Appendix B - Net Cost of Key HHS Programs For the Fiscal Years Ended September 30, 2003 and 2002 (in millions)

The following table presents the Net Costs of key HHS programs (based on their FY 2003 net cost) for FY 2003 and FY 2002. This listing includes programs aggregated from all HHS GPRA programs. The net cost information is extracted from HHS agencies' Consolidated Statements of Net Cost for FY 2003 and FY 2002, and supplements the programs 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 & Analysis" and in the "Program Performance by HHS Strategic Goal" section of this report.

HHS Program	HHS Net Cost ($)		Rank by ($)		Budget Function	HHS Component Responsible for Program
HHS Program	FY 2003	FY 2002	FY 2003	FY 2002	Budget Function	HHS Component Responsible for Program
Medicare	250,074	231,132	1	1	Medicare	Centers for Medicare and Medicaid Services
Medicaid	161,721	150,101	2	2	Health	Centers for Medicare and Medicaid Services
Research Program	21,359	19,058	3	4	Health	National Institutes of Health
Temporary Assistance to Needy Families	19,348	19,069	4	3	Education, Training & Social Services/Income Security	Administration for Children and Families
Child Welfare	6,952	6,740	5	5	Education, Training & Social Services/Income Security	Administration for Children and Families
Head Start	6,780	6,503	6	6	Education, Training & Social Services	Administration for Children and Families
Child Care	5,089	4,512	7	7	Education, Training & Social Services/Income Security	Administration for Children and Families
SCHIP	4,360	3,662	8	9	Health	Centers for Medicare and Medicaid Services
Child Support Enforcement	4,060	4,056	9	8	Education, Training &Social Services/Income Security	Administration for Children and Families
Low-Income Home Energy Assistance	2,030	1,760	10	12	Education, Training & Social Services/Income Security	Administration for Children and Families
HIV/AIDS Programs	1,981	1,791	11	10	Health	Health Resources and Services Administration
Primary Care (Note 1)	1,862	1,533	12	14	Health	Health Resources and Services Administration
Social Services Block Grant	1,741	1,765	13	11	Education, Training & Social Services	Administration for Children and Families
Immunization	1,734	1,345	14	16	Health	Centers for Disease Control & Prevention
Substance Abuse Prevention & Treatment Block Grant	1,733	1,673	15	13	Health	Substance Abuse and Mental Health Services Administration
Clinical Services	1,591	1,490	16	15	Health	Indian Health Service
Public Health and Social Services (Note 2)	1,483	715	17	23	Health	Office of the Secretary
Training/Career Development Program	1,405	1,247	18	17	Health	National Institutes of Health
Community Based Services	1,225	1,021	19	19	Education, Training & Social Services	Administration on Aging
HIV/AIDS, STD & TB Prevention	1,093	365	20	30	Health	Centers for Disease Control & Prevention
Health Professions	1,066	804	21	22	Health	Health Resources and Services Administration
Maternal and Child Health (Note 3)	971	967	22	20	Health	Health Resources and Services Administration
Chronic Disease Prevention	771	626	23	25	Health	Centers for Disease Control & Prevention
Community Services	727	666	24	24	Education, Training & Social Services	Administration for Children and Families
Foods and Cosmetics	491	431	25	28	Health	Food and Drug Administration
Contract Health Care	467	452	26	27	Health	Indian Health Service
Infectious Diseases	458	1,102	27	18	Health	Centers for Disease Control & Prevention
Refugee Resettlement	449	488	28	26	Education, Training & Social Services/Income Security	Administration for Children and Families
General Departmental Management	435	336	29	31	Health	Office of the Secretary
Office of Special Programs	419	210	30	42	Health	Health Resources and Services Administration
Community Mental Health Services Block Grant	413	420	31	29	Health	Substance Abuse and Mental Health Services Administration
Knowledge Development & Application	367	315	32	32	Health	Substance Abuse and Mental Health Services Administration
PHS Commissioned Corps	357	944	33	21	Health	Program Support Center
Program of Regional National Significances/Targeted Capacity Expansion (new)	313	258	34	37	Health	Substance Abuse and Mental Health Services Administration
Human Drugs	297	280	35	33	Health	Food and Drug Administration
Facilities Program	287	270	36	36	Health	National Institutes of Health
Tribal Activities: Contract Support	283	270	37	35	Health	Indian Health Service
Family Planning	261	270	38	34	Health	Health Resources and Services Administration
Medical Devices & Radiological Health	247	241	39	38	Health	Food and Drug Administration
Occupational Safety and Health	246	202	40	43	Health	Centers for Disease Control & Prevention
Environmental Health	234	122	41	49	Health	Centers for Disease Control & Prevention
Biologics	202	187	42	45	Health	Food and Drug Administration
Hospitals-Facilities Support	198	231	43	39	Health	Indian Health Service
Research on Health Cost, Quality and Outcomes	194	227	44	40	Health	Agency for Healthcare Research and Quality
Epidemic Services	174	130	45	48	Health	Centers for Disease Control & Prevention
Developmental Disabilities	150	142	46	47	Education, Training & Social Services	Administration for Children and Families
Injury Prevention and Control	130	108	47	51	Health	Centers for Disease Control & Prevention
Rural Health	127	100	48	55	Health	Health Resources and Services Administration
Preventive Health & Health Services Block Grant	126	160	49	46	Health	Centers for Disease Control & Prevention
Domestic Violence 106 50 52	125	106	50	52	Education, Training & Social Services	Administration for Children and Families
All Other HHS Programs	1,698	1,851			Various Components	Various Components
Total Net Costs (Note 4)	$510,304	$472,454

Note 1: Includes HRSA's Health Center program discussed in Sections I and II of this report.

Note 2: This is a CDC-administered program funded by OS appropriations, and includes CDC's Terrorism Preparedness and Emergency Response program discussed in Sections I and II of this report.

Note 3: Includes HRSA's National Bioterrorism Hospital Preparedness program discussed in Sections I and II of this report.

Note 4: Total Net Costs agrees with HHS agency Combined Totals in the Consolidating Statement of 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 (#)	16	16
Highlighted Programs ($)	$479,813	$443,168
Highlighted Programs (%)	94.02%	93.80%

Last revised: January 7, 2004

The White House | USA.gov | Helping America's Youth