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Members of Congress are frequently lobbied to add funding to annual defense appropriation legislation for certain medical research programs on a wide variety of diseases and topics. In addressing annual appropriations bills, Members frequently seek information on enacted levels for such funding under the Congressionally Directed Medical Research Programs (CDMRP).
The CDMRP is a Department of Defense (DOD), which is "using a secondary Department of War designation" under Executive Order 14347 dated September 5, 2025, program that receives congressional appropriations explicitly for biomedical research in specific, congressionally identified health matters. As such, it has not been part of the President's budget request for the DOD. The U.S. Army Medical Research and Development Command (USAMRDC), with oversight from the Defense Health Agency, administers the CDMRP and is responsible for awarding and managing competitive grants.
Congress usuallytypically inserts CDMRP funding as Undistributed Medical Research in the Defense Health Program's Research, Development, Test, and Evaluation (DHP RDT&E) account in the annual DOD appropriation. Congressional documents accompanying the annual defense appropriation act (i.e., conference reportsreport or explanatory statementsstatement) typically identify the specific research areas for a given fiscal year.
Title IV, Section 1407(1), of the Full-Year Continuing Appropriations and Extensions Act, 2025 (P.L. 119-4) inserted $650 millionDivision A, Title VI, of the Consolidated Appropriations Act, 2026 (P.L. 119-75), inserted $1.27 billion into the RDT&E account for CDMRP. This amount comprises 3851% of the overall Defense Health Program's RDT&E appropriationDHP RDT&E, as reflected in Figure 1. Biomedical research conducted by the Defense Advanced Research Projects Agency or other military research agencies is not included in this account.
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Source: Title IV, Section 1407(1), P.L. 119-4. |
Table 1 lists the FY2025 CDMRP funding amounts for specific medical research areas. The table lists DOD-reported research topics eligible for CDMRP funding and DOD-reported allocations of specific dollar amounts to each topic. For FY2025, CRS has identified no accompanying explanatory statement or conference report to P.L. 119-4 providing explicit guidance on CDMRP research topics.
|
Program Title |
FY2025 |
|
Alzheimer's |
$15.0 |
|
Amyotrophic Lateral Sclerosis |
$40.0 |
|
Breast Cancer |
$130.0 |
|
Duchenne Muscular Dystrophy |
$12.5 |
|
Melanoma |
$40.0 |
|
Military Burn |
$10.0 |
|
Ovarian Cancer |
$15.0 |
|
Peer-Reviewed Cancer |
$130.0 |
|
Peer-Reviewed Medical |
$150.0 |
|
Prostate Cancer |
$75.0 |
|
Rare Cancers |
$17.5 |
|
Toxic Exposures |
$15.0 |
|
TOTAL |
$650.0 |
Source: DOD, "CDMRP Announces Research Funding for Fiscal Year 2025," press release, updated April 7, 2025.
Members may request funding for medical research during the annual defense appropriations process. The appropriations committees typically send Members a memorandum with instructions for submitting requests. Both House and Senate committee reports may specify funding associated with certain research. An exchange of amendments between the houses (or a conference committee) typically resolves any differences between the committee reports.
The medical research programs funded under the CDMRP are not static. Funding may be provided for conditions not funded in previous years. For example, funding for tick-borne disease research was provided in FY2016-FY2020, but no associated funds were provided in FY2015.
Figure 1. Total DHP RDT&E Appropriation, FY2026
Source: CRS analysis of Division A, Title VI, of the Consolidated Appropriations Act, 2026 (P.L. 119-75).
USAMRDC issues periodic program announcements to alert researchers of CDMRP grant opportunities. The program announcements include detailed descriptions of funding mechanisms, evaluation criteria, submission requirements, and deadlines. Program announcements are listed on the Grants.gov website, or the. The CDMRP website (https://cdmrp.health.mil). The CDMRP website also includes also lists program announcements, information on awarded grants and other resources such as related publications, brochures about individual research programs, and annual reports.
Peer Reviewed Cancer Research Program (PRCRP) funding supports grants for medical research on various cancers and related treatments. For FY2025FY2026, Congress appropriated $130165 million for the PRCRP, separate from other CDMRP funding for breast, glioblastoma, kidney, lung, melanoma, ovarian, pancreatic, prostate, and rare cancers.
Table 2 lists 2220 cancers and treatments eligible for FY2025FY2026 PRCRP funding.
