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"-8- "-3338- 333$ "-zKKK8- "- KKKKKK$ 8- $ "-bi- "- :$  - "$ "-PW- "- $    -$ "-#~#```8- "- ``````Z$D=B>>@=A;B9C5E3F1F-H+I)I%K#K!LLMNNOOP PPPQQQQQPPPPOONNMLLKJIIHFFECBA@>=<9874320-,+(&%!    !%'(,-/0457:;<?ABCFGHKLMOPQRTUUWXXYZ[[\]]^^____`````__ __^^]]\[![#Z%Z)X+X-W1U3U5T9R;Q=P>OBMDLD=- $WD=B>>@=A;B9C5E3F1F-H+I)I%K#K!LLMNNOOP PPPQQQQQPPPPOONNMLLKJIIHFFECBA@>=<9874320-,+(&%!   D= "-OVZ--'-- gTimes New Roman4------"Systemn-'--- K]  02 `President's Budget for HHS       2 +FY 2002 ----'--- g---'--- gSmall Fontsl- - - - - ---'- -- Q3  2 5TANF 2 93.7%- ---'- -- g- - - - - ---'- -- c *2 Children's Entitlement 2 Programs 2 +3.4%- ---'- -- g- - - - - ---'- -- {~+ "2 -Immediate Helping  2 HHand 2 J2.4%- ---'- -- g- - - - - ---'- -- Z 2 \Discretionary 2 hPrograms2 t11.1%- ---'- -- g- - - - - ---'- -- 7" 2 EOther "2 $Mandatory Programs  2 )G0.5%- ---'- -- g- - - - ---'- -- vt 2 xvMedicare 2 ~48.5%- ---'- -- g- - - - ---'- -- P4l 2 6nMedicaid 2 Bu30.4%- ---'- -- g---'- -- g--' g '  'ZZZZZ'dxdmlYC<<CLevel 1Level 2Level 3Level 4Level 5($$   1  dd(d*OLE*WPCP P !P +    ' """)))UUUMMMBBB999|PP3f333f3333f3ffffff3f̙3ff333f333333333f33333333f33f3ff3f3f3f3333f33̙33333f333333f3333f3ffffff3f33ff3f3f3f3fff3ffffffffff3ffff̙fff3fffff3fff333f3f3ff3ff33f̙̙3̙ff̙̙̙3f̙3f333f3333f3ffffff3f̙3f3f3f333f3333f3ffffff3f̙3f3ffffffffff!___www45'  ' ' Times New Roman0-Times New Roman4--"Systemn-'- "$-------- 2 2000 -2 Actual - !$ -----'- "_%-------- 2 A2001 -2 3Enacted- !* 3-----'- "`-------- 2 |2002 -2 lRequest - !, l-----'- "------ 2 Request -2 +/-2001- !+ -----'- "------ 2 Request -2 +/-2000- !+ ---'- Times New Roman4- 02 5Food & Drug Administration:    R`2 F ;Program Level.............................................. 2 F 2 F$1,2142 F<$1,2912 Fw$1,414R2 F+$123R2 F+$200c[2 W 8Budget Authority........................................ 2 W 2 W1,0502 WB1,1202 W}1,211c 2 W+91c 2 W+161tg2 h @Outlays......................................................... 2 h 2 h1,0232 hB1,0972 h}1,173t 2 h+76t 2 h+150H2 +Health Resources & Services Administration:    X2 6Budget Authority /1................................... 2  2 4,7952 B6,3402 }5,1942 -1,146 2 +399g2 @Outlays......................................................... 2  2 4,3792 B5,2472 }5,510 2 +2632 +1,131(2 Indian Health Service: [2 8Budget Authority........................................ 2  2 2,4212 B2,7292 }2,807 2 +78 2 +386g2 @Outlays......................................................... 2  2 2,3742 B2,5232 }2,828 2 +305 2 +454E2 )Centers for Disease Control & Prevention:  /[2 # 8Budget Authority........................................ 2 # 2 #3,2682 #B4,1382 #}3,964/ 2 #-174/ 2 #+696@g2 4 @Outlays......................................................... 2 4 2 42,8172 4B3,3822 4}3,729@ 2 4+347@ 2 4+91242 VNational Institutes of Health:  s[2 g 8Budget Authority........................................ 2 g 2 g17,8942 g<20,4542 gw23,205s2 g+2,751s2 g+5,311g2 x @Outlays......................................................... 2 x 2 x15,4722 x<17,8362 xw20,6642 x+2,8282 x+5,192E2 )Substance Abuse & Mental Health Services:    [2  8Budget Authority........................................ 2  2 2,6512 B2,9572 }3,029 2 +72 2 +378g2  @Outlays......................................................... 2  2 2,4992 B2,6662 }2,882 2 +216 2 +383E2 )Agency for Healthcare Research & Quality:    `2  ;Program Level.............................................. 2  2 204 2 K270 2 306 2 +36 2 +102 [2  8Budget Authority........................................ 2  2 115 2 K105 2 0  2 -105  2 -115g2  @Outlays......................................................... 2  2 56 2 K108 2 91 2 -17 2 +35?2 3%Health Care Financing Administration:   P[2 D 8Budget Authority........................................ 2 D 2 D322,4592 D6354,4852 Dq386,527P2 D+32,042P2 D+64,068ag2 U @Outlays......................................................... 2 U 2 U316,0072 U6354,5202 Uq386,751a2 U+32,231a2 U+70,7442 ub1/ FY 2001 includes a one-time $580 million payment to the Ricky Ray Hemophilia Relief Trust Fund.      45 -'WPWin 6.0/OLE 1.0 Prefix Information Marker METAFILEPICT7W+7B    ' """)))UUUMMMBBB999|PP3f333f3333f3ffffff3f̙3ff333f333333333f33333333f33f3ff3f3f3f3333f33̙33333f333333f3333f3ffffff3f33ff3f3f3f3fff3ffffffffff3ffff̙fff3fffff3fff333f3f3ff3ff33f̙̙3̙ff̙̙̙3f̙3f333f3333f3ffffff3f̙3f3f3f333f3333f3ffffff3f̙3f3ffffffffff!___www45'  ' ' Times New Roman0-Times New Roman4--"Systemn-'- "$-------- 2 2000 -2 Actual - !$ -----'- "_%-------- 2 A2001 -2 3Enacted- !* 3-----'- "`-------- 2 |2002 -2 lRequest - !, l-----'- "------ 2 Request -2 +/-2001- !+ -----'- "------ 2 Request -2 +/-2000- !+ ---'- Times New Roman4- 02 5Food & Drug Administration:    R`2 F ;Program Level.............................................. 2 F 2 F$1,2142 F<$1,2912 Fw$1,414R2 F+$123R2 F+$200c[2 W 8Budget Authority........................................ 2 W 2 W1,0502 WB1,1202 W}1,211c 2 W+91c 2 W+161tg2 h @Outlays......................................................... 2 h 2 h1,0232 hB1,0972 h}1,173t 2 h+76t 2 h+150H2 +Health Resources & Services Administration:    X2 6Budget Authority /1................................... 2  2 4,7952 B6,3402 }5,1942 -1,146 2 +399g2 @Outlays......................................................... 2  2 4,3792 B5,2472 }5,510 2 +2632 +1,131(2 Indian Health Service: [2 8Budget Authority........................................ 2  2 2,4212 B2,7292 }2,807 2 +78 2 +386g2 @Outlays......................................................... 2  2 2,3742 B2,5232 }2,828 2 +305 2 +454E2 )Centers for Disease Control & Prevention:  /[2 # 8Budget Authority........................................ 2 # 2 #3,2682 #B4,1382 #}3,964/ 2 #-174/ 2 #+696@g2 4 @Outlays......................................................... 2 4 2 42,8172 4B3,3822 4}3,729@ 2 4+347@ 2 4+91242 VNational Institutes of Health:  s[2 g 8Budget Authority........................................ 2 g 2 g17,8942 g<20,4542 gw23,205s2 g+2,751s2 g+5,311g2 x @Outlays......................................................... 2 x 2 x15,4722 x<17,8362 xw20,6642 x+2,8282 x+5,192E2 )Substance Abuse & Mental Health Services:    [2  8Budget Authority........................................ 2  2 2,6512 B2,9572 }3,029 2 +72 2 +378g2  @Outlays......................................................... 2  2 2,4992 B2,6662 }2,882 2 +216 2 +383E2 )Agency for Healthcare Research & Quality:    `2  ;Program Level.............................................. 2  2 204 2 K270 2 306 2 +36 2 +102 [2  8Budget Authority........................................ 2  2 115 2 K105 2 0  2 -105  2 -115g2  @Outlays......................................................... 2  2 56 2 K108 2 91 2 -17 2 +35?2 3%Health Care Financing Administration:   P[2 D 8Budget Authority........................................ 2 D 2 D322,4592 D6354,4852 Dq386,527P2 D+32,042P2 D+64,068ag2 U @Outlays......................................................... 2 U 2 U316,0072 U6354,5202 Uq386,751a2 U+32,231a2 U+70,7442 ub1/ FY 2001 includes a one-time $580 million payment to the Ricky Ray Hemophilia Relief Trust Fund.      45 -' "6HLPASMB User% V FN&XBXXXXBXXXB-X,XX-  _Excelspreadsheetwillgointhisposition.ToimportthesheetintoWordPerfect,OpenExcelandcopytheappropriaterange.SwitchbacktoWordPerfect.Usethe_HHS_Ԁ_ToolBar_ԀorKeystrokestoruntheLargeTable(CTRLALTL)orSmallTable(CTRLALTS)macrotoautomaticallypastetheclipboard_contentsat_Ԁthecorrectpositioninthisdocument2d*OLE*WPC!$ S   !' """)))UUUMMMBBB999|PP3f333f3333f3ffffff3f̙3ff333f333333333f33333333f33f3ff3f3f3f3333f33̙33333f333333f3333f3ffffff3f33ff3f3f3f3fff3ffffffffff3ffff̙fff3fffff3fff333f3f3ff3ff33f̙̙3̙ff̙̙̙3f̙3f333f3333f3ffffff3f̙3f3f3f333f3333f3ffffff3f̙3f3ffffffffff!___www45'  ' !' !Times New Roman v-Times New Roman4--"Systemn-'- "$-------- 2 2000 -2 Actual - !$ -----'- "_%-------- 2 A2001 -2 3Enacted- !* 3-----'- "`-------- 2 |2002 -2 lRequest - !, l-----'- "------ 2 Request -2 +/-2001- !+ -----'- "------ 2 Request -2 +/-2000- !+ ---'- !Times New Roman- B2 5'Administration for Children & Families:    R[2 F 8Budget Authority........................................ 2 F 2 F36,9812 F<43,1492 Fw45,787R2 F+2,638R2 F+8,806cg2 W @Outlays......................................................... 2 W 2 W37,4182 W<42,3382 Ww43,870c2 W+1,532c2 W+6,452+2 yAdministration on Aging:   [2 8Budget Authority........................................ 2  2 9332 B1,1032 }1,098 2 -5 2 +165g2 @Outlays......................................................... 2  2 8852 B1,0172 }1,086 2 +69 2 +201?2 %Departmental Management/Civil Rights:    [2 8Budget Authority........................................ 2  2 514 2 K401 2 456 2 +55 2 -58g2 @Outlays......................................................... 2  2 426 2 K352 2 619 2 +267 2 +19312 Office of Inspector General: [2  8Budget Authority........................................ 2  2 151 2 K164 2 186 2 +22 2 +35/g2 # @Outlays......................................................... 2 # 2 #156 2 #K154 2 #186/ 2 #+32/ 2 #+30*2 EProgram Support Center: b[2 V 8Budget Authority........................................ 2 V 2 V287 2 VK291 2 V313b 2 V+22b 2 V+26sg2 g @Outlays......................................................... 2 g 2 g181 2 gK290 2 g308s 2 g+18s 2 g+127'2 Proprietary Receipts:[2  8Budget Authority........................................ 2  2  -9552 >-1,075 2 -921 2 +154 2 +34g2  @Outlays......................................................... 2  2  -9552 >-1,075 2 -921 2 +154 2 +3462 Total, Health & Human Services:    [2  8Budget Authority........................................ 2  2 $392,5642 0$436,3612 k$472,8562 +$36,4952 +$80,292g2  @Outlays......................................................... 2  2 $382,7382 0$430,4552 k$468,7762 +$38,3212 +$86,038X2  6Full-Time Equivalents................................. 2  2 60,5222 <63,5392 w64,9882 +1,4492 +4,466'WPWin 6.0/OLE 1.0 Prefix Information Marker METAFILEPICT7$7S8 S   !' """)))UUUMMMBBB999|PP3f333f3333f3ffffff3f̙3ff333f333333333f33333333f33f3ff3f3f3f3333f33̙33333f333333f3333f3ffffff3f33ff3f3f3f3fff3ffffffffff3ffff̙fff3fffff3fff333f3f3ff3ff33f̙̙3̙ff̙̙̙3f̙3f333f3333f3ffffff3f̙3f3f3f333f3333f3ffffff3f̙3f3ffffffffff!___www45'  ' !' !Times New Roman v-Times New Roman4--"Systemn-'- "$-------- 2 2000 -2 Actual - !$ -----'- "_%-------- 2 A2001 -2 3Enacted- !* 3-----'- "`-------- 2 |2002 -2 lRequest - !, l-----'- "------ 2 Request -2 +/-2001- !+ -----'- "------ 2 Request -2 +/-2000- !+ ---'- !Times New Roman- B2 5'Administration for Children & Families:    R[2 F 8Budget Authority........................................ 2 F 2 F36,9812 F<43,1492 Fw45,787R2 F+2,638R2 F+8,806cg2 W @Outlays......................................................... 2 W 2 W37,4182 W<42,3382 Ww43,870c2 W+1,532c2 W+6,452+2 yAdministration on Aging:   [2 8Budget Authority........................................ 2  2 9332 B1,1032 }1,098 2 -5 2 +165g2 @Outlays......................................................... 2  2 8852 B1,0172 }1,086 2 +69 2 +201?2 %Departmental Management/Civil Rights:    [2 8Budget Authority........................................ 2  2 514 2 K401 2 456 2 +55 2 -58g2 @Outlays......................................................... 2  2 426 2 K352 2 619 2 +267 2 +19312 Office of Inspector General: [2  8Budget Authority........................................ 2  2 151 2 K164 2 186 2 +22 2 +35/g2 # @Outlays......................................................... 2 # 2 #156 2 #K154 2 #186/ 2 #+32/ 2 #+30*2 EProgram Support Center: b[2 V 8Budget Authority........................................ 2 V 2 V287 2 VK291 2 V313b 2 V+22b 2 V+26sg2 g @Outlays......................................................... 2 g 2 g181 2 gK290 2 g308s 2 g+18s 2 g+127'2 Proprietary Receipts:[2  8Budget Authority........................................ 2  2  -9552 >-1,075 2 -921 2 +154 2 +34g2  @Outlays......................................................... 2  2  -9552 >-1,075 2 -921 2 +154 2 +3462 Total, Health & Human Services:    [2  8Budget Authority........................................ 2  2 $392,5642 0$436,3612 k$472,8562 +$36,4952 +$80,292g2  @Outlays......................................................... 2  2 $382,7382 0$430,4552 k$468,7762 +$38,3212 +$86,038X2  6Full-Time Equivalents................................. 2  2 60,5222 <63,5392 w64,9882 +1,4492 +4,466' &HLPASMB User V FN&XBXXXXBXXXB-X,XX-  _Excelspreadsheetwillgointhisposition.ToimportthesheetintoWordPerfect,OpenExcelandcopytheappropriaterange.SwitchbacktoWordPerfect.Usethe_HHS_Ԁ_ToolBar_ԀorKeystrokestoruntheLargeTable(CTRLALTL)orSmallTable(CTRLALTS)macrotoautomaticallypastetheclipboard_contentsat_Ԁthecorrectpositioninthisdocument-------- 2 b2001 -2 MEnacted - !5%M------'-- &-------- 2 2002 -2 Request - !7%------'-- &$------- 2 Request -2  +/-Enacted  - !G%----'-- s%Times New Roman4-J R2 =2Program Level.....................................   2 = J62 =$1,214J}2 =W$1,291J2 =$1,414J2 =+$123nZ2 a7FTE.................................................... 2 a n62 a8,917n}2 a^9,219n2 a9,611n 2 a+392--4'WPWin 6.0/OLE 1.0 Prefix Information Marker METAFILEPICT8z 8  9Z   s%''  ' s%' s%-   !9%& !^ !%rTimes New Roman-Times New Roman4---"Systemn-'-- &=--------  2 2000 -2 Actual - !*%------'-- &>-------- 2 b2001 -2 MEnacted - !5%M------'-- &-------- 2 2002 -2 Request - !7%------'-- &$------- 2 Request -2  +/-Enacted  - !G%----'-- s%Times New Roman4-J R2 =2Program Level.....................................   2 = J62 =$1,214J}2 =W$1,291J2 =$1,414J2 =+$123nZ2 a7FTE.................................................... 2 a n62 a8,917n}2 a^9,219n2 a9,611n 2 a+392--4'  FN&XBXXXXBXXXB-X,XX-  _Excelspreadsheetwillgointhisposition.ToimportthesheetintoWordPerfect,OpenExcelandcopytheappropriaterange.SwitchbacktoWordPerfect.UsetheHHSToolBarorKeystrokestoruntheLargeTable(CTRLALTL)orSmallTable(CTRLALTS)macrotoautomaticallypastetheclipboardcontentsatthecorrectpositioninthisdocument i mN"XBXXXXBXXXB-X,XX-  _X XXXBPreventingthe  spreadofmadcowdisease:FDAwillinspectall9,500U.S.feedmillstoensurethatqualityassurancepracticesareinplaceandbeingfollowed.  mN"XBXXXXBXXXB-X,XX-  _X XXXBIncreasedfunds  willallowFDAtofollowupon100percentofcomplaintsconcerningclinicaltrialswithin30days. XX Ѐπ#XBX XX#ԀX XXXB#XBX XX#Ԁ  ЀπππX XXXB*OLE*WPC\\!\4    w''  ' w' wTimes New Roman,- 2 eActual 2  Estimates 2 `FY 19992  FY 2001-2002 2 0 Mammograms   2 0b141,2162 0170,0002 A Pap Tests2 Ab944,4832 A 1 million 2 R Immunizations 2 R] 1,795,2112 R 2 million 2 c HIV Tests 2 cb270,9012 c300,000"Systemn-'- w-  "-TwT "- !wT-w- !v-w- !v-*w- !M*-U- !U-**- !*-vv- !v--'- w'WPWin 6.0/OLE 1.0 Prefix Information Marker7 METAFILEPICT*:*L     w''  ' w' wTimes New Roman,- 2 eActual 2  Estimates 2 `FY 19992  FY 2001-2002 2 0 Mammograms   2 0b141,2162 0170,0002 A Pap Tests2 Ab944,4832 A 1 million 2 R Immunizations 2 R] 1,795,2112 R 2 million 2 c HIV Tests 2 cb270,9012 c300,000"Systemn-'- w-  "-TwT "- !wT-w- !v-w- !v-*w- !M*-U- !U-**- !*-vv- !v--'- w'*OLE*WPC  ! " r4   W''  ' W' W-   !)6 !)(Times New Roman-Times New Romany---"Systemn-'-- "o)--------  2 Q2000 -2 IActual - !$ I------'-- "p-------- 2 2001 -2 Enacted- !* ------'-- "-------- 2 2002 -2 Request - !, ------'-- "V-------- "2 (Request -2  +/-Enacted- !9 ----'-- WTimes New RomanQ- 2 :&32 : WFoods..................................................................................Fi 2 :Q$280F 2 :$285F 2 :$319FP 2 :7+$342 N&32 N XDrugs...................................................................................Zi 2 NW313Z 2 N317Z 2 N348ZP 2 N=+312 b&22 b VBiologics.............................................................................ni 2 bW138n 2 b140n 2 b155nP 2 b=+152 v&+2 v HAnimal Drugs and Feeds..................................................i 2 v]50 2 v64 2 v82P 2 v=+182 &/2 OMedical Devices................................................................i 2 W172 2 180 2 198P 2 =+182 &%2 <National Center for Toxicological Research..................i 2 ]36 2 35 2 37P 2 C+22 &22 UTobacco..............................................................................i 2 c6 2 0 2 0P 2 J02 &02 QOther Activities.................................................................i 2 ]78 2 79 2 95P 2 =+162 &'2 @Other Rent & Rent Related Activities............................Times New Roman-i 2 ]32- ! ]- 2 26- ! - 2 32- ! -P 2 C+6- ! C--2 &12 TSubtotal............................................................................i2 C$1,1052 $1,1262 $1,266P2 -+$140-2 &,2  JGSA Rental Payments.......................................................i 2 ]93 2 105 2 105P 2 J02 ,&-2 , LBuildings and Facilities....................................................8i 2 ,]118 2 ,318 2 ,348P 2 ,C+32 @&/2 @ PCertification Fund..............................................................Li 2 @c4L 2 @5L 2 @5LP 2 @J02 T&/2 T PExport Certification............................................................-`i 2 Tc1- !ac-` 2 T1- !a-` 2 T1- !a-`P 2 TJ0- !aJ--2 k&*2 kFSubtotal, Program Level ..............................................wi2 kC$1,214w2 k$1,268w2 k$1,411wP2 k-+$143-2 &%2  ;Drug Re-importation (contingent funding)...................-i 2 c0- !c- 2 23- ! - 2 3- !-P 2 @-20- !@--2 &+2 HTotal Program Level.....................................................i2 C$1,2142 $1,2912 $1,414P2 -+$123-2 Less User Fees: 2  Current Law: 2 &$2  :Prescription Drug User Fee Act (PDUFA)....................i 2 W145 2 149 2 161P 2 =+122 & 2  2Mammography Quality Standards Act (MQSA)..........i 2 ]15 2 15 2 16P 2 C+12 &/2  PCertification Fund..............................................................i 2 c4 2 5 2 5P 2 J02 &/2  PExport Certification............................................................(i 2 c1( 2 1( 2 1(P 2 J02 0 Proposed Law: 2 B&32 B WFoods..................................................................................Ni 2 Bc0N 2 B0N 2 B5NP 2 BC+52 S&32 S WImports................................................................................-_i 2 Sc0- !`c-_ 2 S0- !`-_ 2 S15- ! `-_P 2 S=+15- !`=--2 k&-2 kKSubtotal, User Fees........................................................wi 2 kM$165w 2 k$170w 2 k$203wP 2 k4+$332 &+2 GTotal, Budget Authority................................................i2 C$1,0492 $1,1202 $1,211P 2 4+$91-2 &42  YFTE......................................................................................i2 N8,9172 9,2192 9,611P 2 7+392--4'WPWin 6.0/OLE 1.0 Prefix Information Marker METAFILEPICT=K"=G r4   W''  ' W' W-   !)6 !)(Times New Roman-Times New Romany---"Systemn-'-- "o)--------  2 Q2000 -2 IActual - !$ I------'-- "p-------- 2 2001 -2 Enacted- !* ------'-- "-------- 2 2002 -2 Request - !, ------'-- "V-------- "2 (Request -2  +/-Enacted- !9 ----'-- WTimes New RomanQ- 2 :&32 : WFoods..................................................................................Fi 2 :Q$280F 2 :$285F 2 :$319FP 2 :7+$342 N&32 N XDrugs...................................................................................Zi 2 NW313Z 2 N317Z 2 N348ZP 2 N=+312 b&22 b VBiologics.............................................................................ni 2 bW138n 2 b140n 2 b155nP 2 b=+152 v&+2 v HAnimal Drugs and Feeds..................................................i 2 v]50 2 v64 2 v82P 2 v=+182 &/2 OMedical Devices................................................................i 2 W172 2 180 2 198P 2 =+182 &%2 <National Center for Toxicological Research..................i 2 ]36 2 35 2 37P 2 C+22 &22 UTobacco..............................................................................i 2 c6 2 0 2 0P 2 J02 &02 QOther Activities.................................................................i 2 ]78 2 79 2 95P 2 =+162 &'2 @Other Rent & Rent Related Activities............................Times New Roman-i 2 ]32- ! ]- 2 26- ! - 2 32- ! -P 2 C+6- ! C--2 &12 TSubtotal............................................................................i2 C$1,1052 $1,1262 $1,266P2 -+$140-2 &,2  JGSA Rental Payments.......................................................i 2 ]93 2 105 2 105P 2 J02 ,&-2 , LBuildings and Facilities....................................................8i 2 ,]118 2 ,318 2 ,348P 2 ,C+32 @&/2 @ PCertification Fund..............................................................Li 2 @c4L 2 @5L 2 @5LP 2 @J02 T&/2 T PExport Certification............................................................-`i 2 Tc1- !ac-` 2 T1- !a-` 2 T1- !a-`P 2 TJ0- !aJ--2 k&*2 kFSubtotal, Program Level ..............................................wi2 kC$1,214w2 k$1,268w2 k$1,411wP2 k-+$143-2 &%2  ;Drug Re-importation (contingent funding)...................-i 2 c0- !c- 2 23- ! - 2 3- !-P 2 @-20- !@--2 &+2 HTotal Program Level.....................................................i2 C$1,2142 $1,2912 $1,414P2 -+$123-2 Less User Fees: 2  Current Law: 2 &$2  :Prescription Drug User Fee Act (PDUFA)....................i 2 W145 2 149 2 161P 2 =+122 & 2  2Mammography Quality Standards Act (MQSA)..........i 2 ]15 2 15 2 16P 2 C+12 &/2  PCertification Fund..............................................................i 2 c4 2 5 2 5P 2 J02 &/2  PExport Certification............................................................(i 2 c1( 2 1( 2 1(P 2 J02 0 Proposed Law: 2 B&32 B WFoods..................................................................................Ni 2 Bc0N 2 B0N 2 B5NP 2 BC+52 S&32 S WImports................................................................................-_i 2 Sc0- !`c-_ 2 S0- !`-_ 2 S15- ! `-_P 2 S=+15- !`=--2 k&-2 kKSubtotal, User Fees........................................................wi 2 kM$165w 2 k$170w 2 k$203wP 2 k4+$332 &+2 GTotal, Budget Authority................................................i2 C$1,0492 $1,1202 $1,211P 2 4+$91-2 &42  YFTE......................................................................................i2 N8,9172 9,2192 9,611P 2 7+392--4' V FN&XBXXXXBXXXB-X,XX-  _Excelspreadsheetwillgointhisposition.ToimportthesheetintoWordPerfect,OpenExcelandcopytheappropriaterange.SwitchbacktoWordPerfect.Usethe_HHS_Ԁ_ToolBar_ԀorKeystrokestoruntheLargeTable(CTRLALTL)orSmallTable(CTRLALTS)macrotoautomaticallypastetheclipboard_contentsat_Ԁthecorrectpositioninthisdocument V FN&XBXXXXBXXXB-X,XX-  _Excelspreadsheetwillgointhisposition.ToimportthesheetintoWordPerfect,OpenExcelandcopytheappropriaterange.SwitchbacktoWordPerfect.Usethe_HHS_Ԁ_ToolBar_ԀorKeystrokestoruntheLargeTable(CTRLALTL)orSmallTable(CTRLALTS)macrotoautomaticallypastetheclipboard_contentsat_Ԁthecorrectpositioninthisdocument*OLE*WPC!  L[   '''  ' '' 'Times New Roman4-Times New Roman--"Systemn-'- &?-------- 2 2000 -2 Actual - !*%-----'- &@-------- 2 d2001 -2 OEnacted - !5%O-----'- &-------- 2 2002 -2 Request - !7%-----'- &&------- 2 Request -2  +/-Enacted  - !G%---'- 'Times New Roman-J R2 =2Program Level.....................................   2 = J82 =$4,717J2 =Y$6,227J2 =$5,094J2 =-$1,133^H2 Q+Discretionary Budget Authority.............   2 Q ^82 Q$4,575^2 QY$5,576^2 Q$5,019^2 Q-$557[2 y8FTE..................................................... 2 y 82 y2,0542 y`2,2682 y2,244 2 y -24'WPWin 6.0/OLE 1.0 Prefix Information Marker METAFILEPICT8 8] L[   '''  ' '' 'Times New Roman4-Times New Roman--"Systemn-'- &?-------- 2 2000 -2 Actual - !*%-----'- &@-------- 2 d2001 -2 OEnacted - !5%O-----'- &-------- 2 2002 -2 Request - !7%-----'- &&------- 2 Request -2  +/-Enacted  - !G%---'- 'Times New Roman-J R2 =2Program Level.....................................   2 = J82 =$4,717J2 =Y$6,227J2 =$5,094J2 =-$1,133^H2 Q+Discretionary Budget Authority.............   2 Q ^82 Q$4,575^2 QY$5,576^2 Q$5,019^2 Q-$557[2 y8FTE..................................................... 2 y 82 y2,0542 y`2,2682 y2,244 2 y -24' r mN"XBXXXXBXXXB-X,XX-  _X XXXBAdditional  $124millionforCommunityandMigrantHealthCenterswillexpandthedeliveryofprimaryhealthcareservicestouptoanadditionalonemillionindividuals.*OLE*WPC@@>>>>!>> Q -    ''  '   "--  ! "--'--  - $--------'-- --'-- ---'--  - "-3f8- 3f $---$-vv--v$-VVf-f-V$-7{7{F-F-7$-YY'-'---'-- 3f---'-- 3f  "-- Small Fonts0---WW----"Systemn-'--- 3f -----'--- 3f  2 34,090---'---  -----'--- u 2 w32,404---'---  -----'--- fV 2 X30,538---'---  -----'--- F6} 2 828,715---'---  -----'--- &}[ 2 ]27,073---'---  ---'---   2 25,0002 H27,0002 r29,0002 31,0002 33,0002 35,000---'---  ---'---    2 2002 2 x2001 2 X2000 2 81999 2 1998---'---  ---'---  -- -4Times New Roman--- "-i---- -l-- 2 mNumber of Grants  '  -- -'   '  'WPWin 6.0/OLE 1.0 Prefix Information Marker: METAFILEPICT Q -    ''  '   "--  ! "--'--  - $--------'-- --'-- ---'--  - "-3f8- 3f $---$-vv--v$-VVf-f-V$-7{7{F-F-7$-YY'-'---'-- 3f---'-- 3f  "-- Small Fonts0---WW----"Systemn-'--- 3f -----'--- 3f  2 34,090---'---  -----'--- u 2 w32,404---'---  -----'--- fV 2 X30,538---'---  -----'--- F6} 2 828,715---'---  -----'--- &}[ 2 ]27,073---'---  ---'---   2 25,0002 H27,0002 r29,0002 31,0002 33,0002 35,000---'---  ---'---    2 2002 2 x2001 2 X2000 2 81999 2 1998---'---  ---'---  -- -4Times New Roman--- "-i---- -l-- 2 mNumber of Grants  '  -- -'   '  '  mN"XBXXXXBXXXB-X,XX-  _X XXXBToday,75,000  Americansareonwaitinglistsfororgantransplantation...Thebudgetrequestincludes$20million,anincreaseof$5milliontolaunchanewnationalefforttoencourageorgandonation.*OLE*WPC: : !: 8 x   N''  ' N' NTimes New Roman8-Times New Roman4--"Systemn-'- &f -------- 2 H2000 -2 @Actual - !$"@-----'- &g-------- 2 2001 -2 Enacted- !*"-----'- &-------- 2 2002 -2 Request - !,"-----'- &M-------- "2 Request -2  +/-Enacted- !9"---'- NTimes New Roman-E o2 9ECommunity Health Centers.............................................  2 9 E`2 9?$1,019E2 9$1,169E2 9$1,293EG2 9(+$124Vm2 JDNational Health Service Corps.......................................  2 J V` 2 JN114V 2 J125V 2 J126VG 2 J:+1gu2 [IOrgan Transplantation.................................................... 2 [ g` 2 [T10g 2 [15g 2 [20gG 2 [:+5xT2 l3Abstinence Education (Advance from Prior Year).....   2 l x` 2 lZ0x 2 l20x 2 l30xG 2 l4+10a2 }<Abstinence Education Grants to States....................... 2 } ` 2 }T50 2 }50 2 }50G 2 }A0s2 HAdoption Awareness......................................................  2  ` 2 Z0 2 10 2 10G 2 A0f2 ?Ryan White HIV/AIDS Activities.................................     2  `2 E1,5942 1,8082 1,808G 2 A0Times New Roman4-42 (AIDS Drug Assistance Program)    2 M528 2 589 2 589 2 B0-c2 =Maternal and Child Health Block Grant........................  2  ` 2 N709 2 714 2 709G 2 =-52 RHealthy Start..................................................................... 2  ` 2 T90 2 90 2 90G 2 A0~2 OFamily Planning................................................................ 2  ` 2 N239 2 254 2 254G 2 A0r2 GProgram Management.....................................................   2  ` 2 N131 2 145 2 154G 2 :+9{2 MHealth Care Facilities....................................................... 2  ` 2 N118 2 251 2 0G 2 1-251"u2 IRural Health/Telehealth.................................................. 2  "` 2 T98" 2 137" 2 79"G 2 7-583x2 'KDenali Commission..........................................................  2 ' 3` 2 'Z03 2 '103 2 '03G 2 '7-10Dj2 8BCommunity Access Program..........................................   2 8 D` 2 8T25D 2 8125D 2 80DG 2 81-125Um2 IDHealth Professions Programs.........................................  2 I U` 2 IN302U 2 I353U 2 I140UG 2 I1-213fU2 Z4Children's Hospitals Graduate Medical Education.....  2 Z f` 2 ZT40f 2 Z235f 2 Z200fG 2 Z7-35w^2 k:Universal Newborn Hearining Screening.....................    2 k w` 2 kZ3w 2 k8w 2 k7wG 2 k=-1^2 |:EMS for Children/Poison Control Centers................... 2 | ` 2 |T20 2 |39 2 |32G 2 |=-7a2 <Trauma/Emergency Medical Services...........................   2  ` 2 Z0 2 3 2 2G 2 =-1x2 KState Planning Grants......................................................2  ` 2 T15 2 15 2 15G 2 A0~2 OBone Marrow....................................................................  2  ` 2 T18 2 22 2 22G 2 A0{2 MHansen's Disease.............................................................  2  ` 2 T22 2 20 2 20G 2 A0g2 @Black Lung/Facilities/Nursing Loan.............................. 2  ` 2 Z8 2 8 2 8G 2 A0d2 >Ricky Ray Hemophilia Relief Program...........................   2  ` 2 T75 2 580 2 0G 2 1-580`2 ;National Practitioner Databank (User Fees).................   2  ` 2 T14 2 17 2 17G 2 A0T2 3Health Integrity & Protection Databank (User Fees).    2  Times New Roman-` 2 Z3- !Z- 2 4- !- 2 8- !-G 2 :+4- ! :--2 %2 <Total, HRSA Program Level..................................."`2 :$4,717"2 $6,227"2 $5,094"G2 -$1,133-C2 1(Less Funds Allocated From Other Sources:   N[2 B8Abstinence Education Grants to States................... 2 B N` 2 BT50N 2 B50N 2 B50NG 2 BA0_^2 S:Ricky Ray Hemophilia Relief Program.......................   2 S _` 2 ST75_ 2 S580_ 2 S0_G 2 S1-580p2 dPUser Fees....................................................................... 2 d -p` 2 dT17- ! qT-p 2 d21- ! q-p 2 d25- ! q-pG 2 d:+4- ! q:--2 u"2 u5Subtotal, Funds From Other Sources...................` 2 uD$142 2 u$651 2 u$75G2 u'-$5762 $2 9Total, HRSA Discretionary B. A...........................`2 :$4,5752 $5,5762 $5,019G2 '-$557-2 XFTE.....................................................................................2  `2 E2,0542 2,2682 2,244G 2 7-24'WPWin 6.0/OLE 1.0 Prefix Information Marker  METAFILEPICT<8<H x   N''  ' N' NTimes New Roman8-Times New Roman4--"Systemn-'- &f -------- 2 H2000 -2 @Actual - !$"@-----'- &g-------- 2 2001 -2 Enacted- !*"-----'- &-------- 2 2002 -2 Request - !,"-----'- &M-------- "2 Request -2  +/-Enacted- !9"---'- NTimes New Roman-E o2 9ECommunity Health Centers.............................................  2 9 E`2 9?$1,019E2 9$1,169E2 9$1,293EG2 9(+$124Vm2 JDNational Health Service Corps.......................................  2 J V` 2 JN114V 2 J125V 2 J126VG 2 J:+1gu2 [IOrgan Transplantation.................................................... 2 [ g` 2 [T10g 2 [15g 2 [20gG 2 [:+5xT2 l3Abstinence Education (Advance from Prior Year).....   2 l x` 2 lZ0x 2 l20x 2 l30xG 2 l4+10a2 }<Abstinence Education Grants to States....................... 2 } ` 2 }T50 2 }50 2 }50G 2 }A0s2 HAdoption Awareness......................................................  2  ` 2 Z0 2 10 2 10G 2 A0f2 ?Ryan White HIV/AIDS Activities.................................     2  `2 E1,5942 1,8082 1,808G 2 A0Times New Roman4-42 (AIDS Drug Assistance Program)    2 M528 2 589 2 589 2 B0-c2 =Maternal and Child Health Block Grant........................  2  ` 2 N709 2 714 2 709G 2 =-52 RHealthy Start..................................................................... 2  ` 2 T90 2 90 2 90G 2 A0~2 OFamily Planning................................................................ 2  ` 2 N239 2 254 2 254G 2 A0r2 GProgram Management.....................................................   2  ` 2 N131 2 145 2 154G 2 :+9{2 MHealth Care Facilities....................................................... 2  ` 2 N118 2 251 2 0G 2 1-251"u2 IRural Health/Telehealth.................................................. 2  "` 2 T98" 2 137" 2 79"G 2 7-583x2 'KDenali Commission..........................................................  2 ' 3` 2 'Z03 2 '103 2 '03G 2 '7-10Dj2 8BCommunity Access Program..........................................   2 8 D` 2 8T25D 2 8125D 2 80DG 2 81-125Um2 IDHealth Professions Programs.........................................  2 I U` 2 IN302U 2 I353U 2 I140UG 2 I1-213fU2 Z4Children's Hospitals Graduate Medical Education.....  2 Z f` 2 ZT40f 2 Z235f 2 Z200fG 2 Z7-35w^2 k:Universal Newborn Hearining Screening.....................    2 k w` 2 kZ3w 2 k8w 2 k7wG 2 k=-1^2 |:EMS for Children/Poison Control Centers................... 2 | ` 2 |T20 2 |39 2 |32G 2 |=-7a2 <Trauma/Emergency Medical Services...........................   2  ` 2 Z0 2 3 2 2G 2 =-1x2 KState Planning Grants......................................................2  ` 2 T15 2 15 2 15G 2 A0~2 OBone Marrow....................................................................  2  ` 2 T18 2 22 2 22G 2 A0{2 MHansen's Disease.............................................................  2  ` 2 T22 2 20 2 20G 2 A0g2 @Black Lung/Facilities/Nursing Loan.............................. 2  ` 2 Z8 2 8 2 8G 2 A0d2 >Ricky Ray Hemophilia Relief Program...........................   2  ` 2 T75 2 580 2 0G 2 1-580`2 ;National Practitioner Databank (User Fees).................   2  ` 2 T14 2 17 2 17G 2 A0T2 3Health Integrity & Protection Databank (User Fees).    2  Times New Roman-` 2 Z3- !Z- 2 4- !- 2 8- !-G 2 :+4- ! :--2 %2 <Total, HRSA Program Level..................................."`2 :$4,717"2 $6,227"2 $5,094"G2 -$1,133-C2 1(Less Funds Allocated From Other Sources:   N[2 B8Abstinence Education Grants to States................... 2 B N` 2 BT50N 2 B50N 2 B50NG 2 BA0_^2 S:Ricky Ray Hemophilia Relief Program.......................   2 S _` 2 ST75_ 2 S580_ 2 S0_G 2 S1-580p2 dPUser Fees....................................................................... 2 d -p` 2 dT17- ! qT-p 2 d21- ! q-p 2 d25- ! q-pG 2 d:+4- ! q:--2 u"2 u5Subtotal, Funds From Other Sources...................` 2 uD$142 2 u$651 2 u$75G2 u'-$5762 $2 9Total, HRSA Discretionary B. A...........................`2 :$4,5752 $5,5762 $5,019G2 '-$557-2 XFTE.....................................................................................2  `2 E2,0542 2,2682 2,244G 2 7-24' V FN&XBXXXXBXXXB-X,XX-  _Excelspreadsheetwillgointhisposition.ToimportthesheetintoWordPerfect,OpenExcelandcopytheappropriaterange.SwitchbacktoWordPerfect.Usethe_HHS_Ԁ_ToolBar_ԀorKeystrokestoruntheLargeTable(CTRLALTL)orSmallTable(CTRLALTS)macrotoautomaticallypastetheclipboard_contentsat_Ԁthecorrectpositioninthisdocument*OLE*WPC##!#  W   w$''  ' w$' w$Times New Roman5-   2 `Times New Roman4- Times New Roman%--"Systemn-'- &<-------- 2 2000 -2 Actual - !*%-----'- &=-------- 2 a2001 -2 LEnacted - !5%L-----'- &-------- 2 2002 -2 Request - !7%-----'- &#------- 2 Request -2  +/-Enacted  - !G%---'- w$Times New Roman-J N2 = /Program Level..................................   2 = J52 =$2,857J|2 =V$3,204J2 =$3,311J2 =+$107rW2 e 5FTE.................................................. 2 e r52 e14,676r|2 eV14,824r2 e14,958r 2 e+134'WPWin 6.0/OLE 1.0 Prefix Information Marker  METAFILEPICT8 8L  W   w$''  ' w$' w$Times New Roman5-   2 `Times New Roman4- Times New Roman%--"Systemn-'- &<-------- 2 2000 -2 Actual - !*%-----'- &=-------- 2 a2001 -2 LEnacted - !5%L-----'- &-------- 2 2002 -2 Request - !7%-----'- &#------- 2 Request -2  +/-Enacted  - !G%---'- w$Times New Roman-J N2 = /Program Level..................................   2 = J52 =$2,857J|2 =V$3,204J2 =$3,311J2 =+$107rW2 e 5FTE.................................................. 2 e r52 e14,676r|2 eV14,824r2 e14,958r 2 e+134' V FN&XBXXXXBXXXB-X,XX-  _Excelspreadsheetwillgointhisposition.ToimportthesheetintoWordPerfect,OpenExcelandcopytheappropriaterange.SwitchbacktoWordPerfect.Usethe_HHS_Ԁ_ToolBar_ԀorKeystrokestoruntheLargeTable(CTRLALTL)orSmallTable(CTRLALTS)macrotoautomaticallypastetheclipboard_contentsat_ԀthecorrectpositioninthisdocumentlB :HHS bullet 4Level 4 bulleted HeadingL 4(*-/0123Ch#)LXI[XXXI[0  2C3  0(#(# L 4(*-/0123Ch#)LXI[XXXI[ *OLE*WPC@@>>>>!>> 351`>>351`1=1=1)%+- =)%+- =)%+- I=I)%+- $=$)%+- *=*)%+- 1=1)%+- 1=1)%+- =1=)%+- =)%+- 1351)%+//-.! ! ! 351)%+//-. % % 351)%+//-.''(+(+''''(351)%+//-.4*8*844*)%+- ="# GAHelveticaG $203"$GAHelveticaG $348"&=-GAHelveticaG $470"44/GAHelveticaG $499" GAHelveticaG FY1995"CGAHelveticaG FY1998"%GAHelveticaG FY2001"3GAHelveticaG FY2002  f   T''  ' T "--  U "--'-- T- $*;O;O**; "---'-- O7** O*O*Oy*yOZ*ZO;*;O--'-- T;* ;OO*;*--'-- O--'-- O;*--'-- Q9( "--  $BZZBB$$ccc$Z6Z6Z--'-- O;*--'-- T "-* O--'-- T Arial-----"Systemn-'--- \@   2 B$203----'--- T-----'--- r  2 u$348----'--- T-----'--- aL  2 O$470----'--- T-----'--- X8C  2 F$499----'--- T---'--- T 2 ;FY 19952 FY 19982 FY 20012 FY 2002---'--- T---'--- T--' T '  'WPWin 6.0/OLE 1.0 Prefix Information Marker  METAFILEPICT##v ## f   T''  ' T "--  U "--'-- T- $*;O;O**; "---'-- O7** O*O*Oy*yOZ*ZO;*;O--'-- T;* ;OO*;*--'-- O--'-- O;*--'-- Q9( "--  $BZZBB$$ccc$Z6Z6Z--'-- O;*--'-- T "-* O--'-- T Arial-----"Systemn-'--- \@   2 B$203----'--- T-----'--- r  2 u$348----'--- T-----'--- aL  2 O$470----'--- T-----'--- X8C  2 F$499----'--- T---'--- T 2 ;FY 19952 FY 19982 FY 20012 FY 2002---'--- T---'--- T--' T '  '  mN"XBXXXXBXXXB-X,XX-  _X XXXBDiabetesprevalence  amongIndianpeopleisnowtripletheratefornonHispanicwhites...IHShasincreasedthenumberofdiabeticpatientswithimprovedglycemicandbloodpressurecontroltoreducetheirneedforcostlymedicalcare.#XBX XX#X XXXB S mN"XBXXXXBXXXB-X,XX-  _ Inaneffortto  reducethetreatmentgap,$100millionhasbeenincludedtofundthePresidentsdrugtreatmentinitiative X XXXB. ! mN"XBXXXXBXXXB-X,XX-  _ TheNavajoNation  hasproposedtoassumeresponsibilityforhealthservicesforits250,000tribalmembers. 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P+     $' """)))UUUMMMBBB999|PP3f333f3333f3ffffff3f̙3ff333f333333333f33333333f33f3ff3f3f3f3333f33̙33333f333333f3333f3ffffff3f33ff3f3f3f3fff3ffffffffff3ffff̙fff3fffff3fff333f3f3ff3ff33f̙̙3̙ff̙̙̙3f̙3f333f3333f3ffffff3f̙3f3f3f333f3333f3ffffff3f̙3f3ffffffffff!___www45'  ' $' $Times New Roman4-   2 `Times New Roman4- Times New Roman8--"Systemn-'- &<-------- 2 2000 -2 Actual - !$"-----'- &=-------- 2 e2001 -2 WEnacted- !*"W-----'- &-------- 2 2002 -2 Request - !,"-----'- &#-------- "2 Request -2  +/-Enacted- !9"---'- $Times New Roman- (2 )Indian Health Service: Hd2 <>Clinical Services.............................................2 < H62 <$2,064H}2 <\$2,267H2 <$2,361H 2 <+$94Times New Roman4-:2 O"Contract Health Services (Non-Add)    2 O#407 2 Oj446 2 O446 2 O0-oa2 c<Preventive Health........................................... 2 c o6 2 c*92o} 2 cq96o 2 c100o 2 c+4X2 v6Contract Support Costs................................2 v 6 2 v$229} 2 vk248 2 v288 2 v +40F2 *Tribal Management/Self Governance.........  2  6 2 *12} 2 q12 2 12 2 0f2 ?Urban Health...................................................  2  6 2 *28} 2 q30 2 30 2 0W2 5Indian Health Professions............................ 2  6 2 *30} 2 q30 2 30 2 0a2 <Direct Operations...........................................  2  6 2 *51} 2 q53 2 66 2 +13a2 <Diabetes Grants /1.......................................... 2  Times New Roman)- 6 2 *30- ! *-} 2 k100- !k- 2 100- !- 2 0- !--2 2 +Subtotal, Services Program Level...........62 $2,536}2 W$2,8362 $2,9872 +$151--2 !Indian Health Facilities: @U2 44Health Facility Construction........................ 2 4 @6 2 4$$50@} 2 4k$86@ 2 4$38@ 2 4-$48SZ2 G7Sanitation Construction................................2 G S6 2 G*92S} 2 Gq94S 2 G94S 2 G0fE2 Z)Facility & Environmental Health Support..   2 Z f6 2 Z$116f} 2 Zk121f 2 Z126f 2 Z+5yN2 m/Maintenance & Improvement......................    2 m y6 2 m*48y} 2 mq51y 2 m50y 2 m-1]2 9Medical Equipment........................................  2  - 6 2 *15- ! *-} 2 q16- ! q- 2 16- ! - 2 0- !--2 2 ,Subtotal, Facilities Program Level..........6 2 $321} 2 a$368 2 $324 2 -$442 "2 5Total, Program Level.................................62 $2,857}2 W$3,2042 $3,3112 +$107-C2 (Less Funds Allocated From Other Sources:   T2 3Health Insurance Collections....................... 2  62 -$431}2 a-$4702 -$499 2 -$29$]2 9Rental of Staff Quarters................................. 2  $6 2 ,-5$} 2 s-5$ 2 -5$ 2 07a2 +<Diabetes Grants /1.......................................... 2 + - 76 2 +&-30- !8&-7} 2 +g-100- !8g-7 2 +-100- !8-7 2 +0- !8--2 Q!2 Q4Total, Budget Authority.............................]62 Q$2,391]}2 QW$2,629]2 Q$2,707] 2 Q+$78-v2 wJFTE.......................................................................2 w 62 w14,6762 w 2 w }2 w\14,824[2 wC 2 w[ 2 w14,9582 w 2 w  2 w+1342 Y/1 These Mandatory Funds were originally appropriated in the Balanced Budget Act of 1997   'WPWin 6.0/OLE 1.0 Prefix Information Marker METAFILEPICT85V+8F     $' """)))UUUMMMBBB999|PP3f333f3333f3ffffff3f̙3ff333f333333333f33333333f33f3ff3f3f3f3333f33̙33333f333333f3333f3ffffff3f33ff3f3f3f3fff3ffffffffff3ffff̙fff3fffff3fff333f3f3ff3ff33f̙̙3̙ff̙̙̙3f̙3f333f3333f3ffffff3f̙3f3f3f333f3333f3ffffff3f̙3f3ffffffffff!___www45'  ' $' $Times New Roman4-   2 `Times New Roman4- Times New Roman8--"Systemn-'- &<-------- 2 2000 -2 Actual - !$"-----'- &=-------- 2 e2001 -2 WEnacted- !*"W-----'- &-------- 2 2002 -2 Request - !,"-----'- &#-------- "2 Request -2  +/-Enacted- !9"---'- $Times New Roman- (2 )Indian Health Service: Hd2 <>Clinical Services.............................................2 < H62 <$2,064H}2 <\$2,267H2 <$2,361H 2 <+$94Times New Roman4-:2 O"Contract Health Services (Non-Add)    2 O#407 2 Oj446 2 O446 2 O0-oa2 c<Preventive Health........................................... 2 c o6 2 c*92o} 2 cq96o 2 c100o 2 c+4X2 v6Contract Support Costs................................2 v 6 2 v$229} 2 vk248 2 v288 2 v +40F2 *Tribal Management/Self Governance.........  2  6 2 *12} 2 q12 2 12 2 0f2 ?Urban Health...................................................  2  6 2 *28} 2 q30 2 30 2 0W2 5Indian Health Professions............................ 2  6 2 *30} 2 q30 2 30 2 0a2 <Direct Operations...........................................  2  6 2 *51} 2 q53 2 66 2 +13a2 <Diabetes Grants /1.......................................... 2  Times New Roman)- 6 2 *30- ! *-} 2 k100- !k- 2 100- !- 2 0- !--2 2 +Subtotal, Services Program Level...........62 $2,536}2 W$2,8362 $2,9872 +$151--2 !Indian Health Facilities: @U2 44Health Facility Construction........................ 2 4 @6 2 4$$50@} 2 4k$86@ 2 4$38@ 2 4-$48SZ2 G7Sanitation Construction................................2 G S6 2 G*92S} 2 Gq94S 2 G94S 2 G0fE2 Z)Facility & Environmental Health Support..   2 Z f6 2 Z$116f} 2 Zk121f 2 Z126f 2 Z+5yN2 m/Maintenance & Improvement......................    2 m y6 2 m*48y} 2 mq51y 2 m50y 2 m-1]2 9Medical Equipment........................................  2  - 6 2 *15- ! *-} 2 q16- ! q- 2 16- ! - 2 0- !--2 2 ,Subtotal, Facilities Program Level..........6 2 $321} 2 a$368 2 $324 2 -$442 "2 5Total, Program Level.................................62 $2,857}2 W$3,2042 $3,3112 +$107-C2 (Less Funds Allocated From Other Sources:   T2 3Health Insurance Collections....................... 2  62 -$431}2 a-$4702 -$499 2 -$29$]2 9Rental of Staff Quarters................................. 2  $6 2 ,-5$} 2 s-5$ 2 -5$ 2 07a2 +<Diabetes Grants /1.......................................... 2 + - 76 2 +&-30- !8&-7} 2 +g-100- !8g-7 2 +-100- !8-7 2 +0- !8--2 Q!2 Q4Total, Budget Authority.............................]62 Q$2,391]}2 QW$2,629]2 Q$2,707] 2 Q+$78-v2 wJFTE.......................................................................2 w 62 w14,6762 w 2 w }2 w\14,824[2 wC 2 w[ 2 w14,9582 w 2 w  2 w+1342 Y/1 These Mandatory Funds were originally appropriated in the Balanced Budget Act of 1997   ' HLPASMB User% V FN&XBXXXXBXXXB-X,XX-  _Excelspreadsheetwillgointhisposition.ToimportthesheetintoWordPerfect,OpenExcelandcopytheappropriaterange.SwitchbacktoWordPerfect.Usethe_HHS_Ԁ_ToolBar_ԀorKeystrokestoruntheLargeTable(CTRLALTL)orSmallTable(CTRLALTS)macrotoautomaticallypastetheclipboard_contentsat_ԀthecorrectpositioninthisdocumentlP K:HHS bullet 3Level 3 bulleted HeadingL 8(*-/0123 x#)LXFXXXF= XXF2 o3  XFX =0    L 8(*-/0123 x#)LXFXXXF= XXF   *OLE*WPC:%:%!:%  JZ   s$''  ' s$' s$-   !a$&Times New Roman--Times New Roman----"Systemn-'-- &<--------  2 2000 -2 Actual - !*%------'-- &=-------- 2 a2001 -2 LEnacted - !5%L------'-- &-------- 2 2002 -2 Request - !7%------'-- &#------- 2 Request -2  +/-Enacted  - !G%----'-- s$Times New Roman)-J Q2 =1Program Level....................................   2 = J52 =$3,342J|2 =V$4,202J2 =$4,0932 =-$109nZ2 a7FTE.................................................... 2 a n:2 a7,862 n2 a 2 a n2 a^8,165 n\2 aD 2 a\ n2 a8,267 n2 a 2 a n! 2 a+102-'WPWin 6.0/OLE 1.0 Prefix Information Marker METAFILEPICT8 8  JZ   s$''  ' s$' s$-   !a$&Times New Roman--Times New Roman----"Systemn-'-- &<--------  2 2000 -2 Actual - !*%------'-- &=-------- 2 a2001 -2 LEnacted - !5%L------'-- &-------- 2 2002 -2 Request - !7%------'-- &#------- 2 Request -2  +/-Enacted  - !G%----'-- s$Times New Roman)-J Q2 =1Program Level....................................   2 = J52 =$3,342J|2 =V$4,202J2 =$4,0932 =-$109nZ2 a7FTE.................................................... 2 a n:2 a7,862 n2 a 2 a n2 a^8,165 n\2 aD 2 a\ n2 a8,267 n2 a 2 a n! 2 a+102-' V FN&XBXXXXBXXXB-X,XX-  _Excelspreadsheetwillgointhisposition.ToimportthesheetintoWordPerfect,OpenExcelandcopytheappropriaterange.SwitchbacktoWordPerfect.Usethe_HHS_Ԁ_ToolBar_ԀorKeystrokestoruntheLargeTable(CTRLALTL)orSmallTable(CTRLALTS)macrotoautomaticallypastetheclipboard_contentsat_Ԁthecorrectpositioninthisdocument J mN"XBXXXXBXXXB-X,XX-  _X XXXBWorkconducted  inlaboratoriesatCDCisrelieduponworldwidetohelpcontroldiseaseoutbreaksandpreventillnessandinjury. } mN"XBXXXXBXXXB-X,XX-  _X XXXBStateandlocal  publichealthofficersmustbeabletodetectpotential_bioterrorist_eventsandmountcontrolmeasures. @@ quickly. 6 mN"XBXXXXBXXXB-X,XX-  _X XXXBDomesticHIV  effortswillberefocusedtohelpStatesreducethenumberofnewinfections50percentby2005.*OLE*WPC@@>>>>!>>j351`:9:9# # :351)%+44-.}}  351)%+44-.d/d/351)%+44-.0 00 00 351)%+44-.~(m0~(m0M#M#~(351)%+44-.0S30S3++0351)%+44-.8484338)%+- # 9# )%+- O# )%+- O# )%+- O# )%+- %O%# )%+- /O/# )%+- 9O9# )%+- :# "D1t'}C Tms RmnC 91%"0[}C Tms RmnC 90%"90}C Tms RmnC 90%"}C Tms RmnC 63%"^4/}C Tms RmnC 94%"357}C Tms RmnC 95%"aGAHelveticaG 50%"PGAHelveticaG 60%"?GAHelveticaG 70%"c#GAHelveticaG 80%"R-GAHelveticaG 90%"m6GAHelveticaG 100%@|4~,9" F8C Tms RmnC Diphtheria,Tetanus,Pertussis+3@+/1"S /C Tms RmnC HaemophilusInfluenzaTypeB@|"$)'" 'C Tms RmnC Measles,MumpsandRubella@| [" C Tms RmnC HepatitisB@% B"Q ~C Tms RmnC Polio@7 "Q )C Tms RmnC Varicella      -.' 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JPreventive Health Block Grant............................................. 2 .3 :| 2 .j135: 2 .135: 2 .135:O 2 .I0N2x2 B KPublic Health Improvement..................................................   2 B2 N| 2 Bp92N 2 B111N 2 B110NO 2 BE-1b22 V RBuildings & Facilities............................................................ 2 V2 b| 2 Vp57b 2 V175b 2 V150bO 2 V?-25v32 j SOffice of the Director ............................................................  2 j3 v| 2 jp39v 2 j42v 2 j49vO 2 jB+83j2 ~ BATSDR (VA/HUD Appropriation) .....................................     2 ~3 | 2 ~p70 2 ~75 2 ~78O 2 ~B+342  YBioterrorism............................................................................. 2 4 | 2 j153 2 181 2 182O 2 B+13r2  GDiabetes (Mandatory Funding) ..........................................  2 3 | 2 v3 2 7 2 7O 2 I042  ZUser Fees ................................................................................ 2 4 Times New Roman4-| 2 v2- !v- 2 2- !- 2 2- !-O 2 I0- !I--2 8-2 LSubtotal, Program Level.....................................................|2 V$3,3422 $4,2022 $4,093O2 /-$109-C2  (Less Funds Allocated from Other Sources:   - ! --3s2  HHealth Statistics (PHS Evaluation)......................................  2 3 | 2 l-72 2 -72 2 -127O 2 ?-55)42  [Diabetes................................................................................... 2 4 )| 2 r-3) 2 -7) 2 -7)O 2 I0=42 1 ZUser Fees................................................................................. 2 14 -=| 2 1r-2- ! >r-= 2 1-2- ! >-= 2 1-2- ! >-=O 2 1I0- !>I--2 F8.2 FMTotal, Budget Authority......................................................R|2 FV$3,265R2 F$4,121R2 F$3,957RO2 F/-$165Times New Roman4-o2u2 cI Labor/HHS Appropriation............................................... 2 c2 o|2 c[$3,195o2 c$4,047o2 c$3,879oO2 c3-$1683x2 tK VA/HUD Appropriation....................................................  2 t3 | 2 tj$70 2 t$75 2 t$78O 2 t<+$3-32  ^FTE...........................................................................................2 3 |2 a7,8622 8,1652 8,267O 2 6+102-'WPWin 6.0/OLE 1.0 Prefix Information Marker METAFILEPICT===]F     V''  ' V' V-   !'; !' 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JPreventive Health Block Grant............................................. 2 .3 :| 2 .j135: 2 .135: 2 .135:O 2 .I0N2x2 B KPublic Health Improvement..................................................   2 B2 N| 2 Bp92N 2 B111N 2 B110NO 2 BE-1b22 V RBuildings & Facilities............................................................ 2 V2 b| 2 Vp57b 2 V175b 2 V150bO 2 V?-25v32 j SOffice of the Director ............................................................  2 j3 v| 2 jp39v 2 j42v 2 j49vO 2 jB+83j2 ~ BATSDR (VA/HUD Appropriation) .....................................     2 ~3 | 2 ~p70 2 ~75 2 ~78O 2 ~B+342  YBioterrorism............................................................................. 2 4 | 2 j153 2 181 2 182O 2 B+13r2  GDiabetes (Mandatory Funding) ..........................................  2 3 | 2 v3 2 7 2 7O 2 I042  ZUser Fees ................................................................................ 2 4 Times New Roman4-| 2 v2- !v- 2 2- !- 2 2- !-O 2 I0- !I--2 8-2 LSubtotal, Program Level.....................................................|2 V$3,3422 $4,2022 $4,093O2 /-$109-C2  (Less Funds Allocated from Other Sources:   - ! --3s2  HHealth Statistics (PHS Evaluation)......................................  2 3 | 2 l-72 2 -72 2 -127O 2 ?-55)42  [Diabetes................................................................................... 2 4 )| 2 r-3) 2 -7) 2 -7)O 2 I0=42 1 ZUser Fees................................................................................. 2 14 -=| 2 1r-2- ! >r-= 2 1-2- ! >-= 2 1-2- ! >-=O 2 1I0- !>I--2 F8.2 FMTotal, Budget Authority......................................................R|2 FV$3,265R2 F$4,121R2 F$3,957RO2 F/-$165Times New Roman4-o2u2 cI Labor/HHS Appropriation............................................... 2 c2 o|2 c[$3,195o2 c$4,047o2 c$3,879oO2 c3-$1683x2 tK VA/HUD Appropriation....................................................  2 t3 | 2 tj$70 2 t$75 2 t$78O 2 t<+$3-32  ^FTE...........................................................................................2 3 |2 a7,8622 8,1652 8,267O 2 6+102-' V FN&XBXXXXBXXXB-X,XX-  _Excelspreadsheetwillgointhisposition.ToimportthesheetintoWordPerfect,OpenExcelandcopytheappropriaterange.SwitchbacktoWordPerfect.Usethe_HHS_Ԁ_ToolBar_ԀorKeystrokestoruntheLargeTable(CTRLALTL)orSmallTable(CTRLALTS)macrotoautomaticallypastetheclipboard_contentsat_Ԁthecorrectpositioninthisdocument*OLE*WPC:%:%!:%r     s$' """)))UUUMMMBBB999|PP3f333f3333f3ffffff3f̙3ff333f333333333f33333333f33f3ff3f3f3f3333f33̙33333f333333f3333f3ffffff3f33ff3f3f3f3fff3ffffffffff3ffff̙fff3fffff3fff333f3f3ff3ff33f̙̙3̙ff̙̙̙3f̙3f333f3333f3ffffff3f̙3f3f3f333f3333f3ffffff3f̙3f3ffffffffff!___www45'  ' s$' s$Times New Romana-Times New Roman4--"Systemn-'- &<-------- 2 2000 -2 Actual - !*%-----'- &=-------- 2 a2001 -2 LEnacted - !5%L-----'- &-------- 2 2002 -2 Request - !7%-----'- &#------- 2 Request -2  +/-Enacted  - !G%---'- s$Times New Roman5-J Q2 =1Budget Authority.................................  2 = J52 =$17,867J|2 =O$20,361J2 =$23,112J2 =+$2,751nZ2 a7FTE.................................................... 2 a n52 a16,022n|2 aV17,434n2 a17,960n 2 a+526'WPWin 6.0/OLE 1.0 Prefix Information Marker METAFILEPICT8x 8     s$' """)))UUUMMMBBB999|PP3f333f3333f3ffffff3f̙3ff333f333333333f33333333f33f3ff3f3f3f3333f33̙33333f333333f3333f3ffffff3f33ff3f3f3f3fff3ffffffffff3ffff̙fff3fffff3fff333f3f3ff3ff33f̙̙3̙ff̙̙̙3f̙3f333f3333f3ffffff3f̙3f3f3f333f3333f3ffffff3f̙3f3ffffffffff!___www45'  ' s$' s$Times New Romana-Times New Roman4--"Systemn-'- &<-------- 2 2000 -2 Actual - !*%-----'- &=-------- 2 a2001 -2 LEnacted - !5%L-----'- &-------- 2 2002 -2 Request - !7%-----'- &#------- 2 Request -2  +/-Enacted  - !G%---'- s$Times New Roman5-J Q2 =1Budget Authority.................................  2 = J52 =$17,867J|2 =O$20,361J2 =$23,112J2 =+$2,751nZ2 a7FTE.................................................... 2 a n52 a16,022n|2 aV17,434n2 a17,960n 2 a+526' 'HLPASMB User W FN&XBXXXXBXXXB-X,XX-  _Excelspreadsheetwillgointhisposition.ToimportthesheetintoWordPerfect,OpenExcelandcopytheappropriaterange.SwitchbacktoWordPerfect.Usethe_HHS_Ԁ_ToolBar_ԀorKeystrokestoruntheLargeTable(CTRLALTL)orSmallTable(CTRLALTS)macrotoautomaticallypastetheclipboard_contentsat_Ԁthecorrectpositioninthisdocument > mN"XBXXXXBXXXB-X,XX-  _ Expansionfor  FY2002wouldbethelargestyeartoyearX XXXB  dollarincreaseeverforNIH .#$*OLE*WPC@@>>>>!>>"351`>>351`9<9<  9)%+))- 9<9)%+))- <9< )%+))- <  )%+))-  93513f)%+))-. 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BBBA/BIPA Diabetes Research 1/.....................................   2 .) Times New Roman!-:q 2 .e27- ! ;e-: 2 .93- ! ;-: 2 .93- ! ;-:X 2 .R0- !;R--K)r2 ?GSubtotal, Program Level................................................ 2 ?) 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Kq2 ?D$17,903K2 ?$20,464K2 ?$23,215KX2 ?++$2,751-C2 `(Less Funds Allocated from Other Sources:   })X2 q 6ONDCP Drug Forfeiture Fund Transfer (NIDA)............    2 q) }q 2 qa-10} 2 q-10} 2 q-10}X 2 qR0)j2  BBBA/BIPA Diabetes Research 1/.....................................   2 ) -q 2 a-27- !a- 2 -93- !