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FY 2009 Budget Justification
 

Authorizing Legislation

  2008 Amount Authorized  2008 Budget Enacted  2009 Amount Authorized 2009 Budget
Request
PRIMARY HEALTH CARE:       
1. Health Centers: PHSA, Section 330, as amended by P.L. 107-251, the Health Care Safety Net Amendments of 2002 Expired 3/ $2,021,737,000   Expired   $2,047,737,000  
Native Hawaiian Health Care: Native Hawaiian Health Care Act of 1988 (P.L. 100579), as amended by Section 9168 of P.L. 102   1/   2/   2/   2/
2. Health Center Tort Claims: (Defense of Certain Malpractice and Negligence Suits) PHSA, Section 224, P.L. 104-73 10,000,000   43,285,000 2/ 10,000,000   44,055,000 2/
3. Free Clinic Medical Malpractice: PHSA, Section 224, 42 U.S.C. 233 10,000,000   40,000 2/ 10,000,000   40,000  
4. National Hansen's Disease Program: PHSA, Section 320 Indefinite   15,693,000   Indefinite   16,109,000  
5. Payment to Hawaii: PHSA, Section 301 Indefinite   1,961,000   Indefinite   1,976,000  
6. Buildings and Facilities: PHSA, Section 320 and 321(a) Indefinite   157,000   Indefinite   100,000  
CLINICIAN RECRUITMENT & SERVICE:
7. National Health Service Corps Field: PHSA, Sections 331-338 Expired 3/ 39,736,000   Expired 3/ 25,729,000  
8. National Health Service Corps Recruitment: PHSA, Section 338A-H Expired 3/ 83,741,000   Expired 3/ 95,230,000  
State Loan Repayment: PHSA, Section 338I Expired 3/ --- 5/ Expired 3/ --- 5/
Demonstration Project: Participation of Chiropractic Doctors and Pharmacists in LRP: PHSA, Section 338L, as amended by P.L. 107251, Section 317 Expired 6/ --- 5/ Expired 6/ --- 5/
9. Nursing Education Loan Repayment and Scholarship Program PHSA, Section 846 Expired 15/ 30,512,000   Expired 15/ 43,744,000  
HEALTH PROFESSIONS:
10. Nursing Workforce Development: Nursing Workforce Diversity PHSA, Section 821 Expired 4/ 15,826,000   Expired 4/ 16,107,000  
Nurse Education, Practice and Retention Grants PHSA, Section 831 Expired 15/ 36,640,000   Expired 15/ 37,291,000  
Nurse Faculty Loan Program PHSA, Section 846A Expired 15/ 7,860,000   Expired 15/ 9,319,000  
Comprehensive Geriatric Education PHSA, Section 855 Expired 15/ 3,333,000   Expired 15/ 3,392,000  
11. National Practitioner Data Bank: (User Fees) P.L. 99-660, Section IV; Healthcare Quality Improvement Act of 1986 as amended by P.L. 100177; P.L. 100-93, Section 5; P.L. 100-508 Indefinite   (18,900,000) (non-add)   Indefinite   (18,900,000) (non-add)  
12. Health Care Fraud and Abuse Data Collection Program: (User Fees) Health Insurance Portability and Accountability Act of 1996, Sec. 221, Title II, P.L. 104-191, Social Security Act, Title XI, Section 1128E Indefinite   (3,758,000) (non-add)   Indefinite   ---  
MATERNAL & CHILD HEALTH:  
13. Maternal and Child Health Block Grant: Social Security Act, Title V  850,000,000    666,155,000   850,000,000   666,155,000  
14. Autism and Other Developmental Disorders PHSA, Section 399BB  42,000,000    36,354,000   42,000,000   36,354,000  
15. Sickle Cell Service Demonstration Grants: PHSA, Section 301; American Jobs Creation Act of 2004, Section 712  10,000,000    2,653,000   10,000,000   2,184,000  
16. Healthy Start: PHSA, Section 330H as amended by the Children's Health Act of 2000, P.L. 106-310, Title XV, Section 1501 (a) - (d)  Expired  6/ 99,744,000   Expired 6/ 99,744,000  
17. Family to Family Health Information Centers: Social Security Act, Section 501 (c)(1)(A) as amended by the Deficit Reduction Act of 2005.  4,000,000    4,000,000   5,000,000   5,000,000  
HIV/AIDS:       
18. Emergency Relief - Part A: PHSA, Sections 2601-10 as amended by the Ryan White HIV/AIDS Treatment Modernization Act of 2006 626,300,000    627,149,000   649,500,000   619,424,000  
