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FY 2009 Budget Justification
PDF FY 2009 Budget Justification
(PDF – 2.69 MB)


The FY 2009 Congressional Justification is one of several documents that fulfill the Department of Health and Human Services’ (HHS’) performance planning and reporting requirements. HHS achieves full compliance with the Government Performance and Results Act of 1993 and Office of Management and Budget Circulars A-11 and A-136 through HHS agencies’ FY 2009 Congressional Justifications and Online Performance Appendices, the Agency Financial Report and the HHS Performance Highlights.

The Performance Highlights briefly summarizes key past and planned performance and financial information. The Agency Financial Report provides fiscal and high-level performance results. The FY 2009 Department’s Congressional Justifications fully integrate HHS’ FY 2007 Annual Performance Report and FY 2009 Annual Performance Plan into its various volumes. The Congressional Justifications are supplemented by the Online Performance Appendices. Where the Justifications focus on key performance measures and summarize program results, the Appendices provide performance information that is more detailed for all HHS measures.

Also see the Online Performance Appendix for the Health Resources and Services Administration.

Message from the Administrator

I am pleased to present the FY 2009 Congressional Justification for the Health Resources and Services Administration (HRSA). This budget request continues support for the Administration’s priority initiatives and reflects the goals and objectives in the Department’s Strategic Plan.

The FY 2009 budget request supports successful programs and reduces or eliminates programs that have failed to demonstrate success or are similar to other funded activities. The PART process continues to be a critical tool for evaluating program effectiveness and developing budget, programmatic, and legislative strategies.

The FY 2009 request also continues support for the President’s goal of placing health centers in high poverty areas. In FY 2008, the Health Center Program surpassed the President’s goal of increasing access to primary health care in 1,200 communities across the Nation. The President’s High Poverty Areas goal, which builds on the success of the Health Centers Initiative, will fund up to 40 new access point grants in high poverty areas without a Health Center site.

The justification fully integrates budget and performance information for each of the HRSA programs. Additional information on program performance can be found in the On-line Performance Appendix.

This budget request supports achievement of the Agency’s seven strategic goals, which are to:

  • Improve Access to Health Care
  • Improve Health Outcomes
  • Improve the Quality of Health Care
  • Eliminate Health Disparities
  • Improve the Public Health and Health Care Systems
  • Enhance the Ability of the Health Care System to Respond to Public Health Emergencies
  • Achieve Excellence in Management
These goals provide a vision of what we and our partners need to accomplish. Our performance metrics give us a consistent and effective way to gauge progress in achieving these goals and inform our ongoing efforts toward continued improvement.

Our FY 2009 budget request allows us to sustain important ongoing initiatives within today’s challenging budgetary environment.

Elizabeth M. Duke