|
|
 |
|
|
Budget
Exhibits
HEALTH
RESOURCES AND SERVICES ADMINISTRATION
HEALTH RESOURCES AND SERVICES
For carrying out titles II, III, IV, VII, VIII,
X, XII, XIX,
and XXVI of the Public Health Service Act, section
427(a) of the Federal Coal Mine Health and Safety
Act, title V and sections 1128E, and 711,
and 1820 of the Social Security Act,
the Health Care Quality Improvement Act of 1986,
as amended, the Native Hawaiian Health Care
Act of 1988, as amended, the
Cardiac Arrest Survival Act of 2000, and
section 712 of the American Jobs Creation Act
of 2004, and the Stem Cell Therapeutic and Research
Act of 2005, $6,978,099,000,
of which $309,889,000 shall be available for
construction and renovation (including equipment)
of health care and other facilities and other
health-related activities specified in the explanatory
statement described in section 4 (in the matter
preceding division A of this consolidated Act),
and of which $38,538,000 from general revenues,
notwithstanding section 1820(j) of the Social
Security Act, shall be available for carrying
out the Medicare rural hospital flexibility
grants program under such section $5,864,511,000:
Provided, That of the funds made available under
this heading, $160,000
$100,000 shall be available until expended for
facilities renovations at the Gillis W. Long
Hansen's Disease Center:
Provided further, That $40,000,000 of the funding
provided for community health centers shall
be for base grant adjustments for existing health
centers: Provided further, That in addition
to fees authorized by section 427(b) of the
Health Care Quality Improvement Act of 1986,
fees shall be collected for the full disclosure
of information under the Act sufficient to recover
the full costs of operating the National Practitioner
Data Bank, and shall remain available until
expended to carry out that Act: Provided further,
That fees collected for the full disclosure
of information under the `Health Care Fraud
and Abuse Data Collection Program', authorized
by section 1128E(d)(2) of the Social Security
Act, shall be sufficient to recover the full
costs of operating the program, and shall remain
available until expended to carry out that Act:
Provided further, That no more than $40,000
is available until expended for carrying out
the provisions of 42 U.S.C. 233(o) including
associated administrative expenses and relevant
evaluations: Provided further, That no more
than $44,055,000 is available until expended
for carrying out the provisions of Public Law
104-73 and for expenses incurred by the Department
of Health and Human Services pertaining to administrative
claims made under such law: Provided further,
That $26,000,000 of funding provided for health
centers shall be used for high-need areas, notwithstanding
section 330(r)(2)(B) of the PHS Act: Provided
further, That of the funds made available under
this heading, $305,315,000
$299,981,000 shall be for the program under
title X of the Public Health Service Act to
provide for voluntary family planning projects:
Provided further, That amounts provided to said
projects under such title shall not be expended
for abortions, that all pregnancy counseling
shall be nondirective, and that such amounts
shall not be expended for any activity (including
the publication or distribution of literature)
that in any way tends to promote public support
or opposition to any legislative proposal or
candidate for public office: Provided further,
That of the funds available under this heading,
$1,854,800,000
$1,828,911,000 shall remain available to the
Secretary of Health and Human Services through
September 30, 20102011,
for parts A and B of title XXVI of the Public
Health Service Act: Provided
further, That within the amounts provided for
part A of title XXVI of the Public Health Service
Act, funds shall be made available to qualifying
jurisdictions, within 45 days of enactment,
for increasing supplemental grants for fiscal
year 2008 to metropolitan areas that received
grant funding in fiscal year 2007 under subparts
I and II of part A of title XXVI of the Public
Health Service Act to ensure that an area's
total funding under part A for fiscal year 2007,
together with the amount of this additional
funding, is not less than 86.6 percent of the
amount of such area's total funding under part
A for fiscal year 2006: Provided further, That,
notwithstanding section 2603(c)(1) of the Public
Health Service Act, the additional funding to
areas under the immediately preceding proviso,
which may be used for costs incurred during
fiscal year 2007, shall be available to the
area for obligation from the date of the award
through the end of the grant year for the award:
Provided further, That $808,500,000
$814,546,000 shall be for State AIDS Drug Assistance
Programs authorized by section 2616 of the Public
Health Service Act: Provided
further, That in addition to amounts provided
herein, $25,000,000 shall be available from
amounts available under section 241 of the Public
Health Service Act to carry out Parts A, B,
C, and D of title XXVI of the Public Health
Service Act to fund section 2691 Special Projects
of National Significance: Provided further,
That, notwithstanding section 502(a)(1) and
502(b)(1) of the Social Security Act, not to
exceed $100,937,000 is available for carrying
out special projects of regional and national
significance pursuant to section 501(a)(2) of
such Act and $10,586,000 is available for projects
described in paragraphs (A) through (F) of section
501(a)(3) of such Act: Provided further, That
of the funds provided, $39,283,000 shall be
provided to the Denali Commission as a direct
lump payment pursuant to Public Law 106-113:
Provided further, That of the funds provided,
$25,000,000 shall be provided for the Delta
Health Initiative as authorized in section 219
of this Act and associated administrative expenses:
Provided further, That notwithstanding
section 747(e)(2) of the PHS Act, not less than
$5,000,000 shall be for general dentistry programs,
not less than $5,000,000 shall be for pediatric
dentistry programs and not less than $24,614,000
shall be for family medicine programs: Provided
further, That of the funds available under this
heading, $9,000,000
$11,966,000 shall be provided for the National
Cord Blood Inventory pursuant
to as authorized in the Stem Cell Therapeutic
and Research Act of 2005.
