HHS Performance and Accountability Report Report: FY2004 -- Section V

Appendix B - Net Costs of Key HHS Programs for the Fiscal Years Ended September 30, 2005 and 2004 (in Millions)

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
HHS Program	FY 2005	FY 2004	FY 2005	FY 2004	Budget Function	HHS Component Responsible for Program
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%

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