject to adjustments, such as for emergency requirements.
FY2022 LHHS Legislative Action
FY2022 Continuing Appropriations FY2022 LHHS appropriations are currently being provided by a continuing resolution (CR) (Division A of H.R. 5305; P.L. 117-43). This CR was signed into law on September 30, 2021. The measure had previously been introduced by the House Appropriations Committee chair, Representative DeLauro, on September 21, and was passed by the House that same day, 220-211. On September 30, the Senate took up and passed the measure with an amendment, 65-35,23 which was subsequently agreed to by the House, 254-175.
The CR provides continuing appropriations for all 12 annual appropriations acts (including LHHS) through December 3, 2021. In general, the CR funds discretionary programs at the same rate and under the same conditions as in FY2020 (§101) and annually appropriated entitlements at their current law levels (§111).24 It also includes several anomalies that are specific to LHHS accounts or related activities (§§138-149).
Congressional Action on FY2022 Full-Year Appropriations The House completed initial floor consideration of FY2022 LHHS appropriations on July 29, 2021, with the passage (219-208) of H.R. 4502. Those LHHS appropriations were packaged for 19 Advance appropriations become available for obligation one or more fiscal years after the budget year covered by the appropriations act. The FY2022 LHHS appropriations bill generally would contain advance appropriations for FY2023 and FY2024 for certain programs and activities. For further information, see CRS Report R43482, Advance Appropriations, Forward Funding, and Advance Funding: Concepts, Practice, and Budget Process Considerations.
20 H.Res. 467 further provided that the BCA cap adjustments (Section 251(b) of the Balanced Budget and Emergency Deficit Control Act) would not apply to allocations established pursuant to that resolution. However, the adjustment for reemployment services and eligibility assessments would continue to be in effect for FY2022 through FY2027 pursuant to Section 314(g) of the Congressional Budget Act, subject to specified limits.
21 “Publication of Budgetary Material,” Congressional Record, daily edition, Vol. 167, No. 110 (June 24, 2021), p. H3130.
22 Suballocations are commonly adjusted through the appropriations cycle to account for changing priorities. For FY2022, the House Appropriations Committee reported revised suballocations on July 16 (H.Rept. 117-91) to incorporate the cap adjustments where applicable, but otherwise the suballocation for the LHHS subcommittee was the same as originally reported.
23 No substantive changes were made by the Senate amendment to the CR provisions in Division A of H.R. 5305. 24 For an estimate of the discretionary appropriations contained in Division A of H.R. 5305, see Table 1-H and 1-S in CBO Estimate for H.R. 5305, the Extending Government Funding and Delivering Emergency Assistance Act as Passed by the House of Representatives on September 21, 2021, https://www.cbo.gov/system/files/2021-09/57491-CBO-Estimate-for-HR5305.pdf.
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Status of FY2022 LHHS Appropriations: In Brief
the purposes of floor consideration with six other appropriations acts, with LHHS appropriations being in Division A of H.R. 4502.25 Floor action was regulated by the terms of a special rule (H.Res. 555). A total of 56 amendments to the LHHS title of the bill were made in order for consideration on the floor.26 This rule also provided the authority for the chair of the Appropriations Committee or her designee to offer any provided the authority for the chair of the Appropriations Committee or her designee to offer any
of the amendments made in order en bloc (i.e., in groups of amendments to be disposed of of the amendments made in order en bloc (i.e., in groups of amendments to be disposed of
together).together).
23 Al 27 All but two LHHS amendments were considered in this manner.but two LHHS amendments were considered in this manner.
2428 When counted as When counted as
56 separate amendments, 47 were adopted and 9 were rejected. 56 separate amendments, 47 were adopted and 9 were rejected.
Previously, on July 15, 2021, the House Appropriations Committee voted (33-25) to report the
Previously, on July 15, 2021, the House Appropriations Committee voted (33-25) to report the
LHHS LHHS
bil ; bill; the measure was subsequently reported to the House on July 19 (H.R. 4502; H.Rept. the measure was subsequently reported to the House on July 19 (H.R. 4502; H.Rept.
117-96). The measure was approved in subcommittee, via a voice vote, on July 12, 2021. 117-96). The measure was approved in subcommittee, via a voice vote, on July 12, 2021.
While the Senate Appropriations Committee Senate Appropriations Committee
action on the FY2022 LHHS bil has not yet occurred.
