Labor, Health and Human Services,
and Education (L-HHS-ED):
FY2014 Appropriations
Karen E. Lynch, Coordinator
Specialist in Social Policy
David H. Bradley
Specialist in Labor Economics
Amalia K. Corby-Edwards
Analyst in Public Health and Epidemiology
Gail McCallion
Specialist in Social Policy
Pamela W. Smith
Analyst in Biomedical Policy
Scott D. Szymendera
Analyst in Disability Policy
September 20, 2013
Congressional Research Service
7-5700
www.crs.gov
R43236
Labor, Health and Human Services, and Education (L-HHS-ED): FY2014 Appropriations
Summary
This report provides an overview of actions taken by Congress to provide FY2014 appropriations
for the accounts funded by the Departments of Labor, Health and Human Services, and
Education, and Related Agencies (L-HHS-ED) appropriations bill. The L-HHS-ED bill provides
funding for all accounts subject to the annual appropriations process at the Departments of Labor
(DOL) and Education (ED). It 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 is funded via the Agriculture bill). The L-HHS-ED bill also provides
funding for more than a dozen related agencies, including the Social Security Administration
(SSA).
Possible Governmentwide Continuing Resolution (CR): On September 20, 2013, the House
passed a short-term FY2014 CR (H.J.Res. 59). As passed by the House, the CR would generally
provide funding for discretionary L-HHS-ED programs at their FY2013 post-sequester levels,
with limited exceptions. In addition, the CR would prohibit any federal funds from being used to
carry out any provisions of the Patient Protection and Affordable Care Act (ACA, P.L. 111-148, as
amended), and would rescind any unobligated balances remaining for such purposes. On
September 19, 2013, the White House issued a Statement of Administration Policy, stating that
the President would veto H.J.Res. 59 if presented with it. The Senate has not yet taken up the bill.
L-HHS-ED Congressional Action: On July 11, 2013, the Senate Committee on Appropriations
reported a bill that would provide full-year FY2014 L-HHS-ED appropriations (S. 1284, S.Rept.
113-71). As reported by the full committee, S. 1284 would provide $171 billion in discretionary
funding for L-HHS-ED. This amount is about 4% more than the FY2013 pre-sequester funding
level ($164 billion) and about 1% more than the FY2014 President’s request, based on estimates
drawn from the committee report. In addition, the Senate committee bill would provide an
estimated $613 billion in mandatory funding, for a combined total of nearly $783 billion for L-
HHS-ED as a whole. This amount is roughly 4% more than the FY2013 pre-sequester funding
level and 1% less than the FY2014 President’s request, based on estimates provided in the
committee report. The House has not yet taken action on an FY2014 L-HHS-ED bill.
President’s Request: On April 10, 2013, the Obama Administration released its FY2014 Budget.
The President requested $170 billion in discretionary funding for accounts funded by the L-HHS-
ED bill (+3% from FY2013 pre-sequester levels, based on estimates shown in the Senate
committee report). In addition, the President’s Budget requested roughly $618 billion in annually
appropriated mandatory funding (based on current law estimates in S.Rept. 113-71), for a total of
roughly $787 billion (+4% from FY2013 pre-sequester levels) for the L-HHS-ED bill as a whole.
DOL Snapshot: The FY2014 Senate committee bill would provide roughly $12.46 billion in
discretionary funding for DOL. This amount is about 0.3% less than the FY2013 pre-sequester
funding level of $12.49 billion and 0.3% less than the FY2014 request of $12.50 billion.
HHS Snapshot: The FY2014 Senate committee bill would provide roughly $74.66 billion in
discretionary funding for HHS. This amount is 7% more than the FY2013 pre-sequester funding
level of $69.90 billion and 3% more than the FY2014 request of $72.50 billion.
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Labor, Health and Human Services, and Education (L-HHS-ED): FY2014 Appropriations
ED Snapshot: The FY2014 Senate committee bill would provide roughly $69.22 billion in
discretionary funding for ED. This amount is 2% more than the FY2013 pre-sequester funding
level of $67.98 billion and 3% less than the FY2014 request of $71.21 billion.
Related Agencies Snapshot: The FY2014 Senate committee bill would provide roughly $14.37
billion in discretionary funding for L-HHS-ED related agencies. This amount is 4% more than the
FY2013 pre-sequester funding level of $13.82 billion and 7% more than the FY2014 request of
$13.47 billion.
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Labor, Health and Human Services, and Education (L-HHS-ED): FY2014 Appropriations
Contents
Introduction ...................................................................................................................................... 1
Report Roadmap and Useful Terminology ...................................................................................... 1
Scope of the Report ................................................................................................................... 2
Important Budget Concepts ....................................................................................................... 3
Mandatory Versus Discretionary Appropriations ................................................................ 3
Total Budget Authority Provided in the Bill Versus Total Budget Authority
Available in the Fiscal Year .............................................................................................. 4
Possible FY2014 Continuing Resolution ......................................................................................... 4
Status of FY2014 L-HHS-ED Appropriations Efforts ..................................................................... 5
FY2014 Action in the House ..................................................................................................... 5
FY2014 Action in the Senate ..................................................................................................... 5
FY2014 President’s Budget Request ......................................................................................... 6
Conclusion of the FY2013 Appropriations Process ......................................................................... 6
FY2014 Budget Enforcement Activities .......................................................................................... 7
Budget Control Act and Sequestration ...................................................................................... 7
FY2013 ................................................................................................................................ 8
FY2014-FY2021 ................................................................................................................. 8
Cap Adjustments, Exemptions, and Special Rules .............................................................. 9
FY2014 Budget Resolution and 302(b) Allocations .................................................................. 9
Overview of FY2014 Appropriations Proposals ............................................................................ 11
Department of Labor (DOL) .......................................................................................................... 13
About DOL .............................................................................................................................. 14
FY2013 DOL Appropriations Overview ................................................................................. 14
Selected DOL Highlights from FY2014 Appropriations Action ............................................. 15
Employment and Training Administration (ETA) ............................................................. 15
Veterans Employment and Training (VETS)..................................................................... 16
Department of Health and Human Services (HHS) ....................................................................... 19
About HHS .............................................................................................................................. 19
FY2014 HHS Appropriations Overview ................................................................................. 20
Selected HHS Highlights from FY2014 Appropriations Actions ............................................ 22
Public Health Service Evaluation Tap ............................................................................... 22
Prevention and Public Health Fund ................................................................................... 23
HHS Highlights by Agency ............................................................................................... 24
HRSA ................................................................................................................................ 24
CDC ................................................................................................................................... 24
NIH .................................................................................................................................... 25
SAMHSA .......................................................................................................................... 25
AHRQ ............................................................................................................................... 26
CMS .................................................................................................................................. 26
ACF ................................................................................................................................... 27
ACL ................................................................................................................................... 27
Funding Restrictions Related to Certain Controversial Issues ................................................ 28
Department of Education (ED) ...................................................................................................... 33
About ED ................................................................................................................................. 33
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FY2014 ED Appropriations Overview .................................................................................... 34
Selected ED Highlights from FY2013 Appropriations Actions .............................................. 35
Education for the Disadvantaged ...................................................................................... 35
Preschool Development Grants ......................................................................................... 35
Impact Aid ......................................................................................................................... 35
School Improvement ......................................................................................................... 36
Innovation and Improvement ............................................................................................ 36
Safe Schools and Citizenship Education ........................................................................... 36
Special Education .............................................................................................................. 37
Student Financial Aid ........................................................................................................ 37
Related Agencies ........................................................................................................................... 42
FY2014 Related Agencies Appropriations Overview .............................................................. 42
Selected Related Agencies Highlights from FY2014 Appropriations Actions ........................ 43
Figures
Figure 1. Proposed FY2014 L-HHS-ED Appropriations in S. 1284 ............................................... 6
Figure 2. FY2014 L-HHS-ED Appropriations, by Title, as Proposed in S. 1284 .......................... 13
Figure 3. FY2014 HHS Appropriations, by Agency, as Proposed in S. 1284 ................................ 22
Tables
Table 1. Status of FY2014 L-HHS-ED Appropriations Legislation ................................................ 5
Table 2. FY2014 Discretionary 302(b) Allocations and Status of Comparable
Appropriations for L-HHS-ED ................................................................................................... 10
Table 3. L-HHS-ED Appropriations Overview by Bill Title, FY2013-FY2014 ............................ 11
Table 4. DOL Appropriations Overview ........................................................................................ 15
Table 5. Detailed Department of Labor Appropriations ................................................................ 17
Table 6. HHS Appropriations Overview ........................................................................................ 21
Table 7. Detailed HHS Appropriations .......................................................................................... 29
Table 8. ED Appropriations Overview ........................................................................................... 34
Table 9. Detailed Department of Education Appropriations .......................................................... 37
Table 10. Related Agencies Appropriations Overview .................................................................. 42
Table 11. Detailed Related Agencies Appropriations .................................................................... 44
Contacts
Author Contact Information........................................................................................................... 46
Acknowledgments ......................................................................................................................... 46
Key Policy Staff ............................................................................................................................. 46
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Labor, Health and Human Services, and Education (L-HHS-ED): FY2014 Appropriations
Congressional Research Service
Labor, Health and Human Services, and Education (L-HHS-ED): FY2014 Appropriations
Introduction
This report provides a status update on FY2014 appropriations actions for accounts traditionally
funded in the appropriations bill for the Departments of Labor, Health and Human Services, and
Education, and Related Agencies (L-HHS-ED). This bill provides discretionary and mandatory
appropriations to three federal departments: the Department of Labor (DOL), the Department of
Health and Human Services (HHS), and the Department of Education (ED). In addition, the bill
provides annual appropriations for more than a dozen related agencies, including the Social
Security Administration (SSA).
Discretionary funds represent less than one-quarter of the total funds appropriated in the L-HHS-
ED bill. Nevertheless, the L-HHS-ED bill is typically the largest single source of discretionary
funds for domestic non-defense federal programs among the various appropriations bills (the
Department of Defense bill is the largest source of discretionary funds among all federal
programs). The bulk of this report is focused on discretionary appropriations because these funds
receive the most attention during the appropriations process.
The L-HHS-ED bill typically is one of the more controversial of the regular appropriations bills
because of the size of its funding total and the scope of its programs, as well as various related
policy issues addressed in the bill, such as restrictions on the use of federal funds for abortion and
for research on human embryos and stem cells.
See the Key Policy Staff at the end of this report for information on which analysts to contact at
the Congressional Research Service with questions on specific agencies and programs funded in
the L-HHS-ED bill.
Report Roadmap and Useful Terminology
This report is divided into several sections. The current section provides an explanation of the
scope of the L-HHS-ED bill (and hence, the scope of this report), as well as an introduction to
important terminology and concepts that carry throughout the report.
Next is a series of sections describing the status of funding for FY2014. These sections provide
summaries of a possible continuing resolution, congressional actions on FY2014 L-HHS-ED
appropriations, the FY2014 President’s Budget request, and (for context) a review of the
conclusion of the FY2013 appropriations process.
The following section provides a summary of budget enforcement activities. This includes a brief
description of the Budget Control Act of 2011 (BCA), a recap of the FY2013 sequestration and
possible sequestration in FY2014, and an overview of House and Senate work on a budget
resolution and 302(b) allocations (i.e., budget enforcement caps).
The next section provides a brief summary and analysis of proposed mandatory and discretionary
FY2014 appropriations under the Senate committee bill (S. 1284) and the President’s Budget, by
bill title, compared to FY2013 funding levels. All numbers in this section—and throughout the
report as a whole (except as noted)—are generally drawn from (or estimated based on) amounts
displayed in the committee report (S.Rept. 113-71) accompanying the Senate committee bill (S.
1284) or publicly available agency operating plans for FY2013. Note that, where possible, this
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Labor, Health and Human Services, and Education (L-HHS-ED): FY2014 Appropriations
report displays two sets of numbers for FY2013: pre-sequester “enacted” levels (which reflect the
0.2% across-the-board rescission, per the conventions of the Senate Appropriations Committee)
and post-sequester “operating” levels (which also reflect transfers and reprogramming of funds,
as reported by the agencies).
Finally, the report concludes with overview sections for each of the major components of the bill:
the Department of Labor, the Department of Health and Human Services, the Department of
Education, and Related Agencies. These sections provide selected highlights of FY2014
appropriations actions based on the Senate committee bill (S. 1284) and the President’s request.
(To date, the House has not released an L-HHS-ED appropriations bill for FY2014.)
Scope of the Report
This report is focused strictly on appropriations to agencies and accounts that are subject to the
jurisdiction of the Labor, HHS, Education, and Related Agencies Subcommittees of the House
and the Senate Appropriations Committees (i.e., accounts traditionally funded via the L-HHS-ED
bill). Department “totals” provided in this report do not include funding for accounts or agencies
that are traditionally funded by appropriations bills under the jurisdiction of other subcommittees.
The L-HHS-ED bill provides appropriations for the following federal departments and agencies:
• the Department of Labor;
• the majority of the Department of Health and Human Services, except for the
Food and Drug Administration (provided in the Agriculture appropriations bill),
the Indian Health Service (provided in the Interior-Environment appropriations
bill), and the Agency for Toxic Substances and Disease Registry (also funded
through the Interior-Environment appropriations bill);
• the Department of Education; and
• more than a dozen related agencies, including the Social Security Administration,
the Corporation for National and Community Service, the Corporation for Public
Broadcasting, the Institute of Museum and Library Services, the National Labor
Relations Board, and the Railroad Retirement Board.
Note also that funding totals displayed in this report do not reflect amounts provided outside of
the regular appropriations process. Certain direct spending programs, such as Old-Age, Survivors,
and Disability Insurance and parts of Medicare, receive funding directly from their authorizing
statutes; such funds are not reflected in the totals provided in this report because they are not
subject to the regular appropriations process (see related discussion in the “Important Budget
Concepts” section).
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Important Budget Concepts
Mandatory Versus Discretionary Appropriations1
The L-HHS-ED bill includes both discretionary and mandatory funding. While all discretionary
spending is subject to the annual appropriations process, only a portion of all mandatory spending
is provided in appropriations measures.
Mandatory programs funded through the annual appropriations process are commonly referred to
as appropriated entitlements. In general, appropriators have little control over the amounts
provided for appropriated entitlements; rather, the authorizing statute establishes the program
parameters (e.g., eligibility rules, benefit levels) that entitle certain recipients to payments. If
Congress does not appropriate the money necessary to meet these commitments, entitled
recipients (e.g., individuals, states, or other entities) may have legal recourse.2
Not all mandatory spending is provided through the annual appropriations process. Certain
entitlements receive direct spending budget authority from their authorizing statute (e.g., Old-
Age, Survivors, and Disability Insurance) and thus are not subject to the annual appropriations
process. The funding amounts in this report do not include direct spending budget authority
provided outside the regular appropriations process. Instead, the amounts in this report reflect
only those funds, discretionary and mandatory, that are provided through appropriations bills.
Note that, as displayed in this report, mandatory amounts for the FY2013 President’s request
reflect current law (or current services) estimates as reported in S.Rept. 113-71; they do not
include any of the Administration’s proposed changes to a program’s authorizing statute that
might affect total spending. (In general, such proposals are excluded from this report, as they
typically require authorizing legislation.)
Note also that the report focuses most closely on discretionary funding. This is because
discretionary funding receives the bulk of attention during the appropriations process. (As noted
earlier, although the L-HHS-ED bill includes more mandatory funding than discretionary funding,
the appropriators generally have less flexibility in adjusting mandatory funding levels than
discretionary funding levels.)
1 For definitions of these and other budget terms, see U.S. Government Accountability Office (GAO), A Glossary of
Terms Used in the Federal Budget Process, GAO-05-734SP, September 1, 2005, http://www.gao.gov/products/GAO-
05-734SP. (Terms of interest may include appropriated entitlement, direct spending, discretionary, entitlement
authority, and mandatory.)
2 Sometimes appropriations measures include amendments to legislation authorizing mandatory spending programs and
thereby change the amount of mandatory appropriations needed. Because such amendments are legislative in nature,
they may violate parliamentary rules separating authorizations and appropriations. For more information, see CRS
Report R42388, The Congressional Appropriations Process: An Introduction, by Jessica Tollestrup.
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Total Budget Authority Provided in the Bill Versus Total Budget Authority
Available in the Fiscal Year
Budget authority is the amount of money Congress allows a federal agency to commit or spend.
Appropriations bills may include budget authority that becomes available in the current fiscal
year, in future fiscal years, or some combination. Amounts that become available in future fiscal
years are typically referred to as advance appropriations.
Unless otherwise specified, appropriations levels displayed in this report refer to the total amount
of budget authority provided in an appropriations bill (i.e., “total in the bill”), regardless of the
year in which the funding becomes available.3 In some cases, the report breaks out “current year”
appropriations (i.e., the amount of budget authority available for obligation in a given fiscal year,
regardless of the year in which it was first appropriated).4
As the annual appropriations process unfolds, current year appropriations plus any additional
adjustments for congressional scorekeeping are measured against 302(b) allocation ceilings
(budget enforcement caps for appropriations subcommittees that traditionally emerge following
the budget resolution process). Unless otherwise specified, appropriations levels displayed in this
report do not reflect additional scorekeeping adjustments, which are made by the Congressional
Budget Office (CBO) to reflect conventions and special instructions of Congress.5
Possible FY2014 Continuing Resolution
On September 20, 2013, the House passed a short-term FY2014 continuing resolution (H.J.Res.
59). As passed by the House, the continuing resolution (CR) would generally provide funding for
discretionary L-HHS-ED programs at their FY2013 post-sequester levels, with limited
exceptions. In addition, the CR would prohibit any federal funds from being used to carry out any
provisions of the Patient Protection and Affordable Care Act (ACA, P.L. 111-148, as amended),
and would rescind any unobligated balances remaining for such purposes. On September 19,
2013, the White House issued a Statement of Administration Policy, stating that the President
would veto H.J.Res. 59 if presented with it. The Senate has not yet taken up the bill.