- 2 -93- !-X 2 R0- !R--+p2 FSubtotal, Budget Authority............................................  2 + q2 D$17,8672 $20,3612 $23,112X2 ++$2,751Times New Roman4-)l2 CLabor/HHS Appropriation............................................ 2 ) q2 P17,8072 20,2982 23,042X2 6+2,744*o2 EVA/HUD Appropriation.................................................  2 * q 2 e60 2 63 2 70X 2 K+7-*2 ^FTE...........................................................................................2 * q2 P16,0222 17,4342 17,960X 2 ?+5262 i1/ These funds were pre-appropriated in the Balanced Budget Act of 1997 and the Benefits Improvement and     12  Protection Act of 2000. -'78*OLE*WPCqq!q7     R' """)))UUUMMMBBB999|PP3f333f3333f3ffffff3f̙3ff333f333333333f33333333f33f3ff3f3f3f3333f33̙33333f333333f3333f3ffffff3f33ff3f3f3f3fff3ffffffffff3ffff̙fff3fffff3fff333f3f3ff3ff33f̙̙3̙ff̙̙̙3f̙3f333f3333f3ffffff3f̙3f3f3f333f3333f3ffffff3f̙3f3ffffffffff!___www45'  ' R' R-   !L$&Times New Roman)-Times New Roman ---"Systemn-'-- &j$--------  2 L2000 -2 DActual - !$"D------'-- &k-------- 2 2001 -2 Enacted- !*"------'-- &-------- 2 2002 -2 Request - !,"------'-- &Q-------- "2 #Request -2  +/-Enacted- !9"----'-- RTimes New Roman5- 2 ( Mechanism:  Er2 9 GResearch Project Grants................................................2 9 Ed2 9C$9,769E2 9$11,117E2 9$12,518EK2 9#+$1,401Times New Roman4-Vx2 J K[ # of Non-Competing ]..................................................... 2 J Times New Roman4-2 J5[21,703]2 J|[23,246]2 J[24,932]2 J[+1,686] -gx2 [ K[ # of New/Competing ]..................................................... 2 [ -2 [<[8,835]2 [[9,158]2 [[9,158] 2 [8[ 0]-x|2 l N[ Total # of Grants ]......................................................... 2 l -2 l5[30,538]2 l|[32,404]2 l[34,090]2 l[+1,686] ---'-- R O2 0Small Business Innovation Research (SBIR)/ Small  --'-- R--'-- R O2 0Business Technology Transfer (STTR) Grants.....2  d 2 L$362 2 $414 2 $474K 2 2+$59--'-- R y2 LResearch Centers............................................................2  d2 I1,5622 1,8572 2,080K 2 2+223x2 KResearch Training..........................................................2  d 2 R540 2 592 2 645K 2 8+54`2 ;Research & Development Contracts...........................   2  d2 I1,1572 1,3262 1,595K 2 2+268v2 JIntramural Research....................................................... 2  d2 I1,7612 1,9592 2,159K 2 2+200{2 MOther Research............................................................... 2  d2 I1,4352 1,6752 1,878K 2 2+203]2  9Extramural Research Facilities Construction.............. 2  d 2 X77 2 78 2 100K 2 8+22'^2  :Research Management and Support...........................  2  'd 2 R601' 2 693' 2 779'K 2 8+868m2 , DNational Library of Medicine........................................  2 , 8d 2 ,R2158 2 ,2468 2 ,2768K 2 ,8+29Vx2 J KOffice of the Director.....................................................  2 J Vd 2 JR162V 2 J188V 2 J232VK 2 J8+45gu2 [ IBuildings and Facilities.................................................2 [ gd 2 [R165g 2 [154g 2 [307gK 2 [2+153xT2 l 3NIEHS VA/HUD Appropriation (Superfund).............     2 l xd 2 lX60x 2 l63x 2 l70xK 2 l>+7R2 } 2ONDCP Drug Forfeiture Fund Transfer (NIDA)........    2 } d 2 }X10 2 }10 2 }10K 2 }E0d2  >BBA/BIPA Diabetes Research 1/.................................   2  Times New Roman4- d 2 X27- ! X- 2 93- ! - 2 93- ! -K 2 E0- !E--l2 CSubtotal, Program Level............................................ 2  2 ;$17,9032 $20,4642 $23,215K2 +$2,751-C2 (Less Funds Allocated from Other Sources:   R2  2ONDCP Drug Forfeiture Fund Transfer (NIDA)........    2  d 2 T-10 2 -10 2 -10K 2 E0d2  >BBA/BIPA Diabetes Research 1/.................................   2  - d 2 T-27- !T- 2 -93- !- 2 -93- !-K 2 E0- !E--i2 ASubtotal, Budget Authority.......................................  2  d2 7$17,8672 ~$20,3612 $23,112K2 +$2,751Times New Roman9- f2 ?Labor/HHS Appropriation........................................ 2  d2 =$17,8072 $20,2982 $23,042K2 #+$2,744*g2 @VA/HUD Appropriation............................................  2  *d 2 R$60* 2 $63* 2 $70*K 2 8+$7-L2 @YFTE......................................................................................2 @ Ld2 @C16,022L2 @17,434L2 @17,960LK 2 @2+5262 bi1/ These funds were pre-appropriated in the Balanced Budget Act of 1997 and the Benefits Improvement and     12 r Protection Act of 2000. -'WPWin 6.0/OLE 1.0 Prefix Information Marker METAFILEPICT_=7_=UB     R' """)))UUUMMMBBB999|PP3f333f3333f3ffffff3f̙3ff333f333333333f33333333f33f3ff3f3f3f3333f33̙33333f333333f3333f3ffffff3f33ff3f3f3f3fff3ffffffffff3ffff̙fff3fffff3fff333f3f3ff3ff33f̙̙3̙ff̙̙̙3f̙3f333f3333f3ffffff3f̙3f3f3f333f3333f3ffffff3f̙3f3ffffffffff!___www45'  ' R' R-   !L$&Times New Roman)-Times New Roman ---"Systemn-'-- &j$--------  2 L2000 -2 DActual - !$"D------'-- &k-------- 2 2001 -2 Enacted- !*"------'-- &-------- 2 2002 -2 Request - !,"------'-- &Q-------- "2 #Request -2  +/-Enacted- !9"----'-- RTimes New Roman5- 2 ( Mechanism:  Er2 9 GResearch Project Grants................................................2 9 Ed2 9C$9,769E2 9$11,117E2 9$12,518EK2 9#+$1,401Times New Roman4-Vx2 J K[ # of Non-Competing ]..................................................... 2 J Times New Roman4-2 J5[21,703]2 J|[23,246]2 J[24,932]2 J[+1,686] -gx2 [ K[ # of New/Competing ]..................................................... 2 [ -2 [<[8,835]2 [[9,158]2 [[9,158] 2 [8[ 0]-x|2 l N[ Total # of Grants ]......................................................... 2 l -2 l5[30,538]2 l|[32,404]2 l[34,090]2 l[+1,686] ---'-- R O2 0Small Business Innovation Research (SBIR)/ Small  --'-- R--'-- R O2 0Business Technology Transfer (STTR) Grants.....2  d 2 L$362 2 $414 2 $474K 2 2+$59--'-- R y2 LResearch Centers............................................................2  d2 I1,5622 1,8572 2,080K 2 2+223x2 KResearch Training..........................................................2  d 2 R540 2 592 2 645K 2 8+54`2 ;Research & Development Contracts...........................   2  d2 I1,1572 1,3262 1,595K 2 2+268v2 JIntramural Research....................................................... 2  d2 I1,7612 1,9592 2,159K 2 2+200{2 MOther Research............................................................... 2  d2 I1,4352 1,6752 1,878K 2 2+203]2  9Extramural Research Facilities Construction.............. 2  d 2 X77 2 78 2 100K 2 8+22'^2  :Research Management and Support...........................  2  'd 2 R601' 2 693' 2 779'K 2 8+868m2 , DNational Library of Medicine........................................  2 , 8d 2 ,R2158 2 ,2468 2 ,2768K 2 ,8+29Vx2 J KOffice of the Director.....................................................  2 J Vd 2 JR162V 2 J188V 2 J232VK 2 J8+45gu2 [ IBuildings and Facilities.................................................2 [ gd 2 [R165g 2 [154g 2 [307gK 2 [2+153xT2 l 3NIEHS VA/HUD Appropriation (Superfund).............     2 l xd 2 lX60x 2 l63x 2 l70xK 2 l>+7R2 } 2ONDCP Drug Forfeiture Fund Transfer (NIDA)........    2 } d 2 }X10 2 }10 2 }10K 2 }E0d2  >BBA/BIPA Diabetes Research 1/.................................   2  Times New Roman4- d 2 X27- ! X- 2 93- ! - 2 93- ! -K 2 E0- !E--l2 CSubtotal, Program Level............................................ 2  2 ;$17,9032 $20,4642 $23,215K2 +$2,751-C2 (Less Funds Allocated from Other Sources:   R2  2ONDCP Drug Forfeiture Fund Transfer (NIDA)........    2  d 2 T-10 2 -10 2 -10K 2 E0d2  >BBA/BIPA Diabetes Research 1/.................................   2  - d 2 T-27- !T- 2 -93- !- 2 -93- !-K 2 E0- !E--i2 ASubtotal, Budget Authority.......................................  2  d2 7$17,8672 ~$20,3612 $23,112K2 +$2,751Times New Roman9- f2 ?Labor/HHS Appropriation........................................ 2  d2 =$17,8072 $20,2982 $23,042K2 #+$2,744*g2 @VA/HUD Appropriation............................................  2  *d 2 R$60* 2 $63* 2 $70*K 2 8+$7-L2 @YFTE......................................................................................2 @ Ld2 @C16,022L2 @17,434L2 @17,960LK 2 @2+5262 bi1/ These funds were pre-appropriated in the Balanced Budget Act of 1997 and the Benefits Improvement and     12 r Protection Act of 2000. -': V FN&XBXXXXBXXXB-X,XX-  _Excelspreadsheetwillgointhisposition.ToimportthesheetintoWordPerfect,OpenExcelandcopytheappropriaterange.SwitchbacktoWordPerfect.Usethe_HHS_Ԁ_ToolBar_ԀorKeystrokestoruntheLargeTable(CTRLALTL)orSmallTable(CTRLALTS)macrotoautomaticallypastetheclipboard_contentsat_Ԁthecorrectpositioninthisdocument?@*OLE*WPC:%:%!:%v :   s$' """)))UUUMMMBBB999|PP3f333f3333f3ffffff3f̙3ff333f333333333f33333333f33f3ff3f3f3f3333f33̙33333f333333f3333f3ffffff3f33ff3f3f3f3fff3ffffffffff3ffff̙fff3fffff3fff333f3f3ff3ff33f̙̙3̙ff̙̙̙3f̙3f333f3333f3ffffff3f̙3f3f3f333f3333f3ffffff3f̙3f3ffffffffff!___www45'  ' s$' s$-   !$& !: !$N !^Times New Roman!-  2 `Times New Roman4- Times New Roman---"Systemn-'-- &<-------- 2 2000 -2 Actual - !*%------'-- &=-------- 2 a2001 -2 LEnacted - !5%L------'-- &-------- 2 2002 -2 Request - !7%------'-- &#------- 2 Request -2  +/-Enacted  - !G%----'-- s$Times New Roman-J Q2 =1Program Level....................................   2 = J52 =$2,651J|2 =V$2,957J2 =$3,058J2 =+$101nZ2 a7FTE.................................................... 2 a n5 2 a 611n| 2 ag632n 2 a632n 2 a0-'WPWin 6.0/OLE 1.0 Prefix Information Marker METAFILEPICT8|8  :   s$' """)))UUUMMMBBB999|PP3f333f3333f3ffffff3f̙3ff333f333333333f33333333f33f3ff3f3f3f3333f33̙33333f333333f3333f3ffffff3f33ff3f3f3f3fff3ffffffffff3ffff̙fff3fffff3fff333f3f3ff3ff33f̙̙3̙ff̙̙̙3f̙3f333f3333f3ffffff3f̙3f3f3f333f3333f3ffffff3f̙3f3ffffffffff!___www45'  ' s$' s$-   !$& !: !$N !^Times New Roman!-  2 `Times New Roman4- Times New Roman---"Systemn-'-- &<-------- 2 2000 -2 Actual - !*%------'-- &=-------- 2 a2001 -2 LEnacted - !5%L------'-- &-------- 2 2002 -2 Request - !7%------'-- &#------- 2 Request -2  +/-Enacted  - !G%----'-- s$Times New Roman-J Q2 =1Program Level....................................   2 = J52 =$2,651J|2 =V$2,957J2 =$3,058J2 =+$101nZ2 a7FTE.................................................... 2 a n5 2 a 611n| 2 ag632n 2 a632n 2 a0-'B V FN&XBXXXXBXXXB-X,XX-  _Excelspreadsheetwillgointhisposition.ToimportthesheetintoWordPerfect,OpenExcelandcopytheappropriaterange.SwitchbacktoWordPerfect.Usethe_HHS_Ԁ_ToolBar_ԀorKeystrokestoruntheLargeTable(CTRLALTL)orSmallTable(CTRLALTS)macrotoautomaticallypastetheclipboard_contentsat_Ԁthecorrectpositioninthisdocument(2]$ !X  XBXXXXBXXXB8BXXdd8-X,XX-(#(#  GH*OLE*WPC!$ G    5$' """)))UUUMMMBBB999|PP3f333f3333f3ffffff3f̙3ff333f333333333f33333333f33f3ff3f3f3f3333f33̙33333f333333f3333f3ffffff3f33ff3f3f3f3fff3ffffffffff3ffff̙fff3fffff3fff333f3f3ff3ff33f̙̙3̙ff̙̙̙3f̙3f333f3333f3ffffff3f̙3f3f3f333f3333f3ffffff3f̙3f3ffffffffff!___www45'  ' 5$' 5$-   !$: !N !/b !/s != !/ !l !$ !) !)$ !$  ! Times New Roman4-  2 `Times New Roman4- Times New Roman----"Systemn-'-- &<-------- 2 2000 -2 Actual - !$"------'-- &=-------- 2 e2001 -2 WEnacted- !*"W------'-- &-------- 2 2002 -2 Request - !,"------'-- &#-------- "2 Request -2  +/-Enacted- !9"----'-- 5$Times New Roman!- 2 >Substance Abuse: 2 R 2 R1Substance Abuse Block Grant......................^62 R$1,600^}2 R\$1,665^2 R$1,725^ 2 R+$60Times New Roman4-72 c Programs of Regional and  --'-- $t 72 s National Significance: --'-- 5$- 2 '2 ?Treatment......................................................6 2 $214} 2 k256 2 296 2 +402 &2 >Prevention....................................................6 2 $147} 2 k175 2 175 2 02 2 1National Data Collection Activities..............Times New Roman- 6 2 00- !0-} 2 q12- ! q- 2 29- ! - 2 +17- ! --2 2 1Subtotal, Substance Abuse .......................62 $1,961}2 W$2,1082 $2,2252 +$117-2 Mental Health:   U2 4Mental Health Block Grant...........................  2   6 2 $356 } 2 e$420  2 $420  2 0 Q2 1Path Homeless Formula Grant......................   2   6 2 *31 } 2 q37  2 37  2 012 & Programs of Regional and  --'-- D$7@ ^2 4: National Significance.................................. 2 4 @6 2 4$136@} 2 4k203@ 2 4187@ 2 4 -16--'-- 5$T N2 H/Children's Mental Health Services..............  2 H T6 2 H*83T} 2 Hq92T 2 H92T 2 H0hU2 \4Protection and Advocacy............................. 2 \ - h6 2 \*25- ! i*-h} 2 \q30- ! iq-h 2 \30- ! i-h 2 \0- !i--2 p!2 p4Subtotal, Mental Health ............................|6 2 p$631|} 2 pa$782| 2 p$766| 2 p-$16-2 #2 7Program Management.....................................- 6 2 *59- ! *-} 2 q67- ! q- 2 67- ! - 2 0- !--2 "2 5Total, Program Level.................................62 $2,651}2 W$2,9572 $3,0582 +$101---'-- $- C2 (Less Funds Allocated from Other Sources:   - 2 7  2 ~  2   2  --'-- 5$ X2 6PHS Evaluation Funds.................................. 2  - 6 2 00- !0-} 2 w0- !w- 2 -29- !- 2  -29- ! --2 !2 4Total, Discetionary BA..............................62 $2,651}2 W$2,9572 $3,029 2 +$72-2 $-2 $KFTE........................................................................06 2 $$6110} 2 $k6320 2 $6320 2 $0-'WPWin 6.0/OLE 1.0 Prefix Information Marker METAFILEPICT8$8d: G    5$' """)))UUUMMMBBB999|PP3f333f3333f3ffffff3f̙3ff333f333333333f33333333f33f3ff3f3f3f3333f33̙33333f333333f3333f3ffffff3f33ff3f3f3f3fff3ffffffffff3ffff̙fff3fffff3fff333f3f3ff3ff33f̙̙3̙ff̙̙̙3f̙3f333f3333f3ffffff3f̙3f3f3f333f3333f3ffffff3f̙3f3ffffffffff!___www45'  ' 5$' 5$-   !$: !N !/b !/s != !/ !l !$ !) !)$ !$  ! Times New Roman4-  2 `Times New Roman4- Times New Roman----"Systemn-'-- &<-------- 2 2000 -2 Actual - !$"------'-- &=-------- 2 e2001 -2 WEnacted- !*"W------'-- &-------- 2 2002 -2 Request - !,"------'-- &#-------- "2 Request -2  +/-Enacted- !9"----'-- 5$Times New Roman!- 2 >Substance Abuse: 2 R 2 R1Substance Abuse Block Grant......................^62 R$1,600^}2 R\$1,665^2 R$1,725^ 2 R+$60Times New Roman4-72 c Programs of Regional and  --'-- $t 72 s National Significance: --'-- 5$- 2 '2 ?Treatment......................................................6 2 $214} 2 k256 2 296 2 +402 &2 >Prevention....................................................6 2 $147} 2 k175 2 175 2 02 2 1National Data Collection Activities..............Times New Roman- 6 2 00- !0-} 2 q12- ! q- 2 29- ! - 2 +17- ! --2 2 1Subtotal, Substance Abuse .......................62 $1,961}2 W$2,1082 $2,2252 +$117-2 Mental Health:   U2 4Mental Health Block Grant...........................  2   6 2 $356 } 2 e$420  2 $420  2 0 Q2 1Path Homeless Formula Grant......................   2   6 2 *31 } 2 q37  2 37  2 012 & Programs of Regional and  --'-- D$7@ ^2 4: National Significance.................................. 2 4 @6 2 4$136@} 2 4k203@ 2 4187@ 2 4 -16--'-- 5$T N2 H/Children's Mental Health Services..............  2 H T6 2 H*83T} 2 Hq92T 2 H92T 2 H0hU2 \4Protection and Advocacy............................. 2 \ - h6 2 \*25- ! i*-h} 2 \q30- ! iq-h 2 \30- ! i-h 2 \0- !i--2 p!2 p4Subtotal, Mental Health ............................|6 2 p$631|} 2 pa$782| 2 p$766| 2 p-$16-2 #2 7Program Management.....................................- 6 2 *59- ! *-} 2 q67- ! q- 2 67- ! - 2 0- !--2 "2 5Total, Program Level.................................62 $2,651}2 W$2,9572 $3,0582 +$101---'-- $- C2 (Less Funds Allocated from Other Sources:   - 2 7  2 ~  2   2  --'-- 5$ X2 6PHS Evaluation Funds.................................. 2  - 6 2 00- !0-} 2 w0- !w- 2 -29- !- 2  -29- ! --2 !2 4Total, Discetionary BA..............................62 $2,651}2 W$2,9572 $3,029 2 +$72-2 $-2 $KFTE........................................................................06 2 $$6110} 2 $k6320 2 $6320 2 $0-'J V FN&XBXXXXBXXXB-X,XX-  _Excelspreadsheetwillgointhisposition.ToimportthesheetintoWordPerfect,OpenExcelandcopytheappropriaterange.SwitchbacktoWordPerfect.Usethe_HHS_Ԁ_ToolBar_ԀorKeystrokestoruntheLargeTable(CTRLALTL)orSmallTable(CTRLALTS)macrotoautomaticallypastetheclipboard_contentsat_Ԁthecorrectpositioninthisdocument(2]$ !X  XBXXXXBXXXB8BXXdd8-X,XX-(#(#  PQ*OLE*WPCi$i$!i$  U   s''  ' s' s-   !'2 !aI&Times New Roman4-Times New Roman4---"Systemn-'-- &0--------  2 2000 -2 Actual - !*%------'-- &w1-------- 2 U2001 -2 @Enacted - !5%@------'-- &x-------- 2 2002 -2 Request - !7%------'-- &------- 2 Request -2  +/-Enacted  - !G%----'-- sTimes New Roman-J L2 =.Program Level.................................   2 = J) 2 = $204Jp 2 =T$270J 2 =$306J 2 =+$36nU2 a4FTE................................................. 2 a n) 2 a266np 2 a[294n 2 a294n 2 a 0-'WPWin 6.0/OLE 1.0 Prefix Information Marker METAFILEPICTe7 e7  U   s''  ' s' s-   !'2 !aI&Times New Roman4-Times New Roman4---"Systemn-'-- &0--------  2 2000 -2 Actual - !*%------'-- &w1-------- 2 U2001 -2 @Enacted - !5%@------'-- &x-------- 2 2002 -2 Request - !7%------'-- &------- 2 Request -2  +/-Enacted  - !G%----'-- sTimes New Roman-J L2 =.Program Level.................................   2 = J) 2 = $204Jp 2 =T$270J 2 =$306J 2 =+$36nU2 a4FTE................................................. 2 a n) 2 a266np 2 a[294n 2 a294n 2 a 0-'S "HLPASMB User% V FN&XBXXXXBXXXB-X,XX-  _Excelspreadsheetwillgointhisposition.ToimportthesheetintoWordPerfect,OpenExcelandcopytheappropriaterange.SwitchbacktoWordPerfect.Usethe_HHS_Ԁ_ToolBar_ԀorKeystrokestoruntheLargeTable(CTRLALTL)orSmallTable(CTRLALTS)macrotoautomaticallypastetheclipboard_contentsat_ԀthecorrectpositioninthisdocumentZ]*OLE* y mN"XBXXXXBXXXB-X,XX-  _X XXXBInFY2002,the  AgencyforHealthcareResearchandQualitywilluseanincreaseof$26milliontosupportresearchneededtoimprovethequalityandcosteffectivenessofcare.XY*OLE*WPC!:  r   c''  ' c' c-   !=c !c !c !5Times New Roman4-Times New Roman---"Systemn-'-- ({5--------  2 Y2000 -2 OActual - !*&O------'-- (|-------- 2 2001 -2 Enacted - !5&------'-- ( -------- 2 2002 -2 Request - !7&------'-- (b ------ "2 )Request -2  +/-Enacted  - !G&----'-- cTimes New Roman4-Lf m2 ?DResearch on Health Costs, Quality    2 ?f ^,d2 Q> and Outcomes...............................................  2 Q, ^t 2 QX$165^ 2 Q$226^ 2 Q$255^[ 2 Q>+$29r*T2 e3Medical Expenditures Panel Surveys.................   2 e* rt 2 ef36r 2 e41r 2 e49r[ 2 eL+8+c2 y=Program Support..............................................  2 y+ Times New Roman4-t 2 ym2- !m- 2 y3- !- 2 y3- !-[ 2 yT0- !T--2 2"2 5Subtotal, Program Level..............................t 2 T$204 2 $270 2 $306[ 2 :+$36 -+R2 2Less Transfers: PHS Evaluation Funds..............    2 + -t 2 f89- !f- 2 165- !- 2 306- !-[ 2 >+141- !>--2 2"2 5Total, Budget Authority..............................t 2 T$115 2 $105 2 $0[2 6-$105--r2 GFTE.................................................................... 2 - t 2 _266 2 294 2 294[ 2 T0-'WPWin 6.0/OLE 1.0 Prefix Information Marker METAFILEPICT!?+@!?  r   c''  ' c' c-   !=c !c !c !5Times New Roman4-Times New Roman---"Systemn-'-- ({5--------  2 Y2000 -2 OActual - !*&O------'-- (|-------- 2 2001 -2 Enacted - !5&------'-- ( -------- 2 2002 -2 Request - !7&------'-- (b ------ "2 )Request -2  +/-Enacted  - !G&----'-- cTimes New Roman4-Lf m2 ?DResearch on Health Costs, Quality    2 ?f ^,d2 Q> and Outcomes...............................................  2 Q, ^t 2 QX$165^ 2 Q$226^ 2 Q$255^[ 2 Q>+$29r*T2 e3Medical Expenditures Panel Surveys.................   2 e* rt 2 ef36r 2 e41r 2 e49r[ 2 eL+8+c2 y=Program Support..............................................  2 y+ Times New Roman4-t 2 ym2- !m- 2 y3- !- 2 y3- !-[ 2 yT0- !T--2 2"2 5Subtotal, Program Level..............................t 2 T$204 2 $270 2 $306[ 2 :+$36 -+R2 2Less Transfers: PHS Evaluation Funds..............    2 + -t 2 f89- !f- 2 165- !- 2 306- !-[ 2 >+141- !>--2 2"2 5Total, Budget Authority..............................t 2 T$115 2 $105 2 $0[2 6-$105--r2 GFTE.................................................................... 2 - t 2 _266 2 294 2 294[ 2 T0-'WPCXX!X.  U   ''  ' ' -   !' !& !: !'O !u !Times New Roman,-Times New Roman,---"Systemn-'-- &0--------  2 2000 -2 Actual - !*%------'-- &w1-------- 2 U2001 -2 @Enacted - !5%@------'-- &x-------- 2 2002 -2 Request - !7%------'-- &------- 2 Request -2  +/-Enacted  - !G%----'-- Times New Roman̩-K L2 >.Budget Authority..............................  2 > K)2 >$322,459Kp2 ><$354,485K2 >$386,527K2 >+$32,042^T2 Q3Outlays............................................ 2 Q ^)2 Q$316,007^p2 Q<$354,520^2 Q$386,751^2 Q+$32,231U2 x4FTE................................................. 2 x )2 x 4,446p2 xQ4,6102 x4,632 2 x+22--4'\  HLPASMB User V FN&XBXXXXBXXXB-X,XX-  _Excelspreadsheetwillgointhisposition.ToimportthesheetintoWordPerfect,OpenExcelandcopytheappropriaterange.SwitchbacktoWordPerfect.Usethe_HHS_Ԁ_ToolBar_ԀorKeystrokestoruntheLargeTable(CTRLALTL)orSmallTable(CTRLALTS)macrotoautomaticallypastetheclipboard_contentsat_ԀthecorrectpositioninthisdocumentWPWin 6.0/OLE 1.0 Prefix Information Marker METAFILEPICTe74 e7> U   ''  ' ' -   !' !& !: !'O !u !Times New Roman,-Times New Roman,---"Systemn-'-- &0--------  2 2000 -2 Actual - !*%------'-- &w1-------- 2 U2001 -2 @Enacted - !5%@------'-- &x-------- 2 2002 -2 Request - !7%------'-- &------- 2 Request -2  +/-Enacted  - !G%----'-- Times New Roman̩-K L2 >.Budget Authority..............................  2 > K)2 >$322,459Kp2 ><$354,485K2 >$386,527K2 >+$32,042^T2 Q3Outlays............................................ 2 Q ^)2 Q$316,007^p2 Q<$354,520^2 Q$386,751^2 Q+$32,231U2 x4FTE................................................. 2 x )2 x 4,446p2 xQ4,6102 x4,632 2 x+22--4'_ %3HLPErin O'Connell 6 FN&XBXXXXBXXXB-X,XX-  _Excelspreadsheetwillgointhisposition.ToimportthesheetintoWordPerfect,OpenExcelandcopytheappropriaterange.SwitchbacktoWordPerfect.UsetheHHS_ToolBar_ԀorKeystrokestoruntheLargeTable(CTRLALTL)orSmallTable(CTRLALTS)macrotoautomaticallypastetheclipboard_contentsat_Ԁthecorrectpositioninthisdocumentd bc*OLE*WPC@@>>>>!>>     g' """)))UUUMMMBBB999|PP3f333f3333f3ffffff3f̙3ff333f333333333f33333333f33f3ff3f3f3f3333f33̙33333f333333f3333f3ffffff3f33ff3f3f3f3fff3ffffffffff3ffff̙fff3fffff3fff333f3f3ff3ff33f̙̙3̙ff̙̙̙3f̙3f333f3333f3ffffff3f̙3f3f3f333f3333f3ffffff3f̙3f3ffffffffff!___www45'  ' d "--  e "--'-- d--'-- _@@@8- "- @@@@@@ $?~}{{zxxwvvutttsssssssssstttuvvwxxz{{}~- H$~}|{zyxwwvuuttssssssssssttuuvwwxy}z{{y|u}s~qmkjfdb_]\XWUTPOMKIHEDC@?><;:876533210/..--,,++++++++++,, ,--.//0 1"2$3&3*5,6.7395:7;:=<>>?BADCFDIFKHMIPLRMSOUPXTYU[W]Z_\`]cadbedghhjjklolqmsnupyq{q}sstuu "-&&6```8- "-- $ uvvwwwwxxxu "-_gwKKK8- "- KKKKKK$ 8- $ "-- "- $  - $ "-//8- "- $xxxwwwvvuutssrqpomlljhgedc`_][YXUSRNMKGFD@><875 0 . , (&$           !"#$$%&&&'''((((((''' & &&%$$#" !$ &(,.0578<>@DFG K M NRSUXY[]_`cdeghjllmopqrsstuuvvwwwxxxx3338- 333$fxxxwwwvvuutssrqpomlljhgedc`_][YXUSRNMKGFD@><875 0 . , (&$       x "-aY*--'-- 333d--'-- 333dTimes New Roman-------"Systemn-'--- 333Be  2 gSCHIP  2 /p1% ----'--- d-------'--- 7 2 9Administration   2 V1% ----'--- d-------'--- +a 2 cMedicaid  2 o37% ----'--- d--------'--- `*r "2 -tImmediate Helping    2 =Hand  2 M3% ----'--- d-------'--- 9P 2 RMedicare  2 &^58% ----'--- d---'--- d- -' g '  'WPWin 6.0/OLE 1.0 Prefix Information Marker METAFILEPICT2$2%     g' """)))UUUMMMBBB999|PP3f333f3333f3ffffff3f̙3ff333f333333333f33333333f33f3ff3f3f3f3333f33̙33333f333333f3333f3ffffff3f33ff3f3f3f3fff3ffffffffff3ffff̙fff3fffff3fff333f3f3ff3ff33f̙̙3̙ff̙̙̙3f̙3f333f3333f3ffffff3f̙3f3f3f333f3333f3ffffff3f̙3f3ffffffffff!___www45'  ' d "--  e "--'-- d--'-- _@@@8- "- @@@@@@ $?~}{{zxxwvvutttsssssssssstttuvvwxxz{{}~- H$~}|{zyxwwvuuttssssssssssttuuvwwxy}z{{y|u}s~qmkjfdb_]\XWUTPOMKIHEDC@?><;:876533210/..--,,++++++++++,, ,--.//0 1"2$3&3*5,6.7395:7;:=<>>?BADCFDIFKHMIPLRMSOUPXTYU[W]Z_\`]cadbedghhjjklolqmsnupyq{q}sstuu "-&&6```8- "-- $ uvvwwwwxxxu "-_gwKKK8- "- KKKKKK$ 8- $ "-- "- $  - $ "-//8- "- $xxxwwwvvuutssrqpomlljhgedc`_][YXUSRNMKGFD@><875 0 . , (&$           !"#$$%&&&'''((((((''' & &&%$$#" !$ &(,.0578<>@DFG K M NRSUXY[]_`cdeghjllmopqrsstuuvvwwwxxxx3338- 333$fxxxwwwvvuutssrqpomlljhgedc`_][YXUSRNMKGFD@><875 0 . , (&$       x "-aY*--'-- 333d--'-- 333dTimes New Roman-------"Systemn-'--- 333Be  2 gSCHIP  2 /p1% ----'--- d-------'--- 7 2 9Administration   2 V1% ----'--- d-------'--- +a 2 cMedicaid  2 o37% ----'--- d--------'--- `*r "2 -tImmediate Helping    2 =Hand  2 M3% ----'--- d-------'--- 9P 2 RMedicare  2 &^58% ----'--- d---'--- d- -' g '  'WPC  ! 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"  !" !% % +Re% % !Sd RLTimes New RomanH@HIYdHIY@CFILORTWZ]`cfhknqtwz| "-,-/258;>@CFILORTWZ]`cfhknqtwz|}{ywtroljgda]ZVSOKHD@<840+---' +---'  ---'  ---'   - Small Fontsd- 2 $0.0 2 $0.5 2 $1.0 2 l$1.5 2 M$2.0 2 -$2.5 2 $3.0---' ---' -- 2 "2000 2 ?2010 2 \2020 2 x2030 2 2040 2 2050 2 2060 2 2070---' ---' -----' '' "--fR--dS Times New Roman4-2 SOutlays' '-----2 Tax Receipts 2 & Premiums   ' '--'hi*OLE*WPCjj*,*,!*,0 r   b*''  ' b*' b*Times New Roman4-"Systemn-'- *-  2 $2000- !$--- 2 k2001- !k--- 2 2002- !--- 2 +/-- !---'- b*Times New Roman4-8 r2 , GAged................................................................... 2 , 2 ,+34.2 2 ,r34.3 2 ,34.6 2 ,+0.3Lp2 @ FDisabled.............................................................. 2 @ Times New Roman0- 2 @15.3- !M1- 2 @x5.6- !Mx- 2 @5.7- !M- 2 @+0.1- !M--^f2 R ?Total Beneficiaries............................................2 R 2 R+39.5 2 Rr39.9 2 R40.3 2 R+0.4'WPWin 6.0/OLE 1.0 Prefix Information Marker METAFILEPICTA96A9  r   b*''  ' b*' b*Times New Roman4-"Systemn-'- *-  2 $2000- !$--- 2 k2001- !k--- 2 2002- !--- 2 +/-- !---'- b*Times New Roman4-8 r2 , GAged................................................................... 2 , 2 ,+34.2 2 ,r34.3 2 ,34.6 2 ,+0.3Lp2 @ FDisabled.............................................................. 2 @ Times New Roman0- 2 @15.3- !M1- 2 @x5.6- !Mx- 2 @5.7- !M- 2 @+0.1- !M--^f2 R ?Total Beneficiaries............................................2 R 2 R+39.5 2 Rr39.9 2 R40.3 2 R+0.4'k 6 FN&XBXXXXBXXXB-X,XX-  _Excelspreadsheetwillgointhisposition.ToimportthesheetintoWordPerfect,OpenExcelandcopytheappropriaterange.SwitchbacktoWordPerfect.UsetheHHS_ToolBar_ԀorKeystrokestoruntheLargeTable(CTRLALTL)orSmallTable(CTRLALTS)macrotoautomaticallypastetheclipboard_contentsat_Ԁthecorrectpositioninthisdocumentpq*OLE*WPC!!NN!N|  =   %''  ' %' %-   !%Times New RomanI-  2 T2000- !T- 2 2001- !- 2 2002- !-Times New Roman\-0r2 $ GAged 65 and Over ......................................................  2 $ 0l 2 $]3.90 2 $3.90 2 $4.0As2 5 HBlind and Disabled...................................................... 2 5 Al 2 5]6.7A 2 56.8A 2 56.9Rv2 F JNeedy Adults .............................................................  2 F Rl 2 F]6.3R 2 F6.4R 2 F6.4cv2 W JNeedy Children............................................................ 2 W Times New Roman-cl 2 WW16.5- !dW-c 2 W16.8- !d-c 2 W 17.0- !d -Times New Roman8-2 yPTotal...........................................................................2 y l 2 yT33.4 2 y33.9 2 y34.3-'WPWin 6.0/OLE 1.0 Prefix Information Marker! METAFILEPICT8 8( =   %''  ' %' %-   !%Times New RomanI-  2 T2000- !T- 2 2001- !- 2 2002- !-Times New Roman\-0r2 $ GAged 65 and Over ......................................................  2 $ 0l 2 $]3.90 2 $3.90 2 $4.0As2 5 HBlind and Disabled...................................................... 2 5 Al 2 5]6.7A 2 56.8A 2 56.9Rv2 F JNeedy Adults .............................................................  2 F Rl 2 F]6.3R 2 F6.4R 2 F6.4cv2 W JNeedy Children............................................................ 2 W Times New Roman-cl 2 WW16.5- !dW-c 2 W16.8- !d-c 2 W 17.0- !d -Times New Roman8-2 yPTotal...........................................................................2 y l 2 yT33.4 2 y33.9 2 y34.3-'s1 HLPLibbie  FN&XBXXXXBXXXB-X,XX-  __Excelspreadsheetwillgointhisposition.ToimportthesheetintoWordPerfect,OpenExcelandcopytheappropriaterange.SwitchbacktoWordPerfect.UsetheHHSToolBar,Keystrokes,orPressReleasemenutoruntheLargeTable(CTRLALTL)orSmallTable(CTRLALTS)macrotoautomaticallypastetheclipboardcontentsatthecorrectpositioninthisdocument.Ifthetablepositionsaboveorbelowboththicklines,deletethe_table.Run_ԀthemacroagainandpauseforasecondbetweenthetwoEnters.u{*OLE*WPCMM!  uf   *''  ' *' *-   !V* !U !g*fTimes New Roman-  2 2000 2 e2001 2 20022 Request Times New Roman--"Systemn-'-- "*- 2 Actual - !$ ---2 WEnacted- !* W---2 Request - !, ---2  +/- Enacted- !< ----'-- *Times New Roman- 2 5 Current Law: Rf2 F ?Benefits /1....................................................2 F R02 F$111,832R}2 FP$121,855R2 F$135,034R#2 F+$13,179cZ2 W 7State Administration ..................................  2 W Times New Roman-c02 W6,089- !d-c}2 Wb6,998- !db-c2 W7,995- !d-c# 2 W +997- !d --E2 y)Total Net Outlays, Current Law ..........   2 y 02 y$117,921}2 yI$128,8532 y$143,029#2 y+$14,176-N2 //1 Includes Vaccines for Children Outlays.  -'wx*OLE*WPC( ( !( #    *' """)))UUUMMMBBB999|PP3f333f3333f3ffffff3f̙3ff333f333333333f33333333f33f3ff3f3f3f3333f33̙33333f333333f3333f3ffffff3f33ff3f3f3f3fff3ffffffffff3ffff̙fff3fffff3fff333f3f3ff3ff33f̙̙3̙ff̙̙̙3f̙3f333f3333f3ffffff3f̙3f3f3f333f3333f3ffffff3f̙3f3ffffffffff!___www45'  ' *' *Times New Roman<-Times New Roman0--"Systemn-'- "B-------- 2 $2000 -2 Actual - !$ -----'- "C-------- 2 k2001 -2 ]Enacted- !* ]-----'- "-------- 2 2002 -2 Request - !, -----'- ")------ '2 Request -2  +/-Enacted- !9 ---'- *Times New Roman4- 2 5 Current Law: Rm2 F DHI Benefits......................................................... 2 F R<2 F$125,992R2 FV$135,092R2 F$141,843R#2 F+$6,751cj2 W BSMI Benefits...................................................... 2 W Times New Roman4-c<2 W88,875- !!d-c2 W\102,698- !'d\-c2 W110,124- !'d-c#2 W+7,426- !"d--2 h!2 h4Subtotal, Medicare Benefits.........................t<2 h$214,867t2 hO$237,790t2 h$251,967t#2 h+$14,177-j2 yBAdministration /1.................................................  2 y <2 y!2,9122 yh3,2672 y3,552# 2 y +285p2 FHCFAC /2..............................................................  2  < 2 *715 2 q820 2 860# 2 +40^2 :Peer Review Organizations.................................  2  < 2 *279 2 q505 2 424# 2 -81d2 >Transfers to Medicaid......................................... 2  -< 2 60- !6- 2 q170- !q- 2 70- ! -# 2 -100- ! --2 !2 4Total Outlays, Current Law..........................<2 $218,7732 O$242,5522 $256,873#2 +$14,321-r2 GPremiums...............................................................  2  -<2 -21,907- !%-2 ^-23,433- !%^-2 -27,034- !%-#2 -3,601- !--2 2 0Total Net Outlays, Current Law..................<2 $196,8662 O$219,1192 $229,839#2 +$10,720-'2 Proposed Legislation: d2  >Medicare Benefits............................................. 2   < 2 0$0  2 w$0  2 $0 # 2 $0a2  <Proposed User Fees.......................................... 2  < 2 60 2 }0 2 -115# 2  -115/c2 # =Premium Interaction..........................................  2 # -/< 2 #60- !06-/ 2 #}0- !0}-/ 2 #20- ! 0-/# 2 #+20- !0--2 42 4,Total Medicare Proposed Legislation.........@< 2 4.$0@ 2 4u$0@ 2 4-$95@# 2 4 -$952 V2 V0Total Net Outlays, Proposed Law.................b<2 V$196,866b2 VO$219,119b2 V$229,744b#2 V+$10,625 2 x -x2 K1/ Includes Administrative payments to the SSA and other non-HCFA agencies.      l2 C2/ Health Care Fraud and Abuse Control, includes FBI, excludes OIG.   'WPWin 6.0/OLE 1.0 Prefix Information Marker  METAFILEPICTA9#A9,    *' """)))UUUMMMBBB999|PP3f333f3333f3ffffff3f̙3ff333f333333333f33333333f33f3ff3f3f3f3333f33̙33333f333333f3333f3ffffff3f33ff3f3f3f3fff3ffffffffff3ffff̙fff3fffff3fff333f3f3ff3ff33f̙̙3̙ff̙̙̙3f̙3f333f3333f3ffffff3f̙3f3f3f333f3333f3ffffff3f̙3f3ffffffffff!___www45'  ' *' *Times New Roman<-Times New Roman0--"Systemn-'- "B-------- 2 $2000 -2 Actual - !$ -----'- "C-------- 2 k2001 -2 ]Enacted- !* ]-----'- "-------- 2 2002 -2 Request - !, -----'- ")------ '2 Request -2  +/-Enacted- !9 ---'- *Times New Roman4- 2 5 Current Law: Rm2 F DHI Benefits......................................................... 2 F R<2 F$125,992R2 FV$135,092R2 F$141,843R#2 F+$6,751cj2 W BSMI Benefits...................................................... 2 W Times New Roman4-c<2 W88,875- !!d-c2 W\102,698- !'d\-c2 W110,124- !'d-c#2 W+7,426- !"d--2 h!2 h4Subtotal, Medicare Benefits.........................t<2 h$214,867t2 hO$237,790t2 h$251,967t#2 h+$14,177-j2 yBAdministration /1.................................................  2 y <2 y!2,9122 yh3,2672 y3,552# 2 y +285p2 FHCFAC /2..............................................................  2  < 2 *715 2 q820 2 860# 2 +40^2 :Peer Review Organizations.................................  2  < 2 *279 2 q505 2 424# 2 -81d2 >Transfers to Medicaid......................................... 2  -< 2 60- !6- 2 q170- !q- 2 70- ! -# 2 -100- ! --2 !2 4Total Outlays, Current Law..........................<2 $218,7732 O$242,5522 $256,873#2 +$14,321-r2 GPremiums...............................................................  2  -<2 -21,907- !%-2 ^-23,433- !%^-2 -27,034- !%-#2 -3,601- !--2 2 0Total Net Outlays, Current Law..................<2 $196,8662 O$219,1192 $229,839#2 +$10,720-'2 Proposed Legislation: d2  >Medicare Benefits............................................. 2   < 2 0$0  2 w$0  2 $0 # 2 $0a2  <Proposed User Fees.......................................... 2  < 2 60 2 }0 2 -115# 2  -115/c2 # =Premium Interaction..........................................  2 # -/< 2 #60- !06-/ 2 #}0- !0}-/ 2 #20- ! 0-/# 2 #+20- !0--2 42 4,Total Medicare Proposed Legislation.........@< 2 4.$0@ 2 4u$0@ 2 4-$95@# 2 4 -$952 V2 V0Total Net Outlays, Proposed Law.................b<2 V$196,866b2 VO$219,119b2 V$229,744b#2 V+$10,625 2 x -x2 K1/ Includes Administrative payments to the SSA and other non-HCFA agencies.      l2 C2/ Health Care Fraud and Abuse Control, includes FBI, excludes OIG.   'z 6 FN&XBXXXXBXXXB-X,XX-  _Excelspreadsheetwillgointhisposition.ToimportthesheetintoWordPerfect,OpenExcelandcopytheappropriaterange.SwitchbacktoWordPerfect.UsetheHHS_ToolBar_ԀorKeystrokestoruntheLargeTable(CTRLALTL)orSmallTable(CTRLALTS)macrotoautomaticallypastetheclipboard_contentsat_ԀthecorrectpositioninthisdocumentWPWin 6.0/OLE 1.0 Prefix Information Marker" METAFILEPICTA9 A9i uf   *''  ' *' *-   !V* !U !g*fTimes New Roman-  2 2000 2 e2001 2 20022 Request Times New Roman--"Systemn-'-- "*- 2 Actual - !$ ---2 WEnacted- !* W---2 Request - !, ---2  +/- Enacted- !< ----'-- *Times New Roman- 2 5 Current Law: Rf2 F ?Benefits /1....................................................2 F R02 F$111,832R}2 FP$121,855R2 F$135,034R#2 F+$13,179cZ2 W 7State Administration ..................................  2 W Times New Roman-c02 W6,089- !d-c}2 Wb6,998- !db-c2 W7,995- !d-c# 2 W +997- !d --E2 y)Total Net Outlays, Current Law ..........   2 y 02 y$117,921}2 yI$128,8532 y$143,029#2 y+$14,176-N2 //1 Includes Vaccines for Children Outlays.  -'}4,HLPLibbie  FN&XBXXXXBXXXB-X,XX-  _Excelspreadsheetwillgointhisposition.ToimportthesheetintoWordPerfect,OpenExcelandcopytheappropriaterange.SwitchbacktoWordPerfect.UsetheHHSToolBar,Keystrokes,orPressReleasemenutoruntheLargeTable(CTRLALTL)orSmallTable(CTRLALTS)macrotoautomaticallypastetheclipboardcontentsatthecorrectpositioninthisdocument.Ifthetablepositionsaboveorbelowboththicklines,deletethetable_.RunthemacroagainandpauseforasecondbetweenthetwoEnters.*OLE*WPC''!'     yh' """)))UUUMMMBBB999|PP3f333f3333f3ffffff3f̙3ff333f333333333f33333333f33f3ff3f3f3f3333f33̙33333f333333f3333f3ffffff3f33ff3f3f3f3fff3ffffffffff3ffff̙fff3fffff3fff333f3f3ff3ff33f̙̙3̙ff̙̙̙3f̙3f333f3333f3ffffff3f̙3f3f3f333f3333f3ffffff3f̙3f3ffffffffff!___www45'  ' yh' yh-   ! ! !r' !; !*rOTimes New Roman<- 2 FY 2002 - !7-2 FY 02-06 - !<-2 !FY 02-11 - !<!-Times New Roman,-"2 Savings Proposals: Times New Roman -2 *o*2 *EMedicaid Upper Payment Limit.........................................72 *-$60672 *-$6,8777`2 *.-$17,376-2 =Cost Proposal:  -2 Ro&2 R=VA Nursing Home Extension (Medicaid effect)..................Times New Romanp-_ 2 R$0- !a-_ 2 R$0- !a-_`2 R2+$1,200- !.a2--2 fo'2 f@Total Outlays, Proposed Law.....................................t2 f-$606t2 f-$6,877t`2 f'-$16,176-"Systemn-'-- yh--'- yh'WPWin 6.0/OLE 1.0 Prefix Information Marker# METAFILEPICT? ?}     yh' """)))UUUMMMBBB999|PP3f333f3333f3ffffff3f̙3ff333f333333333f33333333f33f3ff3f3f3f3333f33̙33333f333333f3333f3ffffff3f33ff3f3f3f3fff3ffffffffff3ffff̙fff3fffff3fff333f3f3ff3ff33f̙̙3̙ff̙̙̙3f̙3f333f3333f3ffffff3f̙3f3f3f333f3333f3ffffff3f̙3f3ffffffffff!___www45'  ' yh' yh-   ! ! !r' !; !*rOTimes New Roman<- 2 FY 2002 - !7-2 FY 02-06 - !<-2 !FY 02-11 - !<!-Times New Roman,-"2 Savings Proposals: Times New Roman -2 *o*2 *EMedicaid Upper Payment Limit.........................................72 *-$60672 *-$6,8777`2 *.-$17,376-2 =Cost Proposal:  -2 Ro&2 R=VA Nursing Home Extension (Medicaid effect)..................Times New Romanp-_ 2 R$0- !a-_ 2 R$0- !a-_`2 R2+$1,200- !.a2--2 fo'2 f@Total Outlays, Proposed Law.....................................t2 f-$606t2 f-$6,877t`2 f'-$16,176-"Systemn-'-- yh--'- yh'*OLE*/HLPASMB User  FN&XBXXXXBXXXB-X,XX-  _Excelspreadsheetwillgointhisposition.ToimportthesheetintoWordPerfect,OpenExcelandcopytheappropriaterange.SwitchbacktoWordPerfect.UsetheHHSToolBarorKeystrokestoruntheLargeTable(CTRLALTL)orSmallTable(CTRLALTS)macrotoautomaticallypastetheclipboard_contentsat_Ԁthecorrectpositioninthisdocument*OLE*WPCCC**!* r   g2''  ' g2' g2-   !x2Times New Romany-  2 ,2000 2 y2001 2 20022 Request Times New Roman--"Systemn-'-- "2- 2 $Actual - !$ $---2 kEnacted- !* k---2 Request - !, ---2  +/- Enacted- !< ----'-- g2Times New Roman,-R d2 F >Budget Authority.............................................. 2 F RD 2 F8$0R 2 F$62R 2 F$67R+ 2 F+$5cr2 W GOutlays................................................................ 2 W cD 2 W8$0c 2 W$16c 2 W$29c+ 2 W+$13-'WPWin 6.0/OLE 1.0 Prefix Information Marker$ METAFILEPICT:`:  r   g2''  ' g2' g2-   !x2Times New Romany-  2 ,2000 2 y2001 2 20022 Request Times New Roman--"Systemn-'-- "2- 2 $Actual - !$ $---2 kEnacted- !* k---2 Request - !, ---2  +/- Enacted- !< ----'-- g2Times New Roman,-R d2 F >Budget Authority.............................................. 2 F RD 2 F8$0R 2 F$62R 2 F$67R+ 2 F+$5cr2 W GOutlays................................................................ 2 W cD 2 W8$0c 2 W$16c 2 W$29c+ 2 W+$13-'4,HLPLibbie  FN&XBXXXXBXXXB-X,XX-  __Excelspreadsheetwillgointhisposition.ToimportthesheetintoWordPerfect,OpenExcelandcopytheappropriaterange.SwitchbacktoWordPerfect.UsetheHHSToolBar,Keystrokes,orPressReleasemenutoruntheLargeTable(CTRLALTL)orSmallTable(CTRLALTS)macrotoautomaticallypastetheclipboardcontentsatthecorrectpositioninthisdocument.Ifthetablepositionsaboveorbelowboththicklines,deletethe_table.Run_ԀthemacroagainandpauseforasecondbetweenthetwoEnters.WPC!n  6|   m''  ' m' m-   !0 !0 l !u/ !fC !)uW ! ! !=uTimes New Roman`-Times New RomanY---"Systemn-'-- /a--------  2 ?2000 -2 5Actual - !*)5------'-- /b-------- 2 2001 -2 |Enacted - !5)|------'-- /-------- 2 2002 -2 Request - !7)------'-- /l-------- 2 3Request -2 # +/-Enacted  - !G)#----'-- mTimes New Roman4- 2 F !2 F3Total Outlays, Current Law /1......................SZ2 F4$1,220S2 F$4,032S2 F$3,355Se2 FD-$677--|2 N/1 The total outlays include program spending in separate SCHIP, combination,      72  and Medicaid expansion programs.  ---'-- l W2 n5Note: There is no proposed law in SCHIP for FY 2002.      --'-- m--'-- m--'- m-4'WPWin 6.0/OLE 1.0 Prefix Information Marker% METAFILEPICT.@t .@i 6|   m''  ' m' m-   !0 !0 l !u/ !fC !)uW ! ! !=uTimes New Roman`-Times New RomanY---"Systemn-'-- /a--------  2 ?2000 -2 5Actual - !*)5------'-- /b-------- 2 2001 -2 |Enacted - !5)|------'-- /-------- 2 2002 -2 Request - !7)------'-- /l-------- 2 3Request -2 # +/-Enacted  - !G)#----'-- mTimes New Roman4- 2 F !2 F3Total Outlays, Current Law /1......................SZ2 F4$1,220S2 F$4,032S2 F$3,355Se2 FD-$677--|2 N/1 The total outlays include program spending in separate SCHIP, combination,      72  and Medicaid expansion programs.  ---'-- l W2 n5Note: There is no proposed law in SCHIP for FY 2002.      --'-- m--'-- m--'- m-4'  FN&XBXXXXBXXXB-X,XX-  _Excelspreadsheetwillgointhisposition.ToimportthesheetintoWordPerfect,OpenExcelandcopytheappropriaterange.SwitchbacktoWordPerfect.UsetheHHSToolBarorKeystrokestoruntheLargeTable(CTRLALTL)orSmallTable(CTRLALTS)macrotoautomaticallypastetheclipboardcontentsatthecorrectpositioninthisdocument<:Default Para*OLE*WPCN$N$!N$     w)' """)))UUUMMMBBB999|PP3f333f3333f3ffffff3f̙3ff333f333333333f33333333f33f3ff3f3f3f3333f33̙33333f333333f3333f3ffffff3f33ff3f3f3f3fff3ffffffffff3ffff̙fff3fffff3fff333f3f3ff3ff33f̙̙3̙ff̙̙̙3f̙3f333f3333f3ffffff3f̙3f3f3f333f3333f3ffffff3f̙3f3ffffffffff!___www45'  ' w)' w)-   !'Times New Roman*-Times New Roman*---"Systemn-'-- &A--------  2 2000 -2 Actual - !*%------'-- &B-------- 2 f2001 -2 QEnacted - !5%Q------'-- &-------- 2 2002 -2 Request - !7%------'-- &(------- 2 Request -2  +/-Enacted  - !G%----'-- w)Times New Roman v-J T2 =3Program Level......................................   2 = J:2 = $38,381J2 =T$43,149J2 =$44,387J!2 =+$1,238r[2 e8FTE..................................................... 2 e r:2 e1,470r2 eb1,532r2 e1,547r! 2 e +15-'WPWin 6.0/OLE 1.0 Prefix Information Marker( METAFILEPICT#9"#9L      w)' """)))UUUMMMBBB999|PP3f333f3333f3ffffff3f̙3ff333f333333333f33333333f33f3ff3f3f3f3333f33̙33333f333333f3333f3ffffff3f33ff3f3f3f3fff3ffffffffff3ffff̙fff3fffff3fff333f3f3ff3ff33f̙̙3̙ff̙̙̙3f̙3f333f3333f3ffffff3f̙3f3f3f333f3333f3ffffff3f̙3f3ffffffffff!___www45'  ' w)' w)-   !'Times New Roman*-Times New Roman*---"Systemn-'-- &A--------  2 2000 -2 Actual - !*%------'-- &B-------- 2 f2001 -2 QEnacted - !5%Q------'-- &-------- 2 2002 -2 Request - !7%------'-- &(------- 2 Request -2  +/-Enacted  - !G%----'-- w)Times New Roman v-J T2 =3Program Level......................................   2 = J:2 = $38,381J2 =T$43,149J2 =$44,387J!2 =+$1,238r[2 e8FTE..................................................... 2 e r:2 e1,470r2 eb1,532r2 e1,547r! 2 e +15-' V FN&XBXXXXBXXXB-X,XX-  _Excelspreadsheetwillgointhisposition.ToimportthesheetintoWordPerfect,OpenExcelandcopytheappropriaterange.SwitchbacktoWordPerfect.Usethe_HHS_Ԁ_ToolBar_ԀorKeystrokestoruntheLargeTable(CTRLALTL)orSmallTable(CTRLALTS)macrotoautomaticallypastetheclipboard_contentsat_Ԁthecorrectpositioninthisdocument*OLE*WPC  ! |  =   ' """)))UUUMMMBBB999|PP3f333f3333f3ffffff3f̙3ff333f333333333f33333333f33f3ff3f3f3f3333f33̙33333f333333f3333f3ffffff3f33ff3f3f3f3fff3ffffffffff3ffff̙fff3fffff3fff333f3f3ff3ff33f̙̙3̙ff̙̙̙3f̙3f333f3333f3ffffff3f̙3f3f3f333f3333f3ffffff3f̙3f3ffffffffff!___www45'  ' ' -   !/3 !Z !/ ! !g/!Times New Roman4-Times New Roman4---"Systemn-'-- "0--------  2 2000 -2  Actual - !$ ------'-- "w1-------- 2 Y2001 -2 KEnacted- !* K------'-- "x-------- 2 2002 -2 Request - !, ------'-- "-------- !2 Request -2  +/-Enacted- !9 ----'-- Times New Roman4-A W2 5 5Medicare Contractors................................. 2 5 A*2 5 $1,239Aq2 5P$1,357A2 5$1,522A2 5+$165RU2 F 4Survey and Certification............................2 F R* 2 F210Rq 2 F_242R 2 F242R 2 F 0cW2 W 5Federal Administration...............................  2 W c* 2 W486cq 2 W_505c 2 W532c 2 W+27tf2 h ?Research.......................................................2 h Times New RomanD-t* 2 h61- ! u-tq 2 h_138- !u_-t 2 h55- ! u-t 2 h-83- !u--2 y2 y(HCFA Budget Authority Subtotal..........*2 y$1,996q2 yK$2,2422 y$2,3512 y+$109-E2 )CLIA/HMO and Data Spending...............   2  * 2 $45q 2 _$45 2 $45 2 $0B2 'National Medicare Education Program ...   2  -* 2 95- ! -q 2 e17- ! e- 2 17- ! - 2 0- ! --B2 'Reimbursable Spending Subtotal.........  2  * 2 $140q 2 \$62 2 $62 2 $0-C2 (CLIA/Sale of Data/HMO User Fees.........    2  * 2 -45q 2 a-45 2 -45 2 0B2 'National Medicare Education Program....   2  -* 2 -95- !-q 2 a-17- !a- 2 -17- !- 2 0- ! --W2 5User Fee Subtotal....................................2  *2 -$140q 2 X-$62 2 -$62 2 $0-H2  +Proposed Discretionary User Fees...........  2  * 2 $0q 2 e$02 -$1152 -$115-@I2 4,Proposed Budget Authority ..................  2 4 @*2 4$1,996@q2 4K$2,242@2 4$2,236@ 2 4-$6-bZ2 V 7Proposed Outlays....................................... 2 V b*2 V $1,996bq2 VP$2,242b2 V$2,236b 2 V-$6p2 xFFTE...................................................................2 x *2 x4,446q2 xV4,6102 x4,632 2 x+22-'WPWin 6.0/OLE 1.0 Prefix Information Marker& METAFILEPICTe7} e7( =   ' """)))UUUMMMBBB999|PP3f333f3333f3ffffff3f̙3ff333f333333333f33333333f33f3ff3f3f3f3333f33̙33333f333333f3333f3ffffff3f33ff3f3f3f3fff3ffffffffff3ffff̙fff3fffff3fff333f3f3ff3ff33f̙̙3̙ff̙̙̙3f̙3f333f3333f3ffffff3f̙3f3f3f333f3333f3ffffff3f̙3f3ffffffffff!___www45'  ' ' -   !/3 !Z !/ ! !g/!Times New Roman4-Times New Roman4---"Systemn-'-- "0--------  2 2000 -2  Actual - !$ ------'-- "w1-------- 2 Y2001 -2 KEnacted- !* K------'-- "x-------- 2 2002 -2 Request - !, ------'-- "-------- !2 Request -2  +/-Enacted- !9 ----'-- Times New Roman4-A W2 5 5Medicare Contractors................................. 2 5 A*2 5 $1,239Aq2 5P$1,357A2 5$1,522A2 5+$165RU2 F 4Survey and Certification............................2 F R* 2 F210Rq 2 F_242R 2 F242R 2 F 0cW2 W 5Federal Administration...............................  2 W c* 2 W486cq 2 W_505c 2 W532c 2 W+27tf2 h ?Research.......................................................2 h Times New RomanD-t* 2 h61- ! u-tq 2 h_138- !u_-t 2 h55- ! u-t 2 h-83- !u--2 y2 y(HCFA Budget Authority Subtotal..........*2 y$1,996q2 yK$2,2422 y$2,3512 y+$109-E2 )CLIA/HMO and Data Spending...............   2  * 2 $45q 2 _$45 2 $45 2 $0B2 'National Medicare Education Program ...   2  -* 2 95- ! -q 2 e17- ! e- 2 17- ! - 2 0- ! --B2 'Reimbursable Spending Subtotal.........  2  * 2 $140q 2 \$62 2 $62 2 $0-C2 (CLIA/Sale of Data/HMO User Fees.........    2  * 2 -45q 2 a-45 2 -45 2 0B2 'National Medicare Education Program....   2  -* 2 -95- !-q 2 a-17- !a- 2 -17- !- 2 0- ! --W2 5User Fee Subtotal....................................2  *2 -$140q 2 X-$62 2 -$62 2 $0-H2  +Proposed Discretionary User Fees...........  2  * 2 $0q 2 e$02 -$1152 -$115-@I2 4,Proposed Budget Authority ..................  2 4 @*2 4$1,996@q2 4K$2,242@2 4$2,236@ 2 4-$6-bZ2 V 7Proposed Outlays....................................... 2 V b*2 V $1,996bq2 VP$2,242b2 V$2,236b 2 V-$6p2 xFFTE...................................................................2 x *2 x4,446q2 xV4,6102 x4,632 2 x+22-' /HLPASMB User% 6 FN&XBXXXXBXXXB-X,XX-  _Excelspreadsheetwillgointhisposition.ToimportthesheetintoWordPerfect,OpenExcelandcopytheappropriaterange.SwitchbacktoWordPerfect.UsetheHHS_ToolBar_ԀorKeystrokestoruntheLargeTable(CTRLALTL)orSmallTable(CTRLALTS)macrotoautomaticallypastetheclipboard_contentsat_Ԁthecorrectpositioninthisdocument*OLE*WPC!%    ' """)))UUUMMMBBB999|PP3f333f3333f3ffffff3f̙3ff333f333333333f33333333f33f3ff3f3f3f3333f33̙33333f333333f3333f3ffffff3f33ff3f3f3f3fff3ffffffffff3ffff̙fff3fffff3fff333f3f3ff3ff33f̙̙3̙ff̙̙̙3f̙3f333f3333f3ffffff3f̙3f3f3f333f3333f3ffffff3f̙3f3ffffffffff!___www45'  ' ' Times New Roman-Times New Roman--"Systemn-'- "1-------- 2 2000 -2  Actual - !$ -----'- "x2-------- 2 Z2001 -2 LEnacted- !* L-----'- "y-------- 2 2002 -2 Request - !, -----'- "------ '2 Request -2  +/-Enacted- !9 ---'- Times New Roman- 2 : Current Law: ZW2 N 5Medicare Trust Fund ................................. 2 N Z+2 N$218,773Zr2 NE$242,552Z2 N$256,873Z2 N+$14,321nf2 b ?Medicaid ...................................................... 2 b n+2 b117,921nr2 bK128,853n2 b143,029n2 b+14,176i2 v ASCHIP............................................................ 2 v +2 v1,220r2 vW4,0322 v3,355 2 v-677I2 ,State Grants and Demonstrations.............  2  Times New RomanD-+ 2 %0- !%-r 2 f16- ! f- 2 29- ! - 2 +13- !--K2 -Total Outlays, Current Law...................  2  +2 $337,914r2 >$375,4532 $403,2862 +$27,833-f2 ?Premiums ......................................................  2  -+2 -21,907- !%-r2 M-23,433- !%M-2 -27,034- !%-2 -3,601- !--E2 )Total Net Outlays, Current Law...........   2  +2 $316,007r2 >$352,0202 $376,2522 +$24,232-2  Proposed Law:  f2  ?Medicare ...................................................... 2   + 2 $0 r 2 f$0  2 $0  2 $0f2  ?Medicaid ...................................................... 2  + 2 %0r 2 l0 2 -606 2 -606.i2 " ASCHIP............................................................ 2 " .+ 2 "%0.r 2 "l0. 2 "0. 2 " 0AI2 5 ,State Grants and Demonstrations.............  2 5 A+ 2 5%0Ar 2 5l0A 2 50A 2 5 0UQ2 I 1Immediate Helping Hand /2........................   2 I U+ 2 I%0Ur2 IW2,500U2 I11,200U2 I+8,700iZ2 ] 7Premium Interaction....................................  2 ] i+ 2 ]%0ir 2 ]l0i 2 ]20i 2 ]+20}f2 q ?User Fees...................................................... 2 q -}+ 2 q%0- !~%-}r 2 ql0- !~l-} 2 q-115- !~-} 2 q-115- !~--2 (2 BTotal.............................................................+ 2 $0r2 L$2,5002 $10,4992 +$7,999B2 'Total Net Outlays, Proposed Law /1.....  2  +2 $316,007r2 >$354,5202 $386,7512 +$32,231-2 X/1 Total net outlays equal current law outlays minus the impact of proposed legislation    32  and offsetting receipts.2 a/2 The Immediate Helping Hand figure for FY 2001 reflects proposed law and has not been enacted.      45 -'WPWin 6.0/OLE 1.0 Prefix Information Marker' METAFILEPICT{7:%{76    ' """)))UUUMMMBBB999|PP3f333f3333f3ffffff3f̙3ff333f333333333f33333333f33f3ff3f3f3f3333f33̙33333f333333f3333f3ffffff3f33ff3f3f3f3fff3ffffffffff3ffff̙fff3fffff3fff333f3f3ff3ff33f̙̙3̙ff̙̙̙3f̙3f333f3333f3ffffff3f̙3f3f3f333f3333f3ffffff3f̙3f3ffffffffff!___www45'  ' ' Times New Roman-Times New Roman--"Systemn-'- "1-------- 2 2000 -2  Actual - !$ -----'- "x2-------- 2 Z2001 -2 LEnacted- !* L-----'- "y-------- 2 2002 -2 Request - !, -----'- "------ '2 Request -2  +/-Enacted- !9 ---'- Times New Roman- 2 : Current Law: ZW2 N 5Medicare Trust Fund ................................. 2 N Z+2 N$218,773Zr2 NE$242,552Z2 N$256,873Z2 N+$14,321nf2 b ?Medicaid ...................................................... 2 b n+2 b117,921nr2 bK128,853n2 b143,029n2 b+14,176i2 v ASCHIP............................................................ 2 v +2 v1,220r2 vW4,0322 v3,355 2 v-677I2 ,State Grants and Demonstrations.............  2  Times New RomanD-+ 2 %0- !%-r 2 f16- ! f- 2 29- ! - 2 +13- !--K2 -Total Outlays, Current Law...................  2  +2 $337,914r2 >$375,4532 $403,2862 +$27,833-f2 ?Premiums ......................................................  2  -+2 -21,907- !%-r2 M-23,433- !%M-2 -27,034- !%-2 -3,601- !--E2 )Total Net Outlays, Current Law...........   2  +2 $316,007r2 >$352,0202 $376,2522 +$24,232-2  Proposed Law:  f2  ?Medicare ...................................................... 2   + 2 $0 r 2 f$0  2 $0  2 $0f2  ?Medicaid ...................................................... 2  + 2 %0r 2 l0 2 -606 2 -606.i2 " ASCHIP............................................................ 2 " .+ 2 "%0.r 2 "l0. 2 "0. 2 " 0AI2 5 ,State Grants and Demonstrations.............  2 5 A+ 2 5%0Ar 2 5l0A 2 50A 2 5 0UQ2 I 1Immediate Helping Hand /2........................   2 I U+ 2 I%0Ur2 IW2,500U2 I11,200U2 I+8,700iZ2 ] 7Premium Interaction....................................  2 ] i+ 2 ]%0ir 2 ]l0i 2 ]20i 2 ]+20}f2 q ?User Fees...................................................... 2 q -}+ 2 q%0- !~%-}r 2 ql0- !~l-} 2 q-115- !~-} 2 q-115- !~--2 (2 BTotal.............................................................+ 2 $0r2 L$2,5002 $10,4992 +$7,999B2 'Total Net Outlays, Proposed Law /1.....  2  +2 $316,007r2 >$354,5202 $386,7512 +$32,231-2 X/1 Total net outlays equal current law outlays minus the impact of proposed legislation    32  and offsetting receipts.2 a/2 The Immediate Helping Hand figure for FY 2001 reflects proposed law and has not been enacted.      45 -' 77HLPErin O'Connell 6 FN&XBXXXXBXXXB-X,XX-  _Excelspreadsheetwillgointhisposition.ToimportthesheetintoWordPerfect,OpenExcelandcopytheappropriaterange.SwitchbacktoWordPerfect.UsetheHHS_ToolBar_ԀorKeystrokestoruntheLargeTable(CTRLALTL)orSmallTable(CTRLALTS)macrotoautomaticallypastetheclipboard_contentsat_Ԁthecorrectpositioninthisdocument  mN"XBXXXXBXXXB-X,XX-  _X XXXBIneveryinstance  wherethisAdministrationseesaresponsibilitytohelppeople,itwilllooktofaithbasedorganizations,charities,andcommunitygroupsthathaveshownthe#^]ddabilitytochangelives.#dd^]z $ mN"XBXXXXBXXXB-X,XX-  _ ThePresidents  Budgetincludes$89millionforaCompassionCapitalFund... X XXXB*OLE*WPC  ! 9     )r' """)))UUUMMMBBB999|PP3f333f3333f3ffffff3f̙3ff333f333333333f33333333f33f3ff3f3f3f3333f33̙33333f333333f3333f3ffffff3f33ff3f3f3f3fff3ffffffffff3ffff̙fff3fffff3fff333f3f3ff3ff33f̙̙3̙ff̙̙̙3f̙3f333f3333f3ffffff3f̙3f3f3f333f3333f3ffffff3f̙3f3ffffffffff!___www45'  ' )r' )r-   !'DTimes New Roman-Times New RomanZ---"Systemn-'-- &D--------  2 p 2000 -2 fActual- !"!f------'-- &r-------- 2 2001 -2 Enacted- !)!------'-- &-------- 2 2002 -2 Request- !*!------'-- &q------- $2 ERequest -2 8 +/-Enacted- !7!8----'-- )rTimes New Roman - *2 'Strengthening Families: 2 7A12 7 TCompassion Capital Fund.............................................................C 2 7x$0C 2 7$0C 2 7$89Ck 2 7R+$892 GA.2 G NPromoting Responsible Fatherhood .............................................S 2 G~0S 2 G0S 2 G64Sk 2 GX+642 WA12 W SMaternity Group Homes..............................................................c 2 W~0c 2 W0c 2 W33ck 2 WX+332 gA02 g RMentoring Children of Prisoners...................................................s 2 g~0s 2 g0s 2 g67sk 2 gX+672 wA42 w YOffice of Faith Based ................................................................... 