During a rare August session, the U.S. Senate passed an $857 billion spending package combining the Fiscal Year (FY) 2019 Labor, Health and Human Services, and Education (LHHS) appropriations bill with the text of the FY19 defense spending bill.

Senators filed more than 300 amendments in the week leading up to the vote, but only 50 were adopted by unanimous consent. While funding for most agencies within the U.S. Department of Health and Human Services (HHS) would remain unchanged by the adopted amendments, one amendment of note would transfer $5 million from the National Institutes of Health (NIH) Office of the Director to the HHS Office of the Inspector General for oversight of grant programs and operations.

The bill provides $39 billion for the NIH, $3.4 billion for the National Heart, Lung, and Blood Institute, $2.276 billion for the National Institute of Neurological Disorders and Stroke and $140 million for the Centers for Disease and Control and Prevention's Heart Disease and Stroke Prevention program.

Lawmakers have four weeks to iron out differences between the House and Senate measures. It is currently unclear whether the package will make it to the White House for signing prior to the end of the fiscal year on Sept. 30. ACC Advocacy staff will continue to communicate further developments as they become available.

The following is a full breakdown of ACC's funding priorities from the FY17 enacted funding levels to the FY19 proposals:

Program	FY17 Enacted	FY18 Omnibus enacted	FY19 ACC Request	FY19 House	FY19 Senate
National Institutes of Health	$34 billion	$37 billion	$38 billion	$38 billion	$39.1 billion
National Heart, Lung, and Blood Institute	$3.2 billion	$3.383 billion	$3.5 billion	$3.4 billion	$3.49 billion
National Institute of Neurological Disorders and Stroke	$1.784 billion	$2.1 billion	$2 billion	$2.2 billion	$2.276 billion
CDC Heart Disease and Stroke Prevention	$130 million	$140 million	$160 million	$147 million	$140 million
CDC Million Hearts	$4 million	$4 million	$5 million	$4 million	$4 million
CDC WISEWOMAN	$21.12 million	$21.12 million	$37 million	$21.12 million	$21.12 million
CDC Office on Smoking and Health	$205 million	$210 million	$216.5 million	$210 million	$210 million
CDC Congenital Heart Disease Research	$4 million	$4 million	$7 million	$4 million	$4 million

Clinical Topics: Cardiovascular Care Team, Prevention, Smoking

Keywords: ACC Advocacy, National Institute of Neurological Disorders and Stroke (U.S.), National Institutes of Health (U.S.), United States Dept. of Health and Human Services, Academies and Institutes, Heart Diseases, Stroke, Smoking, Centers for Disease Control and Prevention, U.S.

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