3 Such figures include advance appropriations provided in the bill for future fiscal years, but do not include advance
appropriations provided in prior years’ appropriations bills that become available in the current year.
4 Such figures exclude advance appropriations for future years, but include advance appropriations from prior years that
become available in the current year.
5 For more information on scorekeeping, see CRS Report 98-560, Baselines and Scorekeeping in the Federal Budget
Process, by Bill Heniff Jr. See also a discussion of key scorekeeping guidelines included in the joint explanatory
statement accompanying the conference report to the Balanced Budget Act of 1997 (H.Rept. 105-217, pp. 1007-1014).
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Status of FY2014 L-HHS-ED Appropriations Efforts
Table 1 provides a timeline of FY2014 L-HHS-ED appropriations actions initiated by Congress.
The remainder of this section provides additional detail on these and other steps toward full-year
L-HHS-ED appropriations.
Table 1. Status of FY2014 L-HHS-ED Appropriations Legislation
Subcommittee
Conference Report
Markup
Approval
House
House
Senate
Senate
Conf.
Public
House Senate
Re
port
Passage
Report
Passage
Report
House Senate Law
7/9/213
7/11/13
voice vote
S. 1284
S.Rept.
113-71
Vote: 16-14
Source: CRS Appropriations Status Table.
FY2014 Action in the House
The House has not yet taken any action on an FY2014 L-HHS-ED appropriations bill.
FY2014 Action in the Senate
On July 11, 2013, the Senate Committee on Appropriations reported a bill that would provide
full-year FY2014 L-HHS-ED appropriations (S. 1284, S.Rept. 113-71). Prior to this, on July 9,
2013, the L-HHS-ED Subcommittee of the Senate Committee on Appropriations had approved a
draft bill for full committee consideration.
As reported by the full committee, S. 1284 would provide $171 billion in discretionary funding
for L-HHS-ED. This amount is about 4% more than the FY2013 pre-sequester funding level
($164 billion) and about 1% more than the FY2014 President’s request, based on estimates drawn
from the committee report. In addition, the Senate committee bill would provide an estimated
$613 billion in mandatory funding, for a combined total of nearly $783 billion for L-HHS-ED as
a whole (see Figure 1). This amount is roughly 4% more than the FY2013 pre-sequester funding
level and 1% less than the FY2014 President’s request, based on estimates provided in the
committee report.
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Figure 1. Proposed FY2014 L-HHS-ED Appropriations in S. 1284
(BA in billions of dollars)
Source: Amounts are estimated based on data provided in S.Rept. 113-71, the committee report accompanying
the Senate committee’s FY2014 L-HHS-ED appropriations bill (S. 1284).
Notes: BA = Budget Authority. Details may not add due to rounding. Amounts in this figure (1) reflect all BA
appropriated in the bill, regardless of the year in which funds become available (i.e., totals do not include
advances from prior year appropriations, but do include advances for subsequent years provided in this bill); (2)
have generally not been adjusted to reflect scorekeeping; (3) comprise only those funds proposed for agencies
and accounts subject to the jurisdiction of the Labor, HHS, Education Subcommittee of the Senate Committees
on Appropriations; and (4) do not include direct appropriations that occur outside of appropriations bills.
FY2014 President’s Budget Request
On April 10, 2013, the Obama Administration released its FY2014 Budget. The President’s
Budget requested $170 billion in discretionary funding for accounts funded by the L-HHS-ED
bill (+3% from FY2013 pre-sequester levels, based on estimates shown in the Senate committee
report). In addition, the President’s Budget requested roughly $618 billion in annually
appropriated mandatory funding (based on current law estimates in S.Rept. 113-71), for a total of
roughly $787 billion (+4% from FY2013 pre-sequester levels) for the L-HHS-ED bill as a whole.
Conclusion of the FY2013 Appropriations Process
On March 26, 2013, President Obama signed into law the Consolidated and Further Continuing
Appropriations Act, 2013 (P.L. 113-6). This law funded seven of the 12 regular appropriations
bills (including L-HHS-ED) via a full-year continuing resolution (CR) in Division F. With limited
exceptions, the full-year CR generally funded discretionary L-HHS-ED programs at their FY2012
levels, minus an across-the-board rescission of 0.2% per Section 3004, as interpreted by the
Office of Management and Budget (OMB).6 This is a lower level of funding than had been
6 Section 3004 of P.L. 113-6 addressed the possibility that the new budget authority provided by the full-year FY2013
appropriations law might exceed the discretionary spending limits in Section 251(c)(2) of the Balanced Budget and
Emergency Deficit Control Act. In such an event, Section 3004 called for across-the-board rescissions of nonsecurity
and security budget authority. The law set the rates for such rescission at 0%, but called for the percentages to be
adjusted if OMB determined that rescissions were necessary to avoid a budget enforcement sequester in FY2013.
Subsequent to the enactment of P.L. 113-6, OMB determined that such rescissions would be required at the following
rates: 0.032% for security funding and 0.2% of nonsecurity funds. L-HHS-ED funds fall exclusively within the
(continued...)
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provided by an earlier six-month CR for FY2013 (P.L. 112-175), which generally funded
discretionary L-HHS-ED programs at FY2012 rates, plus. 0.612%.
When taking into account the 0.2% across-the-board rescission required by Section 3004, as
interpreted by OMB, the final FY2013 CR provided roughly $164 billion in discretionary funding
for accounts traditionally funded by the L-HHS-ED bill. In addition, the law provided an
estimated $592 billion in mandatory funding for L-HHS-ED accounts, for a total of roughly $757
billion. These FY2013 estimates are based on data in the committee report (S.Rept. 113-71)
accompanying the FY2014 Senate committee bill (S. 1284) and do not account for the FY2013
sequester ordered by President Obama on March 1, 2013.
Where possible, this report breaks out FY2013 “operating levels” separately from the pre-
sequester amounts provided by the full-year FY2013 CR. In this report, operating levels are
generally based on agency operating or expenditure plans for FY2013. For agencies funded in
this bill, operating plans typically take into account the amounts provided in the FY2013 full-year
CR (including, as appropriate, the 0.2% across-the-board rescission), reductions required by the
FY2013 sequester, and potential transfers or reprogramming of funds across or within budget
accounts pursuant to executive authorities. However, not all of the agencies funded in this bill
have released public operating plans and full bill-level estimates of post-sequester FY2013 L-
HHS-ED operating levels are not available at this time. For more information on the FY2013
sequester, see related discussion in the section titled “Budget Control Act and Sequestration.”
Note that in addition to amounts provided by P.L. 113-6, L-HHS-ED programs and activities
received a total of $827 million in supplemental funding in FY2013 (pre-sequester). These funds
were appropriated by the Disaster Relief Appropriations Act, 2013 (P.L. 113-2) in response to the
effects of Hurricane Sandy. The bulk of the L-HHS-ED disaster funding was directed to HHS for
the Public Health and Social Services Emergency Fund, the Social Services Block Grant, and the
Head Start program. FY2013 totals shown in this report do not include these supplemental funds.
FY2014 Budget Enforcement Activities
Budget Control Act and Sequestration
Congress is considering FY2014 appropriations in the context of the Budget Control Act of 2011
(BCA, P.L. 112-25), as amended, which established discretionary spending limits for FY2012-
FY2021.7 The discretionary spending limits were later modified by the American Taxpayer Relief
Act of 2012 (ATRA, P.L. 112-240). The BCA also tasked a Joint Select Committee on Deficit
Reduction with developing a deficit reduction plan for Congress and the President to enact by
January 15, 2012. The failure of Congress and the President to enact deficit reduction legislation
(...continued)
nonsecurity category, meaning that discretionary L-HHS-ED funds provided by P.L. 113-6 were reduced by an across-
the-board rescission of 0.2%. For further information, see OMB, Consolidated and Further Continuing Appropriations
Act, 2013, Budget Enforcement Act (7-Day-After Reports), April 4, 2013, p. 54, http://www.whitehouse.gov/sites/
default/files/omb/assets/legislative_reports/7_day_after/bea_report_hr933_04-04-13.pdf.
7 For a more detailed explanation of the BCA, see CRS Report R41965, The Budget Control Act of 2011, by Bill Heniff
Jr., Elizabeth Rybicki, and Shannon M. Mahan.
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by that date triggered an automatic spending reduction process established by the BCA, as
amended, consisting of a combination of sequestration and lower discretionary spending caps.
FY2013
For FY2013, the BCA called for sequestration of both mandatory and discretionary spending
programs. President Obama issued the required FY2013 sequestration order on March 1, 2013.8
Concurrently, the Office of Management and Budget (OMB) issued a report containing the
percentages by which budgetary resources must be reduced in order to achieve the necessary
spending reductions in FY2013.9 OMB estimated that the joint committee sequester would
require a 5.0% reduction in non-exempt nondefense discretionary funding, a 2.0% reduction in
certain Medicare funding (subject to a special rule), and a 5.1% reduction for most other non-
exempt nondefense mandatory funding.10 (OMB also reported on the required percent reductions
of non-exempt defense spending—7.8% for non-exempt defense discretionary and 7.9% for non-
exempt defense mandatory—but these do not apply to L-HHS-ED.) The OMB report applied
these percentages to funding levels in place at that time (a six-month CR, P.L. 112-175) to
determine dollar amount reductions for each budget account. These reductions were later applied
to full-year FY2013 funding levels following the enactment of P.L. 113-6. Notably, the law calls
for sequestration to be applied at the program, project, and activity (PPA) level within each
account, but comprehensive PPA data have not been made available.
FY2014-FY2021
For FY2014-FY2021, the BCA (as amended) calls for reductions of $109 billion annually as a
result of the failure of the Joint Select Committee process. These reductions are to be achieved
through a combination of (1) lower spending caps for discretionary programs and (2) continued
sequestration for mandatory programs.
On April 10, 2013, OMB issued a report to Congress on the automatic spending reductions for
FY2014 under the terms of the BCA.11 The report indicates that the $109 billion in spending
reductions for FY2014 would be achieved through lowering the discretionary spending limits by
about $91 billion and sequestering $18 billion in nonexempt mandatory spending. OMB
estimated that the FY2014 sequestration percentages would equal 2% for nonexempt Medicare
8 White House, President Obama, Sequestration Order for Fiscal Year 2013 Pursuant to Section 251A of the Balanced
Budget and Emergency Deficit Control Act, As Amended, March 1, 2013, available at http://www.whitehouse.gov/
sites/default/files/2013sequestration-order-rel.pdf.
9 Executive Office of the President, Office of Management and Budget, OMB Report to the Congress on the Joint
Committee Sequestration for Fiscal Year 2013, March 1, 2013, available at http://www.whitehouse.gov/sites/default/
files/omb/assets/legislative_reports/fy13ombjcsequestrationreport.pdf.
10 Because the sequester was ordered before the enactment of full-year appropriations for FY2013, OMB calculated the
amounts to be sequestered based on annualized funding levels under the six-month FY2013 CR (P.L. 112-175) and
applied these percentages to funding levels in place at that time (the six-month CR) to determine dollar amount
reductions for each budget account. The law called for the sequester to be applied at the program, project, and activity
(PPA) level within each account, but comprehensive PPA data were not made available by OMB.
11 OMB released a corrected version of its April 10 report on May 20, 2013. See OMB Sequestration Preview Report to
the President and Congress for Fiscal Year 2014 and OMB Report to the Congress on the Joint Committee Reductions
for Fiscal Year 2014, http://www.whitehouse.gov/sites/default/files/omb/assets/legislative_reports/
fy14_preview_and_joint_committee_reductions_reports_05202013.pdf.
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Labor, Health and Human Services, and Education (L-HHS-ED): FY2014 Appropriations
spending and 7.3% for non-exempt nondefense mandatory spending.12 (The report also estimated
reductions of 9.8% in non-exempt defense mandatory spending, but this is not applicable to funds
provided in the L-HHS-ED.)
Notably, under the BCA, sequestration for FY2014 and later years is intended to affect mandatory
spending only, unless the lowered discretionary spending limits are breached. If these limits are
breached via the FY2014 appropriations process, it would trigger a separate budget enforcement
sequester in FY2014.
Cap Adjustments, Exemptions, and Special Rules
The BCA (as amended by ATRA) established discretionary spending caps for FY2012-FY2021,
but included several provisions allowing for adjustments to these caps. For the L-HHS-ED bill,
the most notable of these is for increases (up to a point) in new budget authority for specified
program integrity initiatives at HHS and the Social Security Administration.
Although “sequestration” largely consists of automatic, across-the-board spending reductions, the
law exempts a limited number of programs from sequestration and subjects others to special
rules. The L-HHS-ED bill contains several programs that are exempt from sequestration,
including Medicaid, payments to health care trust funds, Supplemental Security Income, Special
Benefits for Disabled Coal Miners, retirement pay and medical benefits for commissioned Public
Health Service officers, foster care and adoption assistance, and certain family support payments.
The L-HHS-ED bill also contains several programs that are subject to special rules under
sequestration, such as unemployment compensation, certain student loans, health centers, and
portions of Medicare.13
FY2014 Budget Resolution and 302(b) Allocations
The House and Senate have not reached agreement on a final budget resolution for FY2014,
although each has agreed to its own budget resolution. S.Con.Res. 8, a budget resolution for
FY2014, was reported from the Senate Budget Committee on March 15, 2013, and was agreed to
by the Senate on March 23. H.Con.Res. 25, a budget resolution for FY2014, was reported from
the House Budget Committee on March 15, 2013, and was agreed to by the House on March 21.
On June 4, 2013, the House agreed to H.Res. 243, a special rule providing for the consideration of
H.R. 2216, the bill making appropriations for military construction, the Department of Veterans
Affairs, and related agencies. The special rule included a provision deeming the House-passed
budget resolution as enforceable in the House, pending agreement on a budget resolution for
FY2014.
On the basis of the overall spending caps established by H.Con.Res. 25 and S.Con.Res. 8, the
House and Senate have taken steps to adopt caps for each of the appropriations subcommittees.
These subcommittee spending caps are commonly called 302(b) allocations. The House most
12 See the appendix of the OMB report for an itemized list of budget accounts that include mandatory spending that
would be subject to sequestration in FY2014, the dollar amounts that would be subject to sequestration (based on
OMB’s current law baseline), the percentage by which they would be reduced, and the dollar amount of the reduction.
13 For more information, see CRS Report R42050, Budget “Sequestration” and Selected Program Exemptions and
Special Rules, coordinated by Karen Spar.
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Labor, Health and Human Services, and Education (L-HHS-ED): FY2014 Appropriations
recently reported revised 302(b) allocations for FY2014 on July 8, 2013.14 Meanwhile, the Senate
Appropriations Committee adopted subcommittee spending guidance for FY2014 at a markup on
June 20, 2013.15 Notably, the FY2014 spending caps established in the House are lower than
those established by the Senate. The allocation gap could pose a challenge in reconciling FY2014
appropriations bills drafted by the House and Senate subcommittees.
See Table 2 for an overview of the L-HHS-ED 302(b) allocations for FY2014, as compared to the
Senate committee bill for FY2014. Note that the budget enforcement caps are applied to budget
authority available in the current fiscal year, adjusted for scorekeeping by the Congressional
Budget Office. As such, totals shown in this table may not be comparable to other totals shown in
this report.
Table 2. FY2014 Discretionary 302(b) Allocations and Status of Comparable
Appropriations for L-HHS-ED
(BA in billions of dollars)
FY2014 Senate
FY2014
FY2014
Committee
House Allocation
Senate Allocation
(S. 1284)
121.8 164.3
165.6a
Source: The FY2014 House al ocation is from H.Rept. 113-143, reported on July 8, 2013. The FY2014 Senate
allocation is based on subcommittee guidance adopted by the Senate Committee on Appropriations during a
committee markup on June 20, 2013. The FY2014 Senate committee bill (S. 1284) amount is from S.Rept. 113-
71, reported on July 11, 2013.
Notes: BA = budget authority. BA subject to discretionary 302(b) allocations represents current year budget
authority (not total budget authority in the bill), adjusted for scorekeeping.
a. The Budget Control Act allows for an increase in the caps for additional BA provided for program integrity
initiatives aimed at reducing improper benefit payments in Disability Insurance and Supplemental Security
Income programs, Medicare, Medicaid, and the Children’s Health Insurance Program. S. 1284 would provide
$164.3 billion in current year discretionary funds, plus $1.253 billion in cap adjustments for program
integrity initiatives at the Social Security Administration.
14 It is common for 302(b) allocations to be revised throughout the year to reflect action on appropriations bills and
changes in congressional priorities. For FY2014, for instance, the House has issued two 302(b) reports: H.Rept. 113-96
on June 4 and H.Rept. 113-143 on July 8.
15 The FY2014 subcommittee guidance adopted by the Senate Appropriations Committee can be found at
http://www.appropriations.senate.gov/news.cfm?method=news.view&id=3c0a35fa-18fd-4c7d-abc3-44f5028073e9.
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Labor, Health and Human Services, and Education (L-HHS-ED): FY2014 Appropriations
Overview of FY2014 Appropriations Proposals
Dollars and Percentages in this Report
Funding totals displayed in this report are typically rounded to the nearest million or billion (as labeled). Dollar
changes and percent changes discussed in the text of this report are based on unrounded amounts.
As previously noted, most dol ar amounts in this report are estimated based on the committee report produced by
the Senate Appropriations Committee (S.Rept. 113-71) for their FY2014 L-HHS-ED bill (S. 1284), with the notable
exception of estimated “operating levels” for FY2013. The latter estimates are based on agency operating plans for
FY2013, where available. FY2013 operating plans reflect reductions to FY2013 enacted levels as a result of
sequestration, as well as transfers and reprogramming of funding. However, these plans are not available for all
agencies funded in this bill and numbers in these plans may be subject to change.
