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  • USBC Membership
    • Join USBC
    • Membership FAQs
    • Membership Categories
    • Membership Fee Schedules
    • Membership Interest Form
    • Creating Space Scholarship
  • Policy & Actions
    • Federal Appropriations for Breastfeeding
    • Federal Policies, Programs, & Initiatives
    • PUMP Act >
      • The PUMP Act Explained
    • Take Action
    • Letters & Public Comments
  • Resources
    • USBC Directories >
      • USBC Member Directory
      • Affiliated Coalitions Directory
      • Equity Champions Directory
    • Constellation Developed Resources
    • Breastfeeding In Emergencies
    • Infant Formula Recall and Shortage
    • Lactation Support Provider Training Directory >
      • Lactation Support Providers Pathways
    • Learning Opportunities
    • Monthly Observances >
      • Black History Month
      • Asian American and Pacific Islander Heritage Month
      • LGBTQIA+ Resources and Pride Month
      • National Breastfeeding Month
      • Hispanic Heritage Month
      • Native American Heritage Month
      • Safe Sleep and SIDS Awareness Month
    • Image Gallery Access
    • State Breastfeeding Reports
    • Workplace Guide
  • News & Events
    • Annual Conference >
      • 2023 Conference
      • 2023 NBCC Marketing
      • 2023 NBCC FAQs
      • 2022 Conference Notes
    • Events Calendar
    • USBC in the Media
    • USBC News & Blogs
    • Weekly Wire Newsletter
  • About Us
    • About the USBC
    • Explaining our "Why"
    • Our Team
    • Job Opportunities
    • Board of Directors
    • USBC Committees
    • Diversity, Equity, and Inclusion
    • History
    • Constellation Work Groups >
      • Continuity of Care Constellation
      • Infant & Young Child Feeding in Emergencies Constellation
      • Disrupting Formula Marketing Constellation
      • Lactation Support Providers Constellation
      • Pasteurized Donor Human Milk Constellation
      • ​Physician Education & Training Constellation
      • Workplace Support Constellation
    • Community Agreements & Guidelines
    • Annual Reports
    • Ways to Give
    • Contact Us

Federal Appropriations for Breastfeeding

*** Please note that this particular webpage is best viewed on desktop and may be difficult to read on a mobile device ***
Each year funding is allocated to a variety of federally funded programs that include breastfeeding support through the federal appropriations process. Appropriations for breastfeeding have helped build and strengthen critical programs and initiatives to improve maternity care practices, increase access to peer & professional support, ensure continuity of breastfeeding care, increase support for breastfeeding employees, and address disparities in breastfeeding rates. Funding relevant to the breastfeeding field are primarily included in the Labor-HHS and Agriculture appropriations bills. ​

Historic Funding Levels for the Hospitals Promoting Breastfeeding Program

  • FY2023: $9.75M
  • FY2022: $9.75M
  • FY2021: $9.5M
  • FY2020: $9M
  • FY2019: $8M
  • FY2018: $8M
  • FY2017: $8M
  • FY2016: $8M
  • FY2015: $8M
  • FY2014: 8M
  • FY2013: $2.5M
  • FY2012: $7M

FY 2024 Appropriations: Current Status and What it Means for the Lactation Field

The Office of Management and Budget has released the "Budget of the United States Government, Fiscal Year 2024." The report contains the Budget Message of the President for Fiscal Year 2024, 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. A detailed analysis of the funded provisions in these reports are included in the following chart. 

View the Congressional Research Service Appropriations Status Table to access the appropriations bills and status. ​

 

Connection to Infant Feeding

FY2023 Enacted

FY2024 President's Budget

FY2024 House Bill

FY2024 Senate Bill

FY2024 Enacted

Centers for Disease Control and Prevention

  • FY 2024 Center for Disease Control and Prevention Justification of Estimates for Appropriation Committees

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

$9.75M

-

-

-

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.

$68.95M

$68.95M

-

-

-

Good Health and Wellness in Indian Country

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

$24M

$24M

-

-

-

Safe Motherhood and Infant Health

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

$108M

$164M

-

-

-

National Early Child Care Collaboratives

Through the NECCC program, CDC funds, trains, and assists in obesity prevention efforts in early childhood education (ECE) settings based on the Spectrum of Opportunities guiding framework which outlines how states can embed obesity prevention standards to ensure healthy eating, breastfeeding support, and physical activity.

