On June 9, the House Appropriations Committee marked up and passed the Fiscal Year 2027 (FY27) Labor, Health and Human Services, and Education (LHHS) bill (the LHHS subcommittee had reviewed (“marked up”) the bill on June 5).  

The proposed funding levels included in the bill are not final and are subject to change, as there are expected differences between House and Senate levels. 

The bill includes a total of $110.8 billion for the Department of Health and Human Services, a decrease of $4 billion below the FY26 enacted level. Notably, the House bill rejects many of the Administration’s FY27 budget proposals to restructure public health programs, indicating that lawmakers may be hesitant to move quickly on large-scale reorganization of the Department of Health and Human Services. 

Additionally, the bill includes funding for many programs that President Trump proposed to eliminate in his FY27 budget request. 

Below is our summary of impacts to Maternal Mental Health:

Centers for Disease Control and Prevention (CDC)

The bill includes a total of $8.1 billion for CDC, a decrease of $1 billion below the FY26 enacted level. This funding includes:

  • $115.5 million, a $2 million increase, for Safe Motherhood/Infant Health (President Trump had proposed eliminating this funding in his budget request).
    • From the report language: “The Committee includes funding for this portfolio of programs to improve the health of pregnant and postpartum women and their infants. The Committee encourages CDC to prioritize funding to help Maternal Mortality Review Committees (MMRCs) strengthen data systems and improve data collection, including through the Maternal Mortality Review Information Application, to promote consistency and ensure accuracy and completeness in data collection, analysis, and reporting across state MMRCs. The Committee further encourages CDC to prioritize funding to expand Perinatal Quality Collaboratives (PQCs) in more jurisdictions, including building capacity of existing PQCs.”
  • $505.6 million, or level funding, for Opioid Overdose Prevention and Surveillance. 
  • $7 million, a $1 million increase, for the Office of Rural Health.
  • Hospitals Promoting Breastfeeding, not funded, previously funded at $9.8 million. 

Health Resources and Services Administration (HRSA)

The bill includes $8.3 billion for HRSA, a decrease of $873.2 million below the enacted FY26 level. This funding includes:

  • $1.1 billion, a $121.5 million decrease, for the Maternal and Child Health Bureau. This includes:
    • $839 million for the Maternal and Child Health Services Block Grant. Specifically:
      • $604.6 million, a $1 million increase, for the Maternal and Child Health (MCH) Services Block Grant – State Formula Grant.
      • $10.3 million, or level funding, for Community Integrated Services Systems.
      • $224 million, a $9 million increase, for the MCH Services Block Grant – Special Projects of Regional and National Significance.
    • The Healthy Start program, not funded, previously funded at $145 million.
      • The Committee notes that mandatory funding available for the Maternal, Infant, and Early Childhood Home Visiting (MIECHV) program continues to increase substantially and will reach $800,000,000 in fiscal year 2027. The MIECHV program supports pregnant women and parents with young children who live in communities that face greater risk and barriers to achieving positive maternal and child health outcomes. Therefore, consistent with the fiscal year 2027 budget request, the Committee does not recommend separate discretionary funding for this program.
  • $10 million for the National Maternal Mental Health Hotline, (1-833-TLC-MAMA), which provides free, confidential emotional support, resources, and referrals to pregnant and postpartum women facing mental health challenges (an increase of $2 million above FY26)
  • $575.8 million, a $157.9 million increase, for Rural Health programs.
  • Title X Family Planning, not funded, previously funded at $286.5 million.

Substance Abuse and Mental Health Services Administration (SAMHSA)

The bill includes $7.3 billion for SAMHSA, a $91 million decrease below the FY26 enacted level, excluding Community Project Funding projects included in the FY26 enacted bill. This funding includes:

  • $2.8 billion, a $32.8 million decrease, for Mental Health programs.
  • $4.2 billion, a $21.4 million decrease, for Substance Abuse Treatment programs.
    • $1.6 billion, a $5 million increase, for State Opioid Response (SOR) grants.
  • $204 million, a $36.9 million decrease, for Substance Abuse Prevention programs.
  • $148.7 million, a $54.3 million decrease, for Health Surveillance and Program Support.

Agency for Health Care Research and Quality (AHRQ)

The bill eliminates funding for AHRQ, which was previously funded at $345 million in FY26.

Office of the Secretary – General Departmental Management (GDM)

The bill includes $472.7 million for GDM, a decrease of $217 million below the FY26 enacted level. This funding includes $30 million (a $14 million decrease) for the Office on Women’s Health.

The text of the bill is available here (not including amendments) and the accompanying report language can be found here. 

We will continue to monitor progress in the House and Senate Appropriations processes with an eye on funding for programs that support mental health, maternal mental health, and maternal and child health.