Table 3 displays the total amount of discretionary and mandatory L-HHS-ED funding proposed
by the FY2014 Senate committee bill (S. 1284) and requested by the FY2014 President’s Budget
(referred to as the FY2014 proposals in this report), as compared to FY2013 (pre- and post-
sequester, where possible). The amounts shown in this table reflect total budget authority
provided in the bill (i.e., all funds appropriated in the current bill, regardless of the fiscal year in
which the funds become available), not total budget authority available for the current fiscal year.
Table 3. L-HHS-ED Appropriations Overview by Bill Title, FY2013-FY2014
(Total BA provided in the bill, in billions of dollars)
FY2013 Operating
(post-sequester,
FY2013 Enacted
post-0.2% ATB,
FY2014
(pre-sequester, post-
including transfers
FY2014
Senate Cmte.
Bill Title
0.2% ATB)
and reprogramming)
Request
(S. 1284)
Labor 14.17
13.51
14.65
14.60
Discretionary 12.49
11.87
12.50
12.46
Mandatory
1.68
1.63
2.15
2.15
HHS
602.96
599.36
628.53
625.81
Discretionary 69.90
66.41
72.50
74.66
Mandatory 533.06
532.95
556.04
551.15
Education 71.21
68.77
74.51
72.53
Discretionary 67.98
65.70
71.21
69.22
Mandatory 3.23
3.07
3.30
3.30
Related Agencies
68.30
not available
70.11 70.42
Discretionary 13.82
not
available
13.47
14.37
Mandatory 54.48
not
available
56.64
56.05
Bill Total (BA Provided in Bill)
756.64
not available
787.80 783.37
Discretionary 164.18
not available
169.68 170.72
Mandatory 592.46
not available
618.12 612.65
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Labor, Health and Human Services, and Education (L-HHS-ED): FY2014 Appropriations
FY2013 Operating
(post-sequester,
FY2013 Enacted
post-0.2% ATB,
FY2014
(pre-sequester, post-
including transfers
FY2014
Senate Cmte.
Bill Title
0.2% ATB)
and reprogramming)
Request
(S. 1284)
Memoranda:
Advances for Future Years
(provided in the current bill)a 153.79
not
available
152.88
151.46
Advances from Prior Years (for
use in the current year)a 136.87
not
available
153.78
153.78
Additional Scorekeeping
Adjustmentsb -7.12
not
available
-3.86
-5.13
Source: Amounts for FY2013 enacted, the FY2014 President’s request, and the FY2014 Senate committee-
reported bill (S. 1284) are estimated based on data provided in S.Rept. 113-71, the committee report
accompanying S. 1284. FY2013 Operating Levels are estimated based on agency operating plans, where available.
Operating estimates reflect reductions required as a result of the FY2013 sequester, as wel as transfers and
reprogramming of funds, as reported in agency operating plans.
Notes: BA = Budget Authority. ATB = across-the-board rescission. Cmte = Committee. Details may not add
due to rounding. Amounts in this table: (1) reflect all BA appropriated in the bill, regardless of the year in which
funds become available (i.e., totals do not include advances from prior year appropriations, but do include
advances for subsequent years provided in this bill); (2) have generally not been adjusted to reflect scorekeeping;
(3) comprise only those funds provided (or requested) for agencies and accounts subject to the jurisdiction of
the Labor, HHS, Education Subcommittee of the House and Senate Committees on Appropriations; and (4) do
not include direct appropriations that occur outside of appropriations bills. FY2013 totals do not include
supplemental funds provided by the Disaster Relief Appropriations Act, 2013 (P.L. 113-2).
a. Totals in this table are based on budget authority provided in the bill (i.e., they exclude advance
appropriations from prior bills and include advance appropriations from this bill made available in future
years). The calculation for total budget authority available in the current year is as follows: Total BA
Provided in the Bill minus Advances for Future Years plus Advances from Prior Years.)
b. Totals in this table have not been adjusted for scorekeeping. (To adjust for scorekeeping, add this line to
the total budget authority.)
When taking into account both mandatory and discretionary funding, HHS received roughly 80%
of the total FY2013 L-HHS-ED appropriations; the same would also be true under both of the
FY2014 proposals shown in Table 2 (see Figure 2 for the composition of the FY2014 Senate
committee bill). This is largely due to the sizable amount of mandatory funding included in the
HHS appropriation, the majority of which is for Medicaid grants to states and payments to health
care trust funds. After HHS, the Department of Education and Related Agencies represent the
next-largest shares of total L-HHS-ED funding, accounting for roughly 9% to 10% each in
FY2013 and the FY2014 proposals. The majority of appropriations for ED are discretionary,
while the bulk of funding for the Related Agencies goes toward mandatory payments and
administrative costs of the Supplemental Security Income program at the Social Security
Administration. Finally, the Department of Labor accounts for the smallest share of total L-HHS-
ED funds: roughly 2% in FY2013 and the FY2014 proposals.
When looking only at discretionary appropriations, however, the overall composition of L-HHS-
ED funding is noticeably different (see Figure 2). Rather than being dominated by HHS alone,
the majority (84%) of discretionary appropriations were split relatively evenly between HHS
(43%) and ED (41%) in FY2013 and this would largely be true under both FY2014 proposals.
Meanwhile, the Department of Labor and Related Agencies would combine to account for a
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Labor, Health and Human Services, and Education (L-HHS-ED): FY2014 Appropriations
roughly even split of the remaining 16% of discretionary L-HHS-ED funds in FY2013 and in the
FY2014 proposals.
Figure 2. FY2014 L-HHS-ED Appropriations, by Title, as Proposed in S. 1284
(BA in billions of dollars)
Source: Amounts are estimated based on data provided in S.Rept. 113-71, the committee report accompanying
the Senate committee’s FY2014 L-HHS-ED appropriations bill (S. 1284).
Notes: BA = Budget Authority. Details may not add due to rounding. Amounts in this figure: (1) reflect all BA
appropriated in the bill, regardless of the year in which funds become available (i.e., totals do not include
advances from prior year appropriations, but do include advances for subsequent years provided in this bill); (2)
have generally not been adjusted to reflect scorekeeping; (3) comprise only those funds proposed for agencies
and accounts subject to the jurisdiction of the Labor, HHS, Education Subcommittee of the Senate Committees
on Appropriations; and (4) do not include direct appropriations that occur outside of appropriations bills.
Department of Labor (DOL)
Note that all figures in this section are based on regular L-HHS-ED appropriations only; they do
not include funds provided outside of the annual appropriations process (e.g., direct
appropriations for Unemployment Insurance benefits payments). All amounts in this section are
rounded to the nearest million or billion (as labeled). The dollar changes and percent changes
discussed in the text are based on unrounded amounts.
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Labor, Health and Human Services, and Education (L-HHS-ED): FY2014 Appropriations
About DOL
DOL is a federal department comprised of multiple entities that provide services related to
employment and training, worker protection, income security, and contract enforcement. Annual
L-HHS-ED appropriations laws direct funding to all DOL entities (see box for all entities
supported by the L-HHS-ED bill).17 The DOL entities fall primarily into two main functional
areas—workforce development and worker protection. First, there are several DOL entities that
administer workforce employment and training programs, such as the Workforce Investment Act
(WIA) state formula grant programs, Job Corps, and the Employment Service, that provide direct
funding for employment activities or
administration of income security programs
DOL Entities Funded Via the
(e.g., for the Unemployment Insurance benefits
L-HHS-ED Appropriations Process
program). Also included in this area is the
Employment and Training Administration (ETA)
Veterans’ Employment and Training Service
(VETS), which provides employment services
Employee Benefits Security Administration (EBSA)
specifically for the veteran population. Second,
Wage and Hour Division (WHD)
there are several agencies that provide various
Office of Federal Contract Compliance Programs
worker protection services. For example, the
(OFCCP)
Occupational Safety and Health Administration
Office of Labor-Management Standards (OLMS)
(OSHA), the Mine Safety and Health
Administration (MSHA), and the Wage and
Office of Workers’ Compensation Programs (OWCP)
Hour Division provide different types of
Occupational Safety and Health Administration (OSHA)
regulation and oversight of working conditions.
Mine Safety and Health Administration (MSHA)
DOL entities focused on worker protection
Bureau of Labor Statistics (BLS)
provide services to ensure worker safety,
adherence to wage and overtime laws, and
Office of Disability Employment Policy (ODEP)
contract compliance, among other duties. In
Departmental Management (DM)16
addition to these two main functional areas, the
DOL’s Bureau of Labor Statistics (BLS) collects data and provides analysis on the labor market
and related labor issues.
FY2013 DOL Appropriations Overview
The FY2014 Senate committee bill (S. 1284, S.Rept. 113-71) would provide $14.60 billion in
combined mandatory and discretionary funding for DOL. This amount is $430 million (+3.0%)
more than the pre-sequester FY2013 funding level of $14.17 billion, $1.1 billion more than the
post-sequester FY2013 operating level of $13.51 billion, and $42 million (-0.3%) less than the
FY2014 President’s Budget request of $14.65 billion. (See Table 4.) Of the total recommended
for DOL in the FY2014 Senate committee bill, roughly $12.46 billion (85%) is discretionary. This
amount is $35 million (-0.3%) less than the pre-sequester FY2013 discretionary funding level
($12.49 billion), $586 million (+4.9%) more than the post-sequester FY2013 discretionary
funding level ($11.87 billion), and $42 million (-0.3%) less than the discretionary total requested
in the FY2014 President’s Budget ($12.50 billion).
16 Departmental Management includes the Veterans Employment and Training Service (VETS), IT Modernization, and
the Office of the Inspector General.
17 The Pension Benefit Guaranty Corporation (PBGC) is funded primarily through insurance premiums and related fees
from companies covered by the PBGC.
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Labor, Health and Human Services, and Education (L-HHS-ED): FY2014 Appropriations
Table 4. DOL Appropriations Overview
(billions of dollars)
FY2013 Operating
(post-sequester,
FY2013 Enacted
post-0.2% ATB,
FY2014
(pre-sequester,
including transfers
FY2014
Senate Cmte.
Funding
post-0.2% ATB)
and reprogramming)
Request
(S. 1284)
Discretionary 12.49
11.87
12.50
12.46
Mandatory 1.68
1.63
2.15
2.15
Total BA Provided in the Bill
14.17 13.51
14.65
14.60
Source: Amounts for FY2013 enacted, the FY2014 President’s request, and the FY2014 Senate committee-
reported bill (S. 1284) are estimated based on data provided in S.Rept. 113-71, the committee report
accompanying S. 1284. FY2013 Operating Levels are estimated based on DOL’s FY2013 operating plan, which is
available at http://www.dol.gov/dol/budget/2014/PDF/2013OperatingPlanTable.pdf. Operating estimates reflect
reductions required as a result of the FY2013 sequester, as wel as any transfers and reprogramming of funds, as
reported by DOL.
Notes: BA = Budget Authority. ATB = across-the-board rescission. Cmte = Committee. Details may not add
due to rounding. Amounts in this table: (1) reflect all BA appropriated in the bill, regardless of the year in which
funds become available (i.e., totals do not include advances from prior year appropriations, but do include
advances for subsequent years provided in this bill); (2) have generally not been adjusted to reflect scorekeeping;
(3) comprise only those funds provided (or requested) for agencies and accounts subject to the jurisdiction of
the Labor, HHS, Education Subcommittee of the House and Senate Committees on Appropriations; and (4) do
not include direct appropriations that occur outside of appropriations bills. FY2013 totals do not include
supplemental funds provided by the Disaster Relief Appropriations Act, 2013 (P.L. 113-2).
Selected DOL Highlights from FY2014 Appropriations Action18
The following are some DOL highlights from the FY2014 Senate committee bill (S. 1284)
compared to comparable FY2013 funding levels and proposed funding levels from the FY2014
President’s Budget.
Employment and Training Administration (ETA)
Overall, the Senate committee bill would provide $4.9 billion for programs authorized under Title
I of the Workforce Investment Act (WIA), which is $296 million more than the post-sequester
FY2013 funding level and $109 million less than the Administration’s FY2014 request. The
Senate committee bill would change a provision started in the FY2011 appropriations law, which
limits the Governors’ reserve of WIA state formula grants to 5% of the total received from the
three state formula grants—Adult, Youth, and Dislocated Workers. The statutory limit is 15%, but
the FY2011 appropriations law reduced this to 5% and the FY2012 and FY2013 appropriations
laws maintained the 5% limitation. The Senate committee bill would increase this reserve to 7.5%
of the WIA state formula grant funds.
18 DOL budget materials can be found at http://www.dol.gov/dol/aboutdol/#budget. OMB budget materials can be
found at http://www.whitehouse.gov/omb/budget. For detailed information on the DOL funding levels recommended
by the FY2014 Senate committee bill, as compared to FY2012 comparable and the FY2013 request, see the committee
report (S.Rept. 113-71) accompanying the bill (S. 1284).
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Labor, Health and Human Services, and Education (L-HHS-ED): FY2014 Appropriations
The Senate committee bill would continue to provide $50 million for the Workforce Innovation
Fund (WIF), which is $100 million less than the FY2014 President’s request, and would add a
new provision related to the WIF. The WIF, which is jointly administered by DOL and ED, was
created at the President’s request in FY2011 to provide competitive grants for innovative
approaches to workforce development. The Senate committee bill would allow up to $10 million
of WIF funds to be used for Pay for Success pilot programs, which are a form of performance
based grants.19
The Senate committee bill would also change the manner in which program evaluation is funded.
Rather than providing a specific appropriation of funds for the purpose of evaluation, the bill
would allow the Secretary of Labor to reserve up to 0.5% of each appropriation made available in
certain accounts for the purpose of program evaluation.20
The Senate committee bill would provide the Community Service Employment for Older
Americans (CSEOA) Program with $447 million, an increase of $67 million above the
President’s request. In addition, the Senate committee bill would maintain DOL administration of
CSEOA, rejecting a proposal from the FY2014 President’s Budget to transfer administration of
the program to HHS.
Veterans Employment and Training (VETS)
The Senate committee bill would specify funding levels for particular activities within the
Veterans’ Employment and Training Service (VETS), as opposed to past practice of not
specifying amounts for individual activities.21 In addition, the Senate committee bill would
provide authority to the Secretary to reallocate funds within VETS, not to exceed 3% of the
appropriation from which the reallocation is made.
19 The FY2014 Senate committee bill contains provisions for similar “Pay for Success” projects at the Department of
Education and the Corporation for National and Community Service.
20 These accounts include Training and Employment Services, Office of Job Corps, Community Service Employment
for Older Americans, State Unemployment Insurance and Employment Service Operations, Employee Benefits
Security Administration, Office of Workers’ Compensation Programs, Wage and Hour Division, Office of Federal
Contract Compliance Programs, Office of Labor Management Standards, Occupational Safety and Health
Administration, Mine Safety and Health Administration, Departmental Management (for the Bureau of International
Affairs and the Women’s Bureau only), and Veterans Employment and Training.
21 S.Rept. 113-71, p. 38.
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Labor, Health and Human Services, and Education (L-HHS-ED): FY2014 Appropriations
Table 5. Detailed Department of Labor Appropriations
(dollars in millions)
FY2013
Operating
FY2013
(post-sequester,
Enacted
post-0.2% ATB,
FY2014
(pre-sequester,
including
Senate
post-0.2%
transfers and
FY2014
Cmte.
Agency or Selected Program
ATB)
reprogramming)
Request
(S. 1284)
Employment and Training Administration (ETA)—
797 756
1,256
1,256
mandatorya
Employment and Training Administration (ETA)—
9,524 9,053
9,440
9,423
discretionary
Discretionary ETA Programs:
Training and Employment Services:
3,212
3,062
3,387
3,264
Adult Activities Grants to States
769
731
792
792
Youth Activities Grants to States
823
781
847
847
Dislocated Worker Activities (DWA) Grants to
1,006 956
1,045
1,045
States
Federally Administered Programs:
511 497
582
488
DWA National Reserve
249
248
221
221
Native Americans
47
45
48
47
Migrant and Seasonal Farmworkers
84
80
84
84
Women in Apprenticeship
1
1
0
1
YouthBuild 80
76
80
85
Workforce Innovation Fund
50
47
150
50
National Activities:
103 98
121
93
Pilots, Demonstrations, and Research
7
6
25
7
Reintegration of Ex-Offenders
80
76
90
80
Evaluation 10
9
0
0
Workforce Data Quality Initiative
6
6
6
6
Job Corps
1,700
1,614
1,692
1,707
Community Service Employment for Older
447 425
380
447
Americansb
State Unemployment Insurance and Employment
4,019 3,813
3,826
3,848
Service Operations (SUI/ESO):
Unemployment Compensation
3,170
3,007
2,918
2,968
Employment Service
720
684
752
752
Foreign Labor Certification
65
62
66
65
One-Stop Career Centers
63
60
90
63
State Paid Leave Fund
0
0
5
5
ETA Program Administration
147
139
150
152
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Labor, Health and Human Services, and Education (L-HHS-ED): FY2014 Appropriations
FY2013
Operating
FY2013
(post-sequester,
Enacted
post-0.2% ATB,
FY2014
(pre-sequester,
including
Senate
post-0.2%
transfers and
FY2014
Cmte.
