For necessary expenses of the Food and Drug Administration, including hire and purchase of passenger motor vehicles; for payment of space rental and related costs pursuant to Public Law 92–313 for programs and activities of the Food and Drug Administration which are included in this Act; for rental of special purpose space in the District of Columbia or elsewhere; for miscellaneous and emergency expenses of enforcement activities, authorized and approved by the Secretary and to be accounted for solely on the Secretary's certificate, not to exceed $25,000; and notwithstanding section 521 of Public Law 107–188; [$3,788,336,000] $3,083,408,000: Provided, That, of the amount provided under this heading, [$702,172,000 shall be derived from prescription drug user fees authorized by 21 U.S.C. 379h shall be credited to this account and remain available until expended, and shall not include any fees pursuant to 21 U.S.C. 379h(a)(2) and (a)(3) assessed for fiscal year 2013 but collected in fiscal year 2012; $57,605,000 shall be derived from medical device user fees authorized by 21 U.S.C. 379j, and shall be credited to this account and remain available until expended; $21,768,000] $30,530,000 shall be derived from animal drug user fees authorized by section 740 of the Federal Food, Drug, and Cosmetic Act (21 U.S.C. 379j-12), and shall be credited to this account and remain available until expended; [$5,706,000] $7,595,000 shall be derived from animal generic drug user fees authorized by section 741 of the Federal Food, Drug, and Cosmetic Act (21 U.S.C. 379j-21), and shall be credited to this account and shall remain available until expended; [$477,000,000] $505,000,000 shall be derived from tobacco product user fees authorized by 21 U.S.C. 387s and shall be credited to this account and remain available until expended; [$12,364,000] $12,925,000 shall be derived from food and feed recall fees authorized by section 743 of the Federal Food, Drug, and Cosmetic Act (Public Law 75–717), as amended by the Food Safety Modernization Act (Public Law 111–353), and shall be credited to this account and remain available until expended; [$14,700,000] $15,367,000 shall be derived from food reinspection fees authorized by section 743 of the Federal Food, Drug, and Cosmetic Act (Public Law 75–717), as amended by the Food Safety Modernization Act (Public Law 111–353), and shall be credited to this account and remain available until expended; and amounts derived from voluntary qualified importer program fees authorized by section 743 of the Federal Food, Drug, and Cosmetic Act (Public Law 75–717), as amended by the Food Safety Modernization Act (Public Law 111–353), and shall be credited to this account and remain available until expended: Provided further, That, in addition and notwithstanding any other provision under this heading, amounts collected for [prescription drug] animal drug user fees and animal generic drug user fees that exceed the respective fiscal year [2012] 2013 limitations are appropriated and shall be credited to this account and remain available until expended: Provided further, That fees derived from [prescription drug, medical device,] animal drug [,] and animal generic drug[, and tobacco product] assessments for fiscal year [2012] 2013 received during fiscal year [2012] 2013, including any such fees assessed prior to fiscal year [2012] 2013 but credited for fiscal year [2012] 2013, shall be subject to the fiscal year [2012] 2013 limitations: Provided further, That [none of these funds shall be used to develop, establish, or operate any program of user fees authorized by 31 U.S.C. 9701: Provided further, That of the total amount appropriated: (1) $882,747,000 shall be for the Center for Food Safety and Applied Nutrition and related field activities in the Office of Regulatory Affairs; (2) $978,705,000 shall be for the Center for Drug Evaluation and Research and related field activities in the Office of Regulatory Affairs, of which no less than $52,947,000 shall be available for the Office of Generic Drugs; (3) $329,136,000 shall be for the Center for Biologics Evaluation and Research and for related field activities in the Office of Regulatory Affairs; (4) $166,365,000 shall be for the Center for Veterinary Medicine and for related field activities in the Office of Regulatory Affairs; (5) $356,909,000 shall be for the Center for Devices and Radiological Health and for related field activities in the Office of Regulatory Affairs; (6) $60,039,000 shall be for the National Center for Toxicological Research; (7) $454,751,000 shall be for the Center for Tobacco Products and for related field activities in the Office of Regulatory Affairs; (8) not to exceed $131,639,000 shall be for Rent and Related activities, of which $43,981,000 is for White Oak Consolidation, other than the amounts paid to the General Services Administration for rent; (9) not to exceed $205,472,000 shall be for payments to the General Services Administration for rent; and (10) $222,573,000 shall be for other activities, including the Office of the Commissioner of Food and Drugs, the Office of Foods, the Office of Medical and Tobacco Products, the Office of Global and Regulatory Policy, the Office of Operations, the Office of the Chief Scientist, and central services for these offices:] the Secretary may, prior to the due date for such fees, accept payment of animal drug user fees and animal generic drug user fees authorized for fiscal year 2014, and that amounts of such fees assessed for fiscal year 2014 for which the Secretary accepts payment in fiscal year 2013 shall not be included in amounts provided under this heading: Provided further, That not to exceed $25,000 of this amount shall be for official reception and representation expenses, not otherwise provided for, as determined by the Commissioner[: Provided further, That funds may be transferred from one specified activity to another with the prior approval of the Committees on Appropriations of both Houses of Congress].
In addition, mammography user fees authorized by 42 U.S.C. 263b, export certification user fees authorized by 21 U.S.C. 381, and priority review user fees authorized by 21 U.S.C. 360n may be credited to this account, to remain available until expended.
For plans, construction, repair, improvement, extension, alteration, and purchase of fixed equipment or facilities of or used by the Food and Drug Administration, where not otherwise provided, [$8,788,000] $5,320,000, to remain available until expended. (Agriculture, Rural Development, Food and Drug Administration, and Related Agencies Appropriations Act, 2012.)
Special and Trust Fund Receipts (in millions of dollars)
|
||||
Identification code 75–9911–0–1–554 | 2011 actual | 2012 est. | 2013 est. | |
|
||||
0100 | Balance, start of year | 1 | ||
Receipts: | ||||
0220 | Cooperative Research and Development Agreements, FDA | 1 | 3 | 3 |
|
|
|
||
0400 | Total: Balances and collections | 1 | 3 | 4 |
Appropriations: | ||||
0500 | Salaries and Expenses | –1 | –2 | –2 |
|
|
|
||
0799 | Balance, end of year | 1 | 2 | |
|
Program and Financing (in millions of dollars)
|
||||
Identification code 75–9911–0–1–554 | 2011 actual | 2012 est. | 2013 est. | |
|
||||
Obligations by program activity: | ||||
0001 | Foods | 836 | 1,004 | 992 |
0002 | Drugs | 829 | 690 | 683 |
0003 | Devices and radiological products | 322 | 322 | 319 |
0004 | National Center for Toxicological Research | 61 | 60 | 60 |
0005 | Other activities | 149 | 154 | 163 |
0006 | Other rent and rent related activities | 99 | 106 | 127 |
0007 | Rental payments | 151 | 161 | 169 |
0008 | Buildings and facilities | 13 | 9 | 5 |
0009 | CRADAs | 2 | 3 | 3 |
|
|
|
||
0799 | Total direct obligations | 2,462 | 2,509 | 2,521 |
0801 | Reimbursable program | 919 | 1,321 | 675 |
|
|
|
||
0900 | Total new obligations | 3,381 | 3,830 | 3,196 |
|
||||
Budgetary Resources: | ||||
Unobligated balance: | ||||
1000 | Unobligated balance brought forward, Oct 1 | 587 | 582 | 814 |
1020 | Adjustment of unobligated bal brought forward, Oct 1 | –293 | ||
|
|
|
||
1050 | Unobligated balance (total) | 294 | 582 | 814 |
Budget authority: | ||||
Appropriations, discretionary: | ||||
1100 | Appropriation | 2,462 | 2,506 | 2,517 |
1130 | Appropriations permanently reduced | –5 | ||
|
|
|
||
1160 | Appropriation, discretionary (total) | 2,457 | 2,506 | 2,517 |
Appropriations, mandatory: | ||||
1201 | Appropriation (special or trust fund) | 1 | 2 | 2 |
|
|
|
||
1260 | Appropriations, mandatory (total) | 1 | 2 | 2 |
Spending authority from offsetting collections, discretionary: | ||||
1700 | Collected | 1,239 | 1,554 | 675 |
1701 | Change in uncollected payments, Federal sources | 26 | ||
1702 | Offsetting collections (previously unavailable) | 386 | 333 | 333 |
1725 | Spending authority from offsetting collections precluded from obligation (limitation on obligations) | –440 | –333 | –333 |
|
|
|
||
1750 | Spending auth from offsetting collections, disc (total) | 1,211 | 1,554 | 675 |
1900 | Budget authority (total) | 3,669 | 4,062 | 3,194 |
1930 | Total budgetary resources available | 3,963 | 4,644 | 4,008 |
Memorandum (non-add) entries: | ||||
1941 | Unexpired unobligated balance, end of year | 582 | 814 | 812 |
|
||||
Change in obligated balance: | ||||
Obligated balance, start of year (net): | ||||
3000 | Unpaid obligations, brought forward, Oct 1 (gross) | 1,363 | 1,460 | 1,163 |
3010 | Uncollected pymts, Fed sources, brought forward, Oct 1 | –52 | –46 | –46 |
|
|
|
||
3020 | Obligated balance, start of year (net) | 1,311 | 1,414 | 1,117 |
3030 | Obligations incurred, unexpired accounts | 3,381 | 3,830 | 3,196 |
3031 | Obligations incurred, expired accounts | 9 | ||
3040 | Outlays (gross) | –3,253 | –4,127 | –3,173 |
3050 | Change in uncollected pymts, Fed sources, unexpired | –26 | ||
3051 | Change in uncollected pymts, Fed sources, expired | 32 | ||
3081 | Recoveries of prior year unpaid obligations, expired | –40 | ||
Obligated balance, end of year (net): | ||||
3090 | Unpaid obligations, end of year (gross) | 1,460 | 1,163 | 1,186 |
3091 | Uncollected pymts, Fed sources, end of year | –46 | –46 | –46 |
|
|
|
||
3100 | Obligated balance, end of year (net) | 1,414 | 1,117 | 1,140 |
|
||||
Budget authority and outlays, net: | ||||
Discretionary: | ||||
4000 | Budget authority, gross | 3,668 | 4,060 | 3,192 |
Outlays, gross: | ||||
4010 | Outlays from new discretionary authority | 2,398 | 3,158 | 2,286 |
4011 | Outlays from discretionary balances | 854 | 967 | 885 |
|
|
|
||
4020 | Outlays, gross (total) | 3,252 | 4,125 | 3,171 |
Offsets against gross budget authority and outlays: | ||||
Offsetting collections (collected) from: | ||||
4030 | Federal sources | –81 | –67 | –67 |
4033 | Non-Federal sources | –1,187 | –1,487 | –608 |
|
|
|
||
4040 | Offsets against gross budget authority and outlays (total) | –1,268 | –1,554 | –675 |
Additional offsets against gross budget authority only: | ||||
4050 | Change in uncollected pymts, Fed sources, unexpired | –26 | ||
4052 | Offsetting collections credited to expired accounts | 29 | ||
|
|
|
||
4060 | Additional offsets against budget authority only (total) | 3 | ||
|
|
|
||
4070 | Budget authority, net (discretionary) | 2,403 | 2,506 | 2,517 |
4080 | Outlays, net (discretionary) | 1,984 | 2,571 | 2,496 |
Mandatory: | ||||
4090 | Budget authority, gross | 1 | 2 | 2 |
Outlays, gross: | ||||
4100 | Outlays from new mandatory authority | 1 | 2 | 2 |
4180 | Budget authority, net (total) | 2,404 | 2,508 | 2,519 |
4190 | Outlays, net (total) | 1,985 | 2,573 | 2,498 |
|
||||
Memorandum (non-add) entries: | ||||
5090 | Unavailable balance, SOY: Offsetting collections | 65 | 119 | 119 |
5091 | Unavailable balance, EOY: Offsetting collections | 119 | 119 | 119 |
|
[In millions of dollars]
|
|||
2011 | 2012 | 2013 | |
|
|||
Distribution of discretionary budget authority by account: | |||
Salaries and expenses | 2447 | 2497 | 2511 |
Buildings and facilities | 10 | 9 | 5 |
Distribution of discretionary outlays by account: | |||
Salaries and expenses | 1975 | 2563 | 2491 |
Buildings and facilities | 9 | 8 | 4 |
|
The Food and Drug Administration (FDA) is responsible for protecting the public health by assuring the safety, efficacy, and security of human and veterinary drugs, biological products, medical devices, our Nation's food supply, cosmetics, and products that emit radiation. The FDA is also responsible for advancing the public health by helping to speed innovations that make medicines more effective, safer, and more affordable; and helping to provide the public accurate, science-based information about medicines and foods to improve their health. FDA decisions affect Americans on a daily basis. The Budget includes funding for counterterrorism activities that specifically relate to the protection of products or therapies regulated by the FDA (such as drugs, vaccines, foods, and animal feed), and the availability of medical products for public health preparedness in the event of an attack. Specifically, the Budget requests funding for food protection, drug safety, medical device review and safety, developing medical countermeasures, and headquarters consolidation in White Oak, Maryland.
Object Classification (in millions of dollars)
|
||||
Identification code 75–9911–0–1–554 | 2011 actual | 2012 est. | 2013 est. | |
|
||||
Direct obligations: | ||||
Personnel compensation: | ||||
11.1 | Full-time permanent | 749 | 760 | 764 |
11.3 | Other than full-time permanent | 105 | 106 | 107 |
11.5 | Other personnel compensation | 59 | 60 | 60 |
11.7 | Military personnel | 58 | 59 | 61 |
11.8 | Special personal services payments | 1 | 1 | 1 |
|
|
|
||
11.9 | Total personnel compensation | 972 | 986 | 993 |
12.1 | Civilian personnel benefits | 260 | 264 | 265 |
12.2 | Military personnel benefits | 29 | 30 | 31 |
13.0 | Benefits for former personnel | 2 | ||
21.0 | Travel and transportation of persons | 50 | 51 | 51 |
22.0 | Transportation of things | 5 | 5 | 5 |
23.1 | Rental payments to GSA | 151 | 161 | 169 |
23.2 | Rental payments to others | 2 | 2 | 2 |
23.3 | Communications, utilities, and miscellaneous charges | 56 | 57 | 57 |
24.0 | Printing and reproduction | 2 | 2 | 2 |
25.1 | Advisory and assistance services | 42 | 43 | 43 |
25.2 | Other services from non-Federal sources | 423 | 434 | 430 |
25.3 | Other goods and services from Federal sources | 113 | 114 | 113 |
25.4 | Operation and maintenance of facilities | 106 | 107 | 107 |
25.5 | Research and development contracts | 34 | 34 | 34 |
25.7 | Operation and maintenance of equipment | 31 | 31 | 31 |
26.0 | Supplies and materials | 46 | 46 | 46 |
31.0 | Equipment | 57 | 57 | 57 |
32.0 | Land and structures | 6 | 6 | 6 |
41.0 | Grants, subsidies, and contributions | 75 | 77 | 77 |
42.0 | Insurance claims and indemnities | 2 | 2 | |
|
|
|
||
99.0 | Direct obligations | 2,462 | 2,509 | 2,521 |
99.0 | Reimbursable obligations | 919 | 1,321 | 675 |
|
|
|
||
99.9 | Total new obligations | 3,381 | 3,830 | 3,196 |
|
Employment Summary
|
||||
Identification code 75–9911–0–1–554 | 2011 actual | 2012 est. | 2013 est. | |
|
||||
1001 | Direct civilian full-time equivalent employment | 9,103 | 9,335 | 7,584 |
1101 | Direct military average strength employment | 692 | 692 | 492 |
2001 | Reimbursable civilian full-time equivalent employment | 3,191 | 3,300 | 2,621 |
2101 | Reimbursable military average strength employment | 243 | 243 | 172 |
3001 | Allocation account civilian full-time equivalent employment | 65 | 67 | 54 |
3101 | Allocation account military average strength employment | 1 | 1 | 1 |
|
Contingent upon the enactment of legislation authorizing user fees with respect to biosimilar biological products and human generic drugs, such fees shall be credited to this account and remain available until expended: Provided, That, with respect to such fees authorized for fiscal year 2014, the Secretary may, prior to the due date for such fees, accept payment of such fees and such payments shall be credited to this account for fiscal year 2014.
In addition, contingent upon the enactment of legislation authorizing user fees with respect to food inspections and food facility registrations, food contact notification activities, reinspection of medical product facilities, cosmetic activities, and international express courier import activities, such fees shall be credited to this account and remain available until expended.
In addition, contingent upon the enactment of authorizing legislation, the Secretary shall charge a fee for prescription drug review activities and medical device review activities: Provided, That fees of $712,808,000, for prescription drug reviews, shall be credited to this account and remain available until expended; and $69,700,000, for medical device reviews, shall be credited to this account and remain available until expended: Provided further, That, in addition and notwithstanding any other provision under this heading, amounts collected for prescription drug user fees and medical device user fees that exceed the respective fiscal year 2013 limitations are appropriated and shall be credited to this account and remain available until expended: Provided further, That fees derived from prescription drug reviews and medical device reviews for fiscal year 2013 received during fiscal year 2013, including any such fees assessed prior to fiscal year 2013 but credited for fiscal year 2013, shall be subject to the fiscal year 2013 limitations: Provided further, That the Secretary may, prior to the due date for such fees, accept payment of prescription drug user fees and medical device user fees authorized for fiscal year 2014, and that amounts of such fees assessed for fiscal year 2014 for which the Secretary accepts payment in fiscal year 2013 shall not be included in amounts provided under this heading.
Program and Financing (in millions of dollars)
|
||||
Identification code 75–9911–2–1–554 | 2011 actual | 2012 est. | 2013 est. | |
|
||||
Obligations by program activity: | ||||
0801 | PDUFA | 713 | ||
0802 | MDUFMA | 70 | ||
0803 | Generic Drug User Fee | 299 | ||
0804 | Biosimilar User Fees | 20 | ||
0805 | Reinspection (Drugs) | 15 | ||
0806 | Food Inspection and Registration Fee | 220 | ||
0807 | International Courier User Fee | 6 | ||
0808 | Cosmetic and Food Contact Notification User Fee | 5 | ||
0810 | Cosmetic User Fee | 19 | ||
|
|
|
||
0900 | Total new obligations | 1,367 | ||
|
||||
Budgetary Resources: | ||||
Budget authority: | ||||
Spending authority from offsetting collections, discretionary: | ||||
1700 | Collected | 1,367 | ||
|
|
|
||
1750 | Spending auth from offsetting collections, disc (total) | 1,367 | ||
1930 | Total budgetary resources available | 1,367 | ||
|
||||
Change in obligated balance: | ||||
3030 | Obligations incurred, unexpired accounts | 1,367 | ||
3040 | Outlays (gross) | –1,367 | ||
|
||||
Budget authority and outlays, net: | ||||
Discretionary: | ||||
4000 | Budget authority, gross | 1,367 | ||
Outlays, gross: | ||||
4010 | Outlays from new discretionary authority | 1,367 | ||
Offsets against gross budget authority and outlays: | ||||
Offsetting collections (collected) from: | ||||
4033 | Non-Federal sources | –1,367 | ||
|
The 2013 Budget includes a number of new and current user fees. Legislation will be proposed to allow FDA to collect fees to support human generic drug review as well as for the evaluation of biosimilar biological product applications. The additional resources, estimated at $299 million for the human generic drug program, would enable FDA to reduce review times and respond to the growing number of generic drug applications. The fees collected for biosimilars would ensure sound funding for the review of biosimilar applications including the development-phase FDA consultation and review work. The Budget also proposes user fees to support activities related to cosmetics and food contact notification activities. In addition, the Budget reproposes user fees to support inspection-related activities at domestic courier facilities and reinspections at medical product facilities.
Lastly, the Budget includes a total of $712 million in prescription drug user fees and $70 million in medical device user fees. The FDA transmitted proposed legislation to reauthorize PDUFA and establish new generic drug and biosimilar user fees to Congress on January 13, 2012. The proposed legislation authorizes the collection and spending of these fees subject to appropriations.
Object Classification (in millions of dollars)
|
||||
Identification code 75–9911–2–1–554 | 2011 actual | 2012 est. | 2013 est. | |
|
||||
99.9 | Total new obligations | 1,367 | ||
|
Employment Summary
|
||||
Identification code 75–9911–2–1–554 | 2011 actual | 2012 est. | 2013 est. | |
|
||||
1001 | Direct civilian full-time equivalent employment | 2,648 | ||
1101 | Direct military average strength employment | 200 | ||
2001 | Reimbursable civilian full-time equivalent employment | 928 | ||
2101 | Reimbursable military average strength employment | 71 | ||
3001 | Allocation account civilian full-time equivalent employment | 19 | ||
3101 | Allocation account military average strength employment | |||
|
Program and Financing (in millions of dollars)
|
||||
Identification code 75–4309–0–3–554 | 2011 actual | 2012 est. | 2013 est. | |
|
||||
Obligations by program activity: | ||||
0801 | Reimbursable program | 8 | 8 | 8 |
|
||||
Budgetary Resources: | ||||
Unobligated balance: | ||||
1000 | Unobligated balance brought forward, Oct 1 | 2 | 2 | 2 |
Budget authority: | ||||
Spending authority from offsetting collections, mandatory: | ||||
1800 | Collected | 8 | 8 | 8 |
|
|
|
||
1850 | Spending auth from offsetting collections, mand (total) | 8 | 8 | 8 |
1930 | Total budgetary resources available | 10 | 10 | 10 |
Memorandum (non-add) entries: | ||||
1941 | Unexpired unobligated balance, end of year | 2 | 2 | 2 |
|
||||
Change in obligated balance: | ||||
Obligated balance, start of year (net): | ||||
3000 | Unpaid obligations, brought forward, Oct 1 (gross) | 3 | 3 | 2 |
3030 | Obligations incurred, unexpired accounts | 8 | 8 | 8 |
3040 | Outlays (gross) | –8 | –9 | –9 |
Obligated balance, end of year (net): | ||||
3090 | Unpaid obligations, end of year (gross) | 3 | 2 | 1 |
|
|
|
||
3100 | Obligated balance, end of year (net) | 3 | 2 | 1 |
|
||||
Budget authority and outlays, net: | ||||
Mandatory: | ||||
4090 | Budget authority, gross | 8 | 8 | 8 |
Outlays, gross: | ||||
4100 | Outlays from new mandatory authority | 8 | 8 | 8 |
4101 | Outlays from mandatory balances | 1 | 1 | |
|
|
|
||
4110 | Outlays, gross (total) | 8 | 9 | 9 |
Offsets against gross budget authority and outlays: | ||||
Offsetting collections (collected) from: | ||||
4123 | Non-Federal sources | –8 | –8 | –8 |
4190 | Outlays, net (total) | 1 | 1 | |
|
FDA certifies color additives for use in foods, drugs, and cosmetics. It also lists color additives for use in foods, drugs, medical devices, and cosmetics (21 U.S.C. 346a, 356, 357, 376). These services are financed wholly by fees paid by the industries affected.
Object Classification (in millions of dollars)
|
||||
Identification code 75–4309–0–3–554 | 2011 actual | 2012 est. | 2013 est. | |
|
||||
Reimbursable obligations: | ||||
11.1 | Personnel compensation: Full-time permanent | 4 | 4 | 4 |
12.1 | Civilian personnel benefits | 1 | 1 | 1 |
23.1 | Rental payments to GSA | 1 | 1 | 1 |
25.2 | Other services from non-Federal sources | 1 | 1 | 1 |
26.0 | Supplies and materials | 1 | 1 | 1 |
|
|
|
||
99.9 | Total new obligations | 8 | 8 | 8 |
|
Employment Summary
|
||||
Identification code 75–4309–0–3–554 | 2011 actual | 2012 est. | 2013 est. | |
|
||||
2001 | Reimbursable civilian full-time equivalent employment | 37 | 37 | 38 |
|
For carrying out titles II and III of the Public Health Service Act (referred to in this Act as the "PHS Act'') with respect to primary health care and the Native Hawaiian Health Care Act of 1988, [$1,598,957,000] $1,579,975,000, of which [$129,000] $127,000 shall be available until expended for facilities renovations at the Gillis W. Long Hansen's Disease Center: Provided, That no more than $40,000 shall be available until expended for carrying out the provisions of section 224(o) of the PHS Act, including associated administrative expenses and relevant evaluations: Provided further, That no more than [$95,073,000] $94,893,000 shall be available until expended for carrying out the provisions of Public Law 104–73 and for expenses incurred by the Department of Health and Human Services (referred to in this Act as "HHS'') pertaining to administrative claims made under such law.
For carrying out titles III, VII, and VIII of the PHS Act with respect to the health workforce, section 1128E and 1921(b) of the Social Security Act, and the Health Care Quality Improvement Act of 1986, [$734,402,000] $522,187,000: Provided, That sections 747(c)(2), [751(j)(2)] 340G-1(b) and (d), and the proportional funding amounts in paragraphs (1) through (4) of section 756(e) of the PHS Act shall not apply to funds made available under this heading: [Provided further, That for any program operating under section 751 of the PHS Act on or before January 1, 2009, the Secretary of Health and Human Services (referred to in this title as "Secretary'') may waive any of the requirements contained in sections 751(d)(2)(A) and 751(d)(2)(B) of such Act for the full project period of a grant under such section: Provided further, That no funds shall be available for section 340G-1 of the PHS Act:] Provided further, That in addition to fees authorized by section 427(b) of the Health Care Quality Improvement Act of 1986, fees shall be collected for the full disclosure of information under such Act sufficient to recover the full costs of operating the National Practitioner Data Bank and shall remain available until expended to carry out that Act: Provided further, That fees collected for the full disclosure of information under the "Health Care Fraud and Abuse Data Collection Program'', authorized by section 1128E(d)(2) of the Social Security Act, shall be sufficient to recover the full costs of operating the program, and shall remain available until expended to carry out that Act: Provided further, That fees collected for the disclosure of information under the information reporting requirement program authorized by section 1921 of the Social Security Act shall be sufficient to recover the full costs of operating the program and shall remain available until expended to carry out that Act: Provided further, That funds transferred to this account to carry out section 846 and subpart 3 of part D of title III of the PHS Act may be used to make prior year adjustments to awards made under such sections: Provided further, That, in addition to amounts appropriated under this heading, $35,000,000 shall be available under section 241 of the PHS Act to carry out titles VII and VIII of the PHS Act: Provided further, That, of the amount appropriated under this heading, $88,000,000 shall be for payments to children's hospitals pursuant to section 340E of the PHS Act, all of which shall be for payments for direct graduate medical education as described in section 340E(c).
For carrying out titles III, XI, XII, and XIX of the PHS Act with respect to maternal and child health, title V of the Social Security Act, and section 712 of the American Jobs Creation Act of 2004, [$863,607,000] $854,807,000: Provided, That notwithstanding sections 502(a)(1) and 502(b)(1) of the Social Security Act, not more than [$79,586,000] $78,641,000 shall be available for carrying out special projects of regional and national significance pursuant to section 501(a)(2) of such Act and [$10,400,000] $10,276,000 shall be available for projects described in paragraphs (A) through (F) of section 501(a)(3) of such Act.
For carrying out title XXVI of the PHS Act with respect to the Ryan White HIV/AIDS program, [$2,326,665,000] $2,446,772,000, of which [$1,995,670,000] $2,093,599,000 shall remain available to the Secretary [of Health and Human Services] through September 30, 2014, for parts A and B of title XXVI of the PHS Act[, and of which] : Provided, That of the funds available for parts A and B of title XXVI of the PHS Act, not less than [$900,000,000] $1,000,000,000 shall be for State AIDS Drug Assistance Programs [under the authority of] pursuant to section 2616 or 311(c) of such Act: Provided further, That in addition to amounts provided herein, $25,000,000 shall be available from amounts available under section 241 of the PHS Act to carry out parts A, B, C, and D of title XXVI of the PHS Act to fund Special Projects of National Significance under section 2691.
For carrying out titles III and XII of the PHS Act with respect to health care systems, and the Stem Cell Therapeutic and Research Act of 2005, [$83,526,000] $82,534,000: Provided, That the Secretary may collect a fee of 0.1 percent of each purchase of 340B drugs from entities participating in the Drug Pricing Program pursuant to section 340B of the PHS Act to pay for the operating costs of such program: Provided further, That fees pursuant to the 340B Drug Pricing Program shall be collected by manufacturers at the time of sale, and shall be credited to this account, to remain available until expended.
For carrying out titles III and IV of the PHS Act with respect to rural health, section 427(a) of the Federal Coal Mine Health and Safety Act, the Cardiac Arrest Survival Act of 2000, and sections 711 and 1820 of the Social Security Act, [$139,832,000] $122,232,000, of which [$41,118,000] $26,200,000 from general revenues, notwithstanding section 1820(j) of the Social Security Act, shall be available for carrying out the Medicare rural hospital flexibility grants program: Provided, That, of the funds made available under this heading for Medicare rural hospital flexibility grants, [$15,000,000 shall be available for the Small Rural Hospital Improvement Grant Program for quality improvement and adoption of health information technology and] $1,000,000 shall be to carry out section 1820(g)(6) of the Social Security Act, with funds provided for grants under section 1820(g)(6) available for the purchase and implementation of telehealth services, including pilots and demonstrations on the use of electronic health records to coordinate rural veterans care between rural providers and the Department of Veterans Affairs electronic health record system: Provided further, That notwithstanding section 338J(k) of the PHS Act, [$10,055,000] $10,036,000 shall be available for State Offices of Rural Health.
For carrying out the program under title X of the PHS Act to provide for voluntary family planning projects, [$297,400,000] $296,838,000: Provided, That amounts provided to said projects under such title shall not be expended for abortions, that all pregnancy counseling shall be nondirective, and that such amounts shall not be expended for any activity (including the publication or distribution of literature) that in any way tends to promote public support or opposition to any legislative proposal or candidate for public office.
For program support in the Health Resources and Services Administration, [$161,815,000] $162,517,000: Provided, That funds made available under this heading may be used to supplement program support funding provided under the headings "Primary Health Care'', "Health Workforce'', "Maternal and Child Health'', "Ryan White HIV/AIDS Program'', "Health Care Systems'', and "Rural Health'': Provided further, That the Administrator may transfer funds between any of the accounts of HRSA with notification to the Committees on Appropriations of both Houses of Congress at least 15 days in advance of any transfer, but no such account shall be decreased by more than 3 percent by any such transfer. (Department of Health and Human Services Appropriations Act, 2012.)
Program and Financing (in millions of dollars)
|
||||
Identification code 75–0350–0–1–550 | 2011 actual | 2012 est. | 2013 est. | |
|
||||
Obligations by program activity: | ||||
0010 | Health Centers | 1,481 | 1,467 | 1,467 |
0012 | National Health Service Corps Recruitment | 25 | ||
0013 | Hansen's Disease Center | 16 | 16 | 16 |
0014 | Payment to Hawaii for the Treatment of Hansen's Disease | 2 | 2 | 2 |
0015 | Black Lung Clinics | 7 | 7 | 7 |
0016 | Nursing Education Loan Repayment and Scholarships | 93 | 83 | 83 |
0017 | Health Professions | 405 | 376 | 345 |
0018 | Maternal and Child Health Block Grant | 656 | 639 | 640 |
0019 | Healthy Start | 104 | 103 | 103 |
0020 | Poison Control Centers | 22 | 19 | 19 |
0021 | EMS for Children | 21 | 21 | 21 |
0022 | Universal Newborn Hearing Screening | 19 | 19 | 19 |
0023 | HIV/AIDS | 2,310 | 2,375 | 2,447 |
0024 | Organ Transplantation | 25 | 24 | 24 |
0025 | Bone Marrow Donor Registry | 23 | 23 | 23 |
0026 | Rural Health Policy Development | 10 | 10 | 10 |
0027 | Rural Health Outreach Grants | 56 | 56 | 56 |
0028 | Rural Health Flexibility Grants | 41 | 41 | 26 |
0030 | Telehealth | 12 | 12 | 12 |
0031 | Program Management | 162 | 160 | 162 |
0032 | Family Planning | 298 | 294 | 297 |
0033 | Loan Repayment/Faculty Fellowship | 1 | 1 | 1 |
0035 | Health Centers Tort Claim Fund | 89 | 113 | 95 |
0036 | Heritable Disorders | 10 | 10 | 10 |
0038 | Childrens' GME | 268 | 265 | 88 |
0041 | State Offices of Rural Health | 10 | 10 | 10 |
0043 | Radiogenic Diseases | 2 | 2 | 2 |
0044 | Traumatic Brain Injury | 10 | 10 | 10 |
0045 | Autism and Other Developmental Disorders | 48 | 47 | 47 |
0046 | Cord Blood Stem Cell Bank | 12 | 12 | 12 |
0047 | Free Clinics Medical Malpractice | 1 | 2 | |
0048 | Sickle Cell | 5 | 5 | 5 |
0049 | Drug Pricing Program | 4 | 4 | 4 |
0050 | Family to Family Health Information Centers ACA | 5 | 5 | |
0052 | Health Center Loan Subsidy | 1 | ||
0067 | Prevention Fund | 20 | 75 | 10 |
0071 | ARRA | 74 | ||
0072 | Infrastructure to Expand Access to Care ACA | 100 | ||
0073 | Health Centers ACA | 998 | 1,150 | 1,200 |
0074 | Health Centers Construction ACA | 742 | 758 | |
0075 | National Health Service Corps ACA | 289 | 296 | 300 |
0076 | School Based Health Centers ACA | 98 | 15 | 87 |
0077 | GME Payments THC ACA | 4 | 18 | 43 |
0079 | Rural Health AED | 1 | ||
0080 | Pediatric Loan Repayment | 5 | ||
|
|
|
||
0300 | Total direct programs | 8,579 | 8,546 | 7,708 |
|
|
|
||
0799 | Total direct obligations | 8,579 | 8,546 | 7,708 |
0801 | Reimbursable program | 62 | 66 | 72 |
0802 | Reimbursable program: PHS evaluation | 22 | 25 | 60 |
|
|
|
||
0899 | Total reimbursable obligations | 84 | 91 | 132 |
|
|
|
||
0900 | Total new obligations | 8,663 | 8,637 | 7,840 |
|
||||
Budgetary Resources: | ||||
Unobligated balance: | ||||
1000 | Unobligated balance brought forward, Oct 1 | 272 | 1,060 | 345 |
1021 | Recoveries of prior year unpaid obligations | 3 | ||
|
|
|
||
1050 | Unobligated balance (total) | 275 | 1,060 | 345 |
Budget authority: | ||||
Appropriations, discretionary: | ||||
1100 | Appropriation | 6,275 | 6,207 | 6,068 |
1121 | Appropriations transferred from other accts [75–9915] | 9 | ||
1121 | Appropriations transferred from other accts [75–1362] | 1 | ||
1121 | Appropriations transferred from other accts [75–0943] | 1 | ||
1130 | Appropriations permanently reduced | –13 | ||
1143 | Approp permanently reduced (Sec 527, HR 2055) | –12 | ||
|
|
|
||
1160 | Appropriation, discretionary (total) | 6,262 | 6,206 | 6,068 |
Appropriations, mandatory: | ||||
1200 | Appropriation | 3,075 | 1,550 | 1,850 |
1221 | Appropriations transferred from other accts [75–0116] | 20 | 75 | 10 |
|
|
|
||
1260 | Appropriations, mandatory (total) | 3,095 | 1,625 | 1,860 |
Spending authority from offsetting collections, discretionary: | ||||
1700 | Collected | 54 | 75 | 116 |
1701 | Change in uncollected payments, Federal sources | 24 | ||
|
|
|
||
1750 | Spending auth from offsetting collections, disc (total) | 78 | 75 | 116 |
Spending authority from offsetting collections, mandatory: | ||||
1800 | Offsetting collections (cash)(HPSL&NSL) | 16 | 16 | 16 |
|
|
|
||
1850 | Spending auth from offsetting collections, mand (total) | 16 | 16 | 16 |
1900 | Budget authority (total) | 9,451 | 7,922 | 8,060 |
1930 | Total budgetary resources available | 9,726 | 8,982 | 8,405 |
Memorandum (non-add) entries: | ||||
1940 | Unobligated balance expiring | –3 | ||
1941 | Unexpired unobligated balance, end of year | 1,060 | 345 | 565 |
|
||||
Change in obligated balance: | ||||
Obligated balance, start of year (net): | ||||
3000 | Unpaid obligations, brought forward, Oct 1 (gross) | 6,864 | 6,837 | 6,598 |
3010 | Uncollected pymts, Fed sources, brought forward, Oct 1 | –50 | –42 | –42 |
|
|
|
||
3020 | Obligated balance, start of year (net) | 6,814 | 6,795 | 6,556 |
3030 | Obligations incurred, unexpired accounts | 8,663 | 8,637 | 7,840 |
3031 | Obligations incurred, expired accounts | 1 | ||
3040 | Outlays (gross) | –8,582 | –8,876 | –8,168 |
3050 | Change in uncollected pymts, Fed sources, unexpired | –24 | ||
3051 | Change in uncollected pymts, Fed sources, expired | 32 | ||
3080 | Recoveries of prior year unpaid obligations, unexpired | –3 | ||
3081 | Recoveries of prior year unpaid obligations, expired | –106 | ||
Obligated balance, end of year (net): | ||||
3090 | Unpaid obligations, end of year (gross) | 6,837 | 6,598 | 6,270 |
3091 | Uncollected pymts, Fed sources, end of year | –42 | –42 | –42 |
|
|
|
||
3100 | Obligated balance, end of year (net) | 6,795 | 6,556 | 6,228 |
|
||||
Budget authority and outlays, net: | ||||
Discretionary: | ||||
4000 | Budget authority, gross | 6,340 | 6,281 | 6,184 |
Outlays, gross: | ||||
4010 | Outlays from new discretionary authority | 2,589 | 2,521 | 2,508 |
4011 | Outlays from discretionary balances | 5,120 | 4,139 | 3,821 |
|
|
|
||
4020 | Outlays, gross (total) | 7,709 | 6,660 | 6,329 |
Offsets against gross budget authority and outlays: | ||||
Offsetting collections (collected) from: | ||||
4030 | Federal sources | –52 | –52 | –82 |
4033 | Non-Federal sources | –28 | –23 | –34 |
|
|
|
||
4040 | Offsets against gross budget authority and outlays (total) | –80 | –75 | –116 |
Additional offsets against gross budget authority only: | ||||
4050 | Change in uncollected pymts, Fed sources, unexpired | –24 | ||
4052 | Offsetting collections credited to expired accounts | 26 | ||
|
|
|
||
4060 | Additional offsets against budget authority only (total) | 2 | ||
|
|
|
||
4070 | Budget authority, net (discretionary) | 6,262 | 6,206 | 6,068 |
4080 | Outlays, net (discretionary) | 7,629 | 6,585 | 6,213 |
Mandatory: | ||||
4090 | Budget authority, gross | 3,111 | 1,641 | 1,876 |
Outlays, gross: | ||||
4100 | Outlays from new mandatory authority | 818 | 863 | 870 |
4101 | Outlays from mandatory balances | 55 | 1,353 | 969 |
|
|
|
||
4110 | Outlays, gross (total) | 873 | 2,216 | 1,839 |
Offsets against gross budget authority and outlays: | ||||
Offsetting collections (collected) from: | ||||
4123 | Non-Federal sources | –16 | –16 | –16 |
4180 | Budget authority, net (total) | 9,357 | 7,831 | 7,928 |
4190 | Outlays, net (total) | 8,486 | 8,785 | 8,036 |
|
Summary of Loan Levels, Subsidy Budget Authority and Outlays by Program (in millions of dollars)
|
||||
Identification code 75–0350–0–1–550 | 2011 actual | 2012 est. | 2013 est. | |
|
||||
Guaranteed loan levels supportable by subsidy budget authority: | ||||
215001 | Health centers: Facilities renovation loan guarantee levels | 32 | 8 | 8 |
215002 | Health centers: Managed care network development loan guarantee | 2 | 1 | |
215003 | Health centers: Managed care plan loan guarantee levels | 5 | 3 | |
|
|
|
||
215999 | Total loan guarantee levels | 32 | 15 | 12 |
Guaranteed loan subsidy (in percent): | ||||
232001 | Health centers: Facilities renovation loan guarantee levels | 2.72 | 2.67 | 2.16 |
232002 | Health centers: Managed care network development loan guarantee | 0.00 | 9.62 | 9.73 |
232003 | Health centers: Managed care plan loan guarantee levels | 0.00 | 5.76 | 5.79 |
|
|
|
||
232999 | Weighted average subsidy rate | 2.72 | 4.63 | 3.70 |
Guaranteed loan subsidy budget authority: | ||||
233001 | Health centers: Facilities renovation loan guarantee levels | 1 | ||
|
|
|
||
233999 | Total subsidy budget authority | 1 | ||
Guaranteed loan subsidy outlays: | ||||
234001 | Health centers: Facilities renovation loan guarantee levels | 1 | ||
|
|
|
||
234999 | Total subsidy outlays | 1 | ||
|
Resources displayed here support categorical grants and contracts managed by Health Resources and Services Administration (HRSA). These activities include support for Federally Qualified Health Centers, treatment and care for those living with HIV/AIDS, health professions training, maternal and child health care services, promotion of organ and bone marrow donation, and the medical malpractice claims funds, which pay malpractice claims filed against employees of federally-supported health centers and free clinics. HRSA is also responsible for oversight of the 340B Drug Discount Program. The FY 2013 Budget proposes a new user fee for this program to improve administration and oversight of this activity.
HRSA administers the following revolving loan programs: Health Professions Student Loans (HPSL), Nursing Student Loans (NSL), Primary Care Loans (PCL) and Loans for Disadvantaged Students (LDS). These programs are financed through revolving accounts (Federal Capital Contribution) and do not receive annual appropriations. Through these revolving fund accounts, funds are awarded to institutions that in turn provide loans to individual students. As borrowers pay back loans the programs revolving account gets replenished, and the collected funds are then used to give out new loans in the following academic years. If the programs revolving account has excess funds that will not be used to provide new loans, these excess funds are returned to HRSA. Funds returned to HRSA are then awarded to programs that are in need of additional funds. The information below reflects Academic Year 2010–2011 data reported in the Annual Operating Report.
