Total CDC funding would get a 0.35% boost from last year to $11.236 billion in FY ’13. One reason for the overall increase: CDC will tap into $903 million this year from the Prevention and Public Health Fund created by Obama’s healthcare overhaul to advance disease prevention. The fund authorizes $1.25 billion this year and a total of $15 billion over 10 years.
CDC would cut $15.501 million by eliminating the Centers for Public Health Preparedness “because this program has not demonstrated a significant public health impact” and also ending CDC management of the Public Health Emergency Preparedness program. The Strategic National Stockpile would also see a $47.572 million cut, down to $486.22 million because “the current fiscal climate necessitates scaling back.” CDC will spend $146.999 million, $8.73 million above FY ’12, for the agency’s Preparedness and Response Capability program, designed to detect and respond to chemical, biological, and nuclear terrorism.
Birth Defects and Developmental Disabilities activities would overall be reduced. It would see an $11.722 million decrease to $125.565 million. Of this, $18.476 would come from budget authority and $107.089 million from President Obama’s Affordable Care Act. Within Birth Defects and Developmental Disabilities, only one program would see increased funding: Autism would rise by less than 1%, or $75,000, to $21.34 million.
The move is in keeping with a new policy of transitioning CDC’s disease-specific activities into broader budget lines. For example, CDC’s heart disease and stroke; nutrition, physical activity, and obesity prevention; school health (excluding HIV/AIDS prevention school health activities); diabetes; comprehensive cancer control; and arthritis and other chronic disease activities would be grouped into a single, streamlined grant program, the Coordinated Chronic Disease Prevention and Health Promotion Program.
The proposed budget includes about $1.146 billion for domestic HIV/AIDS, viral hepatitis, sexually transmitted diseases (STD), and tuberculosis (TB), up about 3%, or $35.744 million. That reflects a $4.607 million decrease for TB prevention, but a $40.231 million increase for domestic HIV/AIDs programs in awareness and prevention.
Additionally, CDC would see a $15.079 million hike for a program to eradicate polio in Afghanistan, India, Nigeria, and Pakistan along with Angola, Chad, and the Democratic Republic of the Congo. The polio eradication increase accounts for nearly all of the $15.295 million increase for global health programs, spending for which would rise 4.4% to $362.889 million. Also increasing would be the budget for Emerging and Zoonotic Infectious Diseases, which at $331 million would be $27 million above FY 2012.
Programs remaining flat include CDC’s Agency for Toxic Substances and Disease Registry ($76 million) and an asbestos screening and outreach services program for residents of Libby, MT ($23 million).
Obama’s budget increases discretionary budget authority for the National Science Foundation 4.8%, lowers overall outlays 9%, while leaving NIH spending flat at exactly the same $30.702 billion the agency received in FY ’12. The proposed FY 2013 budgets for both agencies will be discussed in an upcoming GEN Insight & Intelligence™ report.