Agency or Selected Program
ATB)
reprogramming)
Request
(S. 1284)
Employee Benefits Security Administration
183
174
179
176
Pension Benefit Guaranty Corporation, program level
(477) (471)
(505)
(505)
(non-add)
Wage and Hour Division
227
215
243
243
Office of Labor-Management Standards (OLMS)
41
39
47
41
Office of Federal Contract Compliance Programs
105
100
108
106
Office of Workers’ Compensation Programs—
885 878
901
901
mandatoryc
Office of Workers’ Compensation Programs—
118 112
121
118
discretionary
Occupational Safety and Health Administration
564 535
571
567
(OSHA)
Mine Safety and Health Administration (MSHA)
373
354
381
381
Bureau of Labor Statistics
608
577
614
610
Office of Disability Employment Policy
39
37
42
42
Departmental Management
713
677
755
750
Salaries and Expenses
346
328
348
347
International Labor Affairs (non-add)
(92)
(87)
(95)
(95)
Veterans Employment and Training
264
251
301
301
IT Modernization
20
19
21
20
Office of the Inspector General
84
79
86
84
Total, DOL Discretionary & Mandatory BA in the
14,175 13,505
14,646
14,604
Bill
Subtotal, DOL Mandatory BA in the Bill
1,681
1,633
2,146
2,146
Subtotal, DOL Discretionary BA in the Bill
12,493
11,872
12,500
12,458
Memoranda
Total, BA Available in the Fiscal Year (current year from
14,176 13,505
14,657
14,615
any bill)
Total, Advances for Future Years (provided in the current
1,812 1,812
1,796
1,796
bill)
Total, Advances from Prior Years (for use in the current
1,813 1,812
1,807
1,807
year)
Source: Amounts for FY2013 enacted, the FY2014 President’s request, and the FY2014 Senate committee-
reported bill (S. 1284) are estimated based on data provided in S.Rept. 113-71, the committee report
accompanying S. 1284. FY2013 Operating Levels are estimated based on DOL’s FY2013 operating plan, which is
available at http://www.dol.gov/dol/budget/2014/PDF/2013OperatingPlanTable.pdf. Operating estimates reflect
reductions required as a result of the FY2013 sequester, as wel as any transfers and reprogramming of funds, as
reported by DOL.
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Notes: BA = Budget Authority. ATB = across-the-board rescission. Cmte = Committee. Details may not add
due to rounding. Amounts in this table: (1) reflect all BA appropriated in the bill, regardless of the year in which
funds become available (i.e., totals do not include advances from prior year appropriations, but do include
advances for subsequent years provided in this bill); (2) have generally not been adjusted to reflect scorekeeping;
(3) comprise only those funds provided (or requested) for agencies and accounts subject to the jurisdiction of
the Labor, HHS, Education Subcommittee of the House and Senate Committees on Appropriations; and (4) do
not include direct appropriations that occur outside of appropriations bills. Non-add amounts are displayed in
italics and parentheses; these amounts are not part of the appropriations totals. FY2013 totals do not include
supplemental funds provided by the Disaster Relief Appropriations Act, 2013 (P.L. 113-2).
a. Mandatory amounts for ETA include funding for Federal Unemployment Benefits and Al owances and for
Advances to Unemployment Insurance and Other Trust Funds.
b. This program is currently administered by the Department of Labor. The FY2014 President’s Budget
proposed transferring the program to HHS, but the Senate committee bill did not take up this proposal.
c. Mandatory amounts for federal programs for workers’ compensation include mandatory funding for benefits
under the Federal Employees’ Compensation Act program, the Longshore and Harbor Workers’
Compensation Act program, Special Benefits for Disabled Coal Miners, administrative expenses for the
Energy Employees Occupational Illness Compensation Fund, and the Black Lung Disability Trust Fund.
Department of Health and Human Services (HHS)
Note that all figures in this section are based on regular L-HHS-ED appropriations only; they do
not include funds for HHS agencies provided through other appropriations bills (e.g., funding for
the Food and Drug Administration) or outside of the annual appropriations process (e.g., direct
appropriations for Medicare or pre-appropriated mandatory funds provided by authorizing laws,
such as the Patient Protection and Affordable Care Act [ACA, P.L. 111-148]).22 All amounts in
this section are rounded to the nearest million or billion (as labeled). The dollar changes and
percent changes discussed in the text are based on unrounded amounts.
About HHS
HHS is a sprawling federal department comprised of multiple agencies working to enhance the
health and well-being of Americans. Annual L-HHS-ED appropriations laws direct funding to
most (but not all) HHS agencies (see box for all agencies supported by the L-HHS-ED bill).23 For
instance, the L-HHS-ED bill directs funding to five Public Health Service (PHS) agencies:
HRSA, CDC, NIH, SAMHSA, and AHRQ.24 These public health agencies support diverse
missions, ranging from the provision of health care services and supports (e.g., HRSA,
SAMHSA), to the advancement of health care quality and medical research (e.g., AHRQ, NIH),
22 The ACA was subsequently amended by the Health Care and Education Reconciliation Act (P.L. 111-152). These
two laws are collectively referred to as the ACA in this report. (Previous CRS reports on the Patient Protection and
Affordable Care Act used the acronym PPACA to refer to the statute, but newer reports will use “ACA,” in
conformance with the more widely used acronym for the law.) For information on funding directly appropriated by
ACA, see the tables in CRS Report R41301, Appropriations and Fund Transfers in the Patient Protection and
Affordable Care Act (ACA), by Charles S. Redhead.
23 Three HHS public health agencies receive annual funding from appropriations bills other than the L-HHS-ED bill:
the Food and Drug Administration (Agriculture appropriations bill), the Indian Health Service (Interior-Environment
appropriations bill), and the Agency for Toxic Substances and Disease Registry (Interior-Environment appropriations
bill).
24 For more information on HHS PHS agencies, see CRS Report R41737, Public Health Service (PHS) Agencies:
Overview and Funding, FY2010-FY2012, coordinated by Charles S. Redhead and Pamela W. Smith.
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to the prevention and control of infectious and chronic disease (e.g., CDC). In addition, the L-
HHS-ED bill provides funding for annually appropriated components of CMS, 25 which is the
HHS agency responsible for the administration of Medicare, Medicaid, and the State Children’s
Health Insurance Program (CHIP), and consumer protections and private health insurance
provisions of the ACA. The L-HHS-ED bill also provides funding for two HHS agencies focused
primarily on the provision of social services: ACF and ACL. The mission of ACF is to promote
the economic and social well-being of vulnerable children, youth, families, and communities.
Meanwhile, ACL was formed with a goal of increasing access to community supports for older
Americans and people with disabilities. Notably, ACL is a new agency within HHS—it was
established in April 2012 and brings together the Administration on Aging, the Office of
Disability, and the Administration on Developmental Disabilities (renamed the Administration on
Intellectual and Developmental Disabilities) into one agency.26 Finally, the L-HHS-ED bill also
provides funding for the HHS Office of the
Secretary, which encompasses a broad array of
HHS Agencies Funded Via the L-HHS-
management, research, oversight, and
ED Appropriations Process
emergency preparedness functions in support
of the entire department.
Health Resources and Services Administration (HRSA)
Centers for Disease Control and Prevention (CDC)
FY2014 HHS Appropriations
National Institutes of Health (NIH)
Overview
Substance Abuse and Mental Health Services
Administration (SAMHSA)
The FY2014 Senate committee bill (S. 1284,
Agency for Healthcare Research and Quality (AHRQ)
S.Rept. 113-71) would provide $626 billion in
Centers for Medicare & Medicaid Services (CMS)
combined mandatory and discretionary
Administration for Children and Families (ACF)
funding for HHS. This amount is $23 billion
(+3.8%) more than the FY2013 pre-sequester
Administration for Community Living (ACL)
funding level of $603 billion and $3 billion
Office of the Secretary (OS)
(-0.4%) less than the FY2014 President’s
Budget request of $626 billion. (See Table 6.) Of the total recommended for HHS in the FY2014
Senate committee bill, roughly $75 billion (12%) would be discretionary. This amount is $5
billion (+6.8%) more than the FY2013 pre-sequester discretionary funding level ($70 billion) and
$2 billion (+3.0%) more than the discretionary total requested in the FY2014 President’s Budget
($72 billion).
25 Much of the funding for CMS activities is directly appropriated in authorizing legislation and thus is not subject to
the annual appropriations process.
26 See the Secretary’s press release from April 16, 2012: http://www.hhs.gov/news/press/2012pres/04/20120416a.html.
For more information on the ACL, see http://www.hhs.gov/acl/.
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Table 6. HHS Appropriations Overview
(dollars in billions)
FY2013 Operating
(post-sequester, post-
FY2013 Enacted
0.2% ATB, including
FY2014
(pre-sequester, post-
transfers and
FY2014
Senate Cmte.
Funding
0.2% ATB)
reprogramming)
Request
(S. 1284)
Discretionary 69.90
66.41
72.50
74.66
Mandatory 533.06
532.95
556.04
551.15
Total BA Provided in the Bill
602.96 599.36
628.53
625.81
Source: Amounts for FY2013 enacted, the FY2014 President’s request, and the FY2014 Senate committee-
reported bill (S. 1284) are estimated based on data provided in S.Rept. 113-71, the committee report
accompanying S. 1284. FY2013 Operating Levels are largely estimated based on FY2013 operating plans for HHS
agencies, which are available at http://www.hhs.gov/budget/fy2013/index.html (scrol to bottom for FY2013
Agency Operating Plans). Operating estimates reflect reductions required as a result of the FY2013 sequester, as
wel as any transfers and reprogramming of funds reported by HHS in these operating plans.
Notes: BA = Budget Authority. ATB = across-the-board rescission. Cmte = Committee. Details may not add
due to rounding. Amounts in this table: (1) reflect all BA appropriated in the bill, regardless of the year in which
funds become available (i.e., totals do not include advances from prior year appropriations, but do include
advances for subsequent years provided in this bill); (2) have generally not been adjusted to reflect scorekeeping;
(3) comprise only those funds provided (or requested) for agencies and accounts subject to the jurisdiction of
the Labor, HHS, Education Subcommittee of the House and Senate Committees on Appropriations; and (4) do
not include direct appropriations that occur outside of appropriations bills. FY2013 totals do not include
supplemental funds provided by the Disaster Relief Appropriations Act, 2013 (P.L. 113-2).
Annual HHS appropriations are dominated by mandatory funding, the majority of which goes to
CMS to provide Medicaid benefits and payments to health care trust funds. When taking into
account both mandatory and discretionary funding, CMS accounts for roughly 87% of all HHS
appropriations in FY2013 and in both FY2014 proposals (i.e., the President’s Budget and the
Senate committee bill). NIH and ACF account for the next largest shares of total HHS
appropriations, receiving 5% apiece of total appropriations in FY2013 and under the FY2014
proposals.
By contrast, when looking exclusively at discretionary appropriations, CMS constitutes 6% to 8%
of total discretionary HHS appropriations in FY2013 and in the FY2014 proposals. Instead, the
bulk of discretionary appropriations go toward the PHS agencies, which combine to account for
62% to 66% of discretionary HHS appropriations in FY2013 and under the FY2014 proposals.
NIH typically receives the largest share of all discretionary funding among HHS agencies (over
40% in FY2013 and the FY2014 proposals), with ACF accounting for the second-largest share of
all discretionary appropriations (24% in FY2013 and 25% in the FY2014 proposals).
See Figure 3 for an agency-level breakdown of HHS appropriations (combined mandatory and
discretionary) in the FY2014 Senate committee bill.
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Figure 3. FY2014 HHS Appropriations, by Agency, as Proposed in S. 1284
(BA in billions of dollars)
Source: Amounts are estimated based on data provided in S.Rept. 113-71, the committee report accompanying
the Senate committee’s FY2014 L-HHS-ED appropriations bill (S. 1284).
Notes: BA = Budget Authority. Details may not add due to rounding. Amounts in this figure: (1) reflect all BA
appropriated in the bill, regardless of the year in which funds become available (i.e., totals do not include
advances from prior year appropriations, but do include advances for subsequent years provided in this bill); (2)
have generally not been adjusted to reflect scorekeeping; (3) comprise only those funds proposed for agencies
and accounts subject to the jurisdiction of the Labor, HHS, Education Subcommittee of the Senate Committees
on Appropriations; and (4) do not include direct appropriations that occur outside of appropriations bills.
Selected HHS Highlights from FY2014 Appropriations Actions27
This section discusses several important aspects of discretionary HHS appropriations. First, it
provides an introduction to two special funding mechanisms included in the public health budget,
the Public Health Service Evaluation Set-Aside and the Prevention and Public Health Fund. Next,
it reviews a limited selection of FY2014 discretionary funding highlights across HHS. Finally, the
section concludes with a brief overview of significant provisions from annual HHS appropriations
laws that restrict spending in certain controversial areas, such as abortion and stem cell research.
Public Health Service Evaluation Tap
A unique budget feature of some of the agencies and programs in HHS is their receipt of funding
from the Public Health Service (PHS) Evaluation Set-Aside program, also known as the PHS
27 For a full list of HHS proposals from the President’s Budget, see FY2014 budget documents prepared by HHS and
the Office of Management and Budget (OMB). HHS budget materials can be found at http://www.hhs.gov/budget/.
OMB budget materials can be found at http://www.whitehouse.gov/omb/budget. For detailed information on the HHS
funding levels recommended by the FY2014 Senate committee bill, as compared to FY2013 pre-sequester levels and
the FY2014 request, see the committee report accompanying the bill (S.Rept. 113-71), which can be found at
http://www.gpo.gov/fdsys/pkg/CRPT-113srpt71/pdf/CRPT-113srpt71.pdf.
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Evaluation Tap.28 The tap provides more than a dozen HHS programs with funding beyond their
regular appropriations (or in a few cases, programs may be funded, or requested for funding,
entirely from the tap). The PHS Evaluation Tap allows the Secretary of HHS to redistribute a
portion of eligible PHS agency appropriations for program evaluation purposes across HHS. In
the annual L-HHS-ED acts, Congress specifies the maximum percentage for the set-aside, and
also directs specific amounts of funding from the tap to a number of HHS programs.
The set-aside level for FY2012 was 2.5% of eligible appropriations, making just over $1.0 billion
available for transfer among programs. The 2.5% tap was continued for FY2013 under the
provisions of P.L. 113-6, but it is not clear how much was set aside after accounting for the effects
of sequestration and transfers on the donor appropriations. The FY2014 President’s Budget
proposes to increase the set-aside to 3.0%, which would have made over $1.3 billion available for
reallocation under the President’s proposed FY2014 funding levels. The proposed uses of the
extra tap funding include increasing overall program support in some cases, and replacing regular
appropriations with tap funding in other cases. In S. 1284, the Senate Appropriations Committee
rejected the proposed increase and maintained the tap at 2.5% “because of the effect on PHS Act
agencies that are used as a source of evaluation transfers, most notably NIH.”29
Prevention and Public Health Fund30
The Patient Protection and Affordable Care Act (ACA) authorized and directly appropriated
funding for three multi-billion dollar trust funds to support programs and activities within the
PHS agencies.31 One of these, the Prevention and Public Health Fund (PPHF, ACA Section 4002,
as amended), is intended to provide support each year to prevention, wellness, and related public
health programs funded through HHS accounts. For FY2014, the ACA directly appropriated $1.5
billion in mandatory funds to the PPHF. However, Congress subsequently passed the Middle
Class Tax Relief and Job Creation Act of 2012, which reduced ACA’s annual appropriations to the
PPHF over the period FY2013-FY2021 by a total of $6.25 billion.32 This reduced the FY2014
PPHF appropriation to $1 billion.
Congress may direct the Secretary to allocate PPHF funds to specific accounts. Otherwise, PPHF
funds become available to the Secretary on October 1 of each year, for allocation as the Secretary
decides. The FY2014 President’s Budget included the Administration’s proposed distribution of
PPHF funds.
PPHF funds are intended to supplement, sometimes quite substantially, the funding that selected
programs receive through regular appropriations, as well as to fund new programs, particularly
programs newly authorized in ACA. For FY2014, the Senate Committee recommends PPHF
28 The PHS Evaluation Tap is authorized in §241 of the PHS Act (42 U.S.C. §238j).
29 S.Rept. 113-71 on S. 1284, p. 41. The committee report also commented, “This is the fourth year that the
administration has proposed an increase in the section 241 tap percentage. The Committee strongly discourages a
similar increase in the fiscal year 2015 request.”
30 For more information about the PPHF, see CRS Report R43046, H.R. 1549: Helping Sick Americans Now Act, by
Sarah A. Lister, Bernadette Fernandez, and Annie L. Mach.
31 For more information, see CRS Report R41301, Appropriations and Fund Transfers in the Patient Protection and
Affordable Care Act (ACA), by Charles S. Redhead.
32 P.L. 112-96, Section 3205.
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allocations that would, similar to prior years, distribute most of the funds to CDC.33 Examples of
proposed allocations in S. 1284 include $280 million for CDC’s Community Transformation
Grants (funded entirely from the PPHF), $95 million for CDC’s Smoking and Health programs,
$92 million for existing SAMHSA substance abuse and mental health programs, and almost $15
million for ACL Alzheimer’s disease self-management activities.
HHS Highlights by Agency
The discussion below reviews a limited selection of FY2014 discretionary funding highlights for
programs supported by the HHS agencies funded in this bill. The discussion is based on the
FY2014 Senate committee bill (S. 1284) compared to comparable FY2013 funding levels and
proposed funding levels from the FY2014 President’s Budget.
HRSA
The FY2014 Senate committee bill would provide $6.3 billion in discretionary funding for
HRSA. This amount is $128 million (+2%) more than the FY2013 pre-sequester funding level
and $295 million (+5%) more than the FY2014 President’s request. Increased funding in the
Senate committee bill would generally affect most HRSA programs, with Family Planning
receiving the largest proportional increase (10% more than pre-sequester levels). The Senate
committee bill proposes to provide $5 million for the Pediatric Loan Repayment program, which
was authorized in the ACA but has not been funded. The Senate committee bill also would
provide increased funding for health professions programs by increasing funding for Training in
Primary Care Medicine to $50.1 million (FY2013 enacted level was $38.9 million). Discretionary
funding for the National Health Service Corps would be eliminated under both the President’s
Budget proposal and the Senate committee bill. However, the program would continue to receive
funding from the Community Health Center Fund that was authorized and appropriated in the
ACA.34
The President’s Budget proposes to eliminate discretionary funding for three programs: Heritable
Disorders, Poison Control Centers, and Universal Newborn Hearing Screening, and to instead
fund these programs exclusively with PPHF transfers at or near FY2013 pre-sequester levels. The
Senate committee bill proposes continued discretionary funding for these programs. Additionally,
both the Senate committee bill and the President’s Budget would transfer the authority to
administer the Health Education Assistance Loan (HEAL) program from HRSA to the Secretary
of Education.