GENERAL PROVISIONS
Of the funds available within the Health Professions
Student Loan program authorized in subpart II,
Federally-Supported Student Loan Funds, of Title
VIII of the Public Health Service Act, $15,000,000
$100,000,000 are rescinded.
Of the funds available within the Health Center
Loan Guarantee program authorized under section
330(d) of the Public Health Service Act and
Title II of P.L. 104-208, $5,000,000 are rescinded.
HEALTH EDUCATION ASSISTANCE LOANS PROGRAM
ACCOUNT
Such sums as may be necessary to carry out the
purpose of the program, as authorized by title
VII of the Public Health Service Act, as amended.
For administrative expenses to carry out the
guaranteed loan program, including section 709
of the Public Health Service Act, $2,898,000
$2,906,000.
VACCINE INJURY COMPENSATION PROGRAM TRUST FUND
For payments from the Vaccine Injury Compensation
Program Trust Fund, such sums as may be necessary
for claims associated with vaccine-related injury
or death with respect to vaccines administered
after September 30, 1988, pursuant to subtitle
2 of title XXI of the Public Health Service
Act, to remain available until expended: Provided,
That for necessary administrative expenses,
not to exceed $5,500,000
$4,528,000 shall be available from the Trust
Fund to the Secretary of Health and Human Services.
HEALTH RESOURCES AND SERVICES ADMINISTRATION
Language Analysis
Language
Provision |
Explanation
|
| For
carrying out titles II, III, IV, VII, VIII,
X, XII, XIX,
1 and XXVI of the
Public Health Service Act, section 427(a)
of the Federal Coal Mine Health and Safety
Act, title V and sections 1128E, and 711,
and 1820
2 of the Social Security
Act, the Health Care Quality Improvement
Act of 1986, as amended 3
, the Native Hawaiian Health Care Act of
1988, as amended 4
, the Cardiac Arrest
Survival Act of 2000, and 5
section 712 of the American Jobs Creation
Act of 2004, and the Stem Cell Therapeutic
and Research Act of 2005 6,
$6,978,099,000,
of which $309,889,000 shall be available
for construction and renovation (including
equipment) of health care and other facilities
and other health-related activities specified
in the explanatory statement described in
section 4 (in the matter preceding division
A of this consolidated Act), and of which
$38,538,000 from general revenues, notwithstanding
section 1820(j) of the Social Security Act,
shall be available for carrying out the
Medicare rural hospital flexibility grants
program under such sction 7
$5,864,511,000 |
1
Citation for Title XIX of the PHS Act is
not required, as funding for Emergency Medical
Services for Children is not requested in
FY 2008.
2 Citation for Section
1820 of the Social Security Act is not required,
as funding for the Rural Health Flexibility
Grant Program is not requested in FY 2008.
3 The Health Care
Quality Improvement Act of 1986 was amended
by P.L. 100-177.
4 The Native Hawaiian
Health Care Act of 1988 was amended by the
Native Hawaiian Health Care Improvement
Act of 1992.
5 Citation for the
Cardiac Arrest Survival Act of 2000 is not
required, as funding for the Rural and Community
Access to Emergency Devices is not requested
in FY 2008.
6 Citation for the
Stem Cell Therapeutic and Research Act of
2005 is added as funding for the National
Cord Blood Inventory is requested in FY
2009.