Health Professions Revolving Loan Programs Federal Capital Contribution
|
|
Program | Account Balance |
|
|
HPSL | $370,561,960 |
NSL | $168,761,018 |
PCL | $249,867,755 |
|
|
LDS | $129,792,459 |
|
|
|
|
Total | $918,984,192 |
|
|
|
Object Classification (in millions of dollars)
|
||||
Identification code 75–0350–0–1–550 | 2011 actual | 2012 est. | 2013 est. | |
|
||||
Direct obligations: | ||||
Personnel compensation: | ||||
11.1 | Full-time permanent | 148 | 147 | 151 |
11.3 | Other than full-time permanent | 5 | 6 | 6 |
11.5 | Other personnel compensation | 4 | 4 | 4 |
11.7 | Military personnel | 19 | 20 | 20 |
11.8 | Special personal services payments | 1 | ||
|
|
|
||
11.9 | Total personnel compensation | 177 | 177 | 181 |
12.1 | Civilian personnel benefits | 45 | 42 | 44 |
12.2 | Military personnel benefits | 8 | 11 | 11 |
21.0 | Travel and transportation of persons | 4 | 4 | 4 |
23.1 | Rental payments to GSA | 25 | 25 | 25 |
23.2 | Rental payments to others | 1 | 2 | 2 |
23.3 | Communications, utilities, and miscellaneous charges | 2 | 1 | 1 |
24.0 | Printing and reproduction | 1 | 1 | 1 |
25.1 | Advisory and assistance services | 38 | 38 | 38 |
25.2 | Other services from non-Federal sources | 180 | 156 | 156 |
25.3 | Other goods and services from Federal sources | 182 | 197 | 197 |
25.4 | Operation and maintenance of facilities | 2 | 1 | 1 |
25.6 | Medical care | 3 | 3 | 3 |
25.7 | Operation and maintenance of equipment | 13 | 14 | 14 |
26.0 | Supplies and materials | 1 | 1 | 1 |
31.0 | Equipment | 4 | 4 | 4 |
41.0 | Grants, subsidies, and contributions | 7,810 | 7,780 | 6,936 |
42.0 | Insurance claims and indemnities | 83 | 89 | 89 |
|
|
|
||
99.0 | Direct obligations | 8,579 | 8,546 | 7,708 |
99.0 | Reimbursable obligations | 84 | 91 | 132 |
|
|
|
||
99.9 | Total new obligations | 8,663 | 8,637 | 7,840 |
|
Employment Summary
|
||||
Identification code 75–0350–0–1–550 | 2011 actual | 2012 est. | 2013 est. | |
|
||||
1001 | Direct civilian full-time equivalent employment | 1,539 | 1,528 | 1,505 |
1101 | Direct military average strength employment | 202 | 202 | 202 |
2001 | Reimbursable civilian full-time equivalent employment | 76 | 76 | 82 |
2101 | Reimbursable military average strength employment | 6 | 6 | 6 |
|
Program and Financing (in millions of dollars)
|
||||
Identification code 75–0320–0–1–551 | 2011 actual | 2012 est. | 2013 est. | |
|
||||
Budgetary Resources: | ||||
Unobligated balance: | ||||
1000 | Unobligated balance brought forward, Oct 1 | 12 | 12 | 12 |
1930 | Total budgetary resources available | 12 | 12 | 12 |
Memorandum (non-add) entries: | ||||
1941 | Unexpired unobligated balance, end of year | 12 | 12 | 12 |
|
The Vaccine Injury Compensation Program was established pursuant to Public Law 99–660 and Public Law 100–203, and serves as a source of funds to pay claims for compensation for vaccine related injury or death. Payment of claims associated with vaccine related injury or death occurring before October 1, 1988 are financed from the General Fund and are reflected in this account. Given sufficient carry-over funds from prior years' appropriations to pay for the balance of the pre-1988 claims yet to be adjudicated, no appropriation is requested in 2012 to cover payment of pre-1988 claims. By statute, no new claims are accepted for this account. Payment of claims associated with vaccine related injury or death occurring after October 1, 1988 are reflected in the Vaccine Injury Compensation Program trust fund account.
Program and Financing (in millions of dollars)
|
||||
Identification code 75–0343–0–1–551 | 2011 actual | 2012 est. | 2013 est. | |
|
||||
Obligations by program activity: | ||||
0001 | Claims | 2 | 1 | |
0103 | Admin Expense | 3 | 3 | 4 |
|
|
|
||
0900 | Total new obligations | 3 | 5 | 5 |
|
||||
Budgetary Resources: | ||||
Unobligated balance: | ||||
1000 | Unobligated balance brought forward, Oct 1 | 2 | ||
1011 | Unobligated balance transfer from other accts [75–0140] | 5 | 3 | 5 |
|
|
|
||
1050 | Unobligated balance (total) | 5 | 5 | 5 |
1930 | Total budgetary resources available | 5 | 5 | 5 |
Memorandum (non-add) entries: | ||||
1941 | Unexpired unobligated balance, end of year | 2 | ||
|
||||
Change in obligated balance: | ||||
Obligated balance, start of year (net): | ||||
3000 | Unpaid obligations, brought forward, Oct 1 (gross) | 2 | 7 | |
3030 | Obligations incurred, unexpired accounts | 3 | 5 | 5 |
3040 | Outlays (gross) | –1 | ||
Obligated balance, end of year (net): | ||||
3090 | Unpaid obligations, end of year (gross) | 2 | 7 | 12 |
|
|
|
||
3100 | Obligated balance, end of year (net) | 2 | 7 | 12 |
|
||||
Budget authority and outlays, net: | ||||
Discretionary: | ||||
Outlays, gross: | ||||
4011 | Outlays from discretionary balances | 1 | ||
4190 | Outlays, net (total) | 1 | ||
|
The Covered Countermeasure Process Fund is established pursuant to the PHS Act, as amended by Division C of Public Law 109–148, to serve as a source of funds to pay for compensation for injuries, illnesses or death, or losses resulting from the administration to or use by an individual of a covered countermeasure for which a Secretarial Declaration has been issued, pursuant to section 319F-3(b) of the Public Health Service Act. Additionally, authority is provided to address any unexpected claims that may arise under the Smallpox Emergency Personal Protection Act of 2003.
Object Classification (in millions of dollars)
|
||||
Identification code 75–0343–0–1–551 | 2011 actual | 2012 est. | 2013 est. | |
|
||||
Direct obligations: | ||||
11.1 | Personnel compensation: Full-time permanent | 1 | 1 | 1 |
25.3 | Other goods and services from Federal sources | 2 | 2 | 2 |
42.0 | Insurance claims and indemnities | 2 | 2 | |
|
|
|
||
99.9 | Total new obligations | 3 | 5 | 5 |
|
Employment Summary
|
||||
Identification code 75–0343–0–1–551 | 2011 actual | 2012 est. | 2013 est. | |
|
||||
1001 | Direct civilian full-time equivalent employment | 4 | 4 | 4 |
1101 | Direct military average strength employment | 1 | 1 | 1 |
|
Program and Financing (in millions of dollars)
|
||||
Identification code 75–0321–0–1–551 | 2011 actual | 2012 est. | 2013 est. | |
|
||||
Obligations by program activity: | ||||
0010 | Maternal, Infant, and Early Childhood Home Visiting Programs | 250 | 350 | 400 |
|
||||
Budgetary Resources: | ||||
Budget authority: | ||||
Appropriations, mandatory: | ||||
1200 | Appropriation | 250 | 350 | 400 |
|
|
|
||
1260 | Appropriations, mandatory (total) | 250 | 350 | 400 |
1930 | Total budgetary resources available | 250 | 350 | 400 |
|
||||
Change in obligated balance: | ||||
Obligated balance, start of year (net): | ||||
3000 | Unpaid obligations, brought forward, Oct 1 (gross) | 99 | 313 | 577 |
3030 | Obligations incurred, unexpired accounts | 250 | 350 | 400 |
3040 | Outlays (gross) | –36 | –86 | –359 |
Obligated balance, end of year (net): | ||||
3090 | Unpaid obligations, end of year (gross) | 313 | 577 | 618 |
|
|
|
||
3100 | Obligated balance, end of year (net) | 313 | 577 | 618 |
|
||||
Budget authority and outlays, net: | ||||
Mandatory: | ||||
4090 | Budget authority, gross | 250 | 350 | 400 |
Outlays, gross: | ||||
4100 | Outlays from new mandatory authority | 17 | 25 | 28 |
4101 | Outlays from mandatory balances | 19 | 61 | 331 |
|
|
|
||
4110 | Outlays, gross (total) | 36 | 86 | 359 |
4180 | Budget authority, net (total) | 250 | 350 | 400 |
4190 | Outlays, net (total) | 36 | 86 | 359 |
|
P.L. 111–148 provides resources to Maternal, Infant and Early Childhood Home Visiting Program through FY 2014 to provide comprehensive services for at risk communities. These activities are administered by HRSA.
Object Classification (in millions of dollars)
|
||||
Identification code 75–0321–0–1–551 | 2011 actual | 2012 est. | 2013 est. | |
|
||||
Direct obligations: | ||||
11.1 | Personnel compensation: Full-time permanent | 2 | 2 | 2 |
12.1 | Civilian personnel benefits | 1 | 1 | 1 |
25.1 | Advisory and assistance services | 15 | 15 | 15 |
41.0 | Grants, subsidies, and contributions | 232 | 332 | 382 |
|
|
|
||
99.9 | Total new obligations | 250 | 350 | 400 |
|
Employment Summary
|
||||
Identification code 75–0321–0–1–551 | 2011 actual | 2012 est. | 2013 est. | |
|
||||
1001 | Direct civilian full-time equivalent employment | 16 | 16 | 16 |
1101 | Direct military average strength employment | 3 | 3 | 3 |
|
Program and Financing (in millions of dollars)
|
||||
Identification code 75–4442–0–3–551 | 2011 actual | 2012 est. | 2013 est. | |
|
||||
Obligations by program activity: | ||||
Credit program obligations: | ||||
0711 | Default claim payments on principal | 1 | 1 | |
|
|
|
||
0900 | Total new obligations | 1 | 1 | |
|
||||
Budgetary Resources: | ||||
Unobligated balance: | ||||
1000 | Unobligated balance brought forward, Oct 1 | 2 | 3 | 2 |
Financing authority: | ||||
Spending authority from offsetting collections, mandatory: | ||||
1800 | Collected | 1 | ||
|
|
|
||
1850 | Spending auth from offsetting collections, mand (total) | 1 | ||
1930 | Total budgetary resources available | 3 | 3 | 2 |
Memorandum (non-add) entries: | ||||
1941 | Unexpired unobligated balance, end of year | 3 | 2 | 1 |
|
||||
Change in obligated balance: | ||||
Obligated balance, start of year (net): | ||||
3000 | Unpaid obligations, brought forward, Oct 1 (gross) | 1 | ||
3030 | Obligations incurred, unexpired accounts | 1 | 1 | |
Obligated balance, end of year (net): | ||||
3090 | Unpaid obligations, end of year (gross) | 1 | 2 | |
|
|
|
||
3100 | Obligated balance, end of year (net) | 1 | 2 | |
|
||||
Financing authority and disbursements, net: | ||||
Mandatory: | ||||
4090 | Financing authority, gross | 1 | ||
Offsets against gross financing authority and disbursements: | ||||
Offsetting collections (collected) from: | ||||
4120 | Federal sources | –1 | ||
4190 | Financing disbursements, net (total) | –1 | ||
|
Status of Guaranteed Loans (in millions of dollars)
|
||||
Identification code 75–4442–0–3–551 | 2011 actual | 2012 est. | 2013 est. | |
|
||||
Position with respect to appropriations act limitation on commitments: | ||||
2121 | Limitation available from carry-forward | 60 | 28 | 13 |
2143 | Uncommitted limitation carried forward | –28 | –13 | |
|
|
|
||
2150 | Total guaranteed loan commitments | 32 | 15 | 13 |
2199 | Guaranteed amount of guaranteed loan commitments | 26 | 13 | 10 |
|
||||
Cumulative balance of guaranteed loans outstanding: | ||||
2210 | Outstanding, start of year | 65 | 80 | 82 |
2231 | Disbursements of new guaranteed loans | 25 | 13 | 10 |
2251 | Repayments and prepayments | –10 | –10 | –10 |
2263 | Adjustments: Terminations for default that result in claim payments | –1 | –1 | |
|
|
|
||
2290 | Outstanding, end of year | 80 | 82 | 81 |
|
||||
Memorandum: | ||||
2299 | Guaranteed amount of guaranteed loans outstanding, end of year | 72 | 69 | 68 |
|
P.L. 104–299 and P.L. 104–208 authorize Health Resources and Services Administration (HRSA) to guarantee up to $160 million in private loans to health centers for the costs of developing and operating managed care networks or plans and for the construction, renovation and modernization of medical facilities. As required by the Federal Credit Reform Act of 1990, this financing account records all cash flows to and from the Government resulting from the Health Center Loan Guarantee program. The program account for this activity is displayed in the Health Resources and Services account (75–0350) as a line in the program and financing schedule.
Balance Sheet (in millions of dollars)
|
|||
Identification code 75–4442–0–3–551 | 2010 actual | 2011 actual | |
|
|||
ASSETS: | |||
1101 | Federal assets: Fund balances with Treasury | 4 | 3 |
|
|
||
1999 | Total assets | 4 | 3 |
LIABILITIES: | |||
2204 | Non-Federal liabilities: Liabilities for loan guarantees | 4 | 3 |
|
|
||
4999 | Total liabilities and net position | 4 | 3 |
|
Such sums as may be necessary to carry out the purpose of the program, as authorized by title VII of the PHS Act.
In addition, [For] for administrative expenses to carry out the guaranteed loan program, including section 709 of the PHS Act, [$2,841,000] $2,807,000. (Department of Health and Human Services Appropriations Act, 2012.)
Program and Financing (in millions of dollars)
|
||||
Identification code 75–0340–0–1–552 | 2011 actual | 2012 est. | 2013 est. | |
|
||||
Obligations by program activity: | ||||
Credit program obligations: | ||||
0707 | Reestimates of loan guarantee subsidy | 13 | ||
0708 | Interest on reestimates of loan guarantee subsidy | 14 | ||
0709 | Administrative expenses | 2 | 3 | |
|
|
|
||
0900 | Total new obligations | 29 | 3 | |
|
||||
Budgetary Resources: | ||||
Budget authority: | ||||
Appropriations, discretionary: | ||||
1100 | Appropriation | 3 | 3 | 3 |
1120 | Appropriations transferred to other accts [91–0202] | –3 | ||
|
|
|
||
1160 | Appropriation, discretionary (total) | 3 | 3 | |
Appropriations, mandatory: | ||||
1200 | Appropriation | 26 | ||
|
|
|
||
1260 | Appropriations, mandatory (total) | 26 | ||
1900 | Budget authority (total) | 29 | 3 | |
1930 | Total budgetary resources available | 29 | 3 | |
|
||||
Change in obligated balance: | ||||
Obligated balance, start of year (net): | ||||
3000 | Unpaid obligations, brought forward, Oct 1 (gross) | 2 | 2 | 2 |
3030 | Obligations incurred, unexpired accounts | 29 | 3 | |
3040 | Outlays (gross) | –29 | –3 | |
Obligated balance, end of year (net): | ||||
3090 | Unpaid obligations, end of year (gross) | 2 | 2 | 2 |
|
|
|
||
3100 | Obligated balance, end of year (net) | 2 | 2 | 2 |
|
||||
Budget authority and outlays, net: | ||||
Discretionary: | ||||
4000 | Budget authority, gross | 3 | 3 | |
Outlays, gross: | ||||
4010 | Outlays from new discretionary authority | 2 | 3 | |
4011 | Outlays from discretionary balances | 1 | ||
|
|
|
||
4020 | Outlays, gross (total) | 3 | 3 | |
Mandatory: | ||||
4090 | Budget authority, gross | 26 | ||
Outlays, gross: | ||||
4100 | Outlays from new mandatory authority | 26 | ||
4180 | Budget authority, net (total) | 29 | 3 | |
4190 | Outlays, net (total) | 29 | 3 | |
|
Summary of Loan Levels, Subsidy Budget Authority and Outlays by Program (in millions of dollars)
|
||||
Identification code 75–0340–0–1–552 | 2011 actual | 2012 est. | 2013 est. | |
|
||||
Guaranteed loan upward reestimates: | ||||
235001 | HEAL Loan guarantee | 26 | ||
|
|
|
||
235999 | Total upward reestimate budget authority | 26 | ||
Guaranteed loan downward reestimates: | ||||
237001 | HEAL Loan guarantee | –12 | ||
|
|
|
||
237999 | Total downward reestimate subsidy budget authority | –12 | ||
|
||||
Administrative expense data: | ||||
3510 | Budget authority | 3 | 3 | |
3590 | Outlays from new authority | 3 | ||
|
In FY 2013 the Department of Education will assume responsibility for the program. Legislative language that would effect this transfer is included under General Provisions. The authority to administer, service, collect, and enforce the program as well as the functions, assets, and liabilities of the Secretary of Health and Human Services will be permanently transferred to the Secretary of Education.
Object Classification (in millions of dollars)
|
||||
Identification code 75–0340–0–1–552 | 2011 actual | 2012 est. | 2013 est. | |
|
||||
Direct obligations: | ||||
11.1 | Personnel compensation: Full-time permanent | 2 | 3 | |
25.3 | Other goods and services from Federal sources | 1 | ||
41.0 | Grants, subsidies, and contributions | 26 | ||
|
|
|
||
99.9 | Total new obligations | 29 | 3 | |
|
Employment Summary
|
||||
Identification code 75–0340–0–1–552 | 2011 actual | 2012 est. | 2013 est. | |
|
||||
1001 | Direct civilian full-time equivalent employment | 13 | 13 | |
|
Program and Financing (in millions of dollars)
|
||||
Identification code 75–4304–0–3–552 | 2011 actual | 2012 est. | 2013 est. | |
|
||||
Obligations by program activity: | ||||
Credit program obligations: | ||||
0711 | Default claim payments on principal | 15 | 14 | |
0742 | Downward reestimate paid to receipt account | 5 | ||
0743 | Interest on downward reestimates | 7 | ||
|
|
|
||
0900 | Total new obligations | 15 | 26 | |
|
||||
Budgetary Resources: | ||||
Unobligated balance: | ||||
1000 | Unobligated balance brought forward, Oct 1 | 49 | 70 | 52 |
1010 | Unobligated balance transfer to other accts [91–4300] | –52 | ||
|
|
|
||
1050 | Unobligated balance (total) | 49 | 70 | |
Financing authority: | ||||
Spending authority from offsetting collections, mandatory: | ||||
1800 | Collected | 36 | 8 | |
|
|
|
||
1850 | Spending auth from offsetting collections, mand (total) | 36 | 8 | |
1900 | Financing authority(total) | 36 | 8 | |
1930 | Total budgetary resources available | 85 | 78 | |
Memorandum (non-add) entries: | ||||
1941 | Unexpired unobligated balance, end of year | 70 | 52 | |
|
||||
Change in obligated balance: | ||||
3030 | Obligations incurred, unexpired accounts | 15 | 26 | |
3040 | Financing disbursements (gross) | –15 | –26 | |
|
||||
Financing authority and disbursements, net: | ||||
Mandatory: | ||||
4090 | Financing authority, gross | 36 | 8 | |
Financing disbursements: | ||||
4110 | Financing disbursements, gross | 15 | 26 | |
Offsets against gross financing authority and disbursements: | ||||
Offsetting collections (collected) from: | ||||
4120 | Federal sources - upward reestimates and interest | –26 | ||
4122 | Interest on uninvested funds | –4 | –4 | |
4123 | Recoveries of defaulted loans | –6 | –4 | |
|
|
|
||
4130 | Offsets against gross financing auth and disbursements (total) | –36 | –8 | |
4170 | Financing disbursements, net (mandatory) | –21 | 18 | |
4190 | Financing disbursements, net (total) | –21 | 18 | |
|
Status of Guaranteed Loans (in millions of dollars)
|
||||
Identification code 75–4304–0–3–552 | 2011 actual | 2012 est. | 2013 est. | |
|
||||
Cumulative balance of guaranteed loans outstanding: | ||||
2210 | Outstanding, start of year | 627 | 526 | 499 |
2251 | Repayments and prepayments | –86 | –13 | |
Adjustments: | ||||
2261 | Terminations for default that result in loans receivable | –14 | –10 | |
2263 | Terminations for default that result in claim payments | –1 | –4 | |
2264 | Other adjustments, net | –499 | ||
|
|
|
||
2290 | Outstanding, end of year | 526 | 499 | |
|
||||
Memorandum: | ||||
2299 | Guaranteed amount of guaranteed loans outstanding, end of year | 526 | 499 | |
|
||||
Addendum: | ||||
Cumulative balance of defaulted guaranteed loans that result in loans receivable: | ||||
2310 | Outstanding, start of year | 171 | 175 | 181 |
2331 | Disbursements for guaranteed loan claims | 14 | 10 | |
2351 | Repayments of loans receivable | –6 | –4 | |
2361 | Write-offs of loans receivable | –1 | ||
2364 | Other adjustments, net | –3 | –181 | |
|
|
|
||
2390 | Outstanding, end of year | 175 | 181 | |
|
Balance Sheet (in millions of dollars)
|
|||
Identification code 75–4304–0–3–552 | 2010 actual | 2011 actual | |
|
|||
ASSETS: | |||
1101 | Federal assets: Fund balances with Treasury | 49 | 70 |
Net value of assets related to post-1991 acquired defaulted guaranteed loans receivable: | |||
1501 | Defaulted guaranteed loans receivable, gross | 171 | 175 |
1505 | Allowance for subsidy cost (-) | –126 | –126 |
|
|
||
1599 | Net present value of assets related to defaulted guaranteed loans | 45 | 49 |
|
|
||
1999 | Total assets | 94 | 119 |
LIABILITIES: | |||
2204 | Non-Federal liabilities: Liabilities for loan guarantees | 94 | 119 |
|
|
||
4999 | Total liabilities and net position | 94 | 119 |
|
Program and Financing (in millions of dollars)
|
||||
Identification code 75–4305–0–3–552 | 2011 actual | 2012 est. | 2013 est. | |
|
||||
Obligations by program activity: | ||||
Credit program obligations: | ||||
0711 | Default claim payments on principal | 3 | 2 | |
|
|
|
||
0900 | Total new obligations (object class 33.0) | 3 | 2 | |
|
||||
Budgetary Resources: | ||||
Budget authority: | ||||
Appropriations, mandatory: | ||||
1200 | Appropriation | 1 | 1 | |
|
|
|
||
1260 | Appropriations, mandatory (total) | 1 | 1 | |
Spending authority from offsetting collections, mandatory: | ||||
1800 | Collected | 9 | 10 | |
1820 | Capital transfer of spending authority from offsetting collections to general fund | –7 | –9 | |
|
|
|
||
1850 | Spending auth from offsetting collections, mand (total) | 2 | 1 | |
1900 | Budget authority (total) | 3 | 2 | |
1930 | Total budgetary resources available | 3 | 2 | |
|
||||
Change in obligated balance: | ||||
3030 | Obligations incurred, unexpired accounts | 3 | 2 | |
3040 | Outlays (gross) | –3 | –2 | |
|
||||
Budget authority and outlays, net: | ||||
Mandatory: | ||||
4090 | Budget authority, gross | 3 | 2 | |
Outlays, gross: | ||||
4100 | Outlays from new mandatory authority | 3 | 2 | |
Offsets against gross budget authority and outlays: | ||||
Offsetting collections (collected) from: | ||||
4123 | Non-Federal sources | –9 | –10 | |
4180 | Budget authority, net (total) | –6 | –8 | |
4190 | Outlays, net (total) | –6 | –8 | |
|
Status of Guaranteed Loans (in millions of dollars)
|
||||
Identification code 75–4305–0–3–552 | 2011 actual | 2012 est. | 2013 est. | |
|
||||
Cumulative balance of guaranteed loans outstanding: | ||||
2210 | Outstanding, start of year | 103 | 83 | 69 |
2251 | Repayments and prepayments | –17 | –12 | |
Adjustments: | ||||
2261 | Terminations for default that result in loans receivable | –3 | –2 | |
2264 | Other adjustments, net | –69 | ||
|
|
|
||
2290 | Outstanding, end of year | 83 | 69 | |
|
||||
Memorandum: | ||||
2299 | Guaranteed amount of guaranteed loans outstanding, end of year | 83 | 68 | |
|
||||
Addendum: | ||||
Cumulative balance of defaulted guaranteed loans that result in loans receivable: | ||||
2310 | Outstanding, start of year | 379 | 362 | 346 |
2331 | Disbursements for guaranteed loan claims | 3 | 3 | |
2351 | Repayments of loans receivable | –9 | –8 | |
2361 | Write-offs of loans receivable | –21 | –21 | |
2364 | Other adjustments, net | 10 | 10 | –346 |
|
|
|
||
2390 | Outstanding, end of year | 362 | 346 | |
|
Balance Sheet (in millions of dollars)
|
|||
Identification code 75–4305–0–3–552 | 2010 actual | 2011 actual | |
|
|||
ASSETS: | |||
1101 | Federal assets: Fund balances with Treasury | 1 | 1 |
1701 | Defaulted guaranteed loans, gross | 379 | 362 |
1703 | Allowance for estimated uncollectible loans and interest (-) | –250 | –238 |
|
|
||
1799 | Value of assets related to loan guarantees | 129 | 124 |
|
|
||
1999 | Total assets | 130 | 125 |
LIABILITIES: | |||
2104 | Federal liabilities: Resources payable to Treasury | 122 | 119 |
2204 | Non-Federal liabilities: Liabilities for loan guarantees | 8 | 6 |
|
|
||
2999 | Total liabilities | 130 | 125 |
|
|
||
4999 | Total liabilities and net position | 130 | 125 |
|
Program and Financing (in millions of dollars)
|
||||
Identification code 75–9931–0–3–551 | 2011 actual | 2012 est. | 2013 est. | |
|
||||
Change in obligated balance: | ||||
Obligated balance, start of year (net): | ||||
3000 | Unpaid obligations, brought forward, Oct 1 (gross) | 1 | 1 | 1 |
Obligated balance, end of year (net): | ||||
3090 | Unpaid obligations, end of year (gross) | 1 | 1 | 1 |
|
|
|
||
3100 | Obligated balance, end of year (net) | 1 | 1 | 1 |
|
Status of Direct Loans (in millions of dollars)
|
||||
Identification code 75–9931–0–3–551 | 2011 actual | 2012 est. | 2013 est. | |
|
||||
Cumulative balance of direct loans outstanding: | ||||
1210 | Outstanding, start of year | 7 | 7 | 7 |
1251 | Repayments: Repayments and prepayments | |||
|
|
|
||
1290 | Outstanding, end of year | 7 | 7 | 7 |
|
Titles VI and XVI of the Public Health Service Act established a loan and loan guarantee fund for medical facilities with a maximum amount allowable for the Government's liability. Direct loans were made available for public facilities and guaranteed loans for private, nonprofit facilities. Funds under this authority were established in the amount of $50 million for use in fulfilling guarantees in event of default, $30 million as a revolving fund for direct loans and an amount for interest subsidy payments on guaranteed loans.
Balance Sheet (in millions of dollars)
|
|||
Identification code 75–9931–0–3–551 | 2010 actual | 2011 actual | |
|
|||
ASSETS: | |||
1601 | Direct loans, gross | 7 | 7 |
|
|
||
1999 | Total assets | 7 | 7 |
LIABILITIES: | |||
2201 | Non-Federal liabilities: Accounts payable | 7 | 7 |
|
|
||
4999 | Total liabilities and net position | 7 | 7 |
|
For payments from the Vaccine Injury Compensation Program Trust Fund ("Trust Fund''), such sums as may be necessary for claims associated with vaccine-related injury or death with respect to vaccines administered after September 30, 1988, pursuant to subtitle 2 of title XXI of the PHS Act, to remain available until expended: Provided, That for necessary administrative expenses, not to exceed [$6,489,000] $6,477,000 shall be available from the Trust Fund to the Secretary. (Department of Health and Human Services Appropriations Act, 2012.)
Special and Trust Fund Receipts (in millions of dollars)
|
||||
Identification code 75–8175–0–7–551 | 2011 actual | 2012 est. | 2013 est. | |
|
||||
0100 | Balance, start of year | 2,960 | 3,115 | 3,205 |
Adjustments: | ||||
0190 | Adjustment - rounding | –1 | ||
|
|
|
||
0199 | Balance, start of year | 2,959 | 3,115 | 3,205 |
Receipts: | ||||
0200 | Deposits, Vaccine Injury Compensation Trust Fund | 278 | 274 | 283 |
0240 | Interest and Profits on Investments, Vaccine Injury Compensation Trust Fund | 126 | 70 | 74 |
|
|
|
||
0299 | Total receipts and collections | 404 | 344 | 357 |
|
|
|
||
0400 | Total: Balances and collections | 3,363 | 3,459 | 3,562 |
Appropriations: | ||||
0500 | Vaccine Injury Compensation Program Trust Fund | –19 | –19 | –19 |
0501 | Vaccine Injury Compensation Program Trust Fund | –229 | –235 | –242 |
|
|
|
||
0599 | Total appropriations | –248 | –254 | –261 |
|
|
|
||
0799 | Balance, end of year | 3,115 | 3,205 | 3,301 |
|
Program and Financing (in millions of dollars)
|
||||
Identification code 75–8175–0–7–551 | 2011 actual | 2012 est. | 2013 est. | |
|
||||
Obligations by program activity: | ||||
0001 | Compensation: Claims for post - FY 1989 injuries | 231 | 235 | 242 |
0103 | Claims processing (Claims Court) | 5 | 5 | 5 |
0104 | Claims processing (HRSA) | 6 | 6 | 6 |
0105 | Claims processing (Dept. of Justice) | 6 | 8 | 8 |
|
|
|
||
0191 | Total, administrative expenses | 17 | 19 | 19 |
|
|
|
||
0799 | Total direct obligations | 248 | 254 | 261 |
0801 | Reimbursable program activity (claims) | 3 | ||
|
|
|
||
0900 | Total new obligations | 251 | 254 | 261 |
|
||||
Budgetary Resources: | ||||
Budget authority: | ||||
Appropriations, discretionary: | ||||
1101 | Appropriation (special or trust fund) | 19 | 19 | 19 |
|
|
|
||
1160 | Appropriation, discretionary (total) | 19 | 19 | 19 |
Appropriations, mandatory: | ||||
1201 | Appropriation (special or trust fund) | 229 | 235 | 242 |
|
|
|
||
1260 | Appropriations, mandatory (total) | 229 | 235 | 242 |
Spending authority from offsetting collections, mandatory: | ||||
1800 | Collected | 3 | ||
|
|
|
||
1850 | Spending auth from offsetting collections, mand (total) | 3 | ||
1900 | Budget authority (total) | 251 | 254 | 261 |
1930 | Total budgetary resources available | 251 | 254 | 261 |
|
||||
Change in obligated balance: | ||||
Obligated balance, start of year (net): | ||||
3000 | Unpaid obligations, brought forward, Oct 1 (gross) | 16 | 19 | 9 |
3030 | Obligations incurred, unexpired accounts | 251 | 254 | 261 |
3040 | Outlays (gross) | –248 | –264 | –269 |
Obligated balance, end of year (net): | ||||
3090 | Unpaid obligations, end of year (gross) | 19 | 9 | 1 |
|
|
|
||
3100 | Obligated balance, end of year (net) | 19 | 9 | 1 |
|
||||
Budget authority and outlays, net: | ||||
Discretionary: | ||||
4000 | Budget authority, gross | 19 | 19 | 19 |
Outlays, gross: | ||||
4010 | Outlays from new discretionary authority | 19 | 19 | |
4011 | Outlays from discretionary balances | 13 | 10 | 8 |
|
|
|
||
4020 | Outlays, gross (total) | 13 | 29 | 27 |
Mandatory: | ||||
4090 | Budget authority, gross | 232 | 235 | 242 |
Outlays, gross: | ||||
4100 | Outlays from new mandatory authority | 232 | 235 | 242 |
4101 | Outlays from mandatory balances | 3 | ||
|
|
|
||
4110 | Outlays, gross (total) | 235 | 235 | 242 |
Offsets against gross budget authority and outlays: | ||||
Offsetting collections (collected) from: | ||||
4120 | Federal sources | –3 | ||
4180 | Budget authority, net (total) | 248 | 254 | 261 |
4190 | Outlays, net (total) | 245 | 264 | 269 |
|
||||
Memorandum (non-add) entries: | ||||
5000 | Total investments, SOY: Federal securities: Par value | 2,939 | 3,108 | 3,452 |
5001 | Total investments, EOY: Federal securities: Par value | 3,108 | 3,452 | 3,809 |
|
The Vaccine Injury Compensation Program was established pursuant to P.L. 99–660 and P.L. 100–203 and serves as a source of funds to pay claims for compensation for vaccine-related injury or death. This account reflects payments for claims for vaccine-related injury or death occurring after October 1, 1988.
Object Classification (in millions of dollars)
|
||||
Identification code 75–8175–0–7–551 | 2011 actual | 2012 est. | 2013 est. | |
|
||||
Direct obligations: | ||||
25.3 | Other goods and services from Federal sources | 17 | 19 | 19 |
42.0 | Insurance claims and indemnities | 231 | 235 | 242 |
|
|
|
||
99.0 | Direct obligations | 248 | 254 | 261 |
99.0 | Reimbursable obligations | 3 | ||
|
|
|
||
99.9 | Total new obligations | 251 | 254 | 261 |
|
For expenses necessary to carry out the Act of August 5, 1954 (68 Stat. 674), the Indian Self-Determination Act, the Indian Health Care Improvement Act, and titles II and III of the Public Health Service Act with respect to the Indian Health Service, [$3,872,377,000,] $3,978,974,000, together with payments received during the fiscal year pursuant to 42 U.S.C. 238(b) and 238b for services furnished by the Indian Health Service: Provided, That funds made available to tribes and tribal organizations through contracts, grant agreements, or any other agreements or compacts authorized by the Indian Self-Determination and Education Assistance Act of 1975 (25 U.S.C. 450), shall be deemed to be obligated at the time of the grant or contract award and thereafter shall remain available to the tribe or tribal organization without fiscal year limitation: Provided further, That [$844,927,000] $897,562,000 for contract medical care, including $51,500,000 for the Indian Catastrophic Health Emergency Fund, shall remain available until expended: Provided further, That of the funding provided for information technology activities and, notwithstanding any other provision of law, $4,000,000 shall be allocated at the discretion of the Director of the Indian Health Service: Provided further, That of the funds provided, up to $36,000,000 shall remain available until expended for implementation of the loan repayment program under section 108 of the Indian Health Care Improvement Act: Provided further, That the amounts collected by the Federal Government as authorized by sections 104 and 108 of the Indian Health Care Improvement Act (25 U.S.C. 1613a and 1616a) during the preceding fiscal year for breach of contracts shall be deposited to the Fund authorized by section 108A of the Act (25 U.S.C. 1616a-1) and shall remain available until expended and, notwithstanding section 108A(c) of the Act (25 U.S.C. 1616a-1(c)), funds shall be available to make new awards under the loan repayment and scholarship programs under sections 104 and 108 of the Act (25 U.S.C. 1613a and 1616a): Provided further, That notwithstanding any other provision of law, the amounts made available within this account for the methamphetamine and suicide prevention and treatment initiative and for the domestic violence prevention initiative shall be allocated at the discretion of the Director of the Indian Health Service and shall remain available until expended: Provided further, That funds provided in this Act may be used for annual contracts and grants that fall within 2 fiscal years, provided the total obligation is recorded in the year the funds are appropriated: Provided further, That the amounts collected by the Secretary of Health and Human Services under the authority of title IV of the Indian Health Care Improvement Act shall remain available until expended for the purpose of achieving compliance with the applicable conditions and requirements of titles XVIII and XIX of the Social Security Act, except for those related to the planning, design, or construction of new facilities: Provided further, That funding contained herein for scholarship programs under the Indian Health Care Improvement Act (25 U.S.C. 1613) shall remain available until expended: Provided further, That amounts received by tribes and tribal organizations under title IV of the Indian Health Care Improvement Act shall be reported and accounted for and available to the receiving tribes and tribal organizations until expended: Provided further, That, notwithstanding any other provision of law, of the amounts provided herein, not to exceed [$472,193,000] $476,446,000 shall be for payments to tribes and tribal organizations for contract or grant support costs associated with contracts, grants, self-governance compacts, or annual funding agreements between the Indian Health Service and a tribe or tribal organization pursuant to the Indian Self-Determination Act of 1975, as amended, prior to or during fiscal year 2012, of which not to exceed $10,000,000 may be used for contract support costs associated with new or expanded self-determination contracts, grants, self-governance compacts, or annual funding agreements: Provided further, That the Bureau of Indian Affairs may collect from the Indian Health Service, tribes and tribal organizations operating health facilities pursuant to Public Law 93–638, such individually identifiable health information relating to disabled children as may be necessary for the purpose of carrying out its functions under the Individuals with Disabilities Education Act (20 U.S.C. 1400, et seq.): Provided further, That the Indian Health Care Improvement Fund may be used, as needed, to carry out activities typically funded under the Indian Health Facilities account. (Department of the Interior, Environment, and Related Agencies Appropriations Act, 2012.)
Program and Financing (in millions of dollars)
|
||||
Identification code 75–0390–0–1–551 | 2011 actual | 2012 est. | 2013 est. | |
|
||||
Obligations by program activity: | ||||
0001 | Clinical services | 2,987 | 3,084 | 3,187 |
0002 | Preventive health | 144 | 147 | 151 |
0003 | Urban health | 43 | 43 | 43 |
0004 | Indian health professions | 41 | 41 | 41 |
0005 | Tribal management | 3 | 3 | 3 |
0006 | Direct operations | 69 | 72 | 73 |
0007 | Self-governance | 6 | 6 | 6 |
0008 | Contract support costs | 398 | 471 | 476 |
0009 | Diabetes funds | 121 | 150 | 150 |
|
|
|
||
0799 | Total direct obligations | 3,812 | 4,017 | 4,130 |
0801 | Reimbursable program | 1,125 | 1,132 | 1,132 |
|
|
|
||
0900 | Total new obligations | 4,937 | 5,149 | 5,262 |
|
||||
Budgetary Resources: | ||||
Unobligated balance: | ||||
1000 | Unobligated balance brought forward, Oct 1 | 434 | 744 | 776 |
1021 | Recoveries of prior year unpaid obligations | 179 | ||
|
|
|
||
1050 | Unobligated balance (total) | 613 | 744 | 776 |
Budget authority: | ||||
Appropriations, discretionary: | ||||
1100 | Appropriation | 3,673 | 3,872 | 3,979 |
1120 | Transferred to other accounts [75–0390] | –43 | ||
1121 | Transferred from other accounts [75–0390] | 43 | ||
1130 | Appropriations permanently reduced | –7 | ||
1141 | Approp permanently reduced (Sec 436, HR 2055) | –6 | ||
|
|
|
||
1160 | Appropriation, discretionary (total) | 3,666 | 3,866 | 3,979 |
Appropriations, mandatory: | ||||
1200 | Appropriation | 150 | 150 | 150 |
|
|
|
||
1260 | Appropriations, mandatory (total) | 150 | 150 | 150 |
Spending authority from offsetting collections, discretionary: | ||||
1700 | Collected | 1,155 | 1,165 | 1,165 |
1701 | Change in uncollected payments, Federal sources | 103 | ||
|
|
|
||
1750 | Spending auth from offsetting collections, disc (total) | 1,258 | 1,165 | 1,165 |
1900 | Budget authority (total) | 5,074 | 5,181 | 5,294 |
1930 | Total budgetary resources available | 5,687 | 5,925 | 6,070 |
Memorandum (non-add) entries: | ||||
1940 | Unobligated balance expiring | –6 | ||
1941 | Unexpired unobligated balance, end of year | 744 | 776 | 808 |
|
||||
Change in obligated balance: | ||||
Obligated balance, start of year (net): | ||||
3000 | Unpaid obligations, brought forward, Oct 1 (gross) | 1,076 | 866 | 459 |
3010 | Uncollected pymts, Fed sources, brought forward, Oct 1 | –233 | –331 | –331 |
|
|
|
||
3020 | Obligated balance, start of year (net) | 843 | 535 | 128 |
3030 | Obligations incurred, unexpired accounts | 4,937 | 5,149 | 5,262 |
3031 | Obligations incurred, expired accounts | 22 | ||
3040 | Outlays (gross) | –4,973 | –5,556 | –5,482 |
3050 | Change in uncollected pymts, Fed sources, unexpired | –103 | ||
3051 | Change in uncollected pymts, Fed sources, expired | 5 | ||
3080 | Recoveries of prior year unpaid obligations, unexpired | –179 | ||
3081 | Recoveries of prior year unpaid obligations, expired | –17 | ||
Obligated balance, end of year (net): | ||||
3090 | Unpaid obligations, end of year (gross) | 866 | 459 | 239 |
3091 | Uncollected pymts, Fed sources, end of year | –331 | –331 | –331 |
|
|
|
||
3100 | Obligated balance, end of year (net) | 535 | 128 | –92 |
|
||||
Budget authority and outlays, net: | ||||
Discretionary: | ||||
4000 | Budget authority, gross | 4,924 | 5,031 | 5,144 |
Outlays, gross: | ||||
4010 | Outlays from new discretionary authority | 4,078 | 4,335 | 4,428 |
4011 | Outlays from discretionary balances | 839 | 1,068 | 898 |
|
|
|
||
4020 | Outlays, gross (total) | 4,917 | 5,403 | 5,326 |
Offsets against gross budget authority and outlays: | ||||
Offsetting collections (collected) from: | ||||
4030 | Federal sources | –366 | –368 | –368 |
4033 | Non-Federal sources | –792 | –797 | –797 |
|
|
|
||
4040 | Offsets against gross budget authority and outlays (total) | –1,158 | –1,165 | –1,165 |
Additional offsets against gross budget authority only: | ||||
4050 | Change in uncollected pymts, Fed sources, unexpired | –103 | ||
4052 | Offsetting collections credited to expired accounts | 3 | ||
|
|
|
||
4060 | Additional offsets against budget authority only (total) | –100 | ||
|
|
|
||
4070 | Budget authority, net (discretionary) | 3,666 | 3,866 | 3,979 |
4080 | Outlays, net (discretionary) | 3,759 | 4,238 | 4,161 |
Mandatory: | ||||
4090 | Budget authority, gross | 150 | 150 | 150 |
Outlays, gross: | ||||
4100 | Outlays from new mandatory authority | 56 | 144 | 144 |
4101 | Outlays from mandatory balances | 9 | 12 | |
|
|
|
||
4110 | Outlays, gross (total) | 56 | 153 | 156 |
4180 | Budget authority, net (total) | 3,816 | 4,016 | 4,129 |
4190 | Outlays, net (total) | 3,815 | 4,391 | 4,317 |
|
The Indian Health Services account provides medical care, public health services, and health professions training opportunities to American Indians and Alaska Natives. An estimated $2.653 billion primarily through self determination contracts and compacts, will be administered by tribal governments in 2012.