CDC
The FY2014 Senate committee bill would provide $5.8 billion in discretionary funding for CDC.
This amount is $111 million (+2%) more than the FY2013 pre-sequester funding level and $541
million (+10%) more than the FY2014 President’s request. The Senate committee bill proposes
increases in discretionary funding for Chronic Disease and Health Promotion (+3% from pre-
sequester levels), Injury Prevention and Control (+18% from pre-sequester levels), and Global
33 S.Rept. 113-71, pp. 154-155. Note that Section 220 of the HHS general provisions in S. 1284 would adopt this
allocation as law if enacted.
34 ACA Section 10503(a)-(b).
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Health (+13% from pre-sequester levels). The FY2014 President’s Budget proposes $5.2 billion
in discretionary funding for CDC, with proposed increases (similar to the Senate committee bill)
for Global Health. The President’s Budget also proposes increases for CDC’s programs on
Immunization and Respiratory Diseases, Emerging and Zoonotic Infectious Diseases,
Environmental Health, Injury Prevention and Control, and Public Health Preparedness and
Response.
The President’s Budget proposes decreased discretionary funding for Chronic Disease and Health
Promotion, Birth Defects and Developmental Disabilities, and Public Health Leadership and
Support. Some of this funding would be supplanted by proposed transfers from the PPHF. Also of
note, the President’s Budget proposes to eliminate discretionary funding for the National Institute
for Occupational Safety and Health (NIOSH) and to fund NIOSH entirely through transfers from
the Evaluation Tap.
NIH
The FY2014 Senate committee bill would provide $30.9 billion in discretionary funding for NIH.
This amount is $307 million (+1.0%) more than the FY2013 pre-sequester funding level and $147
million (-0.5%) less than the FY2014 President’s request. According to the committee report
accompanying the bill, the committee would provide essentially the same total level of funding
for NIH activities as in the request. The 0.5% decrease reflects the committee’s disapproval of the
Administration’s proposed increase of the PHS Evaluation Set-Aside from a 2.5% tap on most
PHS appropriations to 3.0%.
The Senate committee bill would increase most of the institutes by 0.5% or less compared to the
pre-sequester FY2013 level. The committee provided larger increases (relative to FY2013 pre-
sequester levels) to some institutes and centers, including the National Institute on Aging (+7.6%)
to boost Alzheimer’s disease research funding, and the National Center for Advancing
Translational Sciences (+15.2%), allowing up to $50 million for the Cures Acceleration Network,
as requested. The committee rejected the President’s proposed $51 million cut in the Institutional
Development Awards (IDeA) program, a research infrastructure and capacity-building program
housed in the National Institute of General Medical Sciences.
SAMHSA
The FY2014 Senate committee bill would provide $3.4 billion in discretionary funding for
SAMHSA. This amount is $56 million (+1.7%) more than the FY2013 pre-sequester funding
level and $49 million (+1.5%) more than the FY2014 President’s request. The committee would
also provide SAMHSA with transfers of $133 million from the PHS Evaluation Set-Aside ($32
million less than requested) and $92 million from the Prevention and Public Health Fund ($34
million more than requested and $77 million more than was transferred in FY2013).
The Senate committee and the President both propose additional funding for mental health
programs, citing the need to increase access to mental health services. The committee would
increase appropriations by $107 million (+11.5%) above the pre-sequester FY2013 level,
including nearly 30% more for Programs of Regional and National Significance (PRNS). Both
increases are higher than those requested by the President. The Senate committee would decrease
appropriations for substance abuse treatment programs by $69 million (-3.2%) below the pre-
sequester FY2013 level, including $23 million more (+1.3%) for the Substance Abuse Block
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Grant and $92 million less (-23%) for PRNS.35 Some of the difference in PRNS funding would be
made up by the committee’s plan to transfer $50 million from the Prevention and Public Health
Fund ($30 million was requested). Both the Senate committee bill and the President’s request
propose reducing substance abuse prevention funding by $10 million (-5.4%). Both the
committee and the request propose substantial increases for Health Surveillance and Program
Support appropriations, augmented by increased funding from the PHS Evaluation Set-Aside
(+$72 million in the President’s request and +$30 million in the Senate committee bill).
AHRQ
AHRQ receives no discretionary funding in L-HHS-ED appropriations bills; rather, funding for
almost all of its programs is provided through transfers from PHS Evaluation Tap funds. An
additional amount for one prevention program is transferred from the Prevention and Public
Health Fund. The FY2014 Senate committee bill would provide $364 million in Evaluation Tap
funding. This amount is $5 million (-1.4%) less than the FY2013 pre-sequester funding level and
$30 million (+9.1%) more than the FY2014 President’s request. The Senate committee report
would focus increases on patient safety programs and on investigator-initiated research, both of
which had been reduced in the request.
CMS
The FY2014 Senate committee bill would provide $5.9 billion in discretionary funding for CMS.
This amount is $1.7 billion (+40%) more than the FY2013 pre-sequester CMS discretionary
funding level and $329 million (+6%) more than the FY2014 President’s request. The Senate
committee bill would provide $640 million for Health Care Fraud and Abuse Control (HCFAC)
activities (+107% from FY2013 pre-sequester levels and +106% from the FY2014 President’s
request).36 Of the HCFAC total, $311 million would be provided as base funding (matching the
President’s request), while the additional $329 million would be provided through a budget cap
adjustment, as allowed by the BCA. In addition, the Senate committee bill would provide $5.2
billion for CMS Program Management (+35% from pre-sequester FY2013 levels and the same as
the FY2014 President’s request). According to the Senate committee report accompanying the
bill, the bulk of these funds ($3.16 billion) would be directed toward program operations. The
report states that funding for program operations would support a broad range of activities,
including claims processing, program safeguard activities performed by Medicare contractors,
ACA implementation, and addressing increased demand for services resulting from Medicare
population growth.
35 The committee also directed HHS to stop using the two SAMHSA block grants as sources of PHS evaluation tap
transfers (S.Rept. 113-71 on S. 1284, p. 111).
36 Of this total, roughly $311 million is considered “base” funding, while the remaining $299 million is provided
through a cap adjustment authorized by Section 251(b) of the Balanced Budget and Emergency Deficit Control Act of
1985, as amended by the BCA. For more information, see S.Rept. 113-71, p. 124. For more information on CMS
program integrity efforts, see CRS Report RL34217, Medicare Program Integrity: Activities to Protect Medicare from
Payment Errors, Fraud, and Abuse, by Cliff Binder.
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ACF
The FY2014 Senate committee bill would provide $18.7 billion in discretionary funding for ACF.
This amount is $943 million (+5%) more than the FY2014 President’s request.37 The Senate
committee bill demonstrates an interest in supporting early childhood care and education
programs administered by ACF, including Head Start and the Child Care and Development Block
Grant (CCDBG). The bill would provide $9.6 billion for Head Start, the same level requested by
the President (+20% from FY2013 pre-sequester levels). The Senate committee bill reflects the
President’s proposal for Head Start funds, reserving $1.4 billion for a newly proposed Early Head
Start-Child Care Partnership Program and $25 million for certain implementation costs related to
the Head Start Designation Renewal System (a new process through which low-performing
grantees are identified and required to re-compete for funding). The Senate committee bill also
proposes to increase funding for the CCDBG, recommending an FY2014 funding level of $2.5
billion (+8% from the FY2013 pre-sequester level, +1% from the President’s request). The bill
would reserve the majority of this increase ($110 million) for formula grants to states, tribes, and
territories to improve the quality of child care programs.
ACL
The FY2014 Senate committee bill would provide $1.7 billion in discretionary funding for ACL.
This amount is nearly $2 million (+0.1%) more than the FY2014 President’s request for ACL.38
Readers should note that ACL was first established as an HHS agency in April 2012 and the
FY2014 President’s Budget is the first time funding has been requested specifically for ACL.
Previous President’s Budgets included separate requests for the Administration on Aging, which
is now a subcomponent of the larger ACL, along with several other offices.
The Senate committee bill would appropriate $4 million for Alzheimer’s Disease Demonstrations,
which is the same as the FY2013 pre-sequester level, but $5 million (-58%) less than the FY2014
President’s request. Alzheimer’s Disease Demonstrations (also known as the Alzheimer’s
Supportive Services Program) aim to improve and expand evidence-based interventions for
persons with Alzheimer’s disease and related disorders and their caregivers. In requesting $9.5
million for this program in FY2014, the President’s Budget cites a “growing need” for services to
assist those with Alzheimer’s disease.39 In addition to funds appropriated for the demonstrations,
the Senate committee bill would match the FY2014 President’s request to direct $14.7 million
from the Prevention and Public Health Fund toward a National Plan to Address Alzheimer’s
Disease, which would include education and outreach to enhance public awareness ($4.2 million)
and an expansion of services for people with Alzheimer’s and their caregivers ($10.5 million).
37 Total ACF funding levels shown in this report are not comparable between FY2013 and FY2014. Pursuant to the
conventions of the Senate Appropriations Committee, this report includes funding for certain developmental disabilities
programs in ACF totals for FY2013 pre-sequester levels, but includes funding for these activities in ACL totals for
FY2014. Per HHS operating plans, FY2013 operating levels include funding for these programs in ACL, not ACF.
38 Total ACL funding levels shown in this report are not comparable between FY2013 and FY2014. Pursuant to the
conventions of the Senate Appropriations Committee, this report includes funding for certain developmental disabilities
programs in ACF totals for FY2013 pre-sequester levels, but includes funding for these activities in ACL totals for
FY2014. Per HHS operating plans, FY2013 operating levels include funding for these programs in ACL, not ACF.
39 U.S. Department of Health and Human Services, Administration on Community Living, Fiscal Year 2014
Justification of Estimates for Appropriations Committees, pp. 104-105.
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The Senate committee bill rejects the FY2014 President’s Budget proposal to transfer the
Community Service Employment for Older Americans program from the Department of Labor to
HHS/ACL, but accepts the Administration’s proposal to transfer the State Health Insurance
Programs (SHIPs) from CMS to ACL. SHIPs, which the Senate committee bill would fund at $52
million, provide one-on-one counseling and information assistance to Medicare beneficiaries and
their families on Medicare and other health insurance issues. In accepting the proposal to transfer
SHIPs to ACL, the committee report notes that many SHIPs are already housed in, or are
partnered with, state aging services agencies.
Funding Restrictions Related to Certain Controversial Issues
Annual L-HHS-ED appropriations regularly contain restrictions related to certain controversial
issues. For instance, annual appropriations laws generally include provisions limiting the
circumstances under which L-HHS-ED funds (including Medicaid funds) may be used to pay for
abortions. Under current provisions, (1) abortions may be funded only when the life of the mother
is endangered or in cases of rape or incest; (2) funds may not be used to buy a managed care
package that includes abortion coverage, except in cases of rape, incest, or endangerment; and (3)
federal programs and state/local governments that receive L-HHS-ED funding are prohibited
from discriminating against health care entities that do not provide or pay for abortions or
abortion services.40 Similarly, annual appropriations since FY1997 have included a provision
prohibiting L-HHS-ED funds (including NIH funds) from being used to create human embryos
for research purposes or for research in which human embryos are destroyed.41 The Senate
committee bill would maintain each of these provisions for FY2014.42
The FY2012 law reinstated a provision, removed in FY2010, prohibiting L-HHS-ED funds from
being used for needle exchange programs.43 This provision was maintained under the terms of the
FY2013 CR. The FY2014 Senate committee bill would modify this provision by rescinding the
prohibition and providing state and local health authorities with discretion over the location of
needle exchange programs.44 The FY2012 law also expanded a provision prohibiting CDC
spending on activities that advocate or promote gun control so that it applied to all HHS
appropriations; it also added a new, broader provision prohibiting the use of any L-HHS-ED
funds (plus funds transferred from the Prevention and Public Health Fund) for the promotion of
gun control.45 These provisions were maintained under the terms of the FY2013 CR and would
continue to be maintained by the FY2014 Senate committee bill.46
40 The current provisions, commonly referred to as the Hyde and Weldon Amendments, can be found in §506 and §507
of P.L. 112-74, Division F. For additional information, please see CRS Report RL33467, Abortion: Judicial History
and Legislative Response, by Jon O. Shimabukuro.
41 The current provision, commonly referred to as the Dickey Amendment, can be found in §508 of P.L. 112-74,
Division F. For additional information, please see CRS Report RL33540, Stem Cell Research: Science, Federal
Research Funding, and Regulatory Oversight, by Judith A. Johnson and Edward C. Liu.
42 For continuation of the Hyde and Weldon Amendments, see Sections 506 and 507 of S. 1284, Title V. For
continuation of the Dickey Amendment, see Section 508 of S. 1284, Title V.
43 See §523 of P.L. 112-74, Division F
44 See Section 520 of S. 1284, Title V.
45 See §218 (HHS), and §503(c) (all L-HHS-ED, plus PPHF transfers) of P.L. 112-74, Division F.
46 See Sections 218 and 503 of S. 1284.
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Labor, Health and Human Services, and Education (L-HHS-ED): FY2014 Appropriations
Table 7. Detailed HHS Appropriations
(dollars in millions)
FY2013
Operating
(post-sequester,
FY2013
post-0.2% ATB,
FY2014
Enacted
including
Senate
(pre-sequester,
transfers and
FY2014
Cmte.
Agency or Selected Program
post-0.2% ATB)
reprogramming)
Request
(S. 1284)
Health Resources and Services Administration (HRSA)
6,426
6,099
6,259
6,554
Subtotal, HRSA Mandatory Appropriationsa
235
235
235
235
Subtotal, HRSA Discretionary Appropriations
6,191
5,864
6,024
6,319
Subtotal, HRSA Evaluation Tap Fundingb
(25)
(25)
(25)
(25)
Selected Discretionary HRSA Programs:
Community Health Centers
1,575
1,479
1,567
1,575
National Health Service Corps
0
0
0
0
Health Professions (Title VII)
233
219
202
255
Health Professions, Nursing (Title VIII)
231
218
251
251
Children’s Hospitals Graduate Medical Education
267
251
88
267
Maternal and Child Health Block Grant
644
605
639
644
Autism and Other Developmental Disorders
48
45
47
47
Healthy Start
104
98
104
104
Ryan White AIDS Programs
2,318
2,224
2,387
2,369
Evaluation Tap Fundingb
(25)
(25)
(25)
(25)
Healthcare Systems Bureau
101
95
84
104
Rural Health Programs
139
131
122
142
Family Planning (Title X)
296
279
327
327
Centers for Disease Control and Prevention (CDC)c
5,701
5,488
5,272
5,812
Subtotal, CDC Mandatory Appropriationsd 55
51
55
55
Subtotal, CDC Discretionary Appropriations
5,646
5,437
5,217
5,757
Subtotal, CDC Evaluation Tap Fundingb
(371)
(375)
(618)
(371)
Selected Discretionary CDC Programs:
Immunization and Respiratory Diseases
575
563
669
575
Evaluation Tap Fundingb
13 13
13
13
HIV/AIDS, Viral Hepatitis, STDs, TB Prevention
1,098
1,045
1,174
1,098
Evaluation Tap Fundingb (0)
(4)
(3)
(0)
Emerging and Zoonotic Infectious Diseases
252
247
381
283
Chronic Disease Prevention and Health Promotion
755
740
620
775
Birth Defects and Developmental Disabilities
137
130
67
123
Public Health Scientific Services
144
144
144
144
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Labor, Health and Human Services, and Education (L-HHS-ED): FY2014 Appropriations
FY2013
Operating
(post-sequester,
FY2013
post-0.2% ATB,
FY2014
Enacted
including
Senate
(pre-sequester,
transfers and
FY2014
Cmte.
Agency or Selected Program
post-0.2% ATB)
reprogramming)
Request
(S. 1284)
Evaluation Tap Fundingb
(248)
(248)
(325)
(248)
Environmental Health
105
103
126
114
Injury Prevention and Control
137
131
177
162
Evaluation Tap Fundingb
(0) (0)
(5)
(0)
National Institute for Occupational Safety and Health
182
172
0
182
Evaluation Tap Fundingb
(111)
(111)
(272)
(111)
Global Health
347
329
393
392
Public Health Preparedness and Response
1,297
1,232
1,334
1,292
Public Health Leadership and Support
617
601
131
617
National Institutes of Health (NIH)c 30,640
28,926
31,094
30,947
Subtotal, NIH Mandatory Appropriations
0
0
0
0
Subtotal, NIH Discretionary Appropriations
30,640
28,926
31,094
30,947
Subtotal, NIH Evaluation Tap Fundingb
(8)
(8)
(8)
(8)
Substance Abuse and Mental Health Services
Administration (SAMHSA)
3,341
3,210
3,348
3,397
Subtotal, SAMHSA Mandatory Appropriations
0
0
0
0
Subtotal, SAMHSA Discretionary Appropriations
3,341
3,210
3,348
3,397
Subtotal, SAMHSA Evaluation Tap Fundingb
(130)
(130)
(165)
(133)
Selected Discretionary SAMHSA Programs:
Mental Health Programs of Reg’l & Nat’l Significance (PRNS)
275
271
333
357
Mental Health Block Grant
438
416
439
463
Evaluation Tap Fundingb
(21)
(21)
(21)
(21)
Children’s Mental Health
117
111
117
117
Grants to States for the Homeless
65
61
65
65
Protection and Advocacy
36
34
36
36
Substance Abuse Treatment PRNS
398
403
305
306
Evaluation Tap Fundingb
(2)
(2)
0
(2)
Substance Abuse Block Grant
1,718
1,631
1,748
1,741
Evaluation Tap Fundingb
(79)
(79)
(72)
(79)
Substance Abuse Prevention PRNS
186
176
176
176
Health Surveillance and Supporte 109
106
129
136
Evaluation Tap Fundingb
(27)
(27)
(72)
(30)
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Labor, Health and Human Services, and Education (L-HHS-ED): FY2014 Appropriations
FY2013
Operating
(post-sequester,
FY2013
post-0.2% ATB,
FY2014
Enacted
including
Senate
(pre-sequester,
transfers and
FY2014
Cmte.