19. Comprehensive Care - Part B: PHSA, Sections 2611-2631, as amended by the Ryan White HIV/AIDS Treatment Modernization Act of 2006 1,239,500,000    1,195,248,000   1,285,200,000   1,209,487,000  
AIDS Drug Assistance Program (Non-Add) PHSA, Section 2616, as amended by the Ryan White HIV/AIDS Treatment Modernization Act of 2006 Indefinite   (808,500,000) (non-add)   Indefinite   (814,546,000) (non-add)  
20. Early Intervention - Part C: PHSA, Sections 2651-2667, as amended by the Ryan White HIV/AIDS Treatment Modernization Act of 2006 226,700,000    198,754,000   235,100,000   198,754,000  
21. Coordinated Services and Access to Research for Women, Infants, Children and Youth - Part D: PHSA, Section 2671, as amended by the Ryan White HIV/AIDS Treatment Modernization Act of 2006 71,800,000   73,690,000   71,800,000   73,690,000  
22. Special Projects of National Significance - Part F: PHSA, Section 2691, as amended by the Ryan White HIV/AIDS Treatment Modernization Act of 2006 25,000,000   (25,000,000) (non-add) 7/ 25,000,000   (25,000,000) (non-add)  
23. Education and Training Centers - Part F II: PHSA, Section 2692(a), as amended by the Ryan White HIV/AIDS Treatment Modernization Act of 2006 34,700,000   34,094,000   34,700,000   28,700,000  
24. AIDS Dental Services - Part F II: PHSA, Section 2692(b), as amended by the Ryan White HIV/AIDS Treatment Modernization Act of 2006 13,000,000   12,857,000   13,000,000   12,857,000  
HEALTHCARE SYSTEMS           
25. Organ Transplantation: PHSA, Sections 371-373, 378. Expired 8/ 22,646,000 PHSA, Sections 374 - 377, as amended by the Expired 8/ 22,646,000   Expired 8/ 23,049,000  
Organ Donation and Recovery Act SSAN       SSAN      
26. C.W. Young Cell Transplantation Program: National Cord Blood Stem Cell Bank: PHSA, Section 379, as amended by the P.L. 109129 15,000,000   8,843,000   15,000,000   11,966.000  
27. C.W. Young Cell Transplantation Program: Bone Marrow Donor Registry: PHSA, Section 379, as amended by the P.L. 109129 38,000,000   23,517,000   38,000,000   22,701,000  
28. Poison Control Centers:      26,528,000   10,000,000      
PHSA, Section 1271, as amended by P.L. 108- 2,000,000       2,000,000      
PHSA, Section 1272, as amended by P.L. 108- SSAN       SSAN      
PHSA, Section 1273, as amended by P.L. 108- 27,500,000       27,500,000      
*As amended by the Poison Control Center Enhancement and Awareness Act of 2003                
RURAL HEALTH:
29. Rural Health Policy Development: Social Security Act, Section 711 Indefinite   8,584,000   Indefinite   8,737,000  
30. State Offices of Rural Health: PHSA, Section 338J; Social Security Act, Title VII, Section 711 Expired 4/ 7,999,000   Expired 4/ 8,141,000  
31. Radiogenic Diseases: PHSA, Section 417C(b) amended by P.L. 106-245 SSAN   1,884,000   SSAN   1,904,000  
32. Black Lung: Federal Mine Safety and Health Act, Section $10,000,000   5,788,000   $10,000,000   5,886,000  
33. Parklawn Replacement PHSA, Section 301  Indefinite    ---    Indefinite   36,062,000  
34. Telehealth: PHSA, Section 330I, as amended by P.L. 107251, the Health Care Safety Net Amendments of Expired 3/ 6,700,000   Expired 3/  6,819,000  
PHSA, Section 330L, as amended by P.L. 108 Expired 3/     Expired 3/    
35. Program Management: PHSA, Section 301 Indefinite    141,087,000    Indefinite    141,087,000  
36. Family Planning: PHSA, Title X Expired 9/   299,981,000   Expired 9/    
Unfunded Authorizations:  
1. Guarantee Level of Health Center Loans: PHSA, Section 330(d) / PHSA, Sections 1601 and 1602   SSAN     ---     SSAN     ---  
2. Healthy Communities Access Program: PHSA, Section 340, as amended by P.L. 107-251, the Health Care Safety Net Amendments of 2002 Expired  3/  ---   Expired 3/ ---  
