The White House released President Trump's fiscal year (FY) 2019 budget proposal, which calls for significant cuts to Medicaid while increasing funding for efforts to combat opioid misuse. The budget is viewed as a blueprint for federal funding requests. Congress ultimately drafts and approves federal spending measures.

Notably, the Department of Health and Human Services (HHS) would receive $68.4 billion under the budget proposal, which represents nearly flat funding from last year's request but represents a $17.9 billion or 21 percent decrease from the 2017 enacted level.

The White House budget also includes a total of $17 billion in opioid-related spending for FY 2019, including $10 billion in new discretionary funding for HHS and $7 billion that remains unallocated to particular programs but available for key activities.

The administration also requested a cut of about $900 million for the Centers for Disease Control (CDC) in FY 2019. The CDC would receive $175 million in new funding to address the opioid crisis. The National Institutes of Health (NIH) would get a boost, with total funding of $33 billion for 2019. The budget also includes $750 million to NIH as part of a HHS-wide investment in fighting the opioid crisis. For more information on the budget proposal, please see the attached memo.

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