|
|
 |
|
|
Radiation Exposure Screening and Education Program
| |
FY
2007 Actual |
FY
2008
Enacted |
FY
2009
Estimate |
FY
2009 +/-
FY 2008 |
| BA |
$1,919,000
|
$1,884,000
|
$1,904,000
|
+$20,000
|
| FTE |
2 |
2 |
2 |
--- |
Authorizing
Legislation - Section 417C of the Public Health Service
Act.
| FY
2009 Authorization |
Such
Sums as Necessary |
| Allocation
Method |
Competitive
Grants |
Program Description and Accomplishments
The Radiation Exposure Screening and Education Program
(RESEP), which began in 2002, provides grants to States,
local governments, and appropriate healthcare organizations
to support programs for individual cancer screening
for individuals adversely affected by the mining,
transport and processing of uranium and the testing
of nuclear weapons for the Nation’s weapons
arsenal. The RESEP grantees also help clients with
appropriate medical referrals, engage in public information
development and dissemination, and facilitate claims
documentation to aid individuals who may wish to apply
for support under the Radiation Exposure Compensation
Act.
The program measures the total number of individuals
screened at RESEP centers each year. The baseline
for this measure is 1,859 individuals screened in
FY 2004. The number of individuals screened in FY
2005 was 1,551, below the FY 2005 target of 2,045.
The reduction was driven primarily by changes in one
target population. The number of uranium miners served
by the program decreased. In some cases, in which
the population of former uranium mine workers is aging
rapidly, a cohort of potential patients has died.
In other cases, the population of former uranium mine
workers has diffused away from the original mine sites.
Given these demographic changes, the program has revised
it targets accordingly. In addition, the program is
devising new outreach strategies to identify where
this patient population has relocated and to make
them aware of available screening sites.
The program received a PART review in 2006 and was
rated as Ineffective. The review noted that the program
does not impose specific and uniform guidelines regarding
screening and that there is no evidence that the program
reaches the maximum number of beneficiaries of the
beneficiaries who are at the greatest risk. As a result
of this review, the program has undertaken the following
actions: (1) taken steps to ensure that grantees comply
with the Agency for Healthcare Research and Quality’s
Preventative Task Force Screening Guidelines; (2)
partnering with the Department of Justice to collect
data in support of newly developed long-term performance
measures.
Funding includes costs associated with grant reviews,
processing of grants through the Grants Administration
Tracking and Evaluation System (GATES) and HRSA’s
electronic handbook, and follow-up performance reviews.
Funding History
| FY
2004 |
$1,974,000
|
| FY
2005 |
$1,958,000
|
| FY
2006 |
$1,916,000 |
| FY
2007 |
$1,919,000 |
| FY
2008 |
$1,884,000 |
Budget
Request
The FY 2009 Request of $1,904,000 is an increase of
$20,000 over the FY 2008 Enacted level. This will
continue support for the Radiation Exposure Screening
and Education Program (RESEP) program and authorized
program activities. The President’s Budget will
support increased outreach to former mineworkers to
increase the number of screenings in the program,
in keeping with findings from the program’s
recent PART review. The 2009 target has been revised
to 1,800 individuals screened.
See
Table
|