Agency or Selected Program
post-0.2% ATB)
reprogramming)
Request
(S. 1284)
Agency for Healthcare Research and Quality (AHRQ)
0
0
0
0
Subtotal, AHRQ Discretionary Appropriations
0
0
0
0
Subtotal, AHRQ Evaluation Tap Fundingb
(369)
(365)
(334)
(364)
Centers for Medicare and Medicaid Services (CMS)
523,351
523,254
547,457
542,900
Subtotal, CMS Mandatory Appropriationsf 519,177
519,177
541,928
537,042
Subtotal, CMS Discretionary Appropriations
4,174
4,077
5,528
5,857
Selected Discretionary CMS Programs:
CMS Program Management
3,865
3,783
5,217
5,217
Health Care Fraud and Abuse Control
309
294
311
640
Administration for Children and Families (ACF)
29,853
28,720
31,034
31,978
Subtotal, ACF Mandatory Appropriationsg 13,066
12,962
13,266
13,266
Subtotal, ACF Discretionary Appropriationsh 16,787
15,759
17,768
18,711
Subtotal, ACF Evaluation Tap Funding (non-add)b (6)
(6)
(6)
(6)
Selected Discretionary ACF Programs:
Low Income Home Energy Assistance Program
3,465
3,255
2,820
3,615
Refugee and Entrant Assistance Programs
1,014
999
1,123
1,121
Child Care and Development Block Grant
2,324
2,206
2,478
2,500
Head Start
7,986
7,573
9,621
9,621
Child Welfare Services
280
263
281
280
Adoption Opportunities
39
37
39
44
Community Services Block Grant
676
635
350
676
Social Services and Income Maintenance Research
0
0
44
9
Evaluation Tap Funding (non-add)b (6)
(6)
(6)
(6)
Administration on Community Living
1,468
1,553
1,715
1,717
Subtotal, ACL Mandatory Appropriations
0
0
0
0
Subtotal, ACL Discretionary Appropriations
1,468
1,553
1,715
1,717
Selected Discretionary ACL Programs:
Home and Community-Based Supportive Services
366
348
367
367
Family and Native American Caregiver Support Services
160
152
160
160
Nutrition Services Programs
815
768
816
816
Aging Network Support Activities
8
7
8
8
Alzheimer’s Disease Demonstrations
4
4
10
4
Adult Protective Services Demonstrations
0
0
8
8
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Labor, Health and Human Services, and Education (L-HHS-ED): FY2014 Appropriations
FY2013
Operating
(post-sequester,
FY2013
post-0.2% ATB,
FY2014
Enacted
including
Senate
(pre-sequester,
transfers and
FY2014
Cmte.
Agency or Selected Program
post-0.2% ATB)
reprogramming)
Request
(S. 1284)
State Health Insurance Program
0
0
52
52
Office of the Secretary (OS)
2,179
2,113
2,355
2,507
Subtotal, OS Mandatory Appropriationsi 527
527
550
550
Subtotal, OS Discretionary Appropriations
1,652 1,586
1,805
1,956
Subtotal, OS Evaluation Tap Funding (non-add)b (114)
(114)
(176)
(121)
Selected Discretionary OS Programs:
General Departmental Management (GDM)
543
517
421
517
Evaluation Tap Funding (non-add)b (69)
(69)
(120)
(70)
Office of the Nat'l Coord. for Health Information Tech.
(ONC) 16
15
21
20
Evaluation Tap Funding (non-add)b (45)
(45)
(56)
(51)
Office of the Inspector General
50
47
69
60
Public Health and Social Services Emergency Fund (PHSSEF)
999
968
1,290
1,304
Total, HHS Mandatory & Discretionary BA in the Bill
602,959
599,364
628,534
625,811
Subtotal, HHS Mandatory BA in the Bill
533,061
532,952
556,035
551,149
Subtotal, HHS Discretionary BA in the Bill
69,898
66,412
72,499
74,662
Memoranda
Total, BA Available in the Fiscal Year (current year from any bill)
587,137 583,542
629,827
628,525
Total, Advances for Future Years (provided in the current bill)
109,636 109,636
108,342
106,922
Total, Advances from Prior Years (for use in the current year)
93,814
93,814
109,636
109,636
Source: Amounts for FY2013 enacted, the FY2014 President’s request, and the FY2014 Senate committee-
reported bill (S. 1284) are estimated based on data provided in S.Rept. 113-71, the committee report
accompanying S. 1284. FY2013 Operating Levels are largely estimated based on FY2013 operating plans for HHS
agencies, which are available at http://www.hhs.gov/budget/fy2013/index.html (scrol to bottom for FY2013
Agency Operating Plans). Operating estimates reflect reductions required as a result of the FY2013 sequester, as
wel as any transfers and reprogramming of funds reported by HHS in these operating plans.
Notes: BA = Budget Authority. ATB = across-the-board rescission. Cmte = Committee. Details may not add
due to rounding. Amounts in this table: (1) reflect all BA appropriated in the bill, regardless of the year in which
funds become available (i.e., totals do not include advances from prior year appropriations, but do include
advances for subsequent years provided in this bill); (2) have generally not been adjusted to reflect scorekeeping;
(3) comprise only those funds provided (or requested) for agencies and accounts subject to the jurisdiction of
the Labor, HHS, Education Subcommittee of the House and Senate Committees on Appropriations (e.g.,
department totals do not include funding for the Food and Drug Administration, the Indian Health Service, or
the Agency for Toxic Substances and Disease Registry, all of which are funded by other bills); and (4) do not
include direct appropriations that occur outside of appropriations bills. Non-add amounts are displayed in italics
and parentheses; these amounts are not part of the appropriations totals. FY2013 totals do not include
supplemental funds provided by the Disaster Relief Appropriations Act, 2013 (P.L. 113-2).
a. These mandatory funds are for the Vaccine Injury Compensation Program.
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Labor, Health and Human Services, and Education (L-HHS-ED): FY2014 Appropriations
b. By convention, this table shows only the amount of PHS Evaluation Tap funds received by an agency. The
table does not subtract the amount of the evaluation tap from donor agencies’ appropriations. The amounts
shown in italics with parentheses are in addition to appropriated amounts shown in this table.
c. Each year, CDC and NIH also receive funding in the Interior-Environment appropriations bill as part of their
overall budget authority. CDC received $72 million in FY2013 (post-sequester); $76 million is requested for
FY2014. NIH received $75 million in FY2013 (post-sequester); $79 million is requested for FY2014. Because
these amounts are not provided via the L-HHS-ED bill, they are not included in this table.
d. These mandatory funds are for the Energy Employees Occupational Illness Compensation Program.
e. The FY2014 request and Senate committee proposal for the SAMHSA Health Surveillance and Program
Support include an additional $1.5 million for Data Requests and Publications, to be offset by user fees.
f.
These mandatory funds go toward Grants to States for Medicaid and Payments to Health Care Trust Funds.
g. These mandatory funds go toward the fol owing accounts: Child Support Enforcement and Family Support
Payments; the Social Services Block Grant; the mandatory portion of the Promoting Safe and Stable Families
program; and Payments for Foster Care and Permanency.
h. Pursuant to the conventions of the Senate Appropriations Committee, this report includes funding for
certain developmental disabilities programs in ACF totals for FY2013 pre-sequester levels, but includes
funding for these activities in ACL totals for both FY2014 columns. Per HHS operating plans, FY2013
operating levels include funding for these programs in ACL, not ACF.
i.
These mandatory funds are for the Medical Benefits for Commissioned Officers account.
Department of Education (ED)
Note that all figures in this section are based on regular L-HHS-ED appropriations only; they do
not include funds provided outside of the annual appropriations process (e.g., certain direct
appropriations for Federal Direct Student Loans and Pell Grants). All amounts in this section are
rounded to the nearest million or billion (as labeled). The dollar changes and percent changes
discussed in the text are based on unrounded amounts.
About ED
The federal government provides support for both elementary and secondary education, and
postsecondary education. With regard to elementary and secondary education, the federal
government provides roughly 12% of overall funding; the vast majority of funding comes from
states and local districts.47 States and school districts also have primary responsibility for the
provision of elementary and secondary education in the United States. Nevertheless, the United
States Department of Education (ED) performs numerous functions, including promoting
educational standards and accountability; gathering education data via programs such as the
National Assessment of Education Progress; disseminating research on important education
issues; and administering federal education programs and policies. ED is responsible for
administering a large number of elementary and secondary education programs, many of which
provide direct support to school districts with a high concentration of disadvantaged students and
students with disabilities. One of the most important priorities for ED in elementary and
secondary education is improving academic outcomes for all students; particularly disadvantaged
students, students with disabilities, English language learners, Indians, Native Hawaiians, and
47 U.S. Department of Education, FY2014 Education Budget Summary and Background Information, Appendix 6,
http://www2.ed.gov/about/overview/budget/budget14/summary/appendix6.pdf.
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Labor, Health and Human Services, and Education (L-HHS-ED): FY2014 Appropriations
Alaska Natives. With regard to higher education, the federal government supports roughly 73% of
all direct aid provided to students to finance their postsecondary education.48 There are also many
higher education programs administered by ED—the largest are those providing financial aid to
facilitate college access, primarily through student loans and the Pell grant program. In addition,
ED administers programs that address vocational rehabilitation, career and technical education,
and adult education.
FY2014 ED Appropriations Overview
The FY2014 Senate committee bill (S. 1284, S.Rept. 113-71) would provide $72.53 billion in
combined mandatory and discretionary funding for ED. This amount is $1.32 billion (+1.9%)
more than the pre-sequester FY2013 funding level of $71.21 billion, $3.76 billion (+5.5%) more
than the post-sequester FY2013 funding level of $68.77 billion, and $1.98 billion (-2.7%) less
than the FY2014 President’s Budget request of $74.51 billion. (See Table 8.) Of the total
recommended for ED in the FY2014 Senate committee bill, roughly $69.22 billion would be
discretionary. This amount is $1.25 billion (+1.8%) more than the pre-sequester FY2013
discretionary funding level ($67.98 billion) and $1.98 billion (-2.8%) less than the discretionary
total requested in the FY2014 President’s Budget ($71.21 billion).
Table 8. ED Appropriations Overview
(billions of dollars)
FY2013 Operating
(post-sequester, post-
FY2013 Enacted
0.2% ATB, including
FY2014
(pre-sequester,
transfers and
FY2014
Senate Cmte.
Funding
post-0.2% ATB)
reprogramming)
Request
(S. 1284)
Discretionary $67.98
$65.77
$71.21
$69.22
Mandatory $3.23
$3.07
$3.30
$3.30
Total BA Provided in the Bill
$71.21 $68.77
$74.51
$72.53
Source: Amounts for FY2013 enacted, the FY2014 President’s request, and the FY2014 Senate committee-
reported bill (S. 1284) are estimated based on data provided in S.Rept. 113-71, the committee report
accompanying S. 1284. FY2013 Operating Levels are estimated based on ED’s FY2013 operating plan, which is
available at http://www2.ed.gov/about/overview/budget/budget13/13action.pdf. Operating estimates reflect
reductions required as a result of the FY2013 sequester, plus any transfers and reprogramming of funds reported
by ED.
Notes: BA = Budget Authority. ATB = across-the-board rescission. Cmte = Committee. Details may not add
due to rounding. Amounts in this table: (1) reflect all BA appropriated in the bill, regardless of the year in which
funds become available (i.e., totals do not include advances from prior year appropriations, but do include
advances for subsequent years provided in this bill); (2) have generally not been adjusted to reflect scorekeeping;
(3) comprise only those funds provided (or requested) for agencies and accounts subject to the jurisdiction of
the Labor, HHS, Education Subcommittee of the House and Senate Committees on Appropriations; and (4) do
not include direct appropriations that occur outside of appropriations bills.
48 See Figure 2, Total Student Aid by Source, 2011-2012, available at http://trends.collegeboard.org/student-aid/
figures-tables/total-aid.
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Labor, Health and Human Services, and Education (L-HHS-ED): FY2014 Appropriations
Selected ED Highlights from FY2013 Appropriations Actions49
The following are some ED highlights from the FY2014 Senate committee bill (S. 1284) as
compared to comparable FY2013 funding levels and proposed funding levels from the FY2014
President’s Budget.
Education for the Disadvantaged
The FY2014 Senate committee bill would increase funding for Education for the Disadvantaged
Grants to Local Educational Agencies (LEAs) to $14.61 billion. This is $125 million more than
the pre-sequester FY2013 funding level, $852 million more than the post-sequester funding level,
and $96 million more than the FY2014 President’s Budget request. Education for the
Disadvantaged is the largest K-12 education program administered by ED and nearly all LEAs in
the nation receive funding under this program. In addition, the FY2014 Senate bill would increase
funding for School Improvement Grants to $567 million. This is $35 million more than the pre-
sequester FY2013 funding level, $62 million more than the post-sequester funding level, and $91
million less than the FY2014 President’s Budget request.50
Preschool Development Grants
Both the FY2014 Senate committee bill and the FY2014 President’s Budget request would
provide $750 million for new Preschool Development Grants. This funding would be used to help
build state capacity to implement high-quality preschool programs. The FY2014 President’s
Budget also includes a request for $1.30 billion in mandatory funding for a Preschool for All
program. This program would utilize both federal and state funds to help states provide universal
access to high-quality preschool for low and moderate income four-year-olds.51
Impact Aid
The FY2014 Senate committee bill would increase funding for Impact Aid to $1.29 billion. This
is $2 million more than the pre-sequester FY2013 funding level, $67 million more than the post-
sequester funding level, and $67 million more than the FY2014 President’s Budget request. The
majority of Impact Aid funds are provided directly to LEAs to compensate them for the financial
burden resulting from federal activities, including federal ownership of certain lands and the
enrollments in LEAs of children of parents who live or work on federal lands.
49 ED budget materials can be found at http://www2.ed.gov/about/overview/budget/budget14/index.html?src=ct. OMB
budget materials can be found at http://www.whitehouse.gov/omb/budget. For detailed information on the ED funding
levels recommended by the FY2014 Senate committee bill, as compared to FY2013 pre-sequester levels and the
FY2014 request, see the committee report accompanying the bill (S.Rept. 113-71), which can be found at
http://www.gpo.gov/fdsys/pkg/CRPT-113srpt71/pdf/CRPT-113srpt71.pdf.
50 The FY2014 Senate committee bill includes a provision indicating that Education for the Disadvantaged Grants to
Local Educational Agencies may be used to provide transportation for homeless students and for homeless liaisons.
51 U.S. Department of Education, FY2014 Education Budget Summary and Background Information, pp. 12-14,
http://www2.ed.gov/about/overview/budget/budget14/summary/14summary.pdf. Note that mandatory funds proposed
for the Preschool for All program are not included in Table 9 because the Administration’s proposal calls for these
funds to be provided via direct spending budget authority (i.e., through authorizing legislation to be enacted outside of
the annual appropriations process).
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Labor, Health and Human Services, and Education (L-HHS-ED): FY2014 Appropriations
School Improvement
The FY2014 Senate committee bill would increase funding for the 21st Century Community
Learning Centers program to $1.20 billion. This is $51 million more than the pre-sequester
FY2013 funding level and $108 million more than the post-sequester funding level, but $52
million less than the FY2014 President’s Budget request. The FY2014 Senate committee bill
includes language that would give LEAs the option of using 21st Century Community Learning
Centers funds for extended learning time programs, a use of funds that is not currently included in
the authorizing language of the program. The FY2014 Senate committee report (S.Rept. 113-71)
includes language directing “… the Department to refrain from giving priority to, showing
preference for, or providing direction about whether communities should use these funds for
afterschool, before school, summer school, or expanded day programs, unless specifically
requested by SEAs or LEAs.”52
Innovation and Improvement
The Senate committee bill would provide $250 million for the Race to the Top (RTT) program,
which was first authorized by the American Recovery and Reinvestment Act of 2009 (P.L. 111-
5).53 The Senate committee’s proposed funding level is $750 million less than the FY2014
President’s Budget request of $1 billion, $298 million less than the FY2013 pre-sequester funding
level of $548 million, and $270 million less than the FY2013 post-sequester funding level of
$520 million. Notably, both the Senate committee bill and the President’s Budget would direct the
FY2014 RTT funding toward a new College Affordability and Completion initiative to
“incentivize State-level postsecondary education reform.”54 This would be a change from prior
years, in which RTT funds have been used primarily to support state and local elementary and
secondary education initiatives and “early learning challenge” grants.
Safe Schools and Citizenship Education
The FY2014 Senate committee bill would provide $57 million for the Promise Neighborhoods
program, which awards competitive grants to distressed communities for comprehensive
neighborhood programs designed to combat the effects of poverty and improve the educational
and life outcomes of children from birth through college.55 The Senate committee’s proposed
funding level is $243 million less than the FY2014 President’s Budget request and $3 million less
than the program’s FY2013 pre-sequester funding level.
52 See p. 165 of the Senate committee report (S.Rept. 113-71).
53 The initial subcommittee bill in the Senate would have provided $400 million for RTT, but the full committee
adopted an amendment reducing RTT funds by $150 million. This amendment also increased LIHEAP funding at HHS
by $150 million.
54 See p. 169 of the Senate committee report (S.Rept. 113-71).
55 The initial subcommittee bill in the Senate would have provided $100 million for Promise Neighborhoods, but the
full committee adopted an amendment reducing funding for Promise Neighborhoods by $43 million. This amendment
simultaneously increased special education funding (IDEA Part B) by $43 million.
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Labor, Health and Human Services, and Education (L-HHS-ED): FY2014 Appropriations
Special Education
The FY2014 Senate committee bill would increase funding for Individuals with Disabilities Act
(IDEA), Part B State Grants to $11.72 billion. This is $168 million more than the pre-sequester
FY2013 funding level, $748 million more than the post-sequester funding level, and $145 million
more than the FY2014 President’s Budget request. IDEA, Part B State Grants provide federal
funding for the education of children with disabilities in elementary and secondary education. As
a condition for the receipt of these funds, states are required to provide a free and appropriate
public education (i.e., specially designed instruction that meets the needs of a child with a
disability).
