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Status of FY2019 LHHS Appropriations



Updated October 2, 2018
On Friday, September 28, the President signed into law H.R. 6157 (P.L. 115-245), which contains full-
year FY2019 appropriations for the Departments of Labor, Health and Human Services, and Education,
and Related Agencies (LHHS) in Division B. This is the first occasion since the FY1997 appropriations
cycle that full-year LHHS appropriations have been enacted on or before the start of the fiscal year
(October 1). In addition to providing full-year appropriations for LHHS, P.L. 115-245 also provides full-
year appropriations for the Department of Defense (Division A) and continuing appropriations (through
December 7) for the annual appropriations measures that have not yet had full-year appropriations
enacted (Division C).

Scope of the Bill
The LHHS appropriations bill is the largest (estimated at $1.1 trillion in FY2019) of the 12 annual
appropriations bills, when accounting for both mandatory and discretionary funding. The bill provides
annually appropriated budget authority for the programs, activities, and administration of the Department
of Labor (DOL), the Department of Health and Human Services (HHS) (except for the Food and Drug
Administration, the Indian Health Service, and the Agency for Toxic Substances and Disease Registry,
which are funded in other bills), the Department of Education (ED), and more than a dozen related
agencies, including the Social Security Administration (SSA).
The LHHS bill is typically the largest single source of nondefense discretionary funding for the federal
government; and discretionary appropriations generally account for about 19% of the total budget
authority in the bill. Mandatory funding generally represents about 810% of the total budget authority in
the LHHS bill, supporting annually appropriated entitlements such as Medicaid and Supplemental
Security Income. Discretionary spending programs tend to receive the most attention during the
appropriations process because this process controls amounts provided to these programs; the authorizing
process generally controls amounts needed for mandatory spending programs.

FY2019 Congressional Action on LHHS
The final version of the LHHS bill was negotiated by the House and the Senate via a conference
committee. The House adopted the conference report to H.R. 6157 (H.Rept. 115-952) on September 26,
by a vote of 361-61. This followed Senate adoption on September 18, by a vote of 93-7. The conference
report was originally filed on September 13. It contains explanatory text addressing the implementation of
                                                                Congressional Research Service
                                                                  https://crsreports.congress.gov
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