With Congress approaching its August recess, several key public health priorities are entering a critical stretch. In this View from Washington D.C., ASTHO vice president for Government Affairs Jeffrey Ekoma breaks down the latest developments in FY 2027 appropriations, the status of Senate consideration of CDC Director and ASPR nominees, and the political factors shaping the legislative calendar. He also previews what public health leaders should watch in the coming weeks, including a potential reconciliation package, the administration's supplemental funding request, and how these federal decisions could affect state and territorial health agencies.

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