Student Financial Aid
The FY2014 Senate committee bill would provide $22.78 billion for the Pell Grants program.56
This is $46 million less than the FY2014 President’s request of $22.82 billion, but is roughly the
same level of discretionary funding as was provided in FY2013.57 Under the Senate committee
bill, the discretionary base maximum award for award year58 (AY) 2014-15 would stay at $4,860,
and the total maximum award for which a student would be eligible in AY2014-15 is projected to
be $5,785.
Table 9. Detailed Department of Education Appropriations
(dollars in millions)
FY2013
Operating
(post-sequester,
FY2013
post-0.2% ATB,
FY2014
Enacted
including
Senate
(pre-sequester,
transfers and
FY2014
Cmte.
Agency or Selected Program
post-0.2% ATB)
reprogramming)
Request
(S. 1284)
Education for the Disadvantaged
15,710
14,922
15,655
15,875
Grants to LEAs
14,487
13,760
14,516
14,612
School Improvement Grants
532
506
659
567
Striving Readers
159
151
0
164
Migrant State Grants
392
373
393
392
Neglected and Delinquent
50
48
50
50
Evaluation 3
3
0
3
High School Graduation Initiative
49
46
0
49
Special Programs for Migrant Students
36
35
37
37
56 For more information, see CRS Report R42446, Federal Pell Grant Program of the Higher Education Act: How the
Program Works, Recent Legislative Changes, and Current Issues, by Shannon M. Mahan.
57 Funding for Pell grants is exempt from sequestration, pursuant to provisions included in Section 255(h) of the
Balanced Budget and Emergency Deficit Control Act of 1985 (BBEDCA, Title II of P.L. 99-177, as amended).
58 The Pell Grant award year begins July 1 of each year and ends June 30 of the subsequent year. For example,
AY2014-15 begins on July 1, 2014 and ends June 30, 2015.
Congressional Research Service
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Labor, Health and Human Services, and Education (L-HHS-ED): FY2014 Appropriations
FY2013
Operating
(post-sequester,
FY2013
post-0.2% ATB,
FY2014
Enacted
including
Senate
(pre-sequester,
transfers and
FY2014
Cmte.
Agency or Selected Program
post-0.2% ATB)
reprogramming)
Request
(S. 1284)
Preschool Development Grantsa
0
0
750
750
Impact Aid
1,289
1,224
1,224
1,291
School Improvement Programs
4,536
4,307
2,028
4,622
Teacher Quality State Grants
2,462
2,338
0
2,462
Math and Science Partnerships
149
142
0
149
Supplemental Education Grants
18
17
18
18
21st Century Community Learning Centers
1,149
1,092
1,252
1,200
State Assessments
388
369
389
408
Javits Gifted and Talented Education
0
0
0
15
Education for Homeless Children and Youth
65
62
65
65
Training and Advisory Services
7
7
7
7
Education for Native Hawai ans
34
32
34
34
Alaska Native Education Equity
33
31
33
33
Rural Education
179
170
179
179
Comprehensive Centers
51
48
51
51
Indian Education
130
124
131
130
Innovation and Improvement
1,524
1,448
5,699
1,332
Race to the Top
548
520
1,000
250
Investing in Innovation Fund
149
142
215
170
Effective Teachers and Leaders State Grants
0
0
2,467
0
Effective Teaching and Learning: Literacy
0
0
187
0
Effective Teaching and Learning for a Wel -
0 0
75
0
Rounded Educ.
Col ege Pathways and Accelerated Learning
0
0
102
0
Science, Technology, Engineering, and Mathematics
0 0
415
0
(STEM) Innovation
High School Redesign
0
0
300
0
Expanding Educational Options
0
0
295
0
Transition to Teaching
26
25
0
0
School Leadership
29
28
98
64
Charter School Grants
254
242
0
254
Magnet Schools Assistance
97
92
100
100
Fund for the Improvement of Education (FIE)
66
62
46
138
Teacher Incentive Fund
299
284
0
299
Congressional Research Service
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Labor, Health and Human Services, and Education (L-HHS-ED): FY2014 Appropriations
FY2013
Operating
(post-sequester,
FY2013
post-0.2% ATB,
FY2014
Enacted
including
Senate
(pre-sequester,
transfers and
FY2014
Cmte.
Agency or Selected Program
post-0.2% ATB)
reprogramming)
Request
(S. 1284)
Teacher and Leader Innovation Fund
0
0
400
0
Ready to Learn Television
27
26
0
27
Advanced Placement
30
28
0
30
Safe Schools and Citizenship Education
255
242
580
330
Successful, Safe and Healthy Students
0
0
280
0
Promise Neighborhoods
60
57
300
57
National Programs
65
61
0
143
Elem/Sec School Counseling
52
50
0
52
Carol M. White PE Program
79
75
0
79
English Language Acquisition State Grants
731 694
732
731
Special Education
12,615
11,982
12,657
12,803
Grants to States, Part B
11,555
10,975
11,578
11,723
Preschool Grants
372
353
373
373
Grants for Infants and Families
442
420
463
463
IDEA State Grants, total
12,368
11,748
12,413
12,558
IDEA National Activities
237
225
236
237
Special Olympics Education Programs
8
8
8
8
Promoting Readiness of Minors in SSI (Promise)
2
2
0
0
Rehabilitation Services and Disability Research
3,620
3,435
3,656
3,698
Vocational Rehabilitation State Grants (mandatory)
3,231
3,066
3,302
3,302
Client Assistance State Grants
12
12
12
12
Training 35
34
30
35
Demonstration and Training Programs
5
5
6
7
Migrant and Seasonal Farmworkers
1
1
0
1
Protection and Advocacy of Individual Rights
18
17
18
18
Supported Employment State Grants
29
28
0
29
Independent Living
137
130
137
137
Helen Keller National Center for Deaf/Blind Youth
9 9
9
9
and Adults
National Institute on Disability and Rehab
109 103
110
110
Research
Assistive Technology
33
31
31
38
Special Institutions for Persons w/ Disabilities
215
204
207
209
American Printing House for the Blind
24
23
25
25
Congressional Research Service
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Labor, Health and Human Services, and Education (L-HHS-ED): FY2014 Appropriations
FY2013
Operating
(post-sequester,
FY2013
post-0.2% ATB,
FY2014
Enacted
including
Senate
(pre-sequester,
transfers and
FY2014
Cmte.
Agency or Selected Program
post-0.2% ATB)
reprogramming)
Request
(S. 1284)
National Technical Institute for the Deaf
65
62
65
66
Gal audet University
125
119
118
119
Career and Adult Education
1,734 1,647
1,750
1,744
Career and Technical Education (CTE) State
1,121 1,064
1,123
1,123
Grants
CTE National Programs
8
7
18
13
Adult Education State Grants
594
564
595
594
Adult Education National Programs
11
11
14
14
Student Financial Assistance
24,486
24,400
24,685
24,536
Pell maximum grant (non-add)
4,860
4,860
4,860
4,860
Pell Grants
22,778
22,778
22,824
22,778
Federal Supplemental Opportunity Grants
733
696
735
733
Federal Work Study
975
926
1,127
1,025
Student Aid Administration
1,041
979
1,050
1,044
Higher Education
1,866
1,772
2,146
1,913
Aid for Institutional Development
530
503
531
530
International Education and Foreign Language
74
70
81
81
Fund for the Improvement of Postsecondary
Education (FIPSE)
3 3
260
6
Postsecondary Programs for Students with
Intellectual Disabilities
11 10
0
11
Minority Science and Engineering
9
9
9
9
Tribally Controlled Postsecondary Voc.& Tech.
Institutions
8 8
8
8
TRIO Programs
838
796
840
850
GEAR UP
302
286
302
307
Graduate Assistance in Areas of National Need
31
29
31
31
Teacher Quality Enhancement Grants
43
41
0
43
Child Care Access
16
15
16
16
GPRA data
1
1
68
21
Howard University
234
222
234
234
College Housing & Academic Facilities Loansb 0 0
0
0
HBCU Capital Financing Program
20
19
21
21
Institute of Education Sciences
592
563
671
653
Congressional Research Service
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Labor, Health and Human Services, and Education (L-HHS-ED): FY2014 Appropriations
FY2013
Operating
(post-sequester,
FY2013
post-0.2% ATB,
FY2014
Enacted
including
Senate
(pre-sequester,
transfers and
FY2014
Cmte.
Agency or Selected Program
post-0.2% ATB)
reprogramming)
Request
(S. 1284)
Departmental Management
607
587
633
609
Total, ED Mandatory & Discretionary BA in the
71,207 68,771
74,511
72,527
Bill
Subtotal, ED Mandatory BA in the Bill
3,231
3,066
3,302
3,302
Subtotal, ED Discretionary BA in the Bill
67,976
65,705
71,209
69,225
Memoranda
Total, BA Available in the Fiscal Year (current year
71,207 68,771 74,511
72,527
from any bill)
Total, Advances for Future Years (provided in the
22,597 22,597 22,597
22,597
current bill)
Total, Advances from Prior Years (for use in the
22,597 22,597 22,597
22,597
current year)
Source: Amounts for FY2013 enacted, the FY2014 President’s request, and the FY2014 Senate committee-
reported bill (S. 1284) are estimated based on data provided in S.Rept. 113-71, the committee report
accompanying S. 1284. FY2013 Operating Levels are estimated based on ED’s FY2013 operating plan, which is
available at http://www2.ed.gov/about/overview/budget/budget13/13action.pdf. Operating estimates reflect
reductions required as a result of the FY2013 sequester, plus any transfers and reprogramming of funds reported
by ED.
Notes: BA = Budget Authority. ATB = across-the-board rescission. Cmte = Committee. Details may not add
due to rounding. Amounts in this table: (1) reflect all BA appropriated in the bill, regardless of the year in which
funds become available (i.e., totals do not include advances from prior year appropriations, but do include
advances for subsequent years provided in this bill); (2) have generally not been adjusted to reflect scorekeeping;
(3) comprise only those funds provided (or requested) for agencies and accounts subject to the jurisdiction of
the Labor, HHS, Education Subcommittee of the House and Senate Committees on Appropriations; and (4) do
not include direct appropriations that occur outside of appropriations bills. Non-add amounts are displayed in
italics and parentheses; these amounts are not part of the appropriations totals.
a. In addition to the amounts shown in this table, the FY2014 President’s Budget request also called for $1.30
billion in mandatory funding for a Preschool for All program. These funds are not shown in this table
because the Administration’s proposal cal s for them to be provided via direct spending budget authority
(i.e., through authorizing legislation to be enacted outside of the annual appropriations process).
b. The funding level for College Housing and Academic Facilities Loans is $459,000 in the FY2014 Senate
committee bill and in the FY2014 President’s Budget, $458,000 in the pre-sequester FY2013 funding level,
and $435,000 in the FY2013 post-sequester funding level. These amounts round to zero in the above table.
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Labor, Health and Human Services, and Education (L-HHS-ED): FY2014 Appropriations
Related Agencies
Note that figures in this section are based on regular L-HHS-ED appropriations only; they do not
include funds provided outside the annual appropriations process (e.g., direct appropriations for
Old-Age, Survivors, and Disability Insurance benefit payments by the Social Security
Administration). All amounts in this section are rounded to the nearest million or billion (as
labeled). The dollar changes and percent changes in the text are based on unrounded amounts.
FY2014 Related Agencies Appropriations Overview
The FY2014 Senate committee bill (S. 1284. S.Rept. 113-71) would provide $70.42 billion in
combined mandatory and discretionary funding for related agencies funded through this bill. This
amount is $2.12 billion (+3.1%) more than the FY2013 pre-sequester funding level of $68.30
billion and $311 million (+0.4%) more than the FY2014 President’s Budget request of $70.11
billion. (See Table 10.) Of the total recommended for related agencies in the FY2014 Senate
committee bill, roughly $14.37 billion (20%) would be discretionary. This amount is $555 million
(+4.0%) more than the FY2013 pre-sequester discretionary funding level ($13.82 billion) and
$898 million (+6.7%) more than the discretionary total requested in the FY2014 President’s
Budget ($70.11 billion).
Table 10. Related Agencies Appropriations Overview
(billions of dollars)
FY2013
Operating (post-
sequester, post-0.2%
FY2013 Enacted
ATB, including
FY2014
(pre-sequester,
transfers and
FY2014
Senate Cmte.
Funding
post-0.2% ATB)
reprogramming)
Request
(S. 1284)
Discretionary (includes trust funds)
13.82
not available
13.47
14.37
Mandatory 54.48
not
available
56.64
56.05
Total BA Provided in the Bill
68.30
not available
70.11 70.42
Source: Amounts for FY2013 enacted, the FY2014 President’s request, and the FY2014 Senate committee-
reported bill (S. 1284) are estimated based on data provided in S.Rept. 113-71, the committee report
accompanying S. 1284. Not all related agencies funded by the L-HHS-ED bill have released FY2013 post-
sequester operating levels; thus, a comprehensive estimate of FY2013 operating levels for related agencies is not
available at this time.
Notes: BA = Budget Authority. ATB = across-the-board rescission. Cmte = Committee. Details may not add
due to rounding. Amounts in this table: (1) reflect all BA appropriated in the bill, regardless of the year in which
funds become available (i.e., totals do not include advances from prior year appropriations, but do include
advances for subsequent years provided in this bill); (2) have generally not been adjusted to reflect scorekeeping;
(3) comprise only those funds provided (or requested) for agencies and accounts subject to the jurisdiction of
the Labor, HHS, Education Subcommittee of the House and Senate Committees on Appropriations; and (4) do
not include direct appropriations that occur outside of appropriations bills. FY2013 totals do not include
supplemental funds provided by the Disaster Relief Appropriations Act, 2013 (P.L. 113-2).
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Labor, Health and Human Services, and Education (L-HHS-ED): FY2014 Appropriations
In general, the largest share of funding appropriated to related agencies in the L-HHS-ED bill
goes to the Social Security Administration (SSA).59 When taking into account both mandatory
and discretionary funding, the SSA accounted for 97% of the entire related agencies appropriation
in FY2013 ($66 billion pre-sequester). The bulk of mandatory SSA funding from the L-HHS-ED
bill supports the Supplemental Security Income program ($54.5 billion in FY2013 pre-sequester).
When looking exclusively at discretionary funding, the SSA remains the largest component of the
related agencies appropriation, constituting roughly 83% of discretionary funds in FY2013 ($11.5
billion pre-sequester). The majority of discretionary SSA funding covers administrative expenses
for Social Security, SSI, and Medicare.60
After the SSA, the next-largest agency of the related agencies appropriation is the Corporation for
National and Community Service (CNCS), which constituted roughly 2% of all funding and 8%
of discretionary funding in FY2013 ($1.0 billion) [excluding sequester]. Typically, each of the
remaining related agencies receives less than $1 billion from the annual L-HHS-ED
appropriations bill. For more information, see Table 11.
Selected Related Agencies Highlights from
FY2014 Appropriations Actions61
The most significant highlight from the FY2014 budget and appropriations actions among the L-
HHS-ED related agencies was SSA’s proposal to largely remove funding for program integrity
activities from the Limitation on Administrative Expenses (LAE) account and create, through
authorizing legislation, a new source of mandatory annual funding for program integrity activities
in a new Program Integrity Administrative Expenses (PIAE) account.62 To date, no legislation
creating the PIAE account or the mandatory funding for program integrity has been introduced in
either house of Congress and no such legislation is part of S. 1284.
The SSA’s total program integrity request for FY2014 is $1.5 billion, with $273 million requested
as part of LAE and the remaining $1.2 billion requested via the proposed mandatory spending for
the PIAE account. The Senate committee bill does not include the proposed PIAE or any
mandatory program integrity spending, but does include $1.2 billion in program integrity funding
as part of LAE, an increase of $441 million (+58%) over the pre-sequester program integrity
funding provided for FY2013.
59 For additional information on the SSA budget, see CRS Report R41716, Social Security Administration (SSA):
Budget Issues, by Scott D. Szymendera.
60 The SSA assists HHS in administering portions of the federal Medicare program. For more information on this, see
Social Security Administration, Justifications of Estimates for Appropriations Committees, Fiscal Year 2014, February
2013, http://ssa.gov/budget/FY14Files/2014FJ.pdf.
61 For detailed information on the funding levels for Related Agencies in the FY2014 Senate committee bill, as
compared to FY2013 pre-sequester levels and the FY2014 request, see the committee report (S.Rept. 113-71)
accompanying the bill (S. 1284).
62 For additional information on this proposal see Social Security Administration, Justification of Estimates for
Appropriations Committees: FY2014, February 2013, pp. 99-100, http://ssa.gov/budget/FY14Files/2014FJ.pdf.
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Labor, Health and Human Services, and Education (L-HHS-ED): FY2014 Appropriations
Table 11. Detailed Related Agencies Appropriations
(dollars in millions)
FY2013
Operating
(post-sequester,
FY2013
post-0.2% ATB,
FY2014
Enacted
including
Senate
(pre-sequester, transfers and
FY2014
Cmte.
Agency or Selected Program
post-0.2% ATB) reprogramming) Request (S. 1284)
Cmte for Purchase from People Who Are Blind or
5
not avail.
