The White House Releases its FY 2027 Budget

At the beginning of June 2026, the House Appropriations Committee approved its Fiscal Year 2027 (FY27) Labor, Health and Human Services, Education, and Related Agencies (Labor-HHS). The Senate Appropriations Committee has not yet released its version of the FY 2027 Labor-HHS bill. Negotiations between House and Senate versions will need to happen before a final bill is passed.

Key funding from the House Labor-HHS bill includes:

• Department of Health and Human Services (HHS): $110.8 billion (about $4 billion less than FY2026)
  • Health Resources and Services Administration (HRSA): $8.25 billion (decrease of $873 million overall)

For the full report outlining funding, please visit the House appropriations text.

Primary Care

Proposed Total Change to Primary Care Funding: Decrease of $19 million.

• Health Centers: No specific dollar amount included
• Early Childhood Development: Maintain funding at $30 million
• Telehealth:
  • Office for the Advancement of Telehealth: Maintain funding at $45.5 million
  • Telehealth Centers of Excellence: Maintain funding at $8.5 million
• School Based Health Centers: Maintain funding at $55 million
• Safe Motherhood/Infant Health: Increase of $2 million
• Adverse Childhood Experiences: Maintain funding at $9 million

Maternal and Child Health (MCH)

Proposed Total Change to MCH Funding: Decrease of $121.5 million

• Maternal and Child Health Services Block Grant: $839 million
  • MCH Block Grant State Formula Fund: Increase of $11.2 million
  • Special Projects of Regional and National Significance (SPRANS): Increase of $9 million to establish new programs
  • Community Integrated Service Systems: Maintain funding at $10.2 million
• Maternal Mental Health Hotline: Increase of $1 million
• Healthy Start: Program no longer funded
• Autism and Other Developmental Disorders: Maintain funding at $57.3 million
  • Leadership Education in Neurodevelopmental and Related Disabilities (LEND): Decrease of $34,000
• Heritable Disorders in Newborns and Children: Increase of $4 million to support newborn screening for metachromatic leukodystrophy (MLD)
• Maternal, Infant and Early Childhood Home Visiting (MIECHV): Increase of $187 million
• Emergency Medical Services for Children: Maintain funding at $24.3 million
• Pediatric Mental Health Care Access: Maintain funding at $13 million
• Innovation for Maternal Health: Increase of $3 million
• Integrated Services for Pregnant and Postpartum Women: Maintain funding at $10 million

Mental and Behavioral Health

Mental and Behavioral Health Programs are proposed to be consolidated into Behavioral Health Workforce Education and Training (BHWET). BHWET programs will focus on creating and expanding internships or field placement programs in behavioral health, focused on rural and medically underserved areas.

Proposed BHWET Funding: $159 million

• Peer Support: Increase of $1 million

Health Workforce

Proposed Total Change to Health Workforce Funding: Increase of $25.1 million

• National Health Service Corps (NHSC): $133.1 million
  • Tribal Set Aside – Not less than 15 percent to support providing health services in Indian Health Service facilities, tribally operated health programs, and Urban Indian Health programs
  • Maternity Care Target Areas – $8 million to support loan repayment for maternity care health services in health professional shortage areas
• Primary Care Training and Enhancement: Increase of $5 million to support medical school partnerships with FQHCs, Rural Health Clinics, or other healthcare facilities in medically underserved communities
• Pediatric Specialty Loan Repayment Program: $10 million
• Interdisciplinary Community Based Linkages
  • Area Health Education Centers: $47 million
• Nursing Workforce Development: Increase of $2 million
  • Certified Nurse Midwives: Maintain funding at $8 million
• Children’s Hospital Graduate Medical Education: New program for $400 million

Rural Health

Increased funding of $157.9 million for rural health includes actions to increase Autism providers in rural areas, improve rural health outreach programs, and improve rural health policy and research.

Food and Nutrition Services

• Special Supplemental Nutrition Program for Women, Infants and Children (WIC): Decrease of $200 million
• Supplemental Nutrition Assistance Program (SNAP): Decrease of $6.2 billion
  • Food Distribution on Indian Reservations: Decrease of $998,000
• Child Nutrition Program
  • Institute of Child Nutrition: Program no longer funded
  • National School Lunch Program: Increase of $105.5 million

Center for Disease Control (CDC)

CDC proposed funding: Decrease of $1 billion

• National Center on Birth Defects and Developmental Disorders (NCBDDD): Decrease of $5.6 million
  • Surveillance for Emerging Threats to Mothers and Babies (SET-NET): Increase of $2 million
• Safe Motherhood/Infant Health: Increase of $2 million
• Vaccines for Children: Maintain funding from FY26

Administration for Children and Families

• Promoting Safe and Stable Families: Maintain funding at $482.5 million
• Child Care and Development Block Grant: Increase of $10 million

Administration for Community Living

Total Proposed Funding: Decrease of $14 million

• Home and Community-Based Support Services: Maintain funding at $414 million
• National Caregiver Support Program: Maintain funding at $209 million

Policy, Research, and Oversight

• Vaccine Injury Compensation: Increase of $4.6 million

Immunization and Respiratory Diseases

Proposed funding: Increase of $15 million

• Maintained funding for Immunization During Pregnancy, Vaccine Education and Awareness, and Vaccines for Children

Next Steps and Expectations for FY2027 Appropriations

• July – Floor vote on appropriations package(s)