7 Citation is not
required as funding for Public Health Improvement
and Rural Hospital Flexibility Grants are
not requested in FY 2009. |
| Provided
further, That $40,000,000 of the funding
provided for community health centers shall
be for base grant adjustments for existing
health centers:
8 |
8
Citation is not required as funding for
base grant adjustments for existing health
centers is not requested in FY 2009. |
| Provided
further, That $26,000,000 of funding provided
for health centers shall be used for high-need
areas, notwithstanding section 330(r)(2)(B)
of the PHS Act. 9 |
9 The proposal is
added to allow HRSA to distribute specified
funds to high poverty areas without regard
to 2001 allocations. |
| Provided
further, That within the amounts provided
for part A of title XXVI of the Public Health
Service Act, funds shall be made available
to qualifying jurisdictions, within 45 days
of enactment, for increasing supplemental
grants for fiscal year 2008 to metropolitan
areas that received grant funding in fiscal
year 2007 under subparts I and II of part
A of title XXVI of the Public Health Service
Act to ensure that an area's total funding
under part A for fiscal year 2007, together
with the amount of this additional funding,
is not less than 86.6 percent of the amount
of such area's total funding under part
A for fiscal year 2006: Provided further,
That, notwithstanding section 2603(c)(1)
of the Public Health Service Act, the additional
funding to areas under the immediately preceding
proviso, which may be used for costs incurred
during fiscal year 2007, shall be available
to the area for obligation from the date
of the award through the end of the grant
year for the award: 10
|
10
Citation is not required as supplemental
grants for part A of Title XXVI of the Public
Health Service Act is not requested in FY
2009. |
| Provided
further, That, notwithstanding section 502(a)(1)
and 502(b)(1) of the Social Security Act,
not to exceed $100,937,000 is available
for carrying out special projects of regional
and national significance pursuant to section
501(a)(2) of such Act and $10,586,000 is
available for projects described in paragraphs
(A) through (F) of section 501(a)(3) of
such Act:
11 |
11
Citation is not required as language for
computing the SPRANS and CISS for the MCH
Block Grant is provided in Title V of the
Social Security Act. |
| Provided
further, That of the funds provided, $39,283,000
shall be provided to the Denali Commission
as a direct lump payment pursuant to Public
Law 106-113: Provided further, That of the
funds provided, $25,000,000 shall be provided
for the Delta Health Initiative as authorized
in section 219 of this Act and associated
administrative expenses: Provided further,
That notwithstanding section 747(e)(2) of
the PHS Act, not less than $5,000,000 shall
be for general dentistry programs, not less
than $5,000,000 shall be for pediatric dentistry
programs and not less than $24,614,000 shall
be for family medicine programs:
12 |
12
Citation is not required as funding is not
requested in FY 2009. |
| Of
the funds available within the Health Center
Loan Guarantee program authorized under
section 330(d) of the Public Health Service
Act and Title II of P.L. 104-208, $5,000,000
are rescinded. 13 |
13
The proposal is added to return to Treasury
the unobligated balance in the Health Centers
Loan Guarantee Program. |
HEALTH RESOURCES AND SERVICES ADMINISTRATION
Health Resources and Services
Amounts Available for Obligation 1/
| |
FY
2007
Actual |
FY
2008
Enacted |
FY
2009
Estimate 3/
|
| Discretionary
Appropriation: |
| Annual |
$6,886,000,000 |
$6,978,099,000 |
$5,864,511,000
|
| Labor/DHHS/Education
Rescission |
0
|
-121,907,000 |
|
| Subtotal,
adjusted appropriation |
$6,886,000,000 |
6,856,192,000
|
$5,864,511,000 |
| Mandatory
Appropriation: |
| Family
to Family Health Information Centers |
+3,000,000 |
+4,00,000 |
+5,000,000 |
| Real
transfer to DHHS/OS 2/ |
-495,000,000 |
|
|
| Subtotal,
adjusted budget authority |
+6,394,000,000 |
+6,860,192,000 |
+5,869,511,000 |
| Offsetting
Collections |
+47,956,000 |
+48,000,000 |
+48,000,000 |
| Unobligated
balance, start of year |
+109,204,356 |
+90,424,758 |
+71,417,000 |
| Rescission
of Unobligated Funds |
|
-15,000,000 |
|
| Health
Center Loan Guarantee Rescission |
|
|
-$5,000,000 |
| Unobligated
balance, end of year |
-90,424,758 |
-71,417,000 |
-38,528,000 |
| Recovery
of prior year obligations |
+1,000 |
|
|
| Unobligated
balance, lapsing |
-3,165,411 |
|
|
| Total
obligations |
$6,463,902,009 |
$6,912,199,758 |
$5,945,400,000
|
1/ Excludes the following amounts for reimbursable
activities carried out by this account: FY 2007
- $111,000,000 and 43 FTE; FY 2008 - $105,000,000
and 47 FTE; FY 2009 $105,000,000 and 49 FTE
2/ For comparability, bioterrorism obligations
are not reflected in exhibits.