has not yet voted to report the legislation, the committee chair, Senator Leahy, released a majority draft of the LHHS bill and accompanying draft report language on October 18, 2021.29 According to the chair, the purpose of this release is to further negotiations toward enacting all 12 annual appropriations bills prior to when the CR expires on December 3.30
FY2022 LHHS Estimated Discretionary Funding Levels Table 1 displays the CBO estimate of enacted LHHS discretionary appropriations for FY2021, displays the CBO estimate of enacted LHHS discretionary appropriations for FY2021,
and the House committee-reported FY2022 discretionary appropriations for LHHSthe House committee-reported FY2022 discretionary appropriations for LHHS
, and those in the Senate majority draft proposal. The amount . The amount
shown for “regular discretionary appropriations” does not include any funding that is subject to shown for “regular discretionary appropriations” does not include any funding that is subject to
program integrity adjustments or emergency designations. The amount shown represents current-program integrity adjustments or emergency designations. The amount shown represents current-
year budget authority subject to the spending limits and takes into account any applicable CBO year budget authority subject to the spending limits and takes into account any applicable CBO
scorekeeping adjustments. Under this method of estimating the scorekeeping adjustments. Under this method of estimating the
bil bill, the House , the House
Committee proposal would proposal would
increase regular discretionary increase regular discretionary
appropriations for LHHS relative to FY2021 by 36% (+$63.4 billion), while the Senate majority draft proposal would increase those appropriations by 27% (+46.7 billion).31
25 Those appropriations acts were Agriculture and Rural Development, Energy and Water Development, Financial Services and General Government, Interior and Environment, Military Construction and Veterans Affairs, and Transportation and Housing and Urban Development.
26 For a list of these LHHS amendments (numbered 1-56) and the text of each that was made in order, see pages 8-13 and 30-38 of H.Rept. 117-109.
27appropriations for LHHS relative to FY2021 by 36% (+$63.4
bil ion).
As mentioned previously, certain LHHS appropriations, such as those al owed for program integrity funding or designated for emergency requirements, are effectively exempt from the discretionary spending limits. As was the case for FY2021, the FY2022 House proposal would
provide the maximum amount al owed for program integrity spending under relevant procedures (see discussion in “FY2022 Discretionary Spending Levels and Appropriations Al ocations”). With regard to new FY2022 funding for emergency requirements, no such emergency-designated funding has been proposed by the House. The “adjusted appropriations” total in the table includes
these additional funds along with “regular discretionary appropriations.”
same as originally reported.
21 T hose appropriations acts were Agriculture and Rural Development, Energy and Water Development, Financial Services and General Government, Interior and Environment, Military Construction and Veterans Affairs, and T ransportation and Housing and Urban Development. 22 For a list of these LHHS amendments (numbered 1-56) and the text of each that was made in order, see pages 8-13 and 30-38 of H.Rept. 117-109.
23 For further information about en bloc authority in the context of House floor consideration of appropriations For further information about en bloc authority in the context of House floor consideration of appropriations
measures, seemeasures, see
CRS CRS Report R46841, Report R46841,
Changes in the House of Representatives’ Initial Consideration of Regular
Appropriations Measures, 113th-116th Congresses. .
24
28 For the en bloc amendments proposing changes to the LHHS division of the bill, see consideration of amendments en For the en bloc amendments proposing changes to the LHHS division of the bill, see consideration of amendments en
bloc nos. 1, 2, 3, and 4 in bloc nos. 1, 2, 3, and 4 in
Congressional Record, daily edition, Vol. 167, No. 131 (July 27, 2021), pp. H4055-H4073. , daily edition, Vol. 167, No. 131 (July 27, 2021), pp. H4055-H4073.
29 On October 25, Senator Patty Murray, Chair of the Senate Appropriations LHHS Subcommittee, introduced an FY2022 LHHS bill (S. 3062). This bill was referred to the Senate Appropriations Committee. Because S. 3062 has not received any congressional action, this report does not discuss this measure.
30 The text of the Senate majority draft LHHS bill and accompanying committee report is linked to the press release, “Chairman Leahy Releases Remaining Nine Senate Appropriations Bills,” October 18, 2021, https://www.appropriations.senate.gov/news/majority/chairman-leahy-releases-remaining-nine-senate-appropriations-bills. See also “Shelby: Democrats’ Partisan Bills Threaten FY22 Appropriations Process,” October 18, 2021, https://www.appropriations.senate.gov/news/shelby-democrats-partisan-bills-threaten-fy22-appropriations-process.
31 This CRS estimate is based on a comparison of the CBO estimate for FY2021 enacted (CBO, Report on the Status of Discretionary Appropriations, Fiscal Year 2021, House of Representatives, as of July 30, 2021, https://www.cbo.gov/system/files?file=2021-09/FY2021-House.pdf) to the total amount of spending listed on page 1 of the Senate majority
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107 link to page 7 link to page 11 link to page 11 Status of FY2022 LHHS Appropriations: In Brief
As mentioned previously, certain LHHS appropriations, such as those allowed for program integrity funding or designated for emergency requirements, are effectively exempt from the discretionary spending limits. As was the case for FY2021, the FY2022 House Committee and Senate majority draft proposals would provide the maximum amount allowed for program integrity spending under relevant procedures (see discussion in “FY2022 Discretionary Spending Levels and Appropriations Allocations”). With regard to new FY2022 funding for emergency requirements, no such emergency-designated funding has been proposed by the House Committee or the Senate majority draft. The “adjusted appropriations” total in the table includes these additional funds along with “regular discretionary appropriations.”LHHS Appropriations: In Brief
Table 1. LHHS Discretionary Appropriations: Comparison of FY2021 Enacted with
FY2022 House Appropriations Committee Proposaland Senate Majority Draft Proposals
(Budget authority in
(Budget authority in
bil ions of dol arsbillions of dollars) )
FY2022 House
CommitteeFY2022 Senate
FY2021
Committee Bill
Majority Draft
Bill
Enacted
(H.R. 4502)
Bill
Regular discretionary Regular discretionary
appropriations appropriations
174.073
174.073
237.466
237.466
Adjustments:a
220.757
Adjustments:a
Health care fraud and
Health care fraud and
abuse control abuse control
0.496
0.496
0.556
0.556
Continuing disability reviews and0.556
Continuing disability reviews and redeterminations
1.302
1.302
1.435
1.435
redeterminations1.435
Reemployment
Reemployment
services services and eligibility assessments
0.083
0.083
0.133
0.133
and eligibility assessments0.133
Emergency
Emergency
requirements
156.563requirementsb
156.588
—
—
—
Adjusted appropriations
Adjusted appropriations
332.
