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Statement from IHS Acting Director Elizabeth Fowler on the President's Fiscal Year 2023 Budget

The President's Fiscal Year 2023 Budget Exit Disclaimer: You Are Leaving  proposes the first-ever fully mandatory budget for the IHS. This proposal is a historic step forward towards securing adequate, stable, and predictable funding to improve the overall health status of American Indians and Alaska Natives. It also ensures we never repeat the disproportionate impacts experienced during the pandemic.

The budget proposes to authorize and appropriate funding for IHS for ten years, from FY 2023 to FY 2032. The budget significantly increases IHS' funding over ten years, makes all funding mandatory, and exempts all proposed law mandatory funding from sequestration. This historic step is in response to the longstanding recommendations of tribal leaders shared in consultation with the Department of Health and Human Services and IHS.

In FY 2023, the budget includes a total of $9.3 billion in mandatory funding for IHS, which is $2.5 billion above FY 2022 enacted. In FY 2032, the budget culminates in a total funding level of $36.7 billion. When compared with the FY 2022 enacted level of $6.8 billion, the FY 2032 proposed funding level represents an increase of close to $30 billion, or 442 percent over ten years.

Over a five-year period, the budget provides an increase of more than $11 billion to expand direct health care services. It also includes an additional $6 billion to finalize modernization of the IHS electronic health record system. The budget would also fully fund the remaining projects on the 1993 Health Care Facilities Construction Priority List.

The bold action in the FY 2023 President's Budget demonstrates the Administration's continued commitment to work to raise the physical, mental, social and spiritual health of American Indians and Alaska Natives to the highest level and strengthen the Nation-to-Nation relationship. Today's announcement also acknowledges the need to implement long-term solutions to address IHS funding challenges, which contribute to the stark health disparities faced by American Indian and Alaska Native people.

The Department of Health and Human Service Budget in Brief FY 2023 Exit Disclaimer: You Are Leaving 

Statement by HHS Secretary Becerra on the President’s Fiscal Year 2023 BudgetExit Disclaimer: You Are Leaving .

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