Peer Reviewed Medical Research Program
The program with the highest annual funding level under the CDMRP is generally the Peer Reviewed Medical Research Program (PRMRP). For FY2026, Congress appropriated $370 million for the PRMRP. PRMRP funding supports grants for medical research on a number of conditions or treatment modalities that are of "clear scientific merit and direct relevance to military health." Congress specifies an annual list of eligible conditions or treatments that typically includes a few changes from year to year as medical research priorities shift. Table 3 lists 52 conditions or treatments eligible for FY2026 PRMRP funding.
PRCRP funding.
|
Bladder Cancer |
Mesothelioma |
|
Blood Cancers |
Metastatic Cancers |
|
Brain Cancer |
Myeloma |
|
Colorectal Cancer |
Neuroblastoma |
|
Endometrial Cancer |
Neuroendocrine Tumors |
|
Esophageal Cancer |
Pancreatic Cancer |
|
Germ Cell Cancers |
Pediatric, Adolescent, and Young Adult Cancers |
|
Kidney Cancer |
Pediatric Brain Tumors |
|
Liver Cancer |
Sarcoma |
|
Lung Cancer |
Stomach Cancer |
|
Lymphoma |
Thyroid Cancer |
Source: DOD, Peer Reviewed Cancer, "FY2025 PRCRP Topic Areas," April, 8, 2025.
The program with the highest annual funding level under the CDMRP is generally the Peer Reviewed Medical Research Program (PRMRP). For FY2025, Congress appropriated $150 million for the PRMRP.
PRMRP funding supports grants for medical research on a number of conditions or treatment modalities that are of "clear scientific merit that lead to impactful advances in health care of Service Members, their Families and Veterans." Congress specifies an annual list of eligible conditions or treatments that typically includes a few changes from year to year as medical research priorities shift.
For example, research on burn pit exposure was eligible for funding in FY2017-FY2021, but was not eligible for funding in FY2016. Nevertheless, an investigator interested in burn pit exposure-related research could have submitted FY2016 grant applications for related eligible topics such as respiratory health, constrictive bronchiolitis, and pulmonary fibrosis.
Table 3 lists 56 conditions or treatments eligible for FY2025 PRMRP funding.
|
Angelman Syndrome |
Maternal Mental Health |
|
Autism |
Menopause |
|
Burn Pit Exposure |
Mitochondrial Disease |
|
Cardiac Health |
Multiple Sclerosis |
|
Celiac Disease |
Myotonic Dystrophy |
|
Congenital Cytomegalovirus |
Nephrotic Syndrome |
|
Congenital Heart Disease |
Neurofibromatosis |
|
Dystonia |
Pancreatitis |
|
Eating Disorders |
Parkinson's |
|
Eczema |
Peripheral Neuropathy |
|
Ehlers-Danlos Syndrome |
Polycystic Kidney Disease |
|
Endometriosis |
Proteomics |
|
Epidermolysis Bullosa |
Pulmonary Fibrosis |
|
Far-UVC Germicidal Light |
Reconstructive Transplantation |
|
Food Allergies |
Respiratory Health |
|
Fragile X |
Rett Syndrome |
|
Frontotemporal Degeneration |
Scleroderma |
|
Guillain-Barre Syndrome |
Sickle Cell Disease |
|
Hepatitis B |
Sleep Disorders and Restriction |
|
Hereditary and Acquired Ataxia |
Suicide Prevention |
|
Hermansky-Pudlack Syndrome |
Tick-borne Disease |
|
Hydrocephalus |
Tuberculosis |
|
Inflammatory Bowel Disease |
Tuberous Sclerosis Complex |
|
Interstitial Cystitis |
Vision |
|
Malaria |
Von Hippel-Lindau Disease |
|
Focal Segment Glomerulosclerosis |
Orthotics and Prosthetics Outcomes |
|
Fibrous Dysplasia / McCune-Albright Syndrome |
Post-acute Sequelae–SARS CoV-2 Infection |
|
Myalgic Encephalomyelitis / Chronic Fatigue Syndrome |
Traumatic Brain Injury / Psychological Health |
Source: DOD, Peer Reviewed Medical, "FY2025 PRMRP Topic Areas," April, 9, 2025.