2 w~0 2 w0 2 w 3k 2 w^+3?2 %Child Care & Development Block Grant:    2 A,2 JChild Care & Development Block Grant......................................2 c$1,1732 $1,9902 $2,190k2 L+$200Times New Roman8-I2 ,After School Certificate Set-Aside (non-add) 2 0 2 0 2 400i 2 O+400-2 A02 R Research and Evaluation Fund.....................................................Times New Romanw- 2 x10- ! x- 2 10- ! - 2 10- ! -k 2 e0- !e--2 A12 SSubtotal, CCDBG....................................................................2 c$1,1832 $2,0002 $2,200k2 L+$200-2 A72 _Head Start 2/..................................................................................2 c$5,2662 $6,2002 $6,325k2 L+$1252 A62 ]LIHEAP 1/....................................................................................2 c$1,1002 $1,4002 $1,400k 2 _$02 A*2 ELIHEAP Emergency Contingency Fund.................................... 2 r900 2 300 2 300k 2 e0-:2 "Available for Obligation (non-add) Times New Roman- 2 0- !- 2 0- !- 2 0- !- 2 g0- !g--2 A22 USubtotal, LIHEAP.....................................................................#2 c$2,000#2 $1,700#2 $1,700#k 2 _$0-2 ' Refugees:2 8A02 8 RRefugee and Entrant Assistance....................................................Times New Roman4- D 2 8l$426D 2 8$433D 2 8$445Dk 2 8R+$12-12 HVictims of Torture (non-add)  2 H7 2 H10 2 H10 2 Hg0-2 XA42 X ZCarry-over Funds..........................................................................-d 2 Xx72- ! ex-d 2 X12- ! e-d 2 X 0- !e -dk 2 X[-12- !e[--2 hA22 hUSubtotal, Refugees...................................................................t 2 hl$498t 2 h$445t 2 h$445tk 2 h_$0-2 xA42 x ZNative Americans.......................................................................... 2 xx35 2 x46 2 x45k 2 xa-12 A22  UDevelopmental Disabilities........................................................... 2 r122 2 133 2 133k 2 e02 A62  ^Child Abuse................................................................................... 2 x72 2 88 2 72k 2 [-162 A62  ^Child Welfare................................................................................. 2 r339 2 339 2 339k 2 e02 A32  XFederal Administration.................................................................. 2 r158 2 174 2 182k 2 ^+82 A,2  JSocial Services Research & Demonstrations................................. 2 x28 2 37 2 27k 2 [-10Times New Roman@- C2 (Social Services R&D: Mandatory (non-add)  - 2 |0 2 0 2 21i 2 U+21-2 A42  YEarly Learning Fund ..................................................................... 2 ~0 2 20 2  0k 2 [-202 A/2  ORunaway and Homeless Youth..................................................... 2 x64 2 69 2 69k 2 e02 A42  YAdoption Incentives...................................................................... 2 x42 2 43 2 43k 2 e0$2 Community Services: 2 )A/2 ) OCommunity Services Block Grant.................................................5 2 )l$5285 2 )$6005 2 )$6005k 2 )_$02 9A/2 9 OIndividual Development Accounts................................................E 2 9x10E 2 925E 2 925Ek 2 9e02 IA02 I ROther Discretionary Programs......................................................-U 2 Ix57- ! Vx-U 2 I58- ! V-U 2 I30- ! V-Uk 2 I[-28- !V[--2 YA,2 YJSubtotal, Community Services..............................................e 2 Yl$594e 2 Y$683e 2 Y$655ek 2 YU-$28-2 iA12 i TViolence Against Women..............................................................-u 2 ir118- !vr-u 2 i134- !v-u 2 i134- !v-uk 2 ie0- !ve--2 yA)2 yCTotal, ACF Discretionary Program Level.............................2 y]$10,5192 y$12,1112 y$12,625k2 yL+$514-C2 (Less Funds Allocated from Other Sources:   2 A/2  OSocial Services R&D: Mandatory................................................. 2 ~0 2 0 2 -21k 2 [-212 A*2  F1% / 2% Fed. Admin. Funds (pre-appropriated).......................... 2 t-10 2 -10 2 -10k 2 e02 A.2  NHead Start Advance Appropriation..............................................-2 e-1,400- !e- 2 0- !- 2  0- ! -k 2 e0- !e--2 A-2 LTotal, ACF Discretionary B. A...............................................2 c$9,1092 $12,1012 $12,594k2 L+$493-2 A82  bFTE...............................................................................................2 i1,4702 1,5322 1,547k 2 X+152 u/1 Of the $900 million in Emergency Contingency funds appropriated in FY 2000, $155 million was obligated in FY 2001.     2 g/2 FY 2001 and FY 2002 funding levels included $1.4 billion advanced appropriation for subsequent year.-)r 45 -'WPWin 6.0/OLE 1.0 Prefix Information Marker) METAFILEPICT@d9@S     )r' """)))UUUMMMBBB999|PP3f333f3333f3ffffff3f̙3ff333f333333333f33333333f33f3ff3f3f3f3333f33̙33333f333333f3333f3ffffff3f33ff3f3f3f3fff3ffffffffff3ffff̙fff3fffff3fff333f3f3ff3ff33f̙̙3̙ff̙̙̙3f̙3f333f3333f3ffffff3f̙3f3f3f333f3333f3ffffff3f̙3f3ffffffffff!___www45'  ' )r' )r-   !'DTimes New Roman-Times New RomanZ---"Systemn-'-- &D--------  2 p 2000 -2 fActual- !"!f------'-- &r-------- 2 2001 -2 Enacted- !)!------'-- &-------- 2 2002 -2 Request- !*!------'-- &q------- $2 ERequest -2 8 +/-Enacted- !7!8----'-- )rTimes New Roman - *2 'Strengthening Families: 2 7A12 7 TCompassion Capital Fund.............................................................C 2 7x$0C 2 7$0C 2 7$89Ck 2 7R+$892 GA.2 G NPromoting Responsible Fatherhood .............................................S 2 G~0S 2 G0S 2 G64Sk 2 GX+642 WA12 W SMaternity Group Homes..............................................................c 2 W~0c 2 W0c 2 W33ck 2 WX+332 gA02 g RMentoring Children of Prisoners...................................................s 2 g~0s 2 g0s 2 g67sk 2 gX+672 wA42 w YOffice of Faith Based ................................................................... 2 w~0 2 w0 2 w 3k 2 w^+3?2 %Child Care & Development Block Grant:    2 A,2 JChild Care & Development Block Grant......................................2 c$1,1732 $1,9902 $2,190k2 L+$200Times New Roman8-I2 ,After School Certificate Set-Aside (non-add) 2 0 2 0 2 400i 2 O+400-2 A02 R Research and Evaluation Fund.....................................................Times New Romanw- 2 x10- ! x- 2 10- ! - 2 10- ! -k 2 e0- !e--2 A12 SSubtotal, CCDBG....................................................................2 c$1,1832 $2,0002 $2,200k2 L+$200-2 A72 _Head Start 2/..................................................................................2 c$5,2662 $6,2002 $6,325k2 L+$1252 A62 ]LIHEAP 1/....................................................................................2 c$1,1002 $1,4002 $1,400k 2 _$02 A*2 ELIHEAP Emergency Contingency Fund.................................... 2 r900 2 300 2 300k 2 e0-:2 "Available for Obligation (non-add) Times New Roman- 2 0- !- 2 0- !- 2 0- !- 2 g0- !g--2 A22 USubtotal, LIHEAP.....................................................................#2 c$2,000#2 $1,700#2 $1,700#k 2 _$0-2 ' Refugees:2 8A02 8 RRefugee and Entrant Assistance....................................................Times New Roman4- D 2 8l$426D 2 8$433D 2 8$445Dk 2 8R+$12-12 HVictims of Torture (non-add)  2 H7 2 H10 2 H10 2 Hg0-2 XA42 X ZCarry-over Funds..........................................................................-d 2 Xx72- ! ex-d 2 X12- ! e-d 2 X 0- !e -dk 2 X[-12- !e[--2 hA22 hUSubtotal, Refugees...................................................................t 2 hl$498t 2 h$445t 2 h$445tk 2 h_$0-2 xA42 x ZNative Americans.......................................................................... 2 xx35 2 x46 2 x45k 2 xa-12 A22  UDevelopmental Disabilities........................................................... 2 r122 2 133 2 133k 2 e02 A62  ^Child Abuse................................................................................... 2 x72 2 88 2 72k 2 [-162 A62  ^Child Welfare................................................................................. 2 r339 2 339 2 339k 2 e02 A32  XFederal Administration.................................................................. 2 r158 2 174 2 182k 2 ^+82 A,2  JSocial Services Research & Demonstrations................................. 2 x28 2 37 2 27k 2 [-10Times New Roman@- C2 (Social Services R&D: Mandatory (non-add)  - 2 |0 2 0 2 21i 2 U+21-2 A42  YEarly Learning Fund ..................................................................... 2 ~0 2 20 2  0k 2 [-202 A/2  ORunaway and Homeless Youth..................................................... 2 x64 2 69 2 69k 2 e02 A42  YAdoption Incentives...................................................................... 2 x42 2 43 2 43k 2 e0$2 Community Services: 2 )A/2 ) OCommunity Services Block Grant.................................................5 2 )l$5285 2 )$6005 2 )$6005k 2 )_$02 9A/2 9 OIndividual Development Accounts................................................E 2 9x10E 2 925E 2 925Ek 2 9e02 IA02 I ROther Discretionary Programs......................................................-U 2 Ix57- ! Vx-U 2 I58- ! V-U 2 I30- ! V-Uk 2 I[-28- !V[--2 YA,2 YJSubtotal, Community Services..............................................e 2 Yl$594e 2 Y$683e 2 Y$655ek 2 YU-$28-2 iA12 i TViolence Against Women..............................................................-u 2 ir118- !vr-u 2 i134- !v-u 2 i134- !v-uk 2 ie0- !ve--2 yA)2 yCTotal, ACF Discretionary Program Level.............................2 y]$10,5192 y$12,1112 y$12,625k2 yL+$514-C2 (Less Funds Allocated from Other Sources:   2 A/2  OSocial Services R&D: Mandatory................................................. 2 ~0 2 0 2 -21k 2 [-212 A*2  F1% / 2% Fed. Admin. Funds (pre-appropriated).......................... 2 t-10 2 -10 2 -10k 2 e02 A.2  NHead Start Advance Appropriation..............................................-2 e-1,400- !e- 2 0- !- 2  0- ! -k 2 e0- !e--2 A-2 LTotal, ACF Discretionary B. A...............................................2 c$9,1092 $12,1012 $12,594k2 L+$493-2 A82  bFTE...............................................................................................2 i1,4702 1,5322 1,547k 2 X+152 u/1 Of the $900 million in Emergency Contingency funds appropriated in FY 2000, $155 million was obligated in FY 2001.     2 g/2 FY 2001 and FY 2002 funding levels included $1.4 billion advanced appropriation for subsequent year.-)r 45 -' 8HLPASMB User% V FN&XBXXXXBXXXB-X,XX-  _Excelspreadsheetwillgointhisposition.ToimportthesheetintoWordPerfect,OpenExcelandcopytheappropriaterange.SwitchbacktoWordPerfect.Usethe_HHS_Ԁ_ToolBar_ԀorKeystrokestoruntheLargeTable(CTRLALTL)orSmallTable(CTRLALTS)macrotoautomaticallypastetheclipboard_contentsat_Ԁthecorrectpositioninthisdocument(*-/0123xCcgkosw{TrianglesTriangle Bullet*OLE*WPC!l  U   ''  ' ' Times New Roman-Times New Roman4--"Systemn-'- &0-------- 2 2000 -2 Actual - !*%-----'- &w1-------- 2 U2001 -2 @Enacted - !5%@-----'- &x-------- 2 2002 -2 Request - !7%-----'- &------- 2 Request -2  +/-Enacted  - !G%---'- Times New Roman4-J L2 =.Program Level.................................   2 = J) 2 = $934Jp2 =J$1,105J2 =$1,100J 2 =-$5nU2 a4FTE................................................. 2 a n) 2 a119np 2 a[122n 2 a124n 2 a+2-4'WPWin 6.0/OLE 1.0 Prefix Information Marker- METAFILEPICTe7 r e7  U   ''  ' ' Times New Roman-Times New Roman4--"Systemn-'- &0-------- 2 2000 -2 Actual - !*%-----'- &w1-------- 2 U2001 -2 @Enacted - !5%@-----'- &x-------- 2 2002 -2 Request - !7%-----'- &------- 2 Request -2  +/-Enacted  - !G%---'- Times New Roman4-J L2 =.Program Level.................................   2 = J) 2 = $934Jp2 =J$1,105J2 =$1,100J 2 =-$5nU2 a4FTE................................................. 2 a n) 2 a119np 2 a[122n 2 a124n 2 a+2-4'*OLE*WPC!~ >    ' """)))UUUMMMBBB999|PP3f333f3333f3ffffff3f̙3ff333f333333333f33333333f33f3ff3f3f3f3333f33̙33333f333333f3333f3ffffff3f33ff3f3f3f3fff3ffffffffff3ffff̙fff3fffff3fff333f3f3ff3ff33f̙̙3̙ff̙̙̙3f̙3f333f3333f3ffffff3f̙3f3f3f333f3333f3ffffff3f̙3f3ffffffffff!___www45'  ' !' !-  !S !7&T !7T !ETimes New Roman- 2 2000 2 2001 2 20022 zRequest  Times New Roman!--"Systemn-'-- l:- 2 <Actual - !vh---2 <Enacted- !h---2 <Request- !h---2 <G +/- Enacted  - !hG----'-- !Times New Roman- 2 +TTANF/1..............................................................................  2  2 $16,689  2 $16,689 2 z$16,679  2 -$10{2 +MChild Care Entitlement ......................................................    ! 2  2 2,367  2 2,567 2 2,717  2 +1509]2 +9Child Support Enforcement & Family Support (net BA) .....    ! !     92 1,010 9 2 3,321 92 3,448 9 2 +127Times New Roman-of2 I+? CSE &FS Program Obligations (non-add).........................        2 I o 2 I3,353 o2 I3,748 o2 I3,908 o 2 I+160-s2 +HFoster Care/Adoption Assistance ........................................        2  2 5,697  2 6,401 2 6,682  2 +281+.d2 +>Childrens Research & Technical Assist (net BA) ..............         .2   2 39  2 40 2 62 2 +22p2 +FPromoting Safe and Stable Families....................................!        !  2   2 295  2 305 2 505 2 +200Gy2 !+LSocial Service Block Grant..................................................       2 ! Times New Roman-G2 !1,775 - !_L-G 2 !1,725 - !_L-G2 !1,700 - !_L-G 2 !-25- !8L--s2 LHTotal, Budget Authority ................................................    2  2 $27,872  2 $31,048 2 z$31,793 2 +$745-2 +kNOTE: FY 2002 levels include legislative proposals and reflect preappropriated amounts for TANF, Child Care                   !      R2 /2 and Children's Research and Technical Assistance.           2  Y1/ FY 2002 amount reflects anticipated State penalities against family assistance grants.   !               !       --'-- -  !  ! !1  !  ! . ! .--'- !'WPWin 6.0/OLE 1.0 Prefix Information Marker* METAFILEPICTDDC  >    ' """)))UUUMMMBBB999|PP3f333f3333f3ffffff3f̙3ff333f333333333f33333333f33f3ff3f3f3f3333f33̙33333f333333f3333f3ffffff3f33ff3f3f3f3fff3ffffffffff3ffff̙fff3fffff3fff333f3f3ff3ff33f̙̙3̙ff̙̙̙3f̙3f333f3333f3ffffff3f̙3f3f3f333f3333f3ffffff3f̙3f3ffffffffff!___www45'  ' !' !-  !S !7&T !7T !ETimes New Roman- 2 2000 2 2001 2 20022 zRequest  Times New Roman!--"Systemn-'-- l:- 2 <Actual - !vh---2 <Enacted- !h---2 <Request- !h---2 <G +/- Enacted  - !hG----'-- !Times New Roman- 2 +TTANF/1..............................................................................  2  2 $16,689  2 $16,689 2 z$16,679  2 -$10{2 +MChild Care Entitlement ......................................................    ! 2  2 2,367  2 2,567 2 2,717  2 +1509]2 +9Child Support Enforcement & Family Support (net BA) .....    ! !     92 1,010 9 2 3,321 92 3,448 9 2 +127Times New Roman-of2 I+? CSE &FS Program Obligations (non-add).........................        2 I o 2 I3,353 o2 I3,748 o2 I3,908 o 2 I+160-s2 +HFoster Care/Adoption Assistance ........................................        2  2 5,697  2 6,401 2 6,682  2 +281+.d2 +>Childrens Research & Technical Assist (net BA) ..............         .2   2 39  2 40 2 62 2 +22p2 +FPromoting Safe and Stable Families....................................!        !  2   2 295  2 305 2 505 2 +200Gy2 !+LSocial Service Block Grant..................................................       2 ! Times New Roman-G2 !1,775 - !_L-G 2 !1,725 - !_L-G2 !1,700 - !_L-G 2 !-25- !8L--s2 LHTotal, Budget Authority ................................................    2  2 $27,872  2 $31,048 2 z$31,793 2 +$745-2 +kNOTE: FY 2002 levels include legislative proposals and reflect preappropriated amounts for TANF, Child Care                   !      R2 /2 and Children's Research and Technical Assistance.           2  Y1/ FY 2002 amount reflects anticipated State penalities against family assistance grants.   !               !       --'-- -  !  ! !1  !  ! . ! .--'- !' HLPASMB User% V FN&XBXXXXBXXXB-X,XX-  _Excelspreadsheetwillgointhisposition.ToimportthesheetintoWordPerfect,OpenExcelandcopytheappropriaterange.SwitchbacktoWordPerfect.Usethe_HHS_Ԁ_ToolBar_ԀorKeystrokestoruntheLargeTable(CTRLALTL)orSmallTable(CTRLALTS)macrotoautomaticallypastetheclipboard_contentsat_Ԁthecorrectpositioninthisdocument*OLE*WPC&&!&  c   xU''  ' xU' xU-   !U ! !4" !U !f !wTimes New Roman,--"Systemn-'-- U-  2 FY 2002- !*---2 FY 02-06- !.---2 $FY 02-11- !.$----'-- xUTimes New Roman- 2 $}52 $[TANF Charitable State Tax Credit (outlays)................................................. 2 $$0 2 $$850 2 $F$02 5}62 5]Promoting Safe and Stable Families (BA)...................................................... 2 52002 51,0002 572,0002 F})2 FCFoster Care/Adoption Assistance/Independent Living Program (BA)....- 2 F60- ! S- 2 F300- !S- 2 F@600- !S@-Times New Roman-ty2 h`Total, ACF Proposed Law Impact..................................................................  2 hy 2 h$2602 h$2,1502 h,$2,600--'-- xU-   "-y "- !y-y- !y-  - ! -TT- !T-- ! -V- !U-wwV- !Uw--'- xU'WPWin 6.0/OLE 1.0 Prefix Information Marker+ METAFILEPICT= =g  c   xU''  ' xU' xU-   !U ! !4" !U !f !wTimes New Roman,--"Systemn-'-- U-  2 FY 2002- !*---2 FY 02-06- !.---2 $FY 02-11- !.$----'-- xUTimes New Roman- 2 $}52 $[TANF Charitable State Tax Credit (outlays)................................................. 2 $$0 2 $$850 2 $F$02 5}62 5]Promoting Safe and Stable Families (BA)...................................................... 2 52002 51,0002 572,0002 F})2 FCFoster Care/Adoption Assistance/Independent Living Program (BA)....- 2 F60- ! S- 2 F300- !S- 2 F@600- !S@-Times New Roman-ty2 h`Total, ACF Proposed Law Impact..................................................................  2 hy 2 h$2602 h$2,1502 h,$2,600--'-- xU-   "-y "- !y-y- !y-  - ! -TT- !T-- ! -V- !U-wwV- !Uw--'- xU' HLPASMB User% V FN&XBXXXXBXXXB-X,XX-  _Excelspreadsheetwillgointhisposition.ToimportthesheetintoWordPerfect,OpenExcelandcopytheappropriaterange.SwitchbacktoWordPerfect.Usethe_HHS_Ԁ_ToolBar_ԀorKeystrokestoruntheLargeTable(CTRLALTL)orSmallTable(CTRLALTS)macrotoautomaticallypastetheclipboard_contentsat_Ԁthecorrectpositioninthisdocument*OLE*WPCjj!j4 h    H' """)))UUUMMMBBB999|PP3f333f3333f3ffffff3f̙3ff333f333333333f33333333f33f3ff3f3f3f3333f33̙33333f333333f3333f3ffffff3f33ff3f3f3f3fff3ffffffffff3ffff̙fff3fffff3fff333f3f3ff3ff33f̙̙3̙ff̙̙̙3f̙3f333f3333f3ffffff3f̙3f3f3f333f3333f3ffffff3f̙3f3ffffffffff!___www45'  ' H' H-   !'& !H& !m !6H !Times New Roman4-Times New Roman@---"Systemn-'-- &l&--------  2 J2000 -2 @Actual - !*%@------'-- &m-------- 2 2001 -2 wEstimate  - !:%w------'-- &-------- 2 2002 -2 Estimate  - !:%------'-- &G------ 2 %2002 -2 +/-2001 - !2%----'-- HTimes New Roman---'-- KH; 42 :Total Collections Distributed:   --'-- H\ Z2 O 7Non-TANF Families .....................................   2 O \e2 O8$15,159\2 O$16,903\2 O$18,593\@2 O+$1,690--'-- qHam W2 ` 5TANF/Foster Care families............................   2 ` me 2 `P139mP2 `0 2 `P m 2 `139m2 `w 2 ` m 2 `140m2 ` 2 ` m@ 2 `1+1--'-- H--'-- Hr~ ]2 q 9TANF program.............................................  2 q ~e2 qF2,360~F2 q. 2 qF ~2 q2,403~2 qu 2 q ~2 q2,431~2 q 2 q ~@ 2 q*+28--'-- H--'-- H [2 8Foster Care program.....................................  2  Times New Roman4-e 2 W44- !W- 2 49- !- 2 52- !-@ 2 1+3- !1---'-- H---'-- H d2 >Total......................................................... 2  e2 1$17,7022 x$19,4942 $21,216@2 +$1,722 --'-- H---'-- H E2 )Distributed to TANF/Foster Care Programs:     --'-- H--'-- H ^2 :Net Federal Share ........................................ 2  e 2 I$938 2 $924 2 $907@ 2 &-$17--'-- H--'-- H E2 )State Share (includes incentives and hold--'-- H Z2 7harmless payments).....................................  2  -e2 F1,487- !F-2 1,528- !-2 1,576- !-Times New Romany-@ 2 *+48- !2----'-- H  d2 >Total......................................................... 2   e2 9$2,425 2 $2,452 2 $2,483 @ 2 +$31 --'-- H---'-- 2H" <2 !#Administrative Costs (Obligations):    --'-- H--'-- CH3? c2 2 =Federal Share ...............................................2 2 ?e2 2?$2,806?2 2$3,248?2 2$3,414?@2 2+$166--'-- H--'-- THDP d2 C >State Share...................................................2 C -Pe2 CF1,649- !RF-P2 C1,842- !R-P2 C2,011- !R-P@ 2 C#+169- !R#---'-- H---'-- eHUb c2 T=Costs........................................................ 2 T be2 T9$4,455b2 T$5,090b2 T$5,425b@2 T+$335 --'-- H---'-- Hw @2 v&Program Costs (Distributed Collections     --'-- H--'-- H 2  minus Costs):  --'-- H--'-- H `2 ;Federal Costs ............................................. 2  e2 ?$1,8682 $2,3242 $2,507@2 +$183--'-- H--'-- H [2 8State Savings/Costs..................................... 2  -e 2 P162- !P- 2 314- !- 2 435- !-@ 2 #+121- !#---'-- H- O2 0Net Costs to Taxpayer...........................   2  e2 9$2,0302 $2,6382 $2,942@2 +$304 ---'-- H 2  UNOTE: Program Costs equal the Administrative Costs minus the portion of collections        --'-- H K2 -distributed to TANF and Foster Care Programs.    -'WPWin 6.0/OLE 1.0 Prefix Information Marker, METAFILEPICT[<4[<8 h    H' """)))UUUMMMBBB999|PP3f333f3333f3ffffff3f̙3ff333f333333333f33333333f33f3ff3f3f3f3333f33̙33333f333333f3333f3ffffff3f33ff3f3f3f3fff3ffffffffff3ffff̙fff3fffff3fff333f3f3ff3ff33f̙̙3̙ff̙̙̙3f̙3f333f3333f3ffffff3f̙3f3f3f333f3333f3ffffff3f̙3f3ffffffffff!___www45'  ' H' H-   !'& !H& !m !6H !Times New Roman4-Times New Roman@---"Systemn-'-- &l&--------  2 J2000 -2 @Actual - !*%@------'-- &m-------- 2 2001 -2 wEstimate  - !:%w------'-- &-------- 2 2002 -2 Estimate  - !:%------'-- &G------ 2 %2002 -2 +/-2001 - !2%----'-- HTimes New Roman---'-- KH; 42 :Total Collections Distributed:   --'-- H\ Z2 O 7Non-TANF Families .....................................   2 O \e2 O8$15,159\2 O$16,903\2 O$18,593\@2 O+$1,690--'-- qHam W2 ` 5TANF/Foster Care families............................   2 ` me 2 `P139mP2 `0 2 `P m 2 `139m2 `w 2 ` m 2 `140m2 ` 2 ` m@ 2 `1+1--'-- H--'-- Hr~ ]2 q 9TANF program.............................................  2 q ~e2 qF2,360~F2 q. 2 qF ~2 q2,403~2 qu 2 q ~2 q2,431~2 q 2 q ~@ 2 q*+28--'-- H--'-- H [2 8Foster Care program.....................................  2  Times New Roman4-e 2 W44- !W- 2 49- !- 2 52- !-@ 2 1+3- !1---'-- H---'-- H d2 >Total......................................................... 2  e2 1$17,7022 x$19,4942 $21,216@2 +$1,722 --'-- H---'-- H E2 )Distributed to TANF/Foster Care Programs:     --'-- H--'-- H ^2 :Net Federal Share ........................................ 2  e 2 I$938 2 $924 2 $907@ 2 &-$17--'-- H--'-- H E2 )State Share (includes incentives and hold--'-- H Z2 7harmless payments).....................................  2  -e2 F1,487- !F-2 1,528- !-2 1,576- !-Times New Romany-@ 2 *+48- !2----'-- H  d2 >Total......................................................... 2   e2 9$2,425 2 $2,452 2 $2,483 @ 2 +$31 --'-- H---'-- 2H" <2 !#Administrative Costs (Obligations):    --'-- H--'-- CH3? c2 2 =Federal Share ...............................................2 2 ?e2 2?$2,806?2 2$3,248?2 2$3,414?@2 2+$166--'-- H--'-- THDP d2 C >State Share...................................................2 C -Pe2 CF1,649- !RF-P2 C1,842- !R-P2 C2,011- !R-P@ 2 C#+169- !R#---'-- H---'-- eHUb c2 T=Costs........................................................ 2 T be2 T9$4,455b2 T$5,090b2 T$5,425b@2 T+$335 --'-- H---'-- Hw @2 v&Program Costs (Distributed Collections     --'-- H--'-- H 2  minus Costs):  --'-- H--'-- H `2 ;Federal Costs ............................................. 2  e2 ?$1,8682 $2,3242 $2,507@2 +$183--'-- H--'-- H [2 8State Savings/Costs..................................... 2  -e 2 P162- !P- 2 314- !- 2 435- !-@ 2 #+121- !#---'-- H- O2 0Net Costs to Taxpayer...........................   2  e2 9$2,0302 $2,6382 $2,942@2 +$304 ---'-- H 2  UNOTE: Program Costs equal the Administrative Costs minus the portion of collections        --'-- H K2 -distributed to TANF and Foster Care Programs.    -'$-HLPASMB User 7 FN&XBXXXXBXXXB-X,XX-  _Excelspreadsheetwillgointhisposition.ToimportthesheetintoWordPerfect,OpenExcelandcopytheappropriaterange.SwitchbacktoWordPerfect.Usethe_HHS_Ԁ_ToolBar_ԀorKeystrokestoruntheLargeTable(CTRLALTL)orSmallTable(CTRLALTS)macrotoautomaticallypastetheclipboardcontentsatthecorrectpositioninthisdocument  mN"XBXXXXBXXXB-X,XX-  _X XXXB Wemustdoallwe  cantoensurethatourolderresidentscanremainathomeandreceivecarefromlovedonesforaslongaspossible. pp Thismoneywill XX allowStatestodevelopsystemsofsupporttoeasetheburdenonhundredsofthousandsoffamilycaregiversnationwide.#XBX XX#   &4%XXBSecretaryThompson#XBX%&4^#5HLPASMB User V FN&XBXXXXBXXXB-X,XX-  _Excelspreadsheetwillgointhisposition.ToimportthesheetintoWordPerfect,OpenExcelandcopytheappropriaterange.SwitchbacktoWordPerfect.Usethe_HHS_Ԁ_ToolBar_ԀorKeystrokestoruntheLargeTable(CTRLALTL)orSmallTable(CTRLALTS)macrotoautomaticallypastetheclipboard_contentsat_Ԁthecorrectpositioninthisdocument*OLE*WPC!& v   #''  ' #' #Times New RomanP-Times New Roman--"Systemn-'- ";-------- 2 2000 -2 Actual - !$ -----'- "<-------- 2 d2001 -2 VEnacted- !* V-----'- "-------- 2 2002 -2 Request - !, -----'- ""-------- "2 Request -2  +/-Enacted- !9 ---'- #Times New Roman,- 2 :!2 :3National Family Caregiver Support..................F5 2 :)$0F| 2 :d$125F 2 :$127F 2 : +$2$2 bNutrition Services: W2 v5Home-Delivered Meals.................................    2 v 5 2 v#147| 2 vj152 2 v158 2 v+6T2 3Grants for Native Americans........................  2  5 2 )19| 2 p23 2 25 2 +2]2 9Congregate Meals......................................... 2  Times New Roman@-5 2 #374- !#-| 2 j379- !j- 2 379- !- 2 0- !--2 2 .Subtotal, Nutrition Programs..................5 2 $540| 2 `$554 2 $562 2 +$8-N2 /Supportive Services and Centers................2  5 2 $310| 2 d$325 2 $327 2 +$2L2 .Training, Research & Discretionary   -'-  #  m2 D Projects.........................................................2   5 2 )30 | 2 p36  2 18  2 -18-'- # K2 -Aging Network Support Activities.............    2  5 2 /2| 2 v2 2 2 2 01U2 %4Preventive Health Services.......................... 2 % 15 2 %)161| 2 %p211 2 %211 2 %0EC2 9(Protection of Vulnerable Older Americans  2 9 E5 2 9)13E| 2 9p14E 2 914E 2 90Y^2 M:Alzheimer's Disease.......................................   2 M Y5 2 M/6Y| 2 Mv9Y 2 M9Y 2 M0mX2 a6Program Administration................................   2 a m5 2 a)16m| 2 ap17m 2 a18m 2 a+1X2 u6Operation Restore Trust .............................. 2 u -5 2 u/1- !/-| 2 uv2- !v- 2 u2- !- 2 u0- !--2 "2 5Total, Program Level.................................5 2 $934|2 V$1,1052 $1,100 2  -$5-C2 (Less Funds Allocated From Other Sources:   X2 6Operation Restore Trust .............................. 2  -5 2 %-$1- !%-| 2 l-$2- !l- 2 -$2- !- 2 $0- ! --2 !2 3Total, Budget Authority............................5 2 $933|2 V$1,1032 $1,098 2  -$5- v2 JFTE.......................................................................2   5 2 #119 | 2 j122  2 124  2 +2-4'WPWin 6.0/OLE 1.0 Prefix Information Marker. METAFILEPICT8,88 v   #''  ' #' #Times New RomanP-Times New Roman--"Systemn-'- ";-------- 2 2000 -2 Actual - !$ -----'- "<-------- 2 d2001 -2 VEnacted- !* V-----'- "-------- 2 2002 -2 Request - !, -----'- ""-------- "2 Request -2  +/-Enacted- !9 ---'- #Times New Roman,- 2 :!2 :3National Family Caregiver Support..................F5 2 :)$0F| 2 :d$125F 2 :$127F 2 : +$2$2 bNutrition Services: W2 v5Home-Delivered Meals.................................    2 v 5 2 v#147| 2 vj152 2 v158 2 v+6T2 3Grants for Native Americans........................  2  5 2 )19| 2 p23 2 25 2 +2]2 9Congregate Meals......................................... 2  Times New Roman@-5 2 #374- !#-| 2 j379- !j- 2 379- !- 2 0- !--2 2 .Subtotal, Nutrition Programs..................5 2 $540| 2 `$554 2 $562 2 +$8-N2 /Supportive Services and Centers................2  5 2 $310| 2 d$325 2 $327 2 +$2L2 .Training, Research & Discretionary   -'-  #  m2 D Projects.........................................................2   5 2 )30 | 2 p36  2 18  2 -18-'- # K2 -Aging Network Support Activities.............    2  5 2 /2| 2 v2 2 2 2 01U2 %4Preventive Health Services.......................... 2 % 15 2 %)161| 2 %p211 2 %211 2 %0EC2 9(Protection of Vulnerable Older Americans  2 9 E5 2 9)13E| 2 9p14E 2 914E 2 90Y^2 M:Alzheimer's Disease.......................................   2 M Y5 2 M/6Y| 2 Mv9Y 2 M9Y 2 M0mX2 a6Program Administration................................   2 a m5 2 a)16m| 2 ap17m 2 a18m 2 a+1X2 u6Operation Restore Trust .............................. 2 u -5 2 u/1- !/-| 2 uv2- !v- 2 u2- !- 2 u0- !--2 "2 5Total, Program Level.................................5 2 $934|2 V$1,1052 $1,100 2  -$5-C2 (Less Funds Allocated From Other Sources:   X2 6Operation Restore Trust .............................. 2  -5 2 %-$1- !%-| 2 l-$2- !l- 2 -$2- !- 2 $0- ! --2 !2 3Total, Budget Authority............................5 2 $933|2 V$1,1032 $1,098 2  -$5- v2 JFTE.......................................................................2   5 2 #119 | 2 j122  2 124  2 +2-4'  HLPASMB User  FN&XBXXXXBXXXB-X,XX-  _Excelspreadsheetwillgointhisposition.ToimportthesheetintoWordPerfect,OpenExcelandcopytheappropriaterange.SwitchbacktoWordPerfect.UsetheHHSToolBarorKeystrokestoruntheLargeTable(CTRLALTL)orSmallTable(CTRLALTS)macrotoautomaticallypastetheclipboardcontentsatthecorrectpositioninthisdocument*OLE*WPC:%:%!:%  Z   s$''  ' s$' s$Times New Roman4-   2 `Times New Roman4- Times New Roman--"Systemn-'- &<-------- 2 2000 -2 Actual - !*%-----'- &=-------- 2 a2001 -2 LEnacted - !5%L-----'- &-------- 2 2002 -2 Request - !7%-----'- &#------- 2 Request -2  +/-Enacted  - !G%---'- s$Times New Roman-J Q2 =1Program Level....................................   2 = J5 2 =$515J| 2 =`$399J 2 =$471J 2 =+$72nZ2 a7FTE.................................................... 2 a n52 a1,421n|2 a]1,542n2 a1,649n 2 a+107'WPWin 6.0/OLE 1.0 Prefix Information Marker/ METAFILEPICT8 8  Z   s$''  ' s$' s$Times New Roman4-   2 `Times New Roman4- Times New Roman--"Systemn-'- &<-------- 2 2000 -2 Actual - !*%-----'- &=-------- 2 a2001 -2 LEnacted - !5%L-----'- &-------- 2 2002 -2 Request - !7%-----'- &#------- 2 Request -2  +/-Enacted  - !G%---'- s$Times New Roman-J Q2 =1Program Level....................................   2 = J5 2 =$515J| 2 =`$399J 2 =$471J 2 =+$72nZ2 a7FTE.................................................... 2 a n52 a1,421n|2 a]1,542n2 a1,649n 2 a+107'  HLPASMB User% V FN&XBXXXXBXXXB-X,XX-  _Excelspreadsheetwillgointhisposition.ToimportthesheetintoWordPerfect,OpenExcelandcopytheappropriaterange.SwitchbacktoWordPerfect.Usethe_HHS_Ԁ_ToolBar_ԀorKeystrokestoruntheLargeTable(CTRLALTL)orSmallTable(CTRLALTS)macrotoautomaticallypastetheclipboard_contentsat_Ԁthecorrectpositioninthisdocument*OLE*WPC!($    6''  ' 6' 6-   !/: !N !/b ! !6| !) !6 !b !B6UTimes New Roman4-  2 `Times New Roman4- Times New Roman4---"Systemn-'-- &N-------- 2 02000 -2 (Actual - !$"(------'-- &O-------- 2 w2001 -2 iEnacted- !*"i------'-- &-------- 2 2002 -2 Request - !,"------'-- &5-------- "2 Request -2  +/-Enacted- !9"----'-- 6Times New Roman0- 72 > General Departmental Management:    2 R(2 R AGDM Staff Divisions..............................................^H 2 R0$131^ 2 Rw$128^ 2 R$143^/ 2 R+$15%2 f Program Offices:  `2 x ; Office on Women's Health................................    2 x H 2 x<15 2 x17 2 x27/ 2 x+10]2 9 OPA/Adolesent Family Life.............................    2  H 2 <19 2 24 2 28/ 2 "+42 '2 ? Office of Minority Health...................................H 2 <38 2 49 2 43/ 2 %-6--'-- - 2 S Office of Disease Prevention and   ---'-- 6--'-- 6- m2 D Health Promotion..............................................  -H 2 B5 2 7 2 10/ 2 "+3--'-- 6 2 "2 6 Office of Emergency Preparedness...................H 2 <10 2 12 2 14/ 2 "+22  2 2 Office of Human Research Protections 1/........H 2 B2 2 6 2 7/ 2 "+12 '2 ?Minority HIV/AIDS 2/..........................................H 2 <50 2 50 2 50/ 2 )02 .2  MY2K 2/....................................................................... H 2 6144  2 0  2 0 / 2 )02 +2  HBioterrorism 1/........................................................H 2 <55 2 60 2 69/ 2 "+92 ##2 # 7IT Security and Innovation Fund......................../H 2 #B0/ 2 #0/ 2 #30// 2 #+302 4)2 4 COne-Time Projects .................................................@H 2 4B6@ 2 44@ 2 40@/ 2 4%-42 E)2 E DEvaluation funds....................................................QH 2 E<21Q 2 E21Q 2 E21Q/ 2 E)02 X2 X -Health Care Fraud and Abuse Control funds....Times New Roman-dH 2 XB2- !eB-d 2 X4- !e-d 2 X8- !e-d/ 2 X"+4- ! e"--2 m#2 m7Total, GDM Program Level...............................yH 2 m,$498y 2 ms$382y 2 m$450y/ 2 m+$68-2 Policy Research:2 &2  >Broad-Based Research..........................................H 2 <17 2 17 2 18/ 2 "+12 '2  @State Innovation Fund...........................................-H 2 B0- !B- 2 0- !- 2 3- !-/ 2 "+3- ! "--2 $2 :Total, PR Program Level...................................H 2 3$17 2 z$17 2 $21/ 2 +$42 $2 9Total, DM Program Level..................................H 2 ,$515 2 s$399 2 $471/ 2 +$72-42 Less funds from other sources: 2 )2  DEvaluation funds....................................................H 2 <21 2 21 2 39/ 2 +182 2  -Health Care Fraud and Abuse Control funds....-H 2 B2- !B- 2 4- !- 2 8- !-/ 2 "+4- ! "--2 #2 7Total, DM Budget Authority.............................)H 2 ,$492) 2 s$374) 2 $424)/ 2 +$50-2 E02 EQFTE..............................................................................QH2 E-1,421Q2 Et1,542Q2 E1,649Q/ 2 E+107[2 d81/ Comparable adjustments shown for FY 2000 and FY 2001.   H2 v+2/ Comparable adjustment shown for FY 2000.   -'WPWin 6.0/OLE 1.0 Prefix Information Marker0 METAFILEPICT{:A.${:B    6''  ' 6' 6-   !/: !N !/b ! !6| !) !6 !b !B6UTimes New Roman4-  2 `Times New Roman4- Times New Roman4---"Systemn-'-- &N-------- 2 02000 -2 (Actual - !$"(------'-- &O-------- 2 w2001 -2 iEnacted- !*"i------'-- &-------- 2 2002 -2 Request - !,"------'-- &5-------- "2 Request -2  +/-Enacted- !9"----'-- 6Times New Roman0- 72 > General Departmental Management:    2 R(2 R AGDM Staff Divisions..............................................^H 2 R0$131^ 2 Rw$128^ 2 R$143^/ 2 R+$15%2 f Program Offices:  `2 x ; Office on Women's Health................................    2 x H 2 x<15 2 x17 2 x27/ 2 x+10]2 9 OPA/Adolesent Family Life.............................    2  H 2 <19 2 24 2 28/ 2 "+42 '2 ? Office of Minority Health...................................H 2 <38 2 49 2 43/ 2 %-6--'-- - 2 S Office of Disease Prevention and   ---'-- 6--'-- 6- m2 D Health Promotion..............................................  -H 2 B5 2 7 2 10/ 2 "+3--'-- 6 2 "2 6 Office of Emergency Preparedness...................H 2 <10 2 12 2 14/ 2 "+22  2 2 Office of Human Research Protections 1/........H 2 B2 2 6 2 7/ 2 "+12 '2 ?Minority HIV/AIDS 2/..........................................H 2 <50 2 50 2 50/ 2 )02 .2  MY2K 2/....................................................................... H 2 6144  2 0  2 0 / 2 )02 +2  HBioterrorism 1/........................................................H 2 <55 2 60 2 69/ 2 "+92 ##2 # 7IT Security and Innovation Fund......................../H 2 #B0/ 2 #0/ 2 #30// 2 #+302 4)2 4 COne-Time Projects .................................................@H 2 4B6@ 2 44@ 2 40@/ 2 4%-42 E)2 E DEvaluation funds....................................................QH 2 E<21Q 2 E21Q 2 E21Q/ 2 E)02 X2 X -Health Care Fraud and Abuse Control funds....Times New Roman-dH 2 XB2- !eB-d 2 X4- !e-d 2 X8- !e-d/ 2 X"+4- ! e"--2 m#2 m7Total, GDM Program Level...............................yH 2 m,$498y 2 ms$382y 2 m$450y/ 2 m+$68-2 Policy Research:2 &2  >Broad-Based Research..........................................H 2 <17 2 17 2 18/ 2 "+12 '2  @State Innovation Fund...........................................-H 2 B0- !B- 2 0- !- 2 3- !-/ 2 "+3- ! "--2 $2 :Total, PR Program Level...................................H 2 3$17 2 z$17 2 $21/ 2 +$42 $2 9Total, DM Program Level..................................H 2 ,$515 2 s$399 2 $471/ 2 +$72-42 Less funds from other sources: 2 )2  DEvaluation funds....................................................H 2 <21 2 21 2 39/ 2 +182 2  -Health Care Fraud and Abuse Control funds....-H 2 B2- !B- 2 4- !- 2 8- !-/ 2 "+4- ! "--2 #2 7Total, DM Budget Authority.............................)H 2 ,$492) 2 s$374) 2 $424)/ 2 +$50-2 E02 EQFTE..............................................................................QH2 E-1,421Q2 Et1,542Q2 E1,649Q/ 2 E+107[2 d81/ Comparable adjustments shown for FY 2000 and FY 2001.   H2 v+2/ Comparable adjustment shown for FY 2000.   -' V FN&XBXXXXBXXXB-X,XX-  _Excelspreadsheetwillgointhisposition.ToimportthesheetintoWordPerfect,OpenExcelandcopytheappropriaterange.SwitchbacktoWordPerfect.Usethe_HHS_Ԁ_ToolBar_ԀorKeystrokestoruntheLargeTable(CTRLALTL)orSmallTable(CTRLALTS)macrotoautomaticallypastetheclipboard_contentsat_Ԁthecorrectpositioninthisdocument*OLE**OLE*WPCi$i$!i$     s' """)))UUUMMMBBB999|PP3f333f3333f3ffffff3f̙3ff333f333333333f33333333f33f3ff3f3f3f3333f33̙33333f333333f3333f3ffffff3f33ff3f3f3f3fff3ffffffffff3ffff̙fff3fffff3fff333f3f3ff3ff33f̙̙3̙ff̙̙̙3f̙3f333f3333f3ffffff3f̙3f3f3f333f3333f3ffffff3f̙3f3ffffffffff!___www45'  ' s' sTimes New Roman-Times New Roman4--"Systemn-'- &0-------- 2 2000 -2 Actual - !*%-----'- &w1-------- 2 U2001 -2 @Enacted - !5%@-----'- &x-------- 2 2002 -2 Request - !7%-----'- &------- 2 Request -2  +/-Enacted  - !G%---'- sTimes New Roman4-J L2 =.Program Level.................................   2 = J) 2 =$23Jp 2 =[$28J 2 =$32J 2 =+$4nU2 a4FTE................................................. 2 a n) 2 a215np 2 a[259n 2 a276n 2 a+17'WPWin 6.0/OLE 1.0 Prefix Information Marker1 METAFILEPICTe7 e7     s' """)))UUUMMMBBB999|PP3f333f3333f3ffffff3f̙3ff333f333333333f33333333f33f3ff3f3f3f3333f33̙33333f333333f3333f3ffffff3f33ff3f3f3f3fff3ffffffffff3ffff̙fff3fffff3fff333f3f3ff3ff33f̙̙3̙ff̙̙̙3f̙3f333f3333f3ffffff3f̙3f3f3f333f3333f3ffffff3f̙3f3ffffffffff!___www45'  ' s' sTimes New Roman-Times New Roman4--"Systemn-'- &0-------- 2 2000 -2 Actual - !*%-----'- &w1-------- 2 U2001 -2 @Enacted - !5%@-----'- &x-------- 2 2002 -2 Request - !7%-----'- &------- 2 Request -2  +/-Enacted  - !G%---'- sTimes New Roman4-J L2 =.Program Level.................................   2 = J) 2 =$23Jp 2 =[$28J 2 =$32J 2 =+$4nU2 a4FTE................................................. 2 a n) 2 a215np 2 a[259n 2 a276n 2 a+17' 7 FN&XBXXXXBXXXB-X,XX-  _Excelspreadsheetwillgointhisposition.ToimportthesheetintoWordPerfect,OpenExcelandcopytheappropriaterange.SwitchbacktoWordPerfect.UsetheHHS_ToolBar_ԀorKeystrokestoruntheLargeTable(CTRLALTL)orSmallTable(CTRLALTS)macrotoautomaticallypastetheclipboard_contentsat_ԀthecorrectpositioninthisdocumentWPC..!    ' """)))UUUMMMBBB999|PP3f333f3333f3ffffff3f̙3ff333f333333333f33333333f33f3ff3f3f3f3333f33̙33333f333333f3333f3ffffff3f33ff3f3f3f3fff3ffffffffff3ffff̙fff3fffff3fff333f3f3ff3ff33f̙̙3̙ff̙̙̙3f̙3f333f3333f3ffffff3f̙3f3f3f333f3333f3ffffff3f̙3f3ffffffffff!___www45'  ' ' Times New Roman-Times New Roman--"Systemn-'- &0-------- 2 2000 -2 Actual - !*%-----'- &w1-------- 2 U2001 -2 @Enacted - !5%@-----'- &x-------- 2 2002 -2 Request - !7%-----'- &------- 2 Request -2  +/-Enacted  - !G%---'- Times New Roman-J L2 =.Program Level \1..............................   2 = J) 2 = $151Jp 2 =T$164J 2 =$186J 2 =+$22nU2 a4FTE ................................................ 2 a n)2 a 1,374np2 aQ1,524n2 a1,680n 2 a+156Times New Roman4-2 [1/ The FY 2002 level assumes $150 million for Medicare and Medicaid related fraud and abuse    2 W activities, the maximum allowed under the Health Care Fraud and Abuse Control program.       'WPWin 6.0/OLE 1.0 Prefix Information Marker2 METAFILEPICTe7(e7    ' """)))UUUMMMBBB999|PP3f333f3333f3ffffff3f̙3ff333f333333333f33333333f33f3ff3f3f3f3333f33̙33333f333333f3333f3ffffff3f33ff3f3f3f3fff3ffffffffff3ffff̙fff3fffff3fff333f3f3ff3ff33f̙̙3̙ff̙̙̙3f̙3f333f3333f3ffffff3f̙3f3f3f333f3333f3ffffff3f̙3f3ffffffffff!___www45'  ' ' Times New Roman-Times New Roman--"Systemn-'- &0-------- 2 2000 -2 Actual - !*%-----'- &w1-------- 2 U2001 -2 @Enacted - !5%@-----'- &x-------- 2 2002 -2 Request - !7%-----'- &------- 2 Request -2  +/-Enacted  - !G%---'- Times New Roman-J L2 =.Program Level \1..............................   2 = J) 2 = $151Jp 2 =T$164J 2 =$186J 2 =+$22nU2 a4FTE ................................................ 2 a n)2 a 1,374np2 aQ1,524n2 a1,680n 2 a+156Times New Roman4-2 [1/ The FY 2002 level assumes $150 million for Medicare and Medicaid related fraud and abuse    2 W activities, the maximum allowed under the Health Care Fraud and Abuse Control program.       ' W FN&XBXXXXBXXXB-X,XX-  _Excelspreadsheetwillgointhisposition.ToimportthesheetintoWordPerfect,OpenExcelandcopytheappropriaterange.SwitchbacktoWordPerfect.Usethe_HHS_Ԁ_ToolBar_ԀorKeystrokestoruntheLargeTable(CTRLALTL)orSmallTable(CTRLALTS)macrotoautomaticallypastetheclipboard_contentsat_Ԁthecorrectpositioninthisdocument(_7$0   8 (_$0    8*OLE*WPC  @@!@  U   ''  ' ' Times New Roman-Times New Roman--"Systemn-'- 90-------- 2 2000 -2 Actual - !*.-----'- 9w1-------- 2 U2001 -2 @Enacted - !5.@-----'- 9x-------- 2 2002 -2 Request - !7.-----'- 9------- 2 Request -2  +/-Enacted  - !G.---'- Times New Roman-] Q2 P1Expenses......................................... 2 P ]) 2 P $249]p 2 PT$294] 2 P$308] 2 P+$14U2 t4FTE................................................. 2 t )2 t 1,069p2 tQ1,1142 t1,114 2 t 0'WPWin 6.0/OLE 1.0 Prefix Information Marker3 METAFILEPICTe7+ e7  U   ''  ' ' Times New Roman-Times New Roman--"Systemn-'- 90-------- 2 2000 -2 Actual - !*.-----'- 9w1-------- 2 U2001 -2 @Enacted - !5.@-----'- 9x-------- 2 2002 -2 Request - !7.-----'- 9------- 2 Request -2  +/-Enacted  - !G.---'- Times New Roman-] Q2 P1Expenses......................................... 2 P ]) 2 P $249]p 2 PT$294] 2 P$308] 2 P+$14U2 t4FTE................................................. 2 t )2 t 1,069p2 tQ1,1142 t1,114 2 t 0' W FN&XBXXXXBXXXB-X,XX-  _Excelspreadsheetwillgointhisposition.ToimportthesheetintoWordPerfect,OpenExcelandcopytheappropriaterange.SwitchbacktoWordPerfect.Usethe_HHS_Ԁ_ToolBar_ԀorKeystrokestoruntheLargeTable(CTRLALTL)orSmallTable(CTRLALTS)macrotoautomaticallypastetheclipboard_contentsat_Ԁthecorrectpositioninthisdocument*OLE*WPC!  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"ƚ4 :V @` ` &WMFC'X EMF X!" !" !0 F(GDIC% % " !% % " !% % " !% % % " !  &% % +% % % " !  % % V0  &% ( % % % " !     x% % 6x i6i Y6Y J6J ;6; ,6, 6 6 % % % " ! &% (  % % % " ! % % % " !  % % % " !  &% (  % '% V08OL8OLOL88OV0}6}66}}6V0((((% % % " !  % % % " ! &% (  % % 6 6 x6 xi6 iY6 YJ6 J;6 ;,6 ,6  6  6% % % " ! % % % " !   % RL Small FontsArialArial Arial # ,,% TX AA LP0%T`r|AArLT10%T`cmAAcLT20%T`S]AASLT30%T`DNAADLT40%T`5?AA5LT50%T`&0AA&LT60%T` AALT70%T`AALT80%% % % " !% % % " ! % % Tx2SAA2L\FY 1995TxwAAwL\FY 2001uTxAAL\FY 2002% % % " !% % % " !% ( % % % " !" !" !% % +*<[N% % !-=XM % Td8=LGAA8=LT$733" !" % % +'% % !& % Tp AALX$1,746" !" % % +g 3% % !j!2 % Tpw!+AAw!LX$1,455" !" % FGDIC % "   '' "--'--'--'--"System,-'  "-----' --$ "----'  x --xi iY YJ J; ;, ,   ---'  "- ---' ---'  ---'  "- --$8OLOL88O$}66}}6$(((---'  ---'  "- --  xx ii YY JJ ;; ,,     ---' ---'  -  Small Fonts0- 2 0% 2 r10% 2 c20% 2 S30% 2 D40% 2 550% 2 &60% 2 70% 2 80%---'---'--2 2FY 19952 wFY 20012 FY 2002---'---'----''' "--O\<*--MX=-- 2 =8$733''--(--&-2 $1,746''--4 g--2!j-2 !w$1,455''--'  mN"XBXXXXBXXXB-X,XX-  _X XXXBWhileapproximately  99percentofemployersponsoredhealthinsuranceplansoffereitheraprescriptiondrugbenefitoracaponoutofpocketdrugexpenses,Medicareprovidesnocoverageforoutpatientprescriptiondrugs.(9 Z6Times New Roman Regular)c >Times New Roman Bold Italic T mN"XBXXXXBXXXB-X,XX-  _X XXXBNearly25million  childrendonotlivewiththeirfathers,andmorethanone-thirdofthemdonotseetheirfathersatallduringtheyear.(9 Z6Times New Roman Regular)c >Times New Roman Bold Italic . mN"XBXXXXBXXXB-X,XX-  _X XXXBTheFY2002  budgetproposesanincreaseof$2.75billionforNIH,thelargestdollarincreaseever.(9 Z6Times New Roman Regular)c >Times New Roman Bold Italic &HLPASMB User V FN&XBXXXXBXXXB-X,XX-  _Excelspreadsheetwillgointhisposition.ToimportthesheetintoWordPerfect,OpenExcelandcopytheappropriaterange.SwitchbacktoWordPerfect.Usethe_HHS_Ԁ_ToolBar_ԀorKeystrokestoruntheLargeTable(CTRLALTL)orSmallTable(CTRLALTS)macrotoautomaticallypastetheclipboard_contentsat_Ԁthecorrectpositioninthisdocument(9 Z6Times New Roman Regular HLPASMB User% V FN&XBXXXXBXXXB-X,XX-  _Excelspreadsheetwillgointhisposition.ToimportthesheetintoWordPerfect,OpenExcelandcopytheappropriaterange.SwitchbacktoWordPerfect.Usethe_HHS_Ԁ_ToolBar_ԀorKeystrokestoruntheLargeTable(CTRLALTL)orSmallTable(CTRLALTS)macrotoautomaticallypastetheclipboard_contentsat_Ԁthecorrectpositioninthisdocument(9 Z6Times New Roman Regular  FN&XBXXXXBXXXB-X,XX-  _Excelspreadsheetwillgointhisposition.ToimportthesheetintoWordPerfect,OpenExcelandcopytheappropriaterange.SwitchbacktoWordPerfect.UsetheHHSToolBarorKeystrokestoruntheLargeTable(CTRLALTL)orSmallTable(CTRLALTS)macrotoautomaticallypastetheclipboardcontentsatthecorrectpositioninthisdocument(9 Z6Times New Roman Regular i mN"XBXXXXBXXXB-X,XX-  _X XXXBPreventingthe  spreadofmadcowdisease:FDAwillinspectall9,500U.S.feedmillstoensurethatqualityassurancepracticesareinplaceandbeingfollowed.(9 Z6Times New Roman Regular)c >Times New Roman Bold Italic  mN"XBXXXXBXXXB-X,XX-  _X XXXBIncreasedfunds  willallowFDAtofollowupon100percentofcomplaintsconcerningclinicaltrialswithin30days. XX Ѐπ#XBX XX#ԀX XXXB#XBX XX#Ԁ  ЀπππX XXXB(9 Z6Times New Roman Regular)c >Times New Roman Bold Italic V FN&XBXXXXBXXXB-X,XX-  _Excelspreadsheetwillgointhisposition.ToimportthesheetintoWordPerfect,OpenExcelandcopytheappropriaterange.SwitchbacktoWordPerfect.Usethe_HHS_Ԁ_ToolBar_ԀorKeystrokestoruntheLargeTable(CTRLALTL)orSmallTable(CTRLALTS)macrotoautomaticallypastetheclipboard_contentsat_Ԁthecorrectpositioninthisdocument(9 Z6Times New Roman Regular V FN&XBXXXXBXXXB-X,XX-  _Excelspreadsheetwillgointhisposition.ToimportthesheetintoWordPerfect,OpenExcelandcopytheappropriaterange.SwitchbacktoWordPerfect.Usethe_HHS_Ԁ_ToolBar_ԀorKeystrokestoruntheLargeTable(CTRLALTL)orSmallTable(CTRLALTS)macrotoautomaticallypastetheclipboard_contentsat_Ԁthecorrectpositioninthisdocument(9 Z6Times New Roman Regular r mN"XBXXXXBXXXB-X,XX-  _X XXXBAdditional  $124millionforCommunityandMigrantHealthCenterswillexpandthedeliveryofprimaryhealthcareservicestouptoanadditionalonemillionindividuals.(9 Z6Times New Roman Regular)c >Times New Roman Bold Italic  mN"XBXXXXBXXXB-X,XX-  _X XXXBToday,75,000  Americansareonwaitinglistsfororgantransplantation...Thebudgetrequestincludes$20million,anincreaseof$5milliontolaunchanewnationalefforttoencourageorgandonation.(9 Z6Times New Roman Regular)c >Times New Roman Bold Italic V FN&XBXXXXBXXXB-X,XX-  _Excelspreadsheetwillgointhisposition.ToimportthesheetintoWordPerfect,OpenExcelandcopytheappropriaterange.SwitchbacktoWordPerfect.Usethe_HHS_Ԁ_ToolBar_ԀorKeystrokestoruntheLargeTable(CTRLALTL)orSmallTable(CTRLALTS)macrotoautomaticallypastetheclipboard_contentsat_Ԁthecorrectpositioninthisdocument(9 Z6Times New Roman Regular V FN&XBXXXXBXXXB-X,XX-  _Excelspreadsheetwillgointhisposition.ToimportthesheetintoWordPerfect,OpenExcelandcopytheappropriaterange.SwitchbacktoWordPerfect.Usethe_HHS_Ԁ_ToolBar_ԀorKeystrokestoruntheLargeTable(CTRLALTL)orSmallTable(CTRLALTS)macrotoautomaticallypastetheclipboard_contentsat_Ԁthecorrectpositioninthisdocument(9 Z6Times New Roman Regular  mN"XBXXXXBXXXB-X,XX-  _X XXXBDiabetesprevalence  amongIndianpeopleisnowtripletheratefornonHispanicwhites...IHShasincreasedthenumberofdiabeticpatientswithimprovedglycemicandbloodpressurecontroltoreducetheirneedforcostlymedicalcare.#XBX XX#X XXXB(9 Z6Times New Roman Regular)c >Times New Roman Bold Italic ! mN"XBXXXXBXXXB-X,XX-  _ TheNavajoNation  hasproposedtoassumeresponsibilityforhealthservicesforits250,000tribalmembers. (9 Z6Times New Roman Regular HLPASMB User% V FN&XBXXXXBXXXB-X,XX-  _Excelspreadsheetwillgointhisposition.ToimportthesheetintoWordPerfect,OpenExcelandcopytheappropriaterange.SwitchbacktoWordPerfect.Usethe_HHS_Ԁ_ToolBar_ԀorKeystrokestoruntheLargeTable(CTRLALTL)orSmallTable(CTRLALTS)macrotoautomaticallypastetheclipboard_contentsat_Ԁthecorrectpositioninthisdocument(9 Z6Times New Roman Regular V FN&XBXXXXBXXXB-X,XX-  _Excelspreadsheetwillgointhisposition.ToimportthesheetintoWordPerfect,OpenExcelandcopytheappropriaterange.SwitchbacktoWordPerfect.Usethe_HHS_Ԁ_ToolBar_ԀorKeystrokestoruntheLargeTable(CTRLALTL)orSmallTable(CTRLALTS)macrotoautomaticallypastetheclipboard_contentsat_Ԁthecorrectpositioninthisdocument(9 Z6Times New Roman Regular J mN"XBXXXXBXXXB-X,XX-  _X XXXBWorkconducted  inlaboratoriesatCDCisrelieduponworldwidetohelpcontroldiseaseoutbreaksandpreventillnessandinjury.(9 Z6Times New Roman Regular)c >Times New Roman Bold Italic } mN"XBXXXXBXXXB-X,XX-  _X XXXBStateandlocal  publichealthofficersmustbeabletodetectpotential_bioterrorist_eventsandmountcontrolmeasures. @@ quickly.(9 Z6Times New Roman Regular)c >Times New Roman Bold Italic 6 mN"XBXXXXBXXXB-X,XX-  _X XXXBDomesticHIV  effortswillberefocusedtohelpStatesreducethenumberofnewinfections50percentby2005.(9 Z6Times New Roman Regular)c >Times New Roman Bold Italic V FN&XBXXXXBXXXB-X,XX-  _Excelspreadsheetwillgointhisposition.ToimportthesheetintoWordPerfect,OpenExcelandcopytheappropriaterange.SwitchbacktoWordPerfect.Usethe_HHS_Ԁ_ToolBar_ԀorKeystrokestoruntheLargeTable(CTRLALTL)orSmallTable(CTRLALTS)macrotoautomaticallypastetheclipboard_contentsat_Ԁthecorrectpositioninthisdocument(9 Z6Times New Roman Regular'HLPASMB User W FN&XBXXXXBXXXB-X,XX-  _Excelspreadsheetwillgointhisposition.ToimportthesheetintoWordPerfect,OpenExcelandcopytheappropriaterange.SwitchbacktoWordPerfect.Usethe_HHS_Ԁ_ToolBar_ԀorKeystrokestoruntheLargeTable(CTRLALTL)orSmallTable(CTRLALTS)macrotoautomaticallypastetheclipboard_contentsat_Ԁthecorrectpositioninthisdocument(9 Z6Times New Roman Regular > mN"XBXXXXBXXXB-X,XX-  _ Expansionfor  FY2002wouldbethelargestyeartoyearX XXXB  dollarincreaseeverforNIH .(9 Z6Times New Roman Regular)c >Times New Roman Bold Italic G mN"XBXXXXBXXXB-X,XX-  _X XXXBWithitsrecent  largeinfusionofresources,NIHhasworkeddiligentlytomakesurethatthoseresourcesaremanagedproperly.(9 Z6Times New Roman Regular)c >Times New Roman Bold Italic F mN"XBXXXXBXXXB-X,XX-  _X XXXBFundingfor  AIDSvaccineresearchwillgrowto$357million,a27percentincreaseoverFY2001and141percentoverFY1998.(9 Z6Times New Roman Regular)c >Times New Roman Bold Italic V FN&XBXXXXBXXXB-X,XX-  _Excelspreadsheetwillgointhisposition.ToimportthesheetintoWordPerfect,OpenExcelandcopytheappropriaterange.SwitchbacktoWordPerfect.Usethe_HHS_Ԁ_ToolBar_ԀorKeystrokestoruntheLargeTable(CTRLALTL)orSmallTable(CTRLALTS)macrotoautomaticallypastetheclipboard_contentsat_Ԁthecorrectpositioninthisdocument(9 Z6Times New Roman Regular V FN& XBXXX XBXXXB-X,XX-  _Excelspreadsheetwillgointhisposition.ToimportthesheetintoWordPerfect,OpenExcelandcopytheappropriaterange.SwitchbacktoWordPerfect.Usethe_HHS_Ԁ_ToolBar_ԀorKeystrokestoruntheLargeTable(CTRLALTL)orSmallTable(CTRLALTS)macrotoautomaticallypastetheclipboard_contentsat_Ԁthecorrectpositioninthisdocument(9 Z6Times New Roman Regular  V FN& XBXXX XBXXXB-X,XX-  _Excelspreadsheetwillgointhisposition.ToimportthesheetintoWordPerfect,OpenExcelandcopytheappropriaterange.SwitchbacktoWordPerfect.Usethe_HHS_Ԁ_ToolBar_ԀorKeystrokestoruntheLargeTable(CTRLALTL)orSmallTable(CTRLALTS)macrotoautomaticallypastetheclipboard_contentsat_Ԁthecorrectpositioninthisdocument(9 Z6Times New Roman Regular S mN"XBXXXXBXXXB-X,XX-  _ Inaneffortto  reducethetreatmentgap,$100millionhasbeenincludedtofundthePresidentsdrugtreatmentinitiative X XXXB.(9 Z6Times New Roman Regular)c >Times New Roman Bold Italic V FN&XBXXXXBXXXB-X,XX-  _Excelspreadsheetwillgointhisposition.ToimportthesheetintoWordPerfect,OpenExcelandcopytheappropriaterange.SwitchbacktoWordPerfect.Usethe_HHS_Ԁ_ToolBar_ԀorKeystrokestoruntheLargeTable(CTRLALTL)orSmallTable(CTRLALTS)macrotoautomaticallypastetheclipboard_contentsat_Ԁthecorrectpositioninthisdocument(9 Z6Times New Roman Regular "HLPASMB User% V FN&XBXXXXBXXXB-X,XX-  _Excelspreadsheetwillgointhisposition.ToimportthesheetintoWordPerfect,OpenExcelandcopytheappropriaterange.SwitchbacktoWordPerfect.Usethe_HHS_Ԁ_ToolBar_ԀorKeystrokestoruntheLargeTable(CTRLALTL)orSmallTable(CTRLALTS)macrotoautomaticallypastetheclipboard_contentsat_Ԁthecorrectpositioninthisdocument(9 Z6Times New Roman Regular y mN"XBXXXXBXXXB-X,XX-  _X XXXBInFY2002,the  AgencyforHealthcareResearchandQualitywilluseanincreaseof$26milliontosupportresearchneededtoimprovethequalityandcosteffectivenessofcare.