Policy Update: Leaked OMB "Pre-Decisional" Budget Proposal Seeks Major Cuts for HHS

April 18, 2025

An internal document, detailing the Department of Health and Human Services (HHS) budget “passback,” includes proposed major cuts to HHS funding and programs. The proposal notably reorganizes NIH into 8 ICs and cuts the agency’s topline budget by 42%. The passback” is the stage of the federal budget process during which the White House Office of Management and Budget (OMB) shares its budget proposal with federal departments and agencies, in this case for fiscal year (FY) 2026. 


The report from Lewis-Burke provides additional information about the proposed changes to funding for federal health agencies most relevant to the research community.