3. Loan Repayments and Fellowships Regarding Faculty Positions PHSA, Section 738 Expired 4/  1,266,000   Expired 4/ ---  
4. Dental HPSAs: Grants for Innovative Programs: PHSA, Section 340G, as amended by P.L. 107251, the Health Care Safety Net Amendments of Expired 3/ --- 3/ Expired 3/ --- 3/
5. Health Professions Training for Diversity: Centers of Excellence PHSA, Section 736 Expired 4/ 12,773,000   Expired 4/ ---  
Scholarships for Disadvantaged Students PHSA, Section 737 Expired 4/ 45,842,000   Expired 4/ ---  
Health Careers Opportunity Program PHSA, Section 739 Expired 4/ 9,825,000   Expired 4/ ---  
Educational Assistance for Individuals from Disadvantaged Backgrounds PHSA, Section 739 Expired 4/  ---   Expired 4/ ---  
6. Training in Primary Care Medicine and Dentistry: PHSA, Section 747 Expired 4/ 47,998,000   Expired 4/ ---  
7. Interdisciplinary, Community-Based Linkages: Area Health Education Centers PHSA, Section 751 Expired 4/ 28,180,000   Expired 4/ ---  
Health Education and Training Centers PHSA, Sections 750, 752, and 757 Expired 4/ ---   Expired 4/ ---  
Education and Training Related to Geriatrics PHSA, Section 753 Expired 4/ 30,997,000   Expired 4/ ---  
Quentin N. Burdick Program for Rural Interdisciplinary Training PHSA, Sections 750, 754, 757 Expired 4/  ---   Expired 4/ ---  
Allied Health and Other Disciplines PHSA, Sections 340G and 755 Expired 4/ 8,803,000   Expired 4/ ---  
8. H. P. Workforce Information and Analysis PHSA, Section 761 Expired 4/  ---   Expired 4/ ---  
9. Public Health Workforce Development: Public Health/Preventive Medicine; Dental Public Health PHSA, Sections 766, 767 and 768 Expired 4/ 8,273,000   Expired 4/ ---  
Health Administration Traineeships and Special Projects PHSA, Section 769 Expired 4/  ---   Expired 4/ ---  
10. Nursing Workforce Development: Advanced Education Nursing PHSA, Section 811 Expired 4/ 61,875,000   Expired 4/ ---  
11. Patient Navigator Grants P.L. 109-18, Section 340A 8,000,000   2,948,000   6,500,000   ---  
12. State and Local Public Service Announcements: PHSA, Section 852 Expired 15/  ---   Expired 15/ ---  
13. Grants for Health Professions Education in Health Disparities and Cultural Compentency: PHSA, Section 741 Expired 12/  ---   Expired 12/ ---  
14. Grants for Health Professions Education: PHSA, Section 807 Expired 12/  ---   Expired 12/ ---  
15. Children's Hospitals Graduate Medical Education Program: PHSA, Section 340E as amended by P.L. 109-307 330,000,000   301,646,000   330,000,000   ---  
16. Traumatic Brain Injury Program: PHSA, Sections 1252 and 1253 as amended by the Children's Health Act of 2000, P.L. 106-310, Title XIII, Section 1304 Expired 6/ 8,754,000   Expired 6/ --  
17. Universal Newborn Hearing Screening: PHSA, Section 399M as amended by the Children's Health Act of 2000, P.L. 106-310, Title VII, Section 702 Expired 4/ 11,790,000   Expired 4/ ---  
18. Emergency Medical Services for Children: PHSA, Section 1910 Expired 6/ 19,454,000   Expired 6/ ---  
19. Screening and Demonstration Programs for Heritable Disorders: PHSA, Sections 1109 and 1110 Expired 6/  ---   Expired 6/ ---  
20. Epilepsy, Seizure Disorder: PHSA, Section 330E(b), as amended by Sec. 801 of P.L. 106-310 Expired 6/  ---   Expired 6/ ---  
21. Child Care Safety and Health Grants Programs: Children's Health Act, P.L. 106-310, Section 1402  SSAN   ---   SSAN   ---  
22. Early Detection and Treatment Re. Childhood Lead Poisoning: PHSA, Section 317O Expired 6/     Expired 6/ ---  
23. 340B Drug Pricing Program: PHSA, Section 340B Indefinite       Indefinite   ---  
24. Rural Health Outreach Network Development and Small Health Care Provider Quality Improvement: PHSA, Section 330A, as amended by P.L. 107251, the Health Care Safety Net Amendments of Expired 3/ 48,031,000   Expired 3/ ---  