(9 Z6Times New Roman Regular)c >Times New Roman Bold Italic  HLPASMB User V FN&XBXXXXBXXXB-X,XX-  _Excelspreadsheetwillgointhisposition.ToimportthesheetintoWordPerfect,OpenExcelandcopytheappropriaterange.SwitchbacktoWordPerfect.Usethe_HHS_Ԁ_ToolBar_ԀorKeystrokestoruntheLargeTable(CTRLALTL)orSmallTable(CTRLALTS)macrotoautomaticallypastetheclipboard_contentsat_Ԁthecorrectpositioninthisdocument(9 Z6Times New Roman Regular %3HLPErin O'Connell 6 FN&XBXXXXBXXXB-X,XX-  _Excelspreadsheetwillgointhisposition.ToimportthesheetintoWordPerfect,OpenExcelandcopytheappropriaterange.SwitchbacktoWordPerfect.UsetheHHS_ToolBar_ԀorKeystrokestoruntheLargeTable(CTRLALTL)orSmallTable(CTRLALTS)macrotoautomaticallypastetheclipboard_contentsat_Ԁthecorrectpositioninthisdocument(9 Z6Times New Roman Regular  6 FN&!XBXXX!XBXXXB-X,XX-  _Excelspreadsheetwillgointhisposition.ToimportthesheetintoWordPerfect,OpenExcelandcopytheappropriaterange.SwitchbacktoWordPerfect.UsetheHHS_ToolBar_ԀorKeystrokestoruntheLargeTable(CTRLALTL)orSmallTable(CTRLALTS)macrotoautomaticallypastetheclipboard_contentsat_Ԁthecorrectpositioninthisdocument(9 Z6Times New Roman Regular# 6 FN&$XBXXX$XBXXXB-X,XX-  _Excelspreadsheetwillgointhisposition.ToimportthesheetintoWordPerfect,OpenExcelandcopytheappropriaterange.SwitchbacktoWordPerfect.UsetheHHS_ToolBar_ԀorKeystrokestoruntheLargeTable(CTRLALTL)orSmallTable(CTRLALTS)macrotoautomaticallypastetheclipboard_contentsat_Ԁthecorrectpositioninthisdocument(9 Z6Times New Roman Regular&1 HLPLibbie  FN&'XBXXX'XBXXXB-X,XX-  __Excelspreadsheetwillgointhisposition.ToimportthesheetintoWordPerfect,OpenExcelandcopytheappropriaterange.SwitchbacktoWordPerfect.UsetheHHSToolBar,Keystrokes,orPressReleasemenutoruntheLargeTable(CTRLALTL)orSmallTable(CTRLALTS)macrotoautomaticallypastetheclipboardcontentsatthecorrectpositioninthisdocument.Ifthetablepositionsaboveorbelowboththicklines,deletethe_table.Run_ԀthemacroagainandpauseforasecondbetweenthetwoEnters.(9 Z6Times New Roman Regular)4,HLPLibbie  FN&*XBXXX*XBXXXB-X,XX-  _Excelspreadsheetwillgointhisposition.ToimportthesheetintoWordPerfect,OpenExcelandcopytheappropriaterange.SwitchbacktoWordPerfect.UsetheHHSToolBar,Keystrokes,orPressReleasemenutoruntheLargeTable(CTRLALTL)orSmallTable(CTRLALTS)macrotoautomaticallypastetheclipboardcontentsatthecorrectpositioninthisdocument.Ifthetablepositionsaboveorbelowboththicklines,deletethetable_.RunthemacroagainandpauseforasecondbetweenthetwoEnters.(9 Z6Times New Roman Regular,/HLPASMB User  FN&-XBXXX-XBXXXB-X,XX-  _Excelspreadsheetwillgointhisposition.ToimportthesheetintoWordPerfect,OpenExcelandcopytheappropriaterange.SwitchbacktoWordPerfect.UsetheHHSToolBarorKeystrokestoruntheLargeTable(CTRLALTL)orSmallTable(CTRLALTS)macrotoautomaticallypastetheclipboard_contentsat_Ԁthecorrectpositioninthisdocument(9 Z6Times New Roman Regular/4,HLPLibbie  FN&0XBXXX0XBXXXB-X,XX-  __Excelspreadsheetwillgointhisposition.ToimportthesheetintoWordPerfect,OpenExcelandcopytheappropriaterange.SwitchbacktoWordPerfect.UsetheHHSToolBar,Keystrokes,orPressReleasemenutoruntheLargeTable(CTRLALTL)orSmallTable(CTRLALTS)macrotoautomaticallypastetheclipboardcontentsatthecorrectpositioninthisdocument.Ifthetablepositionsaboveorbelowboththicklines,deletethe_table.Run_ԀthemacroagainandpauseforasecondbetweenthetwoEnters.(9 Z6Times New Roman Regular2  FN&3XBXXX3XBXXXB-X,XX-  _Excelspreadsheetwillgointhisposition.ToimportthesheetintoWordPerfect,OpenExcelandcopytheappropriaterange.SwitchbacktoWordPerfect.UsetheHHSToolBarorKeystrokestoruntheLargeTable(CTRLALTL)orSmallTable(CTRLALTS)macrotoautomaticallypastetheclipboardcontentsatthecorrectpositioninthisdocument(9 Z6Times New Roman Regular5 /HLPASMB User% 6 FN&6XBXXX6XBXXXB-X,XX-  _Excelspreadsheetwillgointhisposition.ToimportthesheetintoWordPerfect,OpenExcelandcopytheappropriaterange.SwitchbacktoWordPerfect.UsetheHHS_ToolBar_ԀorKeystrokestoruntheLargeTable(CTRLALTL)orSmallTable(CTRLALTS)macrotoautomaticallypastetheclipboard_contentsat_Ԁthecorrectpositioninthisdocument(9 Z6Times New Roman Regular8 77HLPErin O'Connell 6 FN&9XBXXX9XBXXXB-X,XX-  _Excelspreadsheetwillgointhisposition.ToimportthesheetintoWordPerfect,OpenExcelandcopytheappropriaterange.SwitchbacktoWordPerfect.UsetheHHS_ToolBar_ԀorKeystrokestoruntheLargeTable(CTRLALTL)orSmallTable(CTRLALTS)macrotoautomaticallypastetheclipboard_contentsat_Ԁthecorrectpositioninthisdocument(9 Z6Times New Roman Regular; V FN&<XBXXX<XBXXXB-X,XX-  _Excelspreadsheetwillgointhisposition.ToimportthesheetintoWordPerfect,OpenExcelandcopytheappropriaterange.SwitchbacktoWordPerfect.Usethe_HHS_Ԁ_ToolBar_ԀorKeystrokestoruntheLargeTable(CTRLALTL)orSmallTable(CTRLALTS)macrotoautomaticallypastetheclipboard_contentsat_Ԁthecorrectpositioninthisdocument(9 Z6Times New Roman Regular  mN">XBXXX>XBXXXB-X,XX-  _?X XXXBIneveryinstance  wherethisAdministrationseesaresponsibilitytohelppeople,itwilllooktofaithbasedorganizations,charities,andcommunitygroupsthathaveshownthe#^]ddabilitytochangelives.#dd^]z(9 Z6Times New Roman Regular)c >Times New Roman Bold Italic $ mN"AXBXXXAXBXXXB-X,XX-  _ ThePresidents  Budgetincludes$89millionforaCompassionCapitalFund... BX XXXB(9 Z6Times New Roman Regular)c >Times New Roman Bold ItalicD 8HLPASMB User% V FN&EXBXXXEXBXXXB-X,XX-  _Excelspreadsheetwillgointhisposition.ToimportthesheetintoWordPerfect,OpenExcelandcopytheappropriaterange.SwitchbacktoWordPerfect.Usethe_HHS_Ԁ_ToolBar_ԀorKeystrokestoruntheLargeTable(CTRLALTL)orSmallTable(CTRLALTS)macrotoautomaticallypastetheclipboard_contentsat_Ԁthecorrectpositioninthisdocument(9 Z6Times New Roman RegularG HLPASMB User% V FN&HXBXXXHXBXXXB-X,XX-  _Excelspreadsheetwillgointhisposition.ToimportthesheetintoWordPerfect,OpenExcelandcopytheappropriaterange.SwitchbacktoWordPerfect.Usethe_HHS_Ԁ_ToolBar_ԀorKeystrokestoruntheLargeTable(CTRLALTL)orSmallTable(CTRLALTS)macrotoautomaticallypastetheclipboard_contentsat_Ԁthecorrectpositioninthisdocument(9 Z6Times New Roman RegularJ HLPASMB User% V FN&KXBXXXKXBXXXB-X,XX-  _Excelspreadsheetwillgointhisposition.ToimportthesheetintoWordPerfect,OpenExcelandcopytheappropriaterange.SwitchbacktoWordPerfect.Usethe_HHS_Ԁ_ToolBar_ԀorKeystrokestoruntheLargeTable(CTRLALTL)orSmallTable(CTRLALTS)macrotoautomaticallypastetheclipboard_contentsat_Ԁthecorrectpositioninthisdocument(9 Z6Times New Roman RegularM5HLPASMB User V FN&NXBXXXNXBXXXB-X,XX-  _Excelspreadsheetwillgointhisposition.ToimportthesheetintoWordPerfect,OpenExcelandcopytheappropriaterange.SwitchbacktoWordPerfect.Usethe_HHS_Ԁ_ToolBar_ԀorKeystrokestoruntheLargeTable(CTRLALTL)orSmallTable(CTRLALTS)macrotoautomaticallypastetheclipboard_contentsat_Ԁthecorrectpositioninthisdocument(9 Z6Times New Roman RegularP$-HLPASMB User 7 FN&QXBXXXQXBXXXB-X,XX-  _Excelspreadsheetwillgointhisposition.ToimportthesheetintoWordPerfect,OpenExcelandcopytheappropriaterange.SwitchbacktoWordPerfect.Usethe_HHS_Ԁ_ToolBar_ԀorKeystrokestoruntheLargeTable(CTRLALTL)orSmallTable(CTRLALTS)macrotoautomaticallypastetheclipboardcontentsatthecorrectpositioninthisdocument(9 Z6Times New Roman Regular  mN"SXBXXXSXBXXXB-X,XX-  _TX XXXB Wemustdoallwe  cantoensurethatourolderresidentscanremainathomeandreceivecarefromlovedonesforaslongaspossible. pp Thismoneywill XX allowStatestodevelopsystemsofsupporttoeasetheburdenonhundredsofthousandsoffamilycaregiversnationwide.#SXBX XX#   S&4%XXBSecretaryThompson#SXBX%&4^#(9 Z6Times New Roman Regular)c >Times New Roman Bold ItalicV  HLPASMB User  FN&WXBXXXWXBXXXB-X,XX-  _Excelspreadsheetwillgointhisposition.ToimportthesheetintoWordPerfect,OpenExcelandcopytheappropriaterange.SwitchbacktoWordPerfect.UsetheHHSToolBarorKeystrokestoruntheLargeTable(CTRLALTL)orSmallTable(CTRLALTS)macrotoautomaticallypastetheclipboardcontentsatthecorrectpositioninthisdocument(9 Z6Times New Roman RegularY  HLPASMB User% V FN&ZXBXXXZXBXXXB-X,XX-  _Excelspreadsheetwillgointhisposition.ToimportthesheetintoWordPerfect,OpenExcelandcopytheappropriaterange.SwitchbacktoWordPerfect.Usethe_HHS_Ԁ_ToolBar_ԀorKeystrokestoruntheLargeTable(CTRLALTL)orSmallTable(CTRLALTS)macrotoautomaticallypastetheclipboard_contentsat_Ԁthecorrectpositioninthisdocument(9 Z6Times New Roman Regular\ V FN&]XBXXX]XBXXXB-X,XX-  _Excelspreadsheetwillgointhisposition.ToimportthesheetintoWordPerfect,OpenExcelandcopytheappropriaterange.SwitchbacktoWordPerfect.Usethe_HHS_Ԁ_ToolBar_ԀorKeystrokestoruntheLargeTable(CTRLALTL)orSmallTable(CTRLALTS)macrotoautomaticallypastetheclipboard_contentsat_Ԁthecorrectpositioninthisdocument(9 Z6Times New Roman Regular_ 7 FN&`XBXXX`XBXXXB-X,XX-  _Excelspreadsheetwillgointhisposition.ToimportthesheetintoWordPerfect,OpenExcelandcopytheappropriaterange.SwitchbacktoWordPerfect.UsetheHHS_ToolBar_ԀorKeystrokestoruntheLargeTable(CTRLALTL)orSmallTable(CTRLALTS)macrotoautomaticallypastetheclipboard_contentsat_Ԁthecorrectpositioninthisdocument(9 Z6Times New Roman Regularb W FN&cXBXXXcXBXXXB-X,XX-  _Excelspreadsheetwillgointhisposition.ToimportthesheetintoWordPerfect,OpenExcelandcopytheappropriaterange.SwitchbacktoWordPerfect.Usethe_HHS_Ԁ_ToolBar_ԀorKeystrokestoruntheLargeTable(CTRLALTL)orSmallTable(CTRLALTS)macrotoautomaticallypastetheclipboard_contentsat_Ԁthecorrectpositioninthisdocument(9 Z6Times New Roman Regulare W FN&fXBXXXfXBXXXB-X,XX-  _Excelspreadsheetwillgointhisposition.ToimportthesheetintoWordPerfect,OpenExcelandcopytheappropriaterange.SwitchbacktoWordPerfect.Usethe_HHS_Ԁ_ToolBar_ԀorKeystrokestoruntheLargeTable(CTRLALTL)orSmallTable(CTRLALTS)macrotoautomaticallypastetheclipboard_contentsat_Ԁthecorrectpositioninthisdocument(9 Z6Times New Roman Regularh7HLPASMB User%  FN&iXBXXXiXBXXXB-X,XX-  _Excelspreadsheetwillgointhisposition.ToimportthesheetintoWordPerfect,OpenExcelandcopytheappropriaterange.SwitchbacktoWordPerfect.Usethe_HHS_Ԁ_ToolBar_,Keystrokes,orPressReleasemenutoruntheLargeTable(CTRLALTL)orSmallTable(CTRLALTS)macrotoautomaticallypastetheclipboardcontentsatthecorrectpositioninthisdocument.Ifthetablepositionsaboveorbelowboththicklines,deletethe_table.Run_ԀthemacroagainandpauseforasecondbetweenthetwoEnters.(9 Z6Times New Roman Regular  mN"kXBXXXkXBXXXB-X,XX-  _lX XXXBWhileapproximately  99percentofemployersponsoredhealthinsuranceplansoffereitheraprescriptiondrugbenefitoracaponoutofpocketdrugexpenses,Medicareprovidesnocoverageforoutpatientprescriptiondrugs.(9 Z6Times New Roman Regular)c >Times New Roman Bold Italic T mN"nXBXXXnXBXXXB-X,XX-  _oX XXXBNearly25million  childrendonotlivewiththeirfathers,andmorethanone-thirdofthemdonotseetheirfathersatallduringtheyear.(9 Z6Times New Roman Regular)c >Times New Roman Bold Italic . mN"qXBXXXqXBXXXB-X,XX-  _rX XXXBTheFY2002  budgetproposesanincreaseof$2.75billionforNIH,thelargestdollarincreaseever.(9 Z6Times New Roman Regular)c >Times New Roman Bold Italicz &HLPASMB User V FN&{XBXXX{XBXXXB-X,XX-  _Excelspreadsheetwillgointhisposition.ToimportthesheetintoWordPerfect,OpenExcelandcopytheappropriaterange.SwitchbacktoWordPerfect.Usethe_HHS_Ԁ_ToolBar_ԀorKeystrokestoruntheLargeTable(CTRLALTL)orSmallTable(CTRLALTS)macrotoautomaticallypastetheclipboard_contentsat_Ԁthecorrectpositioninthisdocument(9 Z6Times New Roman Regular} HLPASMB User% V FN&~XBXXX~XBXXXB-X,XX-  _Excelspreadsheetwillgointhisposition.ToimportthesheetintoWordPerfect,OpenExcelandcopytheappropriaterange.SwitchbacktoWordPerfect.Usethe_HHS_Ԁ_ToolBar_ԀorKeystrokestoruntheLargeTable(CTRLALTL)orSmallTable(CTRLALTS)macrotoautomaticallypastetheclipboard_contentsat_Ԁthecorrectpositioninthisdocument(9 Z6Times New Roman Regular  FN&XBXXXXBXXXB-X,XX-  _Excelspreadsheetwillgointhisposition.ToimportthesheetintoWordPerfect,OpenExcelandcopytheappropriaterange.SwitchbacktoWordPerfect.UsetheHHSToolBarorKeystrokestoruntheLargeTable(CTRLALTL)orSmallTable(CTRLALTS)macrotoautomaticallypastetheclipboardcontentsatthecorrectpositioninthisdocument(9 Z6Times New Roman Regular i mN"XBXXXXBXXXB-X,XX-  _X XXXBPreventingthe  spreadofmadcowdisease:FDAwillinspectall9,500U.S.feedmillstoensurethatqualityassurancepracticesareinplaceandbeingfollowed.(9 Z6Times New Roman Regular)c >Times New Roman Bold Italic  mN"XBXXXXBXXXB-X,XX-  _X XXXBIncreasedfunds  willallowFDAtofollowupon100percentofcomplaintsconcerningclinicaltrialswithin30days. XX Ѐπ#XBX XX#ԀX XXXB#XBX XX#Ԁ  ЀπππX XXXB(9 Z6Times New Roman Regular)c >Times New Roman Bold Italic V FN&XBXXXXBXXXB-X,XX-  _Excelspreadsheetwillgointhisposition.ToimportthesheetintoWordPerfect,OpenExcelandcopytheappropriaterange.SwitchbacktoWordPerfect.Usethe_HHS_Ԁ_ToolBar_ԀorKeystrokestoruntheLargeTable(CTRLALTL)orSmallTable(CTRLALTS)macrotoautomaticallypastetheclipboard_contentsat_Ԁthecorrectpositioninthisdocument(9 Z6Times New Roman Regular V FN&XBXXXXBXXXB-X,XX-  _Excelspreadsheetwillgointhisposition.ToimportthesheetintoWordPerfect,OpenExcelandcopytheappropriaterange.SwitchbacktoWordPerfect.Usethe_HHS_Ԁ_ToolBar_ԀorKeystrokestoruntheLargeTable(CTRLALTL)orSmallTable(CTRLALTS)macrotoautomaticallypastetheclipboard_contentsat_Ԁthecorrectpositioninthisdocument(9 Z6Times New Roman Regular r mN"XBXXXXBXXXB-X,XX-  _X XXXBAdditional  $124millionforCommunityandMigrantHealthCenterswillexpandthedeliveryofprimaryhealthcareservicestouptoanadditionalonemillionindividuals.(9 Z6Times New Roman Regular)c >Times New Roman Bold Italic  mN"XBXXXXBXXXB-X,XX-  _X XXXBToday,75,000  Americansareonwaitinglistsfororgantransplantation...Thebudgetrequestincludes$20million,anincreaseof$5milliontolaunchanewnationalefforttoencourageorgandonation.(9 Z6Times New Roman Regular)c >Times New Roman Bold Italic V FN&XBXXXXBXXXB-X,XX-  _Excelspreadsheetwillgointhisposition.ToimportthesheetintoWordPerfect,OpenExcelandcopytheappropriaterange.SwitchbacktoWordPerfect.Usethe_HHS_Ԁ_ToolBar_ԀorKeystrokestoruntheLargeTable(CTRLALTL)orSmallTable(CTRLALTS)macrotoautomaticallypastetheclipboard_contentsat_Ԁthecorrectpositioninthisdocument(9 Z6Times New Roman Regular V FN&XBXXXXBXXXB-X,XX-  _Excelspreadsheetwillgointhisposition.ToimportthesheetintoWordPerfect,OpenExcelandcopytheappropriaterange.SwitchbacktoWordPerfect.Usethe_HHS_Ԁ_ToolBar_ԀorKeystrokestoruntheLargeTable(CTRLALTL)orSmallTable(CTRLALTS)macrotoautomaticallypastetheclipboard_contentsat_Ԁthecorrectpositioninthisdocument(9 Z6Times New Roman Regular  mN"XBXXXXBXXXB-X,XX-  _X XXXBDiabetesprevalence  amongIndianpeopleisnowtripletheratefornonHispanicwhites...IHShasincreasedthenumberofdiabeticpatientswithimprovedglycemicandbloodpressurecontroltoreducetheirneedforcostlymedicalcare.#XBX XX#X XXXB(9 Z6Times New Roman Regular)c >Times New Roman Bold Italic ! mN"XBXXXXBXXXB-X,XX-  _ TheNavajoNation  hasproposedtoassumeresponsibilityforhealthservicesforits250,000tribalmembers. (9 Z6Times New Roman Regular HLPASMB User% V FN&XBXXXXBXXXB-X,XX-  _Excelspreadsheetwillgointhisposition.ToimportthesheetintoWordPerfect,OpenExcelandcopytheappropriaterange.SwitchbacktoWordPerfect.Usethe_HHS_Ԁ_ToolBar_ԀorKeystrokestoruntheLargeTable(CTRLALTL)orSmallTable(CTRLALTS)macrotoautomaticallypastetheclipboard_contentsat_Ԁthecorrectpositioninthisdocument(9 Z6Times New Roman Regular V FN&XBXXXXBXXXB-X,XX-  _Excelspreadsheetwillgointhisposition.ToimportthesheetintoWordPerfect,OpenExcelandcopytheappropriaterange.SwitchbacktoWordPerfect.Usethe_HHS_Ԁ_ToolBar_ԀorKeystrokestoruntheLargeTable(CTRLALTL)orSmallTable(CTRLALTS)macrotoautomaticallypastetheclipboard_contentsat_Ԁthecorrectpositioninthisdocument(9 Z6Times New Roman Regular J mN"XBXXXXBXXXB-X,XX-  _X XXXBWorkconducted  inlaboratoriesatCDCisrelieduponworldwidetohelpcontroldiseaseoutbreaksandpreventillnessandinjury.(9 Z6Times New Roman Regular)c >Times New Roman Bold Italic } mN"XBXXXXBXXXB-X,XX-  _X XXXBStateandlocal  publichealthofficersmustbeabletodetectpotential_bioterrorist_eventsandmountcontrolmeasures. @@ quickly.(9 Z6Times New Roman Regular)c >Times New Roman Bold Italic 6 mN"XBXXXXBXXXB-X,XX-  _X XXXBDomesticHIV  effortswillberefocusedtohelpStatesreducethenumberofnewinfections50percentby2005.(9 Z6Times New Roman Regular)c >Times New Roman Bold Italic V FN&XBXXXXBXXXB-X,XX-  _Excelspreadsheetwillgointhisposition.ToimportthesheetintoWordPerfect,OpenExcelandcopytheappropriaterange.SwitchbacktoWordPerfect.Usethe_HHS_Ԁ_ToolBar_ԀorKeystrokestoruntheLargeTable(CTRLALTL)orSmallTable(CTRLALTS)macrotoautomaticallypastetheclipboard_contentsat_Ԁthecorrectpositioninthisdocument(9 Z6Times New Roman Regular'HLPASMB User W FN&XBXXXXBXXXB-X,XX-  _Excelspreadsheetwillgointhisposition.ToimportthesheetintoWordPerfect,OpenExcelandcopytheappropriaterange.SwitchbacktoWordPerfect.Usethe_HHS_Ԁ_ToolBar_ԀorKeystrokestoruntheLargeTable(CTRLALTL)orSmallTable(CTRLALTS)macrotoautomaticallypastetheclipboard_contentsat_Ԁthecorrectpositioninthisdocument(9 Z6Times New Roman Regular > mN"XBXXXXBXXXB-X,XX-  _ Expansionfor  FY2002wouldbethelargestyeartoyearX XXXB  dollarincreaseeverforNIH .(9 Z6Times New Roman Regular)c >Times New Roman Bold Italic G mN"XBXXXXBXXXB-X,XX-  _X XXXBWithitsrecent  largeinfusionofresources,NIHhasworkeddiligentlytomakesurethatthoseresourcesaremanagedproperly.(9 Z6Times New Roman Regular)c >Times New Roman Bold Italic F mN"XBXXXXBXXXB-X,XX-  _X XXXBFundingfor  AIDSvaccineresearchwillgrowto$357million,a27percentincreaseoverFY2001and141percentoverFY1998.(9 Z6Times New Roman Regular)c >Times New Roman Bold Italic V FN&XBXXXXBXXXB-X,XX-  _Excelspreadsheetwillgointhisposition.ToimportthesheetintoWordPerfect,OpenExcelandcopytheappropriaterange.SwitchbacktoWordPerfect.Usethe_HHS_Ԁ_ToolBar_ԀorKeystrokestoruntheLargeTable(CTRLALTL)orSmallTable(CTRLALTS)macrotoautomaticallypastetheclipboard_contentsat_Ԁthecorrectpositioninthisdocument(9 Z6Times New Roman Regular V FN&XBXXXXBXXXB-X,XX-  _Excelspreadsheetwillgointhisposition.ToimportthesheetintoWordPerfect,OpenExcelandcopytheappropriaterange.SwitchbacktoWordPerfect.Usethe_HHS_Ԁ_ToolBar_ԀorKeystrokestoruntheLargeTable(CTRLALTL)orSmallTable(CTRLALTS)macrotoautomaticallypastetheclipboard_contentsat_Ԁthecorrectpositioninthisdocument(9 Z6Times New Roman Regular V FN&XBXXXXBXXXB-X,XX-  _Excelspreadsheetwillgointhisposition.ToimportthesheetintoWordPerfect,OpenExcelandcopytheappropriaterange.SwitchbacktoWordPerfect.Usethe_HHS_Ԁ_ToolBar_ԀorKeystrokestoruntheLargeTable(CTRLALTL)orSmallTable(CTRLALTS)macrotoautomaticallypastetheclipboard_contentsat_Ԁthecorrectpositioninthisdocument(9 Z6Times New Roman Regular S mN"XBXXXXBXXXB-X,XX-  _ Inaneffortto  reducethetreatmentgap,$100millionhasbeenincludedtofundthePresidentsdrugtreatmentinitiative X XXXB.(9 Z6Times New Roman Regular)c >Times New Roman Bold Italic V FN&XBXXXXBXXXB-X,XX-  _Excelspreadsheetwillgointhisposition.ToimportthesheetintoWordPerfect,OpenExcelandcopytheappropriaterange.SwitchbacktoWordPerfect.Usethe_HHS_Ԁ_ToolBar_ԀorKeystrokestoruntheLargeTable(CTRLALTL)orSmallTable(CTRLALTS)macrotoautomaticallypastetheclipboard_contentsat_Ԁthecorrectpositioninthisdocument(9 Z6Times New Roman Regular "HLPASMB User% V FN&XBXXXXBXXXB-X,XX-  _Excelspreadsheetwillgointhisposition.ToimportthesheetintoWordPerfect,OpenExcelandcopytheappropriaterange.SwitchbacktoWordPerfect.Usethe_HHS_Ԁ_ToolBar_ԀorKeystrokestoruntheLargeTable(CTRLALTL)orSmallTable(CTRLALTS)macrotoautomaticallypastetheclipboard_contentsat_Ԁthecorrectpositioninthisdocument(9 Z6Times New Roman Regular y mN"XBXXXXBXXXB-X,XX-  _X XXXBInFY2002,the  AgencyforHealthcareResearchandQualitywilluseanincreaseof$26milliontosupportresearchneededtoimprovethequalityandcosteffectivenessofcare.(9 Z6Times New Roman Regular)c >Times New Roman Bold Italic  HLPASMB User V FN&XBXXXXBXXXB-X,XX-  _Excelspreadsheetwillgointhisposition.ToimportthesheetintoWordPerfect,OpenExcelandcopytheappropriaterange.SwitchbacktoWordPerfect.Usethe_HHS_Ԁ_ToolBar_ԀorKeystrokestoruntheLargeTable(CTRLALTL)orSmallTable(CTRLALTS)macrotoautomaticallypastetheclipboard_contentsat_Ԁthecorrectpositioninthisdocument(9 Z6Times New Roman Regular %3HLPErin O'Connell 6 FN&XBXXXXBXXXB-X,XX-  _Excelspreadsheetwillgointhisposition.ToimportthesheetintoWordPerfect,OpenExcelandcopytheappropriaterange.SwitchbacktoWordPerfect.UsetheHHS_ToolBar_ԀorKeystrokestoruntheLargeTable(CTRLALTL)orSmallTable(CTRLALTS)macrotoautomaticallypastetheclipboard_contentsat_Ԁthecorrectpositioninthisdocument(9 Z6Times New Roman Regular 6 FN&XBXXXXBXXXB-X,XX-  _Excelspreadsheetwillgointhisposition.ToimportthesheetintoWordPerfect,OpenExcelandcopytheappropriaterange.SwitchbacktoWordPerfect.UsetheHHS_ToolBar_ԀorKeystrokestoruntheLargeTable(CTRLALTL)orSmallTable(CTRLALTS)macrotoautomaticallypastetheclipboard_contentsat_Ԁthecorrectpositioninthisdocument(9 Z6Times New Roman Regular 6 FN&XBXXXXBXXXB-X,XX-  _Excelspreadsheetwillgointhisposition.ToimportthesheetintoWordPerfect,OpenExcelandcopytheappropriaterange.SwitchbacktoWordPerfect.UsetheHHS_ToolBar_ԀorKeystrokestoruntheLargeTable(CTRLALTL)orSmallTable(CTRLALTS)macrotoautomaticallypastetheclipboard_contentsat_Ԁthecorrectpositioninthisdocument(9 Z6Times New Roman Regular1 HLPLibbie  FN&XBXXXXBXXXB-X,XX-  __Excelspreadsheetwillgointhisposition.ToimportthesheetintoWordPerfect,OpenExcelandcopytheappropriaterange.SwitchbacktoWordPerfect.UsetheHHSToolBar,Keystrokes,orPressReleasemenutoruntheLargeTable(CTRLALTL)orSmallTable(CTRLALTS)macrotoautomaticallypastetheclipboardcontentsatthecorrectpositioninthisdocument.Ifthetablepositionsaboveorbelowboththicklines,deletethe_table.Run_ԀthemacroagainandpauseforasecondbetweenthetwoEnters.(9 Z6Times New Roman Regular4,HLPLibbie  FN&XBXXXXBXXXB-X,XX-  _Excelspreadsheetwillgointhisposition.ToimportthesheetintoWordPerfect,OpenExcelandcopytheappropriaterange.SwitchbacktoWordPerfect.UsetheHHSToolBar,Keystrokes,orPressReleasemenutoruntheLargeTable(CTRLALTL)orSmallTable(CTRLALTS)macrotoautomaticallypastetheclipboardcontentsatthecorrectpositioninthisdocument.Ifthetablepositionsaboveorbelowboththicklines,deletethetable_.RunthemacroagainandpauseforasecondbetweenthetwoEnters.(9 Z6Times New Roman Regular/HLPASMB User  FN&XBXXXXBXXXB-X,XX-  _Excelspreadsheetwillgointhisposition.ToimportthesheetintoWordPerfect,OpenExcelandcopytheappropriaterange.SwitchbacktoWordPerfect.UsetheHHSToolBarorKeystrokestoruntheLargeTable(CTRLALTL)orSmallTable(CTRLALTS)macrotoautomaticallypastetheclipboard_contentsat_Ԁthecorrectpositioninthisdocument(9 Z6Times New Roman Regular4,HLPLibbie  FN&XBXXXXBXXXB-X,XX-  __Excelspreadsheetwillgointhisposition.ToimportthesheetintoWordPerfect,OpenExcelandcopytheappropriaterange.SwitchbacktoWordPerfect.UsetheHHSToolBar,Keystrokes,orPressReleasemenutoruntheLargeTable(CTRLALTL)orSmallTable(CTRLALTS)macrotoautomaticallypastetheclipboardcontentsatthecorrectpositioninthisdocument.Ifthetablepositionsaboveorbelowboththicklines,deletethe_table.Run_ԀthemacroagainandpauseforasecondbetweenthetwoEnters.(9 Z6Times New Roman Regular  FN&XBXXXXBXXXB-X,XX-  _Excelspreadsheetwillgointhisposition.ToimportthesheetintoWordPerfect,OpenExcelandcopytheappropriaterange.SwitchbacktoWordPerfect.UsetheHHSToolBarorKeystrokestoruntheLargeTable(CTRLALTL)orSmallTable(CTRLALTS)macrotoautomaticallypastetheclipboardcontentsatthecorrectpositioninthisdocument(9 Z6Times New Roman Regular /HLPASMB User% 6 FN&XBXXXXBXXXB-X,XX-  _Excelspreadsheetwillgointhisposition.ToimportthesheetintoWordPerfect,OpenExcelandcopytheappropriaterange.SwitchbacktoWordPerfect.UsetheHHS_ToolBar_ԀorKeystrokestoruntheLargeTable(CTRLALTL)orSmallTable(CTRLALTS)macrotoautomaticallypastetheclipboard_contentsat_Ԁthecorrectpositioninthisdocument(9 Z6Times New Roman Regular 77HLPErin O'Connell 6 FN&XBXXXXBXXXB-X,XX-  _Excelspreadsheetwillgointhisposition.ToimportthesheetintoWordPerfect,OpenExcelandcopytheappropriaterange.SwitchbacktoWordPerfect.UsetheHHS_ToolBar_ԀorKeystrokestoruntheLargeTable(CTRLALTL)orSmallTable(CTRLALTS)macrotoautomaticallypastetheclipboard_contentsat_Ԁthecorrectpositioninthisdocument(9 Z6Times New Roman Regular V FN&XBXXXXBXXXB-X,XX-  _Excelspreadsheetwillgointhisposition.ToimportthesheetintoWordPerfect,OpenExcelandcopytheappropriaterange.SwitchbacktoWordPerfect.Usethe_HHS_Ԁ_ToolBar_ԀorKeystrokestoruntheLargeTable(CTRLALTL)orSmallTable(CTRLALTS)macrotoautomaticallypastetheclipboard_contentsat_Ԁthecorrectpositioninthisdocument(9 Z6Times New Roman Regular  mN"XBXXXXBXXXB-X,XX-  _X XXXBIneveryinstance  wherethisAdministrationseesaresponsibilitytohelppeople,itwilllooktofaithbasedorganizations,charities,andcommunitygroupsthathaveshownthe#^]ddabilitytochangelives.#dd^]z(9 Z6Times New Roman Regular)c >Times New Roman Bold Italic $ mN"XBXXXXBXXXB-X,XX-  _ ThePresidents  Budgetincludes$89millionforaCompassionCapitalFund... X XXXB(9 Z6Times New Roman Regular)c >Times New Roman Bold Italic 8HLPASMB User% V FN&XBXXXXBXXXB-X,XX-  _Excelspreadsheetwillgointhisposition.ToimportthesheetintoWordPerfect,OpenExcelandcopytheappropriaterange.SwitchbacktoWordPerfect.Usethe_HHS_Ԁ_ToolBar_ԀorKeystrokestoruntheLargeTable(CTRLALTL)orSmallTable(CTRLALTS)macrotoautomaticallypastetheclipboard_contentsat_Ԁthecorrectpositioninthisdocument(9 Z6Times New Roman Regular HLPASMB User% V FN&XBXXXXBXXXB-X,XX-  _Excelspreadsheetwillgointhisposition.ToimportthesheetintoWordPerfect,OpenExcelandcopytheappropriaterange.SwitchbacktoWordPerfect.Usethe_HHS_Ԁ_ToolBar_ԀorKeystrokestoruntheLargeTable(CTRLALTL)orSmallTable(CTRLALTS)macrotoautomaticallypastetheclipboard_contentsat_Ԁthecorrectpositioninthisdocument(9 Z6Times New Roman Regular HLPASMB User% V FN&XBXXXXBXXXB-X,XX-  _Excelspreadsheetwillgointhisposition.ToimportthesheetintoWordPerfect,OpenExcelandcopytheappropriaterange.SwitchbacktoWordPerfect.Usethe_HHS_Ԁ_ToolBar_ԀorKeystrokestoruntheLargeTable(CTRLALTL)orSmallTable(CTRLALTS)macrotoautomaticallypastetheclipboard_contentsat_Ԁthecorrectpositioninthisdocument(9 Z6Times New Roman Regular5HLPASMB User V FN&XBXXXXBXXXB-X,XX-  _Excelspreadsheetwillgointhisposition.ToimportthesheetintoWordPerfect,OpenExcelandcopytheappropriaterange.SwitchbacktoWordPerfect.Usethe_HHS_Ԁ_ToolBar_ԀorKeystrokestoruntheLargeTable(CTRLALTL)orSmallTable(CTRLALTS)macrotoautomaticallypastetheclipboard_contentsat_Ԁthecorrectpositioninthisdocument(9 Z6Times New Roman Regular $-HLPASMB User 7 FN& XBXXX XBXXXB-X,XX-  _Excelspreadsheetwillgointhisposition.ToimportthesheetintoWordPerfect,OpenExcelandcopytheappropriaterange.SwitchbacktoWordPerfect.Usethe_HHS_Ԁ_ToolBar_ԀorKeystrokestoruntheLargeTable(CTRLALTL)orSmallTable(CTRLALTS)macrotoautomaticallypastetheclipboardcontentsatthecorrectpositioninthisdocument(9 Z6Times New Roman Regular  mN" XBXXX XBXXXB-X,XX-  _ X XXXB Wemustdoallwe  cantoensurethatourolderresidentscanremainathomeandreceivecarefromlovedonesforaslongaspossible. pp Thismoneywill XX allowStatestodevelopsystemsofsupporttoeasetheburdenonhundredsofthousandsoffamilycaregiversnationwide.# XBX XX#    &4%XXBSecretaryThompson# XBX%&4^#(9 Z6Times New Roman Regular)c >Times New Roman Bold Italic  HLPASMB User  FN&XBXXXXBXXXB-X,XX-  _Excelspreadsheetwillgointhisposition.ToimportthesheetintoWordPerfect,OpenExcelandcopytheappropriaterange.SwitchbacktoWordPerfect.UsetheHHSToolBarorKeystrokestoruntheLargeTable(CTRLALTL)orSmallTable(CTRLALTS)macrotoautomaticallypastetheclipboardcontentsatthecorrectpositioninthisdocument(9 Z6Times New Roman Regular  HLPASMB User% V FN&XBXXXXBXXXB-X,XX-  _Excelspreadsheetwillgointhisposition.ToimportthesheetintoWordPerfect,OpenExcelandcopytheappropriaterange.SwitchbacktoWordPerfect.Usethe_HHS_Ԁ_ToolBar_ԀorKeystrokestoruntheLargeTable(CTRLALTL)orSmallTable(CTRLALTS)macrotoautomaticallypastetheclipboard_contentsat_Ԁthecorrectpositioninthisdocument(9 Z6Times New Roman Regular V FN&XBXXXXBXXXB-X,XX-  _Excelspreadsheetwillgointhisposition.ToimportthesheetintoWordPerfect,OpenExcelandcopytheappropriaterange.SwitchbacktoWordPerfect.Usethe_HHS_Ԁ_ToolBar_ԀorKeystrokestoruntheLargeTable(CTRLALTL)orSmallTable(CTRLALTS)macrotoautomaticallypastetheclipboard_contentsat_Ԁthecorrectpositioninthisdocument(9 Z6Times New Roman Regular 7 FN&XBXXXXBXXXB-X,XX-  _Excelspreadsheetwillgointhisposition.ToimportthesheetintoWordPerfect,OpenExcelandcopytheappropriaterange.SwitchbacktoWordPerfect.UsetheHHS_ToolBar_ԀorKeystrokestoruntheLargeTable(CTRLALTL)orSmallTable(CTRLALTS)macrotoautomaticallypastetheclipboard_contentsat_Ԁthecorrectpositioninthisdocument(9 Z6Times New Roman Regular W FN&XBXXXXBXXXB-X,XX-  _Excelspreadsheetwillgointhisposition.ToimportthesheetintoWordPerfect,OpenExcelandcopytheappropriaterange.SwitchbacktoWordPerfect.Usethe_HHS_Ԁ_ToolBar_ԀorKeystrokestoruntheLargeTable(CTRLALTL)orSmallTable(CTRLALTS)macrotoautomaticallypastetheclipboard_contentsat_Ԁthecorrectpositioninthisdocument(9 Z6Times New Roman Regular W FN&XBXXXXBXXXB-X,XX-  _Excelspreadsheetwillgointhisposition.ToimportthesheetintoWordPerfect,OpenExcelandcopytheappropriaterange.SwitchbacktoWordPerfect.Usethe_HHS_Ԁ_ToolBar_ԀorKeystrokestoruntheLargeTable(CTRLALTL)orSmallTable(CTRLALTS)macrotoautomaticallypastetheclipboard_contentsat_Ԁthecorrectpositioninthisdocument(9 Z6Times New Roman Regular!7HLPASMB User%  FN&"XBXXX"XBXXXB-X,XX-  _Excelspreadsheetwillgointhisposition.ToimportthesheetintoWordPerfect,OpenExcelandcopytheappropriaterange.SwitchbacktoWordPerfect.Usethe_HHS_Ԁ_ToolBar_,Keystrokes,orPressReleasemenutoruntheLargeTable(CTRLALTL)orSmallTable(CTRLALTS)macrotoautomaticallypastetheclipboardcontentsatthecorrectpositioninthisdocument.Ifthetablepositionsaboveorbelowboththicklines,deletethe_table.Run_ԀthemacroagainandpauseforasecondbetweenthetwoEnters.(9 Z6Times New Roman Regular$ W FN&%XBXXX%XBXXXB-X,XX-  _Excelspreadsheetwillgointhisposition.ToimportthesheetintoWordPerfect,OpenExcelandcopytheappropriaterange.SwitchbacktoWordPerfect.Usethe_HHS_Ԁ_ToolBar_ԀorKeystrokestoruntheLargeTable(CTRLALTL)orSmallTable(CTRLALTS)macrotoautomaticallypastetheclipboard_contentsat_Ԁthecorrectpositioninthisdocument(9 Z6Times New Roman Regular' W FN&(XBXXX(XBXXXB-X,XX-  _Excelspreadsheetwillgointhisposition.ToimportthesheetintoWordPerfect,OpenExcelandcopytheappropriaterange.SwitchbacktoWordPerfect.Usethe_HHS_Ԁ_ToolBar_ԀorKeystrokestoruntheLargeTable(CTRLALTL)orSmallTable(CTRLALTS)macrotoautomaticallypastetheclipboard_contentsat_Ԁthecorrectpositioninthisdocument(9 Z6Times New Roman Regular* 7 FN&+XBXXX+XBXXXB-X,XX-  _Excelspreadsheetwillgointhisposition.ToimportthesheetintoWordPerfect,OpenExcelandcopytheappropriaterange.SwitchbacktoWordPerfect.UsetheHHS_ToolBar_ԀorKeystrokestoruntheLargeTable(CTRLALTL)orSmallTable(CTRLALTS)macrotoautomaticallypastetheclipboard_contentsat_Ԁthecorrectpositioninthisdocument(9 Z6Times New Roman Regular- V FN&.XBXXX.XBXXXB-X,XX-  _Excelspreadsheetwillgointhisposition.ToimportthesheetintoWordPerfect,OpenExcelandcopytheappropriaterange.SwitchbacktoWordPerfect.Usethe_HHS_Ԁ_ToolBar_ԀorKeystrokestoruntheLargeTable(CTRLALTL)orSmallTable(CTRLALTS)macrotoautomaticallypastetheclipboard_contentsat_Ԁthecorrectpositioninthisdocument(9 Z6Times New Roman Regular0  HLPASMB User% V FN&1XBXXX1XBXXXB-X,XX-  _Excelspreadsheetwillgointhisposition.ToimportthesheetintoWordPerfect,OpenExcelandcopytheappropriaterange.SwitchbacktoWordPerfect.Usethe_HHS_Ԁ_ToolBar_ԀorKeystrokestoruntheLargeTable(CTRLALTL)orSmallTable(CTRLALTS)macrotoautomaticallypastetheclipboard_contentsat_Ԁthecorrectpositioninthisdocument(9 Z6Times New Roman Regular3  HLPASMB User  FN&4XBXXX4XBXXXB-X,XX-  _Excelspreadsheetwillgointhisposition.ToimportthesheetintoWordPerfect,OpenExcelandcopytheappropriaterange.SwitchbacktoWordPerfect.UsetheHHSToolBarorKeystrokestoruntheLargeTable(CTRLALTL)orSmallTable(CTRLALTS)macrotoautomaticallypastetheclipboardcontentsatthecorrectpositioninthisdocument(9 Z6Times New Roman Regular  mN"6XBXXX6XBXXXB-X,XX-  _7X XXXB Wemustdoallwe  cantoensurethatourolderresidentscanremainathomeandreceivecarefromlovedonesforaslongaspossible. pp Thismoneywill XX allowStatestodevelopsystemsofsupporttoeasetheburdenonhundredsofthousandsoffamilycaregiversnationwide.#6XBX XX#   6&4%XXBSecretaryThompson#6XBX%&4^#(9 Z6Times New Roman Regular)c >Times New Roman Bold Italic9$-HLPASMB User 7 FN&:XBXXX:XBXXXB-X,XX-  _Excelspreadsheetwillgointhisposition.ToimportthesheetintoWordPerfect,OpenExcelandcopytheappropriaterange.SwitchbacktoWordPerfect.Usethe_HHS_Ԁ_ToolBar_ԀorKeystrokestoruntheLargeTable(CTRLALTL)orSmallTable(CTRLALTS)macrotoautomaticallypastetheclipboardcontentsatthecorrectpositioninthisdocument(9 Z6Times New Roman Regular<5HLPASMB User V FN&=XBXXX=XBXXXB-X,XX-  _Excelspreadsheetwillgointhisposition.ToimportthesheetintoWordPerfect,OpenExcelandcopytheappropriaterange.SwitchbacktoWordPerfect.Usethe_HHS_Ԁ_ToolBar_ԀorKeystrokestoruntheLargeTable(CTRLALTL)orSmallTable(CTRLALTS)macrotoautomaticallypastetheclipboard_contentsat_Ԁthecorrectpositioninthisdocument(9 Z6Times New Roman Regular? HLPASMB User% V FN&@XBXXX@XBXXXB-X,XX-  _Excelspreadsheetwillgointhisposition.ToimportthesheetintoWordPerfect,OpenExcelandcopytheappropriaterange.SwitchbacktoWordPerfect.Usethe_HHS_Ԁ_ToolBar_ԀorKeystrokestoruntheLargeTable(CTRLALTL)orSmallTable(CTRLALTS)macrotoautomaticallypastetheclipboard_contentsat_Ԁthecorrectpositioninthisdocument(9 Z6Times New Roman RegularB HLPASMB User% V FN&CXBXXXCXBXXXB-X,XX-  _Excelspreadsheetwillgointhisposition.ToimportthesheetintoWordPerfect,OpenExcelandcopytheappropriaterange.SwitchbacktoWordPerfect.Usethe_HHS_Ԁ_ToolBar_ԀorKeystrokestoruntheLargeTable(CTRLALTL)orSmallTable(CTRLALTS)macrotoautomaticallypastetheclipboard_contentsat_Ԁthecorrectpositioninthisdocument(9 Z6Times New Roman RegularE 8HLPASMB User% V FN&FXBXXXFXBXXXB-X,XX-  _Excelspreadsheetwillgointhisposition.ToimportthesheetintoWordPerfect,OpenExcelandcopytheappropriaterange.SwitchbacktoWordPerfect.Usethe_HHS_Ԁ_ToolBar_ԀorKeystrokestoruntheLargeTable(CTRLALTL)orSmallTable(CTRLALTS)macrotoautomaticallypastetheclipboard_contentsat_Ԁthecorrectpositioninthisdocument(9 Z6Times New Roman Regular $ mN"HXBXXXHXBXXXB-X,XX-  _ ThePresidents  Budgetincludes$89millionforaCompassionCapitalFund... IX XXXB(9 Z6Times New Roman Regular)c >Times New Roman Bold Italic  mN"KXBXXXKXBXXXB-X,XX-  _LX XXXBIneveryinstance  wherethisAdministrationseesaresponsibilitytohelppeople,itwilllooktofaithbasedorganizations,charities,andcommunitygroupsthathaveshownthe#^]ddabilitytochangelives.#dd^]z(9 Z6Times New Roman Regular)c >Times New Roman Bold ItalicN V FN&OXBXXXOXBXXXB-X,XX-  _Excelspreadsheetwillgointhisposition.ToimportthesheetintoWordPerfect,OpenExcelandcopytheappropriaterange.SwitchbacktoWordPerfect.Usethe_HHS_Ԁ_ToolBar_ԀorKeystrokestoruntheLargeTable(CTRLALTL)orSmallTable(CTRLALTS)macrotoautomaticallypastetheclipboard_contentsat_Ԁthecorrectpositioninthisdocument(9 Z6Times New Roman RegularQ 77HLPErin O'Connell 6 FN&RXBXXXRXBXXXB-X,XX-  _Excelspreadsheetwillgointhisposition.ToimportthesheetintoWordPerfect,OpenExcelandcopytheappropriaterange.SwitchbacktoWordPerfect.UsetheHHS_ToolBar_ԀorKeystrokestoruntheLargeTable(CTRLALTL)orSmallTable(CTRLALTS)macrotoautomaticallypastetheclipboard_contentsat_Ԁthecorrectpositioninthisdocument(9 Z6Times New Roman RegularT /HLPASMB User% 6 FN&UXBXXXUXBXXXB-X,XX-  _Excelspreadsheetwillgointhisposition.ToimportthesheetintoWordPerfect,OpenExcelandcopytheappropriaterange.SwitchbacktoWordPerfect.UsetheHHS_ToolBar_ԀorKeystrokestoruntheLargeTable(CTRLALTL)orSmallTable(CTRLALTS)macrotoautomaticallypastetheclipboard_contentsat_Ԁthecorrectpositioninthisdocument(9 Z6Times New Roman RegularW  FN&XXBXXXXXBXXXB-X,XX-  _Excelspreadsheetwillgointhisposition.ToimportthesheetintoWordPerfect,OpenExcelandcopytheappropriaterange.SwitchbacktoWordPerfect.UsetheHHSToolBarorKeystrokestoruntheLargeTable(CTRLALTL)orSmallTable(CTRLALTS)macrotoautomaticallypastetheclipboardcontentsatthecorrectpositioninthisdocument(9 Z6Times New Roman RegularZ4,HLPLibbie  FN&[XBXXX[XBXXXB-X,XX-  __Excelspreadsheetwillgointhisposition.ToimportthesheetintoWordPerfect,OpenExcelandcopytheappropriaterange.SwitchbacktoWordPerfect.UsetheHHSToolBar,Keystrokes,orPressReleasemenutoruntheLargeTable(CTRLALTL)orSmallTable(CTRLALTS)macrotoautomaticallypastetheclipboardcontentsatthecorrectpositioninthisdocument.Ifthetablepositionsaboveorbelowboththicklines,deletethe_table.Run_ԀthemacroagainandpauseforasecondbetweenthetwoEnters.(9 Z6Times New Roman Regular]/HLPASMB User  FN&^XBXXX^XBXXXB-X,XX-  _Excelspreadsheetwillgointhisposition.ToimportthesheetintoWordPerfect,OpenExcelandcopytheappropriaterange.SwitchbacktoWordPerfect.UsetheHHSToolBarorKeystrokestoruntheLargeTable(CTRLALTL)orSmallTable(CTRLALTS)macrotoautomaticallypastetheclipboard_contentsat_Ԁthecorrectpositioninthisdocument(9 Z6Times New Roman Regular`4,HLPLibbie  FN&aXBXXXaXBXXXB-X,XX-  _Excelspreadsheetwillgointhisposition.ToimportthesheetintoWordPerfect,OpenExcelandcopytheappropriaterange.SwitchbacktoWordPerfect.UsetheHHSToolBar,Keystrokes,orPressReleasemenutoruntheLargeTable(CTRLALTL)orSmallTable(CTRLALTS)macrotoautomaticallypastetheclipboardcontentsatthecorrectpositioninthisdocument.Ifthetablepositionsaboveorbelowboththicklines,deletethetable_.RunthemacroagainandpauseforasecondbetweenthetwoEnters.(9 Z6Times New Roman Regularc1 HLPLibbie  FN&dXBXXXdXBXXXB-X,XX-  __Excelspreadsheetwillgointhisposition.ToimportthesheetintoWordPerfect,OpenExcelandcopytheappropriaterange.SwitchbacktoWordPerfect.UsetheHHSToolBar,Keystrokes,orPressReleasemenutoruntheLargeTable(CTRLALTL)orSmallTable(CTRLALTS)macrotoautomaticallypastetheclipboardcontentsatthecorrectpositioninthisdocument.Ifthetablepositionsaboveorbelowboththicklines,deletethe_table.Run_ԀthemacroagainandpauseforasecondbetweenthetwoEnters.(9 Z6Times New Roman Regularf 6 FN&gXBXXXgXBXXXB-X,XX-  _Excelspreadsheetwillgointhisposition.ToimportthesheetintoWordPerfect,OpenExcelandcopytheappropriaterange.SwitchbacktoWordPerfect.UsetheHHS_ToolBar_ԀorKeystrokestoruntheLargeTable(CTRLALTL)orSmallTable(CTRLALTS)macrotoautomaticallypastetheclipboard_contentsat_Ԁthecorrectpositioninthisdocument(9 Z6Times New Roman Regulari 6 FN&jXBXXXjXBXXXB-X,XX-  _Excelspreadsheetwillgointhisposition.ToimportthesheetintoWordPerfect,OpenExcelandcopytheappropriaterange.SwitchbacktoWordPerfect.UsetheHHS_ToolBar_ԀorKeystrokestoruntheLargeTable(CTRLALTL)orSmallTable(CTRLALTS)macrotoautomaticallypastetheclipboard_contentsat_Ԁthecorrectpositioninthisdocument(9 Z6Times New Roman Regularl %3HLPErin O'Connell 6 FN&mXBXXXmXBXXXB-X,XX-  _Excelspreadsheetwillgointhisposition.ToimportthesheetintoWordPerfect,OpenExcelandcopytheappropriaterange.SwitchbacktoWordPerfect.UsetheHHS_ToolBar_ԀorKeystrokestoruntheLargeTable(CTRLALTL)orSmallTable(CTRLALTS)macrotoautomaticallypastetheclipboard_contentsat_Ԁthecorrectpositioninthisdocument(9 Z6Times New Roman Regularo  HLPASMB User V FN&pXBXXXpXBXXXB-X,XX-  _Excelspreadsheetwillgointhisposition.ToimportthesheetintoWordPerfect,OpenExcelandcopytheappropriaterange.SwitchbacktoWordPerfect.Usethe_HHS_Ԁ_ToolBar_ԀorKeystrokestoruntheLargeTable(CTRLALTL)orSmallTable(CTRLALTS)macrotoautomaticallypastetheclipboard_contentsat_Ԁthecorrectpositioninthisdocument(9 Z6Times New Roman Regular y mN"rXBXXXrXBXXXB-X,XX-  _sX XXXBInFY2002,the  AgencyforHealthcareResearchandQualitywilluseanincreaseof$26milliontosupportresearchneededtoimprovethequalityandcosteffectivenessofcare.(9 Z6Times New Roman Regular)c >Times New Roman Bold Italicu "HLPASMB User% V FN&vXBXXXvXBXXXB-X,XX-  _Excelspreadsheetwillgointhisposition.ToimportthesheetintoWordPerfect,OpenExcelandcopytheappropriaterange.SwitchbacktoWordPerfect.Usethe_HHS_Ԁ_ToolBar_ԀorKeystrokestoruntheLargeTable(CTRLALTL)orSmallTable(CTRLALTS)macrotoautomaticallypastetheclipboard_contentsat_Ԁthecorrectpositioninthisdocument(9 Z6Times New Roman Regularx V FN&yXBXXXyXBXXXB-X,XX-  _Excelspreadsheetwillgointhisposition.ToimportthesheetintoWordPerfect,OpenExcelandcopytheappropriaterange.SwitchbacktoWordPerfect.Usethe_HHS_Ԁ_ToolBar_ԀorKeystrokestoruntheLargeTable(CTRLALTL)orSmallTable(CTRLALTS)macrotoautomaticallypastetheclipboard_contentsat_Ԁthecorrectpositioninthisdocument(9 Z6Times New Roman Regular S mN"{XBXXX{XBXXXB-X,XX-  _ Inaneffortto  reducethetreatmentgap,$100millionhasbeenincludedtofundthePresidentsdrugtreatmentinitiative |X XXXB.(9 Z6Times New Roman Regular)c >Times New Roman Bold Italic~ V FN&XBXXXXBXXXB-X,XX-  _Excelspreadsheetwillgointhisposition.ToimportthesheetintoWordPerfect,OpenExcelandcopytheappropriaterange.SwitchbacktoWordPerfect.Usethe_HHS_Ԁ_ToolBar_ԀorKeystrokestoruntheLargeTable(CTRLALTL)orSmallTable(CTRLALTS)macrotoautomaticallypastetheclipboard_contentsat_Ԁthecorrectpositioninthisdocument(9 Z6Times New Roman Regular V FN&XBXXXXBXXXB-X,XX-  _Excelspreadsheetwillgointhisposition.ToimportthesheetintoWordPerfect,OpenExcelandcopytheappropriaterange.SwitchbacktoWordPerfect.Usethe_HHS_Ԁ_ToolBar_ԀorKeystrokestoruntheLargeTable(CTRLALTL)orSmallTable(CTRLALTS)macrotoautomaticallypastetheclipboard_contentsat_Ԁthecorrectpositioninthisdocument(9 Z6Times New Roman Regular V FN&XBXXXXBXXXB-X,XX-  _Excelspreadsheetwillgointhisposition.ToimportthesheetintoWordPerfect,OpenExcelandcopytheappropriaterange.SwitchbacktoWordPerfect.Usethe_HHS_Ԁ_ToolBar_ԀorKeystrokestoruntheLargeTable(CTRLALTL)orSmallTable(CTRLALTS)macrotoautomaticallypastetheclipboard_contentsat_Ԁthecorrectpositioninthisdocument(9 Z6Times New Roman Regular F mN"XBXXXXBXXXB-X,XX-  _X XXXBFundingfor  AIDSvaccineresearchwillgrowto$357million,a27percentincreaseoverFY2001and141percentoverFY1998.(9 Z6Times New Roman Regular)c >Times New Roman Bold Italic G mN"XBXXXXBXXXB-X,XX-  _X XXXBWithitsrecent  largeinfusionofresources,NIHhasworkeddiligentlytomakesurethatthoseresourcesaremanagedproperly.(9 Z6Times New Roman Regular)c >Times New Roman Bold Italic > mN"XBXXXXBXXXB-X,XX-  _ Expansionfor  FY2002wouldbethelargestyeartoyearX XXXB  dollarincreaseeverforNIH .(9 Z6Times New Roman Regular)c >Times New Roman Bold Italic'HLPASMB User W FN&XBXXXXBXXXB-X,XX-  _Excelspreadsheetwillgointhisposition.ToimportthesheetintoWordPerfect,OpenExcelandcopytheappropriaterange.SwitchbacktoWordPerfect.Usethe_HHS_Ԁ_ToolBar_ԀorKeystrokestoruntheLargeTable(CTRLALTL)orSmallTable(CTRLALTS)macrotoautomaticallypastetheclipboard_contentsat_Ԁthecorrectpositioninthisdocument(9 Z6Times New Roman Regular V FN&XBXXXXBXXXB-X,XX-  _Excelspreadsheetwillgointhisposition.ToimportthesheetintoWordPerfect,OpenExcelandcopytheappropriaterange.SwitchbacktoWordPerfect.Usethe_HHS_Ԁ_ToolBar_ԀorKeystrokestoruntheLargeTable(CTRLALTL)orSmallTable(CTRLALTS)macrotoautomaticallypastetheclipboard_contentsat_Ԁthecorrectpositioninthisdocument(9 Z6Times New Roman Regular 6 mN"XBXXXXBXXXB-X,XX-  _X XXXBDomesticHIV  effortswillberefocusedtohelpStatesreducethenumberofnewinfections50percentby2005.(9 Z6Times New Roman Regular)c >Times New Roman Bold Italic } mN"XBXXXXBXXXB-X,XX-  _X XXXBStateandlocal  publichealthofficersmustbeabletodetectpotential_bioterrorist_eventsandmountcontrolmeasures. @@ quickly.(9 Z6Times New Roman Regular)c >Times New Roman Bold Italic J mN"XBXXXXBXXXB-X,XX-  _X XXXBWorkconducted  inlaboratoriesatCDCisrelieduponworldwidetohelpcontroldiseaseoutbreaksandpreventillnessandinjury.(9 Z6Times New Roman Regular)c >Times New Roman Bold Italic V FN&XBXXXXBXXXB-X,XX-  _Excelspreadsheetwillgointhisposition.ToimportthesheetintoWordPerfect,OpenExcelandcopytheappropriaterange.SwitchbacktoWordPerfect.Usethe_HHS_Ԁ_ToolBar_ԀorKeystrokestoruntheLargeTable(CTRLALTL)orSmallTable(CTRLALTS)macrotoautomaticallypastetheclipboard_contentsat_Ԁthecorrectpositioninthisdocument(9 Z6Times New Roman Regular HLPASMB User% V FN&XBXXXXBXXXB-X,XX-  _Excelspreadsheetwillgointhisposition.ToimportthesheetintoWordPerfect,OpenExcelandcopytheappropriaterange.SwitchbacktoWordPerfect.Usethe_HHS_Ԁ_ToolBar_ԀorKeystrokestoruntheLargeTable(CTRLALTL)orSmallTable(CTRLALTS)macrotoautomaticallypastetheclipboard_contentsat_Ԁthecorrectpositioninthisdocument(9 Z6Times New Roman Regular ! mN"XBXXXXBXXXB-X,XX-  _ TheNavajoNation  hasproposedtoassumeresponsibilityforhealthservicesforits250,000tribalmembers. (9 Z6Times New Roman Regular  mN"XBXXXXBXXXB-X,XX-  _X XXXBDiabetesprevalence  amongIndianpeopleisnowtripletheratefornonHispanicwhites...IHShasincreasedthenumberofdiabeticpatientswithimprovedglycemicandbloodpressurecontroltoreducetheirneedforcostlymedicalcare.#XBX XX#X XXXB(9 Z6Times New Roman Regular)c >Times New Roman Bold Italic V FN&XBXXXXBXXXB-X,XX-  _Excelspreadsheetwillgointhisposition.ToimportthesheetintoWordPerfect,OpenExcelandcopytheappropriaterange.SwitchbacktoWordPerfect.Usethe_HHS_Ԁ_ToolBar_ԀorKeystrokestoruntheLargeTable(CTRLALTL)orSmallTable(CTRLALTS)macrotoautomaticallypastetheclipboard_contentsat_Ԁthecorrectpositioninthisdocument(9 Z6Times New Roman Regular V FN&XBXXXXBXXXB-X,XX-  _Excelspreadsheetwillgointhisposition.ToimportthesheetintoWordPerfect,OpenExcelandcopytheappropriaterange.SwitchbacktoWordPerfect.Usethe_HHS_Ԁ_ToolBar_ԀorKeystrokestoruntheLargeTable(CTRLALTL)orSmallTable(CTRLALTS)macrotoautomaticallypastetheclipboard_contentsat_Ԁthecorrectpositioninthisdocument(9 Z6Times New Roman Regular  mN"XBXXXXBXXXB-X,XX-  _X XXXBToday,75,000  Americansareonwaitinglistsfororgantransplantation...Thebudgetrequestincludes$20million,anincreaseof$5milliontolaunchanewnationalefforttoencourageorgandonation.(9 Z6Times New Roman Regular)c >Times New Roman Bold Italic r mN"XBXXXXBXXXB-X,XX-  _X XXXBAdditional  $124millionforCommunityandMigrantHealthCenterswillexpandthedeliveryofprimaryhealthcareservicestouptoanadditionalonemillionindividuals.(9 Z6Times New Roman Regular)c >Times New Roman Bold Italic V FN&XBXXXXBXXXB-X,XX-  _Excelspreadsheetwillgointhisposition.ToimportthesheetintoWordPerfect,OpenExcelandcopytheappropriaterange.SwitchbacktoWordPerfect.Usethe_HHS_Ԁ_ToolBar_ԀorKeystrokestoruntheLargeTable(CTRLALTL)orSmallTable(CTRLALTS)macrotoautomaticallypastetheclipboard_contentsat_Ԁthecorrectpositioninthisdocument(9 Z6Times New Roman Regular V FN&XBXXXXBXXXB-X,XX-  _Excelspreadsheetwillgointhisposition.ToimportthesheetintoWordPerfect,OpenExcelandcopytheappropriaterange.SwitchbacktoWordPerfect.Usethe_HHS_Ԁ_ToolBar_ԀorKeystrokestoruntheLargeTable(CTRLALTL)orSmallTable(CTRLALTS)macrotoautomaticallypastetheclipboard_contentsat_Ԁthecorrectpositioninthisdocument(9 Z6Times New Roman Regular  mN"XBXXXXBXXXB-X,XX-  _X XXXBIncreasedfunds  willallowFDAtofollowupon100percentofcomplaintsconcerningclinicaltrialswithin30days. XX Ѐπ#XBX XX#ԀX XXXB#XBX XX#Ԁ  ЀπππX XXXB(9 Z6Times New Roman Regular)c >Times New Roman Bold Italic i mN"XBXXXXBXXXB-X,XX-  _X XXXBPreventingthe  spreadofmadcowdisease:FDAwillinspectall9,500U.S.feedmillstoensurethatqualityassurancepracticesareinplaceandbeingfollowed.(9 Z6Times New Roman Regular)c >Times New Roman Bold Italic  FN&XBXXXXBXXXB-X,XX-  _Excelspreadsheetwillgointhisposition.ToimportthesheetintoWordPerfect,OpenExcelandcopytheappropriaterange.SwitchbacktoWordPerfect.UsetheHHSToolBarorKeystrokestoruntheLargeTable(CTRLALTL)orSmallTable(CTRLALTS)macrotoautomaticallypastetheclipboardcontentsatthecorrectpositioninthisdocument(9 Z6Times New Roman Regular HLPASMB User% V FN&XBXXXXBXXXB-X,XX-  _Excelspreadsheetwillgointhisposition.ToimportthesheetintoWordPerfect,OpenExcelandcopytheappropriaterange.SwitchbacktoWordPerfect.Usethe_HHS_Ԁ_ToolBar_ԀorKeystrokestoruntheLargeTable(CTRLALTL)orSmallTable(CTRLALTS)macrotoautomaticallypastetheclipboard_contentsat_Ԁthecorrectpositioninthisdocument(9 Z6Times New Roman Regular &HLPASMB User V FN&XBXXXXBXXXB-X,XX-  _Excelspreadsheetwillgointhisposition.ToimportthesheetintoWordPerfect,OpenExcelandcopytheappropriaterange.SwitchbacktoWordPerfect.Usethe_HHS_Ԁ_ToolBar_ԀorKeystrokestoruntheLargeTable(CTRLALTL)orSmallTable(CTRLALTS)macrotoautomaticallypastetheclipboard_contentsat_Ԁthecorrectpositioninthisdocument(9 Z6Times New Roman Regular "6HLPASMB User% V FN&XBXXXXBXXXB-X,XX-  _Excelspreadsheetwillgointhisposition.ToimportthesheetintoWordPerfect,OpenExcelandcopytheappropriaterange.SwitchbacktoWordPerfect.Usethe_HHS_Ԁ_ToolBar_ԀorKeystrokestoruntheLargeTable(CTRLALTL)orSmallTable(CTRLALTS)macrotoautomaticallypastetheclipboard_contentsat_Ԁthecorrectpositioninthisdocument(9 Z6Times New Roman Regular ,2HLPASMB User V FN&XBXXXXBXXXB-X,XX-  _Excelspreadsheetwillgointhisposition.ToimportthesheetintoWordPerfect,OpenExcelandcopytheappropriaterange.SwitchbacktoWordPerfect.Usethe_HHS_Ԁ_ToolBar_ԀorKeystrokestoruntheLargeTable(CTRLALTL)orSmallTable(CTRLALTS)macrotoautomaticallypastetheclipboard_contentsat_Ԁthecorrectpositioninthisdocument(9 Z6Times New Roman Regular . mN"XBXXXXBXXXB-X,XX-  _X XXXBTheFY2002  budgetproposesanincreaseof$2.75billionforNIH,thelargestdollarincreaseever.(9 Z6Times New Roman Regular)c >Times New Roman Bold Italic T mN"XBXXXXBXXXB-X,XX-  _X XXXBNearly25million  childrendonotlivewiththeirfathers,andmorethanone-thirdofthemdonotseetheirfathersatallduringtheyear.(9 Z6Times New Roman Regular)c >Times New Roman Bold Italic  mN"XBXXXXBXXXB-X,XX-  _X XXXBWhileapproximately  99percentofemployersponsoredhealthinsuranceplansoffereitheraprescriptiondrugbenefitoracaponoutofpocketdrugexpenses,Medicareprovidesnocoverageforoutpatientprescriptiondrugs.(9 Z6Times New Roman Regular)c >Times New Roman Bold Italic7HLPASMB User%  FN&XBXXXXBXXXB-X,XX-  _Excelspreadsheetwillgointhisposition.ToimportthesheetintoWordPerfect,OpenExcelandcopytheappropriaterange.SwitchbacktoWordPerfect.Usethe_HHS_Ԁ_ToolBar_,Keystrokes,orPressReleasemenutoruntheLargeTable(CTRLALTL)orSmallTable(CTRLALTS)macrotoautomaticallypastetheclipboardcontentsatthecorrectpositioninthisdocument.Ifthetablepositionsaboveorbelowboththicklines,deletethe_table.Run_ԀthemacroagainandpauseforasecondbetweenthetwoEnters.(9 Z6Times New Roman Regular W FN&XBXXXXBXXXB-X,XX-  _Excelspreadsheetwillgointhisposition.ToimportthesheetintoWordPerfect,OpenExcelandcopytheappropriaterange.SwitchbacktoWordPerfect.Usethe_HHS_Ԁ_ToolBar_ԀorKeystrokestoruntheLargeTable(CTRLALTL)orSmallTable(CTRLALTS)macrotoautomaticallypastetheclipboard_contentsat_Ԁthecorrectpositioninthisdocument(9 Z6Times New Roman Regular W FN&XBXXXXBXXXB-X,XX-  _Excelspreadsheetwillgointhisposition.ToimportthesheetintoWordPerfect,OpenExcelandcopytheappropriaterange.SwitchbacktoWordPerfect.Usethe_HHS_Ԁ_ToolBar_ԀorKeystrokestoruntheLargeTable(CTRLALTL)orSmallTable(CTRLALTS)macrotoautomaticallypastetheclipboard_contentsat_Ԁthecorrectpositioninthisdocument(9 Z6Times New Roman Regular 7 FN&XBXXXXBXXXB-X,XX-  _Excelspreadsheetwillgointhisposition.ToimportthesheetintoWordPerfect,OpenExcelandcopytheappropriaterange.SwitchbacktoWordPerfect.UsetheHHS_ToolBar_ԀorKeystrokestoruntheLargeTable(CTRLALTL)orSmallTable(CTRLALTS)macrotoautomaticallypastetheclipboard_contentsat_Ԁthecorrectpositioninthisdocument(9 Z6Times New Roman Regular V FN&XBXXXXBXXXB-X,XX-  _Excelspreadsheetwillgointhisposition.ToimportthesheetintoWordPerfect,OpenExcelandcopytheappropriaterange.SwitchbacktoWordPerfect.Usethe_HHS_Ԁ_ToolBar_ԀorKeystrokestoruntheLargeTable(CTRLALTL)orSmallTable(CTRLALTS)macrotoautomaticallypastetheclipboard_contentsat_Ԁthecorrectpositioninthisdocument(9 Z6Times New Roman Regular  HLPASMB User% V FN&XBXXXXBXXXB-X,XX-  _Excelspreadsheetwillgointhisposition.ToimportthesheetintoWordPerfect,OpenExcelandcopytheappropriaterange.SwitchbacktoWordPerfect.Usethe_HHS_Ԁ_ToolBar_ԀorKeystrokestoruntheLargeTable(CTRLALTL)orSmallTable(CTRLALTS)macrotoautomaticallypastetheclipboard_contentsat_Ԁthecorrectpositioninthisdocument(9 Z6Times New Roman Regular  HLPASMB User  FN&XBXXXXBXXXB-X,XX-  _Excelspreadsheetwillgointhisposition.ToimportthesheetintoWordPerfect,OpenExcelandcopytheappropriaterange.SwitchbacktoWordPerfect.UsetheHHSToolBarorKeystrokestoruntheLargeTable(CTRLALTL)orSmallTable(CTRLALTS)macrotoautomaticallypastetheclipboardcontentsatthecorrectpositioninthisdocument(9 Z6Times New Roman Regular  mN"XBXXXXBXXXB-X,XX-  _X XXXB Wemustdoallwe  cantoensurethatourolderresidentscanremainathomeandreceivecarefromlovedonesforaslongaspossible. pp Thismoneywill XX allowStatestodevelopsystemsofsupporttoeasetheburdenonhundredsofthousandsoffamilycaregiversnationwide.#XBX XX#   &4%XXBSecretaryThompson#XBX%&4^#(9 Z6Times New Roman Regular)c >Times New Roman Bold Italic$-HLPASMB User 7 FN&XBXXXXBXXXB-X,XX-  _Excelspreadsheetwillgointhisposition.ToimportthesheetintoWordPerfect,OpenExcelandcopytheappropriaterange.SwitchbacktoWordPerfect.Usethe_HHS_Ԁ_ToolBar_ԀorKeystrokestoruntheLargeTable(CTRLALTL)orSmallTable(CTRLALTS)macrotoautomaticallypastetheclipboardcontentsatthecorrectpositioninthisdocument(9 Z6Times New Roman Regular5HLPASMB User V FN&XBXXXXBXXXB-X,XX-  _Excelspreadsheetwillgointhisposition.ToimportthesheetintoWordPerfect,OpenExcelandcopytheappropriaterange.SwitchbacktoWordPerfect.Usethe_HHS_Ԁ_ToolBar_ԀorKeystrokestoruntheLargeTable(CTRLALTL)orSmallTable(CTRLALTS)macrotoautomaticallypastetheclipboard_contentsat_Ԁthecorrectpositioninthisdocument(9 Z6Times New Roman Regular HLPASMB User% V FN&XBXXXXBXXXB-X,XX-  _Excelspreadsheetwillgointhisposition.ToimportthesheetintoWordPerfect,OpenExcelandcopytheappropriaterange.SwitchbacktoWordPerfect.Usethe_HHS_Ԁ_ToolBar_ԀorKeystrokestoruntheLargeTable(CTRLALTL)orSmallTable(CTRLALTS)macrotoautomaticallypastetheclipboard_contentsat_Ԁthecorrectpositioninthisdocument(9 Z6Times New Roman Regular HLPASMB User% V FN&XBXXXXBXXXB-X,XX-  _Excelspreadsheetwillgointhisposition.ToimportthesheetintoWordPerfect,OpenExcelandcopytheappropriaterange.SwitchbacktoWordPerfect.Usethe_HHS_Ԁ_ToolBar_ԀorKeystrokestoruntheLargeTable(CTRLALTL)orSmallTable(CTRLALTS)macrotoautomaticallypastetheclipboard_contentsat_Ԁthecorrectpositioninthisdocument(9 Z6Times New Roman Regular 8HLPASMB User% V FN&XBXXXXBXXXB-X,XX-  _Excelspreadsheetwillgointhisposition.ToimportthesheetintoWordPerfect,OpenExcelandcopytheappropriaterange.SwitchbacktoWordPerfect.Usethe_HHS_Ԁ_ToolBar_ԀorKeystrokestoruntheLargeTable(CTRLALTL)orSmallTable(CTRLALTS)macrotoautomaticallypastetheclipboard_contentsat_Ԁthecorrectpositioninthisdocument(9 Z6Times New Roman Regular $ mN"XBXXXXBXXXB-X,XX-  _ ThePresidents  Budgetincludes$89millionforaCompassionCapitalFund... X XXXB(9 Z6Times New Roman Regular)c >Times New Roman Bold Italic  mN"XBXXXXBXXXB-X,XX-  _X XXXBIneveryinstance  wherethisAdministrationseesaresponsibilitytohelppeople,itwilllooktofaithbasedorganizations,charities,andcommunitygroupsthathaveshownthe#^]ddabilitytochangelives.