Thursday, 25 May 2017 09:12

ASM Summary on Administration's FY 2018 Budget Proposal

The Trump Administration released their first Budget Request to Congress. “A New Foundation for American Greatness” outlines the Administration’s funding priorities for fiscal year 2018 and contains significant cuts to programs and agencies that impact microbiology, research and development (R&D) and public health. The ASM Office of Public Affairs has completed a summary of those programs and agencies of importance to the microbial sciences.

(All comparisons based on the FY 2017 CR except where otherwise noted)

Health and Human Services (HHS)

The FY 2018 President’s budget proposes the creation of an Emergency Response Fund to respond to emerging public health threats that would have transfer authority across the entire HHS to “respond quickly when public health threats arise, as learned through previous public health threats such as Ebola and Zika.”

Assistant Secretary for Preparedness and Response (ASPR) - $1.6 billion, a $110 million increase above FY 2017. Budget justification language proposes “authority to transfer resources between ASPR’s advanced research and development and Project BioShield programs. This authority will better enable ASPR to manage resources across the advanced development and procurement stages to most effectively bring medical countermeasures through the pipeline.”

$512 million, a $1 million increase for Biomedical Advanced Research and Development Authority (BARDA) to “support the development of medical countermeasures that can mitigate potential health effects of chemical, biological, radiological, and nuclear agents and emerging infectious diseases.”

$510 million, a $1 million increase for Project BioShield and $192 million, the same as FY17 to combat antibiotic resistant bacteria and support the National Action Plan for Combating Antibiotic Resistant Bacteria (CARB.)

Pandemic Influenza - $207 million or an increase of $135 million over FY 2017 to “support influenza vaccine manufacturing and stockpiling, international preparedness, and the advanced development of novel influenza vaccines, antivirals, and diagnostics.”

National Institutes of Health (NIH)

$26.9 billion, a 17 percent or $5.7 billion decrease from FY 2017. The budget justification includes language for an NIH reorganization that would among other changes, eliminate the Fogarty International Center, consolidate the Agency for Healthcare Research and Quality (AHRQ) into the NIH and changes the reimbursement of indirect costs for NIH grants, capping them as a percentage of total research.

Research Priorities include “cryo-electron microscopy techniques” and “single cell analysis” as examples of the importance of basic research; and vaccination and the development of a universal influenza vaccine are highlighted as an “important preventive strategy.”

National Institute of Allergy and Infectious Diseases (NIAID) - $3.8 billion, an $838 million or 18 percent decrease from FY17.

National Institute of General Medical Sciences (NIGMS) - $2.2 billion, a $323 million or 13 percent decrease from FY17

Public Health and Social Services Emergency Fund (PHSSEF)

$1.7 billion, a $133 million or 9 percent increase from FY17 to “maintain and build on the Department’s capacity to address biodefense and cybersecurity needs, support state and local preparedness, and respond to emerging influenza viruses with pandemic potential.”

Centers for Disease Control and Prevention (CDC)

Immunization and Respiratory Disease - $701 million, an $82 million or 10.5 percent decrease from FY17. Influenza prevention and control is prioritized “to ensure domestic and global capacity is supported to respond to annual seasonal influenza epidemics, detect and mitigate the next influenza pandemic, and respond to other influenza emergencies.”

HIV/AIDS, Viral Hepatitis, STIs and TB - $934 million, a $186 million or 17 percent decrease from FY17. This number reduces levels for domestic HIV/AIDs, STIs and TB research but “maintains funding levels for hepatitis.”

Emerging and Zoonotic Infectious Diseases - $514 million, a $65 million or 11 percent decrease from FY17. Within this level is an increase of $23 million for “supporting CDC’s efforts around Zika preparedness and other vector-borne disease”

Global Health - $350 million, a $76 million or 18 percent decrease from FY17 to “support key global health activities including polio eradication, global tuberculosis, measles and other vaccine-preventable diseases, parasitic diseases and malaria, and ongoing global health protection.”