Object Classification (in millions of dollars)
|
||||
Identification code 75–0390–0–1–551 | 2011 actual | 2012 est. | 2013 est. | |
|
||||
Direct obligations: | ||||
Personnel compensation: | ||||
11.1 | Full-time permanent | 388 | 390 | 396 |
11.3 | Other than full-time permanent | 21 | 21 | 21 |
11.5 | Other personnel compensation | 57 | 58 | 58 |
11.7 | Military personnel | 78 | 79 | 82 |
|
|
|
||
11.9 | Total personnel compensation | 544 | 548 | 557 |
12.1 | Civilian personnel benefits | 136 | 137 | 139 |
12.2 | Military personnel benefits | 34 | 34 | 36 |
13.0 | Benefits for former personnel | 10 | 10 | 10 |
21.0 | Travel and transportation of persons | 12 | 11 | 13 |
21.0 | Patient travel | 30 | 30 | 30 |
22.0 | Transportation of things | 7 | 7 | 7 |
23.1 | Rental payments to GSA | 12 | 12 | 13 |
23.2 | Rental payments to others | 1 | 1 | 1 |
23.3 | Communications, utilities, and miscellaneous charges | 11 | 11 | 12 |
24.0 | Printing and reproduction | 1 | ||
25.1 | Advisory and assistance services | 13 | 10 | 10 |
25.2 | Other services from non-Federal sources | 80 | 102 | 114 |
25.3 | Other goods and services from Federal sources | 62 | 62 | 63 |
25.4 | Operation and maintenance of facilities | 4 | 4 | |
25.6 | Medical care | 342 | 459 | 499 |
25.7 | Operation and maintenance of equipment | 12 | 12 | 12 |
25.8 | Subsistence and support of persons | 3 | 3 | 3 |
26.0 | Supplies and materials | 136 | 142 | 146 |
31.0 | Equipment | 14 | 14 | 14 |
32.0 | Land and structures | 1 | 1 | |
41.0 | Grants, subsidies, and contributions | 2,351 | 2,406 | 2,446 |
42.0 | Insurance claims and indemnities | 1 | 1 | |
|
|
|
||
99.0 | Direct obligations | 3,812 | 4,017 | 4,130 |
99.0 | Reimbursable obligations | 1,125 | 1,132 | 1,132 |
|
|
|
||
99.9 | Total new obligations | 4,937 | 5,149 | 5,262 |
|
Employment Summary
|
||||
Identification code 75–0390–0–1–551 | 2011 actual | 2012 est. | 2013 est. | |
|
||||
1001 | Direct civilian full-time equivalent employment | 6,982 | 7,127 | 7,249 |
1101 | Direct military average strength employment | 1,090 | 1,103 | 1,112 |
2001 | Reimbursable civilian full-time equivalent employment | 5,349 | 5,356 | 5,362 |
2101 | Reimbursable military average strength employment | 835 | 828 | 822 |
|
For construction, repair, maintenance, improvement, and equipment of health and related auxiliary facilities, including quarters for personnel; preparation of plans, specifications, and drawings; acquisition of sites, purchase and erection of modular buildings, and purchases of trailers; and for provision of domestic and community sanitation facilities for Indians, as authorized by section 7 of the Act of August 5, 1954 (42 U.S.C. 2004a), the Indian Self-Determination Act, and the Indian Health Care Improvement Act, and for expenses necessary to carry out such Acts and titles II and III of the Public Health Service Act with respect to environmental health and facilities support activities of the Indian Health Service, [$441,052,000] $443,502,000, to remain available until expended: Provided, That notwithstanding any other provision of law, funds appropriated for the planning, design, construction, renovation or expansion of health facilities for the benefit of an Indian tribe or tribes may be used to purchase land on which such facilities will be located: Provided further, That not to exceed $500,000 shall be used by the Indian Health Service to purchase TRANSAM equipment from the Department of Defense for distribution to the Indian Health Service and tribal facilities: Provided further, That none of the funds appropriated to the Indian Health Service may be used for sanitation facilities construction for new homes funded with grants by the housing programs of the United States Department of Housing and Urban Development: Provided further, That not to exceed $2,700,000 from this account and the "Indian Health Services'' account shall be used by the Indian Health Service to obtain ambulances for the Indian Health Service and tribal facilities in conjunction with an existing interagency agreement between the Indian Health Service and the General Services Administration: Provided further, That not to exceed $500,000 shall be placed in a Demolition Fund, to remain available until expended, and be used by the Indian Health Service for the demolition of Federal buildings. (Department of the Interior, Environment, and Related Agencies Appropriations Act, 2012.)
Special and Trust Fund Receipts (in millions of dollars)
|
||||
Identification code 75–0391–0–1–551 | 2011 actual | 2012 est. | 2013 est. | |
|
||||
0100 | Balance, start of year | |||
Receipts: | ||||
0220 | Rent and Charges for Quarters, Indian Health Service | 8 | 8 | 8 |
|
|
|
||
0400 | Total: Balances and collections | 8 | 8 | 8 |
Appropriations: | ||||
0500 | Indian Health Facilities | –8 | –8 | –8 |
|
|
|
||
0799 | Balance, end of year | |||
|
Program and Financing (in millions of dollars)
|
||||
Identification code 75–0391–0–1–551 | 2011 actual | 2012 est. | 2013 est. | |
|
||||
Obligations by program activity: | ||||
0001 | Sanitation and health facilities | 154 | 165 | 161 |
0002 | Maintenance | 54 | 54 | 55 |
0003 | Facilities and environmental health | 193 | 199 | 205 |
0004 | Equipment | 23 | 23 | 23 |
|
|
|
||
0100 | Total direct program | 424 | 441 | 444 |
|
|
|
||
0799 | Total direct obligations | 424 | 441 | 444 |
0801 | Reimbursable program | 183 | 183 | 183 |
|
|
|
||
0900 | Total new obligations | 607 | 624 | 627 |
|
||||
Budgetary Resources: | ||||
Unobligated balance: | ||||
1000 | Unobligated balance brought forward, Oct 1 | 181 | 215 | 243 |
1021 | Recoveries of prior year unpaid obligations | 25 | ||
|
|
|
||
1050 | Unobligated balance (total) | 206 | 215 | 243 |
Budget authority: | ||||
Appropriations, discretionary: | ||||
1100 | Appropriation | 405 | 441 | 444 |
1130 | Appropriations permanently reduced | –1 | ||
1141 | Approp permanently reduced (Sec 436, HR 2055) | –1 | ||
|
|
|
||
1160 | Appropriation, discretionary (total) | 404 | 440 | 444 |
Appropriations, mandatory: | ||||
1201 | Appropriation (special or trust fund) | 8 | 8 | 8 |
|
|
|
||
1260 | Appropriations, mandatory (total) | 8 | 8 | 8 |
Spending authority from offsetting collections, discretionary: | ||||
1700 | Collected | 191 | 191 | 6 |
1701 | Change in uncollected payments, Federal sources | 13 | 13 | |
|
|
|
||
1750 | Spending auth from offsetting collections, disc (total) | 204 | 204 | 6 |
1900 | Budget authority (total) | 616 | 652 | 458 |
1930 | Total budgetary resources available | 822 | 867 | 701 |
Memorandum (non-add) entries: | ||||
1941 | Unexpired unobligated balance, end of year | 215 | 243 | 74 |
|
||||
Change in obligated balance: | ||||
Obligated balance, start of year (net): | ||||
3000 | Unpaid obligations, brought forward, Oct 1 (gross) | 550 | 580 | 432 |
3010 | Uncollected pymts, Fed sources, brought forward, Oct 1 | –8 | –21 | –34 |
|
|
|
||
3020 | Obligated balance, start of year (net) | 542 | 559 | 398 |
3030 | Obligations incurred, unexpired accounts | 607 | 624 | 627 |
3040 | Outlays (gross) | –552 | –772 | –411 |
3050 | Change in uncollected pymts, Fed sources, unexpired | –13 | –13 | |
3080 | Recoveries of prior year unpaid obligations, unexpired | –25 | ||
Obligated balance, end of year (net): | ||||
3090 | Unpaid obligations, end of year (gross) | 580 | 432 | 648 |
3091 | Uncollected pymts, Fed sources, end of year | –21 | –34 | –34 |
|
|
|
||
3100 | Obligated balance, end of year (net) | 559 | 398 | 614 |
|
||||
Budget authority and outlays, net: | ||||
Discretionary: | ||||
4000 | Budget authority, gross | 608 | 644 | 450 |
Outlays, gross: | ||||
4010 | Outlays from new discretionary authority | 260 | 336 | 139 |
4011 | Outlays from discretionary balances | 287 | 428 | 264 |
|
|
|
||
4020 | Outlays, gross (total) | 547 | 764 | 403 |
Offsets against gross budget authority and outlays: | ||||
Offsetting collections (collected) from: | ||||
4030 | Federal sources | –190 | –190 | –6 |
4033 | Non-Federal sources | –1 | –1 | |
|
|
|
||
4040 | Offsets against gross budget authority and outlays (total) | –191 | –191 | –6 |
Additional offsets against gross budget authority only: | ||||
4050 | Change in uncollected pymts, Fed sources, unexpired | –13 | –13 | |
|
|
|
||
4070 | Budget authority, net (discretionary) | 404 | 440 | 444 |
4080 | Outlays, net (discretionary) | 356 | 573 | 397 |
Mandatory: | ||||
4090 | Budget authority, gross | 8 | 8 | 8 |
Outlays, gross: | ||||
4100 | Outlays from new mandatory authority | 3 | 8 | 8 |
4101 | Outlays from mandatory balances | 2 | ||
|
|
|
||
4110 | Outlays, gross (total) | 5 | 8 | 8 |
4180 | Budget authority, net (total) | 412 | 448 | 452 |
4190 | Outlays, net (total) | 361 | 581 | 405 |
|
The Indian Health Facilities account supports construction, repair and improvement, equipment, and environmental health and facilities support for the Indian Health Service.
Object Classification (in millions of dollars)
|
||||
Identification code 75–0391–0–1–551 | 2011 actual | 2012 est. | 2013 est. | |
|
||||
Direct obligations: | ||||
Personnel compensation: | ||||
11.1 | Full-time permanent | 47 | 49 | 51 |
11.3 | Other than full-time permanent | 4 | 4 | 4 |
11.5 | Other personnel compensation | 3 | 3 | 3 |
11.7 | Military personnel | 22 | 23 | 24 |
|
|
|
||
11.9 | Total personnel compensation | 76 | 79 | 82 |
12.1 | Civilian personnel benefits | 15 | 16 | 16 |
12.2 | Military personnel benefits | 8 | 8 | 8 |
21.0 | Travel and transportation of persons | 3 | 3 | 3 |
22.0 | Transportation of things | 3 | 3 | 3 |
23.1 | Rental payments to GSA | 2 | 2 | 2 |
23.3 | Communications, utilities, and miscellaneous charges | 14 | 16 | 16 |
25.1 | Advisory and assistance services | 2 | 2 | 2 |
25.2 | Other services from non-Federal sources | 64 | 55 | 55 |
25.3 | Other goods and services from Federal sources | 1 | 1 | 2 |
25.4 | Operation and maintenance of facilities | 6 | 7 | 8 |
25.7 | Operation and maintenance of equipment | 3 | 3 | 4 |
25.8 | Subsistence and support of persons | 11 | 11 | 11 |
26.0 | Supplies and materials | 7 | 8 | 8 |
31.0 | Equipment | 8 | 9 | 9 |
32.0 | Land and structures | 23 | 17 | 17 |
41.0 | Grants, subsidies, and contributions | 178 | 201 | 198 |
|
|
|
||
99.0 | Direct obligations | 424 | 441 | 444 |
99.0 | Reimbursable obligations | 183 | 183 | 183 |
|
|
|
||
99.9 | Total new obligations | 607 | 624 | 627 |
|
Employment Summary
|
||||
Identification code 75–0391–0–1–551 | 2011 actual | 2012 est. | 2013 est. | |
|
||||
1001 | Direct civilian full-time equivalent employment | 1,036 | 1,008 | 1,011 |
1101 | Direct military average strength employment | 168 | 167 | 169 |
2001 | Reimbursable civilian full-time equivalent employment | 25 | 25 | 25 |
|
Appropriations provided in this Act to the Indian Health Service shall be available for services as authorized by 5 U.S.C. 3109 at rates not to exceed the per diem rate equivalent to the maximum rate payable for senior-level positions under 5 U.S.C. 5376; hire of passenger motor vehicles and aircraft; purchase of medical equipment; purchase of reprints; purchase, renovation and erection of modular buildings and renovation of existing facilities; payments for telephone service in private residences in the field, when authorized under regulations approved by the Secretary; uniforms or allowances therefor as authorized by 5 U.S.C. 5901–5902; and for expenses of attendance at meetings that relate to the functions or activities of the Indian Health Service: Provided, That in accordance with the provisions of the Indian Health Care Improvement Act, non-Indian patients may be extended health care at all tribally administered or Indian Health Service facilities, subject to charges, and the proceeds along with funds recovered under the Federal Medical Care Recovery Act (42 U.S.C. 2651–2653) shall be credited to the account of the facility providing the service and shall be available without fiscal year limitation: Provided further, That notwithstanding any other law or regulation, funds transferred from the Department of Housing and Urban Development to the Indian Health Service shall be administered under Public Law 86–121, the Indian Sanitation Facilities Act and Public Law 93–638, as amended: Provided further, That funds appropriated to the Indian Health Service in this Act, except those used for administrative and program direction purposes, shall not be subject to limitations directed at curtailing Federal travel and transportation: Provided further, That none of the funds made available to the Indian Health Service in this Act shall be used for any assessments or charges by the Department of Health and Human Services unless identified in the budget justification and provided in this Act, or approved by the House and Senate Committees on Appropriations through the reprogramming process: Provided further, That notwithstanding any other provision of law, funds previously or herein made available to a tribe or tribal organization through a contract, grant, or agreement authorized by title I or title V of the Indian Self-Determination and Education Assistance Act of 1975 (25 U.S.C. 450), may be deobligated and reobligated to a self-determination contract under title I, or a self-governance agreement under title V of such Act and thereafter shall remain available to the tribe or tribal organization without fiscal year limitation: Provided further, That none of the funds made available to the Indian Health Service in this Act shall be used to implement the final rule published in the Federal Register on September 16, 1987, by the Department of Health and Human Services, relating to the eligibility for the health care services of the Indian Health Service until the Indian Health Service has submitted a budget request reflecting the increased costs associated with the proposed final rule, and such request has been included in an appropriations Act and enacted into law: Provided further, That with respect to functions transferred by the Indian Health Service to tribes or tribal organizations, the Indian Health Service is authorized to provide goods and services to those entities on a reimbursable basis, including payments in advance with subsequent adjustment, and the reimbursements received therefrom, along with the funds received from those entities pursuant to the Indian Self-Determination Act, may be credited to the same or subsequent appropriation account from which the funds were originally derived, with such amounts to remain available until expended: Provided further, That reimbursements for training, technical assistance, or services provided by the Indian Health Service will contain total costs, including direct, administrative, and overhead associated with the provision of goods, services, or technical assistance: Provided further, That the appropriation structure for the Indian Health Service may not be altered without advance notification to the House and Senate Committees on Appropriations. (Department of the Interior, Environment, and Related Agencies Appropriations Act, 2012.)
For carrying out titles II, III, VII, XVII, and XXI, and section 2821 of the PHS Act, titles II and IV of the Immigration and Nationality Act, and section 501 of the Refugee Education Assistance Act, with respect to immunization and respiratory diseases, [$579,375,000] $583,855,000: Provided, That in addition to amounts provided herein, [$12,864,000] $13,765,000 shall be available from amounts available under section 241 of the PHS Act to carry out the National Immunization Surveys.
For carrying out titles II, III, VII, XVII, XXIII, and XXVI of the PHS Act with respect to HIV/AIDS, viral hepatitis, sexually transmitted diseases, and tuberculosis prevention, [$1,105,995,000] $1,145,678,000: Provided, That Centers for Disease Control and Prevention and State grant recipients may transfer up to ten percent of funds appropriated for Centers for Disease Control and Prevention HIV/AIDS, sexually transmitted disease, hepatitis, and tuberculosis activities to address the overlapping epidemics of these diseases by improving program collaboration and providing integrated services in accordance with priorities identified by the Centers for Disease Control and Prevention: Provided further, That with respect to the previous proviso, grantees shall submit a plan in writing to the Centers for Disease Control and Prevention and obtain the approval of the Centers for Disease Control and Prevention to transfer such funds.
For carrying out titles II, III, VII, and XVII, and section 2821 of the PHS Act, titles II and IV of the Immigration and Nationality Act, and section 501 of the Refugee Education Assistance Act, with respect to emerging and zoonotic infectious diseases, [$253,919,000] $279,477,000, of which $1,000,000 shall remain available until expended to pay for the transportation, medical care, treatment, and other related costs of persons quarantined or isolated under federal or state quarantine laws.
For carrying out titles II, III, VII, XI, XV, XVII, and XIX of the PHS Act and section 4201 of the Patient Protection and Affordable Care Act, with respect to chronic disease prevention and health promotion, [$760,700,000] $608,019,000: Provided, That, in addition to amounts provided herein, $25,000,000 shall be available from amounts available under section 241 of the PHS Act to carry out the Prevention Research Centers: Provided further, That funds appropriated under this account may be available for making grants under section 1509 of the PHS Act for [not less than] up to 21 States, tribes, or tribal organizations.
For carrying out titles II, III, VII, XI, and XVII of the PHS Act with respect to birth defects, developmental disabilities, disabilities and health, [$138,072,000] $18,476,000.
For carrying out titles II and III of the PHS Act with respect to health statistics, surveillance, informatics, and workforce development, [$144,795,000] $35,695,000: Provided, That in addition to amounts provided herein, [$247,769,000] $379,374,000 shall be available from amounts available under section 241 of the PHS Act to carry out Public Health Scientific Services.
For carrying out titles II, III, VII, and XVII of the PHS Act with respect to environmental health, [$105,598,000] $103,672,000.
For carrying out titles II, III, VII, and XVII of the PHS Act with respect to injury prevention and control, [$138,480,000] $137,754,000: Provided, That funds appropriated under this heading may be used to fund evaluation, research, and pilot programs for sexual violence prevention programs.
For carrying out titles II, III, VII, and XVII of the PHS Act, sections 101, 102, 103, 201, 202, 203, 301, 501, and 514 of the Federal Mine Safety and Health Act, section 13 of the Mine Improvement and New Emergency Response Act, and sections 20, 21, and 22 of the Occupational Safety and Health Act, with respect to occupational safety and health, [$182,903,000: Provided, That in addition to amounts provided herein, $110,724,000] $249,364,000 shall be available from amounts available under section 241 of the PHS Act.
For necessary expenses to administer the Energy Employees Occupational Illness Compensation Program Act, $55,358,000, to remain available until expended[, of which $4,500,000 shall be for use by or in support of the Advisory Board on Radiation and Worker Health ("Board'') to carry out its statutory responsibilities, including obtaining audits, technical assistance, and other support from the Board's audit contractor with regard to radiation dose estimation and reconstruction efforts, site profiles, procedures, and review of Special Exposure Cohort petitions and evaluation reports]: Provided, That this amount shall be available consistent with the provision regarding administrative expenses in section 151(b) of division B, title I of Public Law 106–554.
For carrying out titles II, III, VII and XVII of the PHS Act with respect to global health, [$349,547,000] $362,889,000, of which [$118,023,000] $117,156,000 for international HIV/AIDS shall remain available through September 30, [2013] 2014: Provided, That funds may be used for purchase and insurance of official motor vehicles in foreign countries.
For carrying out titles II, III, VII, and XVII of the PHS Act with respect to public health preparedness and response, and for expenses necessary to support activities related to countering potential biological, nuclear, radiological, and chemical threats to civilian populations, [$1,306,906,000] $1,228,360,000, of which [$509,486,000] $439,444,000 shall remain available until expended for the Strategic National Stockpile [under] pursuant to section 319F-2 of the PHS Act.
For carrying out titles II, III, VII, XVII and XIX, and section 2821 of the PHS Act and for cross-cutting activities and program support that supplement activities funded under the headings "Immunization and Respiratory Diseases'', "HIV/AIDS, Viral Hepatitis, Sexually Transmitted Diseases, and Tuberculosis Prevention'', "Emerging and Zoonotic Infectious Diseases'', "Chronic Disease Prevention and Health Promotion'', "Birth Defects, Developmental Disabilities, Disabilities and Health'', "Environmental Health'', "Injury Prevention and Control'', "National Institute for Occupational Safety and Health'', "Employees Occupational Illness Compensation Program Act'', "Global Health'', "Public Health Preparedness and Response'', and "Public Health Scientific Services'', and for carrying out section 4001 of the Patient Protection and Affordable Care Act, [$621,445,000] $487,648,000 of which [$30,000,000] $368,529,000 shall be available until September 30, [2013] 2014, for business services[, of which $25,000,000 shall be available until September 30, 2016, for equipment, construction and renovation of facilities, and of which $80,000,000 shall be for the Preventive Health and Health Services Block Grant Program]: Provided, That paragraphs (1) through (3) of subsection (b) of section 2821 of the PHS Act shall not apply to funds appropriated under this heading and in all other accounts of the Centers for Disease Control and Prevention (referred to in this title as "CDC''): Provided further, That funds appropriated under this heading and in all other accounts of CDC may be used to support the purchase, hire, maintenance, and operation of aircraft for use and support of the activities of CDC: Provided further, That employees of CDC or the Public Health Service, both civilian and commissioned officers, detailed to States, municipalities, or other organizations under authority of section 214 of the PHS Act, or in overseas assignments, shall be treated as non-Federal employees for reporting purposes only and shall not be included within any personnel ceiling applicable to the Agency, Service, or HHS during the period of detail or assignment: Provided further, That CDC may use up to $10,000 from amounts appropriated to CDC in this Act for official reception and representation expenses when specifically approved by the Director of CDC: Provided further, That in addition, such sums as may be derived from authorized user fees, which shall be credited to the appropriation charged with the cost thereof: Provided further, That with respect to the previous proviso, authorized user fees from the Vessel Sanitation Program shall be available through September 30, [2013] 2014: Provided further, That of the funds made available under this heading, up to $1,000 per eligible employee of CDC shall be made available until expended for Individual Learning Accounts: [Provided further, That CDC may establish a Working Capital Fund, with the authorities equivalent to those provided in 42 U.S.C. 231, to improve the provision of supplies and service] Provided further, That the Director may transfer funds between any of the accounts of CDC with notification to the Committees on Appropriations of both Houses of Congress at least 15 days in advance of any transfer, but no such account shall be decreased by more than 3 percent by any such transfer. (Department of Health and Human Services Appropriations Act, 2012.)
Special and Trust Fund Receipts (in millions of dollars)
|
||||
Identification code 75–0943–0–1–999 | 2011 actual | 2012 est. | 2013 est. | |
|
||||
0100 | Balance, start of year | |||
Receipts: | ||||
0220 | Cooperative Research and Development Agreements, Centers for Disease Control | 2 | 2 | 2 |
|
|
|
||
0400 | Total: Balances and collections | 2 | 2 | 2 |
Appropriations: | ||||
0500 | CDC-Wide Activities and Program Support | –2 | –2 | –2 |
|
|
|
||
0799 | Balance, end of year | |||
|
Program and Financing (in millions of dollars)
|
||||
Identification code 75–0943–0–1–999 | 2011 actual | 2012 est. | 2013 est. | |
|
||||
Obligations by program activity: | ||||
0001 | Birth Defects, Developmental Disabilities, Disability and Health (BA & Prevention Fund) | 136 | 137 | 125 |
0002 | Buildings and Facilities | 58 | 25 | |
0003 | Business Services Support | 361 | 395 | 369 |
0004 | Chronic Disease Prevention and Health Promotion | 813 | 756 | 608 |
0005 | Emerging and Zoonotic Infectious Diseases | 252 | 252 | 280 |
0006 | Energy Employee Illness Occupational Compensation Program Act (EEOICPA) | 57 | 55 | 55 |
0007 | Environmental Health | 134 | 105 | 104 |
0008 | Global Health | 365 | 348 | 363 |
0009 | Pandemic Influenza Supplemental (H1N1) | 18 | ||
0010 | Healthcare Reform Prevention and Public Health Fund, Other Activities | 611 | 805 | 796 |
0011 | Health Reform - Chronic Disease Prevention and Health Promotion | 7 | ||
0012 | HIV/AIDS, Viral Hepatitis, STD and TB Prevention | 1,075 | 1,100 | 1,146 |
0013 | Immunization and Respiratory Diseases | 478 | 576 | 584 |
0014 | Individual Learning Accounts (ILAs) | 7 | ||
0015 | Injury Prevention and Control | 143 | 138 | 138 |
0016 | Occupational Safety and Health | 230 | 182 | |
0017 | Preventive Health & Health Services Block Grants | 80 | 79 | |
0018 | Public Health Leadership & Support | 120 | 119 | 119 |
0019 | Public Health Preparedness & Response | 1,321 | 1,300 | 1,228 |
0020 | Public Health Scientific Services | 147 | 144 | 35 |
|
|
|
||
0799 | Total direct obligations | 6,413 | 6,516 | 5,950 |
0802 | Other Reimbursable Programs | 622 | 749 | 749 |
|
|
|
||
0809 | Reimbursable program activities, subtotal | 622 | 749 | 749 |
|
|
|
||
0900 | Total new obligations | 7,035 | 7,265 | 6,699 |
|
||||
Budgetary Resources: | ||||
Unobligated balance: | ||||
1000 | Unobligated balance brought forward, Oct 1 | 283 | 192 | 161 |
1021 | Recoveries of prior year unpaid obligations | 20 | 4 | |
|
|
|
||
1050 | Unobligated balance (total) | 303 | 196 | 161 |
Budget authority: | ||||
Appropriations, discretionary: | ||||
1100 | Appropriation | 5,660 | 5,668 | 4,992 |
1120 | Appropriations transferred to other accts [75–0350] | –1 | ||
1130 | Appropriations permanently reduced | –11 | ||
1143 | Approp permanently reduced (Sec 527, HR 2055) | –11 | ||
|
|
|
||
1160 | Appropriation, discretionary (total) | 5,649 | 5,656 | 4,992 |
Appropriations, mandatory: | ||||
1200 | Appropriation | 55 | 55 | 55 |
1201 | Appropriation (special or trust fund) | 2 | 2 | 2 |
1221 | Appropriations transferred from other accts [75–0116] | 611 | 805 | 903 |
|
|
|
||
1260 | Appropriations, mandatory (total) | 668 | 862 | 960 |
Spending authority from offsetting collections, discretionary: | ||||
1700 | Collected | 310 | 712 | 712 |
1701 | Change in uncollected payments, Federal sources | 300 | ||
|
|
|
||
1750 | Spending auth from offsetting collections, disc (total) | 610 | 712 | 712 |
1900 | Budget authority (total) | 6,927 | 7,230 | 6,664 |
1930 | Total budgetary resources available | 7,230 | 7,426 | 6,825 |
Memorandum (non-add) entries: | ||||
1940 | Unobligated balance expiring | –3 | ||
1941 | Unexpired unobligated balance, end of year | 192 | 161 | 126 |
|
||||
Change in obligated balance: | ||||
Obligated balance, start of year (net): | ||||
3000 | Unpaid obligations, brought forward, Oct 1 (gross) | 6,850 | 6,451 | 6,487 |
3010 | Uncollected pymts, Fed sources, brought forward, Oct 1 | –486 | –468 | –468 |
|
|
|
||
3020 | Obligated balance, start of year (net) | 6,364 | 5,983 | 6,019 |
3030 | Obligations incurred, unexpired accounts | 7,035 | 7,265 | 6,699 |
3031 | Obligations incurred, expired accounts | 31 | ||
3040 | Outlays (gross) | –7,277 | –7,225 | –6,866 |
3050 | Change in uncollected pymts, Fed sources, unexpired | –300 | ||
3051 | Change in uncollected pymts, Fed sources, expired | 318 | ||
3080 | Recoveries of prior year unpaid obligations, unexpired | –20 | –4 | |
3081 | Recoveries of prior year unpaid obligations, expired | –168 | ||
Obligated balance, end of year (net): | ||||
3090 | Unpaid obligations, end of year (gross) | 6,451 | 6,487 | 6,320 |
3091 | Uncollected pymts, Fed sources, end of year | –468 | –468 | –468 |
|
|
|
||
3100 | Obligated balance, end of year (net) | 5,983 | 6,019 | 5,852 |
|
||||
Budget authority and outlays, net: | ||||
Discretionary: | ||||
4000 | Budget authority, gross | 6,259 | 6,368 | 5,704 |
Outlays, gross: | ||||
4010 | Outlays from new discretionary authority | 2,550 | 2,453 | 2,124 |
4011 | Outlays from discretionary balances | 4,519 | 4,441 | 3,975 |
|
|
|
||
4020 | Outlays, gross (total) | 7,069 | 6,894 | 6,099 |
Offsets against gross budget authority and outlays: | ||||
Offsetting collections (collected) from: | ||||
4030 | Federal sources | –606 | –703 | –703 |
4033 | Non-Federal sources | –13 | –9 | –9 |
|
|
|
||
4040 | Offsets against gross budget authority and outlays (total) | –619 | –712 | –712 |
Additional offsets against gross budget authority only: | ||||
4050 | Change in uncollected pymts, Fed sources, unexpired | –300 | ||
4052 | Offsetting collections credited to expired accounts | 309 | ||
|
|
|
||
4060 | Additional offsets against budget authority only (total) | 9 | ||
|
|
|
||
4070 | Budget authority, net (discretionary) | 5,649 | 5,656 | 4,992 |
4080 | Outlays, net (discretionary) | 6,450 | 6,182 | 5,387 |
Mandatory: | ||||
4090 | Budget authority, gross | 668 | 862 | 960 |
Outlays, gross: | ||||
4100 | Outlays from new mandatory authority | 120 | 320 | 353 |
4101 | Outlays from mandatory balances | 88 | 11 | 414 |
|
|
|
||
4110 | Outlays, gross (total) | 208 | 331 | 767 |
4180 | Budget authority, net (total) | 6,317 | 6,518 | 5,952 |
4190 | Outlays, net (total) | 6,658 | 6,513 | 6,154 |
|
The Centers for Disease Control and Prevention (CDC) supports a number of categorical programs designed to improve the health, safety, and protection of all Americans. These activities include immunization, HIV prevention, emerging and zoonotic infectious diseases, chronic disease prevention and health promotion, occupational safety and health, injury prevention and control, environmental health, global health, programs that reduce the occurrence of birth defects and developmental disabilities, and CDC-Wide Activities and Program Support. CDC also supports bioterrorism, emergency response, and pandemic influenza preparedness activities. The CDC Stockpile activities include resources directed at enhancing preparedness. The Budget will finance a portion of these ongoing activities through unobligated balances available from P.L. 111–32, the Supplemental Appropriations Act of 2009. P.L. 111–32 appropriated $7.65 billion to the Public Health and Social Services Emergency Fund for pandemic influenza preparedness and response activities.
Object Classification (in millions of dollars)
|
||||
Identification code 75–0943–0–1–999 | 2011 actual | 2012 est. | 2013 est. | |
|
||||
Direct obligations: | ||||
Personnel compensation: | ||||
11.1 | Full-time permanent | 674 | 801 | 723 |
11.3 | Other than full-time permanent | 81 | 100 | 90 |
11.5 | Other personnel compensation | 38 | 43 | 38 |
11.7 | Military personnel | 62 | 71 | 66 |
11.8 | Special personal services payments | 1 | 1 | 1 |
|
|
|
||
11.9 | Total personnel compensation | 856 | 1,016 | 918 |
12.1 | Civilian personnel benefits | 231 | 273 | 247 |
12.2 | Military personnel benefits | 44 | 50 | 47 |
21.0 | Travel and transportation of persons | 49 | 49 | 40 |
22.0 | Transportation of things | 17 | 16 | 15 |
23.1 | Rental payments to GSA | 10 | 52 | 51 |
23.2 | Rental payments to others | 1 | 1 | 1 |
23.3 | Communications, utilities, and miscellaneous charges | 38 | 36 | 33 |
24.0 | Printing and reproduction | 5 | 6 | 5 |
25.1 | Advisory and assistance services | 581 | 498 | 439 |
25.2 | Other services from non-Federal sources | 237 | 211 | 189 |
25.3 | Other goods and services from Federal sources | 396 | 390 | 364 |
25.4 | Operation and maintenance of facilities | 74 | 50 | 46 |
25.5 | Research and development contracts | 51 | 68 | 62 |
25.6 | Medical care | 3 | 29 | 27 |
25.7 | Operation and maintenance of equipment | 33 | 35 | 32 |
25.8 | Subsistence and support of persons (Includes 1259) | 31 | 33 | 30 |
26.0 | Supplies and materials | 560 | 518 | 518 |
31.0 | Equipment | 58 | 55 | 55 |
32.0 | Land and structures | 41 | 9 | 8 |
41.0 | Grants, subsidies, and contributions | 3,097 | 3,121 | 2,823 |
|
|
|
||
99.0 | Direct obligations | 6,413 | 6,516 | 5,950 |
99.0 | Reimbursable obligations | 622 | 749 | 749 |
|
|
|
||
99.9 | Total new obligations | 7,035 | 7,265 | 6,699 |
|
Employment Summary
|
||||
Identification code 75–0943–0–1–999 | 2011 actual | 2012 est. | 2013 est. | |
|
||||
1001 | Direct civilian full-time equivalent employment | 8,432 | 8,379 | 8,370 |
1101 | Direct military average strength employment | 814 | 771 | 771 |
2001 | Reimbursable civilian full-time equivalent employment | 1,077 | 1,082 | 1,081 |
2101 | Reimbursable military average strength employment | 38 | 81 | 81 |
|
The Consolidated Appropriations Bill, 2012 (P.L. 112–74, Division F) provided authorities equivalent to those provided in 42 U.S.C 231 for CDC to begin creating a Working Capital Fund. The Working Capital Fund will be used by CDC to achieve greater cost efficiencies across the administrative operations of the agency.
For necessary expenses for the Agency for Toxic Substances and Disease Registry (ATSDR) in carrying out activities set forth in sections 104(i) and 111(c)(4) of the Comprehensive Environmental Response, Compensation, and Liability Act of 1980 (CERCLA), as amended; section 118(f) of the Superfund Amendments and Reauthorization Act of 1986 (SARA), as amended; and section 3019 of the Solid Waste Disposal Act, as amended, [$76,337,000] $76,300,000, of which up to $1,000 per eligible employee of the Agency for Toxic Substances and Disease Registry shall remain available until expended for Individual Learning Accounts: Provided, That notwithstanding any other provision of law, in lieu of performing a health assessment under section 104(i)(6) of CERCLA, the Administrator of ATSDR may conduct other appropriate health studies, evaluations, or activities, including, without limitation, biomedical testing, clinical evaluations, medical monitoring, and referral to accredited healthcare providers: Provided further, That in performing any such health assessment or health study, evaluation, or activity, the Administrator of ATSDR shall not be bound by the deadlines in section 104(i)(6)(A) of CERCLA: Provided further, That none of the funds appropriated under this heading shall be available for ATSDR to issue in excess of 40 toxicological profiles pursuant to section 104(I) of CERCLA during fiscal year [2012] 2013, and existing profiles may be updated as necessary. (Department of the Interior, Environment, and Related Agencies Appropriations Act, 2012.)
Program and Financing (in millions of dollars)
|
||||
Identification code 75–0944–0–1–551 | 2011 actual | 2012 est. | 2013 est. | |
|
||||
Obligations by program activity: | ||||
0001 | Direct program | 76 | 76 | 76 |
0002 | Direct program - health reform | 3 | ||
|
|
|
||
0799 | Total direct obligations | 79 | 76 | 76 |
0801 | Reimbursable program | 10 | 10 | 10 |
|
|
|
||
0900 | Total new obligations | 89 | 86 | 86 |
|
||||
Budgetary Resources: | ||||
Unobligated balance: | ||||
1000 | Unobligated balance brought forward, Oct 1 | 23 | 21 | 21 |
Budget authority: | ||||
Appropriations, discretionary: | ||||
1100 | Appropriation | 77 | 76 | 76 |
|
|
|
||
1160 | Appropriation, discretionary (total) | 77 | 76 | 76 |
Spending authority from offsetting collections, discretionary: | ||||
1700 | Collected | 3 | 3 | 10 |
1701 | Change in uncollected payments, Federal sources | 7 | 7 | |
|
|
|
||
1750 | Spending auth from offsetting collections, disc (total) | 10 | 10 | 10 |
1900 | Budget authority (total) | 87 | 86 | 86 |
1930 | Total budgetary resources available | 110 | 107 | 107 |
Memorandum (non-add) entries: | ||||
1941 | Unexpired unobligated balance, end of year | 21 | 21 | 21 |
|
||||
Change in obligated balance: | ||||
Obligated balance, start of year (net): | ||||
3000 | Unpaid obligations, brought forward, Oct 1 (gross) | 43 | 47 | 14 |
3010 | Uncollected pymts, Fed sources, brought forward, Oct 1 | –13 | –13 | –20 |
|
|
|
||
3020 | Obligated balance, start of year (net) | 30 | 34 | –6 |
3030 | Obligations incurred, unexpired accounts | 89 | 86 | 86 |
3040 | Outlays (gross) | –81 | –119 | –95 |
3050 | Change in uncollected pymts, Fed sources, unexpired | –7 | –7 | |
3051 | Change in uncollected pymts, Fed sources, expired | 7 | ||
3081 | Recoveries of prior year unpaid obligations, expired | –4 | ||
Obligated balance, end of year (net): | ||||
3090 | Unpaid obligations, end of year (gross) | 47 | 14 | 5 |
3091 | Uncollected pymts, Fed sources, end of year | –13 | –20 | –20 |
|
|
|
||
3100 | Obligated balance, end of year (net) | 34 | –6 | –15 |
|
||||
Budget authority and outlays, net: | ||||
Discretionary: | ||||
4000 | Budget authority, gross | 87 | 86 | 86 |
Outlays, gross: | ||||
4010 | Outlays from new discretionary authority | 55 | 84 | 84 |
4011 | Outlays from discretionary balances | 26 | 26 | 3 |
|
|
|
||
4020 | Outlays, gross (total) | 81 | 110 | 87 |
Offsets against gross budget authority and outlays: | ||||
Offsetting collections (collected) from: | ||||
4030 | Federal sources | –10 | –3 | –10 |
Additional offsets against gross budget authority only: | ||||
4050 | Change in uncollected pymts, Fed sources, unexpired | –7 | –7 | |
4052 | Offsetting collections credited to expired accounts | 7 | ||
|
|
|
||
4060 | Additional offsets against budget authority only (total) | –7 | ||
|
|
|
||
4070 | Budget authority, net (discretionary) | 77 | 76 | 76 |
4080 | Outlays, net (discretionary) | 71 | 107 | 77 |
Mandatory: | ||||
Outlays, gross: | ||||
4101 | Outlays from mandatory balances | 9 | 8 | |
4180 | Budget authority, net (total) | 77 | 76 | 76 |
4190 | Outlays, net (total) | 71 | 116 | 85 |
|
The Agency for Toxic Substances and Disease Registry (ATSDR) is authorized under the Comprehensive Environmental Response, Compensation, and Liability Act of 1980 (CERCLA). ATSDR assesses health hazards at specific hazardous waste sites helping to prevent or reduce exposure and illnesses that result, and increasing knowledge and understanding of the health effects that may result from exposure to hazardous substances.