#dd^]z(9 Z6Times New Roman Regular)c >Times New Roman Bold Italic V FN&XBXXXXBXXXB-X,XX-  _Excelspreadsheetwillgointhisposition.ToimportthesheetintoWordPerfect,OpenExcelandcopytheappropriaterange.SwitchbacktoWordPerfect.Usethe_HHS_Ԁ_ToolBar_ԀorKeystrokestoruntheLargeTable(CTRLALTL)orSmallTable(CTRLALTS)macrotoautomaticallypastetheclipboard_contentsat_Ԁthecorrectpositioninthisdocument(9 Z6Times New Roman Regular  77HLPErin O'Connell 6 FN& XBXXX XBXXXB-X,XX-  _Excelspreadsheetwillgointhisposition.ToimportthesheetintoWordPerfect,OpenExcelandcopytheappropriaterange.SwitchbacktoWordPerfect.UsetheHHS_ToolBar_ԀorKeystrokestoruntheLargeTable(CTRLALTL)orSmallTable(CTRLALTS)macrotoautomaticallypastetheclipboard_contentsat_Ԁthecorrectpositioninthisdocument(9 Z6Times New Roman Regular  /HLPASMB User% 6 FN&XBXXXXBXXXB-X,XX-  _Excelspreadsheetwillgointhisposition.ToimportthesheetintoWordPerfect,OpenExcelandcopytheappropriaterange.SwitchbacktoWordPerfect.UsetheHHS_ToolBar_ԀorKeystrokestoruntheLargeTable(CTRLALTL)orSmallTable(CTRLALTS)macrotoautomaticallypastetheclipboard_contentsat_Ԁthecorrectpositioninthisdocument(9 Z6Times New Roman Regular  FN&XBXXXXBXXXB-X,XX-  _Excelspreadsheetwillgointhisposition.ToimportthesheetintoWordPerfect,OpenExcelandcopytheappropriaterange.SwitchbacktoWordPerfect.UsetheHHSToolBarorKeystrokestoruntheLargeTable(CTRLALTL)orSmallTable(CTRLALTS)macrotoautomaticallypastetheclipboardcontentsatthecorrectpositioninthisdocument(9 Z6Times New Roman Regular4,HLPLibbie  FN&XBXXXXBXXXB-X,XX-  __Excelspreadsheetwillgointhisposition.ToimportthesheetintoWordPerfect,OpenExcelandcopytheappropriaterange.SwitchbacktoWordPerfect.UsetheHHSToolBar,Keystrokes,orPressReleasemenutoruntheLargeTable(CTRLALTL)orSmallTable(CTRLALTS)macrotoautomaticallypastetheclipboardcontentsatthecorrectpositioninthisdocument.Ifthetablepositionsaboveorbelowboththicklines,deletethe_table.Run_ԀthemacroagainandpauseforasecondbetweenthetwoEnters.(9 Z6Times New Roman Regular/HLPASMB User  FN&XBXXXXBXXXB-X,XX-  _Excelspreadsheetwillgointhisposition.ToimportthesheetintoWordPerfect,OpenExcelandcopytheappropriaterange.SwitchbacktoWordPerfect.UsetheHHSToolBarorKeystrokestoruntheLargeTable(CTRLALTL)orSmallTable(CTRLALTS)macrotoautomaticallypastetheclipboard_contentsat_Ԁthecorrectpositioninthisdocument(9 Z6Times New Roman Regular4,HLPLibbie  FN&XBXXXXBXXXB-X,XX-  _Excelspreadsheetwillgointhisposition.ToimportthesheetintoWordPerfect,OpenExcelandcopytheappropriaterange.SwitchbacktoWordPerfect.UsetheHHSToolBar,Keystrokes,orPressReleasemenutoruntheLargeTable(CTRLALTL)orSmallTable(CTRLALTS)macrotoautomaticallypastetheclipboardcontentsatthecorrectpositioninthisdocument.Ifthetablepositionsaboveorbelowboththicklines,deletethetable_.RunthemacroagainandpauseforasecondbetweenthetwoEnters.(9 Z6Times New Roman Regular1 HLPLibbie  FN&XBXXXXBXXXB-X,XX-  __Excelspreadsheetwillgointhisposition.ToimportthesheetintoWordPerfect,OpenExcelandcopytheappropriaterange.SwitchbacktoWordPerfect.UsetheHHSToolBar,Keystrokes,orPressReleasemenutoruntheLargeTable(CTRLALTL)orSmallTable(CTRLALTS)macrotoautomaticallypastetheclipboardcontentsatthecorrectpositioninthisdocument.Ifthetablepositionsaboveorbelowboththicklines,deletethe_table.Run_ԀthemacroagainandpauseforasecondbetweenthetwoEnters.(9 Z6Times New Roman Regular 6 FN& XBXXX XBXXXB-X,XX-  _Excelspreadsheetwillgointhisposition.ToimportthesheetintoWordPerfect,OpenExcelandcopytheappropriaterange.SwitchbacktoWordPerfect.UsetheHHS_ToolBar_ԀorKeystrokestoruntheLargeTable(CTRLALTL)orSmallTable(CTRLALTS)macrotoautomaticallypastetheclipboard_contentsat_Ԁthecorrectpositioninthisdocument(9 Z6Times New Roman Regular" 6 FN&#XBXXX#XBXXXB-X,XX-  _Excelspreadsheetwillgointhisposition.ToimportthesheetintoWordPerfect,OpenExcelandcopytheappropriaterange.SwitchbacktoWordPerfect.UsetheHHS_ToolBar_ԀorKeystrokestoruntheLargeTable(CTRLALTL)orSmallTable(CTRLALTS)macrotoautomaticallypastetheclipboard_contentsat_Ԁthecorrectpositioninthisdocument(9 Z6Times New Roman Regular% %3HLPErin O'Connell 6 FN&&XBXXX&XBXXXB-X,XX-  _Excelspreadsheetwillgointhisposition.ToimportthesheetintoWordPerfect,OpenExcelandcopytheappropriaterange.SwitchbacktoWordPerfect.UsetheHHS_ToolBar_ԀorKeystrokestoruntheLargeTable(CTRLALTL)orSmallTable(CTRLALTS)macrotoautomaticallypastetheclipboard_contentsat_Ԁthecorrectpositioninthisdocument(9 Z6Times New Roman Regular(  HLPASMB User V FN&)XBXXX)XBXXXB-X,XX-  _Excelspreadsheetwillgointhisposition.ToimportthesheetintoWordPerfect,OpenExcelandcopytheappropriaterange.SwitchbacktoWordPerfect.Usethe_HHS_Ԁ_ToolBar_ԀorKeystrokestoruntheLargeTable(CTRLALTL)orSmallTable(CTRLALTS)macrotoautomaticallypastetheclipboard_contentsat_Ԁthecorrectpositioninthisdocument(9 Z6Times New Roman Regular y mN"+XBXXX+XBXXXB-X,XX-  _,X XXXBInFY2002,the  AgencyforHealthcareResearchandQualitywilluseanincreaseof$26milliontosupportresearchneededtoimprovethequalityandcosteffectivenessofcare.(9 Z6Times New Roman Regular)c >Times New Roman Bold Italic. "HLPASMB User% V FN&/XBXXX/XBXXXB-X,XX-  _Excelspreadsheetwillgointhisposition.ToimportthesheetintoWordPerfect,OpenExcelandcopytheappropriaterange.SwitchbacktoWordPerfect.Usethe_HHS_Ԁ_ToolBar_ԀorKeystrokestoruntheLargeTable(CTRLALTL)orSmallTable(CTRLALTS)macrotoautomaticallypastetheclipboard_contentsat_Ԁthecorrectpositioninthisdocument(9 Z6Times New Roman Regular1 V FN&2XBXXX2XBXXXB-X,XX-  _Excelspreadsheetwillgointhisposition.ToimportthesheetintoWordPerfect,OpenExcelandcopytheappropriaterange.SwitchbacktoWordPerfect.Usethe_HHS_Ԁ_ToolBar_ԀorKeystrokestoruntheLargeTable(CTRLALTL)orSmallTable(CTRLALTS)macrotoautomaticallypastetheclipboard_contentsat_Ԁthecorrectpositioninthisdocument(9 Z6Times New Roman Regular S mN"4XBXXX4XBXXXB-X,XX-  _ Inaneffortto  reducethetreatmentgap,$100millionhasbeenincludedtofundthePresidentsdrugtreatmentinitiative 5X XXXB.(9 Z6Times New Roman Regular)c >Times New Roman Bold Italic7 V FN&8XBXXX8XBXXXB-X,XX-  _Excelspreadsheetwillgointhisposition.ToimportthesheetintoWordPerfect,OpenExcelandcopytheappropriaterange.SwitchbacktoWordPerfect.Usethe_HHS_Ԁ_ToolBar_ԀorKeystrokestoruntheLargeTable(CTRLALTL)orSmallTable(CTRLALTS)macrotoautomaticallypastetheclipboard_contentsat_Ԁthecorrectpositioninthisdocument(9 Z6Times New Roman Regular: V FN&;XBXXX;XBXXXB-X,XX-  _Excelspreadsheetwillgointhisposition.ToimportthesheetintoWordPerfect,OpenExcelandcopytheappropriaterange.SwitchbacktoWordPerfect.Usethe_HHS_Ԁ_ToolBar_ԀorKeystrokestoruntheLargeTable(CTRLALTL)orSmallTable(CTRLALTS)macrotoautomaticallypastetheclipboard_contentsat_Ԁthecorrectpositioninthisdocument(9 Z6Times New Roman Regular= V FN&>XBXXX>XBXXXB-X,XX-  _Excelspreadsheetwillgointhisposition.ToimportthesheetintoWordPerfect,OpenExcelandcopytheappropriaterange.SwitchbacktoWordPerfect.Usethe_HHS_Ԁ_ToolBar_ԀorKeystrokestoruntheLargeTable(CTRLALTL)orSmallTable(CTRLALTS)macrotoautomaticallypastetheclipboard_contentsat_Ԁthecorrectpositioninthisdocument(9 Z6Times New Roman Regular F mN"@XBXXX@XBXXXB-X,XX-  _AX XXXBFundingfor  AIDSvaccineresearchwillgrowto$357million,a27percentincreaseoverFY2001and141percentoverFY1998.(9 Z6Times New Roman Regular)c >Times New Roman Bold Italic G mN"CXBXXXCXBXXXB-X,XX-  _DX XXXBWithitsrecent  largeinfusionofresources,NIHhasworkeddiligentlytomakesurethatthoseresourcesaremanagedproperly.(9 Z6Times New Roman Regular)c >Times New Roman Bold Italic > mN"FXBXXXFXBXXXB-X,XX-  _ Expansionfor  FY2002wouldbethelargestyeartoyearGX XXXB  dollarincreaseeverforNIH .(9 Z6Times New Roman Regular)c >Times New Roman Bold ItalicI'HLPASMB User W FN&JXBXXXJXBXXXB-X,XX-  _Excelspreadsheetwillgointhisposition.ToimportthesheetintoWordPerfect,OpenExcelandcopytheappropriaterange.SwitchbacktoWordPerfect.Usethe_HHS_Ԁ_ToolBar_ԀorKeystrokestoruntheLargeTable(CTRLALTL)orSmallTable(CTRLALTS)macrotoautomaticallypastetheclipboard_contentsat_Ԁthecorrectpositioninthisdocument(9 Z6Times New Roman RegularL V FN&MXBXXXMXBXXXB-X,XX-  _Excelspreadsheetwillgointhisposition.ToimportthesheetintoWordPerfect,OpenExcelandcopytheappropriaterange.SwitchbacktoWordPerfect.Usethe_HHS_Ԁ_ToolBar_ԀorKeystrokestoruntheLargeTable(CTRLALTL)orSmallTable(CTRLALTS)macrotoautomaticallypastetheclipboard_contentsat_Ԁthecorrectpositioninthisdocument(9 Z6Times New Roman Regular 6 mN"OXBXXXOXBXXXB-X,XX-  _PX XXXBDomesticHIV  effortswillberefocusedtohelpStatesreducethenumberofnewinfections50percentby2005.(9 Z6Times New Roman Regular)c >Times New Roman Bold Italic } mN"RXBXXXRXBXXXB-X,XX-  _SX XXXBStateandlocal  publichealthofficersmustbeabletodetectpotential_bioterrorist_eventsandmountcontrolmeasures. @@ quickly.(9 Z6Times New Roman Regular)c >Times New Roman Bold Italic J mN"UXBXXXUXBXXXB-X,XX-  _VX XXXBWorkconducted  inlaboratoriesatCDCisrelieduponworldwidetohelpcontroldiseaseoutbreaksandpreventillnessandinjury.(9 Z6Times New Roman Regular)c >Times New Roman Bold ItalicX V FN&YXBXXXYXBXXXB-X,XX-  _Excelspreadsheetwillgointhisposition.ToimportthesheetintoWordPerfect,OpenExcelandcopytheappropriaterange.SwitchbacktoWordPerfect.Usethe_HHS_Ԁ_ToolBar_ԀorKeystrokestoruntheLargeTable(CTRLALTL)orSmallTable(CTRLALTS)macrotoautomaticallypastetheclipboard_contentsat_Ԁthecorrectpositioninthisdocument(9 Z6Times New Roman Regular[ HLPASMB User% V FN&\XBXXX\XBXXXB-X,XX-  _Excelspreadsheetwillgointhisposition.ToimportthesheetintoWordPerfect,OpenExcelandcopytheappropriaterange.SwitchbacktoWordPerfect.Usethe_HHS_Ԁ_ToolBar_ԀorKeystrokestoruntheLargeTable(CTRLALTL)orSmallTable(CTRLALTS)macrotoautomaticallypastetheclipboard_contentsat_Ԁthecorrectpositioninthisdocument(9 Z6Times New Roman Regular ! mN"^XBXXX^XBXXXB-X,XX-  _ TheNavajoNation  hasproposedtoassumeresponsibilityforhealthservicesforits250,000tribalmembers. (9 Z6Times New Roman Regular  mN"`XBXXX`XBXXXB-X,XX-  _aX XXXBDiabetesprevalence  amongIndianpeopleisnowtripletheratefornonHispanicwhites...IHShasincreasedthenumberofdiabeticpatientswithimprovedglycemicandbloodpressurecontroltoreducetheirneedforcostlymedicalcare.#`XBX XX#aX XXXB(9 Z6Times New Roman Regular)c >Times New Roman Bold Italicc V FN&dXBXXXdXBXXXB-X,XX-  _Excelspreadsheetwillgointhisposition.ToimportthesheetintoWordPerfect,OpenExcelandcopytheappropriaterange.SwitchbacktoWordPerfect.Usethe_HHS_Ԁ_ToolBar_ԀorKeystrokestoruntheLargeTable(CTRLALTL)orSmallTable(CTRLALTS)macrotoautomaticallypastetheclipboard_contentsat_Ԁthecorrectpositioninthisdocument(9 Z6Times New Roman Regularf V FN&gXBXXXgXBXXXB-X,XX-  _Excelspreadsheetwillgointhisposition.ToimportthesheetintoWordPerfect,OpenExcelandcopytheappropriaterange.SwitchbacktoWordPerfect.Usethe_HHS_Ԁ_ToolBar_ԀorKeystrokestoruntheLargeTable(CTRLALTL)orSmallTable(CTRLALTS)macrotoautomaticallypastetheclipboard_contentsat_Ԁthecorrectpositioninthisdocument(9 Z6Times New Roman Regular  mN"iXBXXXiXBXXXB-X,XX-  _jX XXXBToday,75,000  Americansareonwaitinglistsfororgantransplantation...Thebudgetrequestincludes$20million,anincreaseof$5milliontolaunchanewnationalefforttoencourageorgandonation.(9 Z6Times New Roman Regular)c >Times New Roman Bold Italic r mN"lXBXXXlXBXXXB-X,XX-  _mX XXXBAdditional  $124millionforCommunityandMigrantHealthCenterswillexpandthedeliveryofprimaryhealthcareservicestouptoanadditionalonemillionindividuals.(9 Z6Times New Roman Regular)c >Times New Roman Bold Italico V FN&pXBXXXpXBXXXB-X,XX-  _Excelspreadsheetwillgointhisposition.ToimportthesheetintoWordPerfect,OpenExcelandcopytheappropriaterange.SwitchbacktoWordPerfect.Usethe_HHS_Ԁ_ToolBar_ԀorKeystrokestoruntheLargeTable(CTRLALTL)orSmallTable(CTRLALTS)macrotoautomaticallypastetheclipboard_contentsat_Ԁthecorrectpositioninthisdocument(9 Z6Times New Roman Regularr V FN&sXBXXXsXBXXXB-X,XX-  _Excelspreadsheetwillgointhisposition.ToimportthesheetintoWordPerfect,OpenExcelandcopytheappropriaterange.SwitchbacktoWordPerfect.Usethe_HHS_Ԁ_ToolBar_ԀorKeystrokestoruntheLargeTable(CTRLALTL)orSmallTable(CTRLALTS)macrotoautomaticallypastetheclipboard_contentsat_Ԁthecorrectpositioninthisdocument(9 Z6Times New Roman Regular  mN"uXBXXXuXBXXXB-X,XX-  _vX XXXBIncreasedfunds  willallowFDAtofollowupon100percentofcomplaintsconcerningclinicaltrialswithin30days. XX Ѐπ#uXBX XX#ԀvX XXXB#uXBX XX#Ԁ  ЀπππvX XXXB(9 Z6Times New Roman Regular)c >Times New Roman Bold Italic i mN"xXBXXXxXBXXXB-X,XX-  _yX XXXBPreventingthe  spreadofmadcowdisease:FDAwillinspectall9,500U.S.feedmillstoensurethatqualityassurancepracticesareinplaceandbeingfollowed.(9 Z6Times New Roman Regular)c >Times New Roman Bold Italic{  FN&|XBXXX|XBXXXB-X,XX-  _Excelspreadsheetwillgointhisposition.ToimportthesheetintoWordPerfect,OpenExcelandcopytheappropriaterange.SwitchbacktoWordPerfect.UsetheHHSToolBarorKeystrokestoruntheLargeTable(CTRLALTL)orSmallTable(CTRLALTS)macrotoautomaticallypastetheclipboardcontentsatthecorrectpositioninthisdocument(9 Z6Times New Roman Regular~ HLPASMB User% V FN&XBXXXXBXXXB-X,XX-  _Excelspreadsheetwillgointhisposition.ToimportthesheetintoWordPerfect,OpenExcelandcopytheappropriaterange.SwitchbacktoWordPerfect.Usethe_HHS_Ԁ_ToolBar_ԀorKeystrokestoruntheLargeTable(CTRLALTL)orSmallTable(CTRLALTS)macrotoautomaticallypastetheclipboard_contentsat_Ԁthecorrectpositioninthisdocument(9 Z6Times New Roman Regular &HLPASMB User V FN&XBXXXXBXXXB-X,XX-  _Excelspreadsheetwillgointhisposition.ToimportthesheetintoWordPerfect,OpenExcelandcopytheappropriaterange.SwitchbacktoWordPerfect.Usethe_HHS_Ԁ_ToolBar_ԀorKeystrokestoruntheLargeTable(CTRLALTL)orSmallTable(CTRLALTS)macrotoautomaticallypastetheclipboard_contentsat_Ԁthecorrectpositioninthisdocument(9 Z6Times New Roman Regular "6HLPASMB User% V FN&XBXXXXBXXXB-X,XX-  _Excelspreadsheetwillgointhisposition.ToimportthesheetintoWordPerfect,OpenExcelandcopytheappropriaterange.SwitchbacktoWordPerfect.Usethe_HHS_Ԁ_ToolBar_ԀorKeystrokestoruntheLargeTable(CTRLALTL)orSmallTable(CTRLALTS)macrotoautomaticallypastetheclipboard_contentsat_Ԁthecorrectpositioninthisdocument(9 Z6Times New Roman Regular ,2HLPASMB User V FN&XBXXXXBXXXB-X,XX-  _Excelspreadsheetwillgointhisposition.ToimportthesheetintoWordPerfect,OpenExcelandcopytheappropriaterange.SwitchbacktoWordPerfect.Usethe_HHS_Ԁ_ToolBar_ԀorKeystrokestoruntheLargeTable(CTRLALTL)orSmallTable(CTRLALTS)macrotoautomaticallypastetheclipboard_contentsat_Ԁthecorrectpositioninthisdocument(9 Z6Times New Roman Regular . mN"XBXXXXBXXXB-X,XX-  _X XXXBTheFY2002  budgetproposesanincreaseof$2.75billionforNIH,thelargestdollarincreaseever.(9 Z6Times New Roman Regular)c >Times New Roman Bold Italic T mN"XBXXXXBXXXB-X,XX-  _X XXXBNearly25million  childrendonotlivewiththeirfathers,andmorethanone-thirdofthemdonotseetheirfathersatallduringtheyear.(9 Z6Times New Roman Regular)c >Times New Roman Bold Italic  mN"XBXXXXBXXXB-X,XX-  _X XXXBWhileapproximately  99percentofemployersponsoredhealthinsuranceplansoffereitheraprescriptiondrugbenefitoracaponoutofpocketdrugexpenses,Medicareprovidesnocoverageforoutpatientprescriptiondrugs.(9 Z6Times New Roman Regular)c >Times New Roman Bold Italic  mN"XBXXXXBXXXB-X,XX-  _X XXXBWhileapproximately  99percentofemployersponsoredhealthinsuranceplansoffereitheraprescriptiondrugbenefitoracaponoutofpocketdrugexpenses,Medicareprovidesnocoverageforoutpatientprescriptiondrugs.(9 Z6Times New Roman Regular)c >Times New Roman Bold Italic T mN"XBXXXXBXXXB-X,XX-  _X XXXBNearly25million  childrendonotlivewiththeirfathers,andmorethanone-thirdofthemdonotseetheirfathersatallduringtheyear.(9 Z6Times New Roman Regular)c >Times New Roman Bold Italic . mN"XBXXXXBXXXB-X,XX-  _X XXXBTheFY2002  budgetproposesanincreaseof$2.75billionforNIH,thelargestdollarincreaseever.(9 Z6Times New Roman Regular)c >Times New Roman Bold Italic i mN"XBXXXXBXXXB-X,XX-  _X XXXBPreventingthe  spreadofmadcowdisease:FDAwillinspectall9,500U.S.feedmillstoensurethatqualityassurancepracticesareinplaceandbeingfollowed.(9 Z6Times New Roman Regular)c >Times New Roman Bold Italic  mN"XBXXXXBXXXB-X,XX-  _X XXXBIncreasedfunds  willallowFDAtofollowupon100percentofcomplaintsconcerningclinicaltrialswithin30days. XX Ѐπ#XBX XX#ԀX XXXB#XBX XX#Ԁ  ЀπππX XXXB(9 Z6Times New Roman Regular)c >Times New Roman Bold Italic r mN"XBXXXXBXXXB-X,XX-  _X XXXBAdditional  $124millionforCommunityandMigrantHealthCenterswillexpandthedeliveryofprimaryhealthcareservicestouptoanadditionalonemillionindividuals.(9 Z6Times New Roman Regular)c >Times New Roman Bold Italic  mN"XBXXXXBXXXB-X,XX-  _X XXXBToday,75,000  Americansareonwaitinglistsfororgantransplantation...Thebudgetrequestincludes$20million,anincreaseof$5milliontolaunchanewnationalefforttoencourageorgandonation.(9 Z6Times New Roman Regular)c >Times New Roman Bold Italic  mN"XBXXXXBXXXB-X,XX-  _X XXXBDiabetesprevalence  amongIndianpeopleisnowtripletheratefornonHispanicwhites...IHShasincreasedthenumberofdiabeticpatientswithimprovedglycemicandbloodpressurecontroltoreducetheirneedforcostlymedicalcare.#XBX XX#X XXXB(9 Z6Times New Roman Regular)c >Times New Roman Bold Italic ! mN"XBXXXXBXXXB-X,XX-  _ TheNavajoNation  hasproposedtoassumeresponsibilityforhealthservicesforits250,000tribalmembers. (9 Z6Times New Roman Regular J mN"XBXXXXBXXXB-X,XX-  _X XXXBWorkconducted  inlaboratoriesatCDCisrelieduponworldwidetohelpcontroldiseaseoutbreaksandpreventillnessandinjury.(9 Z6Times New Roman Regular)c >Times New Roman Bold Italic } mN"XBXXXXBXXXB-X,XX-  _X XXXBStateandlocal  publichealthofficersmustbeabletodetectpotential_bioterrorist_eventsandmountcontrolmeasures. @@ quickly.(9 Z6Times New Roman Regular)c >Times New Roman Bold Italic 6 mN"XBXXXXBXXXB-X,XX-  _X XXXBDomesticHIV  effortswillberefocusedtohelpStatesreducethenumberofnewinfections50percentby2005.(9 Z6Times New Roman Regular)c >Times New Roman Bold Italic > mN"XBXXXXBXXXB-X,XX-  _ Expansionfor  FY2002wouldbethelargestyeartoyearX XXXB  dollarincreaseeverforNIH .(9 Z6Times New Roman Regular)c >Times New Roman Bold Italic G mN"XBXXXXBXXXB-X,XX-  _X XXXBWithitsrecent  largeinfusionofresources,NIHhasworkeddiligentlytomakesurethatthoseresourcesaremanagedproperly.(9 Z6Times New Roman Regular)c >Times New Roman Bold Italic F mN"XBXXXXBXXXB-X,XX-  _X XXXBFundingfor  AIDSvaccineresearchwillgrowto$357million,a27percentincreaseoverFY2001and141percentoverFY1998.(9 Z6Times New Roman Regular)c >Times New Roman Bold Italic S mN"XBXXXXBXXXB-X,XX-  _ Inaneffortto  reducethetreatmentgap,$100millionhasbeenincludedtofundthePresidentsdrugtreatmentinitiative X XXXB.(9 Z6Times New Roman Regular)c >Times New Roman Bold Italic y mN"XBXXXXBXXXB-X,XX-  _X XXXBInFY2002,the  AgencyforHealthcareResearchandQualitywilluseanincreaseof$26milliontosupportresearchneededtoimprovethequalityandcosteffectivenessofcare.(9 Z6Times New Roman Regular)c >Times New Roman Bold Italic  mN"XBXXXXBXXXB-X,XX-  _X XXXBIneveryinstance  wherethisAdministrationseesaresponsibilitytohelppeople,itwilllooktofaithbasedorganizations,charities,andcommunitygroupsthathaveshownthe#^]ddabilitytochangelives.#dd^]z(9 Z6Times New Roman Regular)c >Times New Roman Bold Italic $ mN"XBXXXXBXXXB-X,XX-  _ ThePresidents  Budgetincludes$89millionforaCompassionCapitalFund... X XXXB(9 Z6Times New Roman Regular)c >Times New Roman Bold Italic  mN"XBXXXXBXXXB-X,XX-  _X XXXB Wemustdoallwe  cantoensurethatourolderresidentscanremainathomeandreceivecarefromlovedonesforaslongaspossible. pp Thismoneywill XX allowStatestodevelopsystemsofsupporttoeasetheburdenonhundredsofthousandsoffamilycaregiversnationwide.#XBX XX#   &4%XXBSecretaryThompson#XBX%&4^#(9 Z6Times New Roman Regular)c >Times New Roman Bold Italic !X  X.XXXX.XXX.8.XXdd8-X,XX-(#(#  _`'  XwXXX.e~eXXw    `'@LL"    TABLEOFCONTENTS`'   X Ќ̌eeeee~X.Xeee     Vm  Vm0     BUILDINGASTRONGANDHEALTHYAMERICA#""J(#./(#(##1Vm݌  Ќ    DEPARTMENTOFHEALTHANDHUMANSERVICES`"`"I(#.~~311 p   HHSBUDGETBYOPERATINGDIVISION`"`"I(#.BB,12 \   COMPOSITIONOFTHEHHSBUDGET`"`"I(#.,,)14  H Vm  Vm0     FOODANDDRUGADMINISTRATION#`"`"I(#.&(#(##15Vm݌ x  Ќ    FDAOVERVIEW`"`"I(#. 20 d  Vm  Vm0     HEALTHRESOURCESANDSERVICESADMINISTRATION#`"`"I(#.,,6(#(##21Vm݌ <  Ќ    HRSAOVERVIEW`"`"I(#.J J 26 (  Vm  Vm0     INDIANHEALTHSERVICE#`"`"I(#.(((#(##27Vm݌  Ќ    IHSOVERVIEW`"`"I(#.r r 30  Vm  Vm0     CENTERSFORDISEASECONTROLANDPREVENTION#`"`"I(#.4(#(##31Vm݌ l Ќ    CDCOVERVIEW`"`"I(#. 38 X Vm  Vm0     NATIONALINSTITUTESOFHEALTH#`"`"I(#.'(#(##39Vm ݌ 0 Ќ    NIHOVERVIEW(byInstitute/Center)`"`"I(#..45 t   NIHOVERVIEW(byMechanism)`"`"I(#.'46 ` Vm  Vm 0     SUBSTANCEABUSEANDMENTALHEALTHSERVICESADMINISTRATION#`"`"I(#.bbC(#(##47Vm ݌ 8 Ќ    SAMHSAOVERVIEW`"`"I(#.v v 50 $ Vm  Vm 0     AGENCYFORHEALTHCARERESEARCHANDQUALITY#`"`"I(#.4(#(##51Vm ݌  Ќ    AHRQOVERVIEW`"`"I(#.j j 53  Vm  Vm 0     HEALTHCAREFINANCINGADMINISTRATION#`"`"I(#.ll.(#(##54Vm ݌ h Ќ    HCFAFY2002NETOUTLAYS`"`"I(#.jj$55  T   MEDICARE`"`"I(#. 56 !@      MEDICARETRUSTFUNDOVERVIEW`"`"I(#.ll+61 ", !     MEDICAREOUTLAYS`"`"I(#.61 p#!"   MEDICAID`"`"I(#. 62 \$"#     MEDICAIDOVERVIEW`"`"I(#.>> 65 H%"$     MEDICAIDOUTLAYS`"`"I(#.65 4&#%     MEDICAIDPROPOSALS:COSTSANDSAVINGS`"`"I(#.466  '$&   STATEGRANTSANDDEMONSTRATIONS`"`"I(#.+67  (%'     STATEGRANTSANDDEMONSTRATIONSOVERVIEW`"`"I(#.XX768 (&(   STATECHILDRENSHEALTHINSURANCEPROGRAM`"`"I(#.569 )')     _SCHIP_ԀOVERVIEW`"`"I(#. 71 *x(*   PROGRAMMANAGEMENT`"`"I(#.72 +d)+     PROGRAMMANAGEMENTOVERVIEW`"`"I(#.*79 ,P*,   HCFASUMMARY`"`"I(#., , 80 -<+- Vm  Vm>0     Vm>Z݌ #l/-/(#(#D #Ќ  _Vm  Vm0     ADMINISTRATIONFORCHILDRENANDFAMILIES#`"`"I(#.2(#(##81Vm݌ D Ќ    ACFOVERVIEW:DISCRETIONARYSPENDING`"`"I(#.nn089 0   ACFOVERVIEWENTITLEMENTSPENDING`"`"I(#.VV-90    ACFPROPOSEDENTITLEMENTLEGISLATION`"`"I(#.dd091    CHILDSUPPORTENFORCEMENTOVERVIEW:COLLECTIONSANDCOSTS`"`"I(#.^ ^ E92  Vm  Vm^0     ADMINISTRATIONONAGING#`"`"I(#.hh!(#(##93Vm^z݌ t Ќ    AOAOVERVIEW`"`"I(#. 95  ` Vm  Vmq0     DEPARTMENTALMANAGEMENT#`"`"I(#.!(#(##96Vmq݌  8  Ќ    DMOVERVIEW!!H(#.v v 100 | $  Vm  Vm0     OFFICEFORCIVILRIGHTS#!!H(#.JJ!(#(##101Vm݌ T  Ќ  Vm  VmM0     OFFICEOFINSPECTORGENERAL#!!H(#.%(#(##103VmMi݌ ,  Ќ  Vm  Vm0     PROGRAMSUPPORTCENTER#!!H(#.ll (#(##105Vm6݌  Ќ  Vm  Vm0     RETIREMENTPAYANDMEDICALBENEFITSFORCOMMISSIONEDOFFICERS#!!H(#. G(#(##107Vm݌  Ќ  n X.XXX.X.XXX.  n    n`݌  p Ќ X.XXX.X.XXX.     <`'  XwXXX.e~eXXw  `'@    BUILDINGASTRONGANDHEALTHYAMERICA`'    X Ќ̌eeeee~X.Xeee  +.X.XXX.  X.XXX.   (X(#(#(+.  Highlights+.~<Ԍ < ЌX.XX.X.XX.  n X.XXX.X.XXX.  n8     Thefiscalyear(FY)2002budgetforthe ( DepartmentofHealthandHumanServices(HHS)deliversonPresidentBushsvisionforacompassionate,responsibleapproachtogoverningtheNation.Thebudgetplanseeksnewandinnovativeapproachesfordeliveringservicesandrecognizestheimportantroleofouroutsidepartners!Stateandlocalgovernments,community and   faithbased organizations,academicand t  religiousinstitutions!inimprovingthehealthandwellbeingofallAmericans.n8 ݌̌ X.XXX.X.XXX.  n X.XXX.X.XXX.  n#    TheHHSbudgetreflectsthePresidents < commitmenttoabalancedfiscalframeworkthatputsdiscretionaryspendingonamoremoderateandsustainablegrowthpath;protectsSocialSecurityandMedicareandsupportspriorityinitiatives;continuestopaydownthenationaldebt;andprovidestaxreliefforallAmericans.Thebudgetplan:n#($݌̌ X.XXX.X.XXX.  n X.XXX.X.XXX.  nE&    .xlX.XXX.X.XXX.   ModernizesMedicareandExpands l AccesstoHealthCare.&: X.XXX.X.XXX.  bycreatingan T ImmediateHelpingHandprescriptiondruginitiativeanddedicatingresourcestosupportcomprehensiveMedicarereform;expandingthenumberofCommunityHealthCenters;reformingtheNationalHealthServiceCorps;supportingNativeAmericanhealthservices;enhancingStateflexibilityinMedicaid,theStateChildrensHealthInsuranceProgram(_SCHIP_),andpublichealthgrants;increasingaccesstosubstanceabusetreatment;andlaunchinganationalcampaigntoencourageorgandonation.nE&&݌̌ X.XXX.X.XXX.  n X.XXX.X.XXX.  n*    .x(p&P(%X.XXX.X.XXX.   IncreasesSupportforAmericas (p&% ChildrenandFamilies.y+: X.XXX.X.XXX.  bydedicating )X'& fundswithintheChildCareandDevelopmentBlockGrantforafterschoolcertificates;protectingourvulnerableandat-riskyouth,includingchildrenofprisonersandthoseagingoutoffostercare;fundingorganizationsthatoperatecommunitybased, 8/,, adultsupervisedgrouphomesforteenagemothers;promotingresponsiblefatherhood;recognizingtheimportantrolecharitableorganizationsplayinimprovingpeopleslives;andcontinuingsupportforHeadStart.n*O+݌̌ X.XXX.X.XXX.  n X.XXX.X.XXX.  n7/ D   .x | $ X.XXX.X.XXX.   EnhancesScientificResearchand  1 ProtectsPublicHealth./: X.XXX.X.XXX.  byprovidingthe  2 largestincreaseinhistoryfortheNationalInstitutesofHealth(NIH);supportingresearchonthecosteffectivenessandqualityofhealthcare;protectingpatientsafetyandreducingadverseevents;andsafeguardingthenationsfoodsupply.n7//݌̌ X.XXX.X.XXX.  n X.XXX.X.XXX.  n2 D   .xpPX.XXX.X.XXX.   InvestsinInfrastructureandReforms p9 Management.Y3: X.XXX.X.XXX.  byrevitalizingthe X: laboratoriesandrelatedscientificfacilitiesattheCentersforDiseaseControlandPrevention(CDC),theFoodandDrugAdministration(FDA),andtheNIH;enhancingcoordinationandreducingduplicationoffinancialmanagementandinformationtechnologysystemsanddevelopingelectronicoptionsforgrantsmanagement;redirectingresourcesfromearmarkedprojectsandlowerpriorityprogramstootherareas;andevaluatingandimprovingprogramperformanceinaccordancewiththeGovernmentPerformanceandResultsAct.n2/3݌̌ X.XXX.X.XXX.  +.t#!", X.XXX.  X.XXX.   +.87  Totals+.877($!t#!Ԍ ($!I ЌX.XX.X.XX.  n X.XXX.X.XXX.  nm8 D   TheFY2002budgetfortheDepartment %"J ofHealthandHumanServicestotals$468.8billioninoutlays,anincreaseof$38.3billion,or8.9percent,overthecomparableFY2001budget.ThediscretionarycomponentoftheHHSbudgettotals$55.5billioninbudgetauthority,anincreaseof$2.7billion,or5.1percent,overFY2001,and$11.0billion,or24.6percent, overFY2000.nm88݌`-+S Ќ X.XXX.X.XXX.  +.HXX.XXX.   X.XXX.   +.T;  XHModernizeMedicareandExpand X AccesstoHealthCare+.T;;DԌ̌X.XX.X.XX.  n X.XXX.X.XXX.  n<    TheMedicareprogramisthecenterpiece  ofourNationscommitmenttoprotectingthehealthofseniorcitizensandthedisabled.Medicaresapproachtohealthcarecoveragehasbecomeincreasinglydated,andtherearesignificantbenefitgaps,includingthelackofaprescriptiondrugbenefit.MedicareprovidesfewercoverageoptionsthanareenjoyedbyemployeesoflargeprivatefirmsandtheFederalgovernment.Asaresult,manybeneficiarieslackaccesstoinnovativeprogramsandcoveragethatwouldlimittheirfinancialexposure.Medicarealsohasanenormouslong-termfinancinggap.Toaddresstheseissues,thePresidentproposestomodernizeMedicare.TheFY2002budgetalsoproposesstepstoexpandhealthcareaccess.n<T=݌̌ X.XXX.X.XXX.  n X.XXX.X.XXX.  nA    .x|$X.XXX.X.XXX.   ModernizeMedicare.A: X.XXX.X.XXX.  TheFY2002  budgetbeginstheprocessofmodernizingMedicaretomeetthedemandsofthe21stcentury.Toassistseniorswithlimited ` incomesorhighdrugexpenses,thePresidentisputtingforwardanImmediateHelpingHandprescriptiondrugproposal.OurbudgetalsodedicatesresourcestosupportcomprehensiveMedicarereform,includingtheadditionofprescriptiondrugcoverage.nAA݌̌ X.XXX.X.XXX.  n X.XXX.X.XXX.  &R2x 8 X.XXX.X.XXX.  o  tVFBh~||  `ddddE #| a |" VFBh~||  `ddddE #| a |" VFBh~||  `ddddE #| a |" VFBh~||  `ddddE #| a |" jVFBh~||  `ddddE #| a |" VFBh~||  `ddddE #| a |" nD    ImmediateHelpingHand&R2VE:X.XXX.X.XXX.  While  8 approximately99percentofemployer sponsoredhealthinsuranceplansoffereitheraprescriptiondrugbenefitoracaponoutofpocketdrugexpenses,Medicareprovidesnocoverageforx- +- outpatientprescriptiondrugs.TheImmediateHelpingHandproposalwillgiveimmediatefinancialsupporttoStatessotheycanprovideprescriptiondrugcoveragetobeneficiarieswithlowincomesorhighdrugexpenses.Theplan,whichwillimmediatelyprovidecoverageforupto9.5millionbeneficiaries,willsunsetinfouryearsoroncecomprehensiveMedicarereformisenacted.nDI݌̌ X.XXX.X.XXX.  n X.XXX.X.XXX.  nM D   TheImmediateHelpingHandproposal  8 7 complementsandbuildsoncoveragethatiscurrentlyavailableinalmosthalftheStatesandunderconsiderationinmostothers.ItgivesStatestheflexibilitytochoosehowtoestablishcoverageorenhanceexistingplans.ImmediateHelpingHandisfullyfundedbytheFederalGovernmentandthebudgetincludesatotalof$46billionoverfiveyears(FY2001FY2005)forthisinitiative.nM N݌̌ X.XXX.X.XXX.  n X.XXX.X.XXX.  nP D   UndertheImmediateHelpingHand pA proposal,individualswithincomesupto$11,600andmarriedcoupleswithincomesupto$15,700(135percentofthepovertylevel)whoarenoteligibleforMedicaidorforacomprehensiveprivateretireebenefitpaynopremiumandnomorethananominalchargeforprescriptions.Forindividualswithincomesupto$15,000andmarriedcoupleswithincomesupto$20,300(175percentofthepovertylevel),theproposalprovidessubsidiesforatleasthalfthecostofthepremiumforhighqualitydrugcoverage.ImmediateHelpingHandalsoincludesacatastrophiccomponentthatcoversallseniorswithout-ofpocketdrugexpensesinexcessof$6,000peryear.nPQ݌̌ X.XXX.X.XXX.  n X.XXX.X.XXX.  &R2x$"t$"X.XXX.X.XXX. D o  nT p   MedicareReform&R2T:X.XXX.X.XXX.  Medicarecovers $"R only53percentoftheaverageseniorsannualmedicalexpenses,andtheprogramsbenefitpackagehasnotkeptpacewithadvancesinmedicine.Theprogramalsofacesagrowingfinancialcrisisduetolongtermdemographicandmedicalcosttrendsthatwillincreasethenumberofpersonseligibleandthecostperbeneficiary.nTU݌̌ X.XXX.X.XXX.  n X.XXX.X.XXX.  n8X D   ThePresidentproposestodevotenearly 8-*[ $156billion(includingfundingfor $.+\ ImmediateHelpingHand)thisyearandoverthenexttenyearstoimprovethefinancialconditionoftheMedicareprogramandtomodernizethebenefitspackage,includingtheadditionofaprescriptiondrugbenefit.ComprehensivereformwillalsoincludestreamliningthecomplexregulationsandpaperworkthatgovernMedicare,andreformingthemanagementoftheHealthCareFinancingAdministration(HCFA),whichrunsMedicareaswellasMedicaidand_SCHIP_.n8XX݌̌ X.XXX.X.XXX.  n X.XXX.X.XXX.  n[    .x h  X.XXX.X.XXX.   ExpandingHealthCareAccess.u\: X.XXX.X.XXX.  More   than42millionAmericansareuninsured,andatleast48milliondonothaveregularaccesstomedicalcare.Onaverage,thesepeoplehavehigherdeathratesfromcancerandheartdiseaseandlowerlifeexpectanciesthanthegeneralpopulation.TheHHSbudgettakesanumberofstepstoexpandaccesstoquality,affordablehealthcare,particularlyforsomeofourmostvulnerablepopulations.n[K\݌̌ X.XXX.X.XXX.  n X.XXX.X.XXX.  &R2x|$X.XXX.X.XXX.  o  n_    CommunityHealthCenters&R2`num:X.XXX.X.XXX.  Manyof |$ thosewhoareuninsuredorlackaccesstohealthcareliveineitherinnercityneighborhoodsorruralareaswheretherearefewphysiciansorhealthcareservices.CommunityHealthCentersprovidehighquality,communitybasedcare,includingpreventiveandprimarycareservices,toapproximately11millionindividuals,4.4millionofwhomareuninsured.Federal,State,andcommunitypartnershipscurrentlysupportover3,300healthcentersites.n_`݌̌ X.XXX.X.XXX.  n X.XXX.X.XXX.  nc    TheHHSbudgetlaunchesamultiyear #4!# Presidentialinitiativebyproposinganincreaseof$124millionforCommunityHealthCentersinFY2002andsupporting1,200neworexpandedhealthcentersitesoverfiveyears.ThisincreasewillexpandthedeliveryofservicestouptoonemillionadditionalindividualsinFY2002.Thelongtermgoalofthisexpansionistodoublethenumberofpeoplewhoreceivehighqualityprimaryhealthcareregardlessoftheirabilitytopay.ncLd݌ -X+. Ќ X.XXX.X.XXX.  Xn X.XXX.X.XXX.  &R2xXX.XXX.X.XXX. D o  ng p   NationalHealthServiceCorps&R2gnum:X.XXX.X.XXX.  The X. HHSbudgetincludes$126millioninFY2002fortheNationalHealthServiceCorps(_NHSC_).Throughitsscholarshipandloanrepaymentprograms,the_NHSC_Ԁhasplacedover20,000healthcareprovidersincommunitiesexperiencingshortagesofhealthprofessionals.Targetedmanagementreformswillensureflexibilitytoplaceprovidersintheneediestcommunitiesandmoreaccuratelydefineshortageareas.ngh݌̌ X.XXX.X.XXX.  n X.XXX.X.XXX.  &R2x | $ X.XXX.X.XXX. D o  nXk p   NativeAmericanHealthServices&k:  9 X.XXX.X.XXX.  TheFY2002HHSbudgetprovides  : $3.0billionforhealthcareservicesattheIndianHealthService(IHS),anincreaseof$151million,or5.3percent,overFY2001.IHSprovidesmedicalcareforapproximately1.5millionAmericanIndiansandAlaskaNatives,bothdirectlythroughanetworkof49hospitalsandover500outpatientfacilities,andindirectlythroughpurchasesofmedicalcarefromprivatesectorhospitalsandhealthprofessionals.InFY2002,additionalfundingwillcoverincreasesinpaycostsforstaffatbothFederalandTribalrunfacilitiesandthecostsforstaffattwonewfacilities.TheFY2002budgetalsoprovidesforthecontinuedexpansionofself-determinationcontractsthatallowTribestooperatetheirownfacilities.Thebudgetincludes$50millionforthisexpansion,primarilyfortheinitialcostsoftheNavajoNationassumingtheoperationoftheirownhealthservices.nXk^l݌̌ X.XXX.X.XXX.  n X.XXX.X.XXX.  &R2x"H ("X.XXX.X.XXX. D o  njq p   Medicaidand_SCHIP_&R2qnum:X.XXX.X.XXX.  TheMedicaid "H P and_SCHIP_Ԁprogramsareprovenmechanismsforimprovingaccesstohealthinsuranceandhealthcareforthepoorandnear-poor.HHSwillworkwithStatepartnerstostemthegrowthofMedicaidcosts,ensurethefiscallyprudentmanagementoftheMedicaidand_SCHIP_programs,improvethewaytheseprogramsprovidehealthcaretothepoorandnear-poor,andincreaseStateflexibilityin usingprivateinsurancecoverageand ,l*[ coordinatingwithemployment-basedinsuranceforthosewhohaveaccesstoit.njqpr݌ X.XXX.X.XXX.  n X.XXX.X.XXX.  &R2xP0X.XXX.X.XXX.  o  nQv    PublicHealthGrantFlexibility&R2vnum:X.XXX.X.XXX.  The P FY2002budgetgivesStatesgreaterflexibilitytotransferfundsamongpublichealthgrants.ThisflexibilitywillencouragestatestomakemoreefficientandeffectiveuseofFederalresourcesbyallowingthemtotargetandreallocatefundstopublichealthprioritiesidentifiedattheStateandlocallevels.ThebudgetalsoincludesthePresidentsHealthyCommunitiesInnovationFundinitiativethatsupportsgrantstohealthcareimprovementprojectsinStateandlocalcommunities.Underthisinitiative,HHSmaymakeavailableapproximately$400millioninexistinggrantactivityforinnovationsandwillworktoensurethatthebestandbroadestrangeofinnovativesolutionsarefundedacrossthecountry.nQvWw݌̌ X.XXX.X.XXX.  n X.XXX.X.XXX.  n{    .xL,X.XXX.X.XXX.   IncreasingAccesstoSubstanceAbuse L Treatment.=|: X.XXX.X.XXX.  TheOfficeofNationalDrug 4 ControlPolicy(_ONDCP_)estimatesthatasmanyasfivemillionAmericansneedtreatmentforsubstanceabuseproblems,butmorethan2.9millionofthemdonotreceiveit.Thistreatmentgap,whichpersistsduetothelackofaccessible,affordable,andavailabletreatment,impactssocietyaswellastheindividualsubstanceabuser._ONDCP_estimatestheannualsocietalcostsofillegaldruguseatapproximately$110billion.n{|݌̌ X.XXX.X.XXX.  n X.XXX.X.XXX.  n    TheFY2002budgetproposesan !X! increaseof$100millionforsubstanceabusetreatmentservicesthatwillhelpclosethetreatmentgap.Thisincludes$60millionfortheSubstanceAbuseBlockGrant,whichistheprimaryfundingsourceforStatesubstanceabuseeffortsandsupportsover10,500communitybasedtreatmentandpreventionorganizations.Anadditional$40millionwillsupport80additionalTargetedCapacityExpansion(_TCE_)grants,whichprovidestrategicandrapidresponsestoemergingtrendsinsubstanceabuse.Aportionofthisadditional_TCE_Ԁfundingis -T+. reservedforcompetitivegrantstoorganizationsthatprovideresidentialtreatmenttoteenagers.n݌̌ X.XXX.X.XXX.  n X.XXX.X.XXX.  n< D   .x<X.XXX.X.XXX.   OrganDonation.: X.XXX.X.XXX.  TheFY2002budget <1 requestincludes$20million,anincreaseof$5million,tolaunchanationalcampaigntoencourageorgandonation.In1999,organswererecoveredfromonly6,000cadavericdonors,and22,000transplantswereperformed,while6,100patientsdiedwaitingforatransplant.Today,therearesome75,000patientsawaitingorgantransplants.TheDepartmentwillundertakeanationwideefforttoexpandpublicinformationondonationandwillhonordonorfamiliesandlivingdonorswhohavegiventhegiftoflifethroughorgandonation.Thecampaignwillpromotedonorawarenessthroughpartnershipswiththetransplant,business,education,andreligiouscommunitiesandthroughgrantsthatsupportstudiesanddemonstrationsofinnovativeapproachestoencouragedonation.n<݌̌ X.XXX.X.XXX.  +.X.XXX.  X.XXX.   +.  IncreaseSupportforAmericas E ChildrenandFamilies+.<Ԍ̌X.XX.X.XX.  n X.XXX.X.XXX.  n D   Growingupinastableandsupportive (G familyenvironmentiscentraltoenablingchildrentolivehappyandsuccessfullives.HHSmanagesover40programsthatsupportournationschildren,includingHeadStart,FosterCareandAdoptionAssistance,ChildSupportEnforcement,ChildCare,VaccinesforChildren,and_SCHIP_.InFY2002,HHSproposestospendalmost$77billion,anincreaseofapproximately$3billion,onprogramsthathelpchildrenandyouthtorealizetheirdreams.ThePresidentiscommittedtomakingsurethatnochildisleftbehind,andtheFY2002HHSbudgetassistschildrenandfamiliestoachievethisgoalthroughinitiativestoprotectat-riskyouth,promoteresponsibleparenting,andsupportthecharitableorganizationsthathelptochange peopleslives.nm݌ -*Z Ќ X.XXX.X.XXX.  n X.XXX.X.XXX.  n    .xxXX.XXX.X.XXX.   XxAfterSchoolCertificates.9: X.XXX.X.XXX.  TheHHS X  budgetsupportsworkingparentsbyincreasingtotalFY2002fundingfortheChildCareandDevelopmentBlockGrantto$2.2billionandcreatinga$400millionset-asidewithinthisaccountforanewafterschoolcertificateprogram.ThisnewprogramwillfundgrantstoStatestoassistupto500,000lowincomeworkingparentsinpayingforafter-schoolcarefortheirchildren.Certificateswillpayforafterschoolprogramswithahighqualityeducationalfocusforchildrenuptoage19.TheFY2002budgetalsoincreasesmandatorychildcarefundingby$150million.InFY2002,totalFederalandStatefundingwillenabletheseprogramstoserveapproximately2.6millionchildren,upfrom2.1millionthisyear.n݌̌ X.XXX.X.XXX.  n X.XXX.X.XXX.  nʔ    .xTX.XXX.X.XXX.   ProtectingVulnerableandAt-Risk T Youth.s: X.XXX.X.XXX.  ThejointFederalStatechild < welfaresystemisresponsibleforensuringchildrenssafety,creatingpermanencyinchildrenslivingarrangements,andpromotinghealthychilddevelopment,buttoooftenitfailstoadvancethesegoals.Morechildwelfarefundsshouldbededicatedtochildabuseandneglectpreventionthrougheducationandfamilysupportservices.TheFY2002budgetenhancesprogramsthatsupportfamiliesandprotectchildrenwithtimelyinterventionsthatresultinpermanencyforthechild.nʔI݌̌ X.XXX.X.XXX.  n X.XXX.X.XXX.  &R2x!X8!X.XXX.X.XXX.  o  n1    PromotingSafeandStableFamilies&: !X! X.XXX.X.XXX.  HHSproposesatotalof$505millionin "D " mandatoryfunding,$200millionmorethanFY2001,forthePromotingSafeandStableFamiliesprogram.Resourceswillenhancepreventativeeffortstohelpfamiliesincrisis,increasingthelikelihoodthatchildrenwhoareatriskofabuseorneglectcanliveinapermanenthome.Incaseswherechildrencannotremainwiththeirbiologicalfamilies,fundswillsupportplacingthemwithadoptivefamilies.n17݌̌ X.XXX.X.XXX.  n X.XXX.X.XXX.  nr    HHSalsoproposes$67millionin ,h*- discretionaryfundsforanew_Mentoring_ -T+. ChildrenofPrisonersprogramwithinthePromotingSafeandStableFamiliesactivity.Throughcompetitivegrantstofaith-basedandcommunity-basedgroups,thisprogramwillhelpchildrenandparentstomaintainconnectionsduringthetimetheparentisimprisoned.Grantswillalsosupportfamilyreunificationeffortsoncetheparentisreleasedfromprison.nr݌̌ X.XXX.X.XXX.  n X.XXX.X.XXX.  &R2x  LX.XXX.X.XXX. D o  n p   IndependentLivingEducationand  7 TrainingVouchers&R2mili:X.XXX.X.XXX.  Approximately  8 16,000youthsageoutofthefostercaresystemeachyear.Researchhasshownthattheseyouthshavehighratesofhomelessness,earlypregnancy,mentalillness,drugabuse,andunemploymentinthefirstyearsaftertheyleavethechildwelfaresystem.Tohelpthesechildrensuccessfullytransitiontoindependence,theHHSbudgetprovides$60millionforeducationandtrainingvouchersthroughtheIndependentLivingProgram,whichsupportsarangeofservicesincludingroomandboard,counseling,andlifeskillstraining.Youthswhoareagingoutoffostercarecanusethesevouchers,worthupto$5,000each,topayforcollegetuitionortoobtainvocationaltraining.n݌̌ X.XXX.X.XXX.  n X.XXX.X.XXX.  n D   .xHX.XXX.X.XXX.   MaternityGroupHomes.bil: X.XXX.X.XXX.  TheFY2002 J HHSbudgetincludes$33millionforanewprogramtosupportgrouphomesforteenagemothers.Theinitiativeprovidesfundingtoorganizationsthatoperatecommunitybased,adultsupervisedgrouphomesforteenagemothersandtheirchildrenwhocannotlivewiththeirownfamiliesduetoabuse,neglect,orothercircumstances.Fundswillalsoprovidecertificatestoyoungmotherstoobtainarangeofsupportiveservicesincludingeducation,jobtraining,parentingeducation,childcare,andcounseling.nf݌̌ X.XXX.X.XXX.  n X.XXX.X.XXX.  n* D   .x)4')&X.XXX.X.XXX.   PromotingResponsibleFatherhood.Ӫepa:  )4'W X.XXX.X.XXX.  Nearly25millionchildrendonotlivewith x* (X theirfathers,andmorethanone-thirdofthemdonotseetheirfathersatallduringtheyear.Researchshowsthatapproximately75percentofthechildrenlivingin (.+\ vVFBh~] `ddddE]@7}   VFBh~] `ddddE]@7} VFBh~] `ddddE]@7} VFBh~] `ddddE]@7} mVFBh~] `ddddE]@7} VFBh~] `ddddE]@7} single-parenthomesexperiencepovertybeforeageeleven,ascomparedtoonly20percentofchildrenlivingintwo-parenthomes.Childrenlivingwithbothparentsarealsomorelikely   todobetterinschool,andtheyexperiencefeweremotionalandbehavioralproblems,thanthoselivingwithoneparent.n*݌̌ X.XXX.X.XXX.  n X.XXX.X.XXX.  n    HHSproposes$64millioninFY2002 @  foranewinitiativetostrengthentherolefathersplayintheirfamilyslives.Ofthesefunds,$60millionwillprovidegrantstofaith-basedandcommunitybasedorganizationsthatpromotesuccessfulparentingandmarriageandwhichhelplowincomeandunemployedfathersandtheirfamiliesavoiddependenceonwelfare.Servicesprovidedtofatherswillincludejobtraining,careereducation,subsidizedemployment,and_mentoring_.Thebudgetalsoincludes$4millioninFY2002forspecialprojectsofnationalsignificancethatsupportStateandlocaleffortstopromoteresponsiblefatherhood.n,݌̌ X.XXX.X.XXX.  n X.XXX.X.XXX.  n    .xx X.XXX.X.XXX.   RecognizingtheImportantRoleof x  CharitableOrganizations.@like: X.XXX.X.XXX.  TheHHS ` budgettakesanumberofstepstoincreasesupportforcharitableorganizationsthathavedemonstratedanabilitytochangepeopleslivesforthebetter.Thebudgetincludes$89milliontocreateaCompassionCapitalfund.Throughpublicandprivatepartnerships,thisfundwillprovidestartupcapital,operatingfunds,andtechnicalassistancetoqualifiedcharitablegroupsthatseektoexpandoremulatemodelsocialservicesprograms.Thisfundwillalsofinanceresearchanddisseminateinformationonbestpracticesofcharitableprogramsandsocialserviceorganizations.n݌̌ X.XXX.X.XXX.  n X.XXX.X.XXX.  n^    InaccordancewithPresidentBushs 4-*. ExecutiveOrder,thebudgetalsoincludes  .+/ $3milliontoestablisha CenterforFaith X/ BasedandCommunityInitiativesintheDepartment.ThisCenterwillcoordinatedepartmentaleffortstoeliminateregulatoryandotherobstaclestotheparticipationoffaithbasedandcommunityorganizationsintheprovisionofsocialservices.n^ݻ݌̌ X.XXX.X.XXX.  n X.XXX.X.XXX.  nF D   OurbudgetalsoencouragesStatesto t6 provideCharityStateTaxCreditsforcontributionstodesignatedcharitiesthatworktoaddresspoverty.StatescouldofferacreditagainstStateincometaxesofupto50percentforthefirst$500donatedbyindividuals($1,000formarriedcouples).StateshavetheoptiontousefederalfundsprovidedthroughtheTemporaryAssistanceforNeedyFamiliesprogramtopartiallyoffsetrevenuelossesthatwouldresultfromthetaxcredits.nFž݌̌ X.XXX.X.XXX.  n X.XXX.X.XXX.  nm D   .xTX.XXX.X.XXX.   HeadStart.cre: X.XXX.X.XXX.  TheHHSbudgetincludes TB $6.3billionforHeadStart,anincreaseof$125millionoverFY2001.TheNationspremierearlychildhoodeducationprogram,HeadStart,ensuresthatlow-incomechildrenstartschoolreadytolearnandprovidesarangeofcomprehensivechilddevelopmentandhealthservicesincludingphysicalanddentalexams,immunizations,andnutritionalservices.TheFY2002budgetwillallow916,000childrentoreceiveHeadStartservices,including55,000childreninEarlyHeadStart,andmaintainsacompetitivesalaryforteachers.ThePresidenthasproposedtoreformHeadStartbymakingschoolreadiness!prereadingandnumeracyskills!HeadStartstoppriority.nm݌̌ X.XXX.X.XXX.  +.%#$"X.XXX.  X.XXX.   +.^  EnhanceScientificResearchand %#T ProtectPublicHealth+.^|'$%&p$Ԍ̌X.XX.X.XX.  n X.XXX.X.XXX.  n D   Advancesinscientificknowledgehave h(&V resultedindramaticimprovementsinthehealthoftheNation.TheFY2002HHSbudgetenhancesscientificresearchandprotectspublichealththroughinvestmentsinbiomedicalresearch,healthcarequalityresearch,patientsafety,andfoodsafety.nA݌ -+\ Ќ X.XXX.X.XXX.  n X.XXX.X.XXX.  wVFBh~< `ddddE(YX6VFBh~< `ddddE(YX6VFBh~< `ddddE(YX6VFBh~< `ddddE(YX6pVFBh~< `ddddE(YX6VFBh~< `ddddE(YX6n>    .xxXX.XXX.X.XXX.   XxEnhancingResearchattheNational X InstitutesofHealth.: X.XXX.X.XXX.  TheHHSbudget @ keepsthePresidentscommitmenttodoublingtheFY1998NIHbudgetbyFY2003.Aspartofthisinitiative,the 1 1 FY2002budgetproposesatotalof$23.1billionforNIH,anincreaseof$2.75billionor13.5percentoverFY2001.ThisisthelargestdollarincreaseeverforNIHandwillallowtheagencyto 1 1 supportover34,000researchprojectgrants,whichisthehighestlevelinhistory.InFY2002,NIHwillexpanditsfocusonfourbroadresearchareas!geneticmedicine,clinicalresearch,interdisciplinaryresearch,andhealthdisparities!thatshowthegreatestpotentialforyieldingnewscientificknowledge.NIHisalsodevelopingstrategiestomaximizebudgetaryandmanagementflexibilitytomeetthechallengesthatresultfromthislargeincreaseinresources.n>݌̌ X.XXX.X.XXX.  n X.XXX.X.XXX.  n    .xD$X.XXX.X.XXX.   SupportingResearchonHealthcare D QualityandOutcomes.X: X.XXX.X.XXX.  TheFY2002 , budgetprovidesatotalprogramlevelof$306millionfortheAgencyforHealthcareResearchandQuality(AHRQ),anincreaseof$36millionor13.5percentoverFY2001.AHRQistheFederalagencywithprimaryresponsibilityforresearchontheNationshealthcaresystem.InFY2002,AHRQwilldedicate$255million,anincreaseof$29million,forresearchonhealthcarecosts,quality,andoutcomes.Ofthisincrease,$26millionwillsupportadditionalresearchonthecosteffectivenessandqualityofhealthcare.n{݌̌ X.XXX.X.XXX.  n X.XXX.X.XXX.  n    .x*(l*(X.XXX.X.XXX.   ProtectingPatientSafetyandReducing *(+ AdverseEvents..: X.XXX.X.XXX.  Medicalerrorsare +t), estimatedtocausethousandsofdeathseachyear,andtheannualcostofhealthcare -L+. expendituresrelatedtomedicalerrorsisestimatedat$29billion.In1999,theInstituteofMedicineissuedthereportTo 00 ErrIsHuman,whichrecommendedstepsto 1 protectpatientsandreducemedicalerrors.HHShasundertakenamulti-agencyefforttoimprovepatientsafetyandreduceerrorsandadverseevents.n݌̌ X.XXX.X.XXX.  n X.XXX.X.XXX.  n D   TheFY2002budgetforFDAsupportsa  `6 numberofactivitiestoprotectpatientsandreduceadverseevents.Thebudgetincludesanadditional$10milliontoincreaseinspectionsandoversightofclinicaltrials,trainclinicaltrialinspectors,andallowforfollowupofallcomplaintsconcerningclinicaltrialswithin30days.Thebudgetalsoincludesa$35millionincreasefortwopostmarketsafetyassuranceprograms.Ofthesefunds,anadditional$10millionwillexpandeffortstoreduceadverseeventsfromregulatedproducts,forwhichFDAreceivesover300,000reportseachyear.Theremaining$25millionwillincreasethenumberofdomesticandforeigninspectionsFDAperformseachyearandallowthemtoconductadditionalimportanalysisandsamplinginallproductareas.nY݌̌ X.XXX.X.XXX.  n X.XXX.X.XXX.  n: D   AHRQwilldevote$53millionin <I FY2002tocontinueitsworkonidentifyingwaystoreducemedicalerrors.Thiseffortwillincludeactivitiestotestreportingstrategies,developandtestnewtechnologies,researchthecausesofmedicalerrors,andtrainproviders.n:݌̌ X.XXX.X.XXX.  n X.XXX.X.XXX.  n D   AspartoftheDepartmentsPatient !XP SafetyTaskForce,FDA,CDC,AHRQ,andHCFAareworkingcollaborativelytodevelopaunifiedreportingsystemtomakeiteasierforproviderstocommunicateinformationonadverseevents.CDCwilluseaportionofitsinfectiousdiseasebudgettosupportthisproject.n ݌̌ X.XXX.X.XXX.  n X.XXX.X.XXX.  n  D   .x)0')&X.XXX.X.XXX.   SafeguardingtheNationsFood )0'X Supply.: X.XXX.X.XXX.  TheUnitedStateshasoneofthe p*(Y worldssafestfoodsupplies.Yeteveryyearanestimated76millionpeoplebecomeill,325,000arehospitalized,and5,000diefroma_foodborne_Ԁillness.Tohelpsafeguardthe  .+] nationsfoodsupply,theFY2002budgetincludesatotalof$124million,anincreaseofnearly$15million,forFDAfoodsafetyactivities.TheseresourceswillallowFDA#aaddtoexpandinspectionsoffoodmanufacturers,#ddaa  improvecoverageandinspectionratesatimportentrypoints,andfocusonillnessesderivedfromchemicalsandpesticides.TheFY2002budgetalsoincludes$34millionforfoodsafetyactivitiesatCDC.n ݌̌ X.XXX.X.XXX.  n X.XXX.X.XXX.  n[    Inaddition,theFY2002budgetforFDA  8  includes$15milliontoenhanceeffortstopreventthespreadofMadCowDisease(Bovine_Spongiform_Ԁ_Encephalopathy_,or_BSE_).Consumptionofmeatcontaminatedwiththisdiseasehasbeenlinkedtothedevelopmentofavariantof_Creutzfeldt_-Jakobdiseaseinhumans.Scientistshavealsoshownthat_BSE_Ԁcanbepassedamongcattlethroughthefeedingofprocessedanimalproteins.FY2002fundswillallowtheFDAtoinspectallU.S.feedmillstoensurethatqualityassurancepracticesarefollowedandthatthereisnocominglingofprocessedanimalproteinsandcattlefeed,andtotightenoversightofimporteddietarysupplementsandcosmeticsthatincludeanimalbyproducts.n[݌̌ X.XXX.X.XXX.  +.(X.XXX.  X.XXX.   +.  InvestsinInfrastructureand  ReformsManagement+.`Ԍ̌X.XX.X.XX.  n X.XXX.X.XXX.  ns    HHSmanagesover300programswhich L accountformorethanoneoutofeveryfivedollarsspentbytheFederalGovernment.Effectivelymanagingtheseprogramsrequiresmakingthenecessaryinvestmentsintheinfrastructurethatsupportsouroperations,aswellastakingstepstoenhancecoordination,reduceduplication,andensuretheefficientuseofresources.ns݌̌ X.XXX.X.XXX.  n X.XXX.X.XXX.  n&    .xh(&'%X.XXX.X.XXX.   RevitalizingLaboratoriesandScientific h(&' Facilities.: X.XXX.X.XXX.  Thelaboratoriesandfacilitiesat P)&( CDC,FDA,andNIHarereliedupontocontroldiseaseoutbreaks,preventillnessandinjury,ensurethesafetyofourfoodandmedicaldevices,andadvancebiomedicalknowledge.TheFY2002HHSbudget -+- continuestoinvestinthemodernizationoftheseimportantfacilities.n&݌̌ X.XXX.X.XXX.  n X.XXX.X.XXX.  n D   Thebudgetincludes$150millionfor 0/ BuildingsandFacilitiesatCDC.Projectsinclude$52millionforPhaseIIconstructionofalaboratoryfacilitydedicatedtohandlingthemosthighlyinfectiouspathogenssuchas_Ebola_Ԁand_hantavirus_,andarelatedcentralutilityplant;and$84milliontobeginconstructionoftheEnvironmentalToxicologyLab.n[݌̌ X.XXX.X.XXX.  n X.XXX.X.XXX.  n D   Inaddition,theFDAbudgetincludes | $ 8 $23milliontocompleteconstructionoftheLosAngeleslaboratoryand$6milliontopayforone-timecostsofthedevelopmentofthenewFDAheadquartersfacilityatWhiteOak,Maryland.nE݌̌ X.XXX.X.XXX.  n X.XXX.X.XXX.  n D   TheFY2002budgetalsoincludes > $307millionforintramuralbuildingsandfacilitiesatNIH.Majorprojectsinclude$26milliontocompleteconstructionofthefirstphaseoftheJohnEdwardPorterNeuroscienceResearchCenterand$11milliontobeginplanninganddesignofthesecondphase;$53milliontobeginconstructionofacentralized,multi-levelanimalfacility;and$21milliontobeginplanningfortherepairandrenovationoftheexistingClinicalCenter.nm݌̌ X.XXX.X.XXX.  n X.XXX.X.XXX.  n D   .x4X.XXX.X.XXX.   EnhanceCoordinationandReduce 4J DuplicationofOperatingSystems.the: X.XXX.X.XXX.  HHSis tK alarge,decentralizedDepartmentthatreliesonanumberofsystemsspreadacrossdifferentagenciestosupportprogramoperations.TheFY2002budgetinveststostreamlinefinancialmanagementandotherinformationtechnologysystems,therebyenhancingcoordinationacrosstheDepartmentandeliminatingunnecessaryandduplicatesystems.n݌̌ X.XXX.X.XXX.  n X.XXX.X.XXX.  n D   TheHHSbudgetincludesanadditional 'T%U $49.4million,foratotalof$92.5millioninFY2002,tofinancetheDepartmentstransitiontoaunifiedfinancialaccountingsystem.TheOfficeofInspectorGeneralhasidentifiedmajorproblemswiththeDepartmentscurrentaccountingsystemstructure,whichconsistsoffiveseparate  .+\ systemsoperatedbymultipleagencies.HHSplanstoreplacetheseantiquatedsystemswithaunifiedfinancialmanagementsystemthatwillprovidestandardization,reducesecurityrisks,producetimelyandaccuratefinancialinformationneededformanagementdecisionmaking,andprovideaccountabilitytoourexternalcustomers.nc݌̌ X.XXX.X.XXX.  n X.XXX.X.XXX.  n    TheFY2002HHSbudgetalsoincludes  L  $30milliontoestablishanewInformationTechnologySecurityandInnovationFund.TheDepartmentscurrentinformationtechnologystructureishighlydecentralized,heterogeneous,andvulnerabletosecuritythreats.HHSwillimplementanenterpriseinfrastructuremanagementapproachacrosstheDepartmentthatwillminimizevulnerabilities,maximizecostsavingsandinformationsharing,reduceduplicationofequipmentandservices,andbettersecuresystemsagainstvirusesandnetworkintrusion.nX݌̌ X.XXX.X.XXX.  n X.XXX.X.XXX.  n?     Inaddition,HHSwillcontinuetoplaya 4 leadroleintheFederalGrantStreamliningProgram.HHSisthelargestgrant-makingagencyintheFederalGovernment,administeringmoregrantdollarsthanallotherFederalagenciescombined.HHSwillcontinuetodevelopelectronicoptionsforallgrantrecipientswhowouldprefertoapplyfor,receive,andcloseouttheirFederalgrantselectronically.n?  ݌̌ X.XXX.X.XXX.  n X.XXX.X.XXX.  n    .xL cL  ` AZ') HxdEHxAeeeeeXBXeeeԌ , Ќ  @  (dollarsinmillions)  s pV<,(`~1 , `,.Ex x e p (#(#`x}`x                                     (#(#`x|`x`xAZ') HxdE(HxA (g&) <<  )&* <#  XXXXBeeXX  #%T@I I     FOODANDDRUGADMINISTRATION#%TT T  X AZ') HxdE#HxAeeeeeXBXeeeԌ $ Ќ  @  (dollarsinmillions)  k %  pV<,(`~1 , `. Exaxae8p (#(#`xz`x         (#(#`x`x`xAZ') HxdEHxA 7  +.n ~ XBXXXB  XBXXXB   (X@(#(#(+.X  Summary+.XYz"n Ԍ z" ЌXBXXBXBXXB  n XBXXXBXBXXXB  nKZ    TheFY2002budgetrequestforthe f FoodandDrugAdministration(FDA)is$1,414million,anetincreaseof$123millionoverFY2001.Withinthistotal,thereareprogramincreasesof$143million,partiallyoffsetbya$20milliondecreaseincontingentappropriationsrelatedtodrugre-importation.Ofthefundsrequested,$204millionwillbederivedfromindustryspecificuserfees,including$20millioninproposedfeesforfoodexportcertificates,andfeestoimprovetheimportprogram.TheincreaseoverFY2001istargetedtoprogramexpansionsincludingfoodsafety,preventingthespreadofmadcowdiseasetotheU.S.,protectinghumanresearchsubjects,assuringthesafetyofFDAregulatedproducts,andimprovinginfrastructure.nKZZ݌̌ XBXXXBXBXXXB  n XBXXXBXBXXXB  n^    FDAprotectsthepublichealthby #~!# preventinginjuryorillnessduetounsafeorineffectiveproducts.FDAactivelyidentifieshealthproblemsassociatedwithFDA-regulatedproductsandassessestheoriginandimpactofthesehealthproblems.FDAmakeseveryefforttopreventproblemsthatwouldexposethepublictohazards,andmonitorsthemarketplacetoensurecompliancewithlaws,regulations,andgood manufacturingpractices.n^_݌ -*- Ќ XBXXXBXBXXXB  +.