3/ The FY 2009 Budget proposes to recall the
Federal portion of the liquid assets of student
loan revolving funds at
institutions of high education participating
in the Health Professions Student Loan, the
Primary Care Loan, and the Loans for Disadvantage
Students, and the Nursing Student Laon Programs.
These funds will be returned to HRSA as offsetting
collections. However, these amounts will not
be available for obligation and will be returned
to the Treasury. It is estimated that $100 million
will be returned through this proposal.
Summary of Changes
| 2008
Estimate Total estimated budget authority |
$6,856,192,000
|
| (Obligations) |
(-$6,856,192,000) |
| 2009
Estimate |
$5,864,511,000
|
| (Obligations) |
(-$5,864,511,000)
|
| 2008
Mandatory Estimate |
$4,000,000 |
| (Obligations) |
(-$4,000,000)
|
| 2009
Mandatory Estimate |
$5,000,000 |
| (Obligations) |
(-$5,000,000)
|
| Net
Change |
$990,681,000
|
| (Obligations) |
($990,681,000)
|
| 2008
Current
|
| |
|
Budget
Base |
| Increases:
|
FTE |
Budget
Authority |
|
Budget
Authority |
| A.
Built in: |
| 1
January 2009 pay raise at 2.9% |
1,464 |
$185,977,000 |
|
$4,075,000 |
| 2
Annualized 2008 pay raise at 3.5% |
1,464
|
$185,977,000 |
|
1,614,000 |
| 3
Within grade increases |
1,464 |
$185,977,000 |
|
3,319,000 |
| 4
One Day Less Pay (1/262) |
1,464 |
$185,977,000
|
|
-706,000 |
|
Subtotal,
built-in increases |
+$8,302,000 |
| B.
Program: |
|
1 Health Centers |
20
|
2,021,737,000
|
- |
+$26,000,000 |
| 2
Health Center Tort Claims |
- |
43,285,000
|
- |
+$770,000
|
| 3
Hansen's Disease Center |
83 |
15,693,000
|
- |
+$416,000
|
| 4
Payment to Hawaii |
- |
1,961,000
|
- |
+$15,000 |
| 5
Nurse Loan Repayment and Scholarship |
- |
30,512,000
|
- |
+$13,232,000 |
| 6
HIV/AIDS |
30
|
2,141,792,000
|
- |
+$1,120,000 |
| 7
Organ Transplantation |
- |
22,646,000
|
- |
+$403,000 |
| 8
Cord Blood Stem Cell Bank |
4 |
8,843,000 |
- |
+$3,123,000 |
| 9
Rural Health Policy Development |
- |
8,584,000
|
- |
+$153,000
|
| 10
State Offices of Rural health |
- |
7,999,000
|
- |
+$142,000
|
|
11 Radiogenic Diseases |
2
|
1,884,000
|
- |
+$20,000 |
| 12
Black Lung |
-
|
5,788,000
|
- |
+$98,000 |
| 13
Parklawn Replacement |
- |
- |
- |
+$36,062,000 |
| 14
Telehealth |
- |
6,700,000
|
- |
+$119,000 |
| 15
Family Planning |
42 |
299,981,000 |
3 |
- |
| Subtotal,
program increases |
3
|
+$81,673,000 |
| C.
Mandatory Program: |
| 1.
Family to Family Health Information Center |
- |
4,000,000 |
-
|
+$1,000,000
|
| Total
Mandatory |
+$1,000,000
|
Summary of Changes
| Decreases:
|
| A.
Built In: |
| 1.
Absorption of Pay Costs |
1,464
|
$185,977,000 |
- |
($8,302,000) |
| B.
Program: |
|
1. Buildings and Facilities |
- |
157,000
|
- |
-57,000 |
|
2. National Health Service Corps |
140
|
123,477,000 |
- |
-2,518,000 |
|
3. Loan Repayment/Faculty Fellowships |
- |
1,266,000
|
- |
-1,266,000 |
4. Health Professions Programs
(Title VII/VIII of PHS Act) |
2 |
318,225,000 |
-2 |
-252,116,000 |
5. Patient Navigator Outreach & Chronic
Diseasse Prevention |
2 |
2,948,000
|
-2 |
-2,948,000 |
6. Children's Hospitals Graduate Medical
Education Program |
9
|
301,646,000
|
-9 |
-301,646,000 |
|
7. Traumatic Brain Injury |
0 |
8,754,000
|
- |
-8,754,000 |
|
8. Sickle Cell Service Demonstrations |
|
2,653,000
|
- |
-469,000 |
|
9. Unversal Newborn Hearing |
4 |
11,790,000
|
-4 |
-11,790,000 |
| 10.
