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Performance and Accountability Report
Fiscal Year 2002

Appendix B - Net Cost of HHS Top 50 Programs (in thousands)

The following table presents the programs accomplished by HHS during FY 2002 and FY 2001 based on dollars invested, and organized in descending order of the FY 2002 net costs of those programs. This listing includes programs aggregated from the more than 300 total HHS programs. The net cost information is extracted from draft and final HHS components' Consolidated Statements of Net Cost for FY 2002 and FY 2001. This table supplements the programs identified in the Consolidated Statement of Net Cost.

HHS Program	FY 2002 HHS Net Cost ($)	FY 2001 HHS Net Cost ($)	Position Number in Descending Order in Net Cost Column		Budget Function	HHS Component Responsible for Program
Medicare	231,132,000	219,357,000	1	1	Medicare	Centers for Medicare & Medicaid Services
Medicaid	150,101,000	130,450,000	2	2	Health	Centers for Medicare & Medicaid Services
Temporary Assistance to Needy Families	19,069,036	17,886,274	3	3	Education, Training & Social Services/ Income Security	Administration for Children and Families
Research Program	19,057,871	16,007,346	4	4	Health	National Institutes of Health
Child Welfare	6,739,651	7,014,178	5	5	Education, Training & Social Services/ Income Security	Administration for Children and Families
Head Start	6,502,536	6,014,077	6	6	Education, Training & Social Services/ Income Security	Administration for Children and Families
Child Care	4,512,180	4,118,955	7	7	Education, Training & Social Services/ Income Security	Administration for Children and Families
Child Support Enforcement	4,056,166	3,270,104	8	8	Education, Training & Social Services/ Income Security	Administration for Children and Families
SCHIP	3,662,000	2,487,000	9	9	Health	Centers for Medicare & Medicaid Services
HIV/AIDS Programs	1,791,106	1,466,191	10	14	Health	Health Resources and Services Administration
Social Services Block Grant	1,764,638	1,859,959	11	12	Education, Training & Social Services/ Income Security	Administration for Children and Families
Low-Income Home Energy Assistance	1,760,110	2,167,894	12	10	Education, Training & Social Services/ Income Security	Administration for Children and Families
Substance Abuse Prevention & Treatment Block Grant	1,673,053	1,593,509	13	13	Health	Substance Abuse and Mental Health Services Administration
Primary Care	1,533,487	1,266,717	14	17	Health	Health Resources and Services Administration
Clinical Services	1,501,349	1,385,862	15	15	Health	Indian Health Service
Immunization	1,344,526	1,254,758	16	18	Health	Centers for Disease Control and Prevention
Training/Career Development Program	1,247,219	1,118,276	17	20	Health	National Institutes of Health
Infectious Diseases	1,101,764	1,280,868	18	16	Health	Centers for Disease Control and Prevention
Community Based Services	1,020,528	890,161	19	22	Education, Training & Social Services	Administration on Aging
Maternal and Child Health	966,931	893,307	20	21	Health	Health Resources and Services Administration
PHS Commissioned Corps (Note 1)	812,941	1,969,599	21	11	Health	Program Support Center
Health Professions	804,005	1,175,980	22	19	Health	Health Resources and Services Administration
Public Health and Social Services Emergency Fund	715,235	335,852	23	31	Health	Office of Secretary
Community Services	665,923	661,803	24	23	Education, Training & Social Services/ Income Security	Administration for Children and Families
Chronic Disease Prevention	626,139	622,781	25	24	Health	Centers for Disease Control and Prevention
Refugee Resettlement	488,364	385,723	26	29	Education, Training & Social Services/ Income Security	Administration for Children and Families
Contract Health Care	452,384	412,658	27	26	Health	Indian Health Service
Foods and Cosmetics	431,053	390,085	28	28	Health	Food and Drug Administration
Community Mental Health Services Block Grant	420,474	377,742	29	30	Health	Substance Abuse and Mental Health Services Administration
HIV/AIDS, STD &TB Prevention Note 2	364,630	N/A	30	N/A	Health	Centers for Disease Control and Prevention
General Departmental Management	336,100	242,825	31	34	Health	Office of Secretary
Knowledge Development & Application	314,698	403,016	32	27	Health	Substance Abuse and Mental Health Services Administration
Human Drugs	280,402	255,316	33	33	Health	Food and Drug Administration
Tribal Activities: Contract Support	271,497	255,456	34	32	Health	Indian Health Service
Family Planning	269,752	241,626	35	35	Health	Health Resources and Services Administration
Facilities Program	269,527	178,609	36	38	Health	National Institutes of Health
Program of Regional National Significances/Targeted Capacity Expansion	257,911	113,909	37	44	Health	Substance Abuse and Mental Health Services Administration
Medical Devices & Radiological Health	240,885	223,320	38	36	Health	Food and Drug Administration
Research on Health Cost, Quality and Outcomes	227,432	11,018	39	79	Health	Agency for Healthcare Research and Quality
Environmental and Occupational Health	215,158	481,651	40	25	Health/ Natural Resources & Environment	Centers for Disease Control and Prevention
Office of Special Programs	210,324	123,795	41	42	Health	Health Resources and Services Administration
Hospitals-Facilities Support	203,819	183,923	42	37	Health	Indian Health Service
Occupational Safety and Health (Note 2)	202,439	N/A	43	N/A	Health	Centers for Disease Control and Prevention
Office of the Inspector General	197,591	162,143	44	39	Health	Office of Secretary
Biologics	187,416	160,889	45	40	Health	Food and Drug Administration
Preventive Health & Health Services Block Grant	160,221	87,397	46	49	Health	Centers for Disease Control and Prevention
Developmental Disabilities	142,191	105,251	47	46	Education, Training & Social Services/ Income Security	Administration for Children and Families
Epidemic Services	129,577	114,656	48	43	Health	Centers for Disease Control and Prevention
Environmental Health (Note 2)	122,497	N/A	49	N/A	Health	Centers for Disease Control and Prevention
Animal Drugs and Feeds	112,736	83,106	50	50	Health	Food and Drug Administration
All Other HHS Programs (53 programs)	1,783,841	1,440,671	51-103	51-103	Various	Various Components
Total Net Costs (Note 3)	$472,454,313	$432,983,236
N/A: Not Applicable
Note 1: The FY 2002 reduction is the result of a change in the method used to calculate the actuarial liability for the Commissioned Corps Pension.
Note 2: Shown as a new program in FY 2002 due to program realignment.
Note 3: Total Net Costs agrees with OPDIV Combined Totals in the Consolidating Statement of Net Cost by Budget Function, located in Other Accompanying Information.

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