House Appropriations LHHS Markup
On July 10, the full U.S. House of Representatives’ Committee on Appropriations reported the Departments of Labor, Health and Human Services and Education and Related Agencies (LHHS) Act, 2025. In the legislation, funding levels overall for the Department of Health and Human Services (HHS) are reduced by $8.5 billion (7%) below current fiscal year (FY) levels and $11 billion (11%) for the Department of Education (ED). However, the results for oral health education are mixed.
The FY 2025 funding recommended for the Oral Health Training Program at HHS is $673.7 million, which is an increase of $1 million over the current fiscal year. Included in that $673.7 million is a set aside of $13.5 million each for General Dentistry and Pediatric Dentistry residencies and $15 million for grants to states for oral health workforce programs. The funding for the Ryan White Part F Dental Reimbursement program is unchanged from the FY 2024 level of $13.6 million. (ADEA and its oral health colleagues had requested larger increases for both the Oral Health Training and Ryan White Part F Dental Reimbursement program.) However, the Committee recommended no FY 2025 funding for the Health Careers Opportunity Program or the Centers of Excellence that were funded at $16 million and at $28.4 million in FY 2024, respectively.
The biggest change occurs in the funding for the National Institutes of Health (NIH). The Subcommittee Chairman proposed—and the Subcommittee subsequently agreed to follow—the Committee on Energy and Commerce’s framework, prior to any stakeholder feedback or legislation authorizing such a change.
Before the full Appropriations Committee markup of the bill,
ADEA issued a statement
opposing the elimination of the National Institute of Dental and Craniofacial Research (NIDCR) and urged the Appropriations Committee and the full House to reject Energy and Commerce’s proposal. ADEA objects to the process that the Appropriations Committee is following, which is acting before all stakeholders have had the chance to have their voices heard and before any congressional committee has held hearings or solicited differing opinions.
During the Appropriations Committee markup, U.S. Rep. Mike Simpson, D.M.D. (R-ID) rose to express opposition to eliminating NIDCR and folding its work into another institute. Dr. Simpson’s remarks can be seen here.
Other members also objected to the process employed by the Appropriations Committee.
The next step is for the bill to be considered by the full House. From there, the House will have to work out inevitable differences with the U.S. Senate—probably after the November election.
The Senate has begun considering its appropriations bills in the Committee and will continue this week. It is not expected to take any action similar to the House provisions concerning NIH.