Emergency Medical Services for Children
|
- |
19,454,000
|
- |
-19,454,000 |
| 11.
C.W. Bill Young Cell Transplantation Program
|
5 |
23,517,000
|
- |
-816,000 |
| 12.
Poison Control Centers |
3 |
26,528,000
|
- |
-16,528,000 |
| 13.
Rural Health Outreach Grants |
- |
48,031,000
|
- |
-48,031,000 |
| 14.
Rural & Community Access to Emergency Devises
|
2 |
1,461,000 |
-2 |
-1,461,000 |
| 15.
Rural Hospital Flexibility Grants |
- |
37,865,000
|
- |
-37,865,000 |
| 16.
Delta Health Initiative |
2 |
24,563,000
|
-2 |
-24,563,000 |
| 17.
Denali Project |
- |
38,597,000
|
- |
-38,597,000 |
| 18.
Public Health Improvement (Facilities and
Other Projects) |
8 |
304,475,000
|
-8 |
-304,475,000 |
|
Total Decreases |
-29 |
($1,073,354,000) |
| Net
Change Discretionary |
-26 |
($991,681,000) |
| Net
Change Mandatory |
|
$1,000,000
|
Budget Authority by Activity
(Dollars in thousands)
| |
2007
Actual |
2008
Enacted |
2009
Estimate |
| |
FTE
/ Amount |
FTE
/ Amount |
FTE
/ Amount |
| 1.
Primary Care: |
| Health
Centers |
19
|
$1,943,484 |
20
|
$
2,021,737 |
20
|
$
2,047,737 |
| Health
Center Tort Claims |
- |
44,555 |
- |
43,285 |
- |
44,055 |
| Total,
Health Centers |
19 |
1,988,039 |
20
|
2,065,022 |
20
|
2,091,792 |
| Free
Clinics Medical Malpractice |
2 |
41 |
2
|
40
|
2
|
40 |
| Hansen's
Disease Center |
83
|
15,972
|
83
|
15,693
|
83
|
16,109
|
| Payment
to Hawaii |
- |
1,996 |
- |
1,961 |
- |
1,976 |
| Buildings
and Facilities |
- |
220 |
- |
157 |
- |
100 |
|
Subtotal, Primary Care |
104
|
2,006,268
|
105
|
2,082,873
|
105
|
2,110,017
|
| 2.
Clinican Recruitment and Service: |
| National
Health Service Corps Field |
138 |
40,443 |
140
|
39,736 |
140
|
25,729
|
| National
Health Service Corps Recruitment |
- |
85,230 |
- |
83,741 |
|
95,230 |
|
Subtotal, National Health Service Corps
|
138
|
125,673 |
140
|
123,477
|
140 |
120,959 |
| Loan
Repayment and Scholarship Program |
- |
31,055 |
- |
30,512 |
- |
43,744 |
| Loan
Repayment/Faculty Fellowships |
- |
1,289 |
- |
|
- |
- |
| Subtotal,
Clinician Recruitment and Support |
138
|
158,017 |
140
|
155,255
|
140 |
164,703 |
| 3.