$5M

$5M

-

-

-

Health Resources and Service Administration

  • FY 2024 Health Resources and Services Administration Justification of Estimates for Appropriations Committees

Maternal and Child Health Block Grant

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

$822.7M

$937.3M

-

-

-

Healthy Start

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

$145M

$185M

-

-

-

Maternal, Infant and Early Childhood Home Visiting

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

$500M

$518.65M

-

-

-

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.

$8M

$10.4M

-

-

-

National Institute for Child Health and Human Development (NICHD)

  • FY 2024 NICHD Congressional Justification 

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 and 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.

$3M

$3M

-

-

-

Social Security Administration

  • Fiscal Year 2024 SSA Justification of Estimates for Appropriations Committees 

Establishing a national paid family and medical leave program

The Budget proposes to establish a national, comprehensive paid family and medical leave program, providing up to 12 weeks of leave to allow eligible workers to take time off to care for and bond with a new child; care for a seriously ill loved one; heal from their own serious illness; address circumstances arising from a loved one’s military deployment; or find safety from domestic violence, sexual assault, or stalking.

-

$325B

 

 

 

Substance Abuse and Mental Health Services Administration

  • Fiscal Year 2023 SAMHSA Justification of Estimates for Appropriations Committees

Pregnant and Postpartum Women Substance Use Disorder

Support for breastfeeding and lactation are included in some resources produced through this program.

$38.9M

$49.4M

-

-

-

U.S. Department of Agriculture, Food and Nutrition Service

  • Fiscal Year 2024 USDA Explanatory Notes – 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

$6.3B

-

-

-

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

  • Fiscal Year 2024 FDA Justification of Estimates for Appropriations Committees

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.

$10M

$28M

-

-

-

Indian Health Service

  • Fiscal Year 2024 Justification of Estimates for Appropriations Committees

Public Health Nursing (PHN) program

Public health nursing is the integration of nursing practice and public health practice applied to the prevention of disease and the promotion of health. The PHN Program works to decrease childhood obesity and prevent diabetes, including by supporting Baby Friendly re-designation, providing patient education, assessment and referral services and supporting online training on lactation for PHN staff.

$110.7M

$132.3M

-

-

-

Federal Agency/Division

FY2023 Enacted

FY2024 President's Budget

FY2024 House Bill

FY2024 Senate Bill

FY2024 Enacted

Centers for Disease Control and Prevention

$9.2B

$11.58B

-

-

-

Division of Nutrition, Physical Activity, and Obesity

$58.4M

$130.4M

-

-

-

Health Resources and Services Administration

$9.7B

$15.9B

-

-

-

Maternal and Child Health Bureau

$1.17B

$1.36B

-

-

-

U.S. Department of Labor

$13.8B

$15.1B

-

-

-

Wage and Hour Division

$260M

$340.9M

-

-

-

Women's Bureau

$23M

$32.4M

-

-

-

Office of Minority Health

$74.8M

$86M

-

-

-

Office on Women's Health

$44.1M

$44.1M

-

-

-

Agency for Healthcare Research & Quality

$373.5M

$447.5M

-

-

-

National Institutes of Health

$47.5B

$51.1B

-

-

-

National Institutes of Child Health Development

$1.75B

$1.75B

 

 

 

Equal Employment Opportunity Commission

$455M

$481M

-

-

-

To learn more about Fiscal Year 2023 view the below blog posts:
  • "FY23 Federal Budget Signed Into Law: What it Means for Infant Feeding"
  • "FY23 Appropriations: What the House bills mean for infant feeding"
  • "FY23 Appropriations: What the Senate bills mean for infant feeding"
Learn more about the federal budget process.

General Appropriations Resources

Appropriations 101

​Learn about the federal appropriations process, which focuses on how funding decisions impact human milk feeding. Although the majority of federal funding for breastfeeding is included in the Labor-HHS Appropriations Bill, lactation is woven into a variety of federal programs that we should expand our investments in. Tune in to see how you can contribute in the process.
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