The Office of Management and Budget has released the "Budget of the United States Government, Fiscal Year 2023." The report contains the Budget Message of the President for Fiscal Year 2023, information on the President's priorities, and summary tables.
View the OMB President's Budget and Budget Appendix webpages for details. Complete HHS budget information, including agency budget justifications, can be found on the HHS budget webpage. Major delays in the passage of the FY 2022 budget meant that many steps in the development of the FY 2023 President's budget needed to be completed without final FY 2022 funding numbers. This analysis was developed to reflect the final FY 2022 funding levels, which may differ from the numbers noted in the President's budget.
Funding updates from the fiscal year 2023 President's budget report and the associated agency summary reports relevant to the lactation field include:
|
Connection to Infant Feeding |
FY2022 Enacted |
FY2023 President's Budget |
FY2023 House Bill |
FY2023 Senate Bill |
FY2023 Enacted |
|
Centers for Disease Control and Prevention |
|
|
|
||||
Funding for this program comes from the Prevention and Public Health Fund to support breastfeeding families in maternity care settings, communities, and workplaces. |
$9.75M |
$9.5M |
- |
- |
- |
||
The REACH program works to reduce racial and ethnic health disparities through local, culturally appropriate programs, including breastfeeding support programs. |
$65.95M |
$63.95M |
- |
- |
- |
||
The GHWIC program includes increased breastfeeding as a long-term goal. |
$22.5M |
$22M |
- |
- |
- |
||
Breastfeeding is included in the Perinatal Quality Collaboratives and Substance Abuse During Pregnancy programs within the SMIH program. |
$83M |
$164M |
- |
- |
- |
||
NECCC funding helps children up to five years old develop healthy eating and physical activity supporting healthy growth, including brain development, and decrease their risk later in life for obesity. CDC funds, trains, and assists in obesity prevention efforts in early childhood education (ECE) settings, also known as child care, based on the CDC's guiding framework called the Spectrum of Opportunities which outlines how states can embed obesity prevention standards to ensure healthy eating, breastfeeding support, and physical activity and support and monitor state ECE system progress. |
$4M |
$4M |
- |
- |
- |
||
Health Resources and Service Administration |
|
|
|
||||
Breastfeeding is included in the MCH Block Grant National Performance Measures. |
$747.7M |
$953.7M |
- |
- |
- |
||
The Healthy Start program implements community-based interventions to improve the health of mothers and children, including breastfeeding education. |
$132M |
$145M |
- |
- |
- |
||
The MIECHV home visiting program provides support for at-risk pregnant women and families, including breastfeeding support. |
$400M |
$467M |
- |
- |
- |
||
RMOMS supports grants to improve access to and continuity of maternal and obstetrics care in rural communities by increasing the delivery of and access to preconception, pregnancy, labor and delivery, and postpartum services, including breastfeeding support. |
$6M |
$10M |
- |
- |
- |
||
National Institute for Child Health and Human Development (NICHD) |
|
|
|||||
Maternal Health and Pregnancy Outcomes Vision for Everyone (IMPROVE) Initiative |
The IMPROVE initiative supports research to reduce preventable causes of maternal deaths and improve health for women before, during, and after delivery. |
$43.4M |
$30M |
- |
- |
- |
|
Research on COVID-19 and pregnancy/postpartum health |
NICHD will support research on mitigating the effects of COVID-19 on pregnancies, lactation, and postpartum health with a focus on individuals from racial and ethnic minority groups. |
N/A |
$3M |
- |
- |
- |
|
Substance Abuse and Mental Health Services Administration |
|
|
|||||
Support for breastfeeding and lactation are included in some resources produced through this program. |
$34.9M |
$43.4M |
- |
- |
- |
||
U.S. Department of Agriculture, Food and Nutrition Service |
|
|
|||||
Special Supplemental Nutrition Program for Women, Infants, and Children (WIC) program |
The WIC program provides supplemental foods, health care referrals, and nutrition education for low-income pregnant, breastfeeding, and non-breastfeeding postpartum women, and to infants and children up to age 5 who are found to be at nutritional risk. |
$6B |
$6B |
- |
- |
- |
|
WIC Breastfeeding Peer Counselor Program |
WIC peer counselors are mothers in the community with personal breastfeeding experience who are trained to give information and support to new moms. |
$90M |
$90M |
- |
- |
- |
|
Food and Drug Administration |
|
||||||
Maternal and Infant Health and Nutrition program |
The Center for Food Safety and Applied Nutrition to take regulatory and other actions to address emerging issues of concern, including nutrition work specific to infants, toddlers, and pregnant and lactating women. |
$11M |
$20M |
- |
- |
- |
|
Agency for Healthcare Research and Quality |
|
|
|||||
Research on Health Costs, Quality, and Outcomes: Improving Maternal Health |
This new funding will support research to ensure that Federal, State, and local policymakers have timely and accurate data and useful analytic resources about maternal health and the healthcare system with which to make informed policy decisions |
N/A |
$7.4M |
- |
- |
- |
Federal Agency/Division |
FY2022 Enacted |
FY2023 President's Budget |
FY2023 House Bill |
FY2023 Senate Bill |
FY2023 Enacted |
Centers for Disease Control and Prevention |
$8.46B |
$10.7B |
- | - | - |
Division of Nutrition, Physical Activity, and Obesity |
$58.4M |
$56.9M |
- | - | - |
Health Resources and Services Administration |
$8.9B |
$13.3B |
- | - |
- |
Maternal and Child Health Bureau |
$1B |
$1.75B |
- | - |
- |
U.S. Department of Labor |
$13.2B |
$14.6B |
- |
- |
- |
Wage and Hour Division |
$251M |
$307.7M |
- | - |
- |
Women's Bureau |
$18M |
$25M |
- | - |
- |
Office of Minority Health |
$64.8M |
$86M |
- | - |
- |
Office on Women's Health |
$38.1M |
$42M |
- | - | - |
Agency for Healthcare Research & Quality |
$350.4M |
$415.9M |
- | - | - |
National Institutes of Health |
$45B |
$62.5B |
- | - |
- |
Equal Employment Opportunity Commission |
$420M |
$464.7M |
- | - | - |
The next step in the federal budget process is for the House and Senate appropriations committees to complete drafting the appropriations bills. Then, Appropriations Committees will hold markups for each of the 12 annual spending bills.
USBC has submitted appropriations requests with appropriator offices in both the House and Senate, advocating for an increase in funding for the CDC Hospitals Promoting Breastfeeding program to $20M. All appropriations bills must be completed by the end of the fiscal year on September 30, or Congress will have to pass a continuing resolution (CR) to keep the government funded at the start of FY 2023 on October 1. Learn more about the federal budget process.
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