FY23 Omnibus Appropriations Bill: Opportunities and Challenges

Impact Brief CEO Message – January 2023

After months of congressional deliberation, President Biden signed the fiscal year 2023 (FY23) omnibus appropriations bill into law on Dec. 29, 2022. In total, the bill contains $1.7 trillion in funding to ensure the continued operations of the federal government. The Centers for Disease Control and Prevention (CDC) received $9.6 billion in overall funding, which represents an increase of $76 million. The National Center for Chronic Disease Prevention and Health Promotion (NCCDPHP) received a total of $1.43 billion, and most chronic disease programs saw an increase for FY 23. Both the Public Health Infrastructure and Capacity as well as Public Health Leadership and Support programs received significant funding increases.

The omnibus includes several important health policy changes, including some provisions from Senator Patty Murray (D-WA) and Senator Richard Burr’s (R-NC) PREVENT Pandemics Act. As a result of these changes, future CDC directors will be confirmed by the Senate, and there will be a newly created White House Office of Pandemic Preparedness and Response.

The bill also contains a bipartisan agreement to end a COVID-era Medicaid policy granting states additional funding in exchange for suspending eligibility redeterminations. States can restart Medicaid eligibility assessments on April 1, 2023, and redeterminations may occur over a one-year period. It has been estimated that between 5 million and 14 million people will lose Medicaid coverage once the redeterminations begin. The bill also continues Puerto Rico’s current Medicaid match for five years and permanently extends the federal match rate for other U.S. territories’ Medicaid programs at 83 percent. 

The omnibus also extends telehealth flexibilities for Medicare patients, including eliminating geographic restrictions on originating sites and allowing federally qualified health clinics and rural health clinics to continue to provide telehealth services. It also extends the safe harbor for telehealth coverage that permits pre-deductible coverage of telehealth services for people with high deductible health plans and associated health savings accounts. 

NACDD is already looking to the opportunities and challenges that lie ahead. With the new Republican majority in the House, the political climate has shifted and battles over the debt ceiling and the national debt will have a profound impact on the funding that CDC and NCCDPHP programs receive. As an organization, we must continue to advocate for funding for chronic disease prevention and health promotion. NACDD remains committed to our advocacy work, but we need your help. Please take a few minutes and submit a success story to NACDD’s Success Stories Database and help us tell policymakers about the extraordinary work that you all do.

FY 2023 Chronic Disease Funding

ProgramFY 2022FY 2023 Omnibus
Alzheimer’s Disease$30,500,000$38,500,000
Cancer Registries$51,440,000$53,440,000
Colorectal Cancer$43,294,000$44,294,000
Comprehensive Cancer Control$20,425,000$22,425,000
Heart Disease and Stroke Prevention$145,105,000$155,105,000
National Diabetes Prevention Program$33,000,000$37,300,000
Nutrition, Physical Activity & Obesity$58,420,000 ($16,500,000 for high-rate counties)$58,420,000 ($16,500,000 for high-rate counties)
Healthy Schools, Healthy Youth$17,400,000$19,400,000
Tobacco Control$241,500,000$246,500,000
Breast & Cervical Cancer Early Detection$227,000,000$235,500,000
Breast Cancer Awareness for Young Women$5,960,000$6,960,000
Preventive Health and Health Services Block Grant$160,000,000$160,000,000
Oral Health$19,750,000$20,250,000
Social Determinants of Health$8,000,000$8,000,000
Public Health Infrastructure and Capacity$200,000,000$350,000,000
Public Health Leadership and Support$113,570,000$128,570,000

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