	Introduction

This report provides a status update on FY2013 appropriations actions for accounts traditionally funded in the appropriations bill for the Departments of Labor, Health and Human Services, and Education, and Related Agencies (L-HHS-ED). The L-HHS-ED bill provides appropriations for the following federal departments and agencies:
the Department of Labor; the majority of the Department of Health and Human Services, except for the Food and Drug Administration (provided in the Agriculture appropriations bill), the Indian Health Service (provided in the Interior-Environment appropriations bill), and the Agency for Toxic Substances and Disease Registry (also funded through the Interior-Environment appropriations bill); the Department of Education; and more than a dozen related agencies, including the Social Security Administration, the Corporation for National and Community Service, the Corporation for Public Broadcasting, the Institute of Museum and Library Services, the National Labor Relations Board, and the Railroad Retirement Board. FY2013 Continuing Resolutions

Congress did not enact a regular L-HHS-ED appropriations bill prior to the beginning of FY2013. 113-6 , Division F). Full-Year CR for L-HHS-ED

On March 26, 2013, President Obama signed into law the Consolidated and Further Continuing Appropriations Act, 2013 ( P.L. 933 , as amended). This law funds 7 of the 12 regular appropriations bills (including L-HHS-ED) via a full-year CR in Division F. With limited exceptions, the full-year CR generally funds discretionary L-HHS-ED programs at their FY2012 levels, minus an across-the-board rescission of 0.2% per Section 3004, as interpreted by the Office of Management and Budget (OMB). This is a lower level of funding than had been provided by the six-month CR for FY2013, which generally funded discretionary L-HHS-ED programs at FY2012 rates, plus. Because the sequester was ordered before the enactment of the FY2013 full-year CR, OMB calculated the amounts to be sequestered based on annualized funding levels in place under the six-month FY2013 CR ( P.L. In light of the enactment of the full-year appropriations law, the effect of these reductions at the account, program, project, and activity level remains unclear, pending further guidance from OMB as to how these reductions are to be applied (see " FY2013 Joint Committee Sequestration " for more information). 112-175)

On September 28, 2012, the President signed into law a six-month government-wide CR ( P.L. 112-175 ). FY2013 Disaster Relief Appropriations

On January 29, 2013, President Obama signed into law the Disaster Relief Appropriations Act, 2013 ( P.L. 113-2 ). FY2013 Action in the House

On July 18, 2012, the House Appropriations L-HHS-ED Subcommittee approved a draft bill to provide full-year FY2013 L-HHS-ED appropriations. The bill was not marked up by the full committee prior to the end of the 112 th Congress and a detailed table on programs that would have been funded by the bill was not made publicly available. As such, this report provides only limited information about this draft bill from the 112 th Congress. According to the committee's press release, the bill would have provided roughly $150 billion for discretionary L-HHS-ED programs and activities in FY2013. FY2013 Action in the Senate

On June 14, 2012, the Senate Committee on Appropriations reported a bill that would provide full-year FY2013 L-HHS-ED appropriations ( S. 3295 , S.Rept. 112-176 ). As reported by the full committee during the 112 th Congress, S. 3295 would have provided $166 billion in discretionary funding for L-HHS-ED. This amount is about 1% more than the comparable FY2012 funding level ($164 billion) and about 0.03% less than the FY2013 President's request, based on estimates drawn from the committee report. In addition, the Senate committee bill would have provided an estimated $612 billion in mandatory funding, for a combined total of nearly $778 billion for L-HHS-ED as a whole (see Figure 1 ). FY2013 President's Budget Request

