The following table presents the Net Costs of HHS’ 50 largest programs (based on their FY 2005 net cost) for FY 2005 and FY 2004. This listing includes programs aggregated from the several hundred total HHS programs. The net cost information is extracted from draft and final HHS component Consolidated Statements of Net Cost for FY 2005 and FY 2004, and supplements the programs identified in the Department’s Consolidated Statement of Net Cost. The shaded programs below correspond or relate to the programs discussed in the Performance Overview section of the MD&A and in the HHS Performance section of this report.
HHS Program |
HHS Net Cost ($) |
Rank by ($) |
Budget Function |
HHS Component Responsible for Program |
FY 2005 |
FY 2004 |
FY 2005 |
FY 2004 |
Medicare |
295,713 |
269,748 |
1 |
1 |
Medicare |
Centers for Medicare and Medicaid Services |
Medicaid |
182,226 |
177,060 |
2 |
2 |
Health |
Centers for Medicare and Medicaid Services |
Research |
27,348 |
25,748 |
3 |
3 |
Health |
National Institutes of Health |
Temporary Assistance for Needy Families |
17,289 |
17,798 |
4 |
4 |
Education, Training & Social Services / Income Security |
Administration for Children and Families |
Child Welfare |
7,378 |
7,193 |
5 |
5 |
Education, Training & Social Services / Income Security |
Administration for Children and Families |
Head Start |
7,034 |
6,750 |
6 |
6 |
Education, Training & Social Services / Income Security |
Administration for Children and Families |
SCHIP |
5,135 |
4,611 |
7 |
8 |
Health |
Centers for Medicare and Medicaid Services |
Child Care |
5,001 |
4,863 |
8 |
7 |
Education, Training & Social Services / Income Security |
Administration for Children and Families |
Child Support Enforcement |
4,204 |
3,971 |
9 |
9 |
Education, Training & Social Services / Income Security |
Administration for Children and Families |
Infectious Diseases (Note 1) |
3,145 |
3,276 |
10 |
10 |
Health |
Centers for Disease Control & Prevention |
Low-Income Home Energy Assistance |
2,127 |
1,895 |
11 |
13 |
Education, Training & Social Services / Income Security |
Administration for Children and Families |
HIV/AIDS Programs |
2,077 |
2,130 |
12 |
11 |
Health |
Health Resources and Services Administration |
Public Health and Social Services |
1,970 |
1,662 |
13 |
16 |
Health |
Office of the Secretary |
Primary Care |
1,837 |
2,115 |
14 |
12 |
Health |
Health Resources and Services Administration |
Social Services Block Grant |
1,824 |
1,753 |
15 |
14 |
Education, Training & Social Services / Income Security |
Administration for Children and Families |
Substance Abuse Prevention & Treatment Block Grant |
1,750 |
1,662 |
16 |
17 |
Health |
Substance Abuse and Mental Health Services Administration |
Clinical Services |
1,619 |
1,681 |
17 |
15 |
Health |
Indian Health Service |
Community Based Services |
1,279 |
1,239 |
18 |
18 |
Education, Training & Social Services |
Administration on Aging |
Maternal and Child Health |
1,044 |
1,025 |
19 |
19 |
Health |
Health Resources and Services Administration |
Health Professions |
870 |
906 |
20 |
21 |
Health |
Health Resources and Services Administration |
Health Promotion |
829 |
981 |
21 |
20 |
Health |
Centers for Disease Control & Prevention |
Community Services |
773 |
761 |
22 |
22 |
Education, Training & Social Services / Income Security |
Administration for Children and Families |
Foods and Cosmetics |
546 |
566 |
23 |
24 |
Health |
Food and Drug Administration |
Refugee Resettlement |
530 |
508 |
24 |
25 |
Education, Training & Social Services / Income Security |
Administration for Children and Families |
Contract Health Care |
480 |
485 |
25 |
26 |
Health |
Indian Health Service |
Business Services Support |
476 |
0 |
26 |
0 |
Health / Natural Resources & Environ |
