On April 3, the Administration released several documents as part of the fiscal year 2027 (FY27) President’s Budget Request, which outlines the Administration’s funding priorities for the upcoming fiscal year. As a reminder, these documents are non-binding, and Congress has the authority to approve, reject, or modify the Administration’s budget recommendations.
The budget documents request $111.1 billion for the Department of Health and Human Services (HHS), a $15.8 billion decrease from enacted FY26 levels. Further, similar to the FY26 request, the documents propose to move the Health Resources Services Administration (HRSA), the Substance Abuse and Mental Health Services Administration (SAMHSA), the Office of the Assistant Secretary for Health (OASH), and select programs from the Centers for Disease Control and Prevention (CDC) into a newly forming Administration for a Healthy America (AHA).
Select maternal and child health (MCH) funding proposals:
- ( + ) $141 million to the Maternal, Infant, and Early Childhood Home Visiting (MIECHV) program, which reflects mandatory funding levels
- ( + ) $500 million to the Special Supplemental Nutrition Program for Women, Infants, and Children (WIC) contingency fund, which would better position the U.S. Department of Agriculture (USDA) to respond to future emergencies
- ( – ) $51.45 million to the Special Projects of Regional and National Significance (SPRANS) portion of the Title V MCH Services Block Grant
- Eliminations:
-
- Healthy Start (HRSA)
- Safe Motherhood/Infant Health Portfolio (CDC) – support for Maternal Mortality Review Committees (MMRCs), Perinatal Quality Collaboratives (PQCs), the Pregnancy Risk Assessment Monitoring System (PRAMS), and more.
- Emergency Medical Services for Children (HRSA)
- Early Hearing Detection and Intervention (HRSA)
- Project LAUNCH (SAMHSA)
- Infant and Early Childhood Mental Health (SAMHSA)
-
For additional information, please refer to these select FY27 President’s Budget documents:
- FY27 President’s Budget
- FY27 HHS Budget-in-Brief
- FY27 AHA Congressional Justification (CJ; includes funding for current HRSA, SAMHSA, OASH, select CDC initiatives)
- FY27 CDC CJ
- FY27 Administration for Children, Families, and Communities (ACFC) CJ
- FY27 USDA Budget Explanatory Notes
-
- FY27 Food and Nutrition Service Explanatory Notes (includes Child Nutrition, WIC, Supplemental Nutrition Assistance Program [SNAP])
-
AMCHP is deeply concerned by any proposed cuts to critical MCH programs. We are committed to urging Congress to fund HRSA’s Title V MCH Block Grant at $1 billion in FY27, including increased investments to both the state formula fund and SPRANS, in recognition of the significant role the Title V MCH Block Grant plays in the health and well-being of our nation’s women, children, and families.
AMCHP’s Government Affairs Team will continue to follow the FY27 appropriations process and provide additional updates. In the meantime, we encourage you to attend our upcoming Policy and Partnerships Town Hall on April 9, from 2:00 – 3:00 PM ET, and to review the following resources for more information:
- AMCHP Title V MCH Block Grant: FY27 Funding Ask Sheet
- AMCHP CDC Safe Motherhood Portfolio: FY27 Funding Ask Sheet
- AMCHP CDC Surveillance for Emerging Threats to Mothers and Babies (SET-NET): FY27 Funding Ask Sheet
- AMCHP 119th Congress Federal Policy Agenda
Please don’t hesitate to reach out to our Government Affairs Team with questions: Sherie Lou Santos (ssantos@amchp.org), Gabrielle Galusha (ggalusha@amchp.org), and Kylie Foster (kfoster@amchp.org).
