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1 (2018)

handle is hein.cbhear/fdsysaukz0001 and id is 1 raw text is: AUT-ENTICATED
US. GOVERNMENT
INFORMATION
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                 DEPARTMENTS OF LABOR, HEALTH AND
                    HUMAN SERVICES, AND EDUCATION, AND
                    RELATED AGENCIES APPROPRIATIONS FOR
                    FISCAL   YEAR 2019


                                   THURSDAY,  MAY  10, 2018

                                                       U.S. SENATE,
                      SUBCOMMITTEE  OF THE COMMITTEE ON APPROPRIATIONS,
                                                           Washington, DC.
                   The subcommittee met at 10:04 a.m. in room SD-124, Dirksen
                 Senate Office Building, Hon. Roy Blunt (chairman) presiding.
                   Present: Senators Blunt, Alexander, Moran, Capito, Lankford,
                 Kennedy, Rubio, Hyde-Smith, Murray, Durbin, Shaheen, Merkley,
                 Schatz, Baldwin, Murphy, and Manchin.
                      DEPARTMENT OF HEALTH AND HUMAN SERVICES
                                   OFFICE OF THE SECRETARY
                 STATEMENT  OF THE HON. ALEX AZAR, SECRETARY
                            OPENING STATEMENT OF SENATOR ROY BLUNT
                   Senator BLUNT.  The Appropriations Subcommittee on Labor,
                 Health and Human  Services, Education and Related Agencies will
                 come to order.
                   I'm certainly pleased, Secretary Azar, to have you here this
                 morning. I'm sure we're going to have a number of questions about
                 your budget, and I'd preface that by saying that we understand
                 that the final congressional action and Administration action on
                 fiscal year 2018 occurred after you were asked to submit your
                 budget. Still, there are things we need to talk about.
                   The actual budget you submitted was $1.9 billion or 2.1 percent
                 lower than the bill we just passed. And then in addition to that
                 there's another $5.6 billion that shifts from the mandatory side to
                 the discretionary side in your budget. I think when you add all this
                 up, the budget is actually more like 16 percent lower than the
                 budget we just voted on, and I'm sure we're going to talk about
                 that and look at that.
                   The budget request had to be submitted when it had to be sub-
                 mitted. But throughout the bill, looking at some of our priorities-
                 medical research, early childhood education, the preparedness pro-
                 grams-are  programs there will be questions on. I certainly agree
                 that we ought to look everywhere we can for savings. We should
                 look for programs that aren't working and make that decision that
                 this is just an idea that wasn't necessarily a bad idea, but it didn't
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