Object Classification (in millions of dollars)
|
||||
Identification code 75–0944–0–1–551 | 2011 actual | 2012 est. | 2013 est. | |
|
||||
Direct obligations: | ||||
Personnel compensation: | ||||
11.1 | Full-time permanent | 23 | 22 | 22 |
11.3 | Other than full-time permanent | 1 | 1 | 1 |
11.5 | Other personnel compensation | 1 | 1 | 1 |
11.7 | Military personnel | 4 | 4 | 4 |
|
|
|
||
11.9 | Total personnel compensation | 29 | 28 | 28 |
12.1 | Civilian personnel benefits | 7 | 7 | 7 |
12.2 | Military personnel benefits | 2 | 2 | 2 |
25.1 | Advisory and assistance services | 5 | 4 | 4 |
25.2 | Other services from non-Federal sources | 7 | 7 | 7 |
25.3 | Other goods and services from Federal sources | 11 | 11 | 11 |
26.0 | Supplies and materials | 1 | 1 | |
31.0 | Equipment | 1 | 1 | |
41.0 | Grants, subsidies, and contributions | 18 | 15 | 15 |
|
|
|
||
99.0 | Direct obligations | 79 | 76 | 76 |
99.0 | Reimbursable obligations | 10 | 10 | 10 |
|
|
|
||
99.9 | Total new obligations | 89 | 86 | 86 |
|
Employment Summary
|
||||
Identification code 75–0944–0–1–551 | 2011 actual | 2012 est. | 2013 est. | |
|
||||
1001 | Direct civilian full-time equivalent employment | 259 | 258 | 258 |
1101 | Direct military average strength employment | 39 | 39 | 39 |
2001 | Reimbursable civilian full-time equivalent employment | 13 | 13 | 13 |
|
Program and Financing (in millions of dollars)
|
||||
Identification code 75–0946–0–1–551 | 2011 actual | 2012 est. | 2013 est. | |
|
||||
Obligations by program activity: | ||||
0001 | Federal Share | 71 | 174 | 171 |
0002 | NYC | 8 | 19 | 19 |
|
|
|
||
0900 | Total new obligations | 79 | 193 | 190 |
|
||||
Budgetary Resources: | ||||
Budget authority: | ||||
Appropriations, mandatory: | ||||
1200 | Appropriation (WTC (CDC Direct)) | 79 | 174 | 171 |
1200 | Appropriation (WTC—NYC DHSS—CDC) | 19 | 19 | |
|
|
|
||
1260 | Appropriations, mandatory (total) | 79 | 193 | 190 |
1930 | Total budgetary resources available | 79 | 193 | 190 |
|
||||
Change in obligated balance: | ||||
Obligated balance, start of year (net): | ||||
3000 | Unpaid obligations, brought forward, Oct 1 (gross) | 68 | 131 | |
3030 | Obligations incurred, unexpired accounts | 79 | 193 | 190 |
3040 | Outlays (gross) | –11 | –130 | –161 |
Obligated balance, end of year (net): | ||||
3090 | Unpaid obligations, end of year (gross) | 68 | 131 | 160 |
|
|
|
||
3100 | Obligated balance, end of year (net) | 68 | 131 | 160 |
|
||||
Budget authority and outlays, net: | ||||
Mandatory: | ||||
4090 | Budget authority, gross | 79 | 193 | 190 |
Outlays, gross: | ||||
4100 | Outlays from new mandatory authority | 11 | 65 | 64 |
4101 | Outlays from mandatory balances | 65 | 97 | |
|
|
|
||
4110 | Outlays, gross (total) | 11 | 130 | 161 |
4180 | Budget authority, net (total) | 79 | 193 | 190 |
4190 | Outlays, net (total) | 11 | 130 | 161 |
|
HHS along with CDC began implementing provisions of The James Zadroga 9/11 Health and Compensation Act of 2010 (P.L.111–347) on July 1, 2011, to provide monitoring and treatment benefits to eligible responders and survivors. CDC/NIOSH serves as the Program Administrator for the WTC Health Program. The WTC Health Program provides quality care for WTC-related health conditions, conducts WTC research, and maintains a health registry to collect data on victims of the September 11, 2001, terrorist attacks. The amounts included for FY 2012 and FY 2013 Budget reflect estimated Federal obligations for the WTC Health Program.
Object Classification (in millions of dollars)
|
||||
Identification code 75–0946–0–1–551 | 2011 actual | 2012 est. | 2013 est. | |
|
||||
Direct obligations: | ||||
25.1 | Advisory and assistance services | 8 | 20 | 19 |
25.2 | Other services from non-Federal sources | 33 | 80 | 79 |
25.3 | Other goods and services from Federal sources | 2 | 10 | 10 |
25.6 | Medical care | 34 | 79 | 78 |
41.0 | Grants, subsidies, and contributions | 2 | 4 | 4 |
|
|
|
||
99.9 | Total new obligations | 79 | 193 | 190 |
|
For carrying out section 301 and title IV of the PHS Act with respect to cancer, [$5,081,788,000] $5,068,864,000, of which up to $8,000,000 may be used for facilities repairs and improvements at the National Cancer Institute—Frederick Federally Funded Research and Development Center in Frederick, Maryland. (Department of Health and Human Services Appropriations Act, 2012.)
For carrying out section 301 and title IV of the PHS Act with respect to cardiovascular, lung, and blood diseases, and blood and blood products, [$3,084,851,000] $3,076,067,000. (Department of Health and Human Services Appropriations Act, 2012.)
For carrying out section 301 and title IV of the PHS Act with respect to dental and craniofacial diseases, [$411,488,000] $408,212,000. (Department of Health and Human Services Appropriations Act, 2012.)
For carrying out section 301 and title IV of the PHS Act with respect to diabetes and digestive and kidney disease, [$1,800,447,000] $1,792,107,000. (Department of Health and Human Services Appropriations Act, 2012.)
For carrying out section 301 and title IV of the PHS Act with respect to neurological disorders and stroke, [$1,629,445,000] $1,624,707,000. (Department of Health and Human Services Appropriations Act, 2012.)
For carrying out section 301 and title IV of the PHS Act with respect to allergy and infectious diseases, [$4,499,215,000] $4,495,307,000. (Department of Health and Human Services Appropriations Act, 2012.)
For carrying out section 301 and title IV of the PHS Act with respect to general medical sciences, [$2,434,637,000: Provided, That not less than $276,480,000 is provided for the Institutional Development Awards program] $2,378,835,000. (Department of Health and Human Services Appropriations Act, 2012.)
For carrying out section 301 and title IV of the PHS Act with respect to child health and human development, [$1,323,900,000] $1,320,600,000. (Department of Health and Human Services Appropriations Act, 2012.)
For carrying out section 301 and title IV of the PHS Act with respect to eye diseases and visual disorders, [$704,043,000] $693,015,000. (Department of Health and Human Services Appropriations Act, 2012.)
For carrying out section 301 and title IV of the PHS Act with respect to environmental health sciences, [$686,869,000] $684,030,000. (Department of Health and Human Services Appropriations Act, 2012.)
For necessary expenses for the National Institute of Environmental Health Sciences in carrying out activities set forth in section 311(a) of the Comprehensive Environmental Response, Compensation, and Liability Act of 1980, as amended, and section 126(g) of the Superfund Amendments and Reauthorization Act of 1986, [$79,054,000] $78,928,000. (Department of the Interior, Environment, and Related Agencies Appropriations Act, 2012.)
For carrying out section 301 and title IV of the PHS Act with respect to aging, [$1,105,530,000] $1,102,650,000. (Department of Health and Human Services Appropriations Act, 2012.)
For carrying out section 301 and title IV of the PHS Act with respect to arthritis and musculoskeletal and skin diseases, [$536,801,000] $535,610,000. (Department of Health and Human Services Appropriations Act, 2012.)
For carrying out section 301 and title IV of the PHS Act with respect to deafness and other communication disorders, [$417,061,000] $417,297,000. (Department of Health and Human Services Appropriations Act, 2012.)
For carrying out section 301 and title IV of the PHS Act with respect to nursing research, [$145,043,000] $144,153,000. (Department of Health and Human Services Appropriations Act, 2012.)
For carrying out section 301 and title IV of the PHS Act with respect to alcohol abuse and alcoholism, [$460,389,000] $457,104,000. (Department of Health and Human Services Appropriations Act, 2012.)
For carrying out section 301 and title IV of the PHS Act with respect to drug abuse, [$1,055,362,000] $1,054,001,000. (Department of Health and Human Services Appropriations Act, 2012.)
For carrying out section 301 and title IV of the PHS Act with respect to mental health, [$1,483,068,000] $1,479,204,000. (Department of Health and Human Services Appropriations Act, 2012.)
For carrying out section 301 and title IV of the PHS Act with respect to human genome research, [$513,844,000] $511,370,000. (Department of Health and Human Services Appropriations Act, 2012.)
For carrying out section 301 and title IV of the PHS Act with respect to biomedical imaging and bioengineering research, [$338,998,000] $336,896,000. (Department of Health and Human Services Appropriations Act, 2012.)
For carrying out section 301 and title IV of the PHS Act with respect to complementary and alternative medicine, [$128,299,000] $127,930,000. (Department of Health and Human Services Appropriations Act, 2012.)
For carrying out section 301 and title IV of the PHS Act with respect to minority health and health disparities research, [$276,963,000] $279,389,000. (Department of Health and Human Services Appropriations Act, 2012.)
For carrying out the activities of the John E. Fogarty International Center (described in subpart 2 of part E of title IV of the PHS Act), [$69,754,000] $69,758,000. (Department of Health and Human Services Appropriations Act, 2012.)
For carrying out section 301 and title IV of the PHS Act with respect to health information communications, [$338,278,000] $372,651,000, of which $4,000,000 shall be available until September 30, [2013] 2014, for improvement of information systems: Provided, That in fiscal year [2012] 2013, the National Library of Medicine may enter into personal services contracts for the provision of services in facilities owned, operated, or constructed under the jurisdiction of the National Institutes of Health (referred to in this title as "NIH''): Provided further, That in addition to amounts provided herein, $8,200,000 shall be available from amounts available under section 241 of the PHS Act to carry out the purposes of the National Information Center on Health Services Research and Health Care Technology established under section 478A of the PHS Act and related health services. (Department of Health and Human Services Appropriations Act, 2012.)
For carrying out section 301 and title IV of the PHS Act with respect to translational sciences, [$576,456,000] $639,033,000: Provided, That up to [$10,000,000] $50,000,000 shall be available to implement section 402C of the PHS Act, relating to the Cures Acceleration Network[: Provided further, That funds appropriated may be used to support the reorganization and activities required to eliminate the National Center for Research Resources: Provided further, That the Director of the NIH shall ensure that, of all funds made available to Institute, Center, and Office of the Director accounts within "Department of Health and Human Services, National Institutes of Health'', at least $487,767,000 is provided to the Clinical and Translational Sciences Awards program]. (Department of Health and Human Services Appropriations Act, 2012.)
For carrying out the responsibilities of the Office of the Director, NIH, [$1,461,880,000] $1,429,161,000, of which up to $25,000,000 shall be used to carry out section 213 of this Act: Provided, That funding shall be available for the purchase of not to exceed 29 passenger motor vehicles for replacement only: Provided further, That NIH is authorized to collect third-party payments for the cost of clinical services that are incurred in NIH research facilities and that such payments shall be credited to the NIH Management Fund: Provided further, That all funds credited to the NIH Management Fund shall remain available for one fiscal year after the fiscal year in which they are deposited: [Provided further, That $193,880,000 shall be available for continuation of the National Children's Study:] Provided further, That [$545,962,000] $544,930,000 shall be available for the Common Fund established under section 402A(c)(1) of the PHS Act: Provided further, That of the funds provided $10,000 shall be for official reception and representation expenses when specifically approved by the Director of the NIH: Provided further, That the Office of AIDS Research within the Office of the Director of the NIH may spend up to $8,000,000 to make grants for construction or renovation of facilities as provided for in section 2354(a)(5)(B) of the PHS Act: Provided further, That the Director may direct up to 1 percent of the total made available in this or any other Act to all National Institutes of Health appropriations to activities that the Director may so designate: Provided further, That no such appropriation shall be decreased by more than 1 percent by any such transfers and that the Congress is promptly notified of the transfer. (Department of Health and Human Services Appropriations Act, 2012.)
For the study of, construction of, renovation of, and acquisition of equipment for, facilities of or used by NIH, including the acquisition of real property, [$125,581,000] $125,308,000, to remain available until [September 30, 2016] expended. (Department of Health and Human Services Appropriations Act, 2012.)
Special and Trust Fund Receipts (in millions of dollars)
|
||||
Identification code 75–9915–0–1–552 | 2011 actual | 2012 est. | 2013 est. | |
|
||||
0100 | Balance, start of year | |||
Receipts: | ||||
0220 | Cooperative Research and Development Agreements, NIH | 17 | 17 | 17 |
|
|
|
||
0400 | Total: Balances and collections | 17 | 17 | 17 |
Appropriations: | ||||
0500 | National Institutes of Health | –17 | –17 | –17 |
|
|
|
||
0799 | Balance, end of year | |||
|
Program and Financing (in millions of dollars)
|
||||
Identification code 75–9915–0–1–552 | 2011 actual | 2012 est. | 2013 est. | |
|
||||
Obligations by program activity: | ||||
0001 | National Cancer Institute (0849) | 5,059 | 5,071 | 5,069 |
0002 | National Heart, Lung, and Blood Institute (0872) | 3,070 | 3,078 | 3,076 |
0003 | National Institute of Dental and Craniofacial Research (0873) | 409 | 411 | 408 |
0004 | National Institute of Diabetes and Digestive and Kidney Disease (0884) | 1,792 | 1,797 | 1,792 |
0005 | National Institute of Neurological Disorders and Stroke (0886) | 1,622 | 1,626 | 1,625 |
0006 | National Institute of Allergy and Infectious Diseases (0885) | 4,478 | 4,489 | 4,495 |
0007 | National Institute of General Medical Sciences (0851) | 2,034 | 2,429 | 2,379 |
0008 | National Institute of Child Health and Human Development (0844) | 1,318 | 1,321 | 1,321 |
0009 | National Eye Institute (0887) | 701 | 703 | 693 |
0010 | National Institute of Environmental Health Sciences (0862) | 763 | 764 | 763 |
0011 | National Institute on Aging (0843) | 1,100 | 1,103 | 1,103 |
0012 | National Institute of Arthritis and Musculoskeletal and Skin Disease (0888) | 534 | 536 | 536 |
0013 | National Institute on Deafness and Other Communication Disorder (0890) | 415 | 416 | 417 |
0014 | National Institute of Mental Health (0892) | 1,477 | 1,480 | 1,479 |
0015 | National Institute on Drug Abuse (0893) | 1,050 | 1,053 | 1,054 |
0016 | National Institute on Alcohol Abuse and Alcoholism (0894) | 458 | 459 | 457 |
0017 | National Institute of Nursing Research (0889) | 144 | 145 | 144 |
0018 | National Human Genome Research Institute (0891) | 511 | 513 | 511 |
0019 | National Institute of Biomedical Imaging and Bioengineering (0898) | 314 | 338 | 337 |
0020 | National Center for Research Resources (0848) | 1,258 | ||
0021 | National Center for Complementary and Alternative Medicine (0896) | 128 | 128 | 128 |
0022 | National Institute on Minority Health and Health Disparities (0897) | 210 | 276 | 279 |
0023 | John E. Fogarty International Center (0819) | 69 | 70 | 70 |
0024 | National Library of Medicine (0807) | 337 | 338 | 373 |
0025 | Office of the Director (0846) | 1,167 | 1,459 | 1,429 |
0026 | Buildings and facilities (0838) | 62 | 125 | 125 |
0027 | Cooperative Research and Development Agreements | 12 | 17 | 17 |
0028 | National Center for Advancing Translational Sciences (0875) | 575 | 639 | |
0031 | Type 1 Diabetes | 150 | 150 | 150 |
|
|
|
||
0799 | Total direct obligations | 30,642 | 30,870 | 30,869 |
0801 | Reimbursable program activity | 3,190 | 3,201 | 3,294 |
0802 | Royalties | 88 | 88 | 88 |
|
|
|
||
0809 | Reimbursable program activities, subtotal | 3,278 | 3,289 | 3,382 |
|
|
|
||
0899 | Total reimbursable obligations | 3,278 | 3,289 | 3,382 |
|
|
|
||
0900 | Total new obligations | 33,920 | 34,159 | 34,251 |
|
||||
Budgetary Resources: | ||||
Unobligated balance: | ||||
1000 | Unobligated balance brought forward, Oct 1 | 345 | 376 | 375 |
1020 | Adjustment of unobligated bal brought forward, Oct 1 | –6 | ||
1021 | Recoveries of prior year unpaid obligations | 46 | ||
|
|
|
||
1050 | Unobligated balance (total) | 385 | 376 | 375 |
Budget authority: | ||||
Appropriations, discretionary: | ||||
1100 | Appropriation | 30,828 | 30,769 | 30,702 |
1120 | Transferred to other accounts [72–1028] | –297 | ||
1120 | Appropriations transferred to other accts [75–0350] | –9 | ||
1121 | Transferred from other accounts [75–9912] | 1 | ||
1130 | Appropriations permanently reduced | –62 | ||
1143 | Approp permanently reduced (Sec 527, HR 2055) | –58 | ||
|
|
|
||
1160 | Appropriation, discretionary (total) | 30,470 | 30,702 | 30,702 |
Appropriations, mandatory: | ||||
1200 | Appropriation | 150 | 150 | 150 |
1201 | Appropriation (special or trust fund) | 17 | 17 | 17 |
|
|
|
||
1260 | Appropriations, mandatory (total) | 167 | 167 | 167 |
Spending authority from offsetting collections, discretionary: | ||||
1700 | Collected | 2,734 | 3,289 | 3,382 |
1701 | Change in uncollected payments, Federal sources | 544 | ||
|
|
|
||
1750 | Spending auth from offsetting collections, disc (total) | 3,278 | 3,289 | 3,382 |
1900 | Budget authority (total) | 33,915 | 34,158 | 34,251 |
1930 | Total budgetary resources available | 34,300 | 34,534 | 34,626 |
Memorandum (non-add) entries: | ||||
1940 | Unobligated balance expiring | –4 | ||
1941 | Unexpired unobligated balance, end of year | 376 | 375 | 375 |
|
||||
Change in obligated balance: | ||||
Obligated balance, start of year (net): | ||||
3000 | Unpaid obligations, brought forward, Oct 1 (gross) | 39,712 | 35,622 | 34,908 |
3010 | Uncollected pymts, Fed sources, brought forward, Oct 1 | –1,247 | –1,151 | –1,151 |
3011 | Adjustments to uncollected pymts, Fed sources, brought forward, Oct 1 | 6 | ||
|
|
|
||
3020 | Obligated balance, start of year (net) | 38,471 | 34,471 | 33,757 |
3030 | Obligations incurred, unexpired accounts | 33,920 | 34,159 | 34,251 |
3031 | Obligations incurred, expired accounts | 857 | ||
3040 | Outlays (gross) | –37,715 | –34,873 | –33,863 |
3050 | Change in uncollected pymts, Fed sources, unexpired | –544 | ||
3051 | Change in uncollected pymts, Fed sources, expired | 634 | ||
3080 | Recoveries of prior year unpaid obligations, unexpired | –46 | ||
3081 | Recoveries of prior year unpaid obligations, expired | –1,106 | ||
Obligated balance, end of year (net): | ||||
3090 | Unpaid obligations, end of year (gross) | 35,622 | 34,908 | 35,296 |
3091 | Uncollected pymts, Fed sources, end of year | –1,151 | –1,151 | –1,151 |
|
|
|
||
3100 | Obligated balance, end of year (net) | 34,471 | 33,757 | 34,145 |
|
||||
Budget authority and outlays, net: | ||||
Discretionary: | ||||
4000 | Budget authority, gross | 33,748 | 33,991 | 34,084 |
Outlays, gross: | ||||
4010 | Outlays from new discretionary authority | 10,751 | 11,150 | 11,243 |
4011 | Outlays from discretionary balances | 26,695 | 23,556 | 22,453 |
|
|
|
||
4020 | Outlays, gross (total) | 37,446 | 34,706 | 33,696 |
Offsets against gross budget authority and outlays: | ||||
Offsetting collections (collected) from: | ||||
4030 | Federal sources | –3,246 | –3,289 | –3,382 |
4033 | Non-Federal sources | –99 | ||
|
|
|
||
4040 | Offsets against gross budget authority and outlays (total) | –3,345 | –3,289 | –3,382 |
Additional offsets against gross budget authority only: | ||||
4050 | Change in uncollected pymts, Fed sources, unexpired | –544 | ||
4052 | Offsetting collections credited to expired accounts | 611 | ||
|
|
|
||
4060 | Additional offsets against budget authority only (total) | 67 | ||
|
|
|
||
4070 | Budget authority, net (discretionary) | 30,470 | 30,702 | 30,702 |
4080 | Outlays, net (discretionary) | 34,101 | 31,417 | 30,314 |
Mandatory: | ||||
4090 | Budget authority, gross | 167 | 167 | 167 |
Outlays, gross: | ||||
4100 | Outlays from new mandatory authority | 1 | 53 | 53 |
4101 | Outlays from mandatory balances | 268 | 114 | 114 |
|
|
|
||
4110 | Outlays, gross (total) | 269 | 167 | 167 |
4180 | Budget authority, net (total) | 30,637 | 30,869 | 30,869 |
4190 | Outlays, net (total) | 34,370 | 31,584 | 30,481 |
|
DISTRIBUTION OF BUDGET AUTHORITY AND OUTLAYS BY ACCOUNT (in millions of dollars)
|
|||
2011 | 20121 | 2013 | |
|
|||
Distribution of budget authority by account: | |||
National Cancer Institute | 5,059 | 5,071 | 5,069 |
National Heart, Lung, and Blood Institute | 3,070 | 3,078 | 3,076 |
National Institute of Dental and Craniofacial Research | 409 | 411 | 408 |
National Institute of Diabetes and Digestive and Kidney Diseases | 1,942 | 1,947 | 1,942 |
National Institute of Neurological Disorder and Stroke | 1,622 | 1,626 | 1,625 |
National Institute of Allergy and Infectious Diseases | 4,7762 | 4,4892 | 4,495 |
National Institute of General Medical Sciences | 2,034 | 2,429 | 2,379 |
Eunice Kennedy Shriver National Institute of Child Health and Human Development | 1,318 | 1,321 | 1,321 |
National Eye Institute | 701 | 703 | 693 |
National Institute of Environmental Health Sciences | 763 | 764 | 763 |
National Institute on Aging | 1,100 | 1,103 | 1,103 |
National Institute of Arthritis and Musculoskeletal and Skin Diseases | 534 | 536 | 536 |
National Institute on Deafness and Other Communication Disorders | 415 | 416 | 417 |
National Institute of Mental Health | 1,477 | 1,480 | 1,479 |
National Institute on Drug Abuse | 1,050 | 1,053 | 1,054 |
National Institute on Alcohol Abuse and Alcoholism | 458 | 459 | 457 |
National Institute of Nursing Research | 144 | 145 | 144 |
National Center for Research Resources | 1,265 | 0 | 0 |
National Human Genome Research Institute | 511 | 513 | 511 |
National Institute of Biomedical Imaging and Bioengineering | 314 | 338 | 337 |
National Institute on Minority Health and Health Disparities | 210 | 276 | 279 |
National Center for Complementary and Alternative Medicine | 119 | 128 | 128 |
National Center for Advancing Translational Sciences | 0 | 575 | 639 |
John E. Fogarty International Center | 69 | 70 | 70 |
National Library of Medicine | 337 | 338 | 373 |
Office of the Director | 1,167 | 1,459 | 1,429 |
Buildings and Facilities | 50 | 125 | 125 |
|
|||
ARRA Funds | 0 | 0 | 0 |
|
|
|
|
Subtotal | 30,914 | 30,852 | 30,852 |
|
|||
Cooperative Research and Development Agreements | 12 | 17 | 17 |
|
|
|
|
|
|||
Total Budget Authority, NIH | 30,926 | 30,869 | 30,869 |
|
|
|
|
|
(in millions of dollars)
|
|||
2011 | 2012 | 2013 | |
|
|||
Distribution of outlays by account: | |||
National Cancer Institute | 5,096 | 4,704 | 5,018 |
National Heart, Lung, and Blood Institute | 3,088 | 3,034 | 3,045 |
National Institute of Dental and Craniofacial Research | 410 | 425 | 415 |
National Institute of Diabetes and Digestive and Kidney Diseases | 1,905 | 1,893 | 1,960 |
National Institute of Neurological Disorders and Stroke | 1,580 | 1,671 | 1,641 |
National Institute of Allergy and Infectious Diseases | 4,467 | 4,135 | 4,526 |
National Institute of General Medical Sciences | 1,985 | 2,136 | 2,060 |
Eunice Kennedy Shriver National Institute of Child Health and Human Development | 1,274 | 1,347 | 1,335 |
National Eye Institute | 693 | 680 | 709 |
National Institute of Environmental Health Sciences | 769 | 770 | 773 |
National Institute on Aging | 1,099 | 1,053 | 1,135 |
National Institute of Arthritis and Musculoskeletal and Skin Diseases | 532 | 512 | 540 |
National Institute on Deafness and Other Communication Disorders | 407 | 422 | 420 |
National Institute of Mental Health | 1,492 | 1,452 | 1,496 |
National Institute on Drug Abuse | 1,069 | 976 | 1,054 |
National Institute on Alcohol Abuse and Alcoholism | 457 | 463 | 463 |
National Institute of Nursing Research | 145 | 131 | 146 |
National Center for Research Resources | 1,217 | 788 | 1,268 |
National Human Genome Research Institute | 506 | 495 | 520 |
National Institute of Biomedical Imaging and Bioengineering | 309 | 307 | 320 |
National Institute on Minority Health and Health Disparities | 211 | 202 | 216 |
National Center for Complementary and Alternative Medicine | 131 | 106 | 133 |
National Center for Advancing Translational Sciences | 0 | 92 | 453 |
John E. Fogarty International Center | 71 | 68 | 71 |
National Library of Medicine | 334 | 315 | 363 |
Office of the Director | 1,196 | 1,423 | 1,193 |
Buildings and Facilities | 115 | 146 | 113 |
|
|||
ARRA Funds | 3,844 | 1,864 | 1,095 |
|
|
|
|
Subtotal Outlays | 34,402 | 31,610 | 32,481 |
|
|||
Cooperative Research and Development Agreements | 17 | 17 | 17 |
|
|
|
|
|
|||
Total Outlays, NIH | 34,419 | 31,627 | 32,498 |
|
|
|
|
|
This program funds biomedical research and research training. These accounts will continue to be appropriated separately, and are displayed in a consolidated format to improve the readability of the presentation. Detailed information is available through the Department of Health and Human Services.
Object Classification (in millions of dollars)
|
||||
Identification code 75–9915–0–1–552 | 2011 actual | 2012 est. | 2013 est. | |
|
||||
Direct obligations: | ||||
Personnel compensation: | ||||
11.1 | Full-time permanent | 878 | 885 | 889 |
11.3 | Other than full-time permanent | 477 | 483 | 494 |
11.5 | Other personnel compensation | 44 | 43 | 43 |
11.7 | Military personnel | 22 | 22 | 23 |
11.8 | Special personal services payments | 166 | 170 | 169 |
|
|
|
||
11.9 | Total personnel compensation | 1,587 | 1,603 | 1,618 |
12.1 | Civilian personnel benefits | 403 | 409 | 412 |
12.2 | Military personnel benefits | 16 | 16 | 16 |
21.0 | Travel and transportation of persons | 56 | 55 | 54 |
22.0 | Transportation of things | 5 | 6 | 5 |
23.1 | Rental payments to GSA | 1 | 1 | 1 |
23.2 | Rental payments to others | 1 | 1 | 1 |
23.3 | Communications, utilities, and miscellaneous charges | 26 | 27 | 26 |
24.0 | Printing and reproduction | 8 | 4 | 7 |
25.1 | Advisory and assistance services | 112 | 117 | 132 |
25.2 | Other services from non-Federal sources | 714 | 718 | 725 |
25.3 | Other goods and services from Federal sources | 3,054 | 3,056 | 3,246 |
25.4 | Operation and maintenance of facilities | 126 | 83 | 77 |
25.5 | Research and development contracts | 2,117 | 2,157 | 1,968 |
25.6 | Medical care | 18 | 18 | 17 |
25.7 | Operation and maintenance of equipment | 83 | 85 | 82 |
25.8 | Subsistence and support of persons | 2 | ||
26.0 | Supplies and materials | 194 | 204 | 196 |
31.0 | Equipment | 120 | 125 | 119 |
32.0 | Land and structures | 126 | 125 | |
41.0 | Grants, subsidies, and contributions | 21,999 | 22,059 | 22,042 |
|
|
|
||
99.0 | Direct obligations | 30,642 | 30,870 | 30,869 |
99.0 | Reimbursable obligations | 3,278 | 3,289 | 3,382 |
|
|
|
||
99.9 | Total new obligations | 33,920 | 34,159 | 34,251 |
|
Employment Summary
|
||||
Identification code 75–9915–0–1–552 | 2011 actual | 2012 est. | 2013 est. | |
|
||||
1001 | Direct civilian full-time equivalent employment | 13,292 | 13,292 | 13,157 |
1101 | Direct military average strength employment | 238 | 238 | 238 |
2001 | Reimbursable civilian full-time equivalent employment | 4,950 | 4,950 | 4,899 |
2101 | Reimbursable military average strength employment | 89 | 89 | 89 |
|
For carrying out titles III, V, and XIX of the PHS Act with respect to mental health, and the Protection and Advocacy for Individuals with Mental Illness Act, [$934,853,000] $902,856,000: Provided, That notwithstanding section 520A(f)(2) of the PHS Act, no funds appropriated for carrying out section 520A shall be available for carrying out section 1971 of the PHS Act: Provided further, That in addition to amounts provided herein, [$21,039,000] $21,039,000 shall be available under section 241 of the PHS Act to carry out subpart I of part B of title XIX of the PHS Act to fund section 1920(b) technical assistance, national data, data collection and evaluation activities, and further that the total available under this Act for section 1920(b) activities shall not exceed 5 percent of the amounts appropriated for subpart I of part B of title XIX: Provided further, That section 520E(b)(2) of the PHS Act shall not apply to funds appropriated under this Act for fiscal year [2012: Provided further, That of the amount appropriated under this heading, $45,800,000 shall be for the National Child Traumatic Stress Initiative as described in section 582 of the PHS Act] 2013.
For carrying out titles III, V, and XIX of the PHS Act with respect to substance abuse treatment [and section 1922(a) of the PHS Act with respect to substance abuse prevention], [$2,123,993,000] $1,711,045,000: Provided, That in addition to amounts provided herein, [the following amounts shall be available under section 241 of the PHS Act: (1) $79,200,000] $71,724,000 shall be available under section 241 of the PHS Act to carry out subpart II of part B of title XIX of the PHS Act to fund section 1935(b) technical assistance, national data, data collection and evaluation activities, and further that the total available under this Act for section 1935(b) activities shall not exceed 5 percent of the amounts appropriated for subpart II of part B of title XIX[; and (2) $2,000,000 to evaluate substance abuse treatment programs]: Provided further, That [no funds shall be available for the National All Schedules Prescription Reporting system] section 1922(a)(1) of the PHS Act shall not apply to amounts provided herein.
For carrying out titles III and V of the PHS Act with respect to substance abuse prevention, [$186,361,000] $463,378,000.
For program support and cross-cutting activities that supplement activities funded under the headings "Mental Health'', "Substance Abuse Treatment'', and "Substance Abuse Prevention'' in carrying out titles III, V, and XIX of the PHS Act and the Protection and Advocacy for Individuals with Mental Illness Act in the Substance Abuse and Mental Health Services Administration, [$109,106,000] $74,229,000: Provided, That in addition to amounts provided herein, [$27,428,000] $71,995,000 shall be available under section 241 of the PHS Act to supplement funds available to carry out national surveys on drug abuse and mental health, to collect and analyze program data, and to conduct public awareness and technical assistance activities: Provided further, That, in addition, fees may be collected for the costs associated with additional publications, data, data tabulations, and data analysis completed under title V of the PHS Act and provided to a public or private entity upon request, which shall be credited to this appropriation and shall remain available until expended for such purposes: Provided further, That funds made available under this heading may be used to supplement program support funding provided under the headings "Mental Health'', "Substance Abuse Treatment'', and "Substance Abuse Prevention'': Provided further, That the Administrator may transfer funds between any of the accounts of SAMHSA with notification to the Committees on Appropriations of both Houses of Congress at least 15 days in advance of any transfer, but no such account shall be decreased by more than 3 percent by any such transfer. (Department of Health and Human Services Appropriations Act, 2012.)
Program and Financing (in millions of dollars)
|
||||
Identification code 75–1362–0–1–551 | 2011 actual | 2012 est. | 2013 est. | |
|
||||
Obligations by program activity: | ||||
0002 | Mental Health Block Grant | 420 | ||
0003 | Substance Abuse Block Grant | 1,442 | ||
0004 | State Prevention Grants | 475 | ||
0005 | Program Management | 120 | ||
0006 | Mental Health | 933 | 903 | |
0007 | Substance Abuse Treatment | 1,775 | 1,711 | |
0008 | Substance Abuse Prevention | 530 | 464 | |
0009 | Health Surveillance and Program Support | 109 | 74 | |
0010 | Children's Mental Health | 118 | ||
0011 | PATH Homeless State Grants | 65 | ||
0012 | Protection and Advocacy | 36 | ||
0013 | Innovation and Emerging Issues | 680 | ||
0014 | Public Education and Support | 14 | ||
0022 | Performance and Quality Information Systems | 38 | ||
0023 | Regulatory and Oversight Functions | 53 | ||
|
|
|
||
0100 | Total, direct program | 3,461 | 3,347 | 3,152 |
|
|
|
||
0799 | Total direct obligations | 3,461 | 3,347 | 3,152 |
0802 | Reimbursable program: PHS Evaluation | 256 | 255 | 292 |
|
|
|
||
0900 | Total new obligations | 3,717 | 3,602 | 3,444 |
|
||||
Budgetary Resources: | ||||
Unobligated balance: | ||||
1000 | Unobligated balance brought forward, Oct 1 | 88 | ||
Budget authority: | ||||
Appropriations, discretionary: | ||||
1100 | Appropriation | 3,386 | 3,354 | 3,152 |
1120 | Appropriations transferred to other accts [75–0350] | –1 | ||
1130 | Appropriations permanently reduced | –7 | ||
1143 | Approp permanently reduced (Sec 527, HR 2055) | –6 | ||
|
|
|
||
1160 | Appropriation, discretionary (total) | 3,379 | 3,347 | 3,152 |
Appropriations, mandatory: | ||||
1221 | Appropriations transferred from the Prevention and Public Health Fund [75–0116] | 88 | 88 | 105 |
|
|
|
||
1260 | Appropriations, mandatory (total) | 88 | 88 | 105 |
Spending authority from offsetting collections, discretionary: | ||||
1700 | Collected | 144 | 255 | 292 |
1700 | Collected | 2 | ||
1701 | Change in uncollected payments, Federal sources | 106 | ||
|
|
|
||
1750 | Spending auth from offsetting collections, disc (total) | 250 | 255 | 294 |
1900 | Budget authority (total) | 3,717 | 3,690 | 3,551 |
1930 | Total budgetary resources available | 3,717 | 3,690 | 3,639 |
Memorandum (non-add) entries: | ||||
1941 | Unexpired unobligated balance, end of year | 88 | 195 | |
|
||||
Change in obligated balance: | ||||
Obligated balance, start of year (net): | ||||
3000 | Unpaid obligations, brought forward, Oct 1 (gross) | 2,828 | 2,964 | 2,877 |
3010 | Uncollected pymts, Fed sources, brought forward, Oct 1 | –151 | –239 | –239 |
|
|
|
||
3020 | Obligated balance, start of year (net) | 2,677 | 2,725 | 2,638 |
3030 | Obligations incurred, unexpired accounts | 3,717 | 3,602 | 3,444 |
3040 | Outlays (gross) | –3,557 | –3,689 | –3,699 |
3050 | Change in uncollected pymts, Fed sources, unexpired | –106 | ||
3051 | Change in uncollected pymts, Fed sources, expired | 18 | ||
3081 | Recoveries of prior year unpaid obligations, expired | –24 | ||
Obligated balance, end of year (net): | ||||
3090 | Unpaid obligations, end of year (gross) | 2,964 | 2,877 | 2,622 |
3091 | Uncollected pymts, Fed sources, end of year | –239 | –239 | –239 |
|
|
|
||
3100 | Obligated balance, end of year (net) | 2,725 | 2,638 | 2,383 |
|
||||
Budget authority and outlays, net: | ||||
Discretionary: | ||||
4000 | Budget authority, gross | 3,629 | 3,602 | 3,446 |
Outlays, gross: | ||||
4010 | Outlays from new discretionary authority | 1,465 | 1,594 | 1,555 |
4011 | Outlays from discretionary balances | 2,083 | 2,042 | 2,047 |
|
|
|
||
4020 | Outlays, gross (total) | 3,548 | 3,636 | 3,602 |
Offsets against gross budget authority and outlays: | ||||
Offsetting collections (collected) from: | ||||
4030 | Federal sources | –144 | –255 | –292 |
4033 | Non-Federal sources | –2 | ||
|
|
|
||
4040 | Offsets against gross budget authority and outlays (total) | –144 | –255 | –294 |
Additional offsets against gross budget authority only: | ||||
4050 | Change in uncollected pymts, Fed sources, unexpired | –106 | ||
|
|
|
||
4070 | Budget authority, net (discretionary) | 3,379 | 3,347 | 3,152 |
4080 | Outlays, net (discretionary) | 3,404 | 3,381 | 3,308 |
Mandatory: | ||||
4090 | Budget authority, gross | 88 | 88 | 105 |
Outlays, gross: | ||||
4100 | Outlays from new mandatory authority | 1 | 1 | |
4101 | Outlays from mandatory balances | 9 | 52 | 96 |
|
|
|
||
4110 | Outlays, gross (total) | 9 | 53 | 97 |
4180 | Budget authority, net (total) | 3,467 | 3,435 | 3,257 |
4190 | Outlays, net (total) | 3,413 | 3,434 | 3,405 |
|
This program provides Federal support to strengthen the capacity of the Nation's health care delivery system to provide effective substance abuse prevention, addiction treatment, and mental health services for people at risk for or experiencing substance abuse or mental illness. SAMHSA builds partnerships with states, communities, tribal and private not-for-profit organizations to enhance health and reduce the adverse impact of substance abuse and mental illness on America's communities. The Consolidated Appropriations Act of 2012 (P.L. 112–74) restructured the appropriation accounts for SAMHSA, which is continued in FY 2013.
Object Classification (in millions of dollars)
|
||||
Identification code 75–1362–0–1–551 | 2011 actual | 2012 est. | 2013 est. | |
|
||||
Direct obligations: | ||||
Personnel compensation: | ||||
11.1 | Full-time permanent | 47 | 46 | 46 |
11.3 | Other than full-time permanent | 2 | 2 | 2 |
11.5 | Other personnel compensation | 1 | 1 | 1 |
11.7 | Military personnel | 4 | 4 | 4 |
|
|
|
||
11.9 | Total personnel compensation | 54 | 53 | 53 |
12.1 | Civilian personnel benefits | 12 | 12 | 12 |
12.2 | Military personnel benefits | 2 | 2 | 2 |
21.0 | Travel and transportation of persons | 1 | 2 | 2 |
23.1 | Rental payments to GSA | 7 | 7 | 7 |
23.3 | Communications, utilities, and miscellaneous charges | 1 | 1 | 1 |
24.0 | Printing and reproduction | 3 | 3 | 3 |
25.1 | Advisory and assistance services | 29 | 26 | 17 |
25.2 | Other services from non-Federal sources | 229 | 201 | 130 |
25.3 | Other goods and services from Federal sources | 87 | 90 | 58 |
25.7 | Operation and maintenance of equipment | 1 | 1 | 1 |
41.0 | Grants, subsidies, and contributions | 3,034 | 2,948 | 2,865 |
42.0 | Insurance claims and indemnities | 1 | 1 | 1 |
|
|
|
||
99.0 | Direct obligations | 3,461 | 3,347 | 3,152 |
99.0 | Reimbursable obligations | 256 | 255 | 292 |
|
|
|
||
99.9 | Total new obligations | 3,717 | 3,602 | 3,444 |
|
Employment Summary
|
||||
Identification code 75–1362–0–1–551 | 2011 actual | 2012 est. | 2013 est. | |
|
||||
1001 | Direct civilian full-time equivalent employment | 472 | 496 | 496 |
1101 | Direct military average strength employment | 52 | 54 | 54 |
2001 | Reimbursable civilian full-time equivalent employment | 19 | 20 | 20 |
2101 | Reimbursable military average strength employment | 4 | 4 | 4 |
|
For carrying out titles III and IX of the PHS Act, part A of title XI of the Social Security Act, and section 1013 of the Medicare Prescription Drug, Improvement, and Modernization Act of 2003, [$369,053,000] $334,357,000 shall be available from amounts available under section 241 of the PHS Act, notwithstanding subsection 947(c) of such Act: Provided, That in addition, amounts received from Freedom of Information Act fees, reimbursable and interagency agreements, and the sale of data shall be credited to this appropriation and shall remain available until [September 30, 2013] expended. (Department of Health and Human Services Appropriations Act, 2012.)
