December 21, 2022

Congress Unveils FY2023 Omnibus Spending Bill

Early Tuesday morning, Congress released the text of the fiscal year (FY) 2023 omnibus spending legislation, the Consolidated Appropriations Act, 2023 (H.R. 2617). The package includes all 12 FY2023 spending bills, emergency supplemental funding for recent natural disasters and weather events, and resources for Ukraine.

There are several notable provisions within the omnibus for public health and health research, and women’s health specifically.

The bill provides a total of $120.7 billion for the U.S. Department of Health and Human Services (HHS), an increase of $9.9 billion above the FY2022 enacted level. Within this, the bill includes:

Additionally, the bill includes authorizing language for the Advanced Research Projects Agency for Health (ARPA-H), a new agency proposed by the Biden administration that will seek to speed the development of medical treatments by funding “high-potential, high-impact biomedical and health research that cannot readily be accomplished through traditional research or commercial activity.” The bill provides the agency with $1.5 billion, which would be available through fiscal year 2025, and places it separately within the NIH. The appropriated funding for ARPA-H is in addition to the $47.5 billion provided to the NIH. (Where the agency will be located has yet to be determined.)

Within the FY2023 bill text and accompanying report language are also several promising women’s health provisions:

First, the bill provides $76.5 million to the NIH Office of Research on Women’s Health (ORWH), an increase of $17 million above the FY2022 enacted level. Notably, this includes:

Within the NIH Office of the Director (OD), the bill “directs the ICs, in coordination with OD and the Office of Research on Women’s Health, to support research to assess whether sex, race, and other differences play a role in [COVID-19] study outcomes.”

The Senate could vote as soon as today, December 21, on the omnibus before the House takes up the measure. The legislation must be signed into law by the time the current continuing resolution expires (midnight on December 23) to avert a government shutdown.

More resources on the FY2023 omnibus text are included below. For questions, please contact SWHR Chief Advocacy Officer Lindsey Horan.