As you probably know, late last night the House of Representatives approved the American Taxpayer Relief Act of 2012 by a 257-167 vote. This legislation represents the bipartisan deal struck between Vice President Biden and Senate Minority Leader McConnell which was approved by an 89-8 vote in the Senate. It is expected that President Obama will sign the bill into law.
While this legislation primarily focused on taxes, it also postpones implementation of sequestration until March 1, 2013 which will in essence give Congress more “time” to end the sequester permanently. If Congress is not able to replace, revise, or further delay sequester, sequestration will by law occur on March 1, 2013.
It is important to note that in order to pay for the delay of the sequester, Congress used some revenue from a provision related to Roth IRAs and adjusted the caps or overall amount of funding available for discretionary spending for fiscal year 2013 and fiscal year 2014. Specifically, the caps for non defense discretionary spending, funding that includes the budget for the Department of Health and Human Services and other federal agencies is reduced by $2 billion for fiscal year 2013 and $4 billion for fiscal year 2014. It is unclear how or if this adjustment in caps will impact funding for fiscal year 2013, but AMCHP will continue to monitor this closely in the coming weeks and its potential impact on state maternal and child health, including funding for the Title V MCH Services Block Grant and related programs.