For more information on CDMRP, see
(in millions of dollars)
|
Program Title |
FY2026 |
|
Alcohol and Substance Abuse Disorders |
$4.0 |
|
Alzheimer's |
$15.0 |
|
Amyotrophic Lateral Sclerosis |
$40.0 |
|
Arthritis |
$10.0 |
|
Autism |
$8.0 |
|
Bone Marrow Failure |
$7.5 |
|
Breast Cancer |
$145.0 |
|
Combat Readiness-Medical |
$5.0 |
|
Duchenne Muscular Dystrophy |
$12.5 |
|
Epilepsy |
$12.0 |
|
Hearing Restoration |
$5.0 |
|
Joint Warfighter Medical |
$10.0 |
|
Kidney Cancer |
$15.0 |
|
Lung Cancer |
$20.0 |
|
Lupus |
$10.0 |
|
Melanoma |
$40.0 |
|
Military Burn |
$10.0 |
|
Multiple Sclerosis |
$15.0 |
|
Neurofibromatosis |
$25.0 |
|
Ovarian Cancer |
$50.0 |
|
Pancreatic Cancer |
$20.0 |
|
Parkinson's |
$16.0 |
|
Peer-reviewed Cancer |
$165.0 |
|
Peer-reviewed Medical |
$370.0 |
|
Peer-reviewed Orthopedic |
$20.0 |
|
Prostate Cancer |
$75.0 |
|
Rare Cancers |
$17.5 |
|
Reconstructive Transplant |
$12.0 |
|
Spinal Cord |
$33.0 |
|
Tickborne Disease |
$7.0 |
|
Toxic Exposures |
$15.0 |
|
Traumatic Brain Injury/Psychological Health |
$40.5 |
|
Tuberous Sclerosis Complex |
$10.0 |
|
Vision |
$10.0 |
|
TOTAL |
$1,270.0 |
Table 2. PRCRP-Eligible Cancer Topics, FY2026
|
Bladder Cancer |
Mesothelioma |
|
Blood Cancers |
Metastatic Cancers |
|
Brain Cancer |
Myeloma |
|
Colorectal Cancer |
Neuroblastoma |
|
Endometrial Cancer |
Neuroendocrine Tumors |
|
Esophageal Cancer |
Pediatric, Adolescent, and Young Adult Cancers |
|
Germ Cell Cancers |
Pediatric Brain Tumors |
|
Glioblastoma |
Sarcoma |
|
Liver Cancer |
Stomach Cancer |
|
Lymphoma |
Thyroid Cancer |
Source: Explanatory Statement (p. H1571) accompanying the Consolidated Appropriations Act, 2026 (P.L. 119-75).
Angelman Syndrome
Intranasal Ketamine Anesthetics
Ataxias
Maternal Mental Health
Burn Pit Exposure
Mitochondrial Disease
Celiac Disease
Musculoskeletal Health
Congenital Cytomegalovirus
Myotonic Dystrophy
Dystonia
Pancreatitis
Eating Disorders
Peripheral Neuropathy
Eczema
Polycystic Kidney Disease
Ehlers-Danlos Syndrome
Post-Traumatic Stress Disorder
Endometriosis
Prader-Willi Syndrome
Fibrous Dysplasia
Proteomics
Food Allergies
Pulmonary Fibrosis
Fragile X
Respiratory Health
Frontotemporal Degeneration
Rett Syndrome
Gambling Addiction
Sarcoidosis
Hepatitis B
Scleroderma
Hermansky-Pudlack Syndrome
Sickle Cell Disease
Hydrocephalus
Sleep Disorders
Hypoxia
Spinal Muscular Atrophy
Hypertropic Dyschromia
Suicide Prevention
Inflammatory Bowel Disease
Tuberculosis
Interstitial Cystitis
Von Hippel-Lindau Disease
Accelerated Aging Processes Associated with Military Service
Infertility Associated with Military Aviators/Aviation Personnel
Brain Injury Impact on Cardiac Health
Myalgic Encephalomyelitis / Chronic Fatigue Syndrome
Facioscapulohumeral Muscular Dystrophy
Orthotics and Prosthetics Outcomes
Hereditary Hemorrhagic Telangiectasia
Pediatric Acute-Onset Neuropsychiatric Syndrome (PANS) & Pediatric Autoimmune Neuropsychiatric Disorder Associated with Streptococcus (PANDAS)
Source: Explanatory Statement (p. H1571) accompanying the Consolidated Appropriations Act, 2026 (P.L. 119-75).