Health Professions: |
| Health
Professions Training for Diversity: |
|
Centers of Excellence |
- |
11,880
|
- |
12,773 |
- |
- |
| Scholarships
for Disadvantaged Students |
- |
46,657 |
- |
45,842 |
- |
- |
| Health
Careers Opportunity Program |
- |
3,960
|
- |
9,825 |
- |
- |
| Subtotal,
Health Professions Training for Diversity |
- |
62,497 |
- |
68,440 |
- |
- |
| Training
in Primary Care Medicine and Dentistry |
- |
48,851 |
- |
47,998 |
- |
- |
Budget
Authority by Activity
(Dollars in thousands)
| |
2007
Actual |
2008
Enacted |
2009
Estimate |
| |
FTE
/ Amount |
FTE
/ Amount |
FTE/
Amount |
| Interdisciplinary,
Community-Based Linkages: |
|
Area Health Education Centers |
- |
28,681
|
- |
28,180 |
- |
- |
| Geriatric
Programs |
- |
31,548
|
2
|
30,997
|
- |
- |
| Allied
Health and Other Disciplines |
- |
3,960 |
- |
8,803 |
- |
- |
| Subtotal,
Interdisciplinary, Community-Based Linkages |
- |
64,189 |
2
|
67,980
|
- |
- |
| Public
Health Workforce Development: |
|
Public Health/Preventive Medicine; Dental
PH Programs |
- |
7,920
|
- |
8,273 |
- |
- |
| Subtotal,
Public Health Workforce Development |
- |
7,920 |
- |
8,273 |
- |
- |
| Nursing
Workforce Development: |
|
Advanced Education Nursing |
- |
57,061 |
- |
61,875 |
- |
- |
| Nursing
Workforce Diversity |
- |
16,107 |
- |
15,826 |
- |
16,107 |
|
Nurse Education, Practice and Retention |
- |
37,291 |
- |
36,640 |
- |
37,291 |
|
Nurse Faculty Loan Program |
- |
4,773 |
- |
7,860 |
- |
9,319 |
|
Comprehensive Geriatric Education |
- |
3,392 |
- |
3,333 |
- |
3,392 |
|
Subtotal, Nursing Workforce Development |
- |
118,624 |
- |
125,534 |
- |
66,109 |
| Patient
Navigator Outreach & Chronic Disease Prevention |
- |
- |
2
|
2,948
|
- |
- |
| Children's
Hospitals Graduate Medical Education Program |
8
|
297,009 |
9 |
301,646 |
- |
- |
| Subtotal,
Health Professions |
8
|
599,090
|
13
|
622,819 |
- |
66,109 |
Budget Authority by Activity
(Dollars in thousands)
| |
2007
Actual |
2008
Enacted
|
2009
Estimate |
| |
FTE
/ Amount |
FTE
/ Amount |
FTE
/ Amount |
| National
Practitioner Data Bank (User Fees) |
(20)
|
(16,200) |
(22)
|
(18,570) |
(30)
|
(18,900) |
|
Healthcare Integrity and Protection Data
Bank (User Fees) |
(6)
|
(3,825)
|
(6)
|
(3,758)
|
- |
- |
| 4.
Maternal & Child Health: |
| Maternal
and Child Health Block Grant |
- |
693,000 |
- |
666,155 |
- |
666,155 |
| Autism
and Other Developmental Disorders |
- |
- |
3 |
36,354 |
3
|
36,354 |
| Traumatic
Brain Injury |
- |
8,910
|
- |
8,754 |
- |
- |
| Sickle
Cell Service Demonstrations |
2
|
2,180
|
2
|
2,653
|
2 |
2,184 |
| Universal
Newborn Hearing |
3
|
9,804
|
4
|
11,790
|
- |
- |
| Emergency
Medical Services for Children |
- |
19,800 |
- |
19,454 |
- |
- |
| Healthy
Start |
- |
101,518 |
- |
99,744 |
- |
99,744 |
| Family
to Family Health Information Centers |
- |
3,000 |
- |
4,000 |
- |
5,000 |
|
Subtotal, Maternal and Child Health |
5 |
838,212
|
9
|
848,904 |
5
|
809,437 |
| 5.
HIV/AIDS: |
| Emergency
Relief - Part A |
- |
603,993 |
- |
627,149 |
- |
619,424 |
| Comprehensive
Care - Part B |
- |
1,195,500 |
- |
1,195,248 |
- |
1,209,487 |
|
AIDS Drug Assistance Program (Non-Add) |
- |
(789,546) |
- |
(808,500) |
- |
(814,546) |
| Early
Intervention - Part C |
28 |
193,721 |
30
|
198,754
|
30
|
198,754 |
| Children,
Youth, Women & Families - Part D |
- |
71,794 |
- |
73,690 |
- |
73,690 |
| Education
and Training Centers - Part F |
- |
34,701 |
- |
34,094 |
- |
28,700 |
| Dental
Services Part F |
- |
13,086 |
- |
12,857 |
- |
12,857 |
|
Subtotal, HIV/AIDS |
28 |
2,112,795 |
30
|
2,141,792
|
30
|
2,142,912
|
| SPNS
Evaluation Funding (Non-Add) |
- |
25,000 |
- |
25,000 |
- |
25,000 |
|
Total, HIV/AIDS Bureau |
28 |
2,137,795 |
30
|
2,166,792 |
30
|
2,167,912 |
Budget Authority by Activity
(Dollars in thousands)
|
2007
Actual |
2008
Enacted |
2009
Estimate |
| |
FTE
Amount |
FTE
Amount |
FTE
Amount |
| 6.
Healthcare Systems: |
| Organ
Transplantation - |
- |
23,049
|
- |
22,646 |
- |
23,049 |
| Cord
Blood Stem Cell Bank |
4 |
3,963 |
4
|
8,843 |
4
|
11,966
|
| C.W.
