Appendix B –
Net Costs of Key HHS Programs
For
the Fiscal Years Ended September 30, 2004 and
2003
(in millions)
|
The following table
presents the net costs of HHS’ 50 largest programs
(based on their FY 2004 net cost) for FY 2004 and FY
2003. This listing includes programs aggregated from
the several hundred total HHS programs. The net cost
information is extracted from HHS Agencies’
consolidated statements of net cost for FY 2004 and FY
2003, and supplements the program identified in the
Department’s consolidated statement of net
cost. The shaded programs below relate to the
programs discussed in the “Performance
Overview” section of the Management Discussion
and Analysis and in the Program Performance
Report section of this report.
|
HHS
Program
|
HHS Net Cost
($)
|
Rank by
($)
|
Budget
Function
|
HHS Component
Responsible for Program
|
FY
2004
|
FY
2003
|
FY
2004
|
FY
2003
|
Medicare
|
269,748
|
250,074
|
1
|
1
|
Medicare
|
Centers for Medicare
& Medicaid Services
|
Medicaid
|
177,060
|
161,721
|
2
|
2
|
Health
|
Centers for Medicare
& Medicaid Services
|
Research
Program
|
25,748
|
23,057
|
3
|
3
|
Health
|
National Institutes
of Health
|
Temporary Assistance
to Needy Families
|
17,798
|
19,348
|
4
|
4
|
Education,
Training & Social Services / Income
Security
|
Administration for
Children and Families
|
Child Welfare
|
7,193
|
6,952
|
5
|
5
|
Education,
Training & Social Services / Income
Security
|
Administration for
Children and Families
|
Head Start
|
6,750
|
6,780
|
6
|
6
|
Education,
Training & Social Services / Income
Security
|
Administration for
Children and Families
|
Child Care
|
4,863
|
5,089
|
7
|
7
|
Education,
Training & Social Services / Income
Security
|
Administration for
Children and Families
|
SCHIP
|
4,611
|
4,360
|
8
|
8
|
Health
|
Centers for Medicare
& Medicaid Services
|
Child Support
Enforcement
|
3,971
|
4,060
|
9
|
9
|
Education,
Training & Social Services / Income
Security
|
Administration for
Children and Families
|
HIV/AIDS
Programs
|
2,130
|
1,981
|
10
|
11
|
Health
|
Health Resources and
Services Administration
|
Primary Care (Note
1)
|
2,115
|
1,862
|
11
|
12
|
Health
|
Health Resources and
Services Administration
|
Low-Income Home
Energy Assistance
|
1,895
|
2,030
|
12
|
10
|
Education,
Training & Social Services / Income
Security
|
Administration for
Children and Families
|
Social Services
Block Grant
|
1,753
|
1,741
|
13
|
13
|
Education,
Training & Social Services / Income
Security
|
Administration for
Children and Families
|
Clinical
Services
|
1,681
|
1,591
|
14
|
16
|
Health
|
Indian Health
Service
|
Public Health and
Social Services [Note 2]
|
1,662
|
1,483
|
15
|
17
|
Health
|
Office of the
Secretary
|
Substance Abuse
Prevention & Treatment Block Grant
|
1,662
|
1,733
|
16
|
15
|
Health
|
Substance Abuse and
Mental Health Services Administration
|
Immunization
|
1,570
|
1,734
|
17
|
14
|
Health
|
Centers for Disease
Control & Prevention
|
HIV/AIDS, STD
&TB Prevention
|
1,309
|
1,093
|
18
|
19
|
Health
|
Centers for Disease
Control & Prevention
|
Community Based
Services
|
1,239
|
1,225
|
19
|
18
|
Education,
Training & Social Services
|
Administration on
Aging
|
Maternal and Child
Health
|
1,025
|
971
|
20
|
21
|
Health
|
Health Resources and
Services Administration
|
Health
Professions
|
906
|
1,066
|
21
|
20
|
Health
|
Health Resources and
Services Administration
|
Chronic Disease
Prevention
|
878
|
771
|
22
|
22
|
Health
|
Centers for Disease
Control & Prevention
|
Community
Services
|
761
|
727
|
23
|
23
|
Education,