Program and Financing (in millions of dollars)
|
||||
Identification code 75–1700–0–1–552 | 2011 actual | 2012 est. | 2013 est. | |
|
||||
Obligations by program activity: | ||||
0003 | Prevention and Public Health Fund | 12 | 12 | 12 |
0801 | Reimbursable program | 17 | 17 | 17 |
0802 | Reimbursable program: PHS evaluation | 371 | 369 | 334 |
|
|
|
||
0899 | Total reimbursable obligations | 388 | 386 | 351 |
|
|
|
||
0900 | Total new obligations | 400 | 398 | 363 |
|
||||
Budgetary Resources: | ||||
Unobligated balance: | ||||
1000 | Unobligated balance brought forward, Oct 1 | 6 | 4 | 4 |
Budget authority: | ||||
Appropriations, mandatory: | ||||
1221 | Appropriations transferred from other accts [75–0116] | 12 | 12 | 12 |
|
|
|
||
1260 | Appropriations, mandatory (total) | 12 | 12 | 12 |
Spending authority from offsetting collections, discretionary: | ||||
1700 | Collected | 159 | 386 | 351 |
1701 | Change in uncollected payments, Federal sources | 227 | ||
|
|
|
||
1750 | Spending auth from offsetting collections, disc (total) | 386 | 386 | 351 |
1900 | Budget authority (total) | 398 | 398 | 363 |
1930 | Total budgetary resources available | 404 | 402 | 367 |
Memorandum (non-add) entries: | ||||
1941 | Unexpired unobligated balance, end of year | 4 | 4 | 4 |
|
||||
Change in obligated balance: | ||||
Obligated balance, start of year (net): | ||||
3000 | Unpaid obligations, brought forward, Oct 1 (gross) | 1,165 | 988 | 324 |
3010 | Uncollected pymts, Fed sources, brought forward, Oct 1 | –451 | –382 | –382 |
|
|
|
||
3020 | Obligated balance, start of year (net) | 714 | 606 | –58 |
3030 | Obligations incurred, unexpired accounts | 400 | 398 | 363 |
3031 | Obligations incurred, expired accounts | 2 | ||
3040 | Outlays (gross) | –566 | –1,062 | –533 |
3050 | Change in uncollected pymts, Fed sources, unexpired | –227 | ||
3051 | Change in uncollected pymts, Fed sources, expired | 296 | ||
3081 | Recoveries of prior year unpaid obligations, expired | –13 | ||
Obligated balance, end of year (net): | ||||
3090 | Unpaid obligations, end of year (gross) | 988 | 324 | 154 |
3091 | Uncollected pymts, Fed sources, end of year | –382 | –382 | –382 |
|
|
|
||
3100 | Obligated balance, end of year (net) | 606 | –58 | –228 |
|
||||
Budget authority and outlays, net: | ||||
Discretionary: | ||||
4000 | Budget authority, gross | 386 | 386 | 351 |
Outlays, gross: | ||||
4010 | Outlays from new discretionary authority | 126 | 386 | 351 |
4011 | Outlays from discretionary balances | 435 | 673 | 175 |
|
|
|
||
4020 | Outlays, gross (total) | 561 | 1,059 | 526 |
Offsets against gross budget authority and outlays: | ||||
Offsetting collections (collected) from: | ||||
4030 | Federal sources | –451 | –768 | –388 |
Additional offsets against gross budget authority only: | ||||
4050 | Change in uncollected pymts, Fed sources, unexpired | –227 | ||
4052 | Offsetting collections credited to expired accounts | 292 | 382 | 37 |
|
|
|
||
4060 | Additional offsets against budget authority only (total) | 65 | 382 | 37 |
4080 | Outlays, net (discretionary) | 110 | 291 | 138 |
Mandatory: | ||||
4090 | Budget authority, gross | 12 | 12 | 12 |
Outlays, gross: | ||||
4100 | Outlays from new mandatory authority | 1 | ||
4101 | Outlays from mandatory balances | 4 | 3 | 7 |
|
|
|
||
4110 | Outlays, gross (total) | 5 | 3 | 7 |
4180 | Budget authority, net (total) | 12 | 12 | 12 |
4190 | Outlays, net (total) | 115 | 294 | 145 |
|
This activity supports the development of scientific evidence and tools to improve the quality, safety, and effectiveness of all aspects of the health care system, and initiatives to disseminate and translate scientific findings into health care practice.
Object Classification (in millions of dollars)
|
||||
Identification code 75–1700–0–1–552 | 2011 actual | 2012 est. | 2013 est. | |
|
||||
Direct obligations: | ||||
25.5 | Research and development contracts | 8 | 8 | 8 |
41.0 | Grants, subsidies, and contributions | 4 | 4 | 4 |
|
|
|
||
99.0 | Direct obligations | 12 | 12 | 12 |
99.0 | Reimbursable obligations | 388 | 386 | 351 |
|
|
|
||
99.9 | Total new obligations | 400 | 398 | 363 |
|
Employment Summary
|
||||
Identification code 75–1700–0–1–552 | 2011 actual | 2012 est. | 2013 est. | |
|
||||
1001 | Direct civilian full-time equivalent employment | 3 | 3 | 3 |
2001 | Reimbursable civilian full-time equivalent employment | 300 | 300 | 300 |
2101 | Reimbursable military average strength employment | 10 | 10 | 10 |
|
For carrying out, except as otherwise provided, titles XI and XIX of the Social Security Act, [$184,279,110,000] $178,791,197,000, to remain available until expended.
For making, after May 31, [2012] 2013, payments to States under title XIX or in the case of section 1928 on behalf of States under title XIX of the Social Security Act for the last quarter of fiscal year [2012] 2013 for unanticipated costs incurred for the current fiscal year, such sums as may be necessary.
For making payments to States or in the case of section 1928 on behalf of States under title XIX of the Social Security Act for the first quarter of fiscal year [2013, $90,614,082,000] 2014, $106,335,631,000, to remain available until expended.
Payment under such title XIX may be made for any quarter with respect to a State plan or plan amendment in effect during such quarter, if submitted in or prior to such quarter and approved in that or any subsequent quarter. (Department of Health and Human Services Appropriations Act, 2012.)
Program and Financing (in millions of dollars)
|
||||
Identification code 75–0512–0–1–551 | 2011 actual | 2012 est. | 2013 est. | |
|
||||
Obligations by program activity: | ||||
0001 | Medicaid vendor payments | 276,980 | 245,689 | 263,693 |
0002 | State and local administration | 14,083 | 14,885 | 14,735 |
0003 | Vaccines for Children | 3,953 | 4,009 | 4,271 |
0004 | Incurred by providers but not yet reported | 117 | 1,360 | 1,360 |
|
|
|
||
0799 | Total direct obligations | 295,133 | 265,943 | 284,059 |
0801 | Medicare Part B premiums | 703 | 320 | |
|
|
|
||
0900 | Total new obligations | 295,836 | 266,263 | 284,059 |
|
||||
Budgetary Resources: | ||||
Unobligated balance: | ||||
1000 | Unobligated balance brought forward, Oct 1 | 17,008 | 408 | 14,654 |
1021 | Recoveries of prior year unpaid obligations | 20,039 | 9,465 | |
|
|
|
||
1050 | Unobligated balance (total) | 37,047 | 9,873 | 14,654 |
Budget authority: | ||||
Appropriations, mandatory: | ||||
1200 | Appropriation Medicaid | 184,279 | 178,791 | |
1200 | Appropriation Medicaid, Indefinite | 171,576 | ||
|
|
|
||
1260 | Appropriations, mandatory (total) | 171,576 | 184,279 | 178,791 |
Advance appropriations, mandatory: | ||||
1270 | Advance appropriation | 86,789 | 86,445 | 90,614 |
|
|
|
||
1280 | Advanced appropriation, mandatory (total) | 86,789 | 86,445 | 90,614 |
Spending authority from offsetting collections, mandatory: | ||||
1800 | Collected | 832 | 320 | |
|
|
|
||
1850 | Spending auth from offsetting collections, mand (total) | 832 | 320 | |
1900 | Budget authority (total) | 259,197 | 271,044 | 269,405 |
1930 | Total budgetary resources available | 296,244 | 280,917 | 284,059 |
Memorandum (non-add) entries: | ||||
1941 | Unexpired unobligated balance, end of year | 408 | 14,654 | |
|
||||
Change in obligated balance: | ||||
Obligated balance, start of year (net): | ||||
3000 | Unpaid obligations, brought forward, Oct 1 (gross) | 28,391 | 28,392 | 29,751 |
3030 | Obligations incurred, unexpired accounts | 295,836 | 266,263 | 284,059 |
3040 | Outlays (gross) | –275,796 | –255,439 | –282,699 |
3080 | Recoveries of prior year unpaid obligations, unexpired | –20,039 | –9,465 | |
Obligated balance, end of year (net): | ||||
3090 | Unpaid obligations, end of year (gross) | 28,392 | 29,751 | 31,111 |
|
|
|
||
3100 | Obligated balance, end of year (net) | 28,392 | 29,751 | 31,111 |
|
||||
Budget authority and outlays, net: | ||||
Mandatory: | ||||
4090 | Budget authority, gross | 259,197 | 271,044 | 269,405 |
Outlays, gross: | ||||
4100 | Outlays from new mandatory authority | 259,197 | 237,457 | 267,961 |
4101 | Outlays from mandatory balances | 16,599 | 17,982 | 14,738 |
|
|
|
||
4110 | Outlays, gross (total) | 275,796 | 255,439 | 282,699 |
Offsets against gross budget authority and outlays: | ||||
Offsetting collections (collected) from: | ||||
4120 | Federal sources | –703 | –320 | |
4123 | Non-Federal sources | –129 | ||
|
|
|
||
4130 | Offsets against gross budget authority and outlays (total) | –832 | –320 | |
|
|
|
||
4160 | Budget authority, net (mandatory) | 258,365 | 270,724 | 269,405 |
4170 | Outlays, net (mandatory) | 274,964 | 255,119 | 282,699 |
4180 | Budget authority, net (total) | 258,365 | 270,724 | 269,405 |
4190 | Outlays, net (total) | 274,964 | 255,119 | 282,699 |
|
Summary of Budget Authority and Outlays (in millions of dollars)
|
||||
2011 actual | 2012 est. | 2013 est. | ||
|
||||
Enacted/requested: | ||||
Budget Authority | 258,365 | 270,724 | 269,405 | |
Outlays | 274,964 | 255,119 | 282,699 | |
Amounts included in the adjusted baseline: | ||||
Budget Authority | –11 | –70 | ||
Outlays | –11 | –70 | ||
Legislative proposal, not subject to PAYGO: | ||||
Budget Authority | –215 | –695 | ||
Outlays | –215 | –695 | ||
Legislative proposal, subject to PAYGO: | ||||
Budget Authority | 370 | 885 | ||
Outlays | 370 | 885 | ||
Total: | ||||
Budget Authority | 258,365 | 270,868 | 269,525 | |
Outlays | 274,964 | 255,263 | 282,819 | |
|
Medicaid assists States in providing medical care to their low-income populations by granting Federal matching payments under title XIX of the Social Security Act to States with approved plans.
Medicaid estimates assume budget authority for expenses that are incurred but not reported (IBNR).
Authorized as part of Title XIX, Vaccines for Children (VFC) finances the purchase of vaccines for low-income, eligible children. VFC is administered by the Centers for Disease Control and Prevention and is funded entirely by the Federal Government.
Vaccines for Children (in millions of dollars)
|
|||
Obligations | 2011 | 2012 | 2013 |
|
|||
Vaccine Purchase | 3,663 | 3,703 | 3,972 |
Vaccine Stockpile | 138 | 137 | 137 |
Ordering, Distribution, and Operations | 108 | 126 | 119 |
Vaccine Management Contract Support | 4 | 2 | 1 |
|
|||
Evaluation Activities | 40 | 41 | 42 |
|
|
|
|
Total Obligations | 3,953 | 4,009 | 4,271 |
|
Object Classification (in millions of dollars)
|
||||
Identification code 75–0512–0–1–551 | 2011 actual | 2012 est. | 2013 est. | |
|
||||
41.0 | Direct obligations: Grants, subsidies, and contributions | 295,133 | 265,943 | 284,059 |
99.0 | Reimbursable obligations | 703 | 320 | |
|
|
|
||
99.9 | Total new obligations | 295,836 | 266,263 | 284,059 |
|
Program and Financing (in millions of dollars)
|
||||
Identification code 75–0512–7–1–551 | 2011 actual | 2012 est. | 2013 est. | |
|
||||
Obligations by program activity: | ||||
0001 | Medicaid vendor payments | –11 | –70 | |
|
|
|
||
0900 | Total new obligations (object class 41.0) | –11 | –70 | |
|
||||
Budgetary Resources: | ||||
Budget authority: | ||||
Appropriations, mandatory: | ||||
1200 | Appropriation | –11 | –70 | |
|
|
|
||
1260 | Appropriations, mandatory (total) | –11 | –70 | |
1930 | Total budgetary resources available | –11 | –70 | |
|
||||
Change in obligated balance: | ||||
3030 | Obligations incurred, unexpired accounts | –11 | –70 | |
3040 | Outlays (gross) | 11 | 70 | |
|
||||
Budget authority and outlays, net: | ||||
Mandatory: | ||||
4090 | Budget authority, gross | –11 | –70 | |
Outlays, gross: | ||||
4100 | Outlays from new mandatory authority | –11 | –70 | |
4180 | Budget authority, net (total) | –11 | –70 | |
4190 | Outlays, net (total) | –11 | –70 | |
|
Please see the narratives in the Limitation on Administrative Expenses and Health Care Fraud and Abuse Control accounts for a description of the program integrity estimates reflected here.
Program and Financing (in millions of dollars)
|
||||
Identification code 75–0512–2–1–551 | 2011 actual | 2012 est. | 2013 est. | |
|
||||
Budget authority and outlays, net: | ||||
Mandatory: | ||||
Offsets against gross budget authority and outlays: | ||||
Offsetting collections (collected) from: | ||||
4120 | Federal sources | –215 | –695 | |
4180 | Budget authority, net (total) | –215 | –695 | |
4190 | Outlays, net (total) | –215 | –695 | |
|
This schedule reflects the offsetting collections from Medicare Part B for the extension of the Qualified Individual (QI) program.
Program and Financing (in millions of dollars)
|
||||
Identification code 75–0512–4–1–551 | 2011 actual | 2012 est. | 2013 est. | |
|
||||
Obligations by program activity: | ||||
0001 | Program Integrity | –151 | ||
0003 | Other Proposals | 155 | 341 | |
|
|
|
||
0799 | Total direct obligations | 155 | 190 | |
0801 | Medicare Part B premiums | 215 | 695 | |
|
|
|
||
0900 | Total new obligations | 370 | 885 | |
|
||||
Budgetary Resources: | ||||
Budget authority: | ||||
Appropriations, mandatory: | ||||
1200 | Appropriation Medicaid | 155 | 190 | |
|
|
|
||
1260 | Appropriations, mandatory (total) | 155 | 190 | |
Spending authority from offsetting collections, mandatory: | ||||
1800 | Collected | 215 | 695 | |
|
|
|
||
1850 | Spending auth from offsetting collections, mand (total) | 215 | 695 | |
1900 | Budget authority (total) | 370 | 885 | |
1930 | Total budgetary resources available | 370 | 885 | |
|
||||
Change in obligated balance: | ||||
3030 | Obligations incurred, unexpired accounts | 370 | 885 | |
3040 | Outlays (gross) | –370 | –885 | |
|
||||
Budget authority and outlays, net: | ||||
Mandatory: | ||||
4090 | Budget authority, gross | 370 | 885 | |
Outlays, gross: | ||||
4100 | Outlays from new mandatory authority | 370 | 885 | |
4180 | Budget authority, net (total) | 370 | 885 | |
4190 | Outlays, net (total) | 370 | 885 | |
|
This schedule reflects the Administration's Medicaid proposals.
Object Classification (in millions of dollars)
|
||||
Identification code 75–0512–4–1–551 | 2011 actual | 2012 est. | 2013 est. | |
|
||||
41.0 | Direct obligations: Grants, subsidies, and contributions | 155 | 190 | |
99.0 | Reimbursable obligations | 215 | 695 | |
|
|
|
||
99.9 | Total new obligations | 370 | 885 | |
|
Program and Financing (in millions of dollars)
|
||||
Identification code 75–0516–0–1–551 | 2011 actual | 2012 est. | 2013 est. | |
|
||||
Obligations by program activity: | ||||
0010 | Ticket to Work grants | 75 | ||
0011 | Emergency health services for undocumented aliens | 88 | 22 | 18 |
0012 | Medicaid integrity program | 77 | 96 | 80 |
0015 | Partnerships for long-term care | 3 | ||
0017 | Psychiatric residential treatment demonstration | 148 | ||
0018 | Money follows the person (MFP) demonstration | 298 | 410 | 403 |
0019 | MFP evaluations and technical support | 1 | 1 | 1 |
0023 | Grants to improve outreach and enrollment | 43 | 7 | 34 |
0024 | Application of Prospective Payment System | 3 | ||
0025 | Medicaid emergency psychiatric demonstration | 1 | 23 | 24 |
0026 | Incentives for prevention of chronic diseases in Medicaid | 18 | 29 | 22 |
|
|
|
||
0799 | Total direct obligations | 752 | 591 | 582 |
0801 | Reimbursable program activity | 6 | ||
|
|
|
||
0900 | Total new obligations | 758 | 591 | 582 |
|
||||
Budgetary Resources: | ||||
Unobligated balance: | ||||
1000 | Unobligated balance brought forward, Oct 1 | 1,206 | 1,304 | 1,241 |
1021 | Recoveries of prior year unpaid obligations | 47 | ||
|
|
|
||
1050 | Unobligated balance (total) | 1,253 | 1,304 | 1,241 |
Budget authority: | ||||
Appropriations, mandatory: | ||||
1200 | Appropriation (Ticket to Work) | 47 | ||
1200 | Appropriation (Expansion of long-term care partnerships) | 3 | ||
1200 | Appropriation (Psychiatric residential treatment demonstration) | 57 | ||
1200 | Appropriation (Money follows the person (MFP) demonstration) | 449 | 449 | 449 |
1200 | Appropriation (MFP research & evaluation) | 1 | 1 | 1 |
1200 | Appropriation (Medicaid integrity program) | 76 | 78 | 80 |
1200 | Appropriation (Medicaid Emergency Psychiatric Demo) | 75 | ||
1200 | Appropriation (Incentives for Prevention of Chronic Diseases in Medicaid) | 100 | ||
|
|
|
||
1260 | Appropriations, mandatory (total) | 808 | 528 | 530 |
Spending authority from offsetting collections, mandatory: | ||||
1800 | Collected | 6 | ||
|
|
|
||
1850 | Spending auth from offsetting collections, mand (total) | 6 | ||
1900 | Budget authority (total) | 814 | 528 | 530 |
1930 | Total budgetary resources available | 2,067 | 1,832 | 1,771 |
Memorandum (non-add) entries: | ||||
1940 | Unobligated balance expiring | –5 | ||
1941 | Unexpired unobligated balance, end of year | 1,304 | 1,241 | 1,189 |
|
||||
Change in obligated balance: | ||||
Obligated balance, start of year (net): | ||||
3000 | Unpaid obligations, brought forward, Oct 1 (gross) | 738 | 881 | 868 |
3030 | Obligations incurred, unexpired accounts | 758 | 591 | 582 |
3040 | Outlays (gross) | –568 | –604 | –474 |
3080 | Recoveries of prior year unpaid obligations, unexpired | –47 | ||
Obligated balance, end of year (net): | ||||
3090 | Unpaid obligations, end of year (gross) | 881 | 868 | 976 |
|
|
|
||
3100 | Obligated balance, end of year (net) | 881 | 868 | 976 |
|
||||
Budget authority and outlays, net: | ||||
Mandatory: | ||||
4090 | Budget authority, gross | 814 | 528 | 530 |
Outlays, gross: | ||||
4100 | Outlays from new mandatory authority | 57 | 79 | 80 |
4101 | Outlays from mandatory balances | 511 | 525 | 394 |
|
|
|
||
4110 | Outlays, gross (total) | 568 | 604 | 474 |
Offsets against gross budget authority and outlays: | ||||
Offsetting collections (collected) from: | ||||
4120 | Federal sources | –6 | ||
4180 | Budget authority, net (total) | 808 | 528 | 530 |
4190 | Outlays, net (total) | 562 | 604 | 474 |
|
State Grants and Demonstrations includes funding for grant programs enacted in several legislative authorities, including the Ticket to Work and Work Incentives Improvement Act of 1999 (P.L. 106–170), the Medicare Prescription Drug, Improvement, and Modernization Act of 2003 (P.L. 108–173), the Deficit Reduction Act of 2005 (P.L. 109–171), the Children's Health Insurance Program Reauthorization Act of 2009 (P.L. 111–3), the Patient Protection and Affordable Care Act (P.L. 111–148), and the Health Care and Education Reconciliation Act of 2010 (P.L. 111–152).
The Budget includes an unobligated balance of $125 million for activities authorized by Section 204 of the Ticket to Work and Work Incentives Improvement Act. Thus, pursuant to 31 U.S.C. 1555, any remaining balance (whether obligated or unobligated) will be withdrawn and returned to the Treasury two years after there has been no disbursement made against the appropriation.
Object Classification (in millions of dollars)
|
||||
Identification code 75–0516–0–1–551 | 2011 actual | 2012 est. | 2013 est. | |
|
||||
Direct obligations: | ||||
11.1 | Personnel compensation: Full-time permanent - Medicaid Integrity Program | 9 | 9 | 9 |
12.1 | Civilian personnel benefits - Medicaid Integrity Program | 6 | 6 | 6 |
41.0 | Grants, subsidies, and contributions - Ticket to Work | 75 | ||
41.0 | Grants, subsidies, and contributions - Emergency services for undocumented aliens | 88 | 22 | 18 |
41.0 | Grants, subsidies, and contributions - Medicaid Integrity Program | 62 | 81 | 65 |
41.0 | Grants, subsidies, and contributions - Partnership for long-term care | 3 | ||
41.0 | Grants, subsidies, and contributions - Psychiatric residential treatment demonstration | 148 | ||
41.0 | Grants, subsidies, and contributions - Money follows the person (MFP) demonstration | 298 | 410 | 403 |
41.0 | Grants, subsidies, and contributions - MFP evaluations and technical support | 1 | 1 | 1 |
41.0 | Grants, subsidies, and contributions - Grants to improve outreach and enrollment | 43 | 7 | 34 |
41.0 | Grants, subsidies, and contributions - Application of Prospective Payment System | 1 | 3 | |
41.0 | Grants, subsidies, and contributions - Medicaid emergency psychiatric demonstration | 18 | 23 | 24 |
41.0 | Grants, subsidies, and contributions - Incentives for prevention of chronic diseases in Medicaid | 29 | 22 | |
|
|
|
||
99.0 | Direct obligations | 752 | 591 | 582 |
99.0 | Reimbursable obligations | 6 | ||
|
|
|
||
99.9 | Total new obligations | 758 | 591 | 582 |
|
Employment Summary
|
||||
Identification code 75–0516–0–1–551 | 2011 actual | 2012 est. | 2013 est. | |
|
||||
1001 | Direct civilian full-time equivalent employment | 81 | 100 | 102 |
|
For payment to the Federal Hospital Insurance Trust Fund and the Federal Supplementary Medical Insurance Trust Fund, as provided under sections 217(g), 1844, and 1860D-16 of the Social Security Act, sections 103(c) and 111(d) of the Social Security Amendments of 1965, section 278(d)(3) of Public Law 97–248, and for administrative expenses incurred pursuant to section 201(g) of the Social Security Act, [$230,741,378,000] $251,359,000,000.
In addition, for making matching payments under section 1844 and benefit payments under section 1860D-16 of the Social Security Act that were not anticipated in budget estimates, such sums as may be necessary. (Department of Health and Human Services Appropriations Act, 2012.)
Program and Financing (in millions of dollars)
|
||||
Identification code 75–0580–0–1–571 | 2011 actual | 2012 est. | 2013 est. | |
|
||||
Obligations by program activity: | ||||
0001 | Federal contribution to match premiums (SMI) | 168,849 | 167,184 | 189,520 |
0002 | Part D benefits (Rx Drug) | 55,929 | 47,282 | 60,744 |
0003 | Part D Federal administration (Rx Drug) | 373 | 405 | 424 |
0004 | General Fund Transfers to HI | 489 | 603 | 671 |
0006 | Federal Bureau of Investigation (HCFAC) | 128 | 132 | 135 |
0007 | Federal payments from taxation of OASDI benefits (HI) | 15,143 | 18,443 | 20,811 |
0008 | Criminal fines (HCFAC) | 1,196 | 1,045 | 1,127 |
0009 | Civil monetary penalties and damages (HCFAC - DOJ and CMS administration) | 18 | 20 | 20 |
0010 | Asset Forfeiture | 22 | ||
|
|
|
||
0900 | Total new obligations | 242,147 | 235,114 | 273,452 |
|
||||
Budgetary Resources: | ||||
Budget authority: | ||||
Appropriations, mandatory: | ||||
1200 | Appropriation (definite, annual) | 229,464 | 230,741 | 251,359 |
1200 | Appropriation (indefinite, permanent) | 15,143 | 18,443 | 20,811 |
1200 | Appropriation (HCFAC for FBI) | 128 | 132 | 135 |
1200 | Appropriation (indefinite for HCFAC) | 1,236 | 1,065 | 1,147 |
|
|
|
||
1260 | Appropriations, mandatory (total) | 245,971 | 250,381 | 273,452 |
1930 | Total budgetary resources available | 245,971 | 250,381 | 273,452 |
Memorandum (non-add) entries: | ||||
1940 | Unobligated balance expiring | –3,824 | –15,267 | |
|
||||
Change in obligated balance: | ||||
3030 | Obligations incurred, unexpired accounts | 242,147 | 235,114 | 273,452 |
3031 | Obligations incurred, expired accounts | 46 | ||
3040 | Outlays (gross) | –242,193 | –235,114 | –273,452 |
|
||||
Budget authority and outlays, net: | ||||
Mandatory: | ||||
4090 | Budget authority, gross | 245,971 | 250,381 | 273,452 |
Outlays, gross: | ||||
4100 | Outlays from new mandatory authority | 242,147 | 235,114 | 273,452 |
4101 | Outlays from mandatory balances | 46 | ||
|
|
|
||
4110 | Outlays, gross (total) | 242,193 | 235,114 | 273,452 |
Offsets against gross budget authority and outlays: | ||||
Offsetting collections (collected) from: | ||||
4120 | Federal sources | –19 | ||
Additional offsets against gross budget authority only: | ||||
4142 | Offsetting collections credited to expired accounts | 19 | ||
|
|
|
||
4160 | Budget authority, net (mandatory) | 245,971 | 250,381 | 273,452 |
4170 | Outlays, net (mandatory) | 242,174 | 235,114 | 273,452 |
4180 | Budget authority, net (total) | 245,971 | 250,381 | 273,452 |
4190 | Outlays, net (total) | 242,174 | 235,114 | 273,452 |
|
Summary of Budget Authority and Outlays (in millions of dollars)
|
||||
2011 actual | 2012 est. | 2013 est. | ||
|
||||
Enacted/requested: | ||||
Budget Authority | 245,971 | 250,381 | 273,452 | |
Outlays | 242,174 | 235,114 | 273,452 | |
Amounts included in the adjusted baseline: | ||||
Budget Authority | 4,514 | |||
Outlays | 4,514 | |||
Legislative proposal, not subject to PAYGO: | ||||
Budget Authority | –4,565 | |||
Outlays | –4,565 | |||
Increased funding for BBEDCA program integrity adjustments: | ||||
Outlays | 114 | |||
Total: | ||||
Budget Authority | 245,971 | 250,381 | 273,401 | |
Outlays | 242,174 | 235,228 | 273,401 | |
|
Payments are made to the Federal Hospital Insurance and Federal Supplementary Medical Insurance trust funds from the general fund of the Treasury to finance Medicare's medical and drug benefits for beneficiaries and certain other qualified individuals.
Object Classification (in millions of dollars)
|
||||
Identification code 75–0580–0–1–571 | 2011 actual | 2012 est. | 2013 est. | |
|
||||
Direct obligations: | ||||
41.0 | Grants, subsidies, and contributions | 241,139 | 234,106 | 272,357 |
42.0 | Insurance claims and indemnities | 275 | 262 | 228 |
94.0 | Financial transfers (Federal admin) | 733 | 746 | 867 |
|
|
|
||
99.9 | Total new obligations | 242,147 | 235,114 | 273,452 |
|
Program and Financing (in millions of dollars)
|
||||
Identification code 75–0580–7–1–571 | 2011 actual | 2012 est. | 2013 est. | |
|
||||
Obligations by program activity: | ||||
0001 | Federal contribution to match premiums (SMI) | 4,514 | ||
|
|
|
||
0900 | Total new obligations (object class 41.0) | 4,514 | ||
|
||||
Budgetary Resources: | ||||
Budget authority: | ||||
Appropriations, mandatory: | ||||
1200 | Appropriation (definite annuall) | 4,514 | ||
|
|
|
||
1260 | Appropriations, mandatory (total) | 4,514 | ||
1930 | Total budgetary resources available | 4,514 | ||
|
||||
Change in obligated balance: | ||||
3030 | Obligations incurred, unexpired accounts | 4,514 | ||
3040 | Outlays (gross) | –4,514 | ||
|
||||
Budget authority and outlays, net: | ||||
Mandatory: | ||||
4090 | Budget authority, gross | 4,514 | ||
Outlays, gross: | ||||
4100 | Outlays from new mandatory authority | 4,514 | ||
4180 | Budget authority, net (total) | 4,514 | ||
4190 | Outlays, net (total) | 4,514 | ||
|
Program and Financing (in millions of dollars)
|
||||
Identification code 75–0580–2–1–571 | 2011 actual | 2012 est. | 2013 est. | |
|
||||
Obligations by program activity: | ||||
0001 | Federal contribution to match premiums (SMI) | –15 | ||
0002 | Part D benefits (Rx Drug) | –4,550 | ||
|
|
|
||
0900 | Total new obligations (object class 41.0) | –4,565 | ||
|
||||
Budgetary Resources: | ||||
Budget authority: | ||||
Appropriations, mandatory: | ||||
1200 | Appropriation (definite, annual) | –4,565 | ||
|
|
|
||
1260 | Appropriations, mandatory (total) | –4,565 | ||
1930 | Total budgetary resources available | –4,565 | ||
|
||||
Change in obligated balance: | ||||
3030 | Obligations incurred, unexpired accounts | –4,565 | ||
3040 | Outlays (gross) | 4,565 | ||
|
||||
Budget authority and outlays, net: | ||||
Mandatory: | ||||
4090 | Budget authority, gross | –4,565 | ||
Outlays, gross: | ||||
4100 | Outlays from new mandatory authority | –4,565 | ||
4180 | Budget authority, net (total) | –4,565 | ||
4190 | Outlays, net (total) | –4,565 | ||
|
Program and Financing (in millions of dollars)
|
||||
Identification code 75–0519–0–1–571 | 2011 actual | 2012 est. | 2013 est. | |
|
||||
Obligations by program activity: | ||||
0001 | QIO contracts | 612 | 315 | 270 |
0002 | QIO support contracts | 244 | 125 | 108 |
|
|
|
||
0900 | Total new obligations | 856 | 440 | 378 |
|
||||
Budgetary Resources: | ||||
Unobligated balance: | ||||
1000 | Unobligated balance brought forward, Oct 1 | 387 | ||
Budget authority: | ||||
Spending authority from offsetting collections, mandatory: | ||||
1800 | Collected | 20 | 827 | 528 |
1801 | Change in uncollected payments, Federal sources | 999 | ||
|
|
|
||
1850 | Spending auth from offsetting collections, mand (total) | 1,019 | 827 | 528 |
1930 | Total budgetary resources available | 1,019 | 827 | 915 |
Memorandum (non-add) entries: | ||||
1940 | Unobligated balance expiring | –163 | ||
1941 | Unexpired unobligated balance, end of year | 387 | 537 | |
|
||||
Change in obligated balance: | ||||
Obligated balance, start of year (net): | ||||
3000 | Unpaid obligations, brought forward, Oct 1 (gross) | 824 | 437 | |
3010 | Uncollected pymts, Fed sources, brought forward, Oct 1 | –999 | –999 | |
|
|
|
||
3020 | Obligated balance, start of year (net) | –175 | –562 | |
3030 | Obligations incurred, unexpired accounts | 856 | 440 | 378 |
3040 | Outlays (gross) | –32 | –827 | –528 |
3050 | Change in uncollected pymts, Fed sources, unexpired | –999 | ||
Obligated balance, end of year (net): | ||||
3090 | Unpaid obligations, end of year (gross) | 824 | 437 | 287 |
3091 | Uncollected pymts, Fed sources, end of year | –999 | –999 | –999 |
|
|
|
||
3100 | Obligated balance, end of year (net) | –175 | –562 | –712 |
|
||||
Budget authority and outlays, net: | ||||
Mandatory: | ||||
4090 | Budget authority, gross | 1,019 | 827 | 528 |
Outlays, gross: | ||||
4100 | Outlays from new mandatory authority | 32 | 66 | 56 |
4101 | Outlays from mandatory balances | 761 | 472 | |
|
|
|
||
4110 | Outlays, gross (total) | 32 | 827 | 528 |
Offsets against gross budget authority and outlays: | ||||
Offsetting collections (collected) from: | ||||
4120 | Federal sources | –20 | –827 | –528 |
Additional offsets against gross budget authority only: | ||||
4140 | Change in uncollected pymts, Fed sources, unexpired | –999 | ||
4170 | Outlays, net (mandatory) | 12 | ||
4190 | Outlays, net (total) | 12 | ||
|
Object Classification (in millions of dollars)
|
||||
Identification code 75–0519–0–1–571 | 2011 actual | 2012 est. | 2013 est. | |
|
||||
Direct obligations: | ||||
11.1 | Personnel compensation: Full-time permanent | 28 | 28 | |
25.2 | Other services from non-Federal sources | 848 | 404 | 342 |
25.3 | Other goods and services from Federal sources | 8 | 8 | 8 |
|
|
|
||
99.9 | Total new obligations | 856 | 440 | 378 |
|
Employment Summary
|
||||
Identification code 75–0519–0–1–571 | 2011 actual | 2012 est. | 2013 est. | |
|
||||
1001 | Direct civilian full-time equivalent employment | 164 | 164 | |
|
For carrying out, except as otherwise provided, titles XI, XVIII, XIX, and XXI of the Social Security Act, titles XIII and XXVII of the PHS Act, the Clinical Laboratory Improvement Amendments of 1988, and other responsibilities of the Centers for Medicare and Medicaid Services, not to exceed [$3,879,476,000,] $4,820,808,000, to be transferred from the Federal Hospital Insurance Trust Fund and the Federal Supplementary Medical Insurance Trust Fund, as authorized by section 201(g) of the Social Security Act; together with all funds collected in accordance with section 353 of the PHS Act and section 1857(e)(2) of the Social Security Act, funds retained by the Secretary pursuant to section 302 of the Tax Relief and Health Care Act of 2006; and such sums as may be collected from authorized user fees and the sale of data, which shall be credited to this account and remain available until [September 30, 2017] expended: Provided, That all funds derived in accordance with 31 U.S.C. 9701 from organizations established under title XIII of the PHS Act shall be credited to and available for carrying out the purposes of this appropriation: Provided further, That [$34,000,000,] $11,150,000, to remain available through September 30, [2013] 2014, shall be for contract costs for the Healthcare Integrated General Ledger Accounting System: Provided further, That the Secretary is directed to collect fees in fiscal year [2012] 2013 from Medicare Advantage organizations pursuant to section 1857(e)(2) of the Social Security Act and from eligible organizations with risk-sharing contracts under section 1876 of that Act pursuant to section 1876(k)(4)(D) of that Act[: Provided further, That $44,000,000 shall be available for the State high-risk health insurance pool program as authorized by the State High Risk Pool Funding Extension Act of 2006]. (Department of Health and Human Services Appropriations Act, 2012.)
Program and Financing (in millions of dollars)
|
||||
Identification code 75–0511–0–1–550 | 2011 actual | 2012 est. | 2013 est. | |
|
||||
Obligations by program activity: | ||||
0001 | Program operations | 2,592 | 2,922 | 3,641 |
0002 | Federal administration | 687 | 960 | 870 |
0003 | State survey and certification | 390 | 444 | 408 |
0004 | Research, demonstrations, and evaluation projects | 48 | 632 | 59 |
0006 | High-risk pool grants | 55 | 44 | 22 |
0007 | ARRA Medicare/Medicaid HIT | 160 | 195 | 193 |
0008 | Consumer Assistance Grants | 27 | 2 | |
|
|
|
||
0100 | Total direct program | 3,959 | 5,199 | 5,193 |
|
|
|
||
0799 | Total direct obligations | 3,959 | 5,199 | 5,193 |
0801 | Clinical laboratory improvement amendments | 53 | 43 | 43 |
0802 | Sale of data | 12 | 7 | 7 |
0803 | Coordination of benefits | 34 | 48 | 35 |
0804 | Medicare advantage/Prescription drug plan | 34 | 70 | 70 |
0805 | Provider enrollment | 72 | 72 | |
0806 | Recovery audit contractors | 130 | 310 | 310 |
0807 | Other reimbursable program activity | 18 | ||
|
|
|
||
0809 | Reimbursable program activities, subtotal | 281 | 550 | 537 |
|
|
|
||
0899 | Total reimbursable obligations | 281 | 550 | 537 |
|
|
|
||
0900 | Total new obligations | 4,240 | 5,749 | 5,730 |
|
||||
Budgetary Resources: | ||||
Unobligated balance: | ||||
1000 | Unobligated balance brought forward, Oct 1 | 850 | 1,349 | 339 |
1021 | Recoveries of prior year unpaid obligations | 11 | ||
|
|
|
||
1050 | Unobligated balance (total) | 861 | 1,349 | 339 |
Budget authority: | ||||
Appropriations, mandatory: | ||||
1200 | Appropriation | 403 | 253 | 253 |
|
|
|
||
1260 | Appropriations, mandatory (total) | 403 | 253 | 253 |
Spending authority from offsetting collections, discretionary: | ||||
1700 | Collected | 1,965 | 4,306 | 5,286 |
1701 | Change in uncollected payments, Federal sources | 1,805 | ||
|
|
|
||
1750 | Spending auth from offsetting collections, disc (total) | 3,770 | 4,306 | 5,286 |
Spending authority from offsetting collections, mandatory: | ||||
1800 | Collected | 71 | 180 | 101 |
1801 | Change in uncollected payments, Federal sources | 547 | ||
|
|
|
||
1850 | Spending auth from offsetting collections, mand (total) | 618 | 180 | 101 |
1900 | Budget authority (total) | 4,791 | 4,739 | 5,640 |
1930 | Total budgetary resources available | 5,652 | 6,088 | 5,979 |
Memorandum (non-add) entries: | ||||
1940 | Unobligated balance expiring | –63 | ||
1941 | Unexpired unobligated balance, end of year | 1,349 | 339 | 249 |
|
||||
Change in obligated balance: | ||||
Obligated balance, start of year (net): | ||||
3000 | Unpaid obligations, brought forward, Oct 1 (gross) | 2,480 | 2,825 | 2,587 |
3010 | Uncollected pymts, Fed sources, brought forward, Oct 1 | –2,867 | –3,623 | –3,623 |
|
|
|
||
3020 | Obligated balance, start of year (net) | –387 | –798 | –1,036 |
3030 | Obligations incurred, unexpired accounts | 4,240 | 5,749 | 5,730 |
3031 | Obligations incurred, expired accounts | 90 | ||
3040 | Outlays (gross) | –3,786 | –5,987 | –5,755 |
3050 | Change in uncollected pymts, Fed sources, unexpired | –2,352 | ||
3051 | Change in uncollected pymts, Fed sources, expired | 1,596 | ||
3080 | Recoveries of prior year unpaid obligations, unexpired | –11 | ||
3081 | Recoveries of prior year unpaid obligations, expired | –188 | ||
Obligated balance, end of year (net): | ||||
3090 | Unpaid obligations, end of year (gross) | 2,825 | 2,587 | 2,562 |
3091 | Uncollected pymts, Fed sources, end of year | –3,623 | –3,623 | –3,623 |
|
|
|
||
3100 | Obligated balance, end of year (net) | –798 | –1,036 | –1,061 |
|
||||
Budget authority and outlays, net: | ||||
Discretionary: | ||||
4000 | Budget authority, gross | 3,770 | 4,306 | 5,286 |
Outlays, gross: | ||||
4010 | Outlays from new discretionary authority | 1,813 | 4,306 | 5,286 |
4011 | Outlays from discretionary balances | 1,605 | ||
|
|
|
||
4020 | Outlays, gross (total) | 3,418 | 4,306 | 5,286 |
Offsets against gross budget authority and outlays: | ||||
Offsetting collections (collected) from: | ||||
4030 | Federal sources | –3,154 | –3,828 | –4,821 |
4033 | Non-Federal sources | –313 | –478 | –465 |
|
|
|
||
4040 | Offsets against gross budget authority and outlays (total) | –3,467 | –4,306 | –5,286 |
Additional offsets against gross budget authority only: | ||||
4050 | Change in uncollected pymts, Fed sources, unexpired | –1,805 | ||
4052 | Offsetting collections credited to expired accounts | 1,502 | ||
|
|
|
||
4060 | Additional offsets against budget authority only (total) | –303 | ||
4080 | Outlays, net (discretionary) | –49 | ||
Mandatory: | ||||
4090 | Budget authority, gross | 1,021 | 433 | 354 |
Outlays, gross: | ||||
4100 | Outlays from new mandatory authority | 73 | 275 | 213 |
4101 | Outlays from mandatory balances | 295 | 1,406 | 256 |
|
|
|
||
4110 | Outlays, gross (total) | 368 | 1,681 | 469 |
Offsets against gross budget authority and outlays: | ||||
Offsetting collections (collected) from: | ||||
4120 | Federal sources | –83 | –108 | –29 |
4123 | Non-Federal sources | –5 | –72 | –72 |
|
|
|
||
4130 | Offsets against gross budget authority and outlays (total) | –88 | –180 | –101 |
Additional offsets against gross budget authority only: | ||||
4140 | Change in uncollected pymts, Fed sources, unexpired | –547 | ||
4142 | Offsetting collections credited to expired accounts | 17 | ||
|
|
|
||
4150 | Additional offsets against budget authority only (total) | –530 | ||
|
|
|
||
4160 | Budget authority, net (mandatory) | 403 | 253 | 253 |
4170 | Outlays, net (mandatory) | 280 | 1,501 | 368 |
4180 | Budget authority, net (total) | 403 | 253 | 253 |
4190 | Outlays, net (total) | 231 | 1,501 | 368 |
|
Summary of Budget Authority and Outlays (in millions of dollars)
|
||||
2011 actual | 2012 est. | 2013 est. | ||
|
||||
Enacted/requested: | ||||
Budget Authority | 403 | 253 | 253 | |
Outlays | 231 | 1,501 | 368 | |
Legislative proposal, subject to PAYGO: | ||||
Budget Authority | 400 | |||
Outlays | 100 | |||
Total: | ||||
Budget Authority | 403 | 253 | 653 | |
Outlays | 231 | 1,501 | 468 | |
|
Program management activities include funding for program operations, survey and certification, State high-risk pools, Clinical Laboratory Improvement Amendments (CLIA), Medicare Advantage, Medicare Part D coordination of benefits, recovery audit contracts and other administrative costs.