Bill Young Cell Transplantation Program
|
5 |
25,168 |
5
|
23,517
|
5
|
22,701
|
| Poison
Control Centers |
2 |
23,000 |
3
|
26,528
|
3 |
10,000 |
|
Subtotal, Healthcare Systems Bureau |
11 |
75,180 |
12
|
81,534
|
12
|
67,716
|
| 7.
Rural Health: |
| Rural
Health Policy Development |
- |
8,737 |
- |
8,584 |
- |
8,737 |
| Rural
Health Outreach Grants |
- |
38,885 |
- |
48,031 |
- |
- |
| Rural
& Community Access to Emergency Devices
|
2 |
1,487 |
2
|
1,461 |
- |
- |
| Rural
Hospital Flexibility Grants |
- |
63,538 |
- |
37,865 |
- |
- |
| Delta
Health Initiative |
- |
- |
2 |
24,563 |
- |
- |
| State
Offices of Rural Health |
- |
8,141
|
- |
7,999 |
- |
8,141 |
| Denali
Project |
- |
39,283
|
- |
38,597 |
- |
- |
| Radiogenic
Diseases |
2
|
1,919 |
2
|
1,884
|
2 |
1,904 |
| Black
Lung |
- |
5,891 |
- |
5,788 |
- |
5,886 |
|
Subtotal, Rural Health |
4
|
167,881 |
6
|
174,772 |
2
|
24,668 |
| 8.
Public Health Improvement (Facilities &
Other Projects |
- |
- |
8
|
304,475 |
- |
- |
| 9.
Parklawn Replacement |
- |
- |
- |
- |
- |
36,062 |
| 10.
Telehealth |
- |
6,819
|
- |
6,700 |
- |
6,819 |
| 11.
Program Management |
1,068
|
146,283 |
1,099
|
141,087 |
1,099
|
141,087
|
| 12.
Family Planning |
42 |
283,146 |
42
|
299,981 |
45
|
299,981 |
| Total
HRS Direct Discretionary Level |
- |
- |
1,464
|
6,856,192
|
1,438
|
5,864,511 |
| Total
HRS Mandatory Budget Level |
- |
$3,000
|
- |
($4,000) |
- |
($5,000) |
HEALTH
RESOURCES AND SERVICES ADMINISTRATION
Authorizing Legislation
HEALTH RESOURCES AND SERVICES ADMINISTRATION
Appropriations History Table
| |
Budget
Estimate
to Congress |
House
| Allowance |
Senate
Allowance |
Appropriation
|
|
2000 General Fund Appropriation:
|
| Base |
4,141,083,000
1/ |
4,204,395,000
/1 |
4,315,498,000
2/ |
4,584,721,000
2/ |
|
Advance |
|
|
|
|
| Supplementals |
|
|
|
5,672,000 |
Rescissions
(Government-Wide) |
|
|
|
-21,356,000 |
| Rescissions
(L/DHHS/E) |
|
|
|
-5,000 |
| Transfers
(Secretary's 1%) |
|
|
|
-902,000
|
| Subtotal |
4,141,083,000
|
4,204,395,000 |
4,315,498,000 |
4,568,130,000 |
| 2001
General Fund Appropriation: |
| Base |
4,681,337,000
2/ |
4,684,232,000
1/ |
4,592,424,000
2/ |
5,550,876,000
1/ |
| Advance |
|
30,000,000
3/ |
|
30,000,000
3/ |
| Supplementals |
|
|
|
|
| Rescissions
(Government-Wide).. |
|
|
|
-56,000 |
| Rescissions
(L/DHHS/E) |
|
|
|
-743,000 |
| Transfers |
|
20,000,000 |
|
20,000,000 |
| Transfers
(Secretary's 1%) |
|
|
|
4,812,000 |
| Subtotal |
4,681,337,000 |
4,734,232,000
|
4,592,424,000 |
5,604,889,000 |
| 2002
General Fund Appropriation: |
| Base |
4,982,578,000 |
5,681,480,000 |
5,488,828,000 |
6,118,021,000 |
| Advance |
|
|
30,000,000
4/ |
|
| Supplementals |
|
|
|
275,000,000 |
| Rescissions |
|
|
|
-1,905,000 |
| Rescissions
(L/DHHS/E) |
|
|
|
-687,000
|
| Transfers |
|
|
|
|
| Subtotal |
4,982,578,000
|
5,681,480,000
|
5,518,828,000 |
6,390,429,000
|
| 2003
General Fund Appropriation: |
| Base |
5,381,836,000
5/ |
5,825,497,000 2/ |
6,075,654,000
6/ |
5,926,630,000
7/ |
|
Advance |
|
|
|
|
| Supplementals |
|
|
|
|
Rescissions
(Government-Wide) |
