The White House Releases its FY 2027 Budget

by | Apr 28, 2026 | Washington Update

At the beginning of April, the White House released the President’s Budget for Fiscal Year 2027 (FY 2027). According to the White House Fact Sheet, the focus of the budget is increasing spending on defense and reducing spending on nondefense by $73 billion. Below is a summary of key health programs and their proposed changes in funding from the President’s Budget. These items reflect the President’s priorities, but the budget process requires congressional approval.

Primary Care

Proposed Total Change to Primary Care Funding: Decrease of $4.8 billion

  • Health Centers: Decrease of $3.5 billion
  • Telehealth:
    • Office for the Advancement of Telehealth: Increase of $24.5 million
    • Chronic Care Telehealth Centers of Excellence: New program for $20 million
    • Telehealth Nutrition Services Network Grant Program: New program for $8 million
  • School Health: Program no longer funded
  • Safe Motherhood/Infant Health: Program no longer funded
  • Adverse Childhood Experiences: Program no longer funded

Maternal and Child Health (MCH)

Proposed Total Change to MCH Funding: Decrease of $560.7 million

  • Autism and Other Developmental Disorders: Decrease of $19 million
  • Emergency Medical Services for Children: Program no longer funded
  • Healthy Start: Program no longer funded
  • Family-to-Family Health Information Centers: Decrease of $4.6 million due to potential lack of reauthorization
  • Maternal, Infant and Early Childhood Home Visiting (MIECHV): Increase of $141.5 million
  • Family Planning: Program no longer funded
  • Birth Defects, Developmental Disabilities, Disability and Health: Decrease of $28.3 million
    • Birth Defects: Decrease of $7.5 million
    • Fetal Alcohol Syndrome: Decrease of $500 thousand
    • Autism: Decrease of $5 million
    • Neonatal Abstinence Syndrome: Decrease of $2 million
    • Health and Development for People with Disabilities: Decrease of $16.8 million
  • Office of Women’s Health: Decrease of $14 million
  • Office of Adolescent Health: Program no longer funded
  • Public Health Reports: Program no longer funded

Mental and Behavioral Health

Proposed Total Change to Mental and Behavioral Health Funding: Decrease of $576 million

  • Programs of Regional and National Significance and Community Mental Health Services Block Grant
    • Project AWARE: Decrease of $19.5 million
    • Mental Health Awareness Training: Program no longer funded
    • Healthy Transitions: Program no longer funded
    • Infant and Early Childhood Mental Health: Program no longer funded
    • Children and Family Programs: Program no longer funded
    • Project LAUNCH: Program no longer funded
    • Primary and Behavioral Health Care Integration and TTA: Programs no longer funded
    • Community Mental Health Services Block Grant: Program no longer funded

Health Workforce

Proposed Total Change to Health Workforce Funding: Decrease of $872 million

  • National Health Service Corps (NHSC): Decrease of $267 million
  • Primary Care Training and Enhancement: Program no longer funded
  • Medical Student Education: Program no longer funded
  • Interdisciplinary Community Based Linkages
    • Area Health Education Centers: Program no longer funded
  • Public Health Workforce Development: Program no longer funded
  • Nursing Workforce Development: Decrease of $213 million
  • Children’s Hospital Graduate Medical Education Evaluation: New program for $395 million
  • Teaching Health Center Graduate Medical Education: Increase of $10.75 million

Policy, Research, and Oversight

Proposed Total Change to Policy, Research, and Oversight: Decrease of $970 million

  • Vaccine Injury Compensation: Increase of $10 million

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)

  • Vaccines for Children: Increase of $711 million
  • Public Health Preparedness and Response: Decrease of $394 million

Expect Timeline for Next Steps of the FY 2027 Budget Process

  • May – House Appropriations Committee markup of appropriations legislation
  • July – Floor vote on appropriations package(s)

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