On February 13, 2012, the Obama Administration released its FY2013 Budget. The President's Budget requested $166 billion in discretionary funding for accounts funded by the L-HHS-ED bill (+1% from comparable FY2012), based on estimates shown in the Senate committee report. In addition, the laws provided an estimated $577 billion in mandatory funding for L-HHS-ED accounts, for a total of roughly $741 billion. Accordingly, OMB estimated that the joint committee sequester would require a 5.0% reduction in non-exempt nondefense discretionary funding, a 2.0% reduction in certain Medicare funding (subject to a special rule), and a 5.1% reduction for most other non-exempt nondefense mandatory funding. This amount is $28 million (-0.2%) less than the comparable FY2012 funding level of $14.71 billion and $358 million (+2.5%) more than the FY2013 President's Budget request of $14.32 billion, based on estimates reported in S.Rept. 112-176 . This amount is $32.3 billion (+5.5%) more than the comparable FY2012 funding level of $589.3 billion and $1.0 billion (+0.2%) more than the FY2013 President's Budget request of $620.6 billion, based on estimates reported in S.Rept. 112-176 . This amount is $1.4 billion (+2.0%) more than the estimated discretionary funding level for FY2012 ($69.6 billion) and $1.0 billion (+1.4%) more than the discretionary total requested in the FY2013 President's Budget ($70.0 billion). Selected PHS highlights of the Senate committee bill include
an emphasis on disease prevention and health promotion, especially through CDC programs such as those for childhood immunizations, prevention of diabetes, obesity, and smoking, work on cognitive health and cognitive impairment, and food safety; support of medical research and innovation, including $30.7 billion for NIH, an overall increase of $100 million (+0.3%) from FY2012, which included a $30 million boost for the Cures Acceleration Network that fosters translational medicine; maintenance of funding levels for some HRSA programs that the Administration had proposed decreasing or eliminating, such as the Children's Hospitals Graduate Medical Education program (maintained at $265 million), Community Health Centers (maintained at $1.567 billion), and Area Health Education Centers (maintained at $27 million); increases to certain HRSA programs, including $2.397 billion in BA for Ryan White AIDS programs (+1.3% from FY2012, -2.0% from the FY2013 President's request) and $144 million for Rural Health programs (+4.3% from FY2012, +17.9% from the FY2013 request); and increases of $20 million each for the two SAMHSA block grants, recommending $459 million in BA for the Community Mental Health Services Block Grant (+4.6% from FY2012, +4.6% from the FY2013 President's request) and $1.741 billion in BA for the Substance Abuse Prevention and Treatment Block Grant (+1.2% from FY2012, +26.5% from the FY2013 request). According to the committee report ( S.Rept. 112-176 . This amount is $5 million (-15%) less than the comparable FY2012 funding of $36 million. The FY2013 Senate committee bill did not provide funding for this program. 112-176 ) would have provided $69.56 billion in combined mandatory and discretionary funding for related agencies funded through this bill. 112-176 .
This report provides an overview of actions taken by Congress to provide FY2013 appropriations for the accounts funded by the Departments of Labor, Health and Human Services, and Education, and Related Agencies (L-HHS-ED) appropriations bill. The L-HHS-ED bill provides funding for all accounts subject to the annual appropriations process at the Departments of Labor (DOL) and Education (ED). It provides annual appropriations for most agencies within the Department of Health and Human Services (HHS), with certain exceptions (e.g., the Food and Drug Administration is funded via the Agriculture bill). The L-HHS-ED bill also provides funding for more than a dozen related agencies, including the Social Security Administration.
Continuing Resolutions: On March 26, 2013, President Obama signed into law the Consolidated and Further Continuing Appropriations Act, 2013 (P.L. 113-6). Division F of this law includes a full-year continuing resolution (CR) for L-HHS-ED. With limited exceptions, the full-year CR generally funds discretionary L-HHS-ED programs at their FY2012 levels, minus an across-the-board rescission of 0.2% per Section 3004, as interpreted by the Office of Management and Budget (OMB). The full-year CR superseded a six-month CR for FY2013 (P.L. 112-175) that had been enacted on September 28, 2012. The six-month CR generally funded discretionary L-HHS-ED programs at their FY2012 rates, plus 0.612%.