332.
517542
239.590
239.590
222.881
Source: The FY2021 enacted amounts are fromThe FY2021 enacted amounts are from
CBO,CBO,
Report on the Status of Discretionary Appropriations, Fiscal
Fiscal Year 2021, House of Representatives, as of December 27, 2020 as of July 30, 2021, https://www.cbo.gov/system/files?file=2021-, https://www.cbo.gov/system/files?file=2021-
0209//
FY2021-HouseFY2021-House
-2021-02-01.pdf,.pdf and CRS analysis of Division and CRS analysis of Division
H of P.L. 116-260. The FY2022 House amounts are H of P.L. 116-260. The FY2022 House amounts are
from page 3 of H.Rept. 117-96, and CRS analysis of H.R. 4502, as reported. from page 3 of H.Rept. 117-96, and CRS analysis of H.R. 4502, as reported.
FY2022 Senate amounts are from page 1 of the Senate majority draft LHHS committee report and CRS analysis of the Senate majority draft LHHS bil posted at https://www.appropriations.senate.gov/news/majority/chairman-leahy-releases-remaining-nine-senate-appropriations-bil s. “Regular discretionary “Regular discretionary
appropriations” exclude funds for which special rulesappropriations” exclude funds for which special rules
apply under the spending limitsapply under the spending limits
(e.g.,(e.g.,
funds for certain funds for certain
program integrity activities and emergency requirements),program integrity activities and emergency requirements),
as wel as well as funds provided under authorities in the as funds provided under authorities in the
21 st 21st Century Cures Act (P.L. 114-255) that are effectively exempt from the spending limits. Century Cures Act (P.L. 114-255) that are effectively exempt from the spending limits.
Notes: Amounts reflect current-year discretionary budget authority subject to spending limits.Amounts reflect current-year discretionary budget authority subject to spending limits.
a. CBO presents the FY2021 enacted amounts provided for health care fraud and abuse control, continuing a. CBO presents the FY2021 enacted amounts provided for health care fraud and abuse control, continuing
disability reviews
disability reviews
and redeterminations,and redeterminations,
and reemploymentand reemployment
services and eligibility assessments services and eligibility assessments as an as an
aggregated “program integrity” total of $1.881 bil ion.aggregated “program integrity” total of $1.881 bil ion.
The FY2021 enacted amounts for these activitiesThe FY2021 enacted amounts for these activities
are are
identified via CRS analysis of Divisionidentified via CRS analysis of Division
H of P.L. 116-260.
b. A total of $4.211 bil ion in FY2022 emergency-designated supplemental LHHS appropriations were enacted
in Divisions A and C of P.L. 117-43. These are not reflected in this table or the FY2022 amounts discussed
draft LHHS committee report (posted at https://www.appropriations.senate.gov/news/majority/chairman-leahy-releases-remaining-nine-senate-appropriations-bills). The Senate majority draft LHHS committee report estimates the proposed increase over FY2021 as follows, “The subcommittee’s effective allocation, which includes discretionary funding offset by savings in changes in mandatory programs, is $48,948,000,000 more than the comparable fiscal year 2021 level” (p.1). H of P.L. 116-260.
Author Information
Karen E. Lynch
Jessica Tollestrup
Specialist in Social Policy
Specialist in Social Policy
Congressional Research Service
Congressional Research Service
78
Status of FY2022 LHHS Appropriations: In Brief
c. in this report. (See pages 374-375 of the Senate majority draft LHHS committee report posted at
https://www.appropriations.senate.gov/news/majority/chairman-leahy-releases-remaining-nine-senate-appropriations-bil s.)
Author Information
Karen E. Lynch
Jessica Tollestrup
Specialist in Social Policy
Specialist in Social Policy
LHHS Appropriations: In Brief
Disclaimer
This document was prepared by the Congressional Research Service (CRS). CRS serves as nonpartisan
This document was prepared by the Congressional Research Service (CRS). CRS serves as nonpartisan
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Congressional Research Service
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R46853
R46853
· VERSION 45 · UPDATED
89