On January 17, 2014, President Obama signed into law the Consolidated Appropriations Act of 2014, H.R. 3547. The bill provides $1.012 trillion for domestic discretionary programs in FY14. The bill includes amounts to offset the effects of the FY13 budget cuts known as the sequester. Overall, the appropriation includes increases over FY13 funding for most of the programs of concern to academic dentistry.
General and Pediatric Dental Residencies
Funding for the General and Pediatric Dental Residencies and Dental Health Improvement Act rose to more than $32 million. Of this amount, $8 million will be directed to pediatric residencies and $8 million to general dentistry residencies, as ADEA had requested.
Health Careers Opportunity Program (HCOP)
The bill retained the Health Careers Opportunity Program (HCOP) and funded the program at just over $14 million, a slight increase above FY13 levels. The administration has not requested funding for this program during the past two fiscal years. More needs to be done to demonstrate the importance of this program, which many of our member institutions use to diversify their applicant pipelines.
Area Health Education Centers (AHEC)
The administration also made no request to fund the Area Health Education Centers Program, which nevertheless received $30 million, a relatively substantial increase over previous years. Funding for the Faculty Loan Repayment program remained flat at $1.19 million, as did funding for Title VII Centers of Excellence, which received just under $22 million.
National Institutes of Health
The National Institutes of Health received a $1 billion increase in funding over its post-sequester level of FY13.
National Institute of Dental and Craniofacial Research (NIDCR)
Funding for the National Institute of Dental and Craniofacial Research will increase for FY14 but fall about $40 million short of the $450 million requested by ADEA. The Obama Administration requested $411.5 million.
Ryan White Part F, Dental Reimbursement Program
Funding for the Ryan White Part F Dental Reimbursement Program rose marginally to just more than $13 million. The program is unsustainable at this funding level. In FY13, dental schools were reimbursed for only 23% of the care they provided under the program; ADEA will continue to address this disparity.
Division of Oral Health—Centers for Disease Control and Prevention (CDC)
This is one of the bright spots in oral health care funding. One of Sen. Harkin’s (D-IA) priorities has been prevention. For the first time, Congress has distributed the funds from the Prevention and Public Health Fund to be provided to other programs established in the Affordable Care Act. Much of this redistribution was to CDC for various oral health programming and activities.
As ADEA begins conversations on the Hill on FY15 funding for programs of interest to academic dentistry and dental and craniofacial research, we will keep everyone updated.