Bill Overview
Title: Departments of Labor, Health and Human Services, and Education, and Related Agencies Appropriations Act, 2023
Description: This bill provides FY2023 appropriations to the Departments of Labor, Health and Human Services, and Education; and related agencies. The bill provides appropriations to the Department of Labor for the Employment and Training Administration, the Employee Benefits Security Administration, the Pension Benefit Guaranty Corporation, the Wage and Hour Division, the Office of Labor-Management Standards, the Office of Federal Contract Compliance Programs, the Office of Workers' Compensation Programs, the Occupational Safety and Health Administration, the Mine Safety and Health Administration, the Bureau of Labor Statistics, the Office of Disability Employment Policy, and Departmental Management. The bill provides appropriations to the Department of Health and Human Services for the Health Resources and Services Administration, the Centers for Disease Control and Prevention, the National Institutes of Health, the Substance Use and Mental Health Services Administration, the Agency for Healthcare Research and Quality, the Centers for Medicare and Medicaid Services, the Administration for Children and Families, the Administration for Community Living, and the Office of the Secretary. The bill provides appropriations to the Department of Education for Education for the Disadvantaged; Impact Aid; School Improvement Programs; Indian Education; Innovation and Improvement; Safe Schools and Citizenship Education; English Language Acquisition; Special Education; Rehabilitation Services; Special Institutions for Persons with Disabilities; Career, Technical, and Adult Education; Student Financial Assistance; Student Aid Administration; Higher Education; Howard University; the College Housing and Academic Facilities Loan Program; the Historically Black College and University Capital Financing Program Account; the Institute of Education Sciences; and Departmental Management. The bill also provides appropriations to several related agencies, including the Committee for Purchase From People Who Are Blind or Severely Disabled, the Corporation for National and Community Service, the Corporation for Public Broadcasting, the Federal Mediation and Conciliation Service, the Federal Mine Safety and Health Review Commission, the Institute of Museum and Library Services, the Medicaid and CHIP Payment and Access Commission, the Medicare Payment Advisory Commission, the National Council on Disability, the National Labor Relations Board, the National Mediation Board, the Occupational Safety and Health Review Commission, the Railroad Retirement Board, and the Social Security Administration. The bill also sets forth requirements and restrictions for using funds provided by this and other appropriations acts.
Sponsors: Rep. DeLauro, Rosa L. [D-CT-3]
Target Audience
Population: People worldwide who may receive services or benefits from equivalently purposed government agencies.
Estimated Size: 330000000
- The bill provides funding for numerous essential government services and agencies, meaning its impact extends across various social sectors.
- Departments of Labor, Health and Human Services, and Education collectively cover employment, health, and educational needs nationwide.
- The Health Resources and Services Administration, Centers for Medicare and Medicaid Services, and related health agencies form the backbone of U.S. healthcare service delivery.
- The Department of Education's allocation addresses needs from primary education through higher education and includes special interest group programs like Indian Education and Historically Black College and University Capital Financing.
Reasoning
- The policy affects a broad range of sectors, including labor, health, and education, thus impacting a wide range of individuals with varying degrees of influence.
- The impact of the policy will largely depend on how individuals interact with these sectors; for example, educators, students, healthcare workers, patients, and certain labor sectors might see varying levels of direct benefits.
- The total budget emphasized is substantial, suggesting that while impacts may be broad, differential impacts could occur depending on local implementation and specific areas of focus by agencies.
- Including perspectives from people who might see low to no impact, such as those not interacting with governmental services frequently, helps to get a more representative understanding of the policy's reach.
- Considering people from diverse geographic locations helps account for regional differences in policy impact, as rural areas might experience different benefits compared to urban centers.
Simulated Interviews
Construction Worker (Rural Nebraska)
Age: 24 | Gender: male
Wellbeing Before Policy: 5
Duration of Impact: 5.0 years
Commonness: 10/20
Statement of Opinion:
- I hope the increased funding will improve safety standards in my industry.
- Access to better healthcare services is important to me, especially after my recent injury.
Wellbeing Over Time (With vs Without Policy)
| Year | With Policy | Without Policy |
|---|---|---|
| Year 1 | 6 | 5 |
| Year 2 | 6 | 5 |
| Year 3 | 7 | 5 |
| Year 5 | 7 | 5 |
| Year 10 | 8 | 5 |
| Year 20 | 7 | 5 |
High School Teacher (Austin, Texas)
Age: 35 | Gender: female
Wellbeing Before Policy: 6
Duration of Impact: 10.0 years
Commonness: 14/20
Statement of Opinion:
- I'm hoping the appropriations for education will translate to better resources for my students.
- Reform and improvement in special education are crucial and could be transformative.
Wellbeing Over Time (With vs Without Policy)
| Year | With Policy | Without Policy |
|---|---|---|
| Year 1 | 7 | 6 |
| Year 2 | 8 | 6 |
| Year 3 | 8 | 6 |
| Year 5 | 8 | 6 |
| Year 10 | 9 | 6 |
| Year 20 | 8 | 6 |
Small Business Owner (New York City, New York)
Age: 42 | Gender: male
Wellbeing Before Policy: 5
Duration of Impact: 10.0 years
Commonness: 12/20
Statement of Opinion:
- Labor regulations can be a double-edged sword for small business owners like me.
- Reducing healthcare costs will be beneficial for my family and employees.