Training & Social Services / Income
Security
|
Administration for
Children and Families
|
PHS Commissioned
Corps
|
627
|
558
|
24
|
24
|
Health
|
Program Support
Center
|
Foods and
Cosmetics
|
566
|
491
|
25
|
25
|
Health
|
Food and Drug
Administration
|
Refugee
Resettlement
|
508
|
449
|
26
|
28
|
Education,
Training & Social Services / Income
Security
|
Administration for
Children and Families
|
Contract Health
Care
|
485
|
467
|
27
|
26
|
Health
|
Indian Health
Service
|
Community Mental
Health Services Block Grant
|
451
|
413
|
28
|
31
|
Health
|
Substance Abuse and
Mental Health Services Administration
|
Program of Regional
National Significances/Targeted Capacity Expansion
(new)
|
423
|
313
|
29
|
33
|
Health
|
Substance Abuse and
Mental Health Services Administration
|
General Departmental
Management
|
402
|
435
|
30
|
29
|
Health
|
Office of the
Secretary
|
Infectious
Diseases
|
397
|
458
|
31
|
27
|
Health
|
Centers for Disease
Control & Prevention
|
RNS Best Practices
(Note 2)
|
367
|
367
|
32
|
32
|
Health
|
Substance Abuse and
Mental Health Services Administration
|
Human Drugs
|
352
|
297
|
33
|
34
|
Health
|
Food and Drug
Administration
|
Office of Special
Programs
|
323
|
419
|
34
|
30
|
Health
|
Health Resources and
Services Administration
|
Family
Planning
|
283
|
261
|
35
|
36
|
Health
|
Health Resources and
Services Administration
|
Tribal Activities:
Contract Support
|
282
|
283
|
36
|
35
|
Health
|
Indian Health
Service
|
Environmental
Health
|
267
|
234
|
37
|
39
|
Health
|
Centers for Disease
Control & Prevention
|
Medical Devices
& Radiological Health
|
253
|
247
|
38
|
37
|
Health
|
Food and Drug
Administration
|
Occupational Safety
and Health
|
245
|
246
|
39
|
38
|
Health
|
Centers for Disease
Control & Prevention
|
Hospitals-Facilities
Support
|
219
|
198
|
40
|
41
|
Health
|
Indian Health
Service
|
Sanitation
Facilities
|
175
|
109
|
41
|
51
|
Health
|
Indian Health
Service
|
Injury Prevention
and Control
|
163
|
130
|
42
|
45
|
Health
|
Centers for Disease
Control & Prevention
|
Developmental
Disabilities
|
154
|
150
|
43
|
44
|
Education,
Training & Social Services / Income
Security
|
Administration for
Children and Families
|
Public Health
Improvement
|
140
|
120
|
44
|
50
|
Health
|
Centers for Disease
Control & Prevention
|
Contributions,
Indian Health Facilities
|
140
|
97
|
45
|
55
|
Health
|
Indian Health
Service
|
Biologics
|
131
|
202
|
46
|
40
|
Health
|
Food and Drug
Administration
|
Domestic
Violence
|
120
|
125
|
47
|
48
|
Education,
Training & Social Services / Income
Security
|
Administration for
Children and Families
|
Preventive Health
& Health Services Block Grant
|
120
|
126
|
48
|
47
|
Health
|
Centers for Disease
Control & Prevention
|
Animal Drugs and
Feeds
|
120
|
124
|
49
|
49
|
Health
|
Food and Drug
Administration
|
Youth
|
119
|
106
|
50
|
52
|
Education,
Training & Social Services / Income
Security / Admin of Justice
|
Administration for
Children and Families
|
All Other HHS Programs
|
1,390
|
1,634
|
|
|
Various
Components
|
Various
Components
|
Total Net Costs
(Note 3)
|
$
547,550
|
$ 510,508
|
|
|
|
|
Note 1. Includes the Foster Care/Adoptions program discussed in the Management Discussion and Analysis (Section I) and HHS Program Performance Report (Section II) of this report.
Note 2. Name of this program changed in FY 2004; was "Knowledge, Development and Application" in FY 2003.
Note 3. Total net costs agrees with Agency combined totals in the consolidating statement of net cost by budget function located in other accompanying information.
|