Object Classification (in millions of dollars)
|
||||
Identification code 75–0511–0–1–550 | 2011 actual | 2012 est. | 2013 est. | |
|
||||
Direct obligations: | ||||
Personnel compensation: | ||||
11.1 | Full-time permanent | 418 | 474 | 493 |
11.3 | Other than full-time permanent | 14 | 11 | 11 |
11.5 | Other personnel compensation | 9 | 8 | 8 |
11.7 | Military personnel | 9 | 10 | 10 |
|
|
|
||
11.9 | Total personnel compensation | 450 | 503 | 522 |
12.1 | Civilian personnel benefits | 120 | 122 | 131 |
12.2 | Military personnel benefits | 4 | 5 | 5 |
21.0 | Travel and transportation of persons | 9 | 16 | 12 |
22.0 | Transportation of things | 1 | ||
23.1 | Rental payments to GSA | 15 | 24 | 25 |
23.3 | Communications, utilities, and miscellaneous charges | 55 | ||
24.0 | Printing and reproduction | 35 | 4 | 4 |
25.1 | Advisory and assistance services | 16 | ||
25.2 | Other services from non-Federal sources | 1,607 | 2,271 | 2,904 |
25.3 | Other goods and services from Federal sources | 77 | 11 | 7 |
25.5 | Research and development contracts | 32 | 669 | 82 |
25.6 | Medical care | 1,228 | 1,306 | 1,387 |
25.7 | Operation and maintenance of equipment | 132 | ||
26.0 | Supplies and materials | 13 | 1 | 1 |
31.0 | Equipment | 8 | ||
32.0 | Land and structures | 11 | 11 | |
41.0 | Grants, subsidies, and contributions | 157 | 256 | 102 |
|
|
|
||
99.0 | Direct obligations | 3,959 | 5,199 | 5,193 |
99.0 | Reimbursable obligations | 281 | 550 | 537 |
|
|
|
||
99.9 | Total new obligations | 4,240 | 5,749 | 5,730 |
|
Employment Summary
|
||||
Identification code 75–0511–0–1–550 | 2011 actual | 2012 est. | 2013 est. | |
|
||||
1001 | Direct civilian full-time equivalent employment | 4,086 | 4,591 | 4,726 |
1001 | Direct civilian full-time equivalent employment | 14 | 35 | 35 |
1101 | Direct military average strength employment | 107 | 107 | 107 |
2001 | Reimbursable civilian full-time equivalent employment | 105 | 123 | 124 |
|
Program and Financing (in millions of dollars)
|
||||
Identification code 75–0511–4–1–550 | 2011 actual | 2012 est. | 2013 est. | |
|
||||
Obligations by program activity: | ||||
0001 | Program operations | 400 | ||
|
|
|
||
0100 | Total direct program | 400 | ||
|
||||
Budgetary Resources: | ||||
Budget authority: | ||||
Appropriations, mandatory: | ||||
1200 | Appropriation | 400 | ||
|
|
|
||
1260 | Appropriations, mandatory (total) | 400 | ||
1930 | Total budgetary resources available | 400 | ||
|
||||
Change in obligated balance: | ||||
3030 | Obligations incurred, unexpired accounts | 400 | ||
3040 | Outlays (gross) | –100 | ||
Obligated balance, end of year (net): | ||||
3090 | Unpaid obligations, end of year (gross) | 300 | ||
|
|
|
||
3100 | Obligated balance, end of year (net) | 300 | ||
|
||||
Budget authority and outlays, net: | ||||
Mandatory: | ||||
4090 | Budget authority, gross | 400 | ||
Outlays, gross: | ||||
4100 | Outlays from new mandatory authority | 100 | ||
4180 | Budget authority, net (total) | 400 | ||
4190 | Outlays, net (total) | 100 | ||
|
The budget includes a package of proposals that improve Medicaid's finances, Medicare's sustainability, and slow the growth of Part D net expenditures. To achieve the reforms proposed, HHS will need to implement significant administrative changes to its systems and processes.
Object Classification (in millions of dollars)
|
||||
Identification code 75–0511–4–1–550 | 2011 actual | 2012 est. | 2013 est. | |
|
||||
Direct obligations: | ||||
11.1 | Personnel compensation: Full-time permanent | 2 | ||
12.1 | Civilian personnel benefits | 1 | ||
25.2 | Other services from non-Federal sources | 397 | ||
|
|
|
||
99.9 | Total new obligations | 400 | ||
|
Employment Summary
|
||||
Identification code 75–0511–4–1–550 | 2011 actual | 2012 est. | 2013 est. | |
|
||||
1001 | Direct civilian full-time equivalent employment | 20 | ||
|
Program and Financing (in millions of dollars)
|
||||
Identification code 75–0515–0–1–551 | 2011 actual | 2012 est. | 2013 est. | |
|
||||
Obligations by program activity: | ||||
0001 | Grants to States and U.S. territories | 8,479 | 8,914 | 9,700 |
0002 | Performance bonus payments | 217 | 296 | 380 |
0003 | Child health quality improvement | 44 | 51 | 47 |
|
|
|
||
0900 | Total new obligations (object class 41.0) | 8,740 | 9,261 | 10,127 |
|
||||
Budgetary Resources: | ||||
Unobligated balance: | ||||
1000 | Unobligated balance brought forward, Oct 1 | 4,330 | 7,527 | 6,925 |
1012 | Unobligated balance transfers between expired and unexpired accounts | 1,917 | ||
1021 | Recoveries of prior year unpaid obligations | 16 | ||
|
|
|
||
1050 | Unobligated balance (total) | 6,263 | 7,527 | 6,925 |
Budget authority: | ||||
Appropriations, discretionary: | ||||
1131 | Unobligated balance of appropriations permanently reduced | –6,706 | ||
|
|
|
||
1160 | Appropriation, discretionary (total) | –6,706 | ||
Appropriations, mandatory: | ||||
1200 | Appropriation | 13,504 | 14,982 | 17,406 |
1200 | Appropriation | 45 | 45 | |
1230 | Appropriations and/or unobligated balance of appropriations permanently reduced | –3,500 | –6,368 | |
|
|
|
||
1260 | Appropriations, mandatory (total) | 10,004 | 8,659 | 17,451 |
1900 | Budget authority (total) | 10,004 | 8,659 | 10,745 |
1930 | Total budgetary resources available | 16,267 | 16,186 | 17,670 |
Memorandum (non-add) entries: | ||||
1941 | Unexpired unobligated balance, end of year | 7,527 | 6,925 | 7,543 |
|
||||
Change in obligated balance: | ||||
Obligated balance, start of year (net): | ||||
3000 | Unpaid obligations, brought forward, Oct 1 (gross) | 8,195 | 7,107 | 6,590 |
3030 | Obligations incurred, unexpired accounts | 8,740 | 9,261 | 10,127 |
3031 | Obligations incurred, expired accounts | 46 | ||
3040 | Outlays (gross) | –8,629 | –9,778 | –10,027 |
3080 | Recoveries of prior year unpaid obligations, unexpired | –16 | ||
3081 | Recoveries of prior year unpaid obligations, expired | –1,229 | ||
Obligated balance, end of year (net): | ||||
3090 | Unpaid obligations, end of year (gross) | 7,107 | 6,590 | 6,690 |
|
|
|
||
3100 | Obligated balance, end of year (net) | 7,107 | 6,590 | 6,690 |
|
||||
Budget authority and outlays, net: | ||||
Discretionary: | ||||
4000 | Budget authority, gross | –6,706 | ||
Mandatory: | ||||
4090 | Budget authority, gross | 10,004 | 8,659 | 17,451 |
Outlays, gross: | ||||
4100 | Outlays from new mandatory authority | 2,718 | 4,445 | 4,045 |
4101 | Outlays from mandatory balances | 5,911 | 5,333 | 5,982 |
|
|
|
||
4110 | Outlays, gross (total) | 8,629 | 9,778 | 10,027 |
4180 | Budget authority, net (total) | 10,004 | 8,659 | 10,745 |
4190 | Outlays, net (total) | 8,629 | 9,778 | 10,027 |
|
The Balanced Budget Act of 1997 established the Children's Health Insurance Program (CHIP) under Title XXI of the Social Security Act. Title XXI provides Federal matching funds to States to enable them to extend coverage to uninsured children from low-income families. States are able to use Title XXI funds for obtaining health benefit coverage for uninsured children through a separate CHIP program, a CHIP Medicaid expansion program, or a combination of both. The Children's Health Insurance Program Reauthorization Act of 2009 (P.L. 111–3) reauthorized the CHIP program through FY 2013 and made some modifications to the program including increased funding for States and territories, bonus payments for States that exceed Medicaid child enrollment targets, and support for child health quality and outreach activities. A contingency fund to assist States who project spending above their available allocated CHIP funds was also created by CHIPRA and funding is included in a separate account. The Patient Protection and Affordable Care Act of 2010 (P.L. 111–148) extended funding for CHIP, providing appropriations through FY 2015.
Program and Financing (in millions of dollars)
|
||||
Identification code 75–0522–0–1–551 | 2011 actual | 2012 est. | 2013 est. | |
|
||||
Obligations by program activity: | ||||
0001 | Administration | 43 | 112 | 155 |
0002 | Innovation Activities | 52 | 1,581 | 1,207 |
|
|
|
||
0900 | Total new obligations | 95 | 1,693 | 1,362 |
|
||||
Budgetary Resources: | ||||
Unobligated balance: | ||||
1000 | Unobligated balance brought forward, Oct 1 | 5 | 9,910 | 8,217 |
Budget authority: | ||||
Appropriations, mandatory: | ||||
1200 | Appropriation | 10,000 | ||
|
|
|
||
1260 | Appropriations, mandatory (total) | 10,000 | ||
1930 | Total budgetary resources available | 10,005 | 9,910 | 8,217 |
Memorandum (non-add) entries: | ||||
1941 | Unexpired unobligated balance, end of year | 9,910 | 8,217 | 6,855 |
|
||||
Change in obligated balance: | ||||
Obligated balance, start of year (net): | ||||
3000 | Unpaid obligations, brought forward, Oct 1 (gross) | 84 | 1,044 | |
3030 | Obligations incurred, unexpired accounts | 95 | 1,693 | 1,362 |
3040 | Outlays (gross) | –11 | –733 | –1,090 |
Obligated balance, end of year (net): | ||||
3090 | Unpaid obligations, end of year (gross) | 84 | 1,044 | 1,316 |
|
|
|
||
3100 | Obligated balance, end of year (net) | 84 | 1,044 | 1,316 |
|
||||
Budget authority and outlays, net: | ||||
Mandatory: | ||||
4090 | Budget authority, gross | 10,000 | ||
Outlays, gross: | ||||
4100 | Outlays from new mandatory authority | 11 | ||
4101 | Outlays from mandatory balances | 733 | 1,090 | |
|
|
|
||
4110 | Outlays, gross (total) | 11 | 733 | 1,090 |
4180 | Budget authority, net (total) | 10,000 | ||
4190 | Outlays, net (total) | 11 | 733 | 1,090 |
|
Object Classification (in millions of dollars)
|
||||
Identification code 75–0522–0–1–551 | 2011 actual | 2012 est. | 2013 est. | |
|
||||
Direct obligations: | ||||
11.1 | Personnel compensation: Full-time permanent | 5 | 11 | 11 |
12.1 | Civilian personnel benefits | 1 | 3 | 3 |
25.2 | Other services from non-Federal sources | 77 | 1,581 | 1,207 |
25.3 | Other goods and services from Federal sources | 8 | 98 | 141 |
31.0 | Equipment | 4 | ||
|
|
|
||
99.9 | Total new obligations | 95 | 1,693 | 1,362 |
|
Employment Summary
|
||||
Identification code 75–0522–0–1–551 | 2011 actual | 2012 est. | 2013 est. | |
|
||||
1001 | Direct civilian full-time equivalent employment | 68 | 204 | 265 |
|
Special and Trust Fund Receipts (in millions of dollars)
|
||||
Identification code 75–5551–0–2–551 | 2011 actual | 2012 est. | 2013 est. | |
|
||||
0100 | Balance, start of year | |||
Receipts: | ||||
0240 | Interest, Child Enrollment Contingency Fund | 8 | 7 | 13 |
|
|
|
||
0400 | Total: Balances and collections | 8 | 7 | 13 |
Appropriations: | ||||
0500 | Child Enrollment Contingency Fund | –8 | –7 | –13 |
|
|
|
||
0799 | Balance, end of year | |||
|
Program and Financing (in millions of dollars)
|
||||
Identification code 75–5551–0–2–551 | 2011 actual | 2012 est. | 2013 est. | |
|
||||
Obligations by program activity: | ||||
0001 | Grants to States and US Territories | 29 | 100 | 200 |
|
|
|
||
0900 | Total new obligations (object class 41.0) | 29 | 100 | 200 |
|
||||
Budgetary Resources: | ||||
Unobligated balance: | ||||
1000 | Unobligated balance brought forward, Oct 1 | 2,115 | 2,094 | 2,001 |
Budget authority: | ||||
Appropriations, mandatory: | ||||
1201 | Appropriation (special or trust fund) | 8 | 7 | 13 |
|
|
|
||
1260 | Appropriations, mandatory (total) | 8 | 7 | 13 |
1930 | Total budgetary resources available | 2,123 | 2,101 | 2,014 |
Memorandum (non-add) entries: | ||||
1941 | Unexpired unobligated balance, end of year | 2,094 | 2,001 | 1,814 |
|
||||
Change in obligated balance: | ||||
Obligated balance, start of year (net): | ||||
3000 | Unpaid obligations, brought forward, Oct 1 (gross) | 25 | ||
3030 | Obligations incurred, unexpired accounts | 29 | 100 | 200 |
3040 | Outlays (gross) | –4 | –125 | –200 |
Obligated balance, end of year (net): | ||||
3090 | Unpaid obligations, end of year (gross) | 25 | ||
|
|
|
||
3100 | Obligated balance, end of year (net) | 25 | ||
|
||||
Budget authority and outlays, net: | ||||
Mandatory: | ||||
4090 | Budget authority, gross | 8 | 7 | 13 |
Outlays, gross: | ||||
4100 | Outlays from new mandatory authority | 4 | ||
4101 | Outlays from mandatory balances | 125 | 200 | |
|
|
|
||
4110 | Outlays, gross (total) | 4 | 125 | 200 |
4180 | Budget authority, net (total) | 8 | 7 | 13 |
4190 | Outlays, net (total) | 4 | 125 | 200 |
|
||||
Memorandum (non-add) entries: | ||||
5000 | Total investments, SOY: Federal securities: Par value | 2,119 | 2,093 | 2,001 |
5001 | Total investments, EOY: Federal securities: Par value | 2,093 | 2,001 | 1,814 |
|
The Children's Health Insurance Program Reauthorization Act (CHIPRA) of 2009 established the Child Enrollment Contingency Fund under Title XXI. Beginning in FY 2009, a State may qualify for a contingency fund payment if it projects a funding shortfall for the fiscal year and if its average monthly child enrollment exceeds its target average number of enrollees for the fiscal year. The Patient Protection and Affordable Care Act of 2010 extended the contingency fund through FY 2015.
The fund received an initial appropriation equal to 20 percent of the FY 2009 national allotment ($2.1 billion). In fiscal years 2010 through 2015, the statute appropriates the amount necessary to make payments to eligible States, but not to exceed 20 percent of the total annual appropriation for CHIP allotments to States. Any amounts in excess of this aggregate cap will be made available for CHIP performance bonus payments. The contingency fund is invested in interest bearing securities of the United States, and the income derived from these investments constitutes a part of the fund.
Program and Financing (in millions of dollars)
|
||||
Identification code 75–0508–0–1–551 | 2011 actual | 2012 est. | 2013 est. | |
|
||||
Obligations by program activity: | ||||
0801 | Incentive payments to hospitals | 356 | 950 | 860 |
0802 | Incentive payments to eligible professionals | 97 | 690 | 930 |
|
|
|
||
0900 | Total new obligations (object class 42.0) | 453 | 1,640 | 1,790 |
|
||||
Budgetary Resources: | ||||
Unobligated balance: | ||||
1000 | Unobligated balance brought forward, Oct 1 | 1,658 | 1,658 | |
Budget authority: | ||||
Spending authority from offsetting collections, mandatory: | ||||
1800 | Collected from the HI Trust Fund | 227 | 950 | 860 |
1800 | Collected from the SMI Trust Fund | 45 | 690 | 930 |
1801 | Change in uncollected payments, Federal sources | 1,839 | ||
|
|
|
||
1850 | Spending auth from offsetting collections, mand (total) | 2,111 | 1,640 | 1,790 |
1930 | Total budgetary resources available | 2,111 | 3,298 | 3,448 |
Memorandum (non-add) entries: | ||||
1941 | Unexpired unobligated balance, end of year | 1,658 | 1,658 | 1,658 |
|
||||
Change in obligated balance: | ||||
Obligated balance, start of year (net): | ||||
3000 | Unpaid obligations, brought forward, Oct 1 (gross) | 91 | 91 | |
3010 | Uncollected pymts, Fed sources, brought forward, Oct 1 | –1,839 | –1,839 | |
|
|
|
||
3020 | Obligated balance, start of year (net) | –1,748 | –1,748 | |
3030 | Obligations incurred, unexpired accounts | 453 | 1,640 | 1,790 |
3040 | Outlays (gross) | –362 | –1,640 | –1,790 |
3050 | Change in uncollected pymts, Fed sources, unexpired | –1,839 | ||
Obligated balance, end of year (net): | ||||
3090 | Unpaid obligations, end of year (gross) | 91 | 91 | 91 |
3091 | Uncollected pymts, Fed sources, end of year | –1,839 | –1,839 | –1,839 |
|
|
|
||
3100 | Obligated balance, end of year (net) | –1,748 | –1,748 | –1,748 |
|
||||
Budget authority and outlays, net: | ||||
Mandatory: | ||||
4090 | Budget authority, gross | 2,111 | 1,640 | 1,790 |
Outlays, gross: | ||||
4100 | Outlays from new mandatory authority | 362 | 1,640 | 1,790 |
Offsets against gross budget authority and outlays: | ||||
Offsetting collections (collected) from: | ||||
4120 | Federal sources | –272 | –1,640 | –1,790 |
Additional offsets against gross budget authority only: | ||||
4140 | Change in uncollected pymts, Fed sources, unexpired | –1,839 | ||
4170 | Outlays, net (mandatory) | 90 | ||
4190 | Outlays, net (total) | 90 | ||
|
Program and Financing (in millions of dollars)
|
||||
Identification code 75–0112–0–1–551 | 2011 actual | 2012 est. | 2013 est. | |
|
||||
Obligations by program activity: | ||||
0001 | Premium rate review grants | 114 | 63 | 28 |
|
|
|
||
0900 | Total new obligations (object class 41.0) | 114 | 63 | 28 |
|
||||
Budgetary Resources: | ||||
Unobligated balance: | ||||
1000 | Unobligated balance brought forward, Oct 1 | 204 | 91 | 30 |
1021 | Recoveries of prior year unpaid obligations | 1 | 2 | |
|
|
|
||
1050 | Unobligated balance (total) | 205 | 93 | 30 |
1930 | Total budgetary resources available | 205 | 93 | 30 |
Memorandum (non-add) entries: | ||||
1941 | Unexpired unobligated balance, end of year | 91 | 30 | 2 |
|
||||
Change in obligated balance: | ||||
Obligated balance, start of year (net): | ||||
3000 | Unpaid obligations, brought forward, Oct 1 (gross) | 46 | 147 | 128 |
3030 | Obligations incurred, unexpired accounts | 114 | 63 | 28 |
3040 | Outlays (gross) | –12 | –80 | –80 |
3080 | Recoveries of prior year unpaid obligations, unexpired | –1 | –2 | |
Obligated balance, end of year (net): | ||||
3090 | Unpaid obligations, end of year (gross) | 147 | 128 | 76 |
|
|
|
||
3100 | Obligated balance, end of year (net) | 147 | 128 | 76 |
|
||||
Budget authority and outlays, net: | ||||
Mandatory: | ||||
Outlays, gross: | ||||
4101 | Outlays from mandatory balances | 12 | 80 | 80 |
4190 | Outlays, net (total) | 12 | 80 | 80 |
|
The Affordable Care Act (P.L. 111–148) amends Section 2794 of the Public Health Service Act and provides that the Secretary shall carry out a program to award grants to States for a five year period beginning in fiscal year 2010. The Grants to States for Health Insurance Premium Review program provides funding to help States develop or enhance their current rate review activities. The program provides $250,000,000 over the five year period beginning with fiscal year 2010. States may receive no less than $1,000,000 and no more than $5,000,000 in any one grant year. Grant recipients are required to submit data to the Secretary on health insurance rate trends.
Program and Financing (in millions of dollars)
|
||||
Identification code 75–0113–0–1–551 | 2011 actual | 2012 est. | 2013 est. | |
|
||||
Obligations by program activity: | ||||
0001 | Direct program activity | 817 | 1,463 | 1,525 |
0801 | Premiums from Fallback States | 27 | 72 | 91 |
|
|
|
||
0900 | Total new obligations | 844 | 1,535 | 1,616 |
|
||||
Budgetary Resources: | ||||
Unobligated balance: | ||||
1000 | Unobligated balance brought forward, Oct 1 | 4,778 | 3,961 | 2,498 |
Budget authority: | ||||
Spending authority from offsetting collections, mandatory: | ||||
1800 | Collected | 27 | 72 | 91 |
|
|
|
||
1850 | Spending auth from offsetting collections, mand (total) | 27 | 72 | 91 |
1900 | Budget authority (total) | 27 | 72 | 91 |
1930 | Total budgetary resources available | 4,805 | 4,033 | 2,589 |
Memorandum (non-add) entries: | ||||
1941 | Unexpired unobligated balance, end of year | 3,961 | 2,498 | 973 |
|
||||
Change in obligated balance: | ||||
Obligated balance, start of year (net): | ||||
3000 | Unpaid obligations, brought forward, Oct 1 (gross) | 218 | 633 | 531 |
3030 | Obligations incurred, unexpired accounts | 844 | 1,535 | 1,616 |
3040 | Outlays (gross) | –429 | –1,637 | –2,146 |
Obligated balance, end of year (net): | ||||
3090 | Unpaid obligations, end of year (gross) | 633 | 531 | 1 |
|
|
|
||
3100 | Obligated balance, end of year (net) | 633 | 531 | 1 |
|
||||
Budget authority and outlays, net: | ||||
Mandatory: | ||||
4090 | Budget authority, gross | 27 | 72 | 91 |
Outlays, gross: | ||||
4100 | Outlays from new mandatory authority | 27 | 72 | 91 |
4101 | Outlays from mandatory balances | 402 | 1,565 | 2,055 |
|
|
|
||
4110 | Outlays, gross (total) | 429 | 1,637 | 2,146 |
Offsets against gross budget authority and outlays: | ||||
Offsetting collections (collected) from: | ||||
4123 | Non-Federal sources | –27 | –72 | –91 |
4190 | Outlays, net (total) | 402 | 1,565 | 2,055 |
|
This account funds the Pre-Existing Condition Insurance Plan Program (PCIP), which makes health insurance available to people who have been unable to get insurance due to a pre-existing condition. Enrollees pay monthly premiums similar to those charged in the commercial individual market, and the Federal government pays for remaining costs that exceed enrollee contributions. The funding for this program, including operating costs, was provided in the FY 2010 appropriation by the Affordable Care Act (P.L. 111–148).
Object Classification (in millions of dollars)
|
||||
Identification code 75–0113–0–1–551 | 2011 actual | 2012 est. | 2013 est. | |
|
||||
Direct obligations: | ||||
11.1 | Personnel compensation: Full-time permanent | 2 | 2 | 2 |
25.2 | Other services from non-Federal sources | 5 | 29 | 31 |
41.0 | Grants, subsidies, and contributions | 810 | 1,432 | 1,492 |
|
|
|
||
99.0 | Direct obligations | 817 | 1,463 | 1,525 |
99.0 | Reimbursable obligations | 27 | 72 | 91 |
|
|
|
||
99.9 | Total new obligations | 844 | 1,535 | 1,616 |
|
Employment Summary
|
||||
Identification code 75–0113–0–1–551 | 2011 actual | 2012 est. | 2013 est. | |
|
||||
1001 | Direct civilian full-time equivalent employment | 13 | 14 | 16 |
|
Program and Financing (in millions of dollars)
|
||||
Identification code 75–0114–0–1–551 | 2011 actual | 2012 est. | 2013 est. | |
|
||||
Obligations by program activity: | ||||
0001 | Subsidies for early retirees | 2,944 | 1,936 | |
0002 | Administration | 22 | 29 | 25 |
|
|
|
||
0900 | Total new obligations | 2,966 | 1,965 | 25 |
|
||||
Budgetary Resources: | ||||
Unobligated balance: | ||||
1000 | Unobligated balance brought forward, Oct 1 | 4,374 | 1,998 | 33 |
1021 | Recoveries of prior year unpaid obligations | 590 | ||
|
|
|
||
1050 | Unobligated balance (total) | 4,964 | 1,998 | 33 |
1930 | Total budgetary resources available | 4,964 | 1,998 | 33 |
Memorandum (non-add) entries: | ||||
1941 | Unexpired unobligated balance, end of year | 1,998 | 33 | 8 |
|
||||
Change in obligated balance: | ||||
Obligated balance, start of year (net): | ||||
3000 | Unpaid obligations, brought forward, Oct 1 (gross) | 625 | 26 | 18 |
3030 | Obligations incurred, unexpired accounts | 2,966 | 1,965 | 25 |
3040 | Outlays (gross) | –2,975 | –1,973 | –28 |
3080 | Recoveries of prior year unpaid obligations, unexpired | –590 | ||
Obligated balance, end of year (net): | ||||
3090 | Unpaid obligations, end of year (gross) | 26 | 18 | 15 |
|
|
|
||
3100 | Obligated balance, end of year (net) | 26 | 18 | 15 |
|
||||
Budget authority and outlays, net: | ||||
Mandatory: | ||||
Outlays, gross: | ||||
4101 | Outlays from mandatory balances | 2,975 | 1,973 | 28 |
4190 | Outlays, net (total) | 2,975 | 1,973 | 28 |
|
The Affordable Care Act (P.L. 111–148) authorized and appropriated $5 billion for the Early Retiree Reinsurance Program (ERRP). ERRP provides reimbursement to participating sponsors of certified plans that provide health benefits to early retirees (age 55 and older and not eligible for Medicare), their spouses, and surviving spouses and dependents. Reimbursement is equal to 80 percent of the actual cost of health expenses paid for an individual (net of price concessions) between a cost threshold of $15,000 and cost limit of $90,000 beginning in 2010. The cost threshold and cost limit are adjusted for inflation each year based on the Medical Care Component of the consumer price index for all urban consumers. Reimbursements to sponsors shall be used to reduce the sponsor's health benefit or premium costs, provide premium and cost sharing relief to plan participants, or both.
Object Classification (in millions of dollars)
|
||||
Identification code 75–0114–0–1–551 | 2011 actual | 2012 est. | 2013 est. | |
|
||||
Direct obligations: | ||||
11.1 | Personnel compensation: Full-time permanent | 1 | 1 | |
25.2 | Other services from non-Federal sources | 22 | 27 | 23 |
42.0 | Insurance claims and indemnities | 2,944 | 1,936 | |
|
|
|
||
99.0 | Direct obligations | 2,966 | 1,964 | 24 |
99.5 | Below reporting threshold | 1 | 1 | |
|
|
|
||
99.9 | Total new obligations | 2,966 | 1,965 | 25 |
|
Employment Summary
|
||||
Identification code 75–0114–0–1–551 | 2011 actual | 2012 est. | 2013 est. | |
|
||||
1001 | Direct civilian full-time equivalent employment | 2 | 10 | 10 |
|
Program and Financing (in millions of dollars)
|
||||
Identification code 75–0115–0–1–551 | 2011 actual | 2012 est. | 2013 est. | |
|
||||
Obligations by program activity: | ||||
0001 | Planning and establishment grants | 467 | 1,092 | 820 |
0002 | Administration | 11 | 48 | 48 |
|
|
|
||
0900 | Total new obligations | 478 | 1,140 | 868 |
|
||||
Budgetary Resources: | ||||
Budget authority: | ||||
Appropriations, mandatory: | ||||
1200 | Appropriation | 478 | 1,140 | 868 |
|
|
|
||
1260 | Appropriations, mandatory (total) | 478 | 1,140 | 868 |
1930 | Total budgetary resources available | 478 | 1,140 | 868 |
|
||||
Change in obligated balance: | ||||
Obligated balance, start of year (net): | ||||
3000 | Unpaid obligations, brought forward, Oct 1 (gross) | 49 | 503 | 737 |
3030 | Obligations incurred, unexpired accounts | 478 | 1,140 | 868 |
3040 | Outlays (gross) | –24 | –906 | –1,087 |
Obligated balance, end of year (net): | ||||
3090 | Unpaid obligations, end of year (gross) | 503 | 737 | 518 |
|
|
|
||
3100 | Obligated balance, end of year (net) | 503 | 737 | 518 |
|
||||
Budget authority and outlays, net: | ||||
Mandatory: | ||||
4090 | Budget authority, gross | 478 | 1,140 | 868 |
Outlays, gross: | ||||
4100 | Outlays from new mandatory authority | 9 | 580 | 444 |
4101 | Outlays from mandatory balances | 15 | 326 | 643 |
|
|
|
||
4110 | Outlays, gross (total) | 24 | 906 | 1,087 |
4180 | Budget authority, net (total) | 478 | 1,140 | 868 |
4190 | Outlays, net (total) | 24 | 906 | 1,087 |
|
The American Health Benefit Exchange Program, commonly known as the Affordable Insurance Exchanges, provides funding for Planning and Establishment Grants to States to for their activities to implement Exchanges. The Exchanges will facilitate the purchase of qualified health plans in the individual market and provide for the establishment of a Small Business Health Options Program to allow small businesses to offer qualified health plans to their employees. Section 1311 of the Patient Protection and Affordable Care Act (P.L. 111–148) provides amounts necessary to enable the Secretary to award grants to States beginning no later than March 23, 2011, and allows for renewal grants through January 1, 2015.
Object Classification (in millions of dollars)
|
||||
Identification code 75–0115–0–1–551 | 2011 actual | 2012 est. | 2013 est. | |
|
||||
Direct obligations: | ||||
11.1 | Personnel compensation: Full-time permanent | 4 | 6 | 6 |
12.1 | Civilian personnel benefits | 1 | 2 | 2 |
25.2 | Other services from non-Federal sources | 5 | 40 | 40 |
25.3 | Other goods and services from Federal sources | 1 | ||
41.0 | Grants, subsidies, and contributions | 467 | 1,092 | 820 |
|
|
|
||
99.9 | Total new obligations | 478 | 1,140 | 868 |
|
Employment Summary
|
||||
Identification code 75–0115–0–1–551 | 2011 actual | 2012 est. | 2013 est. | |
|
||||
1001 | Direct civilian full-time equivalent employment | 28 | 63 | 63 |
|
Program and Financing (in millions of dollars)
|
||||
Identification code 75–0118–0–1–551 | 2011 actual | 2012 est. | 2013 est. | |
|
||||
Obligations by program activity: | ||||
Credit program obligations: | ||||
0701 | Direct loan subsidy | 2,431 | 699 | |
0709 | Administrative expenses | 3 | 15 | 15 |
|
|
|
||
0900 | Total new obligations | 3 | 2,446 | 714 |
|
||||
Budgetary Resources: | ||||
Unobligated balance: | ||||
1000 | Unobligated balance brought forward, Oct 1 | 6,000 | 3,797 | 951 |
Budget authority: | ||||
Appropriations, mandatory: | ||||
1230 | Appropriations and/or unobligated balance of appropriations permanently reduced | –2,200 | –400 | |
|
|
|
||
1260 | Appropriations, mandatory (total) | –2,200 | –400 | |
1930 | Total budgetary resources available | 3,800 | 3,397 | 951 |
Memorandum (non-add) entries: | ||||
1941 | Unexpired unobligated balance, end of year | 3,797 | 951 | 237 |
|
||||
Change in obligated balance: | ||||
Obligated balance, start of year (net): | ||||
3000 | Unpaid obligations, brought forward, Oct 1 (gross) | 3 | 2,356 | |
3030 | Obligations incurred, unexpired accounts | 3 | 2,446 | 714 |
3040 | Outlays (gross) | –93 | –803 | |
Obligated balance, end of year (net): | ||||
3090 | Unpaid obligations, end of year (gross) | 3 | 2,356 | 2,267 |
|
|
|
||
3100 | Obligated balance, end of year (net) | 3 | 2,356 | 2,267 |
|
||||
Budget authority and outlays, net: | ||||
Mandatory: | ||||
4090 | Budget authority, gross | –2,200 | –400 | |
Outlays, gross: | ||||
4101 | Outlays from mandatory balances | 93 | 803 | |
4180 | Budget authority, net (total) | –2,200 | –400 | |
4190 | Outlays, net (total) | 93 | 803 | |
|
Summary of Loan Levels, Subsidy Budget Authority and Outlays by Program (in millions of dollars)
|
||||
Identification code 75–0118–0–1–551 | 2011 actual | 2012 est. | 2013 est. | |
|
||||
Direct loan levels supportable by subsidy budget authority: | ||||
115002 | Startup Loans | 675 | 195 | |
115003 | Solvency | 4,950 | 1,430 | |
|
|
|
||
115999 | Total direct loan levels | 5,625 | 1,625 | |
Direct loan subsidy (in percent): | ||||
132002 | Startup Loans | 0.00 | 37.51 | 37.66 |
132003 | Solvency | 0.00 | 43.99 | 43.78 |
|
|
|
||
132999 | Weighted average subsidy rate | 0.00 | 43.21 | 43.05 |
Direct loan subsidy budget authority: | ||||
133002 | Startup Loans | 253 | 73 | |
133003 | Solvency | 2,178 | 626 | |
|
|
|
||
133999 | Total subsidy budget authority | 2,431 | 699 | |
Direct loan subsidy outlays: | ||||
134002 | Startup Loans | 84 | 168 | |
134003 | Solvency | 614 | ||
|
|
|
||
134999 | Total subsidy outlays | 84 | 782 | |
Direct loan downward reestimates: | ||||
|
||||
Administrative expense data: | ||||
3510 | Budget authority | 3 | 15 | 15 |
3580 | Outlays from balances | 9 | 21 | |
|
The Consumer Operated and Oriented Plan (CO-OP) Program was authorized in Section 1322 of the Affordable Care Act (P.L. 111–148). The CO-OP Program fosters the creation of qualified nonprofit health insurance issuers that operate with a strong consumer focus to offer qualified health plans in the individual and small group markets in the States. The Secretary shall award loans to qualified nonprofit issuers to fund start-up costs and reserves which enable qualified issuers to meet state solvency requirements. The Secretary may also award loans for the purposes of encouraging the establishment of CO-OPs in states where no issuer applies to be a qualified nonprofit issuer under Section 1322. $3.4 billion has been appropriated to carry out Section 1322 of the Affordable Care Act.
As required by the Federal Credit Reform Act of 1990, this account records, for this program, the subsidy costs associated with CO-OP Program grants and loans, as well as administrative expenses of this program. The subsidy amounts are estimated on a present value basis; the administrative expenses are estimated on a cash basis.
Object Classification (in millions of dollars)
|
||||
Identification code 75–0118–0–1–551 | 2011 actual | 2012 est. | 2013 est. | |
|
||||
Direct obligations: | ||||
11.1 | Personnel compensation: Full-time permanent | 2 | 2 | |
12.1 | Civilian personnel benefits | 1 | 1 | |
25.2 | Other services from non-Federal sources | 3 | 12 | 12 |
41.0 | Grants, subsidies, and contributions | 2,431 | 699 | |
|
|
|
||
99.9 | Total new obligations | 3 | 2,446 | 714 |
|
Employment Summary
|
||||
Identification code 75–0118–0–1–551 | 2011 actual | 2012 est. | 2013 est. | |
|
||||
1001 | Direct civilian full-time equivalent employment | 1 | 19 | 19 |
|
Program and Financing (in millions of dollars)
|
||||
Identification code 75–4418–0–3–551 | 2011 actual | 2012 est. | 2013 est. | |
|
||||
Obligations by program activity: | ||||
Credit program obligations: | ||||
0710 | Direct loan obligations | 5,625 | 1,625 | |
0713 | Payment of interest to Treasury | 2 | 22 | |
|
|
|
||
0900 | Total new obligations | 5,627 | 1,647 | |
|
||||
Budgetary Resources: | ||||
Financing authority: | ||||
Borrowing authority, mandatory: | ||||
1400 | Borrowing authority | 3,196 | 948 | |
|
|
|
||
1440 | Borrowing authority, mandatory (total) | 3,196 | 948 | |
Spending authority from offsetting collections, mandatory: | ||||
1800 | Collected | 84 | 782 | |
1801 | Change in uncollected payments, Federal sources | 2,347 | –83 | |
|
|
|
||
1850 | Spending auth from offsetting collections, mand (total) | 2,431 | 699 | |
1900 | Financing authority(total) | 5,627 | 1,647 | |
1930 | Total budgetary resources available | 5,627 | 1,647 | |
|
||||
Change in obligated balance: | ||||
Obligated balance, start of year (net): | ||||
3000 | Unpaid obligations, brought forward, Oct 1 (gross) | 5,400 | ||
3010 | Uncollected pymts, Fed sources, brought forward, Oct 1 | –2,347 | ||
|
|
|
||
3020 | Obligated balance, start of year (net) | 3,053 | ||
3030 | Obligations incurred, unexpired accounts | 5,627 | 1,647 | |
3040 | Financing disbursements (gross) | –227 | –1,866 | |
3050 | Change in uncollected pymts, Fed sources, unexpired | –2,347 | 83 | |
Obligated balance, end of year (net): | ||||
3090 | Unpaid obligations, end of year (gross) | 5,400 | 5,181 | |
3091 | Uncollected pymts, Fed sources, end of year | –2,347 | –2,264 | |
|
|
|
||
3100 | Obligated balance, end of year (net) | 3,053 | 2,917 | |
|
||||
Financing authority and disbursements, net: | ||||
Mandatory: | ||||
4090 | Financing authority, gross | 5,627 | 1,647 | |
Financing disbursements: | ||||
4110 | Financing disbursements, gross | 227 | 1,866 | |
Offsets against gross financing authority and disbursements: | ||||
Offsetting collections (collected) from: | ||||
4120 | Federal sources | –84 | –782 | |
Additional offsets against financing authority only (total): | ||||
4140 | Change in uncollected pymts, Fed sources, unexpired | –2,347 | 83 | |
|
|
|
||
4160 | Financing authority, net (mandatory) | 3,196 | 948 | |
4170 | Financing disbursements, net (mandatory) | 143 | 1,084 | |
4180 | Financing authority, net (total) | 3,196 | 948 | |
4190 | Financing disbursements, net (total) | 143 | 1,084 | |
|
Status of Direct Loans (in millions of dollars)
|
||||
Identification code 75–4418–0–3–551 | 2011 actual | 2012 est. | 2013 est. | |
|
||||
Position with respect to appropriations act limitation on obligations: | ||||
1131 | Direct loan obligations exempt from limitation | 5,625 | 1,625 | |
|
|
|
||
1150 | Total direct loan obligations | 5,625 | 1,625 | |
|
||||
Cumulative balance of direct loans outstanding: | ||||
1210 | Outstanding, start of year | 226 | ||
1231 | Disbursements: Direct loan disbursements | 225 | 1,844 | |
1251 | Repayments: Repayments and prepayments | |||
1261 | Adjustments: Capitalized interest | 1 | 4 | |
1263 | Write-offs for default: Direct loans | |||
|
|
|
||
1290 | Outstanding, end of year | 226 | 2,074 | |
|
As required by the Federal Credit Reform Act of 1990, this non-budgetary account records all cash flows to and from the Government resulting from direct loans obligated in 1992 and beyond (including modifications of direct loans that resulted from obligations in any year). The amounts in this account are a means of financing and are not included in the budget totals.