Wellbeing Over Time (With vs Without Policy)
| Year | With Policy | Without Policy |
|---|---|---|
| Year 1 | 6 | 5 |
| Year 2 | 6 | 5 |
| Year 3 | 6 | 5 |
| Year 5 | 7 | 5 |
| Year 10 | 7 | 5 |
| Year 20 | 7 | 5 |
Retired Nurse (Phoenix, Arizona)
Age: 68 | Gender: female
Wellbeing Before Policy: 4
Duration of Impact: 20.0 years
Commonness: 7/20
Statement of Opinion:
- With healthcare funding, I hope my Medicare coverage will improve, easing my financial strain.
- As a former healthcare professional, I know how crucial proper funding is for quality care.
Wellbeing Over Time (With vs Without Policy)
| Year | With Policy | Without Policy |
|---|---|---|
| Year 1 | 5 | 4 |
| Year 2 | 6 | 4 |
| Year 3 | 6 | 4 |
| Year 5 | 7 | 4 |
| Year 10 | 7 | 4 |
| Year 20 | 6 | 4 |
College Student (Chicago, Illinois)
Age: 19 | Gender: other
Wellbeing Before Policy: 6
Duration of Impact: 5.0 years
Commonness: 13/20
Statement of Opinion:
- I believe increased funding in education can alleviate some of the financial burdens of student loans.
- Support for higher education institutions is crucial for students like me.
Wellbeing Over Time (With vs Without Policy)
| Year | With Policy | Without Policy |
|---|---|---|
| Year 1 | 7 | 6 |
| Year 2 | 7 | 6 |
| Year 3 | 8 | 6 |
| Year 5 | 8 | 6 |
| Year 10 | 7 | 6 |
| Year 20 | 7 | 6 |
CEO of a Health Tech Startup (Miami, Florida)
Age: 57 | Gender: male
Wellbeing Before Policy: 7
Duration of Impact: 10.0 years
Commonness: 5/20
Statement of Opinion:
- Federal health initiatives could open new markets for digital health technologies.
- Stability in the health sector is generally beneficial for business.
Wellbeing Over Time (With vs Without Policy)
| Year | With Policy | Without Policy |
|---|---|---|
| Year 1 | 7 | 7 |
| Year 2 | 7 | 7 |
| Year 3 | 8 | 7 |
| Year 5 | 8 | 7 |
| Year 10 | 8 | 7 |
| Year 20 | 7 | 7 |
Software Engineer (San Francisco, California)
Age: 29 | Gender: female
Wellbeing Before Policy: 6
Duration of Impact: 5.0 years
Commonness: 11/20
Statement of Opinion:
- Programs that support education and training will likely help me advance in my career.
- Managing student debt is a critical issue, and I hope the policy addresses it.
Wellbeing Over Time (With vs Without Policy)
| Year | With Policy | Without Policy |
|---|---|---|
| Year 1 | 7 | 6 |
| Year 2 | 7 | 6 |
| Year 3 | 8 | 6 |
| Year 5 | 8 | 6 |
| Year 10 | 8 | 6 |
| Year 20 | 7 | 6 |
Factory Worker (Atlanta, Georgia)
Age: 50 | Gender: male
Wellbeing Before Policy: 5
Duration of Impact: 5.0 years
Commonness: 15/20
Statement of Opinion:
- Increased support for the Department of Labor could mean better job security and workplace safety.
- I hope this translates to concrete benefits soon.
Wellbeing Over Time (With vs Without Policy)
| Year | With Policy | Without Policy |
|---|---|---|
| Year 1 | 6 | 5 |
| Year 2 | 7 | 5 |
| Year 3 | 7 | 5 |
| Year 5 | 7 | 5 |
| Year 10 | 6 | 5 |
| Year 20 | 5 | 5 |
Healthcare Worker (Seattle, Washington)
Age: 31 | Gender: female
Wellbeing Before Policy: 7
Duration of Impact: 20.0 years
Commonness: 8/20
Statement of Opinion:
- More funding for healthcare will improve our ability to serve the community effectively.
- Increased resources would support both patients and healthcare workers.
Wellbeing Over Time (With vs Without Policy)
| Year | With Policy | Without Policy |
|---|---|---|
| Year 1 | 8 | 7 |
| Year 2 | 8 | 7 |
| Year 3 | 9 | 7 |
| Year 5 | 9 | 7 |
| Year 10 | 9 | 7 |
| Year 20 | 8 | 6 |
Coal Miner (West Virginia)
Age: 46 | Gender: male
Wellbeing Before Policy: 4
Duration of Impact: 10.0 years
Commonness: 6/20
Statement of Opinion:
- Stronger oversight and funding could mean better safety and health outcomes for miners like me.
- Keeping our industry secure is important for my community.
Wellbeing Over Time (With vs Without Policy)
| Year | With Policy | Without Policy |
|---|---|---|
| Year 1 | 5 | 4 |
| Year 2 | 5 | 4 |
| Year 3 | 6 | 4 |
| Year 5 | 6 | 4 |
| Year 10 | 7 | 4 |
| Year 20 | 6 | 4 |
Cost Estimates
Year 1: $950000000000 (Low: $900000000000, High: $1000000000000)
Year 2: $950000000000 (Low: $900000000000, High: $1000000000000)
Year 3: $950000000000 (Low: $900000000000, High: $1000000000000)
Year 5: $950000000000 (Low: $900000000000, High: $1000000000000)
Year 10: $950000000000 (Low: $900000000000, High: $1000000000000)
Year 100: $950000000000 (Low: $900000000000, High: $1000000000000)
Key Considerations
- Appropriations are sensitive to broader economic conditions; should economic downturns occur, the funding may need to adjust.
- Programs listed in the bill cover essential services with significant multiplier effects throughout the economy.