On Public Health Security - The President’s Budget Request for 2019: Changes for the Upcoming Fiscal Year

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March 2018

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The President’s Budget Request for 2019: Changes for the Upcoming Fiscal Year

Dan Sosin

Dear Partners,

On February 12th, the President released his 2019 budget proposal, which details the Administration’s funding priorities for the next fiscal year, beginning October 1st. The numbers included in the President’s Budget reflect a request from the President to Congress and should not be considered the final funding amount until Congress passes a 2019 appropriation. I’d like to highlight the changes to CDC’s budget, as well as the changes in funding for emergency preparedness and response specifically, and share our priorities for fiscal year (FY) 2019 at the proposed funding levels.

President’s Budget Request for CDC

The President’s budget requests $5.66 billion for CDC in FY 2019, which is about a ­­21% reduction from the FY 2017 Final level. At this funding level, CDC will continue to focus on keeping America safe through immediate emergency public health response, rapid disease detection and containment, and preventing disease from reaching the United States. Highlights from CDC’s FY 2019 budget include the following:

  • $175 million to provide funding to states to support opioid overdose prevention activities, including a focus on safe prescribing practices through improved used of state-based Prescription Drug Monitoring Programs.
  • $59 million for global health disease surveillance as the FY 2015 Ebola supplemental appropriation, which supports these activities, expires.
  • $40 million to address the infectious disease consequences of the opioid crisis, including HIV, viral hepatitis, sexually-transmitted infections, and tuberculosis.
  • $20 million to support critical repairs and improvements for CDC laboratories and facilities, such as replacing aging technology and upgrading heating, ventilation, and air conditioning (HVAC) chiller capacity to avoid loss of laboratory function or possible failure.
  • $12.6 million in vector-borne diseases (diseases transmitted by mosquitoes, ticks, and fleas), to build comprehensive vector control and management programs at the federal, state, and local levels and to provide enhanced support for states at greatest risk.
  • $10 million to support pregnancies and birth defects registries to monitor the effects of the Zika virus and other emerging threats.  

CDC’s FY 2019 budget request also includes the following reductions:

President’s Budget Request for CDC Public Health Preparedness and Response

The FY 2019 President’s Budget requests $800 million for emergency preparedness and response, which is about a 43% reduction compared to the FY 2017 Enacted level. Most of this decrease is a result of the transfer of the SNS from CDC to ASPR. The request for the Public Health Emergency Preparedness (PHEP) cooperative agreements for state, local, and territorial awardees is $660 million, level with the FY 2017 Enacted level. PHEP cooperative agreement eligibility would continue to be limited to the current 62 PHEP recipients, and the funding formula would be based on population risk and performance. 

The President’s Budget request also includes $140 million for CDC Preparedness and Response Capability. This is $20 million less than the FY 2017 Enacted level, about a 13% reduction. At this level, CDC will focus on the Select Agent Program and mission critical activities. In order to maintain the critical preparedness and response infrastructure, CDC may reduce ongoing core preparedness activities (e.g. preparedness exercises, timeliness of reporting critical information, applied research for first responders, select agent training, etc.) and prioritize remaining funds to address the most urgent needs.

Transferring the Strategic National Stockpile

The vision for the transfer of the SNS to ASPR is to simplify the medical countermeasure process from development through deployment by having these responsibilities under a single organization. Management of the SNS will transition to ASPR on October 1st. Because it is currently fully integrated across many of CDC's public health programs and activities, the Addendum to the President’s FY 2019 Budget to Account for the Bipartisan Budget Act of 2018 includes $50 million to support centralized business services across CDC to offset the proposed shift.

Our mission is always at the forefront of what we do at CDC: working 24/7 to keep America safe, healthy and secure. CDC will continue to conduct critical science and provide health information that protects the people of our nation against dangerous health threats, and we will continue to respond quickly when they happen.


Dan Sosin, MD, MPH
Acting Director, Office of Public Health Preparedness and Response
Centers for Disease Control and Prevention

Upcoming Events

Attend the 2018 National Rx Drug Abuse & Heroin Summit, taking place April 2nd-5th, in Atlanta, Georgia.

April 2nd-8th is National Public Health Week! Take a look at a toolkit created by the American Public Health Association (APHA) to help you engage your own communities and put good health within everyone’s reach.

Attend the Society for Public Health Education (SOPHE) 69th Annual Conference, entitled “Igniting Change & Innovation: the Impact of Health Education,” and taking place April 4th-6th in Columbus, Ohio.

Attend the National Radiological Emergency Preparedness Conference, Inc., 2018 Annual Meeting and Training taking place April 16th-19th in Renton, Washington.

Register now for the 2018 National Association of County & City Health Officials (NACCHO) Preparedness Summit, taking place April 17th-20th in Atlanta, Georgia.

Attend the 2018 Partners in Emergency Preparedness Conference, entitled “Experiencing Private-Public Partnerships” taking place April 18th-19th in Tacoma, Washington.

Additional Resources

Take a look at the latest Weekly U.S. Influenza Surveillance Report, which outlines the most frequently encountered influenza virus subtypes, the number of deaths and hospitalizations, and the geographic spread of the virus.

Take a look at a recent CDC Press Release on how the next global infectious disease outbreak could harm the U.S. export economy and threaten U.S. jobs—even if the disease never reaches our shores.

Take a look at recent MMWR article entitled “Progress Toward Poliomyelitis Eradication—Nigeria, January-December 2017.”

A recent Public Health Matters Blog post, entitled “Responding to Emergencies One Behavior at a Time,” highlights the role of behavior change in improving the health and safety of people in the U.S. and around the world.

A recent Morbidity and Mortality Weekly Report (MMWR) article highlights the response to an increase in acute hepatitis B infections in Pasco County, Florida.

centers for disease control and prevention - office of public health preparedness and response

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