Sequestration: On March 1, 2013, President Obama issued a sequestration order, as required under the terms of the Budget Control Act of 2011 and the Balanced Budget and Emergency Deficit Control Act of 1985, as amended. The order called for an across-the-board cut of 5.0% for non-exempt nondefense discretionary funding, 2.0% for certain Medicare funding (per a special rule), and 5.1% for other non-exempt nondefense mandatory funding. Because the sequester was ordered before the enactment of the FY2013 full-year CR, OMB calculated the amounts to be sequestered based on annualized funding levels in place under the six-month FY2013 CR (P.L. 112-175). In light of the enactment of the full-year appropriations law, the effect of these reductions at the account, program, project, and activity level remains unclear, pending further guidance from OMB as to how these reductions are to be applied.
Disaster Relief Funding: On January 29, 2013, the President signed into law a supplemental appropriations bill in response to Hurricane Sandy (P.L. 113-2). This disaster supplemental included roughly $827 million for L-HHS-ED programs and activities, the majority of which ($800 million) went to HHS to support health, mental health, and social services needs in affected states, including costs related to the construction and renovation of damaged health, mental health, biomedical research, child care, and Head Start facilities.
House Actions on L-HHS-ED Bill (112th Congress): On July 18, 2012, the House Appropriations L-HHS-ED Subcommittee approved a draft FY2013 L-HHS-ED bill. This bill was not introduced or marked up by the full committee prior to the end of the 112th Congress. A detailed table on programs funded by the bill was not made publicly available and, as such, this report includes only limited information on the draft House subcommittee bill.
Senate Actions on L-HHS-ED Bill (112th Congress): On June 14, 2012, the Senate Appropriations Committee reported its FY2013 L-HHS-ED bill (S. 3295, S.Rept. 112-176). The committee report estimated that this bill included $166.0 billion in discretionary funds, which is about 1.2% more than the committee's estimate of comparable FY2012 funds ($164.1 billion). In addition, the committee report estimated the bill included $611.6 billion in mandatory funds, for a combined total of $777.6 billion (+4.9% from the comparable FY2012 funding level).
President's Request: On February 13, 2012, prior to the initiation of congressional action on FY2013 appropriations, the Obama Administration released the FY2013 President's Budget. The President's Budget, as estimated in the committee report accompanying the FY2013 Senate bill (S.Rept. 112-176), called for $166.1 billion in discretionary funding for L-HHS-ED accounts (+1.2% from FY2012). In addition, the President requested $611.6 billion in mandatory funding, for a combined total of $777.6 billion (+4.9% from FY2012) in L-HHS-ED appropriations.
DOL Snapshot: The FY2013 Senate committee bill from the 112th Congress would have provided roughly $12.3 billion in discretionary funding for DOL. This amount is 1.7% less than the comparable FY2012 funding level of $12.6 billion and 3.0% more than the FY2013 request of $12.0 billion, as estimated in S.Rept. 112-176.
HHS Snapshot: The FY2013 Senate committee bill from the 112th Congress would have provided roughly $71.0 billion in discretionary funding for HHS. This amount is 2% more than the comparable FY2012 funding level of $69.6 billion and 1.4% more than the FY2013 request of $70.0 billion, as estimated in S.Rept. 112-176.
ED Snapshot: The FY2013 Senate committee bill from the 112th Congress would have provided roughly $68.5 billion in discretionary funding for ED. This amount is 0.6% more than the comparable FY2012 funding level of $68.1 billion and 2.0% less than the FY2013 request of $69.9 billion, as estimated in S.Rept. 112-176.
Related Agencies Snapshot: The FY2013 Senate committee bill from the 112th Congress would have provided roughly $14.1 billion in discretionary funding for L-HHS-ED related agencies. This amount is 2.3% more than the comparable FY2012 funding level of $13.8 billion and 0.2% less than the FY2013 request of $14.2 billion, as estimated in S.Rept. 112-176.