5 5
Severely Disabled
Corporation for National and Community Service
1,047 994a 1,061 1,061
(CNCS)
Selected CNCS Programs/Initiatives:
Volunteers in Service to America (VISTA)
95
90
95
95
National Senior Volunteer Corps
207
197
207
207
AmeriCorps State and National Grants
344
326
346
346
National Civilian Community Corps
32
30
30
30
National Service Trust
211
201
207
210
Corporation for Public Broadcasting (CPB)b
445
422
445
445
Federal Mediation and Conciliation Service
46
not avail. 48 47
Federal Mine Safety and Health Review Commission
18
not avail. 16 17
Institute of Museum and Library Services (IMLS)
231
220c 226 231
Medicare Payment Advisory Commission (MedPAC)
12
not avail. 12 12
Medicaid and CHIP Payment and Access Commission
6
not avail. 10 9
(MACPAC)
National Council on Disability
3
not avail. 3 3
National Healthcare Workforce Commission
0
not avail. 3 3
National Labor Relations Board (NLRB)
278
not avail. 285 285
National Mediation Board
13
not avail. 13 13
Occupational Safety and Health Review Commission
12
not avail. 13 12
Railroad Retirement Board (RRB) – mandatory &
213
not avail. 193 192
discretionaryd
Social Security Administration (SSA)e
66,018
not avail. 67,815 68,123
Payments to Social Security Trust Funds (mandatory)
20
not avail.
16
16
Supplemental Security Income (SSI) (mandatory)
54,464
not avail.
56,623
56,036
SSI Administrative Expenses (discretionary)
3,605
not avail.
3,814
4,233
Limitation on Administrative Expenses (including user fee
10,676 not
avail.
10,797
10,768
activities)
Program Integrityf
756 not
avail. 273 1,197
Office of Inspector General
102
not avail.
105
105
Congressional Research Service
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Labor, Health and Human Services, and Education (L-HHS-ED): FY2014 Appropriations
FY2013
Operating
(post-sequester,
FY2013
post-0.2% ATB,
FY2014
Enacted
including
Senate
(pre-sequester, transfers and
FY2014
Cmte.
Agency or Selected Program
post-0.2% ATB) reprogramming) Request (S. 1284)
Total, Related Agencies Mand. & Disc. BA in the Bill
68,300
not avail. 70,112 70,423
Subtotal, Related Agencies Mandatory BA in the
54,484
not avail. 56,640 56,053
Bill
Subtotal, Related Agencies Discretionary BA in
13,816
not avail. 13,472 14,371
the Bill
Memoranda
Total, BA Available in the Fiscal Year (current year from any
67,199 not
avail.
69,712
70,023
bill)
Total, Advances for Future Years (provided in the current bill)
19,745
not avail.
20,145
20,145
Total, Advances from Prior Years (for use in the current year)
18,644
not avail.
19,745
19,745
Source: Amounts for FY2013 enacted, the FY2014 President’s request, and the FY2014 Senate committee-
reported bill (S. 1284) are estimated based on data provided in S.Rept. 113-71, the committee report
accompanying S. 1284. FY2013 Operating Levels are estimated based on agency operating plans (as sourced
below), where available. Operating estimates reflect reductions required as a result of the FY2013 sequester, as
well as transfers and reprogramming of funds, as reported in agency operating plans.
Notes: BA = Budget Authority. ATB = across-the-board rescission. Cmte = Committee. Details may not add
due to rounding. Amounts in this table: (1) reflect all BA appropriated in the bill, regardless of the year in which
funds become available (i.e., totals do not include advances from prior year appropriations, but do include
advances for subsequent years provided in this bill); (2) have generally not been adjusted to reflect scorekeeping;
(3) comprise only those funds provided (or requested) for agencies and accounts subject to the jurisdiction of
the Labor, HHS, Education Subcommittee of the House and Senate Committees on Appropriations; and (4) do
not include direct appropriations that occur outside of appropriations bills. Non-add amounts are displayed in
italics and parentheses; these amounts are not part of the appropriations totals. FY2013 totals do not include
supplemental funds provided by the Disaster Relief Appropriations Act, 2013 (P.L. 113-2).
a. FY2013 operating levels are based on an operating plan provided to CRS by CNCS.
b. CPB funds are typically provided by a two-year advance. The amount shown for FY2013 enacted will
become available in FY2015; the amounts proposed for FY2014 would become available in FY2016.
However, the amount shown for CPB Operating is the actual amount available in FY2013 (from funds
appropriated in FY2011 for FY2013), post-sequester. For more information on the FY2013 operating level,
see Corporation for Public Broadcasting Appropriation Request and Justification FY2014 and FY2016, Appendix B:
CPB Appropriations History, available at http://www.cpb.org/appropriation/justification_14-16.pdf.
c. See the IMLS operating plan for FY2013 online at http://www.imls.gov/assets/1/AssetManager/
FY2013_IMLS_Budget_Table.pdf.
d. Totals include $150,000 in mandatory funding in each column.
e. The Social Security trust funds are considered off-budget, but the Supplemental Security Income (SSI)
program, SSA administrative expenses, and certain related SSA activities are included in appropriations for
L-HHS-ED and Related Agencies. SSA lines in this table do not sum to the total, which has been adjusted to
reflect an estimated adjustment for trust fund transfers from general revenues (not shown here).
f.
Program Integrity includes program integrity funds provided as part of the Base Limitation on Administrative
Expenses (LAE), but not otherwise included in the category Base LAE in this table. The amount shown for
the FY2014 President’s Budget in this table reflects only the discretionary component of the program
integrity request. The Administration also requested an additional $1.2 billion in new direct spending budget
authority for SSA program integrity activities; these funds are not included in this table because the request
calls for them to be provided outside the appropriations process.
Congressional Research Service
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Labor, Health and Human Services, and Education (L-HHS-ED): FY2014 Appropriations
Author Contact Information
Karen E. Lynch, Coordinator
Gail McCallion
Specialist in Social Policy
Specialist in Social Policy
klynch@crs.loc.gov, 7-6899
gmccallion@crs.loc.gov, 7-7758
David H. Bradley
Pamela W. Smith
Specialist in Labor Economics
Analyst in Biomedical Policy
dbradley@crs.loc.gov, 7-7352
psmith@crs.loc.gov, 7-7048
Amalia K. Corby-Edwards
Scott D. Szymendera
Analyst in Public Health and Epidemiology
Analyst in Disability Policy
acorbyedwards@crs.loc.gov, 7-0423
sszymendera@crs.loc.gov, 7-0014
Acknowledgments
Maggie McCarty, Specialist in Housing Policy, provided thoughtful review and comments.
Key Policy Staff
Area of Expertise
Name
Phone
E-mail
L-HHS-ED Coordinator
Karen E. Lynch
7-6899
klynch@crs.loc.gov
Department of Labor
Coordinator, DOL
David H. Bradley
7-7352
dbradley@crs.loc.gov
Job training and employment services
David H. Bradley
7-7352
dbradley@crs.loc.gov
Mine Safety and Health Administration
Scott Szymendera
7-0014
sszymendera@crs.loc.gov
Occupational Safety and Health Admin. Scott Szymendera
7-0014
sszymendera@crs.loc.gov
Office of Workers’ Compensation
Scott Szymendera
7-0014
sszymendera@crs.loc.gov
Older Americans Act, employment
Angela Napili
7-0135
anapili@crs.loc.gov
programs
Kirsten J. Colello
7-7839
kcolello@crs.loc.gov
Pension and welfare benefits
John J. Topoleski
7-2290
jtopoleski@crs.loc.gov
Trade adjustment assistance
Benjamin Collins
7-7382
bcollins@crs.loc.gov
Unemployment compensation
Julie M. Whittaker
7-2587
jwhittaker@crs.loc.gov
Katelin P. Isaacs
7-7355
kisaacs@crs.loc.gov
Veterans employment
Benjamin Col ins
7-7382
bcollins@crs.loc.gov
Christine Scott
7-7366
cscott@crs.loc.gov
Wage and hour standards
Gerald Mayer
7-7815
gmayer@crs.loc.gov
David H. Bradley
7-7352
dbradley@crs.loc.gov
Workforce Investment Act (WIA)
David H. Bradley
7-7352
dbradley@crs.loc.gov
Adrienne L. Fernandes-
7-9005
afernandes@crs.loc.gov
Alcantara
Congressional Research Service
46
Labor, Health and Human Services, and Education (L-HHS-ED): FY2014 Appropriations
Area of Expertise
Name
Phone
E-mail
Health and Human Services
Coordinator, Overall HHS
Karen E. Lynch
7-6899
klynch@crs.loc.gov
Co-coordinators, Public Health
Amalia Corby-Edwards
7-0423
acorbyedwards@crs.loc.gov
Service Agencies
Pamela W. Smith
7-7048
psmith@crs.loc.gov
Abortion, legal issues
Jon O. Shimabukuro
7-7990
jshimabukuro@crs.loc.gov
Abortion procedures
Judith A. Johnson
7-7077
jajohnson@crs.loc.gov
Agency for Healthcare Research and
Amanda K. Sarata
7-7641
asarata@crs.loc.gov
Quality (AHRQ)
AIDS, Ryan White programs
Judith A. Johnson
7-7077
jajohnson@crs.loc.gov
Bioterrorism, HHS funding
Sarah A. Lister
7-7320
slister@crs.loc.gov
Cancer research
Judith A. Johnson
7-7077
jajohnson@crs.loc.gov
Centers for Disease Control and
Sarah A. Lister
7-7320
slister@crs.loc.gov
Prevention (CDC)
Centers for Medicare and Medicaid
Alison Mitchell
7-0152
amitchell@crs.loc.gov
Services (CMS)
Cliff Binder
7-7965
cbinder@crs.loc.gov
Barbara English
7-1927
benglish@crs.loc.gov
Chafee Foster Care Independence and
Adrienne L. Fernandes-
7-9005 afernandes@crs.loc.gov
Education/Training Voucher Programs
Alcantara
Child abuse and neglect, child welfare
Emilie Stoltzfus
7-2324
estoltzfus@crs.loc.gov
Child care and development
Karen E. Lynch
7-6899
klynch@crs.loc.gov
Children’s Health Insurance Program
Evelyne P. Baumrucker
7-8913
ebaumrucker@crs.loc.gov
(CHIP; funded in authorizing laws, not
through L-HHS-ED)
Community Services Block Grant
Karen Spar
7-7319
kspar@crs.loc.gov
Developmental Disabilities Act
Umar Moulta-Ali
7-9557
umoultaali@crs.loc.gov
Elder abuse and neglect, elder justice
Kirsten J. Colel o
7-7839
kcolello@crs.loc.gov
Family Planning, Title X
Angela Napili
7-0135
anapili@crs.loc.gov
Federal health centers
Elayne J. Heisler
7-4453
eheisler@crs.loc.gov
Barbara English
7-1927
benglish@crs.loc.gov
Food and Drug Administration (FDA;
Susan Thaul
7-0562
sthaul@crs.loc.gov
funded through Agriculture
appropriations, not L-HHS-ED)
Foster care and adoption
Emilie Stoltzfus
7-2324
estoltzfus@crs.loc.gov
Global health; international AIDS, TB,
Tiaji Salaam-Blyther
7-7677
tsalaam@crs.loc.gov
and malaria
Head Start
Karen E. Lynch
7-6899
klynch@crs.loc.gov
Health professions/health workforce
Elayne J. Heisler
7-4453
eheisler@crs.loc.gov
programs
Bernice Reyes-Akinbileje
7-2260
breyes@crs.loc.gov
Health Resources and Services
Elayne J. Heisler
7-4453
eheisler@crs.loc.gov
Administration (HRSA)
Immunization
Sarah A. Lister
7-7320
slister@crs.loc.gov
Congressional Research Service
47
Labor, Health and Human Services, and Education (L-HHS-ED): FY2014 Appropriations
Area of Expertise
Name
Phone
E-mail
Indian Health Service (IHS; funded
Elayne J. Heisler
7-4453
eheisler@crs.loc.gov
through Interior-Environment
appropriations, not L-HHS-ED)
Low Income Home Energy Assistance
Libby Perl
7-7806
eperl@crs.loc.gov
Program (LIHEAP)
Maternal and Child Health Block Grant Carmen Solomon-Fears 7-7306
csolomonfears@crs.loc.gov
Medicaid
Elicia J. Herz
7-1377
eherz@crs.loc.gov
Alison Mitchell
7-0152
amitchell@crs.loc.gov
Mentoring programs for vulnerable
Adrienne L. Fernandes-
7-9005 afernandes@crs.loc.gov
youth
Alcantara
Needle exchange, AIDS
Erin Bagalman
7-5345
ebagalman@crs.loc.gov
NIH, health research policy
Pamela W. Smith
7-7048
psmith@crs.loc.gov
Older Americans Act
Angela Napili
7-0135
anapili@crs.loc.gov
Kirsten J. Colello
7-7839
kcolello@crs.loc.gov
Pandemic/seasonal influenza
Sarah A. Lister
7-7320
slister@crs.loc.gov
Public Health Service
Pamela W. Smith
7-7048
psmith@crs.loc.gov
Prevention and Public Health Fund
Sarah A. Lister
7-7320
slister@crs.loc.gov
(directly appropriated by Affordable
Care Act, not L-HHS-ED)
Randolph-Sheppard Act
Umar Moulta-Ali
7-9557
umoultaali@crs.loc.gov
Refugee Resettlement Assistance
Andorra Bruno
7-7865
abruno@crs.loc.gov
Runaway and Homeless Youth Act
Adrienne L. Fernandes-
7-9005 afernandes@crs.loc.gov
Alcantara
Social Services Block Grant
Karen E. Lynch
7-6899
klynch@crs.loc.gov
Stem cell research, cloning
Judith A. Johnson
7-7077
jajohnson@crs.loc.gov
Substance Abuse and Mental Health
Erin Bagalman
7-5345
ebagalman@crs.loc.gov
Services Administration (SAMHSA)
C. Stephen Redhead
7-2261
credhead@crs.loc.gov
Temporary Assistance for Needy
Gene Falk
7-7344
gfalk@crs.loc.gov
Families (TANF; funded in authorizing
laws, not L-HHS-ED)
Department of Education
Coordinator, ED
Gail McCallion
7-7758
gmccallion@crs.loc.gov
Adequate Yearly Progress (AYP) and
Rebecca R. Skinner
7-6600
rskinner@crs.loc.gov
accountability
Adult education and literacy
Benjamin Collins
7-7382
bcollins@crs.loc.gov
After-school programs
Gail McCallion
7-7758
gmccallion@crs.loc.gov
Assessment in education
Rebecca R. Skinner
7-6600
rskinner@crs.loc.gov
Career and technical education
Cassandria Dortch
7-0376
cdortch@crs.loc.gov
Charter schools/school choice
Rebecca R. Skinner
7-6600
rskinner@crs.loc.gov
Col ege costs and prices
Shannon Mahan
7-7759
smahan@crs.loc.gov
Education block grants
Rebecca R. Skinner
7-6600
rskinner@crs.loc.gov
Elementary and secondary education
Rebecca R. Skinner
7-6600
rskinner@crs.loc.gov
Congressional Research Service
48
Labor, Health and Human Services, and Education (L-HHS-ED): FY2014 Appropriations
Area of Expertise
Name
Phone
E-mail
English language acquisition
Cassandria Dortch
7-0376
cdortch@crs.loc.gov
Rebecca R. Skinner
7-6600
rskinner@crs.loc.gov
Higher education
David P. Smole
7-0624
dsmole@crs.loc.gov
Cassandria Dortch
7-0376
cdortch@crs.loc.gov
Impact Aid
Rebecca R. Skinner
7-6600
rskinner@crs.loc.gov
Indian education
Cassandria Dortch
7-0376
cdortch@crs.loc.gov
International Education Programs
Jeffrey J. Kuenzi
7-8645
jkuenzi@crs.loc.gov
Legal issues related to education in
Jody Feder
7-8088
jfeder@crs.loc.gov
general
Pel Grants
Shannon Mahan
7-7759
smahan@crs.loc.gov
Reading programs
Gail McCallion
7-7758
gmccallion@crs.loc.gov
Rehabilitation Act
Benjamin Collins
7-7382
bcollins@crs.loc.gov
Safe & Drug-Free Schools
Gail McCallion
7-7758
gmccallion@crs.loc.gov
Science, Technology, Engineering, and
Jeffrey J. Kuenzi
7-8645
jkuenzi@crs.loc.gov
Mathematics (STEM) Education
Special education, IDEA
Benjamin Collins
7-7382
bcollins@crs.loc.gov
Special education, IDEA, legal issues
Cynthia Brougher
7-9121
cbrougher@crs.loc.gov
Student financial assistance/need
David P. Smole
7-0624
dsmole@crs.loc.gov
analysis
Shannon Mahan
7-7759
smahan@crs.loc.gov
Student loans
David P. Smole
7-0624
dsmole@crs.loc.gov
Teacher recruitment, preparation, &
Jeffrey J. Kuenzi
7-8645
jkuenzi@crs.loc.gov
training
Title I, Education for the
Rebecca R. Skinner
7-6600
rskinner@crs.loc.gov
Disadvantaged
Vocational rehabilitation
Benjamin Collins
7-7382
bcollins@crs.loc.gov
Related Agencies
Coordinator, Related Agencies
Scott Szymendera
7-0014
sszymendera@crs.loc.gov
Corporation for National &
Benjamin Collins
7-7382
bcollins@crs.loc.gov
Community Service (VISTA, Senior
Abigail B. Rudman
7-9519
arudman@crs.loc.gov
Corps, AmeriCorps)
Corporation for Public Broadcasting
Glenn J. McLoughlin
7-7073
gmcloughlin@crs.loc.gov
Institute of Museum and Library
Gail McCallion
7-7758
gmccallion@crs.loc.gov
Services
National Labor Relations Board
Gerald Mayer
7-7815
gmayer@crs.loc.gov
National Labor Relations Board, legal
Jon O. Shimabukuro
7-7990
jshimabukuro@crs.loc.gov
issues
National Mediation Board
Gerald Mayer
7-7815
gmayer@crs.loc.gov
Railroad Retirement Board
Scott Szymendera
7-0014
sszymendera@crs.loc.gov
Social Security Administration (SSA),
Scott Szymendera
7-0014
sszymendera@crs.loc.gov
administrative expenses
Supplemental Security Income (SSI)
Scott Szymendera
7-0014
sszymendera@crs.loc.gov
Congressional Research Service
49