Fiscal Year 2023 President's Budget Released

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

 

 

 

Hospitals Promoting Breastfeeding

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

 -

 -

 -

Racial and Ethnic Approaches to Community Health

The REACH program works to reduce racial and ethnic health disparities through local, culturally appropriate programs, including breastfeeding support programs.

$65.95M

$63.95M

 -

 -

 -

Good Health and Wellness in Indian Country

The GHWIC program includes increased breastfeeding as a long-term goal.

$22.5M

$22M

 -

 -

 -

Safe Motherhood and Infant Health

Breastfeeding is included in the Perinatal Quality Collaboratives and Substance Abuse During Pregnancy programs within the SMIH program.

$83M

$164M

 -

 -

 -

National Early Child Care Collaboratives

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

 

 

 

Maternal and Child Health Block Grant

Breastfeeding is included in the MCH Block Grant National Performance Measures.

$747.7M

$953.7M

 -

 -

 -

Healthy Start

The Healthy Start program implements community-based interventions to improve the health of mothers and children, including breastfeeding education.

$132M

$145M

 -

 -

 -

Maternal, Infant and Early Childhood Home Visiting

The MIECHV home visiting program provides support for at-risk pregnant women and families, including breastfeeding support.

$400M

$467M

 -

 -

 -

Rural Maternity and Obstetrics Management Strategies

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

 

 

Pregnant and Postpartum Women Substance Use Disorder

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.

Subscribe to the Staying Abreast: Weekly Wire e-Newsletter to receive updates and action alerts, including organizational action opportunities related to FY22 funding.

 

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