Public Health Preparedness and Response - $1.3 billion, a 10 percent or $136 million decrease from FY17 including reduced funding for operations for CDC’s Emergency Operation Center, which conducts real-time research monitoring of public health events, outbreaks, and hazardous agents and the Select Agents Program.” The budget includes $575 million for the Strategic National Stockpile, a $1 million increase from FY17 to “maintain inventory levels for the majority of stockpiled products and continue training responders nationwide to receive and use medical countermeasures when deployed.”

Buildings and Facilities - $20 million, a $10 million or 100 percent increase from FY17.

Food and Drug Administration (FDA)

Foods - $922 million a $71 million or 7 percent decrease from FY17

Human Drugs - $1.6 billion, a $287 million or 22 percent increase from FY17 including $25 million for Medical Countermeasures to “directly support medical countermeasures efforts across FDA in support of the Department’s preparedness and response activities.”

Biologics - $366 million, a $27 million or 8 percent increase from FY17

Animal Drugs and Feeds - $183 million, a $7 million or 4 percent decrease from FY17

Medical Devices - $490 million a $49 million or 11 percent increase from FY17

User Fees – the budget presumes an increase in fees collected from the animal drugs program among others.

Department of Agriculture (USDA) (totals include mandatory funding)

The budget proposes that Congress develop legislation to create user fees that “cover certain inspection, regulatory, and oversight activities” including “the cost of biotechnology and veterinary biologic regulation.”

Food Safety Inspection Service (FSIS) - $1.3 billion, a $19 million or 1.5 percent decrease from the FY2017 estimate.

Research, Education, and Economics (REE)

Agricultural Research Service (ARS) - $1 billion (including $24 million in mandatory funding), a $360 million or 26 percent decrease from FY2017. The budget proposes “the termination of lower-priority and extramural research projects and closure of 17 laboratories, locations, or worksites”

National Institutes of Food and Agriculture (NIFA) - $1.4 billion, a $59 million or 4 percent decrease from FY17. The Agriculture and Food Research Initiative (AFRI) is flat-funded at $349 million

Economic Research Service (ERS) - $77 million, an $8 million or 9 percent decrease from FY17 to “fund core programs of research, data analysis, and market outlook.”

National Science Foundation (NSF)

The NSF FY18 Budget Request is $6.653 billion, $841 million or 11.2 percent decrease over the FY 2016 Actual investment.

Research and Related Activities (R&RA) - $5.4 billion, a $636 million or 11 percent decrease from FY2016. The BIO Directorate request is $672 million, a $52 million or 7.1percent decrease from FY 2016.

Relevant NSF-wide investments will be affected as such:

Innovations at the Nexus of Food, Energy, and Water Systems (INFEWS) - $24.4 million, a $55.7 million or 69.5 percent decrease from FY16

Understanding the Brain (UtB) - $134.5 million, a $38 million or 22 percent decrease from FY 2016

The Improving Undergraduate STEM Education (IUSE) - $96.50 million, a decrease of $8.27 million from FY16

The Graduate Research Fellowship Program (GRFP) - $246.54 million, a decrease of $85.8 million from FY16

Department of Energy (DoE)

The President’s Budget FY 2018 requests $28.0 billion for the Department of Energy (DOE) to make key investments in science and technology innovation that support its missions in nuclear security, basic scientific research, energy innovation and security, and environmental cleanup.

The Office of Science - $4.47 billion, $874 million or 16.4 percent below FY 2016,

Items of interest in the Request include:

Basic Energy Sciences (BES) - $1.55 billion, $295 million or 16 percent below FY 2016, to support facilities and core research activities.

Biological and Environmental Research - $349 million, $260 million or 43 percent below FY 2016.

Department of Defense (DoD)

The President’s Budget FY 2018 requests $636 billion for the Department of Defense, $52.4 billion or a 9 percent increase over the FY 2017 budget request.

The Defense Health Agency - $673 million, $150 million or 18.2% decrease from the FY 2017 request, primarily from the DoD Healthcare Management System Modernization line item. Other programs received modest increases including:

Applied Biomedical Technology - $63 million, a $6.3 million or 11 percent increase over the FY 2017 request.