|
|
|
-42,072,000 |
| Transfers |
|
|
|
|
| Subtotal |
5,381,836,000 |
5,825,497,000 |
6,075,654,000 |
5,884,558,000 |
| 2004
General Fund Appropriation: |
| Base |
5,665,996,000
8/ |
6,499,987,000
2/ |
6,175,645,000
2/ |
6,805,127,000 |
| Advance |
|
|
|
|
| Supplementals |
|
|
|
|
| Rescissions
(L/DHHS/E) |
|
|
|
-1,729,000 |
| Rescissions |
|
|
|
-39,547,000
|
| Secretary's
Transfers |
|
|
|
-29,500,000
|
| Subtotal |
5,665,996,000 |
6,499,987,000 |
6,175,645,000 |
6,734,351,000
|
| 2005
General Fund Appropriation: |
| Base |
6,022,833,000
|
6,305,333,000 |
6,941,280,000 |
6,858,624,000 |
| Advance |
|
|
|
|
| Supplementals |
|
|
|
|
Rescissions
(Government-Wide) |
|
|
|
-54,862,000
|
| Rescissions
(L/DHHS/E) |
|
|
|
-747,000
|
| Transfers |
|
|
|
|
| Subtotal |
6,022,833,000 |
6,305,333,000 |
6,941,280,000 |
6,803,015,000
|
| 2006
General Fund Appropriation: |
| Base |
5,966,144,000 |
6,443,437,000 |
7,374,952,000 |
6,629,661,000
|
| Advance |
|
|
|
|
| Supplementals |
|
|
|
|
| Hurricane
Rescissions |
|
|
|
3,989,000
|
Rescissions
(Government-Wide) |
|
|
|
-66,297,000
|
| Rescission,
CMS |
|
|
|
-4,509,000
|
| Subtotal |
5,966,144,000 |
6,443,437,000
|
7,374,952,000 |
6,562,844,000 |
| 2007
General Fund Appropriation: |
| Base |
6,308,855,000 |
7,095,617,000 |
7,012,559,000 |
6,390,691,000 |
| Mandatory
Authority |
|
|
|
3,000,000
9/ |
| Advance |
|
|
|
|
| Supplementals |
|
|
|
|
Rescissions
|
|
|
|
|
| Subtotal |
6,308,855,000 |
7,095,617,000 |
7,012,559,000 |
6,393,691,000 |
| 2008
General Fund Appropriation: |
| Base |
5,795,805,000 |
7,061,709,000 |
6,863,679,000 |
6,978,099,000 |
| Mandatory
Authority |
|
|
|
4,000,000
9/ |
| Advance |
|
|
|
|
| Supplementals |
|
|
|
|
Rescissions
(L/DHHS/E)
|
|
|
|
-121,907,000 |
| Transfers |
|
|
|
|
| Subtotal |
5,795,805,000
|
7,061,709,000
|
6,863,679,000 |
6,860,192,000 |
| 2009
10/ General Fund
Appropriation: |
| Base |
5,864,511,000 |
|
|
5,000,000
9/ |
| Mandatory
Authority |
|
|
|
|
| Advance |
|
|
|
|
| Supplementals |
|
|
|
|
Rescissions
of Unobligated Funds
|
|
|
|
-5,000,000
11/ |
| Transfers |
|
|
|
|
| Subtotal |
5,864,511,000 |
- |
- |
- |
1/
Excludes $50 million mandatory appropriation
for Abstinence Education; includes $25.4 million
appropriated outside of the Labor,
2/ Excludes $50 million mandatory appropriation
for Abstinence Education
3/ Available for obligation in FY 2002.
4/ Available for obligation in FY 2003.
5/ Excludes $50 million mandatory appropriation
for Abstinence Education, and $618,204,000 for
programs financed from PHSSEF.
6/ Excludes $50 million mandatory appropriation
for Abstinence Education, and $592,600,000 for
programs financed for PHSSEF.
7/ Excludes $50 million mandatory appropriation
for Abstinence Education, and $546,000,000 for
programs financed from PHSSEF.
8/ Excludes $50 milllion mandatory appropriation
for Abstinence Education, and $618,173,000 for
programs financed from PHSSEF.
9/ Family to Family Health Information Centers.
10/ Excludes HPSL/NSL recall in FY 2009.
11/ Health Centers Loan Guarantee rescission.Health
Centers
|
