Overall, the HHS budget would surpass $1 trillion.
The White House proposal pushes HHS spending over $1 trillion for the first time, an amount that reflects the growing number of Americans of Medicare age and the expansion of Medicaid.
It does call for $1.8 billion to pay for the coverage rollout of the Affordable Care Act (ACA). Most of those funds will go to the federal insurance exchanges operating in 36 states, and all but $600 million of the funds would be covered by insurer fees. (Note: The funds for the tax credits to pay for private insurance policies were included in the Treasury Department's budget.)
A $5.2 billion plan to help train more physicians by funding medical education programs for 13,000 new medical residents over the next decade;
A $100 million proposal to pay for pediatric health care provider training at children's hospitals; and
An additional $26 million in funding to combat prescription drug misuse and overdoses.
Alzheimer's research would get a boost—but NIH wouldn't really get it what it wants.
The White House is proposing a $30.36 billion budget for NIH in FY 2015, or slightly more than the $30.15 billion it was allocated this year. But the increase still leaves NIH hundreds of millions of dollars below pre-sequestration funding levels. The AP notes that NIH's budget has not kept pace with inflation over the last 10 years, and it now funds just one in six grant applications from outside researchers, down from one in three just 10 years ago.
Obama's budget proposal does offer a big supplement for the institutes' main budget, calling for an additional $970 million in funding for Alzheimer's and brain research.
The CAH program would get downsized.
The HHS budget includes two significant changes for Critical Access Hospitals (CAHs):
CAHs would be reimbursed for 100% of reasonable costs, down from the current reimbursement rate of 101%. That would save an estimated $1.7 billion over 10 years.
The program would prevent hospitals located within 10 miles of another hospital from receiving or maintaining a CAH designation. This would save about $720 million over 10 years, according to HHS.