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   a          Congressional                                                          ____
             aResearch Service
                Informing the iegisative debate since 194~                                    -





FY2020 LHHS Appropriations: Status



May 13, 2019
Congress recently began consideration of the FY2020 appropriations bill for the Departments of Labor,
Health and Human Services, and Education, and Related Agencies (LHHS). The LHHS bill is the largest
($1.06 trillion in FY2019) of the 12 annual appropriations bills, when accounting for both mandatory and
discretionary funding. On May 8, 2019, the House Appropriations Committee marked up the FY2020
LHHS bill at their first full committee markup of the year. (See the draft bill and draft committee report
considered at the markup. The draft report includes a detailed table summarizing proposed funding for
agencies, accounts, and programs across the bill.) At the markup, the committee ordered the bill reported
by a vote of 30-23. The full committee markup followed subcommittee approval of the bill, by voice vote,
on April 30. Senate Appropriations Committee action for FY2020 has yet to occur.

Scope of the Bill
The LHHS bill provides annually appropriated budget authority for the Department of Labor, the majority
of the Department of Health and Human Services (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 appropriations bills), the Department of Education, and more than a dozen related agencies,
including the Social Security Administration and the Corporation for National and Community Service.
In general, mandatory funding represents just over 80% of the total LHHS bill, supporting annually
appropriated entitlements, such as Medicaid and Supplemental Security Income. Discretionary funds
account for less than 20% of total funds in the bill, but tend to receive the most attention throughout the
LHHS appropriations process. This is because the appropriations process generally has little control over
the amounts provided for appropriated entitlements; rather, the authorizing statute controls the program
parameters (e.g., eligibility rules, benefit levels) that entitle certain recipients to payments.
While discretionary appropriations represent a relatively small share of the entire LHHS bill, the bill itself
is typically the largest single source of nondefense discretionary funding for the federal government. (The
Department of Defense bill is the largest single source of discretionary funding overall.)






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