^n XBXXXB   XBXXXB   +.a  < ^ProtectingtheU.S.FoodSupply+.a%bN Ԍ N- ЌXBXXBXBXXB  n XBXXXBXBXXXB  n c D   TheFY2002PresidentsBudget :. includesa$15millionincreasetoenhanceeffortstopreventthespreadofmadcowdiseasetotheU.S.,andanadditional$15milliontocontinueandexpandsuccessfulfoodsafetyactivities.n cc݌̌ XBXXXBXBXXXB  n XBXXXBXBXXXB  n3e D   VFBh~qw< `ddddEwz  *  VFBh~qw< `ddddEwz  >  wVFBh~qw< `ddddEwz  *  VFBh~qw< `ddddEwz  >  VFBh~qw< `ddddEwz  >  VFBh~qw< `ddddEwz  >  .x:XBXXXBXBXXXB   PreventingtheSpreadofMadCow :4 Diseasetothe_U.S_.`j: XBXXXBXBXXXB  Thebudgetrequestsan z"5 additional$15milliontoenhanceeffortstopreventthespreadofmadcowdiseasetotheUnitedStates.Bovine_Spongiform__Encephalopathy_Ԁ(_BSE_)hasspreadfromthe (#(#(#(#UnitedKingdomtocontinentalEurope,andtheEuropeanUnionhasorderedthedestructionofuptotwomillioncattleatriskforthedisease.Itisfearedthatprocessedproteinsfromthesecattlewillmaketheirway (#(#(#(#illegallyintotheU.S.,labeledas_fishmeal_Ԁorsomeotherlegalproduct.n3ee݌̌ XBXXXBXBXXXB  n XBXXXBXBXXXB  nn D   FDAplanstostrengthenitseffortsto +~)J keep_BSE_ԀoutoftheU.S.andensurethatproteinsfrominfectedanimalsarenotbeing -V+L fedtocattle.First,FDAwillbienniallyinspectallFDAlicencedfeedmills(1,240)inordertoensurethatqualityassurancepracticesareinplaceandbeingfollowed,andthatthereisnocominglingofprocessedanimalproteinsandcattlefeed.Inaddition,trainingwillbeprovidedtobettereducateFederalandStateinspectorsontheregulationsforproductionofcattlefeedsandhowtobestpreventcomingling.Finally,additionalresourceswillbedirectedtotightenoversightandinspectionofimporteddietarysupplementsandcosmeticsthatincludeanimalbyproducts.nnZo݌̌ XBXXXBXBXXXB  n XBXXXBXBXXXB  n!s    Inthemid1990s,_BSE_Ԁemergedinthe @  UnitedKingdom,infectingcattleherds,andspreadingtopeoplewhoatemeatfrominfectedanimals.Consumptionofinfectedmeathasbeenlinkedtothedevelopmentofvariant_Creutzfeldt_ԄJakobDisease(_vCJD_)inhumans.Scientistsconcludedthat_BSE_spreadamongcattlethroughprocessedcattleandsheepproteinsusedasfeed.n!ss݌̌ XBXXXBXBXXXB  n XBXXXBXBXXXB  nVv    TheU.S.tooktwosignificantactionsto 4 preventthespreadof_BSE_.TheDepartmentofAgriculture(USDA)bannedtheimportationofprocessedcattleandsheepproteinsfromcountriesthateitherexperiencedorareatriskofexperiencing_BSE_Ԁcases.FDAbannedfeedinganyprocessedcattleandsheepproteinstocattle.nVvv݌̌ XBXXXBXBXXXB  n XBXXXBXBXXXB  ny    nyy݌ XBXXXBXBXXXB  .xd XBXXXBXBXXXB   FoodSafety.Pz: XBXXXBXBXXXB  Atotalof$124million,an d  increaseof$15million,isrequestedtomakefoodsafer.WhileourNationhasoneofthesafestfoodsuppliesintheworld,muchworkremainstobedone.First,thereisaneedtocontinueeffortstoreduce_foodborne_diseases.Everyyearanestimated76,000,000peoplegetsick,325,000arehospitalized,and5,000diefrom_foodborne_illness.HHSandtheDepartmentofAgriculturehavecollaboratedverysuccessfullytoensurethecontinuedsafetyofourNationsfoodsupply.n XBXXXBXBXXXB  n}    Investmentinfoodsafetyhasresultedin `+), a20percentdecreasein_foodborne_Ԁillnessesfortheninemostcommonpathogensoverthepastthreeyears,representingonemillion $.+/ fewercases.FDAscientistshavealsodevelopedmethodsfordetectingviralandmicrobialfood_contaminents_Ԁmorequickly.Additionally,FDAiscompletingtheNationalAntibioticResistanceMonitoringSystem(_NARMS_)thatfocusesonemergingantibioticresistanceinfoodanimals.n} ~݌̌ XBXXXBXBXXXB  n XBXXXBXBXXXB  n D   However,_foodborne_Ԁillnessisnotthe t6 onlythreattoconsumers;chemicalpesticidesandothercontaminantsalsoposepotentialhealthhazards.Asaresult,theFY2002budgetwillimproveFDAseffortstoensurefoodsarenotcontaminatedbypesticidesandotherchemicals.FDAwillalsoexpandandimprovecoverageandinspectionratesatimportentrypoints,developinspectionandtestingprogramsforshelleggstoreducetheriskofSalmonella_enteriditis_,andreducelisteria_monocytogenes_Ԁcontamination.n݌̌ XBXXXBXBXXXB  +.`pXBXXXB  XBXXXB   +.  ProtectingHumanResearch `C Subjects+.>XLԌ̌XBXXBXBXXB  n XBXXXBXBXXXB  n D   FDAcurrentlyperformsabout DE 1,100inspectionsrelatedtoclinicaltrialseachyear,including600clinicalresearchsites.FDAalsoconductsreviewsofclinicalinvestigators,investigationalreviewboards(_IRBs_),sponsors,monitors,andcontractresearchorganizations.n݌̌ XBXXXBXBXXXB  n XBXXXBXBXXXB  VFBh~p "C `ddddE  "C@!c  VFBh~p "C `ddddE  "C@!c  tVFBh~p "C `ddddE  "C@!c  VFBh~p "C `ddddE  "C@!c  VFBh~p "C `ddddE  "C@!c  VFBh~p "C `ddddE  "C@!c  n D   The$10millionincreaseinFY2002 `L willallowforasignificantincreaseininspectionandoversightofclinicaltrials,by (#(#(#(#approximately33percent(375inspections).Emphasiswillbeonhighrisktrialsinvolvingvulnerablepopulationsandsponsorinvestigatorswhohaveaproprietary (#(#(#(#interestintheproductunderstudy.Newfundswillalsoallowforincreasedtrainingofinvestigatorsandimprovementsin_the x- +\ inspectionprocessfor_IRBs_.Finally,increasedfundswillallowFDAtofollow-upon100percentofcomplaintsconcerningclinicaltrialswithin30daysofreceipt.Currently,responsetimesrangefromafewdaystoseveralmonthstoaccomplishthesecomplaintreviews.n݌̌ XBXXXBXBXXXB  +. dtXBXXXB  XBXXXB   +.ڐ  AssuringproductSafety+.ڐYp  dԌ p  ЌXBXXBXBXXB  n XBXXXBXBXXXB  n     FDAhassignificantlyaccelerated \   approvalofsafeandeffectiveproductsoverthelastseveralyears.Thebudgetincludesanadditional$35milliontomakecomparableimprovementsinpost-marketsafetyassuranceprogramstomaximizebenefitsandminimizeinjuries.n ݌̌ XBXXXBXBXXXB  n XBXXXBXBXXXB  nz    .xHxXBXXXBXBXXXB   IncreasingInspectionandImport H SamplingRates.#nsf: XBXXXBXBXXXB  Thebudgetalsoincludes 0 anincreaseof$25milliontoexpandcapacitytomeetpublicandstatutoryexpectationsforinspectionsofproductionfacilitiesandincreasesamplingofimportedproducts.Currentresourceslimitinspectionstoonlyabout18percentoftheapproximately129,000productionandstoragefacilities,and0.7percentofthe6.3millionimportentries.ThisincludescontractscarriedoutbyStatepartnerships.Additionally,thenumberofimportentrieshasincreasedby75percentsinceFY1997,fromroughly4milliontoanestimated7millioninFY2001.nz݌̌ XBXXXBXBXXXB  +.!!XBXXXB  XBXXXB   +.)  @ ImportLineEntriespV< ,(`~1 `..ED%$  p+.)"P !Ԍ "P  ЌXBXXBXBXXB  <"x #; servicesincreasesatabouttwopercentannually.Likeanyhealthcareprovider,IHSexperiencesincreasesinthecostofprovidingservices.ne4f݌̌ XBXXXBXBXXXB  n XBXXXBXBXXXB  ng D   ݀Thebudgetincludesanadditional #!@ $55milliontofullycoverincreasedpaycostsforIHSsFederalemployees(14,824FTE)andtoallowtriballyrunhealthprogramstoprovidecomparablepayraisestotheirownstaff.Anadditional$11millionisalsoincludedtostaffthenewoutpatientclinicservingtheColoradoRiverTribesatParker,ArizonaandtobeginstaffingthenewFortDefiancehospitalwhichwillopenlateinFY2002.A$4millionincreaseisalsoincludedtoupgradeIHSsinformation -+K infrastructure,inordertomakeitsinformationsystemsbetterabletorespondtodatarequests.ng0h݌̌ XBXXXBXBXXXB  n XBXXXBXBXXXB  nok    .x<XBXXXBXBXXXB   IncreasingIHSHealthInsurance < Reimbursements.l: XBXXXBXBXXXB  InFY2002,IHSwill |$ receiveanestimated$499millioninhealthinsurancereimbursements!primarilyfromMedicareandMedicaid.IHSandtheHealthCareFinancingAdministrationhaveworkedcooperativelytodevelopacost-basedreimbursementmethodologytobetterreflectthefullcostofprovidingservices.Forexample,IHShealthfacilitieswillreceive$185foreachMedicaidoutpatientvisitin2001,anincreaseofeightpercentovertheamountreceivedin2000.Thismethodology,togetherwithbettereffortstoenrolleligibleIndianpeopleandlegislativechangesexpandingthescopeofcoveredservices,hasledtoanincreaseinhealthinsurancereimbursementsof146percentsinceFY1995.nokk݌̌ XBXXXBXBXXXB  +.XBXXXB  XBXXXB   vVB2.b~1@ R `..@E R R2v@ +.p  IHShealthinsurance+.pq`Ԍ ` ЌXBXXBXBXXB  +.<LXBXXXB  XBXXXB   +.jr   \<@ reimbursements+.jrrh\Ԍ h ЌXBXXBXBXXB  n XBXXXBXBXXXB  ns    @   <8T[XXB(dollarsinmillions)#XBX[t#nsOt݌ 8 Ќ XBXXXBXBXXXB  n XBXXXBXBXXXB  nu    TherecentlyenactedMedicare, R&#& Medicaid,andtheStateChildrensHealthInsuranceProgram(_SCHIP_)BenefitsImprovementandProtectionActof2000allowsIHStobegintoreceiveMedicarereimbursementsforservicesprovidedbyphysiciansandotherhealthcareprofessionalscoveredundertheMedicarefeeschedule.Thisnewlegislativeauthority, -Z+. togetherwiththe2001rateincreases,willincreaseinsurancereimbursementsby$29millionoverFY2001.nu\v݌̌ XBXXXBXBXXXB  n XBXXXBXBXXXB  n"y D   .x<XBXXXBXBXXXB   Diabetes.y: XBXXXBXBXXXB  TheMedicare,Medicaid,and <1 _SCHIP_ԀBenefitsImprovementandProtectionActof2000increasedIHSsannualdiabetesfundingto$100millionthroughFY2003,upfrom$30millioninFY2000.ThesefundsincreaseservicestoAmericanIndianandAlaskaNativepeople,consistentwiththelessonslearnedthroughexistingdiabetespreventionandtreatmentprogramsatclinicalandcommunitysites.Forexample,footcareprogramsinMinnesotahavereducedamputationswhileschoolhealthprogramsinNebraskahaveincreasedphysicalactivitytoreducechildhoodobesity,ariskfactorfordiabetes.Toassistlocaldiabetesprograms,IHShasalreadydeveloped15bestpracticesmodelsincludingcardiovascularrisk,primaryprevention,pharmaceuticals,andbloodsugarimprovement.n"yy݌̌ XBXXXBXBXXXB  n XBXXXBXBXXXB  VFBh~+  `dddd````E/   e VFBh~+  `dddd````EC   e _VFBh~+  `dddd````E/   e VFBh~+  `dddd````EC   e VFBh~+  `dddd````EC   e VFBh~+  `dddd````EC   e n|~ D   DiabetesprevalenceamongIndian E peopleisnowtripletheratefornonHispanicwhites.IHSbeganfunding318diabetesprogramsthroughoutIndiancountryinFY1998.Seventypercentof R(#R(#(#(#programshaveincreasedtheiremphasisondiabetespreventionforadults(e.g.,diet,exercise,bloodpressurecontrol)while56percenthaveincreasedemphasisondiabetespreventionforchildren (#(#R(#R(#(e.g.,increasedphysicalactivity).Preventionisaprimaryfocus.Estimatesoftheaveragecostofadiabeticscarerangesfrom$5,000to$9,000annually.IHShasincreasedthenumberofdiabeticpatients $.+] withimproved_glycemic_Ԁandbloodpressurecontroltoreducetheirneedforcostlymedicalcare.n|~݌̌ XBXXXBXBXXXB  n XBXXXBXBXXXB  ni    .x<XBXXXBXBXXXB   IncreasingEquityAmongTribes.: XBXXXBXBXXXB  A < highpriorityoftheIHSistoprovidecomparablelevelsofhealthservicestoTribesacrossIndiancountry.TheFY2002budgetincludesafurtherincreaseof$8milliontoaddressequityamongTribes.ni݌̌ XBXXXBXBXXXB  +.  XBXXXB  XBXXXB   +.y  SupportingIndian   Self-Determination+.y T Ԍ̌XBXXBXBXXB  n XBXXXBXBXXXB  n̋    ArapidlygrowingnumberofTribes @  havechosentoassumeresponsibilityforprovidingtheirownhealthcarebyenteringintoselfdeterminationcontractswiththeIHS.Tribescurrentlyoperateone-fourthofIHShospitals,threequartersoftheoutpatientfacilities,and53percentofthebudget,upfrom37percentinFY1995.n̋K݌̌ XBXXXBXBXXXB  n XBXXXBXBXXXB  VFBh~ i `ddddEa p) /VFBh~ i `ddddEu p) /]VFBh~ i `ddddEa p) /VFBh~ i `ddddEu p) /VFBh~ i `ddddEu p) /VFBh~ i `ddddEu p) /n\    BeginningonJanuary1,2002,the  NavajoNationhasproposedtoassume  responsibilityforhealthservicesforits250,000tribalmembers,including6hospitalsand19outpatientfacilities,with   aFY2001budgetof$349million.UndertheproposedNavajocontract,Tribeswillcontrol62percentoftheIHSbudgetinFY2002.n\_݌̌ XBXXXBXBXXXB  n XBXXXBXBXXXB  n    Thebudgetincludesatotalof #t!" $50millionprimarilytosupporttransitionofNavajohealthservicesfromFederaltotribalmanagementandtosupportsimilartransitionsforotherTribes.Ofthis$50million,$40millionisincludedforadditionalContractSupportCoststoallowTribes,suchastheNavajoNation,todeveloptheadministrativeinfrastructurenecessarytoefficientlyoperatetheirhealth careprograms.n#݌ -*, Ќ XBXXXBXBXXXB  +.HXXBXXXB   XBXXXB   +.  &  @**2 XHPercentofIHSFunds+.8 XԌ  , ЌXBXXBXBXXB  +.XBXXXB  XBXXXB   P8pU<,(`~1 U  `4 ;E{   0 p+.0  @4 ManagedByTribes+048Ԍ - Ќ 00(#(# 010100 000101 010100 000101 010100 000101 010100 000101 010100 000101 010100 000101 010100 000101 010100 000101 010100 000101 010100 (#(#0101XBXXBXBXXB  n XBXXXBXBXXXB  nS D   ' HVWithinthe$50million,$10millionis  8 includedforthetransitionalcostsIHSwillincurintransferringresponsibilityforhealthservicestotheNavajoNation.ThiswillbethelargesthealthservicestransfereverundertakenbytheIHS;nearly3,600Federalemployees,24percentoftheAgencystotalworkforce,currentlyprovideservicestotheNavajoNation.nSҞ݌̌ XBXXXBXBXXXB  +.L\XBXXXB  XBXXXB   +.   FacilityConstruction+. LԌ A ЌXBXXBXBXXB  n XBXXXBXBXXXB  nd D   Thebudgetincludes$38millionfor B constructionofnewhealthfacilities.Atotalof$14millionisrequestedforFortDefiance.ThesefundswillcompletethehospitalportionofthecomplexandbeginbuildingthestaffquarterswhichareneededforthisremotefacilitythatservestheNavajoTribeinArizonaandNewMexico.Withinthetotal,$24millionisincludedtofullyfundtheconstructionofthenew_Winnebago_Ԁhospitalservingthe_Winnebago_andOmahaTribesinNebraska.nd݌̌ XBXXXBXBXXXB  +.$"#!XBXXXB  XBXXXB   +.ӥ  RedirectedResources+.ӥR%H#$"Ԍ %H#N ЌXBXXBXBXXB  n XBXXXBXBXXXB  n D   Thebudgetrequestdoesnotcontinue &4$O fundingfortwofacilityconstructionprograms:JointVentureDemonstrationProjectsandtheSmallAmbulatoryFacilityProgram.BothprogramswerefirstfundedbyCongressinFY2001foratotalof$15million.Thebudgetrequestdoesnotincludefundsforthreeonetimeprojectstotaling$4millioninFY2001.n݌ -+W Ќ XBXXXBXBXXXB  (X@(#  XXXXBeeXX  #@$    IHSOVERVIEW#a   X AZ') HxdE#HxAeeeeeXBXeeeԌ $ Ќ  @  (dollarsinmillions)  k pV<,(`~1~& `#.E~&~&ai'p (#(#`xZ`x                                           (#(#`x`x`xAZ') HxdE-HxAn XBXXXBXBXXXB  nH    G<'nHDz݌  -+/ Ќ XBXXXBXBXXXB   <#  XXXXBeeXX  #@    CENTERSFORDISEASECONTROLANDPREVENTION#O t  X AZ') HxdE#HxAeeeeeXBXeeeԌ $ Ќ  @  (dollarsinmillions)  k pV <,(`~1 , `. Exdxde8p (#(# `xW`x         (#(#`x`x`xAZ') HxdEHxA 7  +.n ~ XBXXXB  XBXXXB   (X@(#(#(+.  Summary+.Xz"n Ԍ z" ЌXBXXBXBXXB  n XBXXXBXBXXXB  n    TheFY2002budgetrequestsatotalof f $4.1billionfortheCentersforDiseaseControlandPrevention(CDC),anetdecreaseof$109million,orthreepercent,belowFY2001.Thisincludes$122millioninprogramincreases,offsetbyreductionsof$231million.TheFY2002budgetforCDCincludes$127millioninPublicHealthServiceevaluationinteragencytransferfundsforactivitiesrelatedtoHealthStatistics.n݌̌ XBXXXBXBXXXB  n XBXXXBXBXXXB  n    CDCistheleadpublichealthagencyfor 2 promotinghealthandqualityoflifebypreventingandcontrollingdisease,injuryanddisability.CDCworkswithStates,localpublichealthagencies,andpartnersthroughouttheNationandtheworldtoaccomplishthismission.Together,theymonitorhealth,detectandinvestigatediseaseoutbreaksandotherhealthproblems,conductresearch,developandadvocatesoundhealthpolicies,implementpreventionstrategies,promotehealthybehaviors,fostersafeandhealthyenvironments,andprovidepublichealthleadershipandtraining.n{݌̌ XBXXXBXBXXXB  +.b) 'r(&XBXXXB  XBXXXB   +.  Modern,SecureLaboratoriesand b) '( Facilities+.+(N*'Ԍ̌XBXXBXBXXB  n XBXXXBXBXXXB  n    Theworkconductedinlaboratoriesat +)* CDCisrelieduponworldwidetohelpcontroldiseaseoutbreaksandpreventillness -n+, andinjury.Forexample,thelabshouseoneofthetwoofficialreferencesamplesofsmallpox,andanalysiscarriedoutatthelabswasinstrumentalinidentifyingthefirstcasesofWestNileviruseverfoundinNorthAmerica.na݌̌ XBXXXBXBXXXB  n XBXXXBXBXXXB  VFBh~",< `ddddE:, (SL VFBh~",< `ddddE: , ({L TVFBh~",< `ddddE:, (SL VFBh~",< `ddddE: , ({L VFBh~",< `ddddE: , ({L VFBh~",< `ddddE: , ({L n D   TheFY2002budgetincludes N2 $150millionforBuildingsandFacilities.Apriorityfocusisconstructionofaninfectious (#(#(#(#diseaselaboratory,anenvironmentallaboratory,andinFY2003,acommunicationandtrainingfacility.InFY2002,CDCwilluse$52millionofthesefundsforPhaseIIconstructionofafacilitythat (#(#(#(#includeslaboratoriesdedicatedtothemosthighlyinfectiousandlethalpathogenshandledatCDC,andarelatedcentralutilityplant.Thenewfacilitywillincludea_Biosafety_ԀLevel4laboratoryforresearchondiseasesthatneedtobehighlycontainedsuchas_Ebola_,_hantavirus_ԀandCongo-Crimeanhemorrhagicfever.Alsoincludedattheplannedfacilitywillbelabstosupportworkoninfectiousdiseaseagentsthatcouldpotentiallybeusedbyterrorists.n݌̌ XBXXXBXBXXXB  n XBXXXBXBXXXB  ng D   Second,$84millionwillbegin F-*L constructionoftheEnvironmental 2.+M ToxicologyLabatthe_Chamblee_ԀCampus.Thisfacilityincludescorelabspacefor_bioterorism_ԀpreparednessactivitiesattheNationalCenterforEnvironmentalHealth.n݌̌ XBXXXBXBXXXB  n XBXXXBXBXXXB  n    Anadditional$14millionwillbe  allocatedtotheongoingmaintenanceofexistinglaboratoriesandsupportstructures.Thefundingfortheseprojectsisincluded#aaddin t thelineitem BuildingsandFacilities.#ddaan݌  ` Ќ XBXXXBXBXXXB  +. < LXBXXXB  XBXXXB   +.  Respondingto_Bioterrorist_ԀThreats+.H < Ԍ H  ЌXBXXBXBXXB  n XBXXXBXBXXXB  VFBh~S  `ddddE (" VFBh~S  `ddddE (" QVFBh~S  `ddddE (" VFBh~S  `ddddE (" VFBh~S  `ddddE (" VFBh~S  `ddddE (" nt    Thebudgetincludes$182million,an 4  increaseof$1millionforCDC_bioterrorism_preparedness.Thisincludes$13millioninprogramincreases,offsetby$12millioninreductionstoprogramsthatreceived 1 1 one-timefundinginFY2001.Newtechnologieshavemadeiteasierforterroriststousebiologicalandchemicalweaponsagainstcivilianpopulations.Somepossiblescenarioscouldincludethecovertreleaseof 1 1 biologicalagents,suchassmallpoxoranthrax.Stateandlocalpublichealthofficersmustbeabletodetectpotential_bioterrorist_Ԁeventsandmountcontrolmeasuresquicklyiftheyaretopreventwidespreaddeath,disabilityandsocietaldisruptioncausedbyterroristattacks.ntw݌̌ XBXXXBXBXXXB  n XBXXXBXBXXXB  np    Thebudgetincludes$77million,an T# " increaseof$10million,or14percentaboveFY2001,forStateandlocal_bioterrorism_preparedness.Thisincludesfundingforepidemiologicalandlaboratoryenhancements,thedetectionofoutbreaks,andtheHealthAlertNetwork,CDCselectroniccommunicationsefforttoprovideInternetconnectivitytocommunitypublichealthdepartments.AwardsaremadetopublichealthdepartmentsinallfiftyStatesandNewYorkCity,LosAngeles,Chicago x- +- andWashingtonD.C.Fundsalsowillsupportlaboratoryregulationofhazardousbiologicalandchemicalagents.Anadditional$10millionwillsupportnationalplanningeffortsandthedevelopmentofa_bioterrorism_Ԁactionplan.np݌̌ XBXXXBXBXXXB  n XBXXXBXBXXXB  n D   Fundstotaling$22millionwillupgrade 3 capacityatCDC,includingcontinueddevelopmentofarapidtoxicscreenthatcanquicklyidentifyupto150chemicalthreats;additionaltrainingfortheEpidemicIntelligenceService;andincreasedbiologicallabcapacity,includingfurtherdevelopmentofaRapidResponseandAdvancedTechnology(_RRAT_)LabattheNationalCenterforInfectiousDiseases.The_RRAT_Ԁlabspecializesinthetriageandanalysisofbiologicalspecimenssuspectedaspotentialagentsofterrorism.nX݌̌ XBXXXBXBXXXB  n XBXXXBXBXXXB  nh D   Thebudgetproposes$52millionforthe @ NationalPharmaceuticalStockpilethatwillbeusedintheeventofa_bioterrorist_Ԁattack.Thestockpileisbeingdevelopedtorespondtothreatsposedbysmallpox,anthrax,plague,botulism,tularemiaandhazardouschemicalagents.nh݌̌ XBXXXBXBXXXB  n XBXXXBXBXXXB  n D   Alsoincludedinthebudgetis PG $18milliontocontinueresearchevaluationsoftheanthraxvaccineusedtoinnoculatemilitarypersonnel.Activitiessupportedbythesefundsincludemonitoringadverseeventsandanalyzingdoserequirements.n`݌̌ XBXXXBXBXXXB  +. pXBXXXB  XBXXXB   +.  InfectiousDiseases+.|!$ pԌ |!$M ЌXBXXBXBXXB  n XBXXXBXBXXXB  n\ D   Conqueringmanyinfectiousdiseases h" N wasoneofthegreatesttriumphsof20thcenturymedicineandpublichealth. @$!P However,theU.S.continuestoconfrontanewinfectiousdiseasethreateachyearincluding,_Ebola_Ԁvirus,_hantavirus_,lymedisease,toxicshocksyndrome,HongKongflu,_Nipah_ԀvirusandWestNilevirus.Inaddition,_foodborne_Ԁdiseasesareestimatedtocause5,000deathsand76millionillnessesintheU.S.eachyear.n\݌̌ XBXXXBXBXXXB  n XBXXXBXBXXXB  n D   Thebudgetincludes$332millionto ,4*Y fightinfectiousdiseases,anincreaseof x- +Z $14million,orfourpercent,overFY2001.Thisbudgetactivityincludeseffortstoreduceemerginginfectiousand_foodborne_diseases,improvepatientsafety,andprovidelaboratorysupportforHIV/AIDS,tuberculosisandimmunizationprograms.nn݌̌ XBXXXBXBXXXB  n XBXXXBXBXXXB  n    Thebudgetincreasewillbeusedto  expandassistancetoStatesandlocalitiestostrengthentheircapacitytodetectandpreventthespreadofinfectiousdiseases.FundsalsowillincreaseeffortstopreventandcontrolHepatitisC,andincreasesentinelsurveillanceofinfluenza,includingnovelstrainsthatcouldcauseaglobalpandemic.n/݌̌ XBXXXBXBXXXB  n XBXXXBXBXXXB  nO    .xL, XBXXXBXBXXXB   PatientSafety.vir: XBXXXBXBXXXB  Medicalerrorsare L estimatedtocausethousandsofdeathsandcost$29billioninexcesshealthcareexpendituresintheU.S.eachyear.CDCwilluseaportionofthebudgetincreaseforinfectiousdiseasestoworkwiththeAgencyforHealthcareResearchandQuality,theFoodandDrugAdministration,andtheHealthCareFinancingAdministrationtodevelopaunifiedreportingsystemforpartneringhospitalstomakeiteasierforproviderstocommunicateinformationonadverseevents.CDCwilluseinformationitreceivesthroughtheSentinelPatientSafetyNetworktohelpreducehospital-acquiredinfections.nO݌̌ XBXXXBXBXXXB  +.T d XBXXXB  XBXXXB   +.  HIV/AIDS,_STDs_ԀandTB+.k!T Ԍ ! ЌXBXXBXBXXB  n XBXXXBXBXXXB  VFBh~O6< `ddddEC&6@6%V VFBh~O6< `ddddEk$6@6#V NVFBh~O6< `ddddEC&6@6%V VFBh~O6< `ddddEk$6@6#V VFBh~O6< `ddddEk$6@6#V VFBh~O6< `ddddEk$6@6#V nP    Overthelasttwodecades,HIV/AIDS !  preventionandtreatmenthaveadvanceddramatically.Annually,thenumberofnewAIDScasesintheU.S.continuestodecline.  However,newHIVcasesstillnumberover40,000eachyear.Worldwide,16,000peoplebecomeinfectedeachday,including1,600infantsthroughmothertochildtransmission.-+-   Thebudgetincludes$1.1billionforpreventionandcontrolofHIV/AIDS,sexuallytransmitteddiseasesandTuberculosis,anincreaseof$24million,ortwopercentoverFY2001.Withintheincrease,$20millionisfordomesticandinternationalpreventionofHIV/AIDS.nPS݌̌ XBXXXBXBXXXB  n XBXXXBXBXXXB  n D   DomesticHIVeffortswillberefocused t4 tohelpStatesreducethenumberofnewinfections50percentby2005.Thebudgetincludesan$11millionincreaseforCDCsdomesticHIV/AIDSpreventionactivities,includingexpandedlocaleffortsthatwillincreasethenumberofpeoplewhoknowtheirHIVstatus,andlinkinfectedindividualstoprevention,careandtreatmentservices.n5݌̌ XBXXXBXBXXXB  n XBXXXBXBXXXB  n~ D   TocombatglobalAIDS,thebudget > contains$117million,anincreaseof$12million,or11percent,aboveFY2001.Itisestimatedthat22millionpeoplelivewithHIVinsub-SaharanAfricaandcumulativeAIDSdeathsintheregiontotalover12million,morethan80percentofallAIDSdeathssincetheepidemicstarted.Fundswillsupportimprovedsurveillance,voluntarycounselingandtesting,andcare,treatmentandpreventionofmothertochildtransmission.n~݌̌ XBXXXBXBXXXB  +.XBXXXB  XBXXXB   +.  ChildhoodImmunization+. `Ԍ `J ЌXBXXBXBXXB  n XBXXXBXBXXXB  n  D   Deliveryofsafeandeffectivevaccinesis LK themostcost-effectivemethodofpreventingillness.Thegoalfortheyear2002istoensurethatatleast90percentofalltwo-year-_olds_Ԁreceivethefullseriesofvaccinesandthatavaccinationsystemisbuiltthatwillsustainandfurtherimprovehighcoveragelevels.Immunizationratesatorabove90percentforallchildrenunderagethreearethebestwaytopreventoutbreaksofvaccinepreventablediseases.n ^ ݌̌ XBXXXBXBXXXB  n XBXXXBXBXXXB  n  D   TheFY2002immunizationbudgetis )p'V $1.4billion,anincreaseof$42million,orthreepercent,overtheFY2001current estimate.Thisincludes$575millioninn  ݌ ,4*Y Ќ XBXXXBXBXXXB  discretionaryappropriationstoCDC,and X  $796millionfortheVaccinesforChildren(_VFC_)program.Over2millionnewbornseachyeardependuponCDCfundedvaccines.+.XBXXXB  XBXXXB   vVB2.b~1Kac `..@EE cc]v+.  @ U.S.PercentageofImmunized+.@Ԍ @ ЌXBXXBXBXXB  +.t  ,XBXXXB  XBXXXB   +.  @ Plt Children19to35Months+.Xx lԌ x  ЌXBXXBXBXXB  n XBXXXBXBXXXB  nW    TheFY2002budgetrequests 8 $107million,anincreaseof$1million,forglobalimmunizationactivities,includingpolioeradication.Whileworld-widepoliocaseswerereducedbyanestimated95percentbetween1988and2000,amajorinternationalincreaseineffortwillbeneededtoreachtheWorldHealthOrganizationsgoaltocertifyglobalpolioeradicationby2005.nW݌̌ XBXXXBXBXXXB  +.`" p!XBXXXB  XBXXXB   +.  BirthDefects,Developmental `"  Disabilities,andHealth+.$!L# Ԍ̌XBXXBXBXXB  n XBXXXBXBXXXB  nz    TheChildrensHealthActof2000 $"" calledforCDCtoestablishanewBirthDefectsandDevelopmentalDisabilitiesCenter.ThiscenterwillcarryoutarangeofactivitiespreviouslyfundedinEnvironmentalHealth,includingpreventionofautism,fetalalcoholsyndromeand_spina_bifida.TheFY2002budgetproposes$76million,anincreaseof$6million,oreightpercentfortheseprograms.Thisincludes$11millioninprogramincreases, $.+, offsetby$5millioninreductionstoprogramsthatreceivedone-timefundinginFY2001.Activitiestobeaddressedbythisnewcenterinclude:educationandoutreach,toincreaseconsumptionoffolicacid;pilotprograms,forattention-deficit,hyperactivitydisorder;andincreasedsurveillanceandnewStateprogramsthatwillpromoteoptimalchildhooddevelopment.nz݌̌ XBXXXBXBXXXB  +. < LXBXXXB  XBXXXB   +.(  OccupationalSafetyandHealth+.(H < Ԍ H 5 ЌXBXXBXBXXB  n XBXXXBXBXXXB  nu D   TheNationalInstituteforOccupational 4 6 SafetyandHealth(_NIOSH_)establishesanddisseminatesscientificandpublichealthinformationnecessarytoensuresafeandhealthfulworkingconditionsformillionsofAmericanworkingmenandwomen.Researchwillcontinuetoaddresssolutionstooccupationaldiseaseandworkplacesafetyconcernsinthosefieldswherethedangersarethegreatest.nu݌̌ XBXXXBXBXXXB  n XBXXXBXBXXXB  ng  D   Thebudgetincludes$266millionfor l@ _NIOSH_,anincreaseof$6million,ortwopercentovertheFY2001level.ThisincreasewillsupporttheNationalOccupationalResearchAgenda(NORA),_NIOSH_sresearchprogramdevelopedcooperativelywithacademiccentersandindustry.ng  ݌̌ XBXXXBXBXXXB  n XBXXXBXBXXXB  n# D   .xDtXBXXXBXBXXXB   EnergyEmployeesOccupationalIllness DH CompensationActof2000.#X: XBXXXBXBXXXB  Inadditionto ,I itsongoingactivities,_NIOSH_ԀwillassistintheimplementationoftheEnergyEmployeesOccupationalIllnessCompensationActof2000.SixtymillioninmandatoryfundingwasappropriatedtotheDepartmentofLabor(DOL)inFY2001foradministrativecosts,whichcanbetransferredtovariousFederalagenciesdependingontheirworkload.TheFY2002budgetincludes$136millioninDOL,anincreaseof$76millionoverFY2001,for thevariousagenciesadministrativecosts.n##݌ <*'U Ќ XBXXXBXBXXXB  +.HXXBXXXB   XBXXXB   +.'  XHChronicDiseasePreventionand X HealthPromotion+.'4(DԌ̌XBXXBXBXXB  n XBXXXBXBXXXB  n()    Ofthetoptencausesofdeath,chronic  diseasesaccountforthefirstfour!heartdisease,cancer,strokeandchronicobstructivepulmonarydiseases.CDCsupportsnumerousongoingactivitiesdesignedtopreventchronicdiseasesincludingcardiovasculardisease,diabetes,arthritisandcancer.Chronicdiseaseprogramsprovideover200,000breastandcervicalcancer_screenings_Ԁannuallyandpromoteproperdiet,exerciseandtobacco-usereduction.n())݌̌ XBXXXBXBXXXB  n XBXXXBXBXXXB  nV,    Thebudgetincludes$575millionfor   ChronicDiseasePreventionandHealthPromotion,adecreaseof$175million,or23percent,belowFY2001.Thisreflects$27millioninreductionstoprogramsthatreceivedonetimefundinginFY2001,notcontinuinganew$125millionyouthmediacampaign,and$23millionin_reallocations_tosupportnewinitiatives.nV,,݌̌ XBXXXBXBXXXB  +.0@XBXXXB  XBXXXB   +."/  EnvironmentalHealth+."//0Ԍ  ЌXBXXBXBXXB  n XBXXXBXBXXXB  ne0    Thebudgetincludes$137millionfor x environmentaldiseaseprevention.Thisincludes$3millioninprogramincreases,offsetby$4millioninreductionstoprogramsreceivingone-timefundinginFY2001.CDCsupportsacomprehensiveenvironmentalhealthprogramthatincludesassessmentsofhumanexposuretotoxiccontaminants,preventionofasthmaandchildhoodleadpoisoning,publichealthgenetics,andemergencyresponsetochemicalandradiologicaldisasters.ne00݌̌ XBXXXBXBXXXB  +.&x$%#XBXXXB  XBXXXB   +.3  EpidemicServicesandResponse+.34',%&x$Ԍ ',%$ ЌXBXXBXBXXB  n XBXXXBXBXXXB  n4    CDCs_epidemiologists_Ԁarethe disease p(&% detectivesthatdeterminethecauseofoutbreaksanddevelopthecountermeasuresthatstemthespreadofillness.TheFY2002budgetincludes$80million,anincreaseof$3million,orfourpercentaboveFY2001,fortheEpidemicServicesandResponse -++ Program.Fundswillsupporttrainingactivities,suchastheFieldEpidemiologyTrainingProgram(_FTEP_),whichpreparespublichealthpractitionersinothercountriestodetectandrespondtodiseaseoutbreaks.n4N5݌̌ XBXXXBXBXXXB  +.XBXXXB  XBXXXB   +.l8  PublicHealthImprovement+.l88@Ԍ @0 ЌXBXXBXBXXB  n XBXXXBXBXXXB  n9 D   ThenewPublicHealthImprovement  ,1 budgetlinefundedat$110millionbringstogethercross-cuttingactivitiesthatseektoimprovetheoverallpublichealthsystem.Aprimarygoalofthisprogramistoupgradethepublichealthinfrastructurebydevelopingintegratedcomputer-basedsurveillanceandelectroniccommunicationssystems,suchastheNationalElectronicDiseaseSurveillanceSystem(_NEDSS_).FundsalsowillsupportCDCsPublicHealthPracticeProgramOffice(_PHPPO_),whichprovidestrainingandperformancemeasurementofpublichealthactivitiesattheState,localandnationallevel;theRacialandEthicApproachestoCommunityHealth(REACH2010)demonstrationprojects,whichseektoeliminateracialdisparitiesinhealthinareasincludingchronicandinfectiousdiseases;andPreventionResearch.n93:݌̌ XBXXXBXBXXXB  +.xXBXXXB  XBXXXB   +.t>  InjuryPrevention+.t>>,xԌ ,F ЌXBXXBXBXXB  n XBXXXBXBXXXB  n? D   Nearly150,000Americansdieeachyear pG frominjuries.Thebudgetincludesatotalof$144millionforinjurypreventionefforts,anincreaseof$1millionoverFY2001.Thisincludes$45millionpreviouslyfundedthroughtheCrimeBillanddisplayedaspartofthePreventiveHealthBlockGrant.n?3@݌̌ XBXXXBXBXXXB  n XBXXXBXBXXXB  n'B D   CDCwillcontinueanemphasison %#N preventingviolenceagainstwomenandyouthviolencebydevelopingaNationalViolentDeathReportingSystemandcontinuingtoexpandtheNationalResource CenterforYouthViolencePrevention.n'BB݌ *((S Ќ XBXXXBXBXXXB  +.HXXBXXXB   XBXXXB   +.qD  XHHealthStatistics+.qDD XԌ   ЌXBXXBXBXXB  n XBXXXBXBXXXB  nE    Thebudgetincludes$127million,an  increaseof$5millionovertheFY2001level,forhealthstatistics.InFY2002,_NCHS_ԀwillsupporttheNationalHealthInterviewSurvey,theNationalHealthandNutritionExaminationSurvey,theNationalVitalStatisticsSystem,andtheNationalHealthCareSurvey.Thesesurveys,alongwith_NCHS_Ԁresearchandanalyticprograms,provideinformationcriticaltomonitoringthedynamicsofhealthandhealthcare,andprovidetheunderpinningsforbiomedicalresearch,healthpolicy,andpublichealthpractice.ThebudgetrequeststhatCDCshealthstatisticsprogrambefinancedentirelybyPHSevaluationfundsinFY2002.nEOF݌̌ XBXXXBXBXXXB  +.P`XBXXXB  XBXXXB   +.I  AgencyforToxicSubstancesand P DiseaseRegistry(_ATSDR_)+.IrJH<Ԍ̌XBXXBXBXXB  n XBXXXBXBXXXB  nzK    _ATSDR_ԀismanagedaspartofCDCand 4 performspublichealthactivitiesrelatedtoSuperfundToxicWastesites.Theseincludehealthconsultations,epidemiologicalsurveillance,profilesofthehealtheffectsofhazardoussubstances,andeducationofhealthcareprovidersnearSuperfundsites.Thebudgetincludes$78millionfor_ATSDR_,anincreaseof$3millionovertheFY2001level._ATSDR_ԀisfundedthroughtheVeteransAffairs,HousingandUrbanDevelopmentappropriations_subcommitee_.PriortoFY2001,_ATSDR_ԀwasfundedthroughtheEnvironmentalProtectionAgency.nzKK݌̌ XBXXXBXBXXXB  +.$"$!XBXXXB  XBXXXB   +.O  PreventiveHealthBlockGrant+.OP%T#$"Ԍ %T#" ЌXBXXBXBXXB  n XBXXXBXBXXXB  nP    TheFY2002budgetincludes &@$# $135millionforthePreventiveHealthandHealthServicesBlockGrant(_PHHSBG_),thesamelevelasFY2001.Fundstotaling$45millionprovidedpreviouslythroughtheCrimeBillandincludedintheBlockGrantbudgetactivitylinewillnowbeincluded withinInjuryPrevention.nPiQ݌  -** Ќ XBXXXBXBXXXB  n XBXXXBXBXXXB  nS D   The_PHHSBG_ԀprovidesStateswith X*  fundsforpreventivehealthservicesincludingemergencymedicalservices,school-basedfluoridationandthecontrolofrodents.BlockgrantfundsalsomaybeusedtoachieveprogresstowardtheHealthyPeople2010goals,especiallyinareasofcardiovasculardisease,cancerandpublichealtheducation.nS#T݌̌ XBXXXBXBXXXB  +. < LXBXXXB  XBXXXB   +.gV  HealthyCommunitiesInitiative+.gVVH < Ԍ H 3 ЌXBXXBXBXXB  n XBXXXBXBXXXB  nW D   TheFY2002PresidentsBudgetseeks 4 4 toencourageStateandlocalinnovationsthattargethealthriskssuchasheartdisease,increasedaccesstocare,andhigherqualitycare.NineprogramsinCDC,HRSAandHCFA,whichtotalabout$400millionannuallyareincludedintheinitiative.Thisincludesabout$185millioninCDCprogramsforcardiovasculardisease,diabetes,prostatecancer,tobaccouse,anddemonstrationprojectstoreduceracialandethnichealthdisparities(REACH2010).nW3X݌̌ XBXXXBXBXXXB  +.4DXBXXXB  XBXXXB   +.Z  OfficeoftheDirector+.Zj[4Ԍ @ ЌXBXXBXBXXB  n XBXXXBXBXXXB  n0\ D   CDCisengagedinanon-going, |A aggressivestrategytoimprovefinancialmanagementofitsdiseasepreventionprograms.Severalrecentexternalreviewsoffiscalpracticefoundacommitmenttoexcellence,butneededupgradesofoutdatedsystemsandpractices.TheFY2002budgetincludes$49million,anincreaseof$8million,or19percent,overFY2001.Ofthisincrease,$4millionistoreplaceCDCsagingaccountingsystemwithanenterprisewidebusinesssolution.Additionalfundswillsupportmanagementtrainingactivitiestocontinueskillsdevelopmentoffinancialstaff.n0\\݌̌ XBXXXBXBXXXB  +.)@'(P&XBXXXB  XBXXXB   +._  NewBudgetStructure+._H`L*')@'Ԍ L*'P ЌXBXXBXBXXB  n XBXXXBXBXXXB  n a D   TheFY2002PresidentsBudget 8+(Q includesarevisedbudgetstructureforCDCwhichmorecloselyalignsfundingwiththecenters,institutesandofficesthatmanage -+T theseprograms.Forexample,intheFY2001budget,theInfectiousDiseasebudgetactivityprovidedfundingforsixcentersandofficesatCDC,whiletheNationalCenterforInfectiousDiseases(_NCID_)receivedfundingfromsevenbudgetactivities.IntheFY2002budget,allfundingintheInfectiousDiseaselinewillbefor_NCID_Ԁprograms.Similarly,_NCID_ԀwillreceivefundingonlyforInfectiousDiseasesandthroughcrosscuttingactivities.Otherfundingthathasgoneto_NCID_Ԁisn aa݌ | $  Ќ XBXXXBXBXXXB  n XBXXXBXBXXXB  ne D    reclassifiedasinfectiousdiseasefunding. X  FY2000andFY2001appropriationsaredisplayedcomparablysothatpolicyincreasesanddecreasesareclearlyrepresented.ne f݌̌ XBXXXBXBXXXB  n XBXXXBXBXXXB  ng D   Thebudgetdisplayreducesthenumber  ofactivitylinesfromnineteentofifteen,andreducesthenumberofsub-activitiesbyanestimated70percent.ThisinformationwillbesupplementedwithestimatesofspendingonspecificdiseaseswhichCDC,likeNIH,willpostonits_website_Ԁ(www.cdc.gov).ngh݌ | $  Ќ XBXXXBXBXXXB  (X@(  T  #  XXXXBeeXX  #jj@$    CDCOVERVIEW#jjj j  X AZ') HxdE#HxAeeeeeXBXeeeԌ $ Ќ  @  (dollarsinmillions)  k pV<,(`~1 ,Q" `L)/Ex"x"e8F#p`xK`x (#(#                                        (#(#` ` `xAZ') HxdE6*HxA 7*'+  <  ~*&(, "<#  XXXXBeeXX  #r@     ݀NATIONALINSTITUTESOFHEALTH#rLs qs  X AZ') HxdE#HxAeeeeeXBXeeeԌ $ Ќ  @  (dollarsinmillions)  k pV<,(`~1 ,+ `. Exdxde8p (#(#`xH`x         (#(#`x`x`xAZ') GxdEGxA 7  +.m } XBXXXB  XBXXXB   (X@(#(#(+.w  Summary+.wIxy!m Ԍ y! ЌXBXXBXBXXB  n XBXXXBXBXXXB  !VFBh~0,< `dddd````E,p$VFBh~0,< `dddd````E,p8EVFBh~0,< `dddd````E,p$VFBh~0,< `dddd````E,p8VFBh~0,< `dddd````E,p8VFBh~0,< `dddd````E,p8ny    TheFY2002budgetrequests e  $23.1billionfortheNationalInstitutesofHealth(NIH),anincreaseof$2.75billion,or13.5percent,overtheFY2001level. l l TherequestreflectsaPresidentialinitiativetodoubleNIHsFY1998fundinglevelbyFY2003,withFY2002representingthefourthinstallment l l ofthisfive-yearplan.ThisproposedexpansionforFY2002wouldbethelargestyeartoyeardollarincreaseeverforNIH,andreflectsnearlya70percentincreaseoverFY1998.ny~݌̌ XBXXXBXBXXXB  n XBXXXBXBXXXB  n    NIHistheworldslargestandmost !! distinguishedorganizationdedicatedtomaintainingandimprovinghealththroughmedicalscience.TheresearchthatisconductedandsupportedbyNIHrangesfrombasicresearchexploringthefundamentalworkingsofbiologicalsystems,tostudiesthatexaminediseaseandtreatmentsinclinicalsettings,toprevention,andtopopulation-basedstudiesofhealthstatusandneeds.Thesecutting-edgeeffortsofferthepromiseofbreakthroughsinpreventingandtreatinganynumberofdiseases.nj݌ -+. Ќ XBXXXBXBXXXB  n XBXXXBXBXXXB  n] D   NIHsbudgetiscomposedof m . 27appropriationsforitsInstitutesandCenters,OfficeoftheDirector,andBuildingsandFacilities.ThemissionsofindividualInstitutesandCentersmayfocusonagivendisease,suchascancer,mentalillness,orinfectiousdiseases;onaparticularorgan,suchastheheart,kidney,oreye;oronastageofdevelopment,suchaschildhoodoroldage.Inotherinstances,amissionmightencompasscross-cuttingneedsandopportunities,suchasthedevelopmentofresearchresourcesorthesequencingandmappingofthehumangenome.n]܄݌̌ XBXXXBXBXXXB  +.1AXBXXXB  XBXXXB   ~V"KH84j~1 x `..@E $@ ~+.  @4 NIHTotalFunding+.ވ=1Ԍ == ЌXBXXBXBXXB  [XXB   -*M n XBXXXBXBXXXB  nz    Approximately84percentofthefunds X  appropriatedtoNIHflowsouttotheextramuralcommunity,whichsupportsworkbymorethan50,000researchersaffiliatedwithabout2,000universities,hospitals,andotherresearchfacilities.Asmallpercentageofthebudget!approximately11percent!supportsacoreprogramofbasicandclinicalresearchactivitiesadministeredandstaffedbyNIHsownphysiciansandscientists.Anotherfourpercentprovidesforresearchmanagementandsupportandoverallagencyadministration.InFY2002,approximatelyonepercentofthebudgetisdevotedtoreplacing,modernizing,andrepairingNIHsintramuralresearchfacilities.n,݌̌ XBXXXBXBXXXB  n XBXXXBXBXXXB  %VFBh~#w,< `ddddE, (CL !VFBh~#w,< `ddddE, (C'L !BVFBh~#w,< `ddddE, (CL !VFBh~#w,< `ddddE, (C'L !VFBh~#w,< `ddddE, (C'L !VFBh~#w,< `ddddE, (C'L !n    Withitsrecentlargeinfusionof  resources,NIHhasworkeddiligentlyto  makesurethatthoseresourcesaremanagedproperly.TheagencyisintheprocessofdevelopingadditionalstrategiestoensurethattheFY2002andsubsequentincreasesarespentinthemost   efficientandeffectiveway,withaneyetomaximizebudgetaryandmanagementflexibilityinthefuture.n݌̌ XBXXXBXBXXXB  +.!\ lXBXXXB  XBXXXB   +.!  ResearchThemes+.!h" !\Ԍ h" ! ЌXBXXBXBXXB  n XBXXXBXBXXXB  n_    WiththeincreaserequestedforFY2002, T# " NIHplanstofocusonfourbroadareaswhichitbelieveshavethegreatestpotentialforyieldingnewscientificknowledgethatcanleadtoinnovativestrategiesfordiagnosing,treating,andpreventingdisease.Theseareasofunprecedentedscientificopportunitiesinclude:n_ޗ݌̌ XBXXXBXBXXXB  n XBXXXBXBXXXB  n    .x,+(*\(XBXXXBXBXXXB   GeneticMedicine.: XBXXXBXBXXXB  Therecent ,+(* decipheringofthehumangeneticcodeisoneofthegreatestachievementsinthehistoryofscience.Thisdraftmapofthe -+- humangenome,aswellasthoseofanimalmodels,providesresearcherswithameansofunderstandingthemostbasicelementsofhumanformandfunctionandtheroleofeachgeneorcombinationsofgenesinhumanhealthanddisease.Thisinformationcanthenbeused,forexample,todevelopimproveddiagnostictechniquesandindividualizedtherapieswithgreatereffectivenessandfewersideeffects.nd݌̌ XBXXXBXBXXXB  n XBXXXBXBXXXB  nG D   .x 8 XBXXXBXBXXXB   ClinicalResearch.: XBXXXBXBXXXB  Successfully  7 translatingadvancesinunderstandingfundamentalhumanbiologyintoimprovementsinhumanhealthrequiresclinicalresearch.NIHplanstocontinueitseffortstoreinvigorateclinicalresearchbyrecruiting,training,andretainingclinicalinvestigators;strengtheningclinicalresearchcenters;andsupportingclinicaltrials,networks,anddatabasesinmanydiseaseareas,suchasHIV/AIDS,diabetes,tuberculosis,malaria,_neuro_-degeneration;andmentalillness.nGƞ݌̌ XBXXXBXBXXXB  n XBXXXBXBXXXB  n D   .x|$XBXXXBXBXXXB   InterdisciplinaryResearch.*B:  |$D XBXXXBXBXXXB  Increasingly,opportunitiesformedical hE researchadvancesarerequiringbiologicalscientiststoworkwithexpertsinotheralliedfields,suchaschemistry,mathematics,physics,computerscience,andengineering.Byharnessingthisinterdisciplinaryexpertise,fasterprogresscanbemadein,forexample,designingnewdrugs;imagingmolecules,chromosomes,cells,andorgans;developing_biomaterials_;andanalyzingthewealthofdatabeinggeneratedaboutgenetic,molecular,andcellulareventsandhowtheyinteractclinically.n݌̌ XBXXXBXBXXXB  n XBXXXBXBXXXB  n  D   .x%#d% #XBXXXBXBXXXB   HealthDisparities.: XBXXXBXBXXXB  Akeycomponent %#R oftheNationsefforttoeliminatehealthdisparitiesamongpopulationsintheU.S.ismedicalresearchandresearchtraining,andNIHplanstoexpanditssupportoftheseactivities.NIHhasspentmuchofthepastyeardevelopingaTrans-NIHStrategicPlanforHealthDisparities.ThisplanwillservetoconnectallthecomponentsofNIHinconstructive,_multidisciplinary_ (.+[ collaborationsleadingtoabetterunderstandingofthecausesofhealthdisparities;newandimprovedpreventionstrategies,diagnostics,andtreatmentstoreducehealthdisparities;anexpandedscientificworkforcecommittedtothisgoal;andenhancedcommunicationofresearchresultstoscientists,healthprofessionals,affectedcommunities,andthepublic.n ݌̌ XBXXXBXBXXXB  n XBXXXBXBXXXB  no    TheFY2002PresidentsBudgetalso  L  requests$158millionfortherecentlyestablishedNationalCenteronMinorityHealthandHealthDisparities(_NCMHD_).Thisrepresentsanincreaseof$26million,or20percent,overtheFY2001level.TheseadditionalfundswillbeusedtoestablishaCentersofExcellenceprogramtoconductresearchonminorityhealthandhealthdisparities,andsupportresearchtrainingandtwonewloanrepaymentprogramsforextramuralminorityandhealthdisparitiesresearchers.no݌̌ XBXXXBXBXXXB  +.8HXBXXXB  XBXXXB   +.ׯ  ResearchProjectGrants+.ׯVD8Ԍ D ЌXBXXBXBXXB  n XBXXXBXBXXXB  n    Thesupportofbasicmedicalresearch 0 throughcompetitive,peer-reviewed,andinvestigator-initiatedresearchprojectgrants(_RPGs_)represents54percentofNIHstotalbudget.n݌̌ XBXXXBXBXXXB  +.dtXBXXXB  XBXXXB   vVB"2.b~1 F  `..@E^F F >6 "v+.:  @  Total_RPGs_+.:/pdԌ p ЌXBXXBXBXXB  InFY2002,theNIHbudgetprovides$12.5billion,a12.6percentincreaseoverFY2001,tofund34,090totalprojects,thehighestlevelintheagencyshistory.Thisis 0.+, 1,686moregrantsintotalthanareexpectedtobefundedinFY2001.n XBXXXBXBXXXB  n3 D   Withinthistotal,NIHestimatesitwill 0. support9,158newandcompeting_RPGs_ԀinFY2002,thesamenumberasinFY2001anditselfarecordhigh.NIHplanstoadjusttheaveragevalueofnewandcompeting_RPG_Ԁawardsby4.3percenttoreflectprojectedincreasesinthecostsofcarryingoutbiomedicalresearchanddevelopment.Thiswillraisetheaveragecostofanewresearchstarttoabout$348,000,a36percentincreaseoverFY1998.n3݌̌ XBXXXBXBXXXB  +.D T XBXXXB  XBXXXB   +.t  @ii1 vV)B2.b~1 .y  `..@E\y y  #vNewandCompeting_RPGs_+t D Ԍ  9 Ќ (#(#             (#(#XBXXBXBXXB  +.xXBXXXB  XBXXXB   +.  HIV/AIDSResearch+.h,xԌ ,G ЌXBXXBXBXXB  n XBXXXBXBXXXB  n) D   TheFY2002budgetincludesatotalof pH $2.5billionforAIDS-relatedresearchinthebudgetsoftheNIHInstitutesandCenters,asjointlydeterminedbytheDirectorofNIHandtheDirectorofNIHsOfficeofAIDSResearch.Thisisanincreaseof$258million,or11.5percentovertheFY2001level.Itrepresentsa56percentincreaseinfundingforNIHAIDS-relatedresearchsinceFY1998.n)݌̌ XBXXXBXBXXXB  n XBXXXBXBXXXB  n D   InFY2002,fundingwillbeguidedby (P&R NIHscomprehensiveAIDSresearchplan,developedbytheNIHOfficeofAIDSResearch,inconsultationwiththeInstitutesandCenters.FourmajorthemesframetheFY2002Plan:1)preventionresearchtoreduceHIVtransmissionhereintheU.S. 0.+X andaroundtheworld;2)therapeuticresearchtotreatthosealreadyinfected;3)internationalresearchpriorities,particularlytoaddressneedsindevelopingcountries;and4)researchtargetingthedisproportionateimpactofAIDSonminoritypopulationsintheU.S.n}݌̌ XBXXXBXBXXXB  n XBXXXBXBXXXB  ,VFBh~ b< `ddddE.   ) 8 $VFBh~ b< `ddddEV   ) 8 $?VFBh~ b< `ddddE.   ) 8 $VFBh~ b< `ddddEV   ) 8 $VFBh~ b< `ddddEV   ) 8 $VFBh~ b< `ddddEV   ) 8 $n    HIV/AIDSpreventionresearchincludes t afocusondevelopingasafeandeffectivevaccine;understandinghowtochangethe a a behaviorsthatleadtoHIVtransmission;developingeffectiveandacceptablefemale-controlledchemicalandphysicalbarriermethodstoreducethespreadofHIV;andexploringlower-costalternativestoreducetransmissionfrominfectedmotherstotheirinfants.NIH a a fundingforAIDSvaccineresearchwillgrowto$357million,a27percentincrease#ccddoverFY2001and141percentoverFY1998.#ddccn݌ d  Ќ XBXXXBXBXXXB  n XBXXXBXBXXXB  n    NIHresearchinbasicbiologyhasbeen P thefoundationforthedevelopmentofanewclassofdrugs,knownasproteaseinhibitors,thatareextendingthelengthandqualityoflifeformanyHIV-infectedindividuals.However,manyproblemsremain,makingitcriticaltodevelopsimpler,lesstoxic,andcheaperdrugregimens.nH݌̌ XBXXXBXBXXXB  n XBXXXBXBXXXB  nV    NIHhasrecentlyestablishedanew !X" GlobalAIDSResearchefforttoexpandcollaborationwithinvestigatorsindevelopingcountries.Also,researchtoaddressthedisproportionateimpactoftheHIV/AIDSepidemiconU.S.racialandethniccommunitiescontinuestobeahighpriority.nV݌̌ XBXXXBXBXXXB  +.*')&XBXXXB  XBXXXB   +.  ݀Anti_Bioterrorism_ԀResearch+.6*\(*'Ԍ *\(* ЌXBXXBXBXXB  n XBXXXBXBXXXB  n!    IncludedintheNIHbudgetrequestfor +H)+ FY2002is$93millionforanti_bioterrorism_researchandsupport.NIHwillcontinueto x- +- emphasizegeneratinggenomesequenceinformationonpotential_bioterrorism_Ԁagents,suchastheorganismsthatcauseanthrax,tularemia,andplague.This_genomics_research,coupledwithotherbasicresearchonbiologicalthreats,isexpectedtoleadtoadvancesindevelopingrapiddiagnosticmethods,antimicrobialtherapies,andnewvaccinesforthemostlikely_bioterrorism_agents.n!݌̌ XBXXXBXBXXXB  n XBXXXBXBXXXB  n D   Inaddition,NIHsroleinDepartmental  8 7 anti-_bioterrorism_ԀeffortsisbeingexpandedinFY2002toincludesupportfortheongoing_Oravax_ԀsmallpoxdevelopmentcontractmanagedbyCDC,aswellassupportofnewintergovernmentaleffortstodevelopanextgenerationanthraxvaccine.n~݌̌ XBXXXBXBXXXB  +.XBXXXB  XBXXXB   +.  ExtramuralResearchFacilities > Construction+.!<Ԍ̌XBXXBXBXXB  n XBXXXBXBXXXB  n D   ForFY2002,thebudgetproposesto (@ increasefundingforextramuralresearchfacilitiesconstructionprojectsby$22million,or28percent,to$100million.Thisincludes$97millionadministeredbytheNationalCenterforResearchResources(_NCRR_)and$3millionprovidedbytheNationalCancerInstitute(_NCI_).Thesefundsareawardedonacompetitivebasistopublicandnon-profitprivateentitiestoexpand,remodel,renovate,oralterexistingorconstructnewresearchfacilitiesinordertoexpandtheircapacitytoperformorimprovethequalityoftheirbiomedicalandbehavioralresearch.Ingeneral,these_NCRR_Ԁgrantsarelimitedto50percentofthetotalcostofthefacilityprojects.n{݌̌ XBXXXBXBXXXB  +.&#,%"XBXXXB  XBXXXB   +.d  BuildingsandFacilities+.d&x$&#Ԍ &x$Q ЌXBXXBXBXXB  n XBXXXBXBXXXB  n D   Atotalof$307millionisrequestedfor 'd%R NIHintramuralbuildingsandfacilities(B&F)inFY2002.ThisinvestmentrepresentsaboutonepercentofthetotalNIHbudget.Thesefundswillbeusedtoexpandandmodernizetheinfrastructureforscientistsandresearchsupportstaffworkingprimarilyonthe60-year-oldNIHcampusin 0.+Y Bethesda,Maryland.Majorprojectsinclude$26milliontocompleteconstructionofthefirstphaseoftheJohnEdwardPorterNeuroscienceResearchCenter,and$11milliontobeginplanninganddesignofthesecondphaseofthiscomplex.Whencompleted,thisprojectwillbringtogether,inasharedfacility,basicandclinical_neuroscientists_ԀfromacrossNIHwhoarecurrentlyfragmentedbylocationanddiscipline.TheresultingimprovedcollaborationsinthenewCenterwillspeedtherateatwhichfundamentaldiscoveriesaretranslatedintoeffectivetherapiesforneurologicalandpsychiatricdisorders.n+݌̌ XBXXXBXBXXXB  n XBXXXBXBXXXB  n    Thebudgetalsorequests$53millionto ,  beginconstructionofacentralized,multi-levelanimalfacility,orvivarium.ThisfacilitywillconsolidateongoingprogramsinthecurrentagedandsprawlingBuilding14through28complex,aswellasmeetmodernanimalresearchneeds.nZ݌̌ XBXXXBXBXXXB  n XBXXXBXBXXXB  n:    ForFY2002,$21millionisincludedto H beginplanningfortherepairandrenovationoftheexistingClinicalCenter(Building10)afteritshospitalandrelatedlaboratorycomponentsaremovedtotheadjoiningnewMarkO.HatfieldClinicalResearchCenterinFY2003.n:݌̌ XBXXXBXBXXXB  n XBXXXBXBXXXB  n    Theremaining$196millioninB&F  fundswillbeusedforotherspecificfacilitiesprojectsacrossNIH,includingupgradingandexpandingmechanicalandutilitysystemsinseveralfacilities($35million);avarietyofessentialsafetyandhealthimprovements($32million);otherinterimandtransitionalrenovationsfortheexistingClinicalCenterbuilding($29million);completingthefinalphaseofrenovationsandupgradestoBuilding6,theoldestoperationallaboratorybuildingontheNIHcampus($20million);constructionofanewparkingfacilitytohelpmakeupforthelossofmajorparkingareasduetonewconstructionontheNIHcampus($14million);andgeneralrepairsandimprovementsacrossNIHsnearly200totalbuildings($66million).n ݌ -T+/ Ќ XBXXXBXBXXXB  +.HXXBXXXB  XBXXXB   +.  XHNewInstitutesandCenters+.d XԌ  / ЌXBXXBXBXXB  n XBXXXBXBXXXB  nC D   InFY2001,Congresscreatedtwonew 0 InstitutesorCenterswithinNIH.First,CongresselevatedtheOfficeofResearchonMinorityHealthoutoftheOfficeoftheDirector(OD)tobecometheNationalCenterforMinorityHealthandHealthDisparities(_NCMHD_).TheFY2002budgetrequestfor_NCHMD_Ԁisdiscussedabove.Second,CongressestablishedthenewNationalInstituteforBiomedicalImagingandBioengineering(_NIBIB_).TheNIHbudgetincludes$40millionforthisnewInstituteinFY2002,comparedtothe$2millionitspredecessor,theODOfficeofBioengineering,_Bioimaging_,and_Bioinformatics_ԀexpectstospendinFY2001._NIBIB_Ԁwillberesponsibleforacceleratingthedevelopmentofnew_bioimaging_,bioengineering,and_informatics_Ԁtechnologieswithclinicalandmedicalresearchapplications;improvingcoordinationinthisareaatNIHandwithotherFederalagencies;andsupportingthetrainingofresearchersskilledinthesetechnologies.nC݌̌ XBXXXBXBXXXB  +.XBXXXB  XBXXXB   +.H  OfficeofResearchonWomens H Health+.HPԌ̌XBXXBXBXXB  n XBXXXBXBXXXB  n D   ThePresidentsBudgetfortheNIHOD <J includesapproximately$50millionfortheOfficeofResearchonWomensHealth(_ORWH_),anincreaseofnearly$28millionovertheFY2001level.Withthisincrease,_ORWH_Ԁwillsupportnewresearchactivitiesonwomenshealthandnewcareerdevelopmentprogramsforwomenscientistsininternationalhealthandinterdisciplinaryresearch.Theseresearchactivitieswillfocusonreproductivehealthconcerns;lungcancerpreventionforyounggirlsandwomen;theimpactofcaregivingrolesonhealthrelatedqualityoflifeissues;genderdifferencesinkidneyandurologichealth;andthroughnewinterdisciplinaryresearchcenters,multisystemicdiseasesinwomen, suchasobesity.n݌ @-*[ Ќ XBXXXBXBXXXB  +.HXXBXXXB   XBXXXB   +.#  XHExtramuralLoanRepayment X Programs+.#DԌ̌XBXXBXBXXB  n XBXXXBXBXXXB  n    Congressalsoauthorizedseveralnew  loanrepaymentprogramsforextramuralresearchersinFY2001.ForFY2002,NIHplanstospend$28milliontoaward261contractsforloanrepaymentstoextramuralscientistsengagedinpediatricandclinicalresearch.n݌ l  Ќ XBXXXBXBXXXB  n XBXXXBXBXXXB  n D    Inaddition,thebudgetrequestforthe X NationalCenterforMinorityHealthandHealthDisparitiesincludes$4millionfortwoothernewextramuralloanrepaymentprograms;oneonclinicalresearchforindividualsfromdisadvantagedbackgrounds,andtheotherrelatedtoresearchonminorityhealthdisparitiesissues.nn݌  ` Ќ XBXXXBXBXXXB  (X( D  @DD! VXXBFY2002NIHBUDGET#XBXV#    @  &4%XXB$23.1Billion!PercentofTotalbyMechanism#XBX%&4#Ԉ 0   D"(#D"(#(#(#vV-B2.b~0g `..@EHgGW%v D"(#D"(# #  XXXXBeeXX  # @~ ~     NIHOVERVIEW(byInstitute/Center)# p   X AZ') HxdE#HxAeeeeeXBXeeeԌ $ Ќ  @  (dollarsinmillions)  k 0`<````pV2< ,(`~1E ' `#.E ' 'aWO'&p (#(#                                           (#(#AZ') HxdE,HxA ,*.   B-*/ #  XXXXBeeXX  #ᄖ @     NIHOVERVIEW(byMechanism)#ᄖ   "  X AZ') HxdE#HxAeeeeeXBXeeeԌ $ Ќ  @  (dollarsinmillions)  k pV6<,(`~1 ,  `g+.Ex x e8!'p (#(#9`x9`x                                      (#(#`x`x`xAZ') HxdEJ)HxA K)&* "<a-  ):'+ %< XXXXBeeXX@  SUBSTANCEABUSEANDMENTALHEALTH <#XXee ##XBXXX#  X #  XXXXBeeXX  #@@      SERVICESADMINISTRATION#@   $ AZ') HxdEHxAeeeeeXBXeeeԌ  Ќ  @  (dollarsinmillions)  7 pV><,(`~1 , `. EOxdxde(p (#(#A`x6`x         (#(#}`x`x `xAZ') HxdEZHxA [ +.:JXBXXXB  XBXXXB   (X@(#(#(+.  Summary+.F:Ԍ F ЌXBXXBXBXXB  n XBXXXBXBXXXB  nT    TheFY2002budgetrequestforthe 2 SubstanceAbuseandMentalHealthServicesAdministration(SAMHSA)is$3billion,anetincreaseof$101millionor3.4percent,overtheFY2001enactedlevel.TheSAMHSAbudgetfocusesonenhancingsubstanceabusetreatmentservices,narrowingthesubstanceabusetreatmentgap,increasingdatacollectionactivitiesandmaintainingmentalhealthservices.nT݌̌ XBXXXBXBXXXB  n XBXXXBXBXXXB  n(     SAMHSAsmissionistoimprovethe j qualityandavailabilityofprevention,earlyintervention,treatmentandrehabilitationservicesinordertoreduceillness,death,disability,andcosttosocietyresultingfromsubstanceabuseandmentalillness.SAMHSAaccomplishesitsmissionthroughitsCenters:MentalHealthServices(_CMHS_),SubstanceAbuseTreatment(_CSAT_),andSubstanceAbusePrevention(_CSAP_).n(  ݌̌ XBXXXBXBXXXB  +.~'&%&6$XBXXXB  XBXXXB   +.k#  ReducingTheDrugTreatmentGap+.k##2(%~'&%Ԍ 2(%% ЌXBXXBXBXXB  n XBXXXBXBXXXB  n$    Inanefforttoreducethetreatmentgap, )&& $100millionhasbeenincludedtofundthePresidentsdrugtreatmentinitiative.Intotal,SAMHSAsbudgetproposes$2.2billionforsubstanceabusetreatmentandpreventionactivities.Theseadditional -b++ fundswillallowStatesandlocalcommunitiestoprovidetreatmentservicestoapproximately437,000individuals,anincreaseof17,000overFY2001.n$8%݌̌ XBXXXBXBXXXB  n XBXXXBXBXXXB  V)FBh~  `ddddE: (/ )V)FBh~  `ddddE: (/ )3V)FBh~  `ddddE: (/ )zV)FBh~  `ddddE: (/ )V)FBh~  `ddddE: (/ ) V)FBh~  `ddddE: (/ )n' D   ݀The1999NationalHouseholdSurvey B/ onDrugAbuseestimatesthat14.8millionAmericansusedanillicitdruginthepastmonth.Further,10.9percentofyouthaged (#(#(#(#12-17reportedillicitdruguseinthepastmonth.Anestimated2.3millionpersonsusedmarijuanaforthefirsttimein1998.Thistranslatestoapproximately6,400newmarijuanausersper (#(#(#(#day,ofwhichmorethantwothirdswereunder18yearsofage.Amongthe471,000first-timeusersofheroin,aquarterwereunderage18andanother47percentwereage18-25.n',݌̌ XBXXXBXBXXXB  n XBXXXBXBXXXB  n/ D   Nationwide,therecontinuestobeagreat (F&D needtoexpandthecapacitytotreatindividualswhouseandareaddictedtoillegaldrugs.Thedrugtreatmentgaprevolvesaroundthreeissues:accessibility,affordability,andavailability.TheOfficeofNationalDrugControlPolicy(_ONDCP_) &.+J estimatesthatasmanyas5millionAmericansareinneedofsubstanceabusetreatmentservices.However,fewerthanhalfactuallyreceiveservices,leavingatreatmentgapof2.9millionindividuals.n/?0݌̌ XBXXXBXBXXXB  n XBXXXBXBXXXB  n&3    Illicitdruguseimpactsonmorethanthe  individualuser._ONDCP_Ԁestimatesthecosttosocietytobeapproximately$110billioneachyear.The$100millionbudgetinitiativeprovidesincreasesfortheSubstanceAbuseBlockGrant(_SABG_)andtheTargetedCapacityExpansionProgram.n&33݌̌ XBXXXBXBXXXB  n XBXXXBXBXXXB  n5    Atotalof$1.7billionisrequestedfor h   the_SABG_,anincreaseof$60millionoverFY2001.The_SABG_ԀisthecornerstoneofStatessubstanceabuseprograms,andprovidessupportforover10,500communitybasedtreatmentandpreventionorganizations.n5G6݌̌ XBXXXBXBXXXB  n XBXXXBXBXXXB  nM8    Therequestalsoprovides$201million  fortheTargetedCapacityExpansionProgram(_TCE_)withintheProgramsofRegionalandNationalSignificance,anincreaseof$40millionor25percentabovetheFY2001enactedlevel.Theincreasewillsupportanadditional80grantsforatotalof380grantstobemadeavailablethrough_TCE_.Amongtheadditionalgrants,$8millionisincludedforcompetitivegrantstoprovideresidentialtreatmentprogramsforteenagerswithsubstanceabuseproblems,and$6millionisincludedtoprovidetreatmentservicestoteensinanoutpatientsetting._TCE_Ԁgrantsaredesignedtosupportrapidstrategicresponsetoemergingtrends,(e.g.,ecstasyandmethamphetamine).nM88݌̌ XBXXXBXBXXXB  n XBXXXBXBXXXB  n<    .x$!