25. Rural Access to Emergency Devices: P.L. 106-505, Section 413, Cardiac Arrest Survival Act of 2000 Expired 13/ 1,461,000 14/ Expired 13/ ---  
26. Rural Hospital Flexibility Grants: Social Security Act, Section 1820(j) as amended by P.L. 108-173 35,000,000   37,865,000   Expired   ---  
27. Rural EMS Training & Equipment Assistance: PHSA, Section 330J amended by P.L. 107-251, the Health Care Safety Net Amendments of 2002 Expired 3/  ---   Expired 3/ ---  
28. Community Access Defibrillation: PHSA, Section 312 as amended by P.L. 107-188 Expired 3/  ---   Expired 3/ ---  
29. Community Access Defibrillation Demonstration: PHSA, Section 313 as amended by P.L. 107-188 Expired 3/  ---   Expired 3/ ---  
30. Delta Health Initiative P.L. 110-161, Section 219 SSAN   24,563,000   SSAN   ---  
31. Denali Project: P.L. 105-277, Title III, Section 309, as amended by P.L. 106-113, Title VII Expired 6/ 38,597,000   Expired 6/ ---  
33. Pediatric Rheumatology: PHSA, Section 763 Expired 6/  ---   Expired 6/ ---  
34. Grants for Children's Asthma Relief: PHSA, Section 399L Expired 6/  ---   Expired 6/ ---  
35. Prevention Research and Programs: PHSA, Section 317K(b) and (c), as amended by P.L. 106-310, Children's Health Act, Section 901 Expired 6/  ---   Expired 6/ ---  
36. Additional Services for At-Risk Pregnant Women and Infants: PHSA, Section 330H(e), as amended by P.L. 106310, Children's Health Act,, Section 1501 Expired 6/  ---   Expired 6/ ---  
37. Identification of Intervention that Reduces the Burden and Transmission of Oral, Dental, and Craniofacial Diseases in High Risk Populations; Development of Approaches for Pediatric Oral and Craniofacial Assessment: Children's Health Act, P.L. 106-310, Section 1601 Expired 6/  ---   Expired 6/ ---  
38. Training to Support Education and Training Programs for Physicians and Other Health Professionals and Reports: (Lead Poisoning) Children's Health Act, P.L. 106-310, Section 2503 Expired 6/  ---   Expired 6/ ---  
39. Mental Health Services Delivered via Telehealth: PHSA, Section 330K, amended by P.L. 107-251 Expired 3/  ---   Expired 3/ ---  
40. Oral Health Promotion & Disease Prevention: School Based Sealant Program: PHSA, Section 317M(c), as amended by P.L. 106310, Section 1602 Expired 6/  ---   Expired 6/ ---  
41. Smallpox Emergency Personnel Protection: PHSA, Title II Part C, as amended by P.L. 108-20 SSAN    ---   SSAN   --  
42. Health Facilities Construction and and Other Misc. Projects: P.L. 108-447, Omnibus Appropriations for FY 2005 Expired 6/  ---   Expired 6/ ---  
43. Public Health Improvement (Facilities and Other Projects) P.L. 110-161, Title II 304,475,000   304,475,000    ---      
Total, Request     $6,860,192,000       $5,869,511,000  
Total request level against definite authorizations  $3,878,475,000   $3,603,924,000    $3,279,300,000   $2,973,315,000  

Endnotes:
1/ Legislative authority expired September 30, 2001.
2/ Included in Health Centers funding.
3/ Legislative authority expired September 30, 2006.
4/ Legislative authority expired September 30, 2002.
5/ Included in National Health Service Corps Recruitment Funding.
6/ Legislative authority expired September 30, 2005.
7/ Included in HIV Comprehensive Care Grant Funding.
8/ Legislative authority expired September 30, 1993.
9/ Legislative authority expired September 30, 1985. 10/ Carryover balance available for use in FY 2007.
15/ Amount is authorized over 5 yr fiscal period, end FY 2006.
12/ Legislative authority expired September 30, 2004. 13/ Legislative authority expired September 30, 2003.
14/ Includes Community Access Defibrillation Demonstration Projects.
15/ Legislative authority expired September 30, 2007.

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