Special and Trust Fund Receipts (in millions of dollars)
|
||||
Identification code 75–8005–0–7–571 | 2011 actual | 2012 est. | 2013 est. | |
|
||||
0100 | Balance, start of year | 255,722 | 212,203 | 193,121 |
Adjustments: | ||||
0191 | Adjustment - to correct for prior budget entry | –1,254 | ||
|
|
|
||
0199 | Balance, start of year | 254,468 | 212,203 | 193,121 |
Receipts: | ||||
0200 | FHI Trust Fund, Transfers from General Fund (FICA Taxes) | 175,094 | 188,041 | 198,016 |
0201 | FHI Trust Fund, Transfers from General Fund (FICA Taxes) | 18 | 86 | |
0202 | FHI Trust Fund, Transfers from General Fund (FICA Taxes) | –72 | ||
0203 | FHI Trust Fund, Receipts from Railroad Retirement Board | 452 | 499 | 519 |
0204 | FHI Trust Fund, Transfers from General Fund (SECA Taxes) | 12,944 | 13,989 | 15,394 |
0205 | FHI Trust Fund, Civil Penalties and Damages | 578 | 630 | 675 |
0220 | FHI Trust Fund, Other Proprietary Interest from the Public | 2 | 2 | |
0221 | FHI Trust Fund, Basic Premium, Medicare Advantage | 222 | 222 | 225 |
0222 | FHI Trust Fund, Medicare Refunds | 5,176 | 5,700 | 5,800 |
0223 | FHI Trust Fund, Premiums Collected for Uninsured Individuals not Otherwise Eligible | 3,273 | 3,446 | 3,550 |
0224 | FHI Trust Fund, Premiums Collected for Uninsured Individuals not Otherwise Eligible | 2 | ||
0240 | FHI Trust Fund, Federal Employer Contributions (FICA) | 3,384 | 3,516 | 3,649 |
0241 | FHI Trust Fund, Postal Service Employer Contributions (FICA) | 641 | 583 | 590 |
0242 | FHI Trust Fund, Interest Received by Trust Funds | 12,877 | 11,304 | 10,019 |
0243 | FHI Trust Fund, Interest Received by Trust Funds | 2 | 23 | |
0244 | FHI Trust Fund, Taxation on OASDI Benefits | 15,143 | 18,443 | 20,811 |
0245 | FHI Trust Fund, Payment from the General Fund for Health Care Fraud and Abuse Control Account | 128 | 131 | 134 |
0246 | FHI Trust Fund, Transfers from General Fund (criminal Fines) | 1,196 | 1,045 | 1,126 |
0247 | FHI Trust Fund, Transfers from General Fund (civil Monetary Penalties) | 16 | 21 | 2 |
0248 | FHI Trust Fund, Transfers from General Fund (asset Forfeitures) | 22 | ||
0249 | FHI Trust Fund, Interest Payments by Railroad Retirement Board | 25 | 26 | 26 |
0250 | FHI Trust Fund, Payments from the General Fund (uninsured and Program Management) | 490 | 604 | 672 |
0251 | FHI Trust Fund, Payments from the General Fund (uninsured and Program Management) | 114 | ||
|
|
|
||
0299 | Total receipts and collections | 231,661 | 248,336 | 261,249 |
|
|
|
||
0400 | Total: Balances and collections | 486,129 | 460,539 | 454,370 |
Appropriations: | ||||
0500 | Federal Hospital Insurance Trust Fund | –2,299 | –2,185 | –2,327 |
0501 | Federal Hospital Insurance Trust Fund | 27 | ||
0502 | Federal Hospital Insurance Trust Fund | 5 | ||
0503 | Federal Hospital Insurance Trust Fund | –227,694 | –244,229 | –256,999 |
0504 | Federal Hospital Insurance Trust Fund | –42,424 | –19,619 | –24,346 |
0505 | Federal Hospital Insurance Trust Fund | 5 | ||
0506 | Federal Hospital Insurance Trust Fund | –2 | –23 | |
0507 | Federal Hospital Insurance Trust Fund | 2 | 23 | |
0508 | Federal Hospital Insurance Trust Fund | –18 | –88 | |
0509 | Federal Hospital Insurance Trust Fund | 18 | 1,108 | |
0510 | Federal Hospital Insurance Trust Fund | 1 | ||
0511 | Federal Hospital Insurance Trust Fund | 72 | ||
0512 | Federal Hospital Insurance Trust Fund | –972 | ||
0513 | Health Care Fraud and Abuse Control Account | –310 | –311 | –610 |
0514 | Health Care Fraud and Abuse Control Account | 1 | ||
0515 | Health Care Fraud and Abuse Control Account | –1,422 | –1,224 | –1,167 |
0516 | Health Care Fraud and Abuse Control Account | –272 | ||
0517 | Health Care Fraud and Abuse Control Account | 1 | ||
0518 | Health Care Fraud and Abuse Control Account | 414 | 551 | |
|
|
|
||
0599 | Total appropriations | –274,117 | –267,418 | –284,778 |
0610 | Federal Hospital Insurance Trust Fund | 2 | ||
0611 | Health Care Fraud and Abuse Control Account | 23 | ||
0620 | Federal Hospital Insurance Trust Fund | 142 | ||
0795 | Adjustment - for expired accounts, trust fund receipts returned | 24 | ||
|
|
|
||
0799 | Balance, end of year | 212,203 | 193,121 | 169,592 |
|
Program and Financing (in millions of dollars)
|
||||
Identification code 75–8005–0–7–571 | 2011 actual | 2012 est. | 2013 est. | |
|
||||
Obligations by program activity: | ||||
0001 | Benefit payments, HI | 267,607 | 262,334 | 279,982 |
0002 | HIT Incentive Payments | 1,621 | 950 | 860 |
0003 | Administration, HI | 2,681 | 2,392 | 2,528 |
0004 | Quality improvement organizations, HI | 833 | 352 | 302 |
|
|
|
||
0799 | Total direct obligations | 272,742 | 266,028 | 283,672 |
0812 | Reimbursable program activity | 1,811 | ||
|
|
|
||
0900 | Total new obligations | 274,553 | 266,028 | 283,672 |
|
||||
Budgetary Resources: | ||||
Unobligated balance: | ||||
1021 | Recoveries of prior year unpaid obligations | 501 | ||
1026 | Adjustment for change in allocation of trust fund limitation or foreign exchange valuation | –142 | ||
1029 | Other balances withdrawn | –2 | ||
|
|
|
||
1050 | Unobligated balance (total) | 357 | ||
Budget authority: | ||||
Appropriations, discretionary: | ||||
1101 | Appropriation (special or trust fund) | 2,299 | 2,185 | 2,327 |
1132 | Appropriations temporarily reduced | –27 | ||
1144 | Approp temporarily reduced (Sec 527, HR 2055) | –5 | ||
|
|
|
||
1160 | Appropriation, discretionary (total) | 2,272 | 2,180 | 2,327 |
Appropriations, mandatory: | ||||
1201 | Appropriation (special or trust fund) | 227,694 | 244,229 | 256,999 |
1203 | Appropriation (previously unavailable) | 42,424 | 19,619 | 24,346 |
1235 | Appropriations precluded from obligation | –5 | ||
|
|
|
||
1260 | Appropriations, mandatory (total) | 270,113 | 263,848 | 281,345 |
Spending authority from offsetting collections, mandatory: | ||||
1800 | Collected | 1,811 | ||
|
|
|
||
1850 | Spending auth from offsetting collections, mand (total) | 1,811 | ||
1900 | Budget authority (total) | 274,196 | 266,028 | 283,672 |
1930 | Total budgetary resources available | 274,553 | 266,028 | 283,672 |
Memorandum (non-add) entries: | ||||
Special and non-revolving trust funds: | ||||
1950 | Other balances withdrawn | 2 | ||
|
||||
Change in obligated balance: | ||||
Obligated balance, start of year (net): | ||||
3000 | Unpaid obligations, brought forward, Oct 1 (gross) | 23,423 | 32,195 | 31,887 |
3010 | Uncollected pymts, Fed sources, brought forward, Oct 1 | –1 | –1 | –1 |
|
|
|
||
3020 | Obligated balance, start of year (net) | 23,422 | 32,194 | 31,886 |
3030 | Obligations incurred, unexpired accounts | 274,553 | 266,028 | 283,672 |
3040 | Outlays (gross) | –265,280 | –266,336 | –283,733 |
3080 | Recoveries of prior year unpaid obligations, unexpired | –501 | ||
Obligated balance, end of year (net): | ||||
3090 | Unpaid obligations, end of year (gross) | 32,195 | 31,887 | 31,826 |
3091 | Uncollected pymts, Fed sources, end of year | –1 | –1 | –1 |
|
|
|
||
3100 | Obligated balance, end of year (net) | 32,194 | 31,886 | 31,825 |
|
||||
Budget authority and outlays, net: | ||||
Discretionary: | ||||
4000 | Budget authority, gross | 2,272 | 2,180 | 2,327 |
Outlays, gross: | ||||
4010 | Outlays from new discretionary authority | 1,663 | 1,734 | 1,801 |
4011 | Outlays from discretionary balances | 737 | 405 | 394 |
|
|
|
||
4020 | Outlays, gross (total) | 2,400 | 2,139 | 2,195 |
Mandatory: | ||||
4090 | Budget authority, gross | 271,924 | 263,848 | 281,345 |
Outlays, gross: | ||||
4100 | Outlays from new mandatory authority | 241,076 | 237,514 | 256,088 |
4101 | Outlays from mandatory balances | 21,804 | 26,683 | 25,450 |
|
|
|
||
4110 | Outlays, gross (total) | 262,880 | 264,197 | 281,538 |
Offsets against gross budget authority and outlays: | ||||
Offsetting collections (collected) from: | ||||
4120 | Federal sources | –1,811 | ||
4180 | Budget authority, net (total) | 272,385 | 266,028 | 283,672 |
4190 | Outlays, net (total) | 263,469 | 266,336 | 283,733 |
|
||||
Memorandum (non-add) entries: | ||||
5000 | Total investments, SOY: Federal securities: Par value | 279,475 | 245,939 | 226,320 |
5001 | Total investments, EOY: Federal securities: Par value | 245,939 | 226,320 | 201,974 |
|
Summary of Budget Authority and Outlays (in millions of dollars)
|
||||
2011 actual | 2012 est. | 2013 est. | ||
|
||||
Enacted/requested: | ||||
Budget Authority | 272,385 | 266,028 | 283,672 | |
Outlays | 263,469 | 266,336 | 283,733 | |
Amounts included in the adjusted baseline: | ||||
Budget Authority | 900 | |||
Outlays | 900 | |||
Legislative proposal, subject to PAYGO: | ||||
Budget Authority | –1,020 | |||
Outlays | –1,020 | |||
Increased funding for BBEDCA program integrity adjustments: | ||||
Budget Authority | –1 | |||
Outlays | –1 | |||
Total: | ||||
Budget Authority | 272,385 | 266,027 | 283,552 | |
Outlays | 263,469 | 266,335 | 283,613 | |
|
The Hospital Insurance (HI) program funds the costs of hospital and related care for individuals age 65 or older and for eligible disabled people.
The status of the trust fund is as follows. In addition, the Budget includes a package of proposals that improve Medicare's sustainability by promoting high-quality, efficient care; aligning payments with the costs of providing care; encouraging beneficiaries to seek high-value services; and reducing the Federal subsidy of Medicare costs for those beneficiaries who can most afford them.
Status of Funds (in millions of dollars)
|
||||
Identification code 75–8005–0–7–571 | 2011 actual | 2012 est. | 2013 est. | |
|
||||
Unexpended balance, start of year: | ||||
0100 | Balance, start of year | 280,119 | 245,698 | 226,314 |
Adjustments: | ||||
0190 | Adjustment - to correct for prior budget entry | –1,254 | ||
|
|
|
||
0199 | Total balance, start of year | 278,865 | 245,698 | 226,314 |
Cash income during the year: | ||||
Current law: | ||||
Receipts: | ||||
1200 | FHI Trust Fund, Transfers from General Fund (FICA Taxes) | 175,094 | 188,041 | 198,016 |
1202 | FHI Trust Fund, Transfers from General Fund (FICA Taxes) | –72 | ||
1203 | FHI Trust Fund, Receipts from Railroad Retirement Board | 452 | 499 | 519 |
1204 | FHI Trust Fund, Transfers from General Fund (SECA Taxes) | 12,944 | 13,989 | 15,394 |
1205 | FHI Trust Fund, Civil Penalties and Damages | 578 | 630 | 675 |
Offsetting receipts (proprietary): | ||||
1220 | FHI Trust Fund, Other Proprietary Interest from the Public | 2 | 2 | |
1221 | FHI Trust Fund, Basic Premium, Medicare Advantage | 222 | 222 | 225 |
1222 | FHI Trust Fund, Medicare Refunds | 5,176 | 5,700 | 5,800 |
1223 | FHI Trust Fund, Premiums Collected for Uninsured Individuals not Otherwise Eligible | 3,273 | 3,446 | 3,550 |
Offsetting receipts (intragovernmental): | ||||
1240 | FHI Trust Fund, Federal Employer Contributions (FICA) | 3,384 | 3,516 | 3,649 |
1241 | FHI Trust Fund, Postal Service Employer Contributions (FICA) | 641 | 583 | 590 |
1242 | FHI Trust Fund, Interest Received by Trust Funds | 12,877 | 11,304 | 10,019 |
1244 | FHI Trust Fund, Taxation on OASDI Benefits | 15,143 | 18,443 | 20,811 |
1245 | FHI Trust Fund, Payment from the General Fund for Health Care Fraud and Abuse Control Account | 128 | 131 | 134 |
1246 | FHI Trust Fund, Transfers from General Fund (criminal Fines) | 1,196 | 1,045 | 1,126 |
1247 | FHI Trust Fund, Transfers from General Fund (civil Monetary Penalties) | 16 | 21 | 2 |
1248 | FHI Trust Fund, Transfers from General Fund (asset Forfeitures) | 22 | ||
1249 | FHI Trust Fund, Interest Payments by Railroad Retirement Board | 25 | 26 | 26 |
1250 | FHI Trust Fund, Payments from the General Fund (uninsured and Program Management) | 490 | 604 | 672 |
Offsetting collections: | ||||
1280 | Federal Hospital Insurance Trust Fund | 1,811 | ||
1299 | Income under present law | 233,472 | 248,202 | 261,138 |
Proposed legislation: | ||||
Receipts: | ||||
2201 | FHI Trust Fund, Transfers from General Fund (FICA Taxes) | 18 | 86 | |
Offsetting receipts (proprietary receipts): | ||||
2224 | FHI Trust Fund, Premiums Collected for Uninsured Individuals not Otherwise Eligible | 2 | ||
Offsetting receipts (intragovernmental): | ||||
2243 | FHI Trust Fund, Interest Received by Trust Funds | 2 | 23 | |
2251 | FHI Trust Fund, Payments from the General Fund (uninsured and Program Management) | 114 | ||
2299 | Income under proposed legislation | 134 | 111 | |
|
|
|
||
3299 | Total cash income | 233,472 | 248,336 | 261,249 |
Cash outgo during year: | ||||
Current law: | ||||
4500 | Federal Hospital Insurance Trust Fund | –265,280 | –266,336 | –283,733 |
4500 | Health Care Fraud and Abuse Control Account | –900 | ||
4500 | Federal Hospital Insurance Trust Fund | –1,359 | –1,527 | –1,928 |
4500 | Health Care Fraud and Abuse Control Account | 413 | 551 | |
4599 | Outgo under current law (-) | –266,639 | –267,450 | –286,010 |
Proposed legislation: | ||||
5500 | Health Care Fraud and Abuse Control Account | –271 | ||
5500 | Federal Hospital Insurance Trust Fund | 1 | ||
5500 | Federal Hospital Insurance Trust Fund | 1,020 | ||
5599 | Outgo under proposed legislation (-) | –270 | 1,020 | |
|
|
|
||
6599 | Total cash outgo (-) | –266,639 | –267,720 | –284,990 |
Unexpended balance, end of year: | ||||
8700 | Uninvested balance (net), end of year | –241 | –6 | 599 |
8701 | Federal Hospital Insurance Trust Fund | 245,939 | 226,320 | 201,974 |
|
|
|
||
8799 | Total balance, end of year | 245,698 | 226,314 | 202,573 |
|
Object Classification (in millions of dollars)
|
||||
Identification code 75–8005–0–7–571 | 2011 actual | 2012 est. | 2013 est. | |
|
||||
Direct obligations: | ||||
41.0 | Payment for Quality Improvement Organization (QIO) activities | 833 | 352 | 302 |
42.0 | Insurance claims and indemnities (benefits) | 267,607 | 263,284 | 280,842 |
94.0 | Financial transfers | 4,302 | 2,392 | 2,528 |
|
|
|
||
99.0 | Direct obligations | 272,742 | 266,028 | 283,672 |
42.0 | Allocation Account - reimbursable: Insurance claims and indemnities | 1,811 | ||
|
|
|
||
99.9 | Total new obligations | 274,553 | 266,028 | 283,672 |
|
Program and Financing (in millions of dollars)
|
||||
Identification code 75–8005–7–7–571 | 2011 actual | 2012 est. | 2013 est. | |
|
||||
Obligations by program activity: | ||||
0001 | Benefit payments, HI | 900 | ||
|
|
|
||
0900 | Total new obligations (object class 42.0) | 900 | ||
|
||||
Budgetary Resources: | ||||
Budget authority: | ||||
Appropriations, mandatory: | ||||
1201 | Appropriation (special or trust fund) | –72 | ||
1203 | Appropriation (previously unavailable) | 972 | ||
|
|
|
||
1260 | Appropriations, mandatory (total) | 900 | ||
1900 | Budget authority (total) | 900 | ||
1930 | Total budgetary resources available | 900 | ||
|
||||
Change in obligated balance: | ||||
3030 | Obligations incurred, unexpired accounts | 900 | ||
3040 | Outlays (gross) | –900 | ||
|
||||
Budget authority and outlays, net: | ||||
Mandatory: | ||||
4090 | Budget authority, gross | 900 | ||
Outlays, gross: | ||||
4100 | Outlays from new mandatory authority | 900 | ||
Offsets against gross budget authority and outlays: | ||||
Offsetting collections (collected) from: | ||||
4180 | Budget authority, net (total) | 900 | ||
4190 | Outlays, net (total) | 900 | ||
|
Program and Financing (in millions of dollars)
|
||||
Identification code 75–8005–2–7–571 | 2011 actual | 2012 est. | 2013 est. | |
|
||||
Budgetary Resources: | ||||
Budget authority: | ||||
Appropriations, mandatory: | ||||
1201 | Appropriation (special or trust fund) | 2 | 23 | |
1203 | Appropriation (previously unavailable) | –2 | –23 | |
|
Program and Financing (in millions of dollars)
|
||||
Identification code 75–8005–4–7–571 | 2011 actual | 2012 est. | 2013 est. | |
|
||||
Obligations by program activity: | ||||
0001 | Benefit payments, HI | –1,020 | ||
|
|
|
||
0900 | Total new obligations (object class 42.0) | –1,020 | ||
|
||||
Budgetary Resources: | ||||
Budget authority: | ||||
Appropriations, mandatory: | ||||
1201 | Appropriation (special or trust fund) | 18 | 88 | |
1203 | Appropriation (previously unavailable) | –18 | –1,108 | |
|
|
|
||
1260 | Appropriations, mandatory (total) | –1,020 | ||
1930 | Total budgetary resources available | –1,020 | ||
|
||||
Change in obligated balance: | ||||
3030 | Obligations incurred, unexpired accounts | –1,020 | ||
3040 | Outlays (gross) | 1,020 | ||
|
||||
Budget authority and outlays, net: | ||||
Mandatory: | ||||
4090 | Budget authority, gross | –1,020 | ||
Outlays, gross: | ||||
4100 | Outlays from new mandatory authority | –1,020 | ||
4180 | Budget authority, net (total) | –1,020 | ||
4190 | Outlays, net (total) | –1,020 | ||
|
In addition to amounts otherwise available for program integrity and program management, [$310,377,000] $610,000,000, to remain available through September 30, [2013] 2014, to be transferred from the Federal Hospital Insurance Trust Fund and the Federal Supplementary Medical Insurance Trust Fund, as authorized by section 201(g) of the Social Security Act, of which [$219,879,000] $409,697,693 shall be for [the Medicare Integrity Program at] the Centers for Medicare and Medicaid Services Program Integrity Activities, including administrative costs, to conduct oversight activities for the Medicare program including, but not limited to, Medicare Advantage [under Part C] and the Medicare Prescription Drug Program [under Part D of the] authorized in title XVIII of the Social Security Act and for activities described in section 1893[(b)] of such Act and for Medicaid and Children's Health Insurance Program ("CHIP") program integrity activities, of which [$29,730,000] $102,499,971 shall be for the Department of Health and Human Services Office of Inspector General to carry out fraud and abuse activities authorized by section 1817(k)(3) of such Act, [of which $31,038,000 shall be for the Medicaid and Children's Health Insurance Program ("CHIP'') program integrity activities,] and of which [$29,730,000] $97,802,336 shall be for the Department of Justice to carry out fraud and abuse activities authorized by section 1817(k)(3) of such Act: Provided, That of the amount provided under this heading, $311,000,000 is provided to meet the terms of section 251(b)(2)(C)(ii) of the Balanced Budget and Emergency Deficit Control Act of 1985, as amended, and $299,000,000 is additional new budget authority specified for purposes of section 251(b)(2)(C) of such Act: Provided further, That the report required by section 1817(k)(5) of the Social Security Act for fiscal year [2012] 2013 shall include measures of the operational efficiency and impact on fraud, waste, and abuse in the Medicare, Medicaid, and CHIP programs for the funds provided by this appropriation. (Department of Health and Human Services Appropriations Act, 2012.)
Program and Financing (in millions of dollars)
|
||||
Identification code 75–8393–0–7–571 | 2011 actual | 2012 est. | 2013 est. | |
|
||||
Obligations by program activity: | ||||
0001 | Medicare integrity program | 822 | 863 | 866 |
0002 | FBI fraud and abuse control | 135 | 132 | 135 |
0003 | Other fraud and abuse control | 299 | 295 | 296 |
0004 | Predictive Modeling | 27 | ||
|
|
|
||
0091 | Total Mandatory | 1,283 | 1,290 | 1,297 |
0101 | CMS discretionary BASE | 229 | 250 | 410 |
0102 | Other discretionary BASE | 88 | 60 | 200 |
|
|
|
||
0191 | Total Discretionary | 317 | 310 | 610 |
|
|
|
||
0900 | Total new obligations | 1,600 | 1,600 | 1,907 |
|
||||
Budgetary Resources: | ||||
Unobligated balance: | ||||
1000 | Unobligated balance brought forward, Oct 1 | 65 | 241 | 175 |
1021 | Recoveries of prior year unpaid obligations | 46 | ||
|
|
|
||
1050 | Unobligated balance (total) | 111 | 241 | 175 |
Budget authority: | ||||
Appropriations, discretionary: | ||||
1101 | Appropriation (special or trust fund) | 310 | 311 | 610 |
1144 | Approp temporarily reduced (Sec 527, HR 2055) | –1 | ||
|
|
|
||
1160 | Appropriation, discretionary (total) | 310 | 310 | 610 |
Appropriations, mandatory: | ||||
1201 | Appropriation (special or trust fund) | 1,422 | 1,224 | 1,167 |
|
|
|
||
1260 | Appropriations, mandatory (total) | 1,422 | 1,224 | 1,167 |
1900 | Budget authority (total) | 1,732 | 1,534 | 1,777 |
1930 | Total budgetary resources available | 1,843 | 1,775 | 1,952 |
Memorandum (non-add) entries: | ||||
1940 | Unobligated balance expiring | –2 | ||
1941 | Unexpired unobligated balance, end of year | 241 | 175 | 45 |
Special and non-revolving trust funds: | ||||
1951 | Unobligated balance expiring | 2 | ||
1952 | Expired unobligated balance, start of year | 36 | 41 | 41 |
1953 | Expired unobligated balance, end of year | 39 | 41 | 41 |
1954 | Unobligated balance canceling | 23 | ||
|
||||
Change in obligated balance: | ||||
Obligated balance, start of year (net): | ||||
3000 | Unpaid obligations, brought forward, Oct 1 (gross) | 873 | 1,018 | 1,091 |
3030 | Obligations incurred, unexpired accounts | 1,600 | 1,600 | 1,907 |
3031 | Obligations incurred, expired accounts | 6 | ||
3040 | Outlays (gross) | –1,359 | –1,527 | –1,928 |
3080 | Recoveries of prior year unpaid obligations, unexpired | –46 | ||
3081 | Recoveries of prior year unpaid obligations, expired | –56 | ||
Obligated balance, end of year (net): | ||||
3090 | Unpaid obligations, end of year (gross) | 1,018 | 1,091 | 1,070 |
|
|
|
||
3100 | Obligated balance, end of year (net) | 1,018 | 1,091 | 1,070 |
|
||||
Budget authority and outlays, net: | ||||
Discretionary: | ||||
4000 | Budget authority, gross | 310 | 310 | 610 |
Outlays, gross: | ||||
4010 | Outlays from new discretionary authority | 44 | 310 | 610 |
4011 | Outlays from discretionary balances | 178 | ||
|
|
|
||
4020 | Outlays, gross (total) | 222 | 310 | 610 |
Mandatory: | ||||
4090 | Budget authority, gross | 1,422 | 1,224 | 1,167 |
Outlays, gross: | ||||
4100 | Outlays from new mandatory authority | 747 | 831 | 764 |
4101 | Outlays from mandatory balances | 390 | 386 | 554 |
|
|
|
||
4110 | Outlays, gross (total) | 1,137 | 1,217 | 1,318 |
4180 | Budget authority, net (total) | 1,732 | 1,534 | 1,777 |
4190 | Outlays, net (total) | 1,359 | 1,527 | 1,928 |
|
Summary of Budget Authority and Outlays (in millions of dollars)
|
||||
2011 actual | 2012 est. | 2013 est. | ||
|
||||
Enacted/requested: | ||||
Budget Authority | 1,732 | 1,534 | 1,777 | |
Outlays | 1,359 | 1,527 | 1,928 | |
Amounts included in the adjusted baseline: | ||||
Budget Authority | –414 | –551 | ||
Outlays | –413 | –551 | ||
Increased funding for BBEDCA program integrity adjustments: | ||||
Budget Authority | 271 | |||
Outlays | 271 | |||
Total: | ||||
Budget Authority | 1,732 | 1,391 | 1,226 | |
Outlays | 1,359 | 1,385 | 1,377 | |
|
P.L. 104–191 established the Health Care Fraud and Abuse Control (HCFAC) account within the Federal Hospital Insurance Trust Fund and appropriated funds, from the Trust Fund to the HCFAC account for specified health care fraud and abuse control activities of the Department of Health and Human Services (HHS), the Department of Justice, and other agencies.
The Budget includes a discretionary request for efforts to safeguard Medicare, Medicaid, and CHIP that will supplement the mandatory funds made available by P.L. 104–191 and subsequent Acts. The 2013 discretionary investment is a part of a multi-year fraud and abuse plan specified for 2012 through 2021 in the Balanced Budget and Emergency Deficit Control Act (BBEDCA) of 1985, as amended by the Budget Control Act of 2011. In 2013, the BBEDCA exempts up to $299 million from the new discretionary caps. This exemption is only permissible if the base level of $311 million is fully funded and the use of these funds is clearly restricted to the specified purposes. This Budget assumes that in each year both the base level and the cap adjustments are funded at the maximum levels allowed by section 251(b)(2)(C) of BBEDCA. See additional discussion in the Budget Process chapter in the Analytical Perspectives volume.
The HCFAC entities will develop a comprehensive plan for Medicare, Medicaid, and CHIP program integrity activities. The plan will indicate how program integrity appropriations from all sources will be allocated to address program integrity priorities. These priorities include fraud prevention, reducing the improper payment rate, identifying and recouping excessive payments, pinpointing potential weaknesses in program integrity oversight, and establishing new processes and safeguards to correct programmatic vulnerabilities.
Object Classification (in millions of dollars)
|
||||
Identification code 75–8393–0–7–571 | 2011 actual | 2012 est. | 2013 est. | |
|
||||
Direct obligations: | ||||
11.1 | Personnel compensation: Full-time permanent (CMS) | 11 | 38 | 38 |
12.1 | Civilian personnel benefits (CMS) | 2 | 8 | 8 |
23.3 | Communications, utilities, and miscellaneous charges | 2 | 8 | 8 |
25.1 | Advisory and assistance services (predictive modeling) | 27 | ||
25.2 | Other services (CMS/Medicaid) | 17 | 45 | 47 |
25.3 | Other purchases of goods and services from Government accounts (HHS/DOJ) | 109 | 91 | 159 |
25.3 | Other purchases of goods and services from Government accounts (HHS/OIG) | 244 | 226 | 299 |
25.3 | Other purchases of goods and services from Government accounts (HHS/AoA) | 4 | 13 | |
25.3 | Other purchases of goods and services from Government accounts (HHS/OGC) | 9 | 9 | |
25.3 | Other goods and services from Federal sources (HHS/CMS) | 2 | 2 | 2 |
25.3 | Other goods and services from Government accounts (HHS/FDA) | 4 | 2 | |
25.3 | Other goods and services from Government accounts (HHS/ASPA) | 1 | ||
25.6 | Medical care (CMS) | 1,033 | 1,026 | 1,211 |
94.0 | Financial transfers (FBI) | 135 | 132 | 135 |
|
|
|
||
99.9 | Total new obligations | 1,600 | 1,600 | 1,907 |
|
Employment Summary
|
||||
Identification code 75–8393–0–7–571 | 2011 actual | 2012 est. | 2013 est. | |
|
||||
1001 | Direct civilian full-time equivalent employment | 162 | 325 | 360 |
|
Program and Financing (in millions of dollars)
|
||||
Identification code 75–8393–7–7–571 | 2011 actual | 2012 est. | 2013 est. | |
|
||||
Budgetary Resources: | ||||
Unobligated balance: | ||||
1000 | Unobligated balance brought forward, Oct 1 | –414 | ||
Budget authority: | ||||
Appropriations, mandatory: | ||||
1201 | Appropriation (special or trust fund) | –414 | –551 | |
|
|
|
||
1260 | Appropriations, mandatory (total) | –414 | –551 | |
1900 | Budget authority (total) | –414 | –551 | |
1930 | Total budgetary resources available | –414 | –965 | |
Memorandum (non-add) entries: | ||||
1941 | Unexpired unobligated balance, end of year | –414 | –965 | |
|
||||
Change in obligated balance: | ||||
Obligated balance, start of year (net): | ||||
3000 | Unpaid obligations, brought forward, Oct 1 (gross) | 413 | ||
3040 | Outlays (gross) | 413 | 551 | |
Obligated balance, end of year (net): | ||||
3090 | Unpaid obligations, end of year (gross) | 413 | 964 | |
|
|
|
||
3100 | Obligated balance, end of year (net) | 413 | 964 | |
|
||||
Budget authority and outlays, net: | ||||
Mandatory: | ||||
4090 | Budget authority, gross | –414 | –551 | |
Outlays, gross: | ||||
4100 | Outlays from new mandatory authority | –413 | –551 | |
4180 | Budget authority, net (total) | –414 | –551 | |
4190 | Outlays, net (total) | –413 | –551 | |
|
The Balanced Budget and Emergency Deficit Control Act (BBEDCA) of 1985, as amended, exempts up to $299 million in 2013 from the discretionary caps enacted in the Act. Funding the discretionary cap up to the adjustment level permitted by the BBEDCA is estimated to achieve an additional $450 million in savings.
Special and Trust Fund Receipts (in millions of dollars)
|
||||
Identification code 75–8004–0–7–571 | 2011 actual | 2012 est. | 2013 est. | |
|
||||
0100 | Balance, start of year | 45,630 | 42,930 | 37,621 |
Receipts: | ||||
0200 | Fee on Branded Prescription Pharmaceutical Manufacturers and Importers, SMI | 1,876 | 2,944 | 2,800 |
0220 | Other Proprietary Interest from the Public, FSMI Fund | 2 | 3 | 3 |
0221 | Premiums Collected for Medicare Prescription Drug Account, FSMI | 2,631 | 3,126 | 4,004 |
0222 | Premiums Collected for Medicare Prescription Drug Account, FSMI | 78 | ||
0223 | Payments from States, Medicare Prescription Drug Account, FSMI | 6,536 | 8,047 | 8,795 |
0224 | Payments from States, Medicare Prescription Drug Account, FSMI | 190 | ||
0225 | Basic Premium, Medicare Advantage, FSMI Trust Fund | 197 | 211 | 215 |
0226 | Medicare Refunds, SMI | 4,637 | 4,300 | 4,400 |
0227 | Premiums Collected for the Aged, FSMI Fund | 47,277 | 48,977 | 53,326 |
0228 | Premiums Collected for the Aged, FSMI Fund | 1,409 | ||
0229 | Manufacturer Rebates | 5,870 | ||
0230 | Premiums Collected for the Disabled, FSMI Fund | 9,750 | 9,367 | 10,243 |
0231 | Premiums Collected for the Disabled, FSMI Fund | 270 | ||
0240 | Federal Contributions, FSMI Fund | 168,849 | 167,184 | 189,520 |
0241 | Federal Contributions, FSMI Fund | –15 | ||
0242 | Federal Contributions, FSMI Fund | 4,514 | ||
0243 | Interest Received by Trust Fund, FSMI Fund | 3,221 | 3,288 | 3,535 |
0244 | Interest Received by Trust Fund, FSMI Fund | –342 | –974 | |
0245 | Interest, Medicare Prescription Drug Account, FSMI | 10 | 9 | 10 |
0246 | Federal Contribution for Admin. Contribution for Admin. Costs, Prescription Drug Account, FSMI | 400 | 405 | 424 |
0247 | Federal Contributions for Benefits, Prescription Drug Account, SMI | 55,929 | 47,282 | 60,744 |
0248 | Federal Contributions for Benefits, Prescription Drug Account, SMI | –4,550 | ||
0249 | Miscellaneous Federal Payments, Federal Supplementary Medical Insurance Trust Fund | 1 | 1 | 1 |
|
|
|
||
0299 | Total receipts and collections | 301,316 | 294,802 | 344,812 |
|
|
|
||
0400 | Total: Balances and collections | 346,946 | 337,732 | 382,433 |
Appropriations: | ||||
0500 | Federal Supplementary Medical Insurance Trust Fund | –3,051 | –3,432 | –4,175 |
0501 | Federal Supplementary Medical Insurance Trust Fund | 32 | ||
0502 | Federal Supplementary Medical Insurance Trust Fund | 6 | ||
0503 | Federal Supplementary Medical Insurance Trust Fund | –230,483 | –233,528 | –259,914 |
0504 | Federal Supplementary Medical Insurance Trust Fund | –2,802 | ||
0505 | Federal Supplementary Medical Insurance Trust Fund | 4,485 | 22,770 | |
0506 | Federal Supplementary Medical Insurance Trust Fund | 4,565 | ||
0507 | Federal Supplementary Medical Insurance Trust Fund | –215 | –5,260 | |
0508 | Federal Supplementary Medical Insurance Trust Fund | –4,550 | ||
0509 | Federal Supplementary Medical Insurance Trust Fund | 4,580 | ||
0510 | Federal Supplementary Medical Insurance Trust Fund | 342 | –5,220 | |
0511 | Federal Supplementary Medical Insurance Trust Fund | –9,579 | –21,205 | |
0512 | Medicare Prescription Drug Account, Federal Supplementary Insurance Trust Fund | –402 | –397 | –418 |
0513 | Medicare Prescription Drug Account, Federal Supplementary Insurance Trust Fund | 1 | ||
0514 | Medicare Prescription Drug Account, Federal Supplementary Insurance Trust Fund | –67,454 | –57,794 | –73,512 |
0515 | Medicare Prescription Drug Account, Federal Supplementary Insurance Trust Fund | –1,588 | ||
|
|
|
||
0599 | Total appropriations | –304,160 | –300,111 | –343,927 |
0610 | Federal Supplementary Medical Insurance Trust Fund | 1 | ||
0620 | Federal Supplementary Medical Insurance Trust Fund | 150 | ||
0795 | Adjustment - for expired accounts, trust fund receipts withdrawn | –7 | ||
|
|
|
||
0799 | Balance, end of year | 42,930 | 37,621 | 38,506 |
|
Program and Financing (in millions of dollars)
|
||||
Identification code 75–8004–0–7–571 | 2011 actual | 2012 est. | 2013 est. | |
|
||||
Obligations by program activity: | ||||
0001 | Benefit payments, SMI | 231,760 | 227,880 | 236,075 |
0002 | Transfer to Medicaid for payment of SMI premiums | 703 | 320 | |
0003 | HIT Incentive Payments | 490 | 690 | 930 |
0004 | Administration, SMI | 3,361 | 3,491 | 4,238 |
0005 | Quality Improvement Organizations, SMI | 186 | 88 | 76 |
|
|
|
||
0799 | Total direct obligations | 236,500 | 232,469 | 241,319 |
0801 | Reimbursable program activity | 11 | ||
|
|
|
||
0900 | Total new obligations | 236,511 | 232,469 | 241,319 |
|
||||
Budgetary Resources: | ||||
Unobligated balance: | ||||
1021 | Recoveries of prior year unpaid obligations | 347 | ||
1026 | Adjustment for change in allocation of trust fund limitation or foreign exchange valuation | –150 | ||
1029 | Other balances withdrawn | –1 | ||
|
|
|
||
1050 | Unobligated balance (total) | 196 | ||
Budget authority: | ||||
Appropriations, discretionary: | ||||
1101 | Appropriation (special or trust fund) | 3,051 | 3,432 | 4,175 |
1132 | Appropriations temporarily reduced | –32 | ||
1144 | Approp temporarily reduced (Sec 527, HR 2055) | –6 | ||
|
|
|
||
1160 | Appropriation, discretionary (total) | 3,019 | 3,426 | 4,175 |
Appropriations, mandatory: | ||||
1201 | Appropriation (special or trust fund) | 230,483 | 233,528 | 259,914 |
1203 | Appropriation (previously unavailable) | 2,802 | ||
1235 | Appropriations precluded from obligation | –4,485 | –22,770 | |
|
|
|
||
1260 | Appropriations, mandatory (total) | 233,285 | 229,043 | 237,144 |
Spending authority from offsetting collections, mandatory: | ||||
1800 | Collected | 11 | ||
|
|
|
||
1850 | Spending auth from offsetting collections, mand (total) | 11 | ||
1900 | Budget authority (total) | 236,315 | 232,469 | 241,319 |
1930 | Total budgetary resources available | 236,511 | 232,469 | 241,319 |
Memorandum (non-add) entries: | ||||
Special and non-revolving trust funds: | ||||
1950 | Other balances withdrawn | 1 | ||
|
||||
Change in obligated balance: | ||||
Obligated balance, start of year (net): | ||||
3000 | Unpaid obligations, brought forward, Oct 1 (gross) | 22,184 | 24,063 | 24,023 |
3030 | Obligations incurred, unexpired accounts | 236,511 | 232,469 | 241,319 |
3040 | Outlays (gross) | –234,285 | –232,509 | –241,007 |
3080 | Recoveries of prior year unpaid obligations, unexpired | –347 | ||
Obligated balance, end of year (net): | ||||
3090 | Unpaid obligations, end of year (gross) | 24,063 | 24,023 | 24,335 |
|
|
|
||
3100 | Obligated balance, end of year (net) | 24,063 | 24,023 | 24,335 |
|
||||
Budget authority and outlays, net: | ||||
Discretionary: | ||||
4000 | Budget authority, gross | 3,019 | 3,426 | 4,175 |
Outlays, gross: | ||||
4010 | Outlays from new discretionary authority | 1,704 | 2,326 | 2,728 |
4011 | Outlays from discretionary balances | 1,007 | 994 | 1,033 |
|
|
|
||
4020 | Outlays, gross (total) | 2,711 | 3,320 | 3,761 |
Mandatory: | ||||
4090 | Budget authority, gross | 233,296 | 229,043 | 237,144 |
Outlays, gross: | ||||
4100 | Outlays from new mandatory authority | 209,811 | 207,468 | 214,076 |
4101 | Outlays from mandatory balances | 21,763 | 21,721 | 23,170 |
|
|
|
||
4110 | Outlays, gross (total) | 231,574 | 229,189 | 237,246 |
Offsets against gross budget authority and outlays: | ||||
Offsetting collections (collected) from: | ||||
4120 | Federal sources | –11 | ||
4180 | Budget authority, net (total) | 236,304 | 232,469 | 241,319 |
4190 | Outlays, net (total) | 234,274 | 232,509 | 241,007 |
|
||||
Memorandum (non-add) entries: | ||||
5000 | Total investments, SOY: Federal securities: Par value | 70,982 | 70,446 | 66,500 |
5001 | Total investments, EOY: Federal securities: Par value | 70,446 | 66,500 | 67,635 |
|
Summary of Budget Authority and Outlays (in millions of dollars)
|
||||
2011 actual | 2012 est. | 2013 est. | ||
|
||||
Enacted/requested: | ||||
Budget Authority | 236,304 | 232,469 | 241,319 | |
Outlays | 234,274 | 232,509 | 241,007 | |
Amounts included in the adjusted baseline: | ||||
Budget Authority | 9,237 | 26,425 | ||
Outlays | 9,237 | 26,425 | ||
Legislative proposal, not subject to PAYGO: | ||||
Budget Authority | 215 | 695 | ||
Outlays | 215 | 695 | ||
Legislative proposal, subject to PAYGO: | ||||
Budget Authority | –30 | |||
Outlays | –30 | |||
Total: | ||||
Budget Authority | 236,304 | 241,921 | 268,409 | |
Outlays | 234,274 | 241,961 | 268,097 | |
|
The Supplementary Medical Insurance (SMI) program is a voluntary program that affords protection against the costs of physician and certain other medical services. The program also covers treatment of end-stage renal disease for eligible enrollees. SMI costs are generally financed by premium payments from enrollees and contributions from the general revenues.
The status of the trust fund is as follows. In addition, the Budget includes a package of proposals that improve Medicare's sustainability by promoting high-quality, efficient care; aligning payments with the costs of providing care; encouraging beneficiaries to seek high-value services; and reducing the Federal subsidy of Medicare costs for those beneficiaries who can most afford them.