#0!XBXXXBXBXXXB   DataCollection.a=: XBXXXBXBXXXB  SAMHSAengagesin $!$ anextensivenationaldatacollectionefforttoevaluateboththeprevalenceoftheseconditionsandtheeffectivenessofitsprogramsattreatingorpreventingthem.n<7=݌̌ XBXXXBXBXXXB  n XBXXXBXBXXXB  n?    SAMHSAhasthreemainsurveyswhich (D&) serveasthemajorsourceofinformationtoFederalandStateofficialsintheireffortstofightsubstanceabuse.Thesurveysare:theNationalHouseholdSurveyonDrugAbuse(_NHSDA_);theDrugAbuseWarningNetwork(DAWN);andtheDrugand $.+/ AlcoholServicesInformationSystem(_DASIS_).Thebudgetsupportsthesurveysatapproximately$76.8million,anincreaseof$17million.n?$@݌̌ XBXXXBXBXXXB  n XBXXXBXBXXXB  nB D   The_NHSDA_Ԁiscurrentlytheonly 3 nationalsourceofinformationonsubstanceabuseproblemsandtreatmentinthegeneralpublic.Forthe_NHSDA_Ԁtherewereapproximately70,000peoplesurveyed.Thedataisusedtostudytrendsandattitudesintheuseofbothlegalandillicitsubstances.Thesurveyisalsoaninvaluableanduniquesourceofinformationforstudyingthecausesofsubstanceabuse,thedemandfortreatment,andtheeffectivenessofserviceprograms.The_NHSDA_ԀwasrecentlyexpandedtoproduceStatelevelestimatesonanannualbasis.TheexpandedsurveywillallowcomparisonsbetweenStatesontheprevalenceofsubstanceabuse.nB_C݌̌ XBXXXBXBXXXB  n XBXXXBXBXXXB  nG D   DAWNistheNationsdatasystemthat pC collectsdataondrug-relatedvisitstohospitalemergencydepartmentsanddrugrelateddeaths.Themostrecentsurveyshowedthattherewereapproximately554,932drug-relatedemergencyroomvisitsintheU.S.ThegoalofDAWNistoprovidedatatoenhancethestudyofthehealthconsequencesofsubstanceabuseandtheimpactofdruguseontheNationshealthcaresystem.nGG݌̌ XBXXXBXBXXXB  n XBXXXBXBXXXB  nJ D   _DASIS_Ԁprovidesacomprehensive N nationaldatasetonsubstanceabusetreatmentfacilities,clientsandtreatmentadmissions.Currentlythereare13,455treatmentfacilitiesintheU.S.whichserveoveronemillionclients.nJJ݌̌ XBXXXBXBXXXB  +.d% #t$"XBXXXB  XBXXXB   +.HL  MentalHealth+.HLL&#d% #Ԍ &#T ЌXBXXBXBXXB  n XBXXXBXBXXXB  nM D   Thebudgetincludes$766million,a '$U decreaseof$16millionformentalhealthactivities.Highlightswithinthetotalare:$420millionfortheMentalHealthBlockGrantforStatestoprovidecommunitybasedcareforadultswithseriousmental illnessandchildrenwithseriousemotional ,4*[ disturbances;$90milliontoaddressviolenceinourchildrensschools;andnMN݌ XBXXXBXBXXXB  n XBXXXBXBXXXB  nhP     $7millionforaprogramtotreatmental 0 healthdisordersrelatedtoHIV/AIDS.Ofthe$16millionreduction,$11millionistheresultofonetimeprojectsfundedinnhPP݌  Ќ XBXXXBXBXXXB  n XBXXXBXBXXXB  nwR D    FY2001and$5millionfromthe X completionofprojectsthatprovidegreaterknowledgeabouttheprovisionofmentalhealthservices.nwRR݌  Ќ XBXXXBXBXXXB  (X@(  t #  XXXXBeeXX  #ᄡT@aa#    SAMHSAOVERVIEW#ᄡTU -U  X AZ') HxdE#HxAeeeeeXBXeeeԌ $ Ќ  @  (dollarsinmillions)  k pVF<,(`~1 , `-.Exixie8*p (#(#I`x0`x                                    (#(#w`x`x`xAZ') HxdEr'HxA s'%( %<  'b%) 6<#  XXXXBeeXX  #ᄰ\@    AGENCYFORHEALTHCARERESEARCHANDQUALITY#ᄰ\] <]  X AZ') HxdE#HxAeeeeeXBXeeeԌ $ Ќ  @  (dollarsinmillions)  k pVO<,(`~1 ,+ `. Exxe8+p (#(#R`x-`x         (#(#t`x`x`xAZ') HxdEHxA 7  +.n ~ XBXXXB  XBXXXB   (X@(#(#(+.ya  Summary+.ya bz"n Ԍ z" ЌXBXXBXBXXB  n XBXXXBXBXXXB  nb    TheFY2002requestfortheAgencyfor f HealthcareResearchandQuality(AHRQ)providesaprogramlevelof$306million,anincreaseof$36million,or13.5percentoverFY2001.ThisgrowthratereflectsamajorcommitmenttotheimprovementofthequalityofpatientcareprovidedbytheAmericanhealthcaresystem.InFY2002,AHRQwillbefullyfundedthroughinter-agencytransfersofevaluationfunds.Thebudgetwillplaceapriorityon:nbVc݌̌ XBXXXBXBXXXB  `x2L 4(*-/0123Ch3)LXBXXXB  `e0  2C3  0  Improvingcosteffectivenessand  qualityofmedicalcare;`ef݌  ЌL )#3h4(*-/0123LXBXXXB  `xRL 4(*-/0123Ch3)LXBXXXB  `h0  2C3  0  Reducingthenumberofmedical R errorsandimprovingpatientsafety;`hh݌  ЌL )#3h4(*-/0123LXBXXXB  `x J* L 4(*-/0123Ch3)LXBXXXB  `3j0  2C3  0  Providingnationalreportsrequired  J byCongressonqualityanddisparitiesinhealthcare.`3jj݌  ЌL )#3h4(*-/0123LXBXXXB  n XBXXXBXBXXXB  `#n!f#!nzl    AHRQconductsandsponsorshealth #n!! servicesresearchtoinformdecision-makingandimproveclinicalcare,andthedorganizationandfinancingofhealthcare.AHRQsupportsthetranslationofresearchintomeasurableimprovementsinthecareAmericansreceive.Thisworknotonlyimproveshealthcare,butalsocontributestoobtainingbettervaluefortheNationshealthcarespending.AHRQdaccomplishesitsmissionthroughpartnershipswithotherFederalagencies,academicinstitutions, -+, medicalsocieties,managedcareorganizations,andhealthcarepayers.nzlm݌̌ XBXXXBXBXXXB  n XBXXXBXBXXXB  n+p D   TheAgencysupportsresearchproject F. grantsandresearchcontractsatcollegesanduniversitiestocapitalizeontheexpertiseofacademicinstitutions.Inaddition,AHRQhasforgedcooperativerelationshipswithmajorhealthcareorganizationstoensurethatresearchfundedbytheAgencyisimplementedbythemajorplayersinthehealthsystem.n+pp݌̌ XBXXXBXBXXXB  +.XBXXXB  XBXXXB   +.r  HealthCosts,Quality,and 7 Outcomes+.rNsz"nԌ̌XBXXBXBXXB  n XBXXXBXBXXXB  n!t D   ThePresidentsBudgetwillcontinueto f9 supportimprovementsthroughresearchonthecosteffectivenessandqualityofhealthcarebyprovidingatotalof$255million,whichisanincreaseof$29millionaboveFY2001.n!tt݌̌ XBXXXBXBXXXB  n XBXXXBXBXXXB  nGv D   .xf#!" XBXXXBXBXXXB   QualityandCost-Effectiveness.v: XBXXXBXBXXXB  There f#!? continuestobeastrongneedtodevelopwaystomeasureandimprovethequalityandcosteffectivenessofcare.AHRQisalsoworkingtoidentifystrategiesthatimproveaccessandfostertheappropriateuseofhealthcare,whichincludesreducingunnecessaryexpenditures.InFY2002,theAgencyforHealthcareResearchandQualitywilluseanincreaseof$26milliontosupportresearchneededtoimprovethequalityandcost-effectivenessofcare.nGvv݌ -2+J Ќ XBXXXBXBXXXB  n XBXXXBXBXXXB  VVFBh~#< `ddddEb  Ca ,VFBh~#< `ddddEb  Ca ,*VFBh~#< `ddddEb  Ca ,qVFBh~#< `ddddEb  Ca ,VFBh~#< `ddddEb  Ca ,VFBh~#< `ddddEb  Ca ,njz    TheEvidence-BasedPracticeCenters no{r݌   X   X    X    X   X    X  X   X    X  X   X    X   XBXXXBXBXXXB    X (_EPCs_)areamongthemostvisibleexamplesofAHRQsworktoimplementthemost   effectivemedicalpractices.Eachofthe12_EPCs_hasafive-yearcontracttoreviewassignedspecifictopicsinclinicalcare.Topicsselectedmustbecommon,expensive,andsignificantfortheMedicareandMedicaidpopulations.   Examplesofrecenttopicsincludemanagementofchildhoodearinfections,prostatecancer,andstableanginatherapies.njzm݌̌ XBXXXBXBXXXB  n XBXXXBXBXXXB  n    AHRQsupportsTranslatingResearch \ IntoPractice(TRIP)grantstomovetheresultsofresearchintodailypractice.Areasoffocusincludepreventiveservicesforadolescents,improvedtreatmentforstrokeanddiabetes,andpainmanagement.n݌̌ XBXXXBXBXXXB  n XBXXXBXBXXXB  nK    .x\<XBXXXBXBXXXB   PatientSafety.: XBXXXBXBXXXB  InFY2002,anincrease \ of$3millionoverFY2001,foratotalof$53million,isdedicatedtopatientsafetyresearch.Thismajorresearcheffortwilldevelopandtestnewtechnologiestoreduceerrors,researchthecausesofmedicalerrors,providetraining,andtestreportingstrategiesthroughlargedemonstrationsinStatestoprovideinformationforfurtherresearchandimprovements.nKʇ݌̌ XBXXXBXBXXXB  n XBXXXBXBXXXB  n    AHRQ,theCentersforDiseaseControl $"% andPrevention,theFoodandDrugAdministration,andtheHealthCareFinancingAdministrationareworkingcollaborativelytodevelopacommoninterfaceformedicalprovidersthatwillbothenhancetheusefulnessofadverseeventinformationandreducereportingburdenfortheirpartnersinthehealthcarecommunity.n݌̌ XBXXXBXBXXXB   8-*. +.HXXBXXXB  XBXXXB   +.ɍ  XHMedicalExpenditurePanelSurveys+.ɍH XԌ  . ЌXBXXBXBXXB  n XBXXXBXBXXXB  n. D   ThePresidentsBudgetprovides / $49million,anincreaseof$8millionfortheMedicalExpenditurePanelSurveys(_MEPS_)._MEPS_Ԁarethecollectionofdetailed,nationaldataonthehealthcareservicesAmericansuse,howmuchtheycost,andwhopays.n.݌̌ XBXXXBXBXXXB  n XBXXXBXBXXXB  n D   Enhancementsin_MEPS_Ԁwillleadtoa l 6 betterunderstandingofthequalityofcaretheaveragehealthcareconsumerreceives,andofdisparitiesinthecaredelivered._MEPS_ԀdataiscriticalfortrackingtheimpactofFederalandStateprogramsoncare,includingtheStateChildrensHealthInsuranceProgram(_SCHIP_),MedicareandMedicaid.n2݌̌ XBXXXBXBXXXB  n XBXXXBXBXXXB  n D   .x0`XBXXXBXBXXXB   NationalReportsonQualityand 0? DisparitiesinHealthCare.[: XBXXXBXBXXXB  Muchofthe @ increasein_MEPS_ԀwillsupporttwonewreportsrequiredbyAHRQs1999_reauthorization_.Thefirstreport,anticipatedinFY2003,isonnationaltrendsinthequalityoftheNationshealthcare.Thisreportwillincludeinformationonpatientassessmentofhealthcarequality,clinicalqualitymeasuresofcommonhealthcareservices,andperformancemeasuresrelatedtooutcomesofacuteandchronicdisease.n1݌̌ XBXXXBXBXXXB  n XBXXXBXBXXXB  n D   AHRQs_reauthorization_Ԁalsocallsfora <K reportonpopulationsthatareathighriskfordisparitiesincare.Thesepopulationsincludetheelderly,inner-cityandruralareas,women,children,minorities,low-incomegroups,andindividualswithspecialhealthcareneeds.n݌̌ XBXXXBXBXXXB  n XBXXXBXBXXXB  n D   Tocompletethereports,AHRQwill $X"R supplementthedatacollectedthrough_MEPS_Ԁwithotherdata-collectioneffortsattheAgency,andnonFederaldatasources.Theseadditionalsourcesofdataaresupportedbytheincreaseforresearchonhealthcosts,qualityandoutcomes.n݌ 8*'X Ќ XBXXXBXBXXXB  (X@(#  XXXXBeeXX  #H@==$    AHRQOVERVIEW#H Ԟ  X AZ') HxdE#HxAeeeeeXBXeeeԌ $ Ќ  pVW<,(`~1  `.sEx x G-p@  (dollarsinmillions)  k [`x'`x (#(#                 (#(#n` ` `xAZ') Hxd%EHxA  6<  J <<#  XXXXBeeXX  #@@    HEALTHCAREFINANCINGADMINISTRATION``X#@ ̤  ` AZ') HxdEHxAeeeeeXBXeeeԌ , Ќ  @  (dollarsinmillions)  s pVU<,(`~1 ,+ `. Exxem.p^`x$`x (#(#           (#(#k` ` `xAZ') HxdEHxA   +." XBXXXB  XBXXXB   (X@(#(#(+.O  Summary+.OnԌ n ЌXBXXBXBXXB  n XBXXXBXBXXXB  n    TheFY2002budgetrequestforthe Z HealthCareFinancingAdministration(HCFA)is$386.8billioninnetoutlays.TherequestfinancesMedicare,Medicaid,theStateChildrensHealthInsuranceProgram(_SCHIP_),theHealthCareFraudandAbuseControlProgram(_HCFAC_),Stateinsuranceenforcement,andHCFAsoperatingcosts.Thisbudgetreflectsanincreaseof$32.2billionoverFY2001.n,݌̌ XBXXXBXBXXXB  n XBXXXBXBXXXB  n    ThePresidentsFY2002budget  includesimportantproposalsformodernizingtheMedicareprogram,aprogramwhichrepresentsourNationscommitmenttoourseniorsandthedisabled.Majorinitiativesinclude:fundingtheImmediateHelpingHandprogram;modernizingHCFAsinfrastructuretobetterservebeneficiariesoverthelongterm,includingtakingstepstodecreasetheregulatoryburden;investinginHCFAsaccountingsystemstostrengthenoperationsandrealizelongtermefficiencies;andcontinuingourfightagainstMedicarewaste,fraud,andabuse.WewillcontinuetomakeimportantimprovementstotheMedicarecoverageprocessbymakingitmoreopen,understandable,andpredictableforbeneficiaries,providers,Congressandthepublic.n?݌ n-+- Ќ XBXXXBXBXXXB  n XBXXXBXBXXXB  n D   ThePresidentsFY2002budget - includesnearly$156billion!nearly$3billionthisyearand$153billionovertenyears(FY20022011)!toreformMedicareandprovideimmediateprescriptiondrugcoveragetolowincomeseniorsandthosewithhighoutofpocketdrugcosts.n݌̌ XBXXXBXBXXXB  n XBXXXBXBXXXB  n D   ThePresidentsBudgetalsoprotectsthe .4 integrityoftheMedicaidprogram.Lastyear,CongresstookanimportantsteptoprotecttheintegrityoftheMedicaidprogrambypassinglegislationtoaddressthe upperpaymentlimit(_UPL_)loophole,whichallowedStatestodrawdownbillionsofdollarsinFederalmatchingpaymentsforhospitalsandnursinghomeswithoutanyassurancethatthesepaymentswereusedfortheirintendedpurposes.Butthislegislationonlypartiallyaddressedtheproblem,becauseitcreatedahigherupperpaymentlimitfornonStategovernmentoperatedhospitals.ThePresidentsBudgetclosestheloopholebyprohibitingnewhospitalloopholeplansfromreceivingthehigherupperpaymentlimitproposedintheDepartmentsfinalruleimplementingtheupperpaymentlimitlegislation.n݌  )&G Ќ XBXXXBXBXXXB  (X@(K XXXXB~}XX  Kf@      HCFAFY2002NETOUTLAYSKf¹ Ԍ X Ќ ~}}~XBX}~  @.x:XBXXXBXBXXXB   Total=$386.8billion.: XBXXXBXBXXXB  ݈ : vVaB2.b~1 Kp `..@ExpxpeV/v (#(#                           (#(#<<?  # " ><`'  XXXXBeeXX  `'@&    MEDICARE`' B  X Ќ̌eeeeeXBXeee  +.XBXXXB  XBXXXB   (X@(#(#(+.  CurrentMedicareActivity+.<Ԍ < ЌXBXXBXBXXB  n XBXXXBXBXXXB  n_    .x(XBXXXBXBXXXB   LDOverview.: XBXXXBXBXXXB  MedicareistheFederal D healthinsuranceprogramforpeopleage65orolderandpeopleunderage65whoaredisabledorsufferfromendstagerenaldisease(_ESRD_).InFY2002,theprogramwillserveapproximately40millioneligibleindividuals.Medicareconsistsofthreeparts:n_݌̌ XBXXXBXBXXXB  `x L L 4(*-/0123Ch3)LXBXXXB  `0  2C3  0  PartA!HospitalInsurance(HI)is   anentitlementforallqualifiedbeneficiaries.PartApaysforinpatienthospitalcare,someskillednursingfacilitycare,homehealthcarerelatedtoahospitalstay,andhospicecare.TheHIprogramisfundedthroughtheHITrustFund,whichreceivesmostofitsincomefromtheHIpayrolltax(2.9percentofpayroll,splitevenlybetweenemployersandemployees).TheMedicareTrusteesrecentlyreportedthattheHITrustFundsdepletiondatehasimprovedslightly,from2025to2029,butHIspendingwillbegintoexceedtaxreceiptsby2016.`݌  ЌL )#3h4(*-/0123LXBXXXB  `x@ pL 4(*-/0123Ch3)LXBXXXB  `0  2C3  0  PartB!SupplementaryMedical @  Insurance(_SMI_)coverageisoptional.However,94percentofthoseenrolledinPartAenrollinPartB.PartBpaysformedicallynecessaryphysicianservices,outpatienthospitalservices,treatmentfor_ESRD_,laboratoryservices,durablemedicalequipment,homehealthcare,andcertainothermedicalservicesandsupplies.The_SMI_Ԁprogramisfundedthroughthe_SMI_ԀTrustFund.Enrolleespay25percentofPartBcosts(or$50permonthin2001),withremainingcostscoveredbygeneralrevenue.The.++ _SMI_ԀTrustFunddoesnotfaceinsolvencyliketheHITrustFundsincethelawallows_SMI_Ԁtotapintothegeneralfundtoensureitssolvency.`݌ p(#p(# ЌL )#3h4(*-/0123LXBXXXB  `x | $ L 4(*-/0123Ch3)LXBXXXB  `0 D 2C3  0pD(#D(#  PartC!TheMedicare+Choice  0 Program,whichisavailabletomostbeneficiaries,offerstheoptionofreceivingMedicarebenefitsthroughprivateorganizationssuchasmanagedcareplans.`H݌ p(#p(# ЌL )#3h4(*-/0123LXBXXXB  n XBXXXBXBXXXB  n9 D   `|$Recently,therehasbeenmuch 6 discussionabouttherelationshipofthebudgettoMedicaresTrustFunds.Somewouldliketosetasidethe surplusesaccruingtotheHITrustFundfromtherestofthebudgetandpermanentlyrequirebudgetsurplusesequaltotheseTrustFund surpluses.n9݌̌ XBXXXBXBXXXB  n XBXXXBXBXXXB  n D   Inasensethisargumentismoot,inthat <> thePresidentsproposedAdditionalNeedsandContingencyReservefarexceedsthe surplusesintheHITrustFundovertheperiod20022011.Nonetheless,viewingMedicareHIactivitiesinisolationisflawed.nD݌̌ XBXXXBXBXXXB  n XBXXXBXBXXXB  n D   ThePresidentsBudgetspendsevery lD pennyofMedicaretaxandpremiumcollectionsoverthenexttenyearsonMedicare.WhenyouisolateallMedicarerevenuesandexpenditures,thereisnoMedicarePartAsurplus.Infact,acomprehensiveanalysisoftheMedicareprogram,whichtakesintoaccounttheSupplementalMedicalInsuranceTrustFund(PartB),aswellastheHITrustFund(PartA),revealsthereisadeficit.TheMedicareprogramtodaywillrequirea$1.2trilliontransferfromthegeneralfundtomeetexpendituresovertheperiod20022011.Theseannualtransfersfromthegeneralfundarenothingmorethanthegovernmentmakingpapertransactionswithitself.They -,+T havenoeconomicconsequencesandshouldnotbeconsideredwhenyoulookatMedicarefromtheperspectiveoftheFederalBudget.Moreover,asignificantpartoftheHIsurplusisduetoanaccountinggimmickthatshiftedaportionofthehomehealthexpendituresfromHIto_SMI_ԀtoextendthesolvencydateoftheHITrustFund.Theshifthadnoeconomicconsequence,nordiditchangetotalMedicarespending,butitdidhavetheeffectofmakingtheHITrustFundappearmore solvent.n݌̌ XBXXXBXBXXXB  n XBXXXBXBXXXB  n.    Therefore,whenMedicareisexamined h   inthismorecomprehensivemanner,overtheperiod20022011,theprojectedHIsurplusisoverwhelmedbythe_SMI_Ԁdeficit.Assuch,Medicareasawholeisrunningadeficit,notasurplus.Thisdeficitisprojectedtobe$645billionoverthenexttenyears,or$52billioninFY2002.n.݌̌ XBXXXBXBXXXB  +.`pXBXXXB  XBXXXB   +.  @ MedicareOutlaysvs.+.Wl`Ԍ l ЌXBXXBXBXXB  +.HXXBXXXB  XBXXXB   vU`B2.b~1=  ` @ED= = C 0v+.0  @ \LHTaxReceiptsandPremiums+.0%XLԌ X ЌXBXXBXBXXB  @ [XXBL8D(DollarsinTrillions)#XBX[(#Ԉ 8 B" ,xX''XX,XB                [XXB&&#'$NOTE:0  OutlaysincludePartAandPartBin &&#' constant2000dollars.  #XBX[#n XBXXXBXBXXXB  n    .x)&(F&XBXXXBXBXXXB   ComprehensiveMeasureofMedicares )&* Solvency.: XBXXXBXBXXXB  Currently,thereisno )'+ comprehensivemeasureofMedicaressolvencythataccountsfor_SMI_Ԁfinances,aswellasHI.ThisunderestimatesthemagnitudeofMedicaresfinancialproblem. -V+/ TheMedicareTrusteesacknowledgethisdisconnectintheir2001Trusteesreportbystatingthat, AlthoughthisreportfocusesonthefinancialstatusoftheHITrustFund,itisimportanttorecognizethefinancialchallengesfacingtheMedicareprogramasawholeandtheneedforintegratedsolutions.Tothisend,theAdministrationwillworktoestablishacomprehensivemeasureofMedicaressolvencyinordertoassesstheoverallfinancialpictureoftheprogram.nh݌̌ XBXXXBXBXXXB  n XBXXXBXBXXXB  n& D   .x | $ XBXXXBXBXXXB   Medicare+Choice.: XBXXXBXBXXXB  Medicareoffers  : beneficiariesavarietyofcoverageoptions.BeneficiariesmaychoosetoremaininthetraditionalfeeforserviceprogramorenrollinaMedicare+Choiceplan,whichcouldbeatraditionalHMO,apreferredproviderorganization,oraprivatefeeforserviceplan.n&݌̌ XBXXXBXBXXXB  n XBXXXBXBXXXB  ns D   Currently,about5.8million,orabout TB 15.6percentofbeneficiaries,areenrolledinaMedicare+Choiceplan.Thesefiguresarelowercomparedtolastyear,when6.3millionbeneficiaries,orabout17percentofallbeneficiaries,wereenrolled.Thisdropinenrollmentreflectsthelargenumberofplans,about316,thathavelefttheMedicare+Choiceprogramorreducedtheirserviceareasinthelastthreeyears.ns݌̌ XBXXXBXBXXXB  n XBXXXBXBXXXB  nZ D   Medicare+Choiceplanshaveleftthe 4L programforavarietyofreasons,includingincreasedcosts,slowerMedicarepaymentincreasesanddifficultyinmaintainingprovidernetworks.Toaddresstheseconcerns,_BIPA_ԀincreasedpaymentstoMedicare+Choiceplansbyabout$11billionoverfiveyears.WhileMedicare+Choiceorganizationsgenerallyusedthemoneytoenhanceproviderpayments,someplansreducedpremiumsandenhancedprescriptiondrugcoverage.nZ݌̌ XBXXXBXBXXXB  n XBXXXBXBXXXB  n D   .x)&(D&XBXXXBXBXXXB   MedicareSpendingGrowth.2: XBXXXBXBXXXB  Under )&X currentlaw,Medicaregrossbenefitoutlaysareprojectedtoincreasefrom$252billioninFY2002to$447billioninFY2011.Theprogramisexpectedtogrowat6.6percentperyearduringthisperiod.PartAbenefit -X+] outlaysareprojectedtogrowfrom$142billioninFY2002to$241billioninFY2011,atanaverageannualgrowthrateof6.1percent.PartBbenefitoutlaysareexpectedtogrowfrom$110billioninFY2002to$207billioninFY2011.ThePartBaverageannualgrowthrateduringtheprojectionperiodis7.3percent.n݌̌ XBXXXBXBXXXB  n XBXXXBXBXXXB  n    .x0  `XBXXXBXBXXXB   HealthCareFraudandAbuseControl 0  Program(_HCFAC_).: XBXXXBXBXXXB  TitleIIoftheHealth    InsurancePortabilityandAccountabilityActof1996(_HIPAA_)establishedthe_HCFAC_Program.Theprogramcombatshealthcarefraud,waste,andabuse.IncludedwithinthisoverarchingprogramistheMedicareIntegrityProgram(_MIP_),whichisrunbyHCFA,andtheFraudandAbuseControlProgram.n~݌̌ XBXXXBXBXXXB  n XBXXXBXBXXXB  n+    _MIP_Ԁconsistsoffinancialauditsof d  providercostreports,medicalandutilizationreviewsofindividualclaims,andtheidentificationofMedicarebeneficiarieswhohaveotherinsuranceplanswithprimaryresponsibilityforpayingclaims.Fundsarealsoearmarkedtosupportdetectionandinvestigationofprogramfraudandabuse.HCFAalsofundsprovidereducationandtrainingactivitiesassociatedwithpreventingfraud,wasteandabuseandauditsofmanagedcareplans.n+݌̌ XBXXXBXBXXXB  n XBXXXBXBXXXB  no    InFY2002,_HIPAA_Ԁauthorizes t $700millionfor_MIP_,a$20millionincreaseoverFY2001.Withinthislevel,HCFAwillfundactivitiesthatwillstopunnecessarypaymentsbeforetheyleavetheTrustFundsthroughprepaymentreviewandprovidereducation.TheseactionshelplowerthepaymenterrorratecitedinrecentChiefFinancialOfficersreports.no݌̌ XBXXXBXBXXXB  n XBXXXBXBXXXB  n[    Alsounder_MIP_,HCFAisdeveloping &h$' contractorspecificerrorratesthatwillgaugetheprogresstheagencyismakingincorrectingpaymenterrorsbyproviders.ThiseffortbeganinSummer2000andHCFAhopestobegingettingusableinformationinFY2002.n[݌̌ XBXXXBXBXXXB  n XBXXXBXBXXXB  n    _HIPAA_ԀalsocreatedtheFraudand 4-*. AbuseControlProgram.Thisprogram  .+/ fundsmuchofthehealthcareinvestigationalandprosecutorialactivitiesoftheHHSOfficeofInspectorGeneralandtheDepartmentofJustice.TheFraudandAbuseControlProgramincreased$27millioninFY2002overFY2001,to$209million.InFY2001,HCFAreceived$2.5millionfromthisaccounttoworkwithStatesthatwishtodevelopMedicaidpaymenterrorrates.nB݌̌ XBXXXBXBXXXB  n XBXXXBXBXXXB  n  D   TheAdministrationshealthcarefraud,  8 9 waste,andabusecontroleffortshavepaidoffhandsomely.InFY1999,thelastyearforwhichwehavedata,$9.9billionwasidentifiedinsavingsfrom_MIP_Ԁactivities,representingan18:1returnonourinvestment.Inaddition,wehavealsocuttheMedicareoverpaymenterrorrateinhalffromFY1996throughFY2000,from14percentto6.8percent.RecentMedicareTrusteesreportshavecitedourhealthcarefraud,waste,andabusecontroleffortsasacontributingfactorintheslowerMedicarespendinggrowthexperiencedoverthelastthreeyears.n z ݌̌ XBXXXBXBXXXB  n XBXXXBXBXXXB  n  D   .xd XBXXXBXBXXXB   PeerReviewOrganizations.hsha: XBXXXBXBXXXB  Peer H ReviewOrganizations(_PROs_)wereestablishedbyTitleXIoftheSocialSecurityAct,PartB,toservethefollowingfunctions:n >݌̌ XBXXXBXBXXXB  `x4L 4(*-/0123Ch3)LXBXXXB  `0 D 2C3  0pD(#D(#  Improvethequalityofcarefor L beneficiariesbyensuringthatprofessionallyrecognizedstandardsofcarearemet;`[݌ p(#p(# ЌL )#3h4(*-/0123LXBXXXB  `x,"!\L 4(*-/0123Ch3)LXBXXXB  `0 D 2C3  0pD(#D(#  Enhanceprogramintegrityby ,"P ensuringthatMedicareonlypaysforitemsthatarereasonableandmedicallynecessary;and,`݌ p(#p(# ЌL )#3h4(*-/0123LXBXXXB  `xT&#%#L 4(*-/0123Ch3)LXBXXXB  `g0 D 2C3  0pD(#D(#  Protectbeneficiariesbyaddressing T&#T individualbeneficiaryscomplaints,andhospitalissuednoticesof&  _noncoverage_ԀandEmergencyMedicalTreatmentandLaborAct(_EMTALA_) dumpingviolations.')`g!݌ p(#p(# ЌL )#3h4(*-/0123LXBXXXB  `<,)+)InFY2002,_PROs_Ԁwillbeginanewroundof <,)Z work;HCFAisdevelopingthenewrequirementsforthiswork.CurrentPRO .+\ contractsincludeperformancestandardsthatwillprovidebenchmarksfor:nationalandlocalhealthimprovementprojects;aprogramtopreventpaymenterrors;aprojecttoimprovequalityofcareforMedicare+Choicebeneficiaries;andaprojecttoreducethedisparitybetweencarereceivedbyminoritiesandallotherbeneficiaries.+. < LXBXXXB  XBXXXB   +.  ProposedLaw+.H < Ԍ H  ЌXBXXBXBXXB  n XBXXXBXBXXXB  n    ThePresidentsFY2002budget 4  includesnearly$156billion!nearly$3billionthisyearand$153billionovertenyears(FY200211)!toreformMedicareandprovideimmediateprescriptiondrugcoveragetolowincomeseniorsandthosewithhighoutofpocketdrugcosts.nW݌̌ XBXXXBXBXXXB  n XBXXXBXBXXXB  n:    .x PXBXXXBXBXXXB   ImmediateHelpingHand(_IHH_).tth: XBXXXBXBXXXB  The   PresidentsFY2002budgetallocatesnearly$46billion!approximately$3billioninFY2001andapproximately$43billionoverfouryears(FY20022005)!forStatestoprovideprescriptiondrugcoverageforlowincomebeneficiariesandthosewithcatastrophicdrugcosts.The_IHH_Ԁproposalisfundedfromgeneralrevenueandsurpluses,notMedicareTrustFunddollars.n:݌̌ XBXXXBXBXXXB  `xxXL 4(*-/0123Ch3)LXBXXXB  `>"0  2C3  0  The_IHH_Ԁproposalcomplementsand x buildsonplansthatarecurrentlyavailableinalmosthalftheStates.`>""݌  ЌL )#3h4(*-/0123LXBXXXB  `x ! <L 4(*-/0123Ch3)LXBXXXB  `$0  2C3  0  Individualswithincomesupto  ! $11,600andmarriedcoupleswithincomesupto$15,700whoarenoteligibleforMedicaidoracomprehensiveprivateretireebenefitwouldpaynopremiumandnomorethananominalchargeforprescriptions.`$n%݌  ЌL )#3h4(*-/0123LXBXXXB  `x(&l(&L 4(*-/0123Ch3)LXBXXXB  `'0  2C3  0  Individualswithincomesupto (&& $15,000andmarriedcoupleswithincomesofupto$20,300wouldreceivesubsidiesforatleasthalfthecostofthepremiumforhighqualitydrugcoverage.`'I(݌-(++ ЌL )#3h4(*-/0123LXBXXXB  `xxXL 4(*-/0123Ch3)LXBXXXB  `?*0 D 2C3  0pD(#D(#  Individualsofanyincomelevelwith x+   outofpocketdrugcostsexceeding$6,000peryearwouldreceivecatastrophiccoverage.`?**݌ p(#p(# ЌL )#3h4(*-/0123LXBXXXB  `x(L 4(*-/0123Ch3)LXBXXXB  `,0 D 2C3  0pD(#D(#  &  _IHH_ԀisfullyfundedbytheFederal / governmentandprovidesStateswiththeflexibilitytochoosehowtoestablishcoverageorenhance'-existingplans.StateschoosingtoparticipateintheprogramwouldreceiveanallocationbasedontheStatesshareofMedicarebeneficiarieswithincomesbelow175percentofpoverty.`,o-݌ p(#p(# ЌL )#3h4(*-/0123LXBXXXB  `xP0 L 4(*-/0123Ch3)LXBXXXB  `%00 D 2C3  0pD(#D(#  Thisproposalwouldnotcreateanew P9 entitlementprogram;rather,_IHH_wouldsunsetinDecember2004orassoonasacomprehensiveMedicareprescriptiondrugbenefitisimplemented.`%00݌ p(#p(# ЌL )#3h4(*-/0123LXBXXXB  n XBXXXBXBXXXB  n2 D   .xP0XBXXXBXBXXXB   MedicareReform.3 : XBXXXBXBXXXB  Comprehensive P? Medicarereformisanurgentpriority.Weneedtoincreasethequalityofcareprovidedtoseniorsandthedisabled,tostreamlineburdensomeandinflexiblebureaucraticcontrols,andtoimprovetheprogramsfinancing.TheMedicareprogramhasnotkeptpacewithmodernmedicine.Today,Medicarecoversjustoverhalfoftheaverageseniorsannualmedicalexpensesandthebenefitspackageislacking.Moreover,Medicarefacesaloomingfiscalcrisis.AfullassessmentofthehealthofboththePartAandPartBTrustFundsrevealsthatspendingexceedsthetotaloftaxreceiptsandpremiumsdedicatedtoMedicareandthatgapisexpectedtowidendramatically.Evenwithoutafinancingproblem,Medicaremodernizationwouldbenecessarytoensurebeneficiariesgethighqualityhealthcare.ThePresidentsbudgetdevotes$110billionbeginninginFY2005tourgentlyneededmodernizations.n2e3݌̌ XBXXXBXBXXXB  n XBXXXBXBXXXB  n8 D   ThePresidentiscommittedto +)V  modernizingMedicare.Underthe ,p*W Presidentsprinciplesforreform,Medicareshould:n899݌ XBXXXBXBXXXB  `xP0L 4(*-/0123Ch3)LXBXXXB  `:0  2C3  0  Providebettercoverageoptions, P streamlineregulations,andprovidehigherqualitycare;`:[;݌  ЌL )#3h4(*-/0123LXBXXXB  `xlL 4(*-/0123Ch3)LXBXXXB  `<0  2C3  0  Ensurethatallseniorshave  affordableaccesstoprescriptiondrugcoverageaspartofamodernizedMedicareprogram;`<=݌ P ЌL )#3h4(*-/0123LXBXXXB  `xxXL 4(*-/0123Ch3)LXBXXXB  `U?0 D 2C3  0pD(#D(#  Providebetteroptionsforprotection x againsthighoutofpocketexpenses,particularlyforlowincomeseniors;and,`U?@݌ p(#p(# ЌL )#3h4(*-/0123LXBXXXB  `x(L 4(*-/0123Ch3)LXBXXXB  `A0 D 2C3  0pD(#D(#  Ensuregreateroverallfinancial   security,includinganaccuratemeasureofthefinancialstatusoftheprogramasawhole,withoutraisingpayrolltaxrates.`ApB݌  Pp(#p(# ЌL )#3h4(*-/0123LXBXXXB  (X@(><Y   (  @<#  XXXXBeeXX  #D@F F     MEDICARETRUSTFUNDOVERVIEW``X#DFE kE  ` AZ') HxdEHxAeeeeeXBXeeeԌ , Ќ  @ (beneficiariesinmillions)  s pVg<,(`~1 , `.KExcxce1p (#(#j`x!`x        (#(#h`x`x`xAZ') HxdEHxA   #  XXXXBeeXX  #ᄛI@XX"    MEDICAREOUTLAYS#ᄛIJ 'J  "  AZ') HxdEHxAeeeeeXBXeeeԌ  Ќ  @  (dollarsinmillions)  5 pVv<,(`~1 , `.$EMxoxoe2py`x`x (#(#                            (#(#e` ` "`xAZ') Hxd`E,HxA ,*. _@<  $.+0 B<`'  XXXXBeeXX  `'P@&    MEDICAID`'PBQ gQ  X Ќ̌eeeeeXBXeee  +.XBXXXB  XBXXXB   (X@(#(#(+.R  Summary+.RR<Ԍ < ЌXBXXBXBXXB  n XBXXXBXBXXXB  nrS    Medicaidisajointlyfunded, ( Federal-Stateprogramthatprovidesmedicalassistancetocertainlowincomegroups.InFY2002,itwillcoverapproximately34.3millionindividualsincludingchildren,theaged,blind,and/ordisabledandpeoplewhomeeteligibilitycriteriaundertheoldAidtoFamilieswithDependentChildren(AFDC)program.Undercurrentlaw,theFederalshareofMedicaidoutlaysisexpectedtobeabout$143billioninFY2002.Thisisa$14billion(11percent)increaseoverprojectedFY2001spending.nrSS݌̌ XBXXXBXBXXXB  +.l|$XBXXXB  XBXXXB   +.V  Medicaidsavingsproposal+.VJW lԌ   ЌXBXXBXBXXB  n XBXXXBXBXXXB  nX    .x, XBXXXBXBXXXB    ,MedicaidUpperPaymentLimit(_UPL_)   Reform.X: XBXXXBXBXXXB  TheFY2002budgetwouldsave  $606millioninFY2002bytakingfurtherstepstorestricttheMedicaid upperpaymentlimitloophole.Thisproposalwouldprohibitnewhospital_UPL_ԀplansapprovedafterDecember31,2000fromreceivingthehigherupperpaymentlimitproposedinthefinalrule.Thefinalrulehadallowedlocalgovernmentoperatedhospitalstoreceiveupto150percentofwhatMedicarewouldpayforthesameservices.Thisisknownastheupperpaymentlimit.nXX݌̌ XBXXXBXBXXXB  +.#!# XBXXXB  XBXXXB   +.\  OtherProposals+.\1]$P"#!Ԍ $P" ЌXBXXBXBXXB  n XBXXXBXBXXXB  n]    .x &#%<#XBXXXBXBXXXB   %<# &#HealthCareTaxCredits.^: XBXXXBXBXXXB  The %<# Administrationwillencouragethepurchaseofprivatehealthinsurancethroughhealthcaretaxcredits.n]p^݌̌ XBXXXBXBXXXB  n XBXXXBXBXXXB  n`    .x)d'D)&XBXXXBXBXXXB   IncreasedStateFlexibility.Ya: XBXXXBXBXXXB  The )d'# AdministrationwillexplorearangeofoptionsforreformingMedicaidandtheStateChildrensHealthInsuranceProgram(_SCHIP_)toimprovethewaytheseprogramsprovidehealthcaretothepoorandnear X.,( poor.AfterconsultingwiththeStates,theAdministrationwilldevelopideastoincreaseStateflexibilityandensurethatMedicaidand_SCHIP_Ԁarebeingeffectivelyusedtopromotehealthinsurancecoverage.ThereviewoftheseprogramswillemphasizegivingStatestheflexibilitytouseprivateinsurance,whenpossible,andtocoordinatewithemploymentbasedinsuranceforthosewhohaveaccesstoit.WithintheframeworkofincreasedStateflexibility,theAdministrationwillalsoworkwithStatestomaintainandreinforcethefiscalintegrityoftheMedicaidand_SCHIP_programsbycontrollingMedicaidcostsandensuringthefiscallyprudentmanagementoftheseprograms.n`/a݌̌ XBXXXBXBXXXB  +.|$4XBXXXB  XBXXXB   +.f  Background+.fag0|$Ԍ 09 ЌXBXXBXBXXB  n XBXXXBXBXXXB  nh D   UnderMedicaid,Stateexpendituresfor : medicalassistancearematchedbytheFederalgovernmentusingaformulabasedonpercapitaincomeineachStaterelativetothenationalaverage.FederalmatchingratesforFY2002areprojectedtorangefrom50to76percentformedicalassistancepayments. TheFederalmatchingrateon 8A averageisapproximately57percent.nhh݌̌ XBXXXBXBXXXB  n XBXXXBXBXXXB  nj D   Historically,eligibilityforMedicaidhas l!C beenbasedonqualifyingunderthecashassistanceprogramsofAFDCorSupplementalSecurityIncome(SSI).WithpassageoftheTemporaryAssistanceforNeedyFamilies(_TANF_)programin1996,whichreplacedAFDC,eligibilityforMedicaidandcashassistancewerede-linked.However,MedicaideligibilityremainstiedtoAFDCprogramrulesinplaceasofJuly16,1996.Allthosewhoqualifyunderthe1996AFDCrulesandmostSSIrecipients,commonlyreferredtoasthe categoricallyeligible,arecoveredunderStateMedicaidprograms.Stateshave T.+Q theoptiontocoversomeindividualsnoteligibleunderAFDCorSSIrules(e.g.,peoplewithhigherincomesininstitutions,lowincomepregnantwomenandchildren,andaged,blind,anddisabledpeoplebelowthepovertyline),andmaycoverpeopleathigherincomesbydisregardingaportionoftheirincomes.Statesmayalsocover medicallyneedyindividuals.Suchindividualsmeetthecategoricaleligibilitycriteria,buthavetoomuchincomeortoomanyresourcestomeetthefinancialcriteria.njkk݌̌ XBXXXBXBXXXB  n XBXXXBXBXXXB  np    Medicaidcoverspregnantwomenand h   infantswhosefamilyincomedoesnotexceed185percentoftheFederalpovertylevel.Medicaidcoverageofchildrenages6through18,bornafterSeptember30,1983,whosefamilyincomedoesnotexceed100percentoftheFederalpovertylevel,isbeingphasedin.By2002,allchildrenundertheageof19livingbelowthepovertylevelwillbeeligibleforMedicaid.np@q݌̌ XBXXXBXBXXXB  n XBXXXBXBXXXB  ns      Inaddition,MedicaidpaysMedicare H premiums,deductibles,and_copays_Ԁforcertainlowincomeseniorsanddisabledindividuals.nst݌̌ XBXXXBXBXXXB  n XBXXXBXBXXXB  nu    Generally,Statesarerequiredtoprovide P acoreof13mandatoryservicestoeligiblecategoricallyneedyrecipients,including:inpatientandoutpatienthospitalcare;healthscreening,diagnosis,andtreatmenttochildren;familyplanning;physicianservices;and,nursingfacilityservicestoindividualsover21.Statesmayalsoelecttocoveranyofover30specifiedoptionalservices,whichincludeprescriptiondrugs,clinicservices,dental,eyeglasses,andservicesprovidedinintermediatecarefacilitiesforthosewithmentalretardation.nuv݌̌ XBXXXBXBXXXB  n XBXXXBXBXXXB  ny    Medicaidoutlaysgrew9.1percentfrom L&#' FY1999toFY2000.Prescriptiondrugspending,nursinghomeandcommunitybasedlongtermcarecostshavebeensignificantcontributorstothisexpendituregrowth,andareexpectedtocontinuetocontributetoprogramgrowthinfutureyears.Stateprogramsproviding enhancedpaymentstoinstitutionalprovidershave -T+/ alsoplayedasignificantroleindrivingupMedicaidcostsatanacceleratedrate.Althoughrecentlyissuedregulationswilleventuallycurtailmuchoftheimpactofthesepayments,thetransitionperiodsandincreaseinhospitalpaymentlimitsincludedinthenewruleswillcontributetohigherspendinggrowthforanumberofyears.nyy݌̌ XBXXXBXBXXXB  +. P `XBXXXB  XBXXXB   +.#}  WaiverActivity+.#}}\  PԌ \  7 ЌXBXXBXBXXB  n XBXXXBXBXXXB  na~ D   Stateshaveconsiderableflexibilityin H 8 structuringtheMedicaidprogram,includingdeterminingproviderpaymentratesandcertificationstandards,anddevelopingalternativehealthcaredeliveryprograms.Inaddition,waiversofvariousportionsofFederallawarealsoavailabletoStates.na~~݌̌ XBXXXBXBXXXB  n XBXXXBXBXXXB  ǹ D   NumerousStateshaverestructured d? eligibilityandcoverageunderMedicaidthroughtheuseofdemonstrationwaiversgrantedundersection1115oftheSocialSecurityAct.AnumberofStatesareusingsection1115demonstrationwaiverstoreformhealthcarebyexpandingcoveragewithoutincreasingtheamounttheFederalgovernmentwouldspendotherwise.ǹL݌̌ XBXXXBXBXXXB  +.XBXXXB  XBXXXB   +.y  ChangesinMedicaidduetothe H BenefitsImprovementandprotectionActof2000(_BIPA_)+.y,xԌ̌XBXXBXBXXB  n XBXXXBXBXXXB  n D   TheBenefitsandImprovementand pK ProtectionActof2000:n݌̌ XBXXXBXBXXXB  `x!hH!L 4(*-/0123Ch3)LXBXXXB  `0 D 2C3  0pD(#D(#  Increasedfundsforsafetynet !hM hospitalsbysettingFY2001Statespecificdisproportionatesharehospital(_DSH_)allotmentsatFY2000levelsadjustedforinflationandsettingFY2002allotmentsatFY2001levelsadjustedforinflation.ItalsoallowsStatestoprovidepublichospitals_DSH_Ԁpaymentsupto175percentofnetuncompensatedcarecostsfortwoyears.Inadditiontothese_DSH_Ԁprovisions,_BIPA_ providedspecialfundingforcertain ,x*Yp(#p(# publichospitalsthatmeetselectedcriteria.`W݌   L )#3h4(*-/0123LXBXXXB  `xP0L 4(*-/0123Ch3)LXBXXXB  `,0  2C3  0  DirectedtheSecretaryofHHSto P finalizetheregulationaddressingareimbursementloopholethatthreatensthefiscalintegrityoftheMedicaidprogram.TheregulationwaspublishedJanuary12,2001andtookeffectMarch13,2001.(RefertotheMedicaidSavingsProposalsectionofthischapter.)`,݌  ЌL )#3h4(*-/0123LXBXXXB  `xl  L 4(*-/0123Ch3)LXBXXXB  `E0  2C3  0  Establishedanewpaymentsystem l   forhealthcentersstartinginFY2001thatisbasedoncentersFY1999and2000reasonablecosts.`E݌0  ЌL )#3h4(*-/0123LXBXXXB  `xxXL 4(*-/0123Ch3)LXBXXXB  `0 D 2C3  0pD(#D(#  Extended,throughFY2002,existing x Medicaideligibilityforthoseleavingwelfareforwork,allowingthesebeneficiariestomaintainMedicaidcoveragefor12months._BIPA_ԀalsosimplifiesenrollmentforlowincomeMedicarebeneficiariesthatqualifyforMedicaidandpermitsStatestousemoresites,suchasschoolsandhomelessshelters,toenrollchildreninMedicaidor_SCHIP_.`{݌ p(#p(# ЌL )#3h4(*-/0123LXBXXXB     (X@(   _#  XXXXBeeXX  #Δ@ "    MEDICAIDOVERVIEW#Δ5 Z  X AZ') HxdE#HxAeeeeeXBXeeeԌ $ Ќ  @ (averageenrolleesinmillions)  k vVoB2.b~1 I `. @ExxeW.3v (#(#         (#(#rL LbLL%LAZ') HxdEHxA 7  `'  XXXXBeeXX  AZ')uHxdEuHxA`'o@mm"    MEDICAIDOUTLAYS`'o <  j  Ќ̌eeeeeXBXeee  ZvVtB2.b~1 4  `.@ExV xV @ 4v@  (outlaysinmillions) |L L _L L (L AZ')P%HxdHEP%HxA_Ԉ   #  XXXXBeeXX  #ݜ@vv    MEDICAIDPROPOSALS:COSTSANDSAVINGS#ݜD i  X AZ') HxdE#HxAeeeeeXBXeeeԌ $ Ќ  @  (dollarsinmillions)  k vV~B2.b~1 ; `.4 @E/xxe5v (#(#        (#(#``\``+`AZ')= HxdHE= HxA  7  `'  XXXXBeeXX  `'a@      STATEGRANTSANDDEMONSTRATIONS`'aȡ   X Ќ̌eeeeeXBXeee  +.XBXXXB  XBXXXB   (X@(#(#(+.  TheTickettoWorkandWork  IncentivesImprovementAct(_TWWIIA_)+.Xl `Ԍ̌XBXXBXBXXB  n XBXXXBXBXXXB  ng    TheTickettoWorkandWorkIncentives X  ImprovementActof1999(_TWWIIA_)expandedStateoptionsunderMedicaidforworkerswithdisabilities.ng݌̌ XBXXXBXBXXXB  n XBXXXBXBXXXB  n[    InadditiontothetwooptionalMedicaid   categoriescreatedby_TWWIIA_,thelegislationalsocreatednewgrantstofundbothademonstrationprogramandagrantprogram.n[ڦ݌̌ XBXXXBXBXXXB  n XBXXXBXBXXXB  nk    Thedemonstrationprogram L ($250millionfromFY20012006)allowsStatestoreceiveFederalfinancialparticipationtodevelopaprogramtoprovideMedicaidequivalentcoveragetoworkerswithhealthconditionswhich,withoutmedicaltreatment,willcausethemtobecomedisabledandqualifyforSupplementalSecurityIncomeorSocial  SecurityDisabilityInsurance.Thedemonstrationwilldeterminewhetherprovidinghealthcoveragepreventsdeteriorationintheirhealthcondition.nk݌̌ XBXXXBXBXXXB  n XBXXXBXBXXXB  n D   TheMedicaidInfrastructureGrant  8 Program(section203of_TWWIIA_)makes$150millionavailableoverfiveyears(fromFY20012005)toStatestodesign,establishandoperateprogramsthatprovideitemsandservicestopeoplewithdisabilitieswhowork.Thesefundsmayalsobeusedtoconductoutreachcampaignstoeducatebeneficiariesabouttheavailabilityofsuchprograms.TheminimumawardtoStatesis$500,000perfiscalyear.n*݌̌ XBXXXBXBXXXB  n XBXXXBXBXXXB  nǮ D   InFebruary2001,aspartoftheNew \% FreedomInitiative,thePresidentindicatedthathewoulddirectFederalagencies,includingHHS,tocontinuetoswiftlyimplement_TWWIIA_.nǮF݌ d ) Ќ XBXXXBXBXXXB  5@(#(#X@05 )  p* #  XXXXBeeXX  #R@    STATEGRANTSANDDEMONSTRATIONS #R ޱ  X AZ') HxdE#HxAeeeeeXBXeeeԌ $ Ќ  @  (outlaysinmillions)  k vVB2.b~1 Q}. `.@ExxeI*6v (#(#       (#(#L LYLL.LAZ') HxdzEHxA 7  B<Q  j  _D<`'  XXXXBeeXX  `'@@    STATECHILDRENSHEALTHINSURANCEPROGRAM`'@ ̶  X Ќ̌eeeeeXBXeee  +.XBXXXB  XBXXXB   (X@(#(#(+.  Background+.<Ԍ < ЌXBXXBXBXXB  n XBXXXBXBXXXB  n_    TheBalancedBudgetActof ( 1997(BBA)createdtheStateChildrensHealthInsuranceProgram(_SCHIP_)underTitleXXIoftheSocialSecurityAct.n_޹݌̌ XBXXXBXBXXXB  n XBXXXBXBXXXB  nZ    _SCHIP_ԀisapartnershipbetweenFederal 0  andStategovernmentsthathelpsprovidechildrenwiththehealthcoveragetheyneed._SCHIP_ԀreacheschildrenwhosefamilieshaveincomestoohightoqualifyforMedicaidbuttoolowtoaffordprivatehealthinsurance.nZٻ݌̌ XBXXXBXBXXXB  n XBXXXBXBXXXB  n    TitleXXIappropriatedalmost `  $40billiontotheprogramovertenyears(FY1998throughFY2007).Stateswithanapproved_SCHIP_ԀplanareeligibletoreceiveanenhancedFederalmatchingrate,whichrangesfrom65to85percent,drawnfromacappedallotment.nc݌̌ XBXXXBXBXXXB  n XBXXXBXBXXXB  nQ    Stateshaveahighdegreeofflexibilityin , designingtheirprograms.Theycanimplement_SCHIP_Ԁby:1)expandingMedicaid,2)creatinganew,nonMedicaidTitleXXIseparateStateprogram,or3)acombinationofbothapproaches.Generally,uninsuredchildrenupto18yearsoldinfamiliesatorbelow200percentoftheFederalpovertylevel(whoarenoteligibleforMedicaid)areeligiblefor_SCHIP_.nQ݌̌ XBXXXBXBXXXB  n XBXXXBXBXXXB  nl    Therewereseveralchangestothe d!  _SCHIP_ԀprogramintheBalancedBudgetRefinementActof1999(_BBRA_)._BBRA_changedthe_SCHIP_ԀallotmentformulatostabilizeStatesannual_SCHIP_ԀallotmentseffectiveforFY2000allotmentsandbeyond._BBRA_Ԁalsoprovidedadditionalbudgetauthorityof$249millionforU.S.Territories._BBRA_Ԁimproveddatacollectionandevaluationactivitiesbyproviding$10milliontotheDepartmentofCommercetoincreasethesamplesizeoftheCurrentPopulationSurvey(CPS)and$10millionfora_SCHIP_Ԁevaluationof10States._BBRA_ԀdirectedtheInspectorGeneralto L.+, audit,andtheGAOtoreporttoCongress,everythreeyearsonStatecompliancewiththerequirementthat_SCHIP_ԀapplicantsmustbefirstscreenedforMedicaid,andifeligible,areenrolledinMedicaid._BBRA_directedtheSecretarytoestablishadataclearinghouseonFederalhealthprogramsandchildrenshealth.nl݌̌ XBXXXBXBXXXB  +.0 @ XBXXXB  XBXXXB   +.  Implementation&Enrollment 0 4 Status+.;x Ԍ̌XBXXBXBXXB  n XBXXXBXBXXXB  n  D   AsofSeptember1999,_SCHIP_Ԁplans d6 wereapprovedforall50States,theDistrictofColumbia,andfiveTerritories.AsofMarch2001,Stateshavereceivedapprovalfor21Medicaidexpansionprograms,16separateprograms,and19combinationprograms,witheightamendmentsunderreview.InFY2000,3.3millionchildrenwereenrolledin_SCHIP_Ԁ!a70percentincreaseoverthenumberofchildrenenrolledinFY1999.n ݌̌ XBXXXBXBXXXB  n XBXXXBXBXXXB  n9 D   Thescopeofcoverageunder_SCHIP_ A continuestoincrease.ManyStateshaveadoptedadditionalexpansionsofcoverage.AttheendofFY2000,24Statescoveredchildreninfamilieswithincomesupto200percentoftheFederalpovertylevel.ElevenStateswentbeyondthatandcoveredchildrenabove200percentofpovertywithsixStatescoveringchildrenwithincomesupto300percentofpoverty.NewJerseycoverschildrenin_SCHIP_Ԁupto350percentofpoverty.n9݌̌ XBXXXBXBXXXB  +.'%&$XBXXXB  XBXXXB   +.  _SCHIP_ԀWaiverStatus+.(<&'%Ԍ (<&M ЌXBXXBXBXXB  n XBXXXBXBXXXB  n D   Section1115waiversallowStatesto )('N waivecertainprovisionsofFederallawtodemonstrateinnovativemethodsforimprovingchildrenscoverageandthequalityofservicesforchildren.InJanuary2001,thefirstwaiversgrantedinthe .+S _SCHIP_ԀprogramwereawardedtoNewJersey,RhodeIslandandWisconsin.Throughawaiver,theseStateswillofferhealthinsurancecoveragetoparentsofchildreneligibleundereither_SCHIP_ԀorMedicaid.Inaddition,NewJerseysandRhodeIslandsdemonstrationprojectswillexpandcoveragetopregnantwomen.Currently,thereareseveralStatesseekingwaivers.nt݌̌ XBXXXBXBXXXB  +. ( 8 XBXXXB  XBXXXB   +.  ChangesduetoTheBenefits  (  ImprovementandProtectionActof2000(_BIPA_)+.u  X Ԍ̌XBXXBXBXXB  n XBXXXBXBXXXB  n    _BIPA_Ԁintroducedthefollowingchanges   tothe_SCHIP_Ԁprogram:n ݌̌ XBXXXBXBXXXB  n XBXXXBXBXXXB  nQ    .xHxXBXXXBXBXXXB   SpecialRuleforRedistributionand H AvailabilityofUnspentFY1998andFY1999_SCHIP_ԀAllotments.: XBXXXBXBXXXB  BBArequired  thatStatesthatdidnotuseannual_SCHIP_allotmentswithinthreeyearsmustreturnallunusedfundstotheFederalgovernmentforredistributiontoStatesthathavealreadyexhaustedtheirallotments._BIPA_establishedanewreallocationformulaforFY1998andFY1999allotmentswherebyStateswouldbeentitledtoeitherreceiveredistributedfundsorretainaproportionoftheunusedfunds,whichremainavailablethroughFY2002.EachTerritorythatexpendsitsallotmentreceives1.05percentofthetotalamountavailableforredistribution.Statesthatretainfundsmayuseupto10percentofthefundsforoutreachactivities.nQ݌̌ XBXXXBXBXXXB  n XBXXXBXBXXXB  n    .x<$!#l!XBXXXBXBXXXB   CreatedPresumptiveEligibilityin <$!" _SCHIP_.: XBXXXBXBXXXB  ݀_BIPA_ԀgaveauthoritytoStatesto $%"# makeachildpresumptivelyeligiblefor_SCHIP_.Ifthechildislaterfoundineligiblefortheprogram,Statescanclaimthosecostsasabenefitcostinsteadofwithinthe10percentspendingcapusedfor administrativecosts.nW݌ *T() Ќ XBXXXBXBXXXB  +.HXXBXXXB   XBXXXB   +.  XHThe_SCHIP_ԀFinalRule+.H XԌ  ) ЌXBXXBXBXXB  n XBXXXBXBXXXB  nA D   The_SCHIP_ԀFinalRegulationwas * publishedintheFederalRegisteronJanuary11,2001.ThefinalruleprovidesStateswithadditionalflexibilityincertainareassuchas:nA݌̌ XBXXXBXBXXXB  `x <L 4(*-/0123Ch3)LXBXXXB  `T0 D 2C3  0pD(#D(#  Premiumassistanceprograms,also  / referredtoasemployersponsoredinsurance;`T݌ p(#p(# ЌL )#3h4(*-/0123LXBXXXB  `xH x L 4(*-/0123Ch3)LXBXXXB  `0 D 2C3  0pD(#D(#  Substitutionprevention;and,`I݌H 2p(#p(# ЌL )#3h4(*-/0123LXBXXXB  `x T 4 L 4(*-/0123Ch3)LXBXXXB  `0 D 2C3  0pD(#D(#  SelfidentificationofAmerican  T 3 IndiansandAlaskaNatives.`G݌ p(#p(# ЌL )#3h4(*-/0123LXBXXXB  ` , n XBXXXBXBXXXB  n D   Thefinalrulealsocontainspatient  5 protectionssuchasaccesstohealthcarespecialistsandaccesstoemergencyserviceswhenandwheretheneedarises.Theruleunderscoresthestatuteonpolicyareassuchasensuringthatchildrenareenrolledintheprogramforwhichtheyareeligibleandensuringthatcost-sharingisnominal.nI݌̌ XBXXXBXBXXXB  n XBXXXBXBXXXB  na D   The_SCHIP_Ԁfinalrulehasbeenplacedon D= holdfor60daysuntilJune11,2001perthePresidentsExecutiveMemorandumtowithholdimplementationofpending,butnotyetimplemented,regulations.na݌ XBXXXBXBXXXB   B (X(#   XXXXBeeXX  #@  #    _SCHIP_ԀOVERVIEW#G l  X AZ') HxdE#HxAeeeeeXBXeeeԌ $ Ќ  @  (dollarsinmillions)  k pV<,(`~1 |  `.4Ex9 x9 {w 7p (#(#           (#(#`` V` ` 1` AZ') HxdERHxA S _D<E  B L<`'  XXXXBeeXX  `'c@ !    PROGRAMMANAGEMENT``X`'c   ` Ќ̌eeeeeXBXeee  +.@PXBXXXB  XBXXXB   (X@(#(#(+.  ProgramManagementRequest+.b@Ԍ  ЌXBXXBXBXXB  n XBXXXBXBXXXB  n,    .xX XBXXXBXBXXXB   X Overview.: XBXXXBXBXXXB  HCFAsFY2002Program  Managementbudgetrequestis$2.35billioninbudgetauthority,a$109millionor4.9percentincreaseovertheFY2001appropriation.Thetotalprogramlevelrequestis$2.4billion.Thislevelassumes$17millioninuserfeecollectionsfromMedicare+ChoiceplansfortheNationalMedicareEducationProgram(_NMEP_),aswellasuserfeesfortheClinicalLaboratoryImprovementAmendmentsprogramandforthesaleofdata.n,݌̌ XBXXXBXBXXXB  n XBXXXBXBXXXB  nR    Thisbudgetalsoincludestwoproposed  userfeestotaling$115million.BecausethisamountisalreadyreflectedinHCFAsFY2002currentlawrequestof$2.35billion,theenactmentoftheseuserfeeswouldoffsettheappropriationbytheamountoftheproposals.Tofacilitatethisprocess,wewillsubmit triggerlanguageauthorizingthecollectionandspendingofthefeesandaproposedlegislationschedule.IftheAppropriationsCommitteesadoptthe triggerlanguageforoneormoreuserfeeproposals,andthefeesareenacted,HCFAsappropriationwouldbereducedbyanamountequivalenttotheestimatedcollections.nR݌̌ XBXXXBXBXXXB  n XBXXXBXBXXXB  n&    TheProgramManagementaccount "X  providesstaffandresourcesforadministeringMedicare,Medicaid,theStateChildrensInsuranceProgram(_SCHIP_),andvariousHealthInsurancePortabilityandAccountabilityActof1996(_HIPAA_)activities.Withthesefunds,HCFA:coordinatesandoverseestheworkofcontractorswhoprocess970millionclaims;answersbeneficiaryandproviderinquiries;surveyshealthcarefacilitiestoensurequalityofcareisprovidedtoMedicarebeneficiaries;conductsresearchtoimprove -h++ payment,servicedelivery,andqualityforallHCFAprograms;andinformsbeneficiariesregardingtheirhealthcareoptionsintheMedicareprogram.n&݌̌ XBXXXBXBXXXB  n XBXXXBXBXXXB  n\ D   HCFAsresponsibilitieshavegrown  / witheachnewmajorhealthcarelaworbudgetreconciliation._HIPAA_,theBalancedBudgetActof1997(BBA),the_BBRA_Ԁof1999,andtheBenefitsImprovementandProtectionActof2000(_BIPA_)gaveHCFAnewresponsibilities.n\݌̌ XBXXXBXBXXXB  n XBXXXBXBXXXB  n  D   Inaddition,HCFA,likeallFederal d 6 agencies,mustcomplywithgovernmentreformlegislation,suchas:theChiefFinancialOfficer(CFO)Actof1990,theGovernmentManagementReformActof1994,theFederalFinancialManagementImprovementAct(_FFMIA_)of1996,theInformationTechnologyManagementReformActof1996,theDebtCollectionImprovementActof1996,andtheGovernmentPerformanceandResultsActof1993.ThesesixlawsalonehavehadasignificantimpactonHCFAsoperationsandhaverequiredsubstantialnewinvestmentwithoutprovidingacommensurateincreaseinadministrativeresources.n  ݌̌ XBXXXBXBXXXB  n XBXXXBXBXXXB  n  D   .x!0!XBXXXBXBXXXB   MedicareContractors.|: XBXXXBXBXXXB  TheMedicare !0G contractorsbudgetsupportsabroadarrayofoperationalactivities.Thebudgetis$1.52billion,anincreaseof$165millionovertheFY2001appropriation,including_NMEP_Ԁfunding.n R݌̌ XBXXXBXBXXXB  n XBXXXBXBXXXB  n D   Bylaw,theMedicareprogramis '$M administeredbyprivateinsurancecompanies,orcontractors.Contractorresponsibilitiesinclude:processingclaimsandmakingbenefitpayments;respondingtotheneedsandinquiriesofMedicarebeneficiariesandhealthcareprovidersandsuppliers;anddevelopingandimplementing -,+T managementchangestoimproveprogramoperations.Inaddition,Medicarecontractorsfundsavarietyofmissioncriticalinformationtechnologysystems.Forexample,itfundsmanagedcaresystems,standardprocessingsystems,andmaintenanceoncurrentcontractorsystems.ns݌̌ XBXXXBXBXXXB  n XBXXXBXBXXXB  n    HCFAismakingatransitioninthis t budgetfromthreemajorcategories(ClaimsProcessing,ProductivityInvestments,andBeneficiaryandProviderServices)tomoredescriptivecategories:n݌̌ XBXXXBXBXXXB  `x h  L 4(*-/0123Ch3)LXBXXXB  `0  2C3  0  OngoingActivities:carriersand   fiscalintermediariesregularactivities,suchasprocessingclaims,holdinghearingsandappeals,answeringinquiries,andeducatingprovidersandbeneficiaries.`Z݌  ЌL )#3h4(*-/0123LXBXXXB  `xhL 4(*-/0123Ch3)LXBXXXB  `^0  2C3  0  SystemsMaintenance:activitiesto  keepsharedclaimsprocessingsystemscurrent.`^݌  ЌL )#3h4(*-/0123LXBXXXB  `xLL 4(*-/0123Ch3)LXBXXXB  `0  2C3  0  Operations:CommonWorkingFile  (_CWF_)operations,fundingforterminationcostsofcontractorsleavingtheprogram,andmovingallcontractorstothreestandardprocessingsystems.`\݌  ЌL )#3h4(*-/0123LXBXXXB  `xLL 4(*-/0123Ch3)LXBXXXB  `i0  2C3  0  EnterpriseWide:theHCFAData  Center(contractoroperated),theMedicaredatacommunicationsnetwork,andhardwareandsoftwaremaintenance.`i#݌  ЌL )#3h4(*-/0123LXBXXXB  `x0"!`L 4(*-/0123Ch3)LXBXXXB  ` 0  2C3  0  LegislativeMandates:fundingfor 0"  implementingnewlegislationsuchas_HIPAA_,BBA,_BBRA_,_BIPA_,CFO,and_FFMIA_.` !݌  ЌL )#3h4(*-/0123LXBXXXB  `xX&$%#L 4(*-/0123Ch3)LXBXXXB  `#0  2C3  0  ProgramImprovements:replacement X&$$ oftheMedicaremanagedcareprocessingsystemandthe_CWF_system,contractoroversight,andreducingregulatoryburdenonhealthcareproviders.`#$݌  ЌL )#3h4(*-/0123LXBXXXB  n XBXXXBXBXXXB  n&    `@,)+)Toallowtimetoadjusttothesenew @,)* categories,thissectionwillrefertothetraditionalClaimsProcessing,Productivity .+, Investments,andBeneficiaryandProviderServicescategoriesindescribingthisyearsbudgetrequest.n&'݌̌ XBXXXBXBXXXB  n XBXXXBXBXXXB  n( D   InFY2002,HCFAwillprocess / 970millionclaimsandanswer40millioninquiries.Therehasbeenaslightincreaseintheunitcosttoprocessaclaiminrecentyears.InFY2002,theunitcosttoprocessaPartAandPartBclaimwillbe$0.88and$0.67,respectively,slightlyhigherthancurrentFY2001unitcostprojectionsof$0.87foraPartAclaimand$0.66foraPartBclaim.n(f)݌̌ XBXXXBXBXXXB  n XBXXXBXBXXXB  n+ D   Approximately65percentofthe T 9 FY2002Medicarecontractorsprogramlevelrequestwillbespentonprocessingclaims($988millioninFY2002,a21.5percentincreaseovertheFY2001level).TheMedicarecontractorsexpectstosee44millionmoreclaimsthanFY2001,partiallyduetoalargenumberofbeneficiarieswholeftMedicare+Choice(M+C)andreturnedtothefeeforserviceprogram.n+2,݌̌ XBXXXBXBXXXB  n XBXXXBXBXXXB  n. D   Beneficiaryandproviderservices x D comprise23percentoftheMedicarecontractorsbudget.At$356millioninFY2002,thisportionofourrequestis21percenthigherthanourFY2001submission.Thisamountwillpayfortelephone,written,andwalkincommunicationswithbeneficiariesandproviders,includingtollfreelinesforbothbeneficiariesandproviders.TheseactivitiesrisewiththeenactmentofeverynewpieceoflegislationdealingwithMedicare.n./݌̌ XBXXXBXBXXXB  n XBXXXBXBXXXB  n1 D   Aportionofthefundingforthe_NMEP_ #0!P canalsobefoundinthisline.TheannualMedicarehandbook,aswellasotherbeneficiaryandproviderpublicationsandservices,arefundedunderthisactivity.Thismoneyalsosupportsthehearingsand_reconsiderations_Ԁstagesoftheclaimsprocess.Medicarefiscalintermediariesandcarriershandletheinitialportionoftheappealsprocessfollowinganadverserulingonaclaim.Wewillspend$107millioninFY2002tocarryoutthisimportant -T+[ function,an11percentincreaseoverFY2001.n1 2݌̌ XBXXXBXBXXXB  n XBXXXBXBXXXB  nZ5    ThefinalportionofMedicare 0 contractorsfundingisproductivityinvestments.ProductivityinvestmentsenhancetheefficiencyandcosteffectivenessofMedicaresclaimsprocess.InFY2002,HCFAwillfund:MedicarecontractorOversight,includingtheHCFAIntegratedGeneralLedgerAccountingSystem(_HIGLAS_);consolidationofcontractorclaimsprocessingtothreestandardsystems;andcontractornon-renewalcostsincurredwhenaMedicarecontractorleavestheMedicareprogram.nZ55݌̌ XBXXXBXBXXXB  n XBXXXBXBXXXB  n8    .xL, XBXXXBXBXXXB   FederalAdministration.R9X: XBXXXBXBXXXB  ForFY2002, L thePresidentsbudgetrequests$531.7millionforHCFAsFederaladministrativecosts.Thisisanincreaseof$27millionovertheFY2001operatingplan.TheFY2002appropriationrequestsupportsastaffinglevelof4,632FTE,aslightincreasefromthecurrentFTElevelsof4,610FTE.Theadditionalfundingof$27millionwillallowHCFAtocoverpayincreases,fullyfundits4,632FTElevel,andbeginworkontheFinancialAccountingandControlSystem(_FACs_),aninternalsystemintegraltoHCFAsfinancialmanagementefforts.ItalsosupportstheextensivedataprocessingrequirementsfortheMedicareandMedicaidprograms,aswellasnecessarymaintenanceofHCFAsmanyautomateddatasystems.n8(9݌̌ XBXXXBXBXXXB  n XBXXXBXBXXXB  n=    .x"H ("XBXXXBXBXXXB   Research,Demonstrationsand "H " Evaluation.> : XBXXXBXBXXXB  TheFY2002budgetrequests #0!