Centers for Disease Control & Prevention |
Healthcare Systems (Note 2) |
471 |
323 |
27 |
33 |
Health |
Health Resources and Services Administration |
Program of Regional National Significances/Targeted Capacity Expansion |
471 |
423 |
28 |
29 |
Health |
Substance Abuse and Mental Health Services Administration |
Community Mental Health Services Block Grant |
426 |
451 |
29 |
27 |
Health |
Substance Abuse and Mental Health Services Administration |
Program of Regional National Significances-Best Practices (new) |
404 |
367 |
30 |
31 |
Health |
Substance Abuse and Mental Health Services Administration |
PHS Commissioned Corps |
346 |
627 |
31 |
23 |
Health |
Program Support Center |
Environmental Health and Injury (Note 1) |
343 |
437 |
32 |
28 |
Health / Natural Resources & Environ |
Centers for Disease Control & Prevention |
Ticket to Work |
325 |
34 |
33 |
62 |
Health |
Centers for Medicare and Medicaid Services |
Human Drugs |
313 |
352 |
34 |
32 |
Health |
Food and Drug Administration |
General Departmental Management |
302 |
402 |
35 |
30 |
Health |
Office of the Secretary |
Family Planning |
275 |
283 |
36 |
34 |
Health |
Health Resources and Services Administration |
Tribal Activities: Contract Support |
273 |
282 |
37 |
35 |
Health |
Indian Health Service |
Medical Devices & Radiological Health |
240 |
253 |
38 |
36 |
Health |
Food and Drug Administration |
Occupational Safety and Health (Note 1) |
220 |
248 |
39 |
37 |
Health / Natural Resources & Environ |
Centers for Disease Control & Prevention |
Hospitals-Facilities Support |
211 |
219 |
40 |
38 |
Health |
Indian Health Service |
Public Health Improvement and Leadership (Note 1) |
194 |
80 |
41 |
53 |
Health |
Centers for Disease Control & Prevention |
Developmental Disabilities |
165 |
154 |
42 |
40 |
Education, Training & Social Services / Income Security |
Administration for Children and Families |
Youth |
165 |
119 |
43 |
47 |
Education, Training & Social Services / Income Security / Admin of Justice |
Administration for Children and Families |
Diabetes Initiative |
139 |
78 |
44 |
54 |
Health |
Indian Health Service |
Health Information and Service |
135 |
149 |
45 |
41 |
Health |
Centers for Disease Control & Prevention |
Domestic Violence |
131 |
120 |
46 |
44 |
Education, Training & Social Services / Income Security |
Administration for Children and Families |
Preventive Health and Health Services Block Grant |
125 |
120 |
47 |
45 |
Health |
Centers for Disease Control & Prevention |
Biologics |
117 |
131 |
48 |
43 |
Health |
Food and Drug Administration |
Animal Drugs and Feeds |
116 |
120 |
49 |
46 |
Health |
Food and Drug Administration |
Preventative Health |
112 |
109 |
50 |
49 |
Health |
Indian Health Service |
All Other HHS Programs |
980 |
1,282 |
|
|
Various Components |
Various Components |
Total Net Costs (Note 3) |
$ 581,503 |
$ 547,550 |
|
|
|
|
Note 1. CDC has revised/combined several of their programs resulting in net cost revisions to four of their programs. The rank by $ in the FY 2004 column was revised resulting (generally) in a shift of one position from the FY 2004 Appendix B report. |
Note 2. Name of the program changed in FY 2005; was "Office of Special Programs". |
Note 3. Total Net Costs agrees with OPDIV combined Totals in the Consolidating Statement o f Net Cost by Budget Function located in Other Accompanying Information. |
The shaded programs above relate to the programs discussed in the Performance Overview section of the MD&A and in the HHS Performance section of this report. |
Highlighted Programs (#) |
18 |
18 |
|
|
|
|
Highlighted Programs ($) |
$ 538,024 |
$ 506,066 |
THESE 2 FORMULAS MUST BE UPDATED MANUALLY |
Highlighted Programs (%) |
92.52% |
92.42% |
|
|
|
|