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1 1 (June 8, 2023)

handle is hein.crs/govelwr0001 and id is 1 raw text is: Congressional ____ ~ Research Service National Institutes of Health (NIH) Provisions Expiring in 2023 June 8, 2023 The National Institutes of Health (NIH), based in the Department of Health and Human Services (HHS), is the primary federal agency responsible for medical and health research. NIH is made up of 27 Institutes and Centers and the Office of the Director (OD). In addition, Congress established a new agency in FY2022-the Advanced Research Projects Agency for Health (ARPA-H)-that is housed within NIH. In FY2023, NIH has a total program level of $49.2 billion, which includes $1.5 billion for ARPA-H and $47.7 billion for NIH Institutes and Centers and OD. NIH programs are mostly authorized through the Public Health Service Act (PHSA), specifically PHSA Section 301 and Title IV. Some of NIH's authorizations are expiring in 2023 or have previously expired. For the most part, NIH is funded by annual discretionary appropriations and has continued to receive annual appropriations, including where authorizations of appropriations have expired. However, NIH receives some mandatory appropriations and some funding subject to unique budgetary rules scheduled to expire in 2023. Authorizations of Discretionary Appropriations NIH-Wide Authorization There is an authorization of appropriations for all of NIH (PHSA Title IV) in PHSA Section 402A(a)(1), which expired in FY2020 (42 U.S.C. @282a(a)(1)). This NIH-wide authorization of appropriations was established through the NIH Reform Act of 2006 (P.L. 109-482), which consolidated all of the authorizations of appropriations for specific NIH programs into one single authorization of appropriations for the entire agency. This provision was most recently reauthorized through the 21St Century Cures Act (P.L. 114-255) from FY2018 through FY2020. Congress has continued to appropriate NIH funding through annual appropriations laws. FY2024 Request: The Biden Administration proposed a total FY2024 appropriation of $47.9 billion under PHSA Section 402A(a)(1). Congressional Research Service https://crsreports.congress.gov IN12173 CRS INSIGHT Prepared for Members and Committees of Congress

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