# $55.3millionfortheResearch,DemonstrationsandEvaluationprogram,$83millionlessthantheFY2001enactedlevel.Thisreductionincludestheeliminationof$87millioninFY2001earmarkedprojectsandotherprogramitemsnotrequestedinlastyearsPresidentsBudgetplus$4millioninmoneydedicatedto_BIPA_Ԁresearchprojects.n=f>݌̌ XBXXXBXBXXXB  n XBXXXBXBXXXB  nA    HCFAsresearchprogramsupports ,h*- researchanddemonstrationprojectsto -T+. developandimplementnewhealthcarefinancingpoliciesandtoevaluatetheimpactofHCFAsprogramsonbeneficiaries,providers,States,othercustomersandpartners.InformationfromHCFAsresearchprogramisusedbyCongress,theExecutiveBranch,andStatestoimprovetheefficiency,quality,andeffectivenessoftheMedicare,Medicaid,and_SCHIP_Ԁprograms.nA\B݌̌ XBXXXBXBXXXB  n XBXXXBXBXXXB  nE D   Basicresearchfundswillalsobeusedto  L7 conductevaluationsofMedicare+Choice,_SCHIP_,MedicaidStateReform,and_NMEP_.nEE݌̌ XBXXXBXBXXXB  n XBXXXBXBXXXB  nG D   Inadditiontobasicresearch,thisbudget h  : fundstheMedicareCurrentBeneficiarySurvey,whichcontinuestobeacriticalsourceofdataonhealthcareusageandhealthstatusofMedicarebeneficiaries.Finally,theresearchbudgetincludes$19.2millionforCongressionalresearchrequiredbyBBA,_BBRA_,and_BIPA_.nGG݌̌ XBXXXBXBXXXB  n XBXXXBXBXXXB  nI D   .x@pXBXXXBXBXXXB   SurveyandCertification.Jion: XBXXXBXBXXXB  Ensuringthe @B safetyandqualityofcareprovidedbyhealthfacilitiesisoneofHCFAsmostcriticalresponsibilities.HCFAcontractswithStateagenciestoinspecthealthfacilitiesprovidingservicestoMedicareandMedicaidbeneficiariesandensurecompliancewithFederalhealth,safety,andprogramstandards.nI\J݌̌ XBXXXBXBXXXB  n XBXXXBXBXXXB  nYM D   HCFAsFY2002budgetproposes 4K $242.1milliontofundsurveyandcertificationactivities,thesameleveloffundingasFY2001.Includedinthistotalis$27.8milliontocontinueimplementingactivitiesassociatedwiththeNursingHomeOversightImprovementProgram,suchas:imposingimmediatesanctionsonnursinghomesfoundguiltyofasecondoffensethatcausesactualharmtoresidents;conductingmorefrequentinspectionsofnursinghomeswithrepeatviolations;andconductingmorefocusedreviewsofanursinghome'seffortstopreventbedsores,dehydration,andmalnutrition.HCFAwillalsocontinuetoinvestmoneytoexpediteinvestigationofresidentcomplaintswithinaten-daytime frame.nYMM݌ 8-*\ Ќ XBXXXBXBXXXB  _n XBXXXBXBXXXB  nQ    Another$190.6millionwillallowusto X  inspectlongtermcarefacilities,homehealthagencies,andaccreditedhospitalsatthelegislativelymandatedfrequencies.Fortheremainingfacilitytypes,HCFAwillmaintaintheFY2001_recertification_Ԁlevels.HCFAexpectstocompleteatotalofalmost25,000initialorannualinspections.Inaddition,weestimateconductingmorethan40,000visitsinresponsetobeneficiaryorfamilycomplaints.nxQQ݌̌ XBXXXBXBXXXB  n XBXXXBXBXXXB  nT    Theremaining$23.8millionwillfund | $  basesupportcontractactivities,mostnotably:operationoftheQualityImprovementandEvaluationSystem(_QIES_),whichcontainsqualityoutcomedatathatsurveyorscanusetobettertargeton-siteinspectionsofpoorperformingproviders;maintenanceandenhancementstotheOnlineSurveyCertificationandReporting(OSCAR)datasystem,whichcontainsinformationonnursinghomesurveyresultsandoutcomes;supportservicesforsurveyingpsychiatrichospitals;andaccuracyreviewsoftheinformationsubmittedontheMinimumDataSetfornursinghomesandtheOutcomeandAssessmentInformationSystem(OASIS)forhomehealthcare.nT'U݌̌ XBXXXBXBXXXB  n XBXXXBXBXXXB  nX    .x4XBXXXBXBXXXB   NationalMedicareEducation 4 Program.\Y: XBXXXBXBXXXB  IntheFY2002budget,HCFA t willcontinuetofundactivitiesthatwillhelpbeneficiariesunderstandandassesstheiroptionsunder  theMedicareprogram,includingMedicare+Choice.nX2Y݌̌ XBXXXBXBXXXB  n XBXXXBXBXXXB  n[    The_NMEP_Ԁwillfundactivitiestoinform # # Medicarebeneficiariesoftheiroptions,includingoriginalMedicare,healthmaintenanceorganization(HMO),preferredproviderorganization(_PPO_)andprivatefee-forserviceplans._NMEP_Ԁwillalsoprovidecompleteandcomprehensibleinformationabouttheseoptionstofacilitatetheirdecisionmakingprocess.ThePresidentsbudgetprovidesapproximately$80.5milliontofinance_NMEP_Ԁactivities._NMEP_Ԁisfundedthroughavarietyofsources,including$52millionfrom  .+/ ProgramManagement,aswellasanestimated$11.5millioninthePeerReviewOrganization(PRO)account,and$17millioninMedicare+Choiceuserfees.n[O\݌̌ XBXXXBXBXXXB  n XBXXXBXBXXXB  ne` D   InFY2002,the_NMEP_Ԁwillfundthe 3 followingactivities:mailingstobeneficiarieswithgeneralinformationaboutMedicare,plusspecificinformationonplansavailableintheirarea;atollfreetelephoneservicestaffedbycustomerservicerepresentativesabletoprovideinformationonavailableplans;www.medicare.gov,the | $ : userfriendlyInternetsitethatprovidescomparativeinformationonplansbyzipcode;aswellasotherprogramsinvolvingStateandlocalentities.ne``݌̌ XBXXXBXBXXXB  n XBXXXBXBXXXB  nc D   .x8XBXXXBXBXXXB   ClinicalLaboratoryImprovement 8? Amendments.md: XBXXXBXBXXXB  TheClinicalLaboratory x @ ImprovementAmendmentsof1988(_CLIA_ԁ88)expandedsurveyandcertificationofclinicallaboratoriesfromMedicareparticipatingandinterstatecommercelaboratoriestoallfacilitiestestinghumanspecimensforhealthpurposes._CLIA_ԁ88alsointroduceduserfeesforclinicallaboratoriestofinancesurveyandcertificationactivities.UserfeesarecreditedtotheProgramManagementaccountbutareavailableuntilexpendedfor_CLIA_Ԁactivities.ncCd݌̌ XBXXXBXBXXXB  n XBXXXBXBXXXB  nkh D   The_CLIA_Ԁprogramisfullyoperational, tM withabout169,600laboratoriesregisteredwithHCFA;about27percentofthelaboratoriesaresubjecttoroutineinspection(every2years)undertheprogram.Workloadsforeachinspectionperiodincludea5percentsamplereviewofthe17,000accreditedlaboratories,surveysof23,100nonaccreditedlaboratories,Statevalidationsurveysof850accreditedlaboratories,andapproximately1,700followupsurveyandcomplaint investigations.nkhh݌ ),'Y Ќ XBXXXBXBXXXB  _+.HXXBXXXB   XBXXXB   +.k  XHProgramManagementPriorities+.kol XԌ   ЌXBXXBXBXXB  n XBXXXBXBXXXB  nQm    .xpXBXXXBXBXXXB   p_HIGLAS_.mnur: XBXXXBXBXXXB  ݀HCFAcurrentlyhasno  uniformfinancialmanagementsystemtoaccountforthetensofbillionsofdollarsspentonMedicarebenefitseachyear.Contractorsuseadhoc,PCbasedspreadsheetsandaseriesoffragmentedandoverlappingsystemstomaintaintheiraccountsreceivable.Further,mostdonotusemorerigorousdoubleentryaccountingmethodsorclaimsprocessingsystemswithgeneralledgercapabilities.Thecurrentapproachtofinancialmanagementmakesitdifficulttoverifytheaccuracyofreportedactivities,whichincreasestheriskofadministrativeandoperationalerrorsandmisstatements.nQmm݌̌ XBXXXBXBXXXB  n XBXXXBXBXXXB  nr    TheGeneralAccountingOffice(GAO) ` andtheOfficeofInspectorGeneral(OIG)haveechoedtheconcernsregardingHCFAsfinancialaccountingsystemsinrecentannualreportstotheCongress.Insum,thecurrentsystemisinadequateto:detectandcollectmoneyowedtotheMedicareTrustFunds;retainacleanopiniononfinancialstatementswithoutmoreexpensive,alternativeefforts;andcomplywithfinancialmanagementstatutoryrequirements.TheHCFAIntegratedGeneralLedgerAccountingSystem(_HIGLAS_)willensurethatHCFAcanmeetalloftheseobjectivesbycreatingastateoftheartuniformMedicareaccountingsystem.nrr݌̌ XBXXXBXBXXXB  n XBXXXBXBXXXB  nu    _HIGLAS_Ԁrepresentsacoordinated x! ! approachtoimprovingtheaccountingandfinancialmanagementprocessesusedbyHCFAsMedicarecontractorstoadministertheMedicarePartsAandBprograms,andtheagencyscentraladministrativeaccountingandfinancialmanagementprocesses.Thegoalsof_HIGLAS_Ԁaretodeployanintegrated,enterprisewidefinancialmanagementsolutiontosupportadministrativeandprogramfinancialmanagementneeds.Theprojectwillfocusonthecontractorsaccountsreceivable,accountspayable,generalledger,and t-+. reportingprocessesandreplaceHCFAslegacyaccountingsystemandsystemsthatcurrentlysupportitsprocurement,travelmanagement,grantsmanagement,andassetmanagement.InFY2002,HCFAplanstospend$53millionforboth_IGLAS_ԀandFACS._HIGLAS_ԀisanimportantcomponentofHCFAsMedicarecontractorOversight.nu|v݌̌ XBXXXBXBXXXB  n XBXXXBXBXXXB  nG{ D   .x0  `XBXXXBXBXXXB   CapitalImprovements.{: XBXXXBXBXXXB  Anumberof 0 6 HCFAsinformationtechnologysystemsareantiquatedandrequireupgradingoroutrightreplacement.HCFAisnowinthemidstofredesigningandreplacingitsMedicaremanagedcaresystem.Asystemthatwasbuilttoaccommodateasmallbeneficiarypopulationenrollinginasmallnumberofriskhealthmaintenanceorganizationsisbeingreplacedbyasystemtoaccommodatealargernumberofbeneficiariesenrollingand_disenrolling_Ԁinagreatvarietyofmanagedcareplans.nG{{݌̌ XBXXXBXBXXXB  n XBXXXBXBXXXB  n D   HCFAhassurveyedthesystemsand ,C databasesthatsupporttheclaimsprocessingfunctionandhasdevelopedaplantoupgradeorreplaceanumberofmissioncriticalsystemstotakeadvantageofthenewcomputingandcommunicationspoweravailablenowandinthenearfuture.TheSecretaryisfullysupportiveoftheseeffortsandhasmadethisasamajorpriorityfortheDepartment,dedicating$36millioninHCFAsMedicarecontractorsforcapitalimprovement.n ݌̌ XBXXXBXBXXXB  n XBXXXBXBXXXB  n D   .x!\    TheACFdiscretionarybudgettotals R  $12.6billion,anetincreaseof$514million.Thetotalincludesincreasestostrengthenfamilies,supportservicesforatriskchildrenandyouth,andcontinuesupportforHeadStart.n>݌̌ XBXXXBXBXXXB  +.&r$%#XBXXXB  XBXXXB   +.d  StrengtheningFamilies+.d~'&%&r$Ԍ ~'&%# ЌXBXXBXBXXB  n XBXXXBXBXXXB  n    Supportthatresultsinsuccessful j(&$ outcomesforthoseinneedcancomefrommanysources,notjusttheGovernment.IneveryinstancewherethisAdministrationseesaresponsibilitytohelppeople,itwill looktofaith-basedorganizations,charities, -*)  (#(#(#(#VFBh~T|  `dddd````E 4T|  & ;VFBh~T|  `dddd````E 4T|  & ;VFBh~T|  `dddd````E 4T|  & ;JVFBh~T|  `dddd````E 4T|  & ;VFBh~T|  `dddd````E 4T|  & ;=VFBh~T|  `dddd````E 4T|  & ;andcommunity & )   groupsthathaveshowntheabilitytochangelives.ThesegroupswillnotreplaceGovernment,butratherpartnerwithittomakelifebetterforthoseinneed.Toomany (#(#(#(#Americanssufferdespairandpovertydespitenumerousgovernmentprograms.Forexample:n)݌̌ XBXXXBXBXXXB  `x^L 4(*-/0123Ch3)LXBXXXB  `W0 D 2C3  0pD(#D(#  Asmanyas15millionyoungpeople ^9 areatriskofnotreachingproductiveadulthoodbecauseofcrime,drugs,andotherproblemsthatmakeitdifficulttogetaneducationorobtainajob.`W݌ p(#p(# ЌL )3h4(*-/0123LXBXXXB  `x^%#$"L 4(*-/0123Ch3)LXBXXXB  `0 D 2C3  0pD(#D(#  Asmanyas1.5millionchildrenhave ^%#? aparentinprison.`݌ p(#p(# ЌL )3h4(*-/0123LXBXXXB  `x'V%6'$L 4(*-/0123Ch3)LXBXXXB  `$0 D 2C3  0pD(#D(#  Overhalfamillionchildrenarein 'V%A fostercare,morethanonefifthofwhomareawaitingadoption.`$݌ p(#p(# ЌL )3h4(*-/0123LXBXXXB  `x*(r*(L 4(*-/0123Ch3)LXBXXXB  `t0 D 2C3  0pD(#D(#  Nearlyoneinsixfamilieswith *(D childrenliveonanannualincomeof$17,000orless.`t.݌ ,j*Fp(#p(# ЌL )3h4(*-/0123LXBXXXB  n XBXXXBXBXXXB  n       TheFY2002budgetincludesa X multifacetedapproachtoachieveeffectiveinterventionsonbehalfofchildrenandfamiliesinneed.ng݌̌ XBXXXBXBXXXB  n XBXXXBXBXXXB  VFBh~0,< `ddddE , Py L*<VFBh~0,< `ddddE , Py L*<VFBh~0,< `ddddE , Py L*<GVFBh~0,< `ddddE , Py L*<VFBh~0,< `ddddE , Py L*<@VFBh~0,< `ddddE , Py L*<nH    .x(XBXXXBXBXXXB     CompassionCapitalFund.u: XBXXXBXBXXXB  The ( PresidentsBudgetincludes$89millionforaCompassionCapitalFundtosupportthe  creationofpublic/privatepartnershipstoprovidestartupcapitalandoperatingfundstoqualifiedcharitableorganizationsthat   wishtoexpandoremulatemodelsocialservicesprograms.Areastobehighlightedinclude_mentoring_Ԁchildrenofprisoners,afterschoolchildcare,andeldercare.nHK݌̌ XBXXXBXBXXXB  n XBXXXBXBXXXB  n    .xtTXBXXXBXBXXXB   SupportingChildrenofPrisoners.:  t XBXXXBXBXXXB  Americaishometo1.5millionchildrenof ` prisonersonanaverageday.Lowincomechildrenofprisonerssufferdisproportionateratesofmanyseveresocialproblemsincludingsubstanceabuse,ganginvolvement,earlychildbearing,anddelinquency.ThePresidentsBudgetincludes$67milliontofundactivitiestoassistchildrenwhiletheirparentsareinprison,maintainingchildrensconnectiontoanimprisonedparent,andtosupportfamilyreunification.nl݌̌ XBXXXBXBXXXB  n XBXXXBXBXXXB  n    .x@! pXBXXXBXBXXXB   AfterSchoolPrograms.: XBXXXBXBXXXB  TheFY2002 @!  budgetincludesa$400millionsetasideforafterschoolcertificateswithintheChildCareandDevelopmentBlockGrant.Fundingwillprovidecertificatesforupto500,000low-incomeparentsofchildrenupto19yearsofage.Thesefundswillassistparentsinobtainingafterschoolchildcareinprogramswithahighqualityeducationalfocus.n݌̌ XBXXXBXBXXXB  n XBXXXBXBXXXB  n    .x*(x* (XBXXXBXBXXXB   MaternityGroupHomes.g : XBXXXBXBXXXB  The *(* PresidentsBudgetprovides$33millionformaternitygrouphomes.Throughcommunitybasedadultsupervisedgrouphomesor -\+- apartmentclusters,youngmothersandtheirchildren,whoareunabletolivewiththeirownfamiliesbecauseofabuse,neglect,orothercircumstances,willhaveaccesstosafeandstableenvironments.Fundswillsupportcertificatestoindividualsforservicesandassistproviders!includingfaithbasedandcharitableorganizations!inestablishingandoperatingthesefacilities.Thesefacilitieswillofferchildcare,education,jobtraining,counseling,andadviceonparentingskills.n= ݌̌ XBXXXBXBXXXB  n XBXXXBXBXXXB  n  D   .x h  XBXXXBXBXXXB   PromotingResponsibleFatherhood..: XBXXXBXBXXXB  In  9 1960,lessthan10millionchildrendidnotlivewiththeirfathers,todaythenumberisnearly25million.Thebudgetincludes$64millionforprogramsthatpromoteresponsiblefatherhood.Fundingwillbeprovidedtofaith-basedandcommunityorganizationsthathelpunemployedandlowincomefathersandtheirfamiliesavoidorleavecashwelfare,aswellasforprogramsthatpromotesuccessfulparentingandmarriage.Withinthe$64million,$4millionisforProjectsofNationalSignificancetosupporttheexpansionofStateandlocalresponsiblefatherhoodefforts.n ݌̌ XBXXXBXBXXXB  n XBXXXBXBXXXB  n D   .xHXBXXXBXBXXXB   OfficeofFaithBasedandCommunity I Programs.: XBXXXBXBXXXB  OnJanuary29,2001,the J PresidentissuedanExecutiveOrderformallyestablishingtheOfficeofFaith-BasedandCommunityInitiatives.OnMarch20,2001,SecretaryThompsonestablishedtheHHSCenterforFaith-BasedandCommunityInitiatives.TheCenterwillcoordinatedepartmentaleffortstoeliminatebarrierstotheparticipationoffaithbasedandothercommunityorganizationsinprovidingsocialservices.Thebudgetincludes$3milliontosupporttheCenter.n݌̌ XBXXXBXBXXXB  +.*')&XBXXXB  XBXXXB   +.K  ChildCare+.K*\(*'Ԍ *\(V ЌXBXXBXBXXB  n XBXXXBXBXXXB  n D   Reliable,highqualitychildcareis +H)W essentialbothtoparentscontinuedemploymentandtochildrenshealthand x- +Y intellectualdevelopment.TheFY2002budgetincludes$2.2billionforthediscretionaryChildCareandDevelopmentBlockGrant(_CCDBG_),anincreaseof$200millionoverFY2001.Withinthetotalavailable,thebudgetcreatesanew$400millionsetasideforafterschoolchildcarecertificates.Thecertificateswillassistupto500,000parentsinobtainingafterschoolchildcarewithahighqualityeducationfocus.Byincludingthecertificates,anestimated2.6millionchildrenwillbeservedbytheChildCareDevelopmentFund.n݌̌ XBXXXBXBXXXB  +.0 @ XBXXXB  XBXXXB   +.  HeadStart+.0 Ԍ  ЌXBXXBXBXXB  n XBXXXBXBXXXB  n    ThePresidentsBudgetrequestincludes x $6.3billionforHeadStart,anincreaseof$125millionoverFY2001.InFY2002,916,000childrenwillreceiveHeadStartservicesincluding55,000childreninEarlyHeadStart.Theincreasewillprovidesufficientfundstomaintaincurrentenrollmentlevels,strengthentrainingandtechnicalassistance,andsupportcompetitivesalariesforHeadStartteachers.nN݌̌ XBXXXBXBXXXB  n XBXXXBXBXXXB  n    InFY2002,theAdministrationwill  reformHeadStartbymakingschoolreadiness!prereadingandnumeracyskills!HeadStartstoppriority.ThePresidenthasproposedtomoveHeadStarttotheDepartmentofEducationtostrengthenthisnewemphasis.TheAdministrationalsosupportsanearlyreadinginitiative,fundedbytheDepartmentofEducation,tohelpprepareyoungchildrentoreadinexistingpreschoolandHeadStartprograms.n0 ݌̌ XBXXXBXBXXXB  n XBXXXBXBXXXB  n"    AsAmericaspremierearlychildhood ,%"$ educationprogram,HeadStartensuresthatlowincomechildrenstartschoolreadytolearn.HeadStartpromotesreadinginseveralways,bymandatingperformancestandardsandteacherqualificationsintheHeadStartAct,throughtechnicalassistanceandprofessionalstaffdevelopment,and throughresearchtomonitoroutcomes.n"=#݌ ,4*, Ќ XBXXXBXBXXXB  n XBXXXBXBXXXB  n% D   HeadStartalsoprovideschildrenwith X,  comprehensivechilddevelopmentandhealthservicesincluding,immunizations,physicalanddentalexams,andnutritionalservices.n%&݌̌ XBXXXBXBXXXB  +.XBXXXB  XBXXXB   +.'  LowIncomeHeatingandEnergy 1 AssistanceProgram(_LIHEAP_)+.'( ,xԌ̌XBXXBXBXXB  n XBXXXBXBXXXB  n) D   TheFY2002budgetprovidesatotalof p 3 $1.7billionfor_LIHEAP_,including$1.4billionforformulablockgrantstoStatesand$300millionforcontingencyfunding.Thecontinencyfundswillbeavailableforreleaseinaheatingorcoolingemergency!suchasextremetemperatureorhighfuelprices,ortomeetenergyneedsrelatedtoanaturaldisaster.ThebudgetproposestoeliminatetherequirementthatthePresidentdeclareabudgetaryemergencybeforeHHSreleasesfundstooneormoreStates;thischangeresultsfromgovernment-wideproposalsrelatedtoemergencyfunding.n))݌̌ XBXXXBXBXXXB  n XBXXXBXBXXXB  n, D   _LIHEAP_Ԁnormallyprovidesheatingand DB coolingbenefitstoapproximately4.3millionhouseholdseachyear.Oftherecipienthouseholds,approximatelyone-thirdincludeanelderlymember,one-thirdincludeapersonwithadisability,nearlyhalfincludeachildunderage18,and22percentofrecipientsdonotreceiveanyotherpublicassistance.n,J-݌̌ XBXXXBXBXXXB  +.!( 8XBXXXB  XBXXXB   +./  RefugeeandEntrantAssistance+./ 04"!(Ԍ 4"K ЌXBXXBXBXXB  n XBXXXBXBXXXB  n0 D   Thebudgetrequests$445millionin  # L FY2002.Thisrequestwillprovideeightmonthsofcashandmedicalassistanceandaccesstosocialserviceprogramstoanestimated100,000refugeesand21,000Cubans,Haitians,andvictimsoftrafficking.Ofthefundsrequested,ACFwillallocate$237milliontoTransitionalandMedicalServices,$144milliontoSocialServices,$49milliontoTargetedAssistance,and$5milliontoPreventative Health.Thebudgetincludes$10millionto D-*W supportdomestictreatmentactivities#bbddauthorizedbytheTortureVictimsReliefAct.#ddbb3n0Y1݌ D  XBXXXBXBXXXB  n XBXXXBXBXXXB  n4    .xP0XBXXXBXBXXXB   VictimsofTrafficking.e5kGr: XBXXXBXBXXXB  Withinthe P amountsabove,theFY2002budgetincludesupto$10milliontosupportthenewlyauthorizedTraffickingVictimsProtectionAct.TheTraffickingActmakesvictimsofsevereformsofhumantraffickingeligibleforservicesasarefugee.BasedonStateDepartmentestimates,thebudgetincludesfundingtoprovideservicesforupto1,000traffickingvictims.n4;5݌̌ XBXXXBXBXXXB  +.x XBXXXB  XBXXXB   +.k8  NativeAmericanPrograms+.k88, x Ԍ ,  ЌXBXXBXBXXB  n XBXXXBXBXXXB  n9    Thebudgetincludesarequestof p  $44millionfortheprogramsoftheAdministrationforNativeAmericans.Fundsareawardedcompetitively,primarilyforSocialandEconomicDevelopmentStrategiesgrants,whichpromoteselfsufficiencyforindividuals,TribesandNativeAmericancommunities.Grantsarealsoprovidedfornativelanguagepreservationandthedevelopmentoftribalenvironmentalregulations.n91:݌̌ XBXXXBXBXXXB  n XBXXXBXBXXXB  n<    TheNativeAmericanProgramhas < receivedanincreaseof$9millioninfundingsinceFY2000.Thenumberofgranteesservedhasgrownby25percentforatotalof261grantees.n<=݌̌ XBXXXBXBXXXB  +. 0XBXXXB  XBXXXB   +.>  DevelopmentalDisabilities+.> ? | Ԍ  | ЌXBXXBXBXXB  n XBXXXBXBXXXB  n?    Thebudgetincludesarequestof !h $133millionforDevelopmentalDisabilitiesprograms.TheDevelopmentalDisabilitiesprogramhelpsStatestoensurethatallpersonswithdevelopmentaldisabilitiesareabletoaccessservicesforenhancedindependence,productivity,integration,andinclusioninthecommunity.n?T@݌̌ XBXXXBXBXXXB  +.*' )&XBXXXB  XBXXXB   +.UB  ChildWelfare/AbusePrograms+.UBB*l(*'Ԍ *l(& ЌXBXXBXBXXB  n XBXXXBXBXXXB  nC    InFY2002,thePresidentsBudget +X)' includes$411milliontosupportStatesandlocalitiesintheireffortstoprotectchildren -0+) bystrengtheningfamilies,andpreventingabuseandneglect.Thesefundswillhelptoprovideservicestopreventchildabuseandneglect,andtointerveneincasesinwhichchildmaltreatmenthasbeenreported.nCD݌̌ XBXXXBXBXXXB  n XBXXXBXBXXXB  nTF D   In1999,anestimated1.6million . childrenreceivedservicestopreventchildabuseandneglect.Anestimated2.9millionchildrenwerethesubjectofaninvestigationorassessmentpertainingtochildabuseorneglect,and826,000childrenwerefoundtobevictimsofmaltreatment.nTFF݌̌ XBXXXBXBXXXB  n XBXXXBXBXXXB  nH D   Thesefunds,combinedwiththelarge h  5 increaseinmandatoryfundingforSafeandStableFamiliesandtheFosterCareIndependentLivingprogram,willprovideStateswithmuchneededfundingtostrengthenservicesprovidedtochildrenandfamiliesinthechildwelfaresystem.Withtheseservicesmorefamilieswillbekepttogether,orchildrenwillbemovedtoadoptionmorequicklysothattheybecomepartofasafeandstableenvironmentasquicklyaspossible.nH6I݌̌ XBXXXBXBXXXB  +.hx XBXXXB  XBXXXB   +.K  FederalAdministration+.KOLhԌ A ЌXBXXBXBXXB  n XBXXXBXBXXXB  nM D   TheFederalAdministrationrequestis B $182million,anincreaseof$8million.Thislevelwillfundanestimated1,547FTEinFY2002.Thesefundswillsupportcriticaltravelandmonitoringsystemsresponsibilities,Federalpayraises,andallothergeneraloverheadexpenses.nMM݌̌ XBXXXBXBXXXB  +.l" |!$XBXXXB  XBXXXB   +.tO  SupportingSocialServicesResearch+.tOO # l" Ԍ  # I ЌXBXXBXBXXB  n XBXXXBXBXXXB  nP D   CentraltotheACFmissionissound  $!J researchtohelpguideStateandlocaleffortstohelplowincomefamiliesbecomeandremaineconomicallyselfsufficientandtostrengthenfamilies.TheFY2002budgetincludesatotalof$27millionforresearch,ofwhich$6millionisdiscretionaryfunding.Theremaining$21millionismandatoryfundingmadeavailablebythePersonalResponsibilityandWorkOpportunity ReconciliationActof1996(_PRWORA_).nPEQ݌ D-*T Ќ XBXXXBXBXXXB  +.HXXBXXXB   XBXXXB   +.T  XHRedirectedResources+.TT XԌ   ЌXBXXBXBXXB  n XBXXXBXBXXXB  npU    InFY2002,resourcesareredirectedin  someareastofundhigherpriorityneedsinothers.ThebudgetdoesnotfundtheEarlyLearningFundandthreeCommunityServicesprogramsincludingNationalYouthSports,RuralCommunityFacilities,andCommunityFoodandNutrition,foratotalreductionof$48million.Thebudgetalsodoesnotinclude$28millioninonetimeprojectsforSocialServicesResearch($11million),ChildAbuse($16million),NativeAmerican($2million),andDevelopmentalDisability($200,000)programsthatwerefundedinFY2001appropriations.npUU݌̌ XBXXXBXBXXXB  +.dtXBXXXB  XBXXXB   +.X  W<V\<EntitlementProgramSummary+.XtYpdԌ p ЌXBXXBXBXXB  n XBXXXBXBXXXB  nZ    TheDepartmentsFY2002ACFbudget \ includes$31.8billioninbudgetauthorityforentitlementprograms.ThistotalincludespreappropriatedfundingfortheTemporaryAssistanceforNeedyFamilies(_TANF_)programandtheChildCareEntitlementtoStates.TheACFentitlementbudgetalsoincludesproposalstoincreasefundingforPromotingSafeandStableFamiliesandtheIndependentLivingProgram.Inaddition,thePresidentsBudgetincludesaproposaltogiveStatestheoptiontocountas_TANF_expendituresthecostsofofferingacharitableStatetaxcredit.nZ[݌̌ XBXXXBXBXXXB  +.4"D!XBXXXB  XBXXXB   +.I^  ChildCareEntitlementtoStates+.I^^" 4"Ԍ "  ЌXBXXBXBXXB  n XBXXXBXBXXXB  n_    ThePersonalResponsibilityandWork #|!  OpportunityReconciliationAct(_PRWORA_)of1996(welfarereform)amendedtheChildCareandDevelopmentBlockGrantAct(_CCDBG_)byconsolidatingfourformerchildcareprogramsandcreatinganentitlementportionoftheblockgrantthatincludesbothmatchingandmandatoryfunds.Currently,allStatesreceivediscretionaryandentitlementfunds.TheentitlementfundshelpStatesprovidesubsidiestoworkingfamiliesandrequire -++ Statestospendaminimumoffourpercentofthefundstoimprovethequalityandavailabilityofhealthyandsafechildcareforallfamilies.Additionalamountsofthediscretionaryfundsarealsosetasideforqualityimprovementsandresearchandreferralactivities.n_`݌̌ XBXXXBXBXXXB  n XBXXXBXBXXXB  nd D   ForFY2002,welfarereformauthorized t2 andpreappropriatedentitlementfunds(matchingandmandatory)of$2.7billionforchildcareprograms,a$150millionincreaseoverFY2001.Statesareallowedmaximumflexibilityindevelopingchildcareprograms.Thesefunds,combinedwiththerequested$2.2billionindiscretionarychildcarefunding,willcontinuetoenhancesupportforworkingfamiliesandtohelpmovefamiliesfromwelfaretowork.ndd݌̌ XBXXXBXBXXXB  n XBXXXBXBXXXB  n%g D   TheChildCareEntitlementfunds = include:1)MandatoryChildCare,2)MatchingChildCare,and3)TrainingandTechnicalAssistance.n%gg݌̌ XBXXXBXBXXXB  +.8HXBXXXB  XBXXXB   +.h  TemporaryAssistancetoNeedy 8A Families+.hpi0|$Ԍ̌XBXXBXBXXB  n XBXXXBXBXXXB  nFj D   The_TANF_Ԁblockgrant,asinglecapped C entitlementofapproximately$16.7billionannually,providesfundstoStatestodesigncreativeprogramstohelpfamiliestransitionfromwelfaretoselfsufficiency.Under_TANF_,recipientsmustengageinworkactivitiestoreceivetime-limitedassistance.AccordingtoStatereports,morethan1.2millionparentsonwelfarewenttoworkbetween1998and1999.Overall,43percentofwelfarerecipientsenteredtheworkforcein1999comparedwith39percentin1998.Notonlyaretheseadultsworking,buttheirincomesarerisingastimegoeson,acriticalcomponentofstayingoffofwelfare.In1999,Statesreportedanaverageearningsincreaseof22percentforformerwelfarerecipientsoveraperiodoftwoquarters.Lastyear,Statesreportedanaverageincreaseof24percent.nFjj݌̌ XBXXXBXBXXXB  n XBXXXBXBXXXB  no D   Welfarereformlegislationauthorizesthe ,4*W followingactivities:noo݌ x- +X Ќ XBXXXBXBXXXB  `xxXL 4(*-/0123Ch3)LXBXXXB  `p0  2C3  0  FamilyAssistanceGrantstoStates, x TribesandTerritories;`peq݌  ЌL )#3h4(*-/0123LXBXXXB  `x PL 4(*-/0123Ch3)LXBXXXB  `r0  2C3  0  MatchingGrantstoTerritories;`rs݌  ЌL )#3h4(*-/0123LXBXXXB  `x, L 4(*-/0123Ch3)LXBXXXB  `t0  2C3  0  BonustoRewardDecreaseinOut , ofWedlockbirths;`tu݌  ЌL )#3h4(*-/0123LXBXXXB  `x|\L 4(*-/0123Ch3)LXBXXXB  `v0  2C3  0  BonustoRewardHighPerformance | States;`vw݌  ЌL )#3h4(*-/0123LXBXXXB  `x$  TL 4(*-/0123Ch3)LXBXXXB  `y0  2C3  0  04  TribalWorkPrograms;and,`yy݌$ 44 ЌL )#3h4(*-/0123LXBXXXB  `x 0  L 4(*-/0123Ch3)LXBXXXB  `#{0  2C3  0  LoansforStateWelfarePrograms.`#{{݌ 0  ЌL )#3h4(*-/0123LXBXXXB  n XBXXXBXBXXXB  n%}    ` | t  Uptoacombined30percentof_TANF_  |  fundsmaybetransferredtoeithertheChildCareandDevelopmentBlockGrantortheSocialServicesBlockGrant(_SSBG_).StartinginFY2002,transfersto_SSBG_Ԁwillbelimitedto4.25percentof_TANF_Ԁfunds.Statesaretransferringlargeamountsoftheir_TANF_ԀfundstotheChildCareandDevelopmentBlockGrant,inresponsetotheincreasedneedsinthisprogram.n%}}݌̌ XBXXXBXBXXXB  +. XBXXXB  XBXXXB   +.  _TANF_ԀLegislativeProposals+.3XԌ X ЌXBXXBXBXXB  n XBXXXBXBXXXB  n    TheFY2002PresidentsBudget D containsanewproposalthatwouldallowStatestopartiallyoffset,atStateoption,costsofaCharitableStateTaxCredit(_CSTC_)withfundingfromthe_TANF_program.Statesthatoffera_CSTC_Ԁwouldprovideacredit(ofupto50percentofthefirst$500forindividualsand$1,000formarriedcouples)towardStateincomeorothertaxesforcontributionstocharitiesdesignatedbyStatesasaddressingpovertyanditsimpact(definedasconsistentwithpurposesofthe_TANF_Ԁprogram).Stateswhochoosetooffsetthecostofthiscreditwith_TANF_Ԁdollarswouldberequiredtomeetmaintenanceofeffortandmatchingrequirements.Thisproposalisbudget neutralovertenyears.n݌ H)&% Ќ XBXXXBXBXXXB  +.HXXBXXXB   XBXXXB   +.  XHChildrensResearchandTechnical X% Assistance(_CRTA_)+.xDԌ̌XBXXBXBXXB  n XBXXXBXBXXXB  n D   Welfarereformauthorizesand ' appropriatesfundsforwelfareresearchandtechnicalassistanceforStates.TheFY2002totalis$62million.n݌̌ XBXXXBXBXXXB  n XBXXXBXBXXXB  nj D   Includedinthistotalis$21millionin <+ pre-appropriatedmandatoryfunds,ofwhich$15millionisforwelfareresearchand$6millionisforalongitudinalchildwelfarestudy.Thesefundswillalsosupportwelfareresearchontheeffectsofwelfarereformandonwaystoimprovethewelfaresystem.nj݌̌ XBXXXBXBXXXB  n XBXXXBXBXXXB  n D   Theremaining$41millionoftherequest  2 includestwochildsupportsetasides:onefortrainingandtechnicalassistanceandtheothertoassistinoperatingtheFederalParentLocatorService(_FPLS_).ThefundsappropriatedfortheseactivitiesareequaltooneandtwopercentrespectivelyoftheamountpaidtotheFederalgovernmentforitsshareofchildsupportcollectionsduringtheprecedingfiscalyear.n_݌̌ XBXXXBXBXXXB  +.0@XBXXXB  XBXXXB   +.  ChildSupportEnforcement+.g0Ԍ < ЌXBXXBXBXXB  n XBXXXBXBXXXB  n0 D   TheChildSupportEnforcement(_CSE_) x= programisajointFederal,Stateandlocalpartnershipthatseekstoensurefinancialandemotionalsupportforchildrenfrombothparentsbylocatingnoncustodialparents,establishingpaternity,andestablishingandenforcingchildsupportorders.Theprogramprovidescriticalsupportforworkingfamiliesandassistsinthetransitiontoselfsufficiency.InFY2002,anestimatedtotalof$5.4billioninFederalandStatedollarswillbespentinordertocollect$21.2billioninpayments.ThisrepresentsaninepercentgainincollectionsoverFY2001andanexpectedtotalreturnofabout$4forevery$1investedintheadministrationoftheprogram.SincetheinceptionoftheprograminFY1975,over$100billionhasbeencollected.InFY2000,theprogramsetanewrecordamountof$1.4billioncollectedinoverduechildsupportfromFederalincometaxrefunds.n0݌ ,.+R Ќ XBXXXBXBXXXB  n XBXXXBXBXXXB  nI    Lastyear,theNationalDirectoryofNew X Hires(_NDNH_)helpedlocatemorethan3.5millionnoncustodialparents.Inaddition,paternityestablishmentroseto1.6millionin1999.nIȖ݌̌ XBXXXBXBXXXB  n XBXXXBXBXXXB  ne    TheFederalgovernmentsharesinthe  financingofthisprogrambyprovidingincentivepayments,a66percentmatchrateforgeneralStateadministrativecosts,andanenhancedmatchrateforpaternitytestingandspecifiedautomatedsystemsrequirements.The_CSE_Ԁprogramalsoincludesacappedentitlementof$10millionannuallyforgrantstoStatestofacilitatenoncustodialparentsaccesstoandvisitationoftheirchildren.ne݌̌ XBXXXBXBXXXB  n XBXXXBXBXXXB  n    The_CSE_Ԁprogramstrengthensfamilies  byhelpingchildrengetthesupporttheyareowedfromnoncustodialparents.Innon-_TANF_Ԁcases,childsupportcollectionsareforwardedtothecustodialfamily.Bysecuringsupportonaconsistentandcontinuingbasis,familiesmayavoidtheneedforpublicassistance,thuspotentiallyreducingfuturewelfare,FoodStamp,andMedicaidspending.Applicantsfor_TANF_assigntheirrightstosupportpaymentstotheStateasaconditionofreceiptofassistance.Childsupportcollectionsonbehalfoffamiliesreceiving_TANF_Ԁandsomecollectionsonbehalfofformer_TANF_recipientsaresharedbetweentheStateandFederalgovernment.n݌̌ XBXXXBXBXXXB  n XBXXXBXBXXXB  n     Asnotedabove,aportionoftheFederal  l! shareofchildsupportcollectionsispaidtotheStatesasincentivepayments.Previously,FederalincentivepaymentstoStateswerebasedontheStatescosteffectivenessinoperatingtheprogramandtheamountofpaymentscollected.FollowingpassageoftheChildSupportPerformanceandIncentiveActof1998,anewincentivesstructurewasputintoplaceusingfivekeymeasures:paternityestablishment,supportorderestablishment,collectionsoncurrentsupport,collectionsonpastduesupport,andcosteffectiveness.Thisnewsystemwillbefully_imiplemented_ԀinFY2002.n ݌ -T+/ Ќ XBXXXBXBXXXB  +.HXXBXXXB  XBXXXB   +.  XHFosterCare,AdoptionAssistance X/ andIndependentLivingProgram+.}DԌ̌XBXXBXBXXB  n XBXXXBXBXXXB  n D   TheFY2002budgetrequests 1 $6.7billioninbudgetauthorityfortheFosterCare,AdoptionAssistanceandIndependentLivingprograms.n݌̌ XBXXXBXBXXXB  n XBXXXBXBXXXB  nP D   Ofthetotalrequest,$5.1billionwill <5 provideFosterCarepaymentsonbehalfofabout290,700childreneachmonth.ThisrequestwillalsofundStateadministration,includingchildwelfareinformationsystems,training,andStatedatasystems.nPϧ݌̌ XBXXXBXBXXXB  n XBXXXBXBXXXB  n D   FortheAdoptionAssistanceprogram,  ; about$1.4billionwillprovidepaymentsforfamilieswhoadoptspecialneedschildren.Monthlypaymentsaremadeonbehalfofadoptedchildrenuntiltheir18thbirthday. t? Theproposedleveloffundingwillsupportapproximately301,600childreneachmonth.n ݌̌ XBXXXBXBXXXB  n XBXXXBXBXXXB  n D   Thebudgetincludes$140millionto 8B fundtheIndependentLivingProgram,andanadditional$60millionforthelegislativeproposaldescribedbelow.n݌̌ XBXXXBXBXXXB  +.0@XBXXXB  XBXXXB   +.  FosterCareRelatedLegislative 0F Proposals+.sxԌ̌XBXXBXBXXB  n XBXXXBXBXXXB  nM D   .x4dXBXXXBXBXXXB   34c3IndependentLivingProgram(ILP).hild:  cH XBXXXBXBXXXB  Approximately16,000youthageoutofthe OI fostercaresystemannually.Youngpeopleinterestedinhighereducationorvocationaltrainingoftendonothavetheresourcestopayfortheseopportunities.Thisproposalwouldprovide$60milliontoStatestosupporttheseyoungpeopleinfurtheringtheireducation,througheithercollegeortechnicaltraining,andincreasetheprospectthattheywillbeabletosecureworkandbecomecontributingmembersofadultsociety.Statesreceivefundstoimplementthisprogrambasedonthenumberofyouthinthefostercaresystemfromages16to21.nM̯݌̌ XBXXXBXBXXXB  n XBXXXBXBXXXB  n% D   .x*')7'XBXXXBXBXXXB   PromotingSafeandStableFamilies.δhild:  *'W XBXXXBXBXXXB  TheAdoptionandSafeFamiliesActof1997 *(X _reauthorized_ԀandexpandedthePromotingSafeandStableFamiliesprogram(formerlyknownastheFamilyPreservationand -_+[ Supportprogram).TheFY2002requestincludes$505million,a$200millionincreaseoverFY2001,forStatesandeligibleIndiantribes.n%݌̌ XBXXXBXBXXXB  n XBXXXBXBXXXB  n    ThePromotingSafeandStableFamilies  programsupportsStatechildwelfareagenciesandtribesinprovidingforthebestinterestsofthechildthrough:familypreservationservices,familysupportservices,timelimitedfamilyreunificationservices,andadoptionpromotionandsupportservices.nb݌̌ XBXXXBXBXXXB  +.X h  XBXXXB  XBXXXB   +.V  SocialServicesBlockGrant+.Vպ  X Ԍ    ЌXBXXBXBXXB  n XBXXXBXBXXXB  n    Throughapreappropriatedblockgrant,   theSocialServicesBlockGrant(_SSBG_)allowsStatestheflexibilitytoprovideorn݌ x Ќ XBXXXBXBXXXB  n XBXXXBXBXXXB  n D    supplementsocialservicesattheStateand X locallevels._SSBG_Ԁisfundedat$1.7billionforFY2002andprovidesdirectsocialservicesandresourcesthatlinkhumanservicedeliverysystemstogether.Programsorservicesmostfrequentlysupportedby_SSBG_Ԁincludechildcare,childwelfare(fostercare,adoptionandprotectiveservices),eldercare,drugabusepreventionandtreatmentactivities,homebasedservices,employmentservices,preventionandinterventionprograms,andservicesforthedisabled.n݌ h   Ќ XBXXXBXBXXXB  (X@(_\<>  P ^<#  XXXXBeeXX  #@    ACFOVERVIEW:DISCRETIONARYSPENDING``X#L q  ` AZ') HxdEHxAeeeeeXBXeeeԌ , Ќ  @  (dollarsinmillions)  s pV<,(`~12& `V$/E&&ab'=p`x`x (#(#                                            (#(#D` ` C`xAZ') Hxd EF.HxA^G7  G.+/ b<#  XXXXBeeXX  #@    @@*ACFOVERVIEWENTITLEMENTSPENDING#O t  X AZ') HxdE#HxAeeeeeXBXeeeԌ $ Ќ  @  (dollarsinmillions)  k vVB2.b~1 J! `. @ExMxMeC>v (#(#                 (#(#`` A` ` F` AZ') HxdEHxA o     ``X   n  #  XXXXBeeXX  #@    ACFPROPOSEDENTITLEMENTLEGISLATION#< a  ` AZ') HxdEHxAeeeeeXBXeeeԌ , Ќ  @  (dollarsinmillions)  s vVB2.b~1 KD  `.l @Exxe?v (#(#`x`x        (#(#>`x `x I`xAZ') HxdE HxA     ^    XXXXBeeXX@  CHILDSUPPORTENFORCEMENTOVERVIEW:  #eeeeen##XBXeee#Ԉ X #  XXXXBeeXX  #^@     COLLECTIONSANDCOSTS#^   $ AZ') HxdEHxAeeeeeXBXeeeԌ  Ќ  @  (dollarsinmillions)  7 pV<,(`~1 Sy `.+EvxJxJT+@p (#(#                                (#(#`` ;` ` L`AZ') HxdE%HxAbGO:  %7#% d<#  XXXXBeeXX  #@      ADMINISTRATIONONAGING#* O  X AZ') HxdE#HxAeeeeeXBXeeeԌ $ Ќ  @  (dollarsinmillions)  k pV<,(`~1 ,+ `. Exxe8BAp (#(#          AZ')+HxdE+HxA` |` 8 |`  |` O |` +.' 7 XBXXXB  XBXXXB   (X(+.T  Summary+.T3 ' Ԍ 3  ЌXBXXBXBXXB  n XBXXXBXBXXXB  n    TheFY2002budgetrequestforthe  AdministrationonAging(AoA)is$1.1billion,anetdecreaseof$5millioncomparedtoFY2001.Thenetdecreaseisaresultofthenoncontinuationof$18millionfor34one-timeTraining,ResearchandDiscretionaryprojectsfundedinFY2001.TheFY2002budgetincludesincreasesof$13milliontoprovideadditionalservicestoourNationsgrowingolderpopulationandtheir_caregivers_.TheCensusBureaupredictsthatthenumberofAmericansage65andolderwillgrowbyaboutonepercentperyearforthenextdecadebeforeincreasingrapidlyto70millionin2030,morethantwicethenumberin1997.n1݌̌ XBXXXBXBXXXB  +. wXBXXXB  XBXXXB   +.  TheOlderAmericansAct+.$!+ wԌ !+ ЌXBXXBXBXXB  n XBXXXBXBXXXB  n    AoAsgoalistoimprovethequalityof o"  lifeforallolderAmericansbyhelpingthemtoremainindependentandproductive.ThroughtheOlderAmericansAct,fundsaredistributed!primarilybyformula!throughanationwidenetworkofState,Tribalandareaagenciesonaging,tosome29,000localserviceproviders.nk݌̌ XBXXXBXBXXXB  n XBXXXBXBXXXB  n}    OnNovember13,2000,theOlder )w'' AmericansActwas_reauthorized_Ԁforthefirsttimesince1992.The_reauthorization_ԀaddedanewNationalFamily_Caregiver_ԀSupportProgramtoprovideassistanceto_caregivers_ -'++  (#(#(#(#VFBh~pGQ `ddddE GQ\g qBVFBh~pGQ `ddddE GQ\g qBVFBh~pGQ `ddddE GQ\g qB5VFBh~pGQ `ddddE GQ\g qB VFBh~pGQ `ddddE GQ\g qBRVFBh~pGQ `ddddE GQ\g qBofolderfamily ' + members.Morethanfivemillionolderindividualsrelyoncarefromfamilyandclosefriendstoremainathome.Theroleofthe_caregiver_Ԁisdifficult;halfarethemselvesovertheageof65,andone-thirdhavefulltimejobs.Researchshowsthat_caregiver_sratesof (#(#(#(#depressionaresignificantlyhigherthannon-_caregivers_Ԁofthesameage.n}݌̌ XBXXXBXBXXXB  n XBXXXBXBXXXB  n D   Toaddressthissituation,theFY2002 #o!A budgetrequestincludesatotalof$127millionfortheNationalFamily_Caregiver_ԀSupportProgram,anincreaseof$2millionoverthepreviousyear.Statesreceivedtheirfirst_caregiver_ԀawardsonFebruary15,2001.n݌̌ XBXXXBXBXXXB  n XBXXXBXBXXXB  n D   InadditiontocreatingtheFamily ;*'H _Caregiver_ԀSupportProgram,theOlderAmericansActwasmodifiedtogiveStates, areaagenciesandTribesimportantnew ,*K flexibilitytomaximizetheeffectivenessoftheirprogramactivities.n݌ XBXXXBXBXXXB  +. 0XBXXXB  XBXXXB   +.  NutritionServices+.| Ԍ | ЌXBXXBXBXXB  n XBXXXBXBXXXB  nP    AoAnutritionserviceshelpolder h personstoremainintheirhomesandcommunities.Researchhasindicatedthatformany,theavailabilityofahomedeliveredmealiscrucialtotheirabilitytofunctionindependentlyathome.Accordingtothissameevaluation,mealpreparationisdifficultorimpossiblefor41percentofprogramrecipients,and77percenthavedifficultywithoneormoredailyactivity.nP݌̌ XBXXXBXBXXXB  n XBXXXBXBXXXB  n1    Thebudgetrequestincludes   $562millionfornutritionservicesoverall,afourpercentincreaseforhome-deliveredmealsandaninepercentincreaseforGrantsforNativeAmericans.Withtheadditionalfundingrequested,thethreenutritionprogramswillbeabletoprovide301millionmealsinFY2002,anincreaseof7millionmealsoverFY2001.n1݌̌ XBXXXBXBXXXB  +.4DXBXXXB  XBXXXB   +.  SupportiveServices+.V4Ԍ  ЌXBXXBXBXXB  n XBXXXBXBXXXB  n    TheFY2002budgetalsoincludesan | additional$2millionforSupportiveServices,foratotalof$327million.SupportiveServicesincludeinformationandreferral;transportationandassistance;chore,homemakerandpersonalcareservices;andtheprovisionofadultdaycare.Transportationisacriticalservice,particularlyinareaswhicharetypically_underserved_Ԁbypublictransportationwheremorethan70percentofolderAmericanslive.Accordingtoa1997_AARP_Ԁstudy,onequarterofthe75-plusagegroupdoesnotdrive,andthisnumberisexpectedtoincreaseasthepopulationages.InFY2001,AoAestimatesthattheagingnetworkwillprovide48.7millionrides,providingolderAmericanswiththemeanstovisithealthprofessionals,pharmaciesandgrocery stores.n݌ X,** Ќ XBXXXBXBXXXB  +.HXXBXXXB   XBXXXB   +.  XHTraining,Researchand X* DiscretionaryProjects+.XDԌ̌XBXXBXBXXB  n XBXXXBXBXXXB  nJ D   Atotalof$18millionisincludedto , continueinnovativeprojectsthatinitiate,develop,andtestbestpracticesinservingtheelderly(e.g.,state-widelegalhotlines,healthcareanti-fraud,wasteandabuseprojects).TheFY2002budgetdoesnotinclude$18millionfor34one-timeprojectsfundedinFY2001.nJ݌̌ XBXXXBXBXXXB  +.4 D XBXXXB  XBXXXB   +.   OtherPrograms+. L  4 Ԍ  4 ЌXBXXBXBXXB  n XBXXXBXBXXXB  n  D   Thebudgetrequestalsoincludes | 5 $2millionforagingnetworksupportactivities(e.g.,_Eldercare_ԀLocatorandPensionCounseling),$21millionforPreventiveHealthServices,$14millionforProtectionofVulnerableOlderAmericans!includingOmbudsmanandElderAbusePreventionactivities!and$9millionforAlzheimersDiseaseDemonstrationGrants.TheseprogramsareallfundedattheirFY2001levels.n  ݌̌ XBXXXBXBXXXB  n XBXXXBXBXXXB  n D   Atotalof$18millionisrequestedfor @ ProgramAdministration,anincreaseof$1millionoverFY2001.Additionalfundswillsupport124FTE,anincreaseoftwoFTE,fundinflationaryincreases,andallowAoAtoexpandeffortstobetterservestakeholderpopulationsthroughareassuchase-governmentandinformationandoutreachactivities.n݌ X H Ќ XBXXXBXBXXXB  (X(  0.+H #  XXXXBeeXX  #@$    AOAOVERVIEW#o   X AZ') HxdE#HxAeeeeeXBXeeeԌ $ Ќ  @  (dollarsinmillions)  k pV< ,(`~1 ,+ `..ExBxBe8Cp (#(#`x`x                                   (#(#2`x`xU`xAZ') HxdE&HxAdGK  &/$' f<#  XXXXBeeXX  #ᄸ@p p     DEPARTMENTALMANAGEMENT#ᄸ D  X AZ') HxdE#HxAeeeeeXBXeeeԌ $ Ќ  @  (dollarsinmillions)  k pV<,(`~1 , `. Exdxde8Dp (#(#`x`x         (#(#/`x`xX`xAZ') HxdEHxA 7  +.n ~ XBXXXB  XBXXXB   (X@(#(#(+.C  Summary+.Cz"n Ԍ z" ЌXBXXBXBXXB  n XBXXXBXBXXXB  n    DepartmentalManagement(DM) f consolidatestheactivitiesfundedundertwoappropriationaccountsintheOfficeoftheSecretary:GeneralDepartmentalManagement(GDM)andPolicyResearch.TheFY2002budgetrequestprovidesatotalprogramlevelof$471millionforDM,includingappropriationsof$424million,interagencytransfersof$39millioninevaluationfunds,and$8millioninhealthcarefraudandabusefunds.n ݌̌ XBXXXBXBXXXB  +.z"2XBXXXB  XBXXXB   +.!  GeneralDepartmentalManagement+.!".z"Ԍ . ЌXBXXBXBXXB  n XBXXXBXBXXXB  n"    TheGDMaccountsupportsthose  activitiesassociatedwiththeSecretarysrolesaschiefpolicyofficerandgeneralmanageroftheDepartment,inadministeringandoverseeingtheorganization,programsandactivitiesoftheDepartment.TheseactivitiesarecarriedoutthroughnineStaffDivisions(STAFFDIVs).TheGDMbudgetrequestforFY2002totals$450million,anincreaseof$68millionor18percentfromthecomparableFY2001enactedlevel.n"\#݌̌ XBXXXBXBXXXB  n XBXXXBXBXXXB  n%    Oftheincreaserequested,$12millionis >(%& forimprovingavarietyofadministrativeandlegalfunctions:alleviatinglargependingcaseloadsintheDepartmentalAppealsBoard;addressingcaseloadmanagementandworkforceplanningintheOfficeoftheGeneralCounsel;improvingthework -n+, environment,securityandsafetyofHHSemployeesintheHubertH.HumphreyBuilding;implementingtheDistanceLearningNetwork,anInternet-basedsystemforprovidingtrainingtoHHSemployees;andaddingamodestnumberofessentialstafftomanageandanalyzebudgetaryandoperationsactivities.n%k&݌̌ XBXXXBXBXXXB  n XBXXXBXBXXXB  n) D   TheGDMrequestalsoincludesthe &4 followingprogramrelatedincreases:n)*݌̌ XBXXXBXBXXXB  n XBXXXBXBXXXB  n!+ D   .xvXBXXXBXBXXXB   OfficeonWomensHealth(_OWH_).++:  v6 XBXXXBXBXXXB  The_OWH_Ԁrequestof$27millionwill b 7 providefundingtoadvancewomenshealthprogramsthroughthepromotionandcoordinationofresearch,servicedelivery,andeducation,boththroughoutHHSagenciesandoffices,withothergovernmentorganizations,andwithconsumerandhealthprofessionalgroups.Thisrequestincludesa$10million(59percent)increaseovertheFY2001enactedlevel.Theseadditionalfundswillallow_OWH_Ԁto:supportneweffortsonminoritywomenshealthandwomenscancers;increasewomensaccesstocomprehensivecare;continuesupportforViolenceAgainstWomenprograms;andpromoteagreaterfocusonwomenshealthissuesattheStateandlocallevels.n!++݌̌ XBXXXBXBXXXB  n XBXXXBXBXXXB  n0 D   .x*.(*'XBXXXBXBXXXB   OfficeofPopulationAffairs(_OPA_).D1and:  *.(H XBXXXBXBXXXB  Therequestof$28millionprovidessupport r+)I fortheAdolescentFamilyLife(AFL)demonstrationandresearchprogramauthorizedunderTitleXXofthePublic 6.+L HealthService(PHS)Act.Throughthegrantsawardedunderthisprogram,AFLprovidesfundinginthreeareas:caredemonstrationprojects,preventionprojects,andresearchprojects.Thisrequestisa$4million(4percent)increaseovertheFY2001enactedlevelandwillallowAFLtoexpandthepreventionprogram,whichfocusesonpostponingearlysexualactivityinordertopreventadolescentpregnancies,aswellassexuallytransmitteddiseasesandHIV/AIDS.Thisrequestalsocontinuestoprovideforabstinenceonlypreventionprojects,asdefinedbytheWelfareReformlegislation(_P.L._ԁ104-193).Finally,_OPA_alsoadministerstheFamilyPlanningprogramunderTitleXofthePHSAct;thatprogramisfundedthroughtheHealthResourcesandServicesAdministration.n01݌̌ XBXXXBXBXXXB  n XBXXXBXBXXXB  n7    .xTXBXXXBXBXXXB   OfficeofMinorityHealth(_OMH_).7: XBXXXBXBXXXB  The T _OMH_Ԁrequestincludes$43milliontoimprovediseaseprevention,healthpromotion,andhealthservicedeliveryfordisadvantagedandminorityindividuals.Therequestdoesnotinclude$6millionforonetimeprojectsintheFY2001enactedlevel._OMH_ԀfundingalsosupportsresearchtoimprovethehealthstatusofracialandethnicminoritypopulationsintheU.S.,whichcontinuestolagbehindthehealthstatusoftheAmericanpopulationasawhole.Inaddition,thesefundssupportactivitiesaimedatreducingtheriskofacquiringortransmittingHIV/AIDS,andatincreasingaccesstoservicesandtreatment.n77݌̌ XBXXXBXBXXXB  n XBXXXBXBXXXB  n%<    .x#4!# XBXXXBXBXXXB   OfficeofDiseasePreventionand #4!# HealthPromotion.<: XBXXXBXBXXXB  Thebudgetrequestof t$"$ $10millionisanincreaseof$3million(35percent)overtheFY2001enactedlevel.ThesefundswillbeusedtocontinueandexpandtheimplementationoftheHealthyPeople2010efforttopromotehealthandpreventdiseaseanddisabilityintheAmericanpopulation.n%<<݌̌ XBXXXBXBXXXB  n XBXXXBXBXXXB  n?    .xL,)+|)XBXXXBXBXXXB   OfficeofEmergencyPreparedness.[@X:  L,), XBXXXBXBXXXB  Thebudgetrequestof$14millionwillbe 8-*- usedtomanagethemedicalandhealth $.+. relatedsocialservicesprovidedbytheFederalgovernmenttovictimsofcatastrophicdisastersthroughEmergencySupportFunction(_ESF_)#8oftheFederalResponsePlan.Under_ESF_ԁ#8,HHScoordinatesthesupportoftwelveFederalagenciesinthepreparednessfor,responseto,andrecoveryfrombothnaturalandman-madedisasters.n?1@݌̌ XBXXXBXBXXXB  n XBXXXBXBXXXB  nC D   .x  LXBXXXBXBXXXB   OfficeofHumanResearchProtections.DX:   7 XBXXXBXBXXXB  InFY2001,theOfficeofProtectionfrom  8 ResearchRiskswasmovedfromtheNationalInstitutesofHealthtotheOfficeoftheSecretary,whereitbecametheOfficeofHumanResearchProtections(_OHRP_).TheFY2002budgetrequestof$7millionwillbeusedto:ensureimplementationofDepartmentalregulationsfortheprotectionofhumansubjects;negotiateformalwrittenassurancesofcompliancewithinstitutionsengagedinresearchcoveredby_OHRP_;investigateandoverseeinstitutionalcompliance;andfundprofessionalandpubliceducation.nC|D݌̌ XBXXXBXBXXXB  n XBXXXBXBXXXB  nH D   .xhXBXXXBXBXXXB   HIV/AIDSinMinorityCommunities.hI$ :  hF XBXXXBXBXXXB  TheFY2002requestincludesacontinuation TG of$50milliontoaddressthehighpriorityHIVpreventionandtreatmentneedsofminoritycommunitiesheavilyimpactedbyHIV/AIDS.ThesefundsallowtheDepartmenttocontinuepriorityinvestmentsandpublichealthstrategiestargetedtoreducethedisparitiesandburdenofHIV/AIDSinracialandethnicminoritypopulations.nH>I݌̌ XBXXXBXBXXXB  n XBXXXBXBXXXB  nL D   .x$!#4!XBXXXBXBXXXB   _Bioterrorism_.7M: XBXXXBXBXXXB  TheFY2002request $!Q includes$69million,anincreaseof$9million,tocontinuetheDepartmentseffortstoprepareforthehealthandmedicalconsequencesofa_bioterrorism_Ԁincident.nL M݌̌ XBXXXBXBXXXB  n XBXXXBXBXXXB  nO D   Ofthistotal,$51millionisforthe (H&V OfficeofEmergencyPreparednesstodirectitseffortstothefollowingactivitiesinFY2002:nO:P݌̌ XBXXXBXBXXXB  `x,p*P,)L 4(*-/0123Ch3)LXBXXXB  `Q0 D 2C3  0pD(#D(#  Establish25newMetropolitan ,p*Z MedicalResponseSystems(_MMRS_) -\+[p(#p(# andadda_bioterrorism_Ԁcomponenttothe_MMRSs_ԀestablishedinFY2001;`QAR݌  ЌL )#3h4(*-/0123LXBXXXB  `xP0L 4(*-/0123Ch3)LXBXXXB  `wT0  2C3  0  Providetraining,pharmaceutical P suppliesandequipmentto44DisasterMedicalAssistantTeamsandfourNationalMedicalResponseTeams;`wT1U݌  ЌL )#3h4(*-/0123LXBXXXB  `x dD L 4(*-/0123Ch3)LXBXXXB  `V0  2C3  0  EnhancetheSaltLakeCity_MMRS_,  d andpurchasespecializedequipmentandsuppliesforthe2002WinterOlympics.`VW݌  ЌL )#3h4(*-/0123LXBXXXB  n XBXXXBXBXXXB  ngY    ` t l  The_bioterrorism_Ԁrequestalsoincludes  t  $10millionfortheDepartments_cyber_-securityefforts,tobeginaprogramtoensurecontinuousoperationofthe_bioterrorism_Ԁpreventioninfrastructure(e.g.,communicationsystems,databanksandfacilities).Thisprogramwillinclude:ananalysisofHHSscriticalITassetsinvolving_bioterrorism_Ԁprograms;establishinga_bioterrorism_ԀPublicKeyInfrastructure(_PKI_)toverifytheidentitiesof_bioterrorism_Ԁresponders;developingandoperating_bioterrorism_Ԁsecurityprogramsincludingdetectionandresponsecapabilities;andpurchasingnecessaryinfrastructuresoftware.ngYY݌̌ XBXXXBXBXXXB  n XBXXXBXBXXXB  n3^    Finally,the_bioterrorism_Ԁrequestincludes 4 $8millionforthecontinuationofresearchonanthraxandsmallpoxvaccines.n3^^݌̌ XBXXXBXBXXXB  n XBXXXBXBXXXB  n`    .xpPXBXXXBXBXXXB   InformationTechnologySecurityand p InnovationFund.`X: XBXXXBXBXXXB  AlthoughHHSscurrent  X informationtechnology(IT)systemsarefunctioning,theyareverydecentralizedandheterogeneous,andthereforehavevulnerabilitiesthatneedtobecorrected.TheFY2002budgetrequestincludes$30milliontoestablishanITSecurityandInnovationFund.ThesefundswillbeusedtoleverageapproachesthatwillallowtheDepartmenttoachievesecurityforitsdataandinformationinastandardizedway.ByestablishinganEnterpriseInfrastructureManagement(_EIM_)framework,andconsolidatingthecapitalplanningandmanagementofitsITassets,theDepartment -@+- willbebetterabletoreduceoreliminateduplicationofeffortandtocontainrisks._EIM_ԀisanoperationalITmanagementframeworkthatwillprotecttheDepartmentsIToperatinginfrastructureby:restructuringmanagementpracticesandfunctionalboundaries;providingautomatedtoolstoreduceworkloadsforusersandsystemsadministrators;andpromotingtheuseofenterprisesoftwareandservicecontractsacrosstheDepartment.n``݌̌ XBXXXBXBXXXB  +.l  | $ XBXXXB  XBXXXB   +.f  PolicyResearch+.fbg  l  Ԍ   8 ЌXBXXBXBXXB  n XBXXXBXBXXXB  n!h D   PolicyResearchexaminesbroadissues   9 thatcutacrossagencyandsubjectlines,aswellasnewpolicyapproachesdevelopedoutsidethecontextofexistingprograms.TheFY2002requestforPolicyResearchincludes$3millionforanewStateInnovationFundand$18milliontocontinueevaluations.n!hh݌̌ XBXXXBXBXXXB  n XBXXXBXBXXXB  nj D   .xlXBXXXBXBXXXB   StateInnovationFund. ЌXBXXBXBXXB  n XBXXXBXBXXXB  n D   ThroughtheHealthInsurancePortability 8? andAccountabilityAct,theOIGreceivesmandatoryfundingforitsactivitiesthatfocusonfraud,abuseandefficiencyimprovementsintheMedicareandMedicaidprograms.TheActprovidesforminimumandmaximumamountsoffundingthataredecidedeachyearbytheSecretaryofHHSandtheAttorneyGeneral.TheOIGworkswiththeHealthCareFinancingAdministration(HCFA),otherHHSagenciesandtheDepartmentofJusticetoensurethatfundsduetotheMedicareTrustFundorHCFAarerecoveredthroughauditsandinvestigations,andprovidesrecommendationsforstatutory,regulatoryandprogramchangesthatcouldstrengthenprogramintegrity.nD݌ %#P Ќ XBXXXBXBXXXB  (X@(j6n<#  XXXXBeeXX  #C@     PROGRAMSUPPORTCENTER``X#C   ` AZ') HxdEHxAeeeeeXBXeeeԌ , Ќ  @  (dollarsinmillions)  s pV<,(`~1 ,+ `. Exxe4Hp (#(#`x`x          (#(##`x`xd`xAZ') Gxd$EGxA   +.! XBXXXB  XBXXXB   (X@(#(#(+.  Summary+.mԌ m ЌXBXXBXBXXB  n XBXXXBXBXXXB  n\    TheProgramSupportCenter(PSC)was Y createdin1995tostreamlineandminimizeduplicationoftraditionaladministrativeservices.ThePSCprovidesservicesonacompetitive,feeforservicebasistocustomersthroughoutHHS,aswellastoatleast14otherExecutivedepartmentsand20independentFederalagencies.TheactivitiesandservicesofthePSCaresupportedthroughtheHHSServiceandSupplyFund,arevolvingfund.TheFunddoesnotreceiveappropriatedresources,butisfundedentirelythroughchargingitscustomersfortheiruseofservicesandproducts.Servicesareprovidedinthreebroadareas:humanresources,financialmanagement,andadministrativeoperations.ThePSCscustomersincludeHHSagencies#ccddandotherFederalagenciesandorganizations, I# " #ddccsuchascomponentsoftheDepartmentsof 5$!# #bbddAgriculture,Commerce,Defense,Education,#ddbb !%"$ Energy,HousingandUrbanDevelopment,#bbddInterior,Justice,Labor,State,Transportation,#ddbb/ &$& TreasuryandVeteransAffairs.n\݌̌ XBXXXBXBXXXB  +.)i'(y&XBXXXB  XBXXXB   +.E  HumanResourcesService+.Eu*()i'Ԍ u*(( ЌXBXXBXBXXB  n XBXXXBXBXXXB  n    TheFY2002estimatedexpensesforthe a+ )) HumanResourcesService(HRS)are$53million,adecreaseof$1millionbelowtheFY2001level.The$1milliondecrease %.+, represents$2millioninreducedcontractorsupportfortheEnterpriseHumanResourcesandPayrollproject,offsetby$1millioninpayandotherincreases.HRSprovidesafullrangeofhumanresourcesservices,includingautomatedpersonnelandpayrollsystemssupport,personnelandpayrollprocessing,staffingandclassification,employeeandlaborrelations,andcommissionedofficerpersonnelsupport.n ݌̌ XBXXXBXBXXXB  +.9IXBXXXB  XBXXXB   +.   FinancialManagementService+. 9Ԍ 6 ЌXBXXBXBXXB  n XBXXXBXBXXXB  nk D   TheFY2002estimatedexpensesforthe 7 FinancialManagementService(_FMS_)are$53million,anincreaseof$2millionabovetheFY2001level.Theincreaseisforpayandothercosts($1.6million),increasedcomputerinformationtechnologychargestosupportnewcustomergrants($.5million),andsystemsmaintenancesupport($.4million)thatwillensurecontinuedfunctionalityandsupportofcustomerrequirementsfortheTravelManagementSystemandtheAccountingforPaySystem._FMS_ԀsupportsthefinancialoperationsofHHSandotherdepartmentsthroughtheprovisionofpaymentmanagementservicesforDepartmentalandotherFederalgrantandprogramactivities;accountingandfiscalservices;debtmanagementservices;andthereview,negotiationandapprovalofrates, q-+I includingindirectcostrates,researchpatientcarerates,andfringebenefitrates.The_FMS_ԀalsoprovidesspecializedADPsystemsdevelopmentintheareaofworkforcemanagement.nk݌̌ XBXXXBXBXXXB  +.XBXXXB  XBXXXB   +.  AdministrativeOperationsService+.j@Ԍ @ ЌXBXXBXBXXB  n XBXXXBXBXXXB  n;    TheFY2002estimatedexpensesforthe  , AdministrativeOperationsService(_AOS_)are$201million,anincreaseof$11millionabovetheFY2001level.The$11millionincreaseisforpayandothercosts($3million),replenishmentofthepharmaceuticalsupplyinventory($7million),andincreaseddemandforservicesintheKansasCityCommonAdministrativeSupportUnit($1million)._AOS_ԀprovidesawidearrayofadministrativemanagementserviceswithintheDepartment,bothinheadquartersandintheregions,andtocustomersthroughouttheFederalGovernment.Themajorareasofservicearepropertyandmaterielmanagement,acquisitionsmanagement,andsupportservicesrangingfromcommercialgraphicstomaildistributionandtelecommunicationsservices.TheTelecommunicationsImprovementProjectn;݌  Ќ XBXXXBXBXXXB  n XBXXXBXBXXXB  n D    consolidatedtelephoneservicesunderone X contractwithsubstantialsavingsintelephonebillstoHHSagencieslocatedinMaryland.Additionally,theSupplyServiceCenterprovidespharmaceuticalsuppliestoFederalcustomersworldwide.n݌̌ XBXXXBXBXXXB  +.xXBXXXB  XBXXXB   +.A  FinancialManagementSystem+.A ,xԌ  ,  ЌXBXXBXBXXB  n XBXXXBXBXXXB  n D   InFY2002,thePSCwillinvest p ! $1millionaspartofaDepartmentwideefforttoimprovetheHHSfinancialmanagementsystemsbymovingtowardsaunifiedfinancialmanagementsystem.AunifiedfinancialmanagementsystemwillallowHHStoincreasestandardization,reducesecurityrisks,andhelptoproducetimely,reliableagencylevelandDepartmentwidefinancialinformation.ThefinancialinformationisneededtomanageHHSandtoprovideaccountabilitytoexternalstakeholders.ThePSCmaintainsoneofthefiveexistingDepartmentalfinancialsystems.WhilecapitalizingoneffortsalreadybegunbysomeHHSagencies,thePSCwillconductamanagementstudyinFY2002toanalyzealternativesanddefinerequirements.n ݌ 3 Ќ XBXXXBXBXXXB  (X@(n<4  t3 p< XXXXBeeXX@{{  RETIREMENTPAYANDMEDICALBENEFITS  #eeeee]##XBXeee|#Ԉ X #  XXXXBeeXX  #M@V V     FORCOMMISSIONEDOFFICERS#M   $ AZ') HxdEHxAeeeeeXBXeeeԌ  Ќ  @  (dollarsinmillions) 7  n XBXXXBXBXXXB  pV<,(`~1 ,+ `. E; xxe Ip (#(#0ݰ            (#(#    L L LgLAZ') GxdEGxAn0:݌  Ќ XBXXXBXBXXXB  +.Ue XBXXXB  XBXXXB   (X@(#(#(+.6   Summary+.6  UԌ   ЌXBXXBXBXXB  n XBXXXBXBXXXB  n     Thisappropriationprovidesfor  retirementpaymentstoPublicHealthService(PHS)CommissionedOfficersandpaymenttosurvivorsofdeceasedretiredofficers.Thisaccountalsofundstheprovisionofmedicalcaretoactivedutyandretiredmembersandtodependentsofactiven  ݌ }% Ќ XBXXXBXBXXXB  duty,retiredanddeceasedmembersofthe U PHSCommissionedCorps.Inaddition,thisaccountincludesamountstobepaidtotheSocialSecurityAdministration(SSA)formilitaryservicecreditswhichareearnedbyactivedutyCommissionedOfficersfornonwageincome.  (X@(p<X`]U  1