Status of Funds (in millions of dollars)
|
||||
Identification code 75–8004–0–7–571 | 2011 actual | 2012 est. | 2013 est. | |
|
||||
Unexpended balance, start of year: | ||||
0100 | Balance, start of year | 71,977 | 72,780 | 67,422 |
Adjustments: | ||||
0190 | Adjustment - rounding | –1 | ||
|
|
|
||
0199 | Total balance, start of year | 71,976 | 72,780 | 67,422 |
Cash income during the year: | ||||
Current law: | ||||
Receipts: | ||||
1200 | Fee on Branded Prescription Pharmaceutical Manufacturers and Importers, SMI | 1,876 | 2,944 | 2,800 |
Offsetting receipts (proprietary): | ||||
1220 | Other Proprietary Interest from the Public, FSMI Fund | 2 | 3 | 3 |
1221 | Premiums Collected for Medicare Prescription Drug Account, FSMI | 2,631 | 3,126 | 4,004 |
1223 | Payments from States, Medicare Prescription Drug Account, FSMI | 6,536 | 8,047 | 8,795 |
1225 | Basic Premium, Medicare Advantage, FSMI Trust Fund | 197 | 211 | 215 |
1226 | Medicare Refunds, SMI | 4,637 | 4,300 | 4,400 |
1227 | Premiums Collected for the Aged, FSMI Fund | 47,277 | 48,977 | 53,326 |
1228 | Premiums Collected for the Aged, FSMI Fund | 1,409 | ||
1230 | Premiums Collected for the Disabled, FSMI Fund | 9,750 | 9,367 | 10,243 |
1231 | Premiums Collected for the Disabled, FSMI Fund | 270 | ||
Offsetting receipts (intragovernmental): | ||||
1240 | Federal Contributions, FSMI Fund | 168,849 | 167,184 | 189,520 |
1242 | Federal Contributions, FSMI Fund | 4,514 | ||
1243 | Interest Received by Trust Fund, FSMI Fund | 3,221 | 3,288 | 3,535 |
1244 | Interest Received by Trust Fund, FSMI Fund | –342 | –974 | |
1245 | Interest, Medicare Prescription Drug Account, FSMI | 10 | 9 | 10 |
1246 | Federal Contribution for Admin. Contribution for Admin. Costs, Prescription Drug Account, FSMI | 400 | 405 | 424 |
1247 | Federal Contributions for Benefits, Prescription Drug Account, SMI | 55,929 | 47,282 | 60,744 |
1249 | Miscellaneous Federal Payments, Federal Supplementary Medical Insurance Trust Fund | 1 | 1 | 1 |
Offsetting collections: | ||||
1280 | Federal Supplementary Medical Insurance Trust Fund | 11 | ||
1281 | Medicare Prescription Drug Account, Federal Supplementary Insurance Trust Fund | 1,612 | ||
1299 | Income under present law | 302,939 | 294,802 | 343,239 |
Proposed legislation: | ||||
Offsetting receipts (proprietary receipts): | ||||
2222 | Premiums Collected for Medicare Prescription Drug Account, FSMI | 78 | ||
2224 | Payments from States, Medicare Prescription Drug Account, FSMI | 190 | ||
2229 | Manufacturer Rebates | 5,870 | ||
Offsetting receipts (intragovernmental): | ||||
2241 | Federal Contributions, FSMI Fund | –15 | ||
2248 | Federal Contributions for Benefits, Prescription Drug Account, SMI | –4,550 | ||
2299 | Income under proposed legislation | 1,573 | ||
|
|
|
||
3299 | Total cash income | 302,939 | 294,802 | 344,812 |
Cash outgo during year: | ||||
Current law: | ||||
4500 | Federal Supplementary Medical Insurance Trust Fund | –234,285 | –232,509 | –241,007 |
4500 | Medicare Prescription Drug Account, Federal Supplementary Insurance Trust Fund | –9,237 | –26,425 | |
4500 | Federal Supplementary Medical Insurance Trust Fund | –67,850 | –58,199 | –73,930 |
4599 | Outgo under current law (-) | –302,135 | –299,945 | –341,362 |
Proposed legislation: | ||||
5500 | Medicare Prescription Drug Account, Federal Supplementary Insurance Trust Fund | –1,588 | ||
5500 | Federal Supplementary Medical Insurance Trust Fund | –215 | –695 | |
5500 | Federal Supplementary Medical Insurance Trust Fund | 30 | ||
5599 | Outgo under proposed legislation (-) | –215 | –2,253 | |
|
|
|
||
6599 | Total cash outgo (-) | –302,135 | –300,160 | –343,615 |
Unexpended balance, end of year: | ||||
8700 | Uninvested balance (net), end of year | 2,334 | 922 | 984 |
8701 | Federal Supplementary Medical Insurance Trust Fund | 70,446 | 66,500 | 67,635 |
|
|
|
||
8799 | Total balance, end of year | 72,780 | 67,422 | 68,619 |
|
Object Classification (in millions of dollars)
|
||||
Identification code 75–8004–0–7–571 | 2011 actual | 2012 est. | 2013 est. | |
|
||||
Direct obligations: | ||||
41.0 | Payment for Quality Improvement Organization (QIO) activity | 186 | 88 | 76 |
42.0 | Insurance claims and indemnities | 232,953 | 228,890 | 237,005 |
94.0 | Financial transfers | 3,361 | 3,491 | 4,238 |
|
|
|
||
99.0 | Direct obligations | 236,500 | 232,469 | 241,319 |
42.0 | Allocation Account - reimbursable: Insurance claims and indemnities | 11 | ||
|
|
|
||
99.9 | Total new obligations | 236,511 | 232,469 | 241,319 |
|
Program and Financing (in millions of dollars)
|
||||
Identification code 75–8004–7–7–571 | 2011 actual | 2012 est. | 2013 est. | |
|
||||
Obligations by program activity: | ||||
0001 | Benefits | 9,237 | 26,425 | |
|
|
|
||
0900 | Total new obligations (object class 42.0) | 9,237 | 26,425 | |
|
||||
Budgetary Resources: | ||||
Budget authority: | ||||
Appropriations, mandatory: | ||||
1201 | Appropriation (special or trust fund) | –342 | 5,220 | |
1235 | Appropriations precluded from obligation | 9,579 | 21,205 | |
|
|
|
||
1260 | Appropriations, mandatory (total) | 9,237 | 26,425 | |
1900 | Budget authority (total) | 9,237 | 26,425 | |
1930 | Total budgetary resources available | 9,237 | 26,425 | |
|
||||
Change in obligated balance: | ||||
3030 | Obligations incurred, unexpired accounts | 9,237 | 26,425 | |
3040 | Outlays (gross) | –9,237 | –26,425 | |
|
||||
Budget authority and outlays, net: | ||||
Mandatory: | ||||
4090 | Budget authority, gross | 9,237 | 26,425 | |
Outlays, gross: | ||||
4100 | Outlays from new mandatory authority | 9,237 | 26,425 | |
Offsets against gross budget authority and outlays: | ||||
Offsetting collections (collected) from: | ||||
4180 | Budget authority, net (total) | 9,237 | 26,425 | |
4190 | Outlays, net (total) | 9,237 | 26,425 | |
|
Program and Financing (in millions of dollars)
|
||||
Identification code 75–8004–2–7–571 | 2011 actual | 2012 est. | 2013 est. | |
|
||||
Obligations by program activity: | ||||
0002 | Transfer to Medicaid for payment of SMI premiums | 215 | 695 | |
|
|
|
||
0900 | Total new obligations (object class 42.0) | 215 | 695 | |
|
||||
Budgetary Resources: | ||||
Budget authority: | ||||
Appropriations, mandatory: | ||||
1201 | Appropriation (special or trust fund) | –4,565 | ||
1235 | Appropriations precluded from obligation | 215 | 5,260 | |
|
|
|
||
1260 | Appropriations, mandatory (total) | 215 | 695 | |
1900 | Budget authority (total) | 215 | 695 | |
1930 | Total budgetary resources available | 215 | 695 | |
|
||||
Change in obligated balance: | ||||
3030 | Obligations incurred, unexpired accounts | 215 | 695 | |
3040 | Outlays (gross) | –215 | –695 | |
|
||||
Budget authority and outlays, net: | ||||
Mandatory: | ||||
4090 | Budget authority, gross | 215 | 695 | |
Outlays, gross: | ||||
4100 | Outlays from new mandatory authority | 215 | 695 | |
4180 | Budget authority, net (total) | 215 | 695 | |
4190 | Outlays, net (total) | 215 | 695 | |
|
Program and Financing (in millions of dollars)
|
||||
Identification code 75–8004–4–7–571 | 2011 actual | 2012 est. | 2013 est. | |
|
||||
Obligations by program activity: | ||||
0001 | Benefit payments, SMI | –30 | ||
|
|
|
||
0900 | Total new obligations (object class 42.0) | –30 | ||
|
||||
Budgetary Resources: | ||||
Budget authority: | ||||
Appropriations, mandatory: | ||||
1201 | Appropriation (special or trust fund) | 4,550 | ||
1235 | Appropriations precluded from obligation | –4,580 | ||
|
|
|
||
1260 | Appropriations, mandatory (total) | –30 | ||
1900 | Budget authority (total) | –30 | ||
1930 | Total budgetary resources available | –30 | ||
|
||||
Change in obligated balance: | ||||
3030 | Obligations incurred, unexpired accounts | –30 | ||
3040 | Outlays (gross) | 30 | ||
|
||||
Budget authority and outlays, net: | ||||
Mandatory: | ||||
4090 | Budget authority, gross | –30 | ||
Outlays, gross: | ||||
4100 | Outlays from new mandatory authority | –30 | ||
4180 | Budget authority, net (total) | –30 | ||
4190 | Outlays, net (total) | –30 | ||
|
Program and Financing (in millions of dollars)
|
||||
Identification code 75–8308–0–7–571 | 2011 actual | 2012 est. | 2013 est. | |
|
||||
Obligations by program activity: | ||||
0001 | Prescription Drug Benefits | 67,673 | 57,789 | 73,507 |
0002 | Administrative Costs | 268 | 401 | 423 |
|
|
|
||
0799 | Total direct obligations | 67,941 | 58,190 | 73,930 |
0801 | Reimbursable program (Prescription Drug Benefits) | 1,612 | ||
|
|
|
||
0900 | Total new obligations | 69,553 | 58,190 | 73,930 |
|
||||
Budgetary Resources: | ||||
Unobligated balance: | ||||
1021 | Recoveries of prior year unpaid obligations | 221 | ||
|
|
|
||
1050 | Unobligated balance (total) | 221 | ||
Budget authority: | ||||
Appropriations, discretionary: | ||||
1101 | Appropriation (special or trust fund) | 402 | 397 | 418 |
1144 | Approp temporarily reduced (Sec 527, HR 2055) | –1 | ||
|
|
|
||
1160 | Appropriation, discretionary (total) | 402 | 396 | 418 |
Appropriations, mandatory: | ||||
1201 | Appropriation (special or trust fund) | 67,454 | 57,794 | 73,512 |
|
|
|
||
1260 | Appropriations, mandatory (total) | 67,454 | 57,794 | 73,512 |
Spending authority from offsetting collections, mandatory: | ||||
1800 | Collected | 1,612 | ||
|
|
|
||
1850 | Spending auth from offsetting collections, mand (total) | 1,612 | ||
1900 | Budget authority (total) | 69,468 | 58,190 | 73,930 |
1930 | Total budgetary resources available | 69,689 | 58,190 | 73,930 |
Memorandum (non-add) entries: | ||||
1940 | Unobligated balance expiring | –136 | ||
Special and non-revolving trust funds: | ||||
1951 | Unobligated balance expiring | 136 | ||
1952 | Expired unobligated balance, start of year | 536 | 572 | 571 |
1953 | Expired unobligated balance, end of year | 436 | 571 | 571 |
|
||||
Change in obligated balance: | ||||
Obligated balance, start of year (net): | ||||
3000 | Unpaid obligations, brought forward, Oct 1 (gross) | 3,626 | 5,216 | 5,207 |
3030 | Obligations incurred, unexpired accounts | 69,553 | 58,190 | 73,930 |
3031 | Obligations incurred, expired accounts | 151 | ||
3040 | Outlays (gross) | –67,850 | –58,199 | –73,930 |
3080 | Recoveries of prior year unpaid obligations, unexpired | –221 | ||
3081 | Recoveries of prior year unpaid obligations, expired | –43 | ||
Obligated balance, end of year (net): | ||||
3090 | Unpaid obligations, end of year (gross) | 5,216 | 5,207 | 5,207 |
|
|
|
||
3100 | Obligated balance, end of year (net) | 5,216 | 5,207 | 5,207 |
|
||||
Budget authority and outlays, net: | ||||
Discretionary: | ||||
4000 | Budget authority, gross | 402 | 396 | 418 |
Outlays, gross: | ||||
4010 | Outlays from new discretionary authority | 254 | 310 | 321 |
4011 | Outlays from discretionary balances | 144 | 81 | 78 |
|
|
|
||
4020 | Outlays, gross (total) | 398 | 391 | 399 |
Mandatory: | ||||
4090 | Budget authority, gross | 69,066 | 57,794 | 73,512 |
Outlays, gross: | ||||
4100 | Outlays from new mandatory authority | 65,840 | 52,955 | 69,912 |
4101 | Outlays from mandatory balances | 1,612 | 4,853 | 3,619 |
|
|
|
||
4110 | Outlays, gross (total) | 67,452 | 57,808 | 73,531 |
Offsets against gross budget authority and outlays: | ||||
Offsetting collections (collected) from: | ||||
4120 | Federal sources | –1,612 | ||
4180 | Budget authority, net (total) | 67,856 | 58,190 | 73,930 |
4190 | Outlays, net (total) | 66,238 | 58,199 | 73,930 |
|
Summary of Budget Authority and Outlays (in millions of dollars)
|
||||
2011 actual | 2012 est. | 2013 est. | ||
|
||||
Enacted/requested: | ||||
Budget Authority | 67,856 | 58,190 | 73,930 | |
Outlays | 66,238 | 58,199 | 73,930 | |
Legislative proposal, subject to PAYGO: | ||||
Budget Authority | 1,588 | |||
Outlays | 1,588 | |||
Total: | ||||
Budget Authority | 67,856 | 58,190 | 75,518 | |
Outlays | 66,238 | 58,199 | 75,518 | |
|
Since January 2006, Medicare beneficiaries have had the opportunity to enroll in a comprehensive voluntary prescription drug benefit. The Budget includes a package of proposals that slow the growth of Part D net expenditures by allowing Medicare to benefit from the same rebates that Medicaid receives for drugs provided to low-income beneficiaries and by increasing the availability of generic drugs.
Object Classification (in millions of dollars)
|
||||
Identification code 75–8308–0–7–571 | 2011 actual | 2012 est. | 2013 est. | |
|
||||
Direct obligations: | ||||
25.2 | Other services from non-Federal sources | 268 | 401 | 423 |
42.0 | Insurance claims and indemnities | 67,673 | 57,789 | 73,507 |
|
|
|
||
99.0 | Direct obligations | 67,941 | 58,190 | 73,930 |
42.0 | Allocation Account - reimbursable: Insurance claims and indemnities | 1,612 | ||
|
|
|
||
99.9 | Total new obligations | 69,553 | 58,190 | 73,930 |
|
Program and Financing (in millions of dollars)
|
||||
Identification code 75–8308–4–7–571 | 2011 actual | 2012 est. | 2013 est. | |
|
||||
Obligations by program activity: | ||||
0001 | Prescription Drug Benefits | 1,588 | ||
|
|
|
||
0900 | Total new obligations (object class 25.2) | 1,588 | ||
|
||||
Budgetary Resources: | ||||
Budget authority: | ||||
Appropriations, mandatory: | ||||
1201 | Appropriation (special or trust fund) | 1,588 | ||
|
|
|
||
1260 | Appropriations, mandatory (total) | 1,588 | ||
1930 | Total budgetary resources available | 1,588 | ||
|
||||
Change in obligated balance: | ||||
3030 | Obligations incurred, unexpired accounts | 1,588 | ||
3040 | Outlays (gross) | –1,588 | ||
|
||||
Budget authority and outlays, net: | ||||
Mandatory: | ||||
4090 | Budget authority, gross | 1,588 | ||
Outlays, gross: | ||||
4100 | Outlays from new mandatory authority | 1,588 | ||
4180 | Budget authority, net (total) | 1,588 | ||
4190 | Outlays, net (total) | 1,588 | ||
|
Note.—Obligations incurred under allocations from other accounts are included in the schedule of the parent appropriation as follows: Centers for Medicare and Medicaid Services "Health Care Fraud and Abuse Control Account."
Program and Financing (in millions of dollars)
|
||||
Identification code 75–1552–0–1–609 | 2011 actual | 2012 est. | 2013 est. | |
|
||||
Obligations by program activity: | ||||
0001 | State family assistance grant | 16,491 | 16,488 | 16,488 |
0002 | Territories - family assistance grants | 77 | 78 | 78 |
0004 | Supplemental Grants 2011 | 211 | ||
0006 | Tribal work programs | 5 | 8 | 8 |
0009 | Healthy marriage and responsible fatherhood grants | 150 | 150 | 150 |
|
|
|
||
0900 | Total new obligations | 16,934 | 16,724 | 16,724 |
|
||||
Budgetary Resources: | ||||
Budget authority: | ||||
Appropriations, mandatory: | ||||
1200 | Appropriation | 16,950 | 16,739 | 16,739 |
|
|
|
||
1260 | Appropriations, mandatory (total) | 16,950 | 16,739 | 16,739 |
1930 | Total budgetary resources available | 16,950 | 16,739 | 16,739 |
Memorandum (non-add) entries: | ||||
1940 | Unobligated balance expiring | –16 | –15 | –15 |
|
||||
Change in obligated balance: | ||||
Obligated balance, start of year (net): | ||||
3000 | Unpaid obligations, brought forward, Oct 1 (gross) | 4,776 | 4,594 | 4,780 |
3030 | Obligations incurred, unexpired accounts | 16,934 | 16,724 | 16,724 |
3040 | Outlays (gross) | –17,116 | –16,538 | –17,017 |
Obligated balance, end of year (net): | ||||
3090 | Unpaid obligations, end of year (gross) | 4,594 | 4,780 | 4,487 |
|
|
|
||
3100 | Obligated balance, end of year (net) | 4,594 | 4,780 | 4,487 |
|
||||
Budget authority and outlays, net: | ||||
Mandatory: | ||||
4090 | Budget authority, gross | 16,950 | 16,739 | 16,739 |
Outlays, gross: | ||||
4100 | Outlays from new mandatory authority | 14,039 | 13,377 | 13,378 |
4101 | Outlays from mandatory balances | 3,077 | 3,161 | 3,639 |
|
|
|
||
4110 | Outlays, gross (total) | 17,116 | 16,538 | 17,017 |
4180 | Budget authority, net (total) | 16,950 | 16,739 | 16,739 |
4190 | Outlays, net (total) | 17,116 | 16,538 | 17,017 |
|
Summary of Budget Authority and Outlays (in millions of dollars)
|
||||
2011 actual | 2012 est. | 2013 est. | ||
|
||||
Enacted/requested: | ||||
Budget Authority | 16,950 | 16,739 | 16,739 | |
Outlays | 17,116 | 16,538 | 17,017 | |
Legislative proposal, subject to PAYGO: | ||||
Budget Authority | 319 | |||
Outlays | 289 | |||
Total: | ||||
Budget Authority | 16,950 | 16,739 | 17,058 | |
Outlays | 17,116 | 16,538 | 17,306 | |
|
This account provides funding for the Temporary Assistance for Needy Families block grant and related activities authorized by the Personal Responsibility and Work Opportunity Reconciliation Act of 1996 (P.L. 104–193), as amended by the Deficit Reduction Act of 2005 (P.L. 109–171), the Claims Resolution Act of 2010 (P.L. 111–291), the Short Term TANF Extension Act (P.L. 112–35), and the Temporary Payroll Tax Cut Continuation Act of 2011 (P.L. 112–78)
Object Classification (in millions of dollars)
|
||||
Identification code 75–1552–0–1–609 | 2011 actual | 2012 est. | 2013 est. | |
|
||||
Direct obligations: | ||||
11.1 | Personnel compensation: Full-time permanent | 2 | 2 | 2 |
12.1 | Civilian personnel benefits | 1 | 1 | |
21.0 | Travel and transportation of persons | 1 | 1 | |
23.1 | Rental payments to GSA | 1 | 1 | |
25.1 | Advisory and assistance services | 23 | 21 | 21 |
25.3 | Other goods and services from Federal sources | 3 | 3 | 3 |
41.0 | Grants, subsidies, and contributions | 16,906 | 16,695 | 16,695 |
|
|
|
||
99.9 | Total new obligations | 16,934 | 16,724 | 16,724 |
|
Employment Summary
|
||||
Identification code 75–1552–0–1–609 | 2011 actual | 2012 est. | 2013 est. | |
|
||||
1001 | Direct civilian full-time equivalent employment | 18 | 18 | 18 |
|
Program and Financing (in millions of dollars)
|
||||
Identification code 75–1552–4–1–609 | 2011 actual | 2012 est. | 2013 est. | |
|
||||
Obligations by program activity: | ||||
0004 | Supplemental Grants | 319 | ||
|
|
|
||
0900 | Total new obligations (object class 41.0) | 319 | ||
|
||||
Budgetary Resources: | ||||
Budget authority: | ||||
Appropriations, mandatory: | ||||
1200 | Appropriation | 319 | ||
|
|
|
||
1260 | Appropriations, mandatory (total) | 319 | ||
1930 | Total budgetary resources available | 319 | ||
|
||||
Change in obligated balance: | ||||
3030 | Obligations incurred, unexpired accounts | 319 | ||
3040 | Outlays (gross) | –289 | ||
Obligated balance, end of year (net): | ||||
3090 | Unpaid obligations, end of year (gross) | 30 | ||
|
|
|
||
3100 | Obligated balance, end of year (net) | 30 | ||
|
||||
Budget authority and outlays, net: | ||||
Mandatory: | ||||
4090 | Budget authority, gross | 319 | ||
Outlays, gross: | ||||
4100 | Outlays from new mandatory authority | 289 | ||
4180 | Budget authority, net (total) | 319 | ||
4190 | Outlays, net (total) | 289 | ||
|
The Budget proposes to permanently fund the TANF Supplemental Grants for Population Increases by redirecting TANF Contingency Fund resources to support these grants.
Program and Financing (in millions of dollars)
|
||||
Identification code 75–1522–0–1–609 | 2011 actual | 2012 est. | 2013 est. | |
|
||||
Obligations by program activity: | ||||
0001 | Contingency fund | 334 | 612 | 612 |
|
|
|
||
0900 | Total new obligations (object class 41.0) | 334 | 612 | 612 |
|
||||
Budgetary Resources: | ||||
Budget authority: | ||||
Appropriations, mandatory: | ||||
1200 | Appropriation | 506 | 612 | 612 |
1230 | Appropriations and/or unobligated balance of appropriations permanently reduced | –172 | ||
|
|
|
||
1260 | Appropriations, mandatory (total) | 334 | 612 | 612 |
1930 | Total budgetary resources available | 334 | 612 | 612 |
|
||||
Change in obligated balance: | ||||
Obligated balance, start of year (net): | ||||
3000 | Unpaid obligations, brought forward, Oct 1 (gross) | 2,454 | 832 | 127 |
3030 | Obligations incurred, unexpired accounts | 334 | 612 | 612 |
3040 | Outlays (gross) | –1,956 | –1,317 | –682 |
Obligated balance, end of year (net): | ||||
3090 | Unpaid obligations, end of year (gross) | 832 | 127 | 57 |
|
|
|
||
3100 | Obligated balance, end of year (net) | 832 | 127 | 57 |
|
||||
Budget authority and outlays, net: | ||||
Mandatory: | ||||
4090 | Budget authority, gross | 334 | 612 | 612 |
Outlays, gross: | ||||
4100 | Outlays from new mandatory authority | 249 | 555 | 555 |
4101 | Outlays from mandatory balances | 1,707 | 762 | 127 |
|
|
|
||
4110 | Outlays, gross (total) | 1,956 | 1,317 | 682 |
4180 | Budget authority, net (total) | 334 | 612 | 612 |
4190 | Outlays, net (total) | 1,956 | 1,317 | 682 |
|
Summary of Budget Authority and Outlays (in millions of dollars)
|
||||
2011 actual | 2012 est. | 2013 est. | ||
|
||||
Enacted/requested: | ||||
Budget Authority | 334 | 612 | 612 | |
Outlays | 1,956 | 1,317 | 682 | |
Legislative proposal, subject to PAYGO: | ||||
Budget Authority | –319 | |||
Outlays | –289 | |||
Total: | ||||
Budget Authority | 334 | 612 | 293 | |
Outlays | 1,956 | 1,317 | 393 | |
|
This account provides funding for the TANF Contingency Fund authorized by section 403(b) of the Social Security Act that currently provides money to qualifying States (but not Territories or Tribes) during an economic downturn.
Program and Financing (in millions of dollars)
|
||||
Identification code 75–1522–4–1–609 | 2011 actual | 2012 est. | 2013 est. | |
|
||||
Obligations by program activity: | ||||
0001 | Contingency fund | –319 | ||
|
|
|
||
0900 | Total new obligations (object class 41.0) | –319 | ||
|
||||
Budgetary Resources: | ||||
Budget authority: | ||||
Appropriations, mandatory: | ||||
1200 | Appropriation | –319 | ||
|
|
|
||
1260 | Appropriations, mandatory (total) | –319 | ||
1930 | Total budgetary resources available | –319 | ||
|
||||
Change in obligated balance: | ||||
3030 | Obligations incurred, unexpired accounts | –319 | ||
3040 | Outlays (gross) | 289 | ||
Obligated balance, end of year (net): | ||||
3090 | Unpaid obligations, end of year (gross) | –30 | ||
|
|
|
||
3100 | Obligated balance, end of year (net) | –30 | ||
|
||||
Budget authority and outlays, net: | ||||
Mandatory: | ||||
4090 | Budget authority, gross | –319 | ||
Outlays, gross: | ||||
4100 | Outlays from new mandatory authority | –289 | ||
4180 | Budget authority, net (total) | –319 | ||
4190 | Outlays, net (total) | –289 | ||
|
For making payments to States or other non-Federal entities under titles I, IV-D, X, XI, XIV, and XVI of the Social Security Act and the Act of July 5, 1960, [$2,305,035,000] $2,756,485,000, to remain available until expended; and for such purposes for the first quarter of fiscal year [2013] 2014, $1,100,000,000, to remain available until expended.
For making payments to each State for carrying out the program of Aid to Families with Dependent Children under title IV-A of the Social Security Act before the effective date of the program of Temporary Assistance for Needy Families with respect to such State, such sums as may be necessary: Provided, That the sum of the amounts available to a State with respect to expenditures under such title IV-A in fiscal year 1997 under this appropriation and under such title IV-A as amended by the Personal Responsibility and Work Opportunity Reconciliation Act of 1996 shall not exceed the limitations under section 116(b) of such Act.
For making, after May 31 of the current fiscal year, payments to States or other non-Federal entities under titles I, IV-D, X, XI, XIV, and XVI of the Social Security Act and the Act of July 5, 1960, for the last 3 months of the current fiscal year for unanticipated costs, incurred for the current fiscal year, such sums as may be necessary. (Department of Health and Human Services Appropriations Act, 2012.)
Program and Financing (in millions of dollars)
|
||||
Identification code 75–1501–0–1–609 | 2011 actual | 2012 est. | 2013 est. | |
|
||||
Obligations by program activity: | ||||
0001 | State child support administrative costs | 4,161 | 3,778 | 3,572 |
0002 | Child support incentive payments | 466 | 526 | 540 |
0003 | Access and visitation grants | 10 | 10 | 10 |
|
|
|
||
0091 | Subtotal, child support enforcement | 4,637 | 4,314 | 4,122 |
0102 | Payments to territories | 30 | 33 | 33 |
0103 | Repatriation | 1 | 1 | 1 |
|
|
|
||
0191 | Subtotal, other payments | 31 | 34 | 34 |
|
|
|
||
0799 | Total direct obligations | 4,668 | 4,348 | 4,156 |
0801 | Offset obligations (CSE grants to States) | 3 | 3 | 3 |
|
|
|
||
0900 | Total new obligations | 4,671 | 4,351 | 4,159 |
|
||||
Budgetary Resources: | ||||
Unobligated balance: | ||||
1021 | Recoveries of prior year unpaid obligations | 509 | 300 | 300 |
|
|
|
||
1050 | Unobligated balance (total) | 509 | 300 | 300 |
Budget authority: | ||||
Appropriations, mandatory: | ||||
1200 | Appropriation | 3,059 | 2,848 | 2,756 |
|
|
|
||
1260 | Appropriations, mandatory (total) | 3,059 | 2,848 | 2,756 |
Advance appropriations, mandatory: | ||||
1270 | Advance appropriation | 1,100 | 1,200 | 1,100 |
|
|
|
||
1280 | Advanced appropriation, mandatory (total) | 1,100 | 1,200 | 1,100 |
Spending authority from offsetting collections, mandatory: | ||||
1800 | Collected | 3 | 3 | 3 |
|
|
|
||
1850 | Spending auth from offsetting collections, mand (total) | 3 | 3 | 3 |
1900 | Budget authority (total) | 4,162 | 4,051 | 3,859 |
1930 | Total budgetary resources available | 4,671 | 4,351 | 4,159 |
|
||||
Change in obligated balance: | ||||
Obligated balance, start of year (net): | ||||
3000 | Unpaid obligations, brought forward, Oct 1 (gross) | 1,130 | 1,107 | 1,286 |
3030 | Obligations incurred, unexpired accounts | 4,671 | 4,351 | 4,159 |
3040 | Outlays (gross) | –4,185 | –3,872 | –3,865 |
3080 | Recoveries of prior year unpaid obligations, unexpired | –509 | –300 | –300 |
Obligated balance, end of year (net): | ||||
3090 | Unpaid obligations, end of year (gross) | 1,107 | 1,286 | 1,280 |
|
|
|
||
3100 | Obligated balance, end of year (net) | 1,107 | 1,286 | 1,280 |
|
||||
Budget authority and outlays, net: | ||||
Mandatory: | ||||
4090 | Budget authority, gross | 4,162 | 4,051 | 3,859 |
Outlays, gross: | ||||
4100 | Outlays from new mandatory authority | 3,318 | 3,001 | 2,895 |
4101 | Outlays from mandatory balances | 867 | 871 | 970 |
|
|
|
||
4110 | Outlays, gross (total) | 4,185 | 3,872 | 3,865 |
Offsets against gross budget authority and outlays: | ||||
Offsetting collections (collected) from: | ||||
4123 | Non-Federal sources | –3 | –3 | –3 |
4180 | Budget authority, net (total) | 4,159 | 4,048 | 3,856 |
4190 | Outlays, net (total) | 4,182 | 3,869 | 3,862 |
|
Summary of Budget Authority and Outlays (in millions of dollars)
|
||||
2011 actual | 2012 est. | 2013 est. | ||
|
||||
Enacted/requested: | ||||
Budget Authority | 4,159 | 4,048 | 3,856 | |
Outlays | 4,182 | 3,869 | 3,862 | |
Legislative proposal, subject to PAYGO: | ||||
Budget Authority | 11 | |||
Outlays | 11 | |||
Total: | ||||
Budget Authority | 4,159 | 4,048 | 3,867 | |
Outlays | 4,182 | 3,869 | 3,873 | |
|
This account provides for payments to States for child support enforcement and other family support programs, including access and visitation programs for families. The Federal share of child support collections is returned to the Treasury in a receipt account. This request proposes a Child Support and Fatherhood Initiative, a comprehensive set of proposals which promotes using child support payments in the best interest of the child; supports noncustodial parents becoming and staying involved in their children's lives; and improves establishment and enforcement procedures by closing loopholes and improving federal processes.
Object Classification (in millions of dollars)
|
||||
Identification code 75–1501–0–1–609 | 2011 actual | 2012 est. | 2013 est. | |
|
||||
41.0 | Direct obligations: Grants, subsidies, and contributions | 4,668 | 4,348 | 4,156 |
99.0 | Reimbursable obligations | 3 | 3 | 3 |
|
|
|
||
99.9 | Total new obligations | 4,671 | 4,351 | 4,159 |
|
Program and Financing (in millions of dollars)
|
||||
Identification code 75–1501–4–1–609 | 2011 actual | 2012 est. | 2013 est. | |
|
||||
Obligations by program activity: | ||||
0001 | State child support administrative costs | 11 | ||
|
|
|
||
0900 | Total new obligations (object class 41.0) | 11 | ||
|
||||
Budgetary Resources: | ||||
Budget authority: | ||||
Appropriations, mandatory: | ||||
1200 | Appropriation | 11 | ||
|
|
|
||
1260 | Appropriations, mandatory (total) | 11 | ||
1900 | Budget authority (total) | 11 | ||
1930 | Total budgetary resources available | 11 | ||
|
||||
Change in obligated balance: | ||||
3030 | Obligations incurred, unexpired accounts | 11 | ||
3040 | Outlays (gross) | –11 | ||
|
||||
Budget authority and outlays, net: | ||||
Mandatory: | ||||
4090 | Budget authority, gross | 11 | ||
Outlays, gross: | ||||
4100 | Outlays from new mandatory authority | 11 | ||
Offsets against gross budget authority and outlays: | ||||
Offsetting collections (collected) from: | ||||
4180 | Budget authority, net (total) | 11 | ||
4190 | Outlays, net (total) | 11 | ||
|
For making payments under subsections (b), [and] (d), and (e) of section 2602 of the Low Income Home Energy Assistance Act of 1981, [$3,478,246,000] $3,020,000,000, of which $2,820,000,000 shall be for payments under subsections (b) and (d) of such section; and of which $200,000,000 shall be for making payments under subsection (e) of such section, to be made notwithstanding the designation requirements of such subsection: Provided, That all but [$497,000,000] $403,000,000 of [such funds] the amount provided in this section for subsections (b) and (d) shall be allocated as though the total appropriation for such payments for fiscal year [2012] 2013 was less than $1,975,000,000: Provided further, That notwithstanding section 2609A(a), of the amounts appropriated under section 2602(b), not more than $3,000,000 of such amounts may be reserved by the Secretary for technical assistance, training, and monitoring of program activities for compliance with internal controls, policies and procedures. (Department of Health and Human Services Appropriations Act, 2012.)
Program and Financing (in millions of dollars)
|
||||
Identification code 75–1502–0–1–609 | 2011 actual | 2012 est. | 2013 est. | |
|
||||
Obligations by program activity: | ||||
0001 | LIHEAP | 4,701 | 3,472 | 3,020 |
|
|
|
||
0900 | Total new obligations (object class 41.0) | 4,701 | 3,472 | 3,020 |
|
||||
Budgetary Resources: | ||||
Budget authority: | ||||
Appropriations, discretionary: | ||||
1100 | Appropriation | 4,710 | 3,479 | 3,020 |
1130 | Appropriations permanently reduced | –9 | ||
1143 | Approp permanently reduced (Sec 527, HR 2055) | –7 | ||
|
|
|
||
1160 | Appropriation, discretionary (total) | 4,701 | 3,472 | 3,020 |
1930 | Total budgetary resources available | 4,701 | 3,472 | 3,020 |
|
||||
Change in obligated balance: | ||||
Obligated balance, start of year (net): | ||||
3000 | Unpaid obligations, brought forward, Oct 1 (gross) | 1,715 | 1,992 | 1,738 |
3030 | Obligations incurred, unexpired accounts | 4,701 | 3,472 | 3,020 |
3040 | Outlays (gross) | –4,419 | –3,726 | –3,338 |
3081 | Recoveries of prior year unpaid obligations, expired | –5 | ||
Obligated balance, end of year (net): | ||||
3090 | Unpaid obligations, end of year (gross) | 1,992 | 1,738 | 1,420 |
|
|
|
||
3100 | Obligated balance, end of year (net) | 1,992 | 1,738 | 1,420 |
|
||||
Budget authority and outlays, net: | ||||
Discretionary: | ||||
4000 | Budget authority, gross | 4,701 | 3,472 | 3,020 |
Outlays, gross: | ||||
4010 | Outlays from new discretionary authority | 2,978 | 2,326 | 2,027 |
4011 | Outlays from discretionary balances | 1,441 | 1,400 | 1,311 |
|
|
|
||
4020 | Outlays, gross (total) | 4,419 | 3,726 | 3,338 |
4180 | Budget authority, net (total) | 4,701 | 3,472 | 3,020 |
4190 | Outlays, net (total) | 4,419 | 3,726 | 3,338 |
|
This program makes grants to States and Indian Tribes to aid low-income households with high energy costs through payments to eligible households, energy suppliers, and weatherization providers. Obligation estimates for the contingency fund assume that all funds will be released in response to expected high prices for home delivered fuels and other weather related events.
For necessary expenses for refugee and entrant assistance activities authorized by section 414 of the Immigration and Nationality Act and section 501 of the Refugee Education Assistance Act of 1980, for carrying out section 462 of the Homeland Security Act of 2002, section 235 of the William Wilberforce Trafficking Victims Protection Reauthorization Act of 2008, and the Trafficking Victims Protection Act of 2000, for costs associated with the care and placement of unaccompanied alien children, and for carrying out the Torture Victims Relief Act of 1998, [$769,789,000] $805,358,000, of which up to [$9,794,000] $9,775,000 shall be available to carry out the Trafficking Victims Protection Act of 2000: Provided, That funds appropriated under this heading pursuant to section 414(a) of the Immigration and Nationality Act, section 462 of the Homeland Security Act of 2002, section 235 of the William Wilberforce Trafficking Victims Protection Reauthorization Act of 2008, and the Trafficking Victims Protection Act of 2000 for fiscal year [2012] 2013 shall be available for the costs of assistance provided and other activities to remain available through September 30, [2014] 2015. (Department of Health and Human Services Appropriations Act, 2012.)
Program and Financing (in millions of dollars)
|
||||
Identification code 75–1503–0–1–609 | 2011 actual | 2012 est. | 2013 est. | |
|
||||
Obligations by program activity: | ||||
0001 | Refugee and entrant assistance | 574 | 605 | 619 |
0002 | Assistance for treatment of torture victims | 11 | 11 | 11 |
0003 | Unaccompanied alien children | 175 | 175 | 175 |
|
|
|
||
0900 | Total new obligations | 760 | 791 | 805 |
|
||||
Budgetary Resources: | ||||
Unobligated balance: | ||||
1000 | Unobligated balance brought forward, Oct 1 | 77 | 23 | |
1021 | Recoveries of prior year unpaid obligations | 2 | ||
|
|
|
||
1050 | Unobligated balance (total) | 79 | 23 | |
Budget authority: | ||||
Appropriations, discretionary: | ||||
1100 | Appropriation | 731 | 769 | 805 |
1130 | Appropriations permanently reduced | –2 | ||
1131 | Unobligated balance of appropriations permanently reduced | –25 | ||
1143 | Approp permanently reduced (Sec 527, HR 2055) | –1 | ||
|
|
|
||
1160 | Appropriation, discretionary (total) | 704 | 768 | 805 |
1930 | Total budgetary resources available | 783 | 791 | 805 |
Memorandum (non-add) entries: | ||||
1941 | Unexpired unobligated balance, end of year | 23 | ||
|
||||
Change in obligated balance: | ||||
Obligated balance, start of year (net): | ||||
3000 | Unpaid obligations, brought forward, Oct 1 (gross) | 576 | 566 | 699 |
3030 | Obligations incurred, unexpired accounts | 760 | 791 | 805 |
3040 | Outlays (gross) | –753 | –658 | –830 |
3080 | Recoveries of prior year unpaid obligations, unexpired | –2 | ||
3081 | Recoveries of prior year unpaid obligations, expired | –15 | ||
Obligated balance, end of year (net): | ||||
3090 | Unpaid obligations, end of year (gross) | 566 | 699 | 674 |
|
|
|
||
3100 | Obligated balance, end of year (net) | 566 | 699 | 674 |
|
||||
Budget authority and outlays, net: | ||||
Discretionary: | ||||
4000 | Budget authority, gross | 704 | 768 | 805 |
Outlays, gross: | ||||
4010 | Outlays from new discretionary authority | 347 | 307 | 322 |
4011 | Outlays from discretionary balances | 406 | 351 | 508 |
|
|
|
||
4020 | Outlays, gross (total) | 753 | 658 | 830 |
4180 | Budget authority, net (total) | 704 | 768 | 805 |
4190 | Outlays, net (total) | 753 | 658 | 830 |
|
This program provides funds to States and non-governmental organizations for administering the refugee and entrant assistance program. Funds also are provided to assist in the rehabilitation of victims of torture, trafficking victims, and the care and placement of unaccompanied alien children.
Object Classification (in millions of dollars)
|
||||
Identification code 75–1503–0–1–609 | 2011 actual | 2012 est. | 2013 est. | |
|
||||
Direct obligations: | ||||
11.1 | Personnel compensation: Full-time permanent | 4 | 4 | 4 |
12.1 | Civilian personnel benefits | 1 | 1 | 1 |
23.1 | Rental payments to GSA | 2 | 2 | 2 |
25.1 | Advisory and assistance services | 31 | 29 | 29 |
25.3 | Other goods and services from Federal sources | 8 | 16 | 16 |
41.0 | Grants, subsidies, and contributions | 714 | 739 | 753 |
|
|
|
||
99.9 | Total new obligations | 760 | 791 | 805 |
|
Employment Summary
|
||||
Identification code 75–1503–0–1–609 | 2011 actual | 2012 est. | 2013 est. | |
|
||||
1001 | Direct civilian full-time equivalent employment | 44 | 44 | 44 |
|
For carrying out section 436 of the Social Security Act, $345,000,000 and, in addition, for carrying out section 437 of such Act, [$63,184,000] $63,065,000. (Department of Health and Human Services Appropriations Act, 2012.)
Program and Financing (in millions of dollars)
|
||||
Identification code 75–1512–0–1–506 | 2011 actual | 2012 est. | 2013 est. | |
|
||||
Obligations by program activity: | ||||
0001 | Grants to States and Tribes | 388 | 368 | 368 |
0002 | Research, training and technical assistance | 8 | 8 | 8 |
0003 | State court improvement activities | 32 | 32 | 32 |
0004 | Family Connection Grants | 15 | 15 | 15 |
0005 | PREP | 72 | 100 | 75 |
0006 | Abstinence Education | 38 | 37 | 37 |
|
|
|
||
0900 | Total new obligations | 553 | 560 | 535 |
|
||||
Budgetary Resources: | ||||
Unobligated balance: | ||||
1000 | Unobligated balance brought forward, Oct 1 | 19 | 25 | |
1021 | Recoveries of prior year unpaid obligations | 3 | ||
|
|
|
||
1050 | Unobligated balance (total) | 22 | 25 | |
Budget authority: | ||||
Appropriations, discretionary: | ||||
1100 | Appropriation | 63 | 63 | 76 |
1130 | Appropriations permanently reduced | –13 | ||
|
|
|
||
1160 | Appropriation, discretionary (total) | 63 | 63 | 63 |
Appropriations, mandatory: | ||||
1200 | Appropriation | 505 | 485 | 485 |
|
|
|
||
1260 | Appropriations, mandatory (total) | 505 | 485 | 485 |
1900 | Budget authority (total) | 568 | 548 | 548 |
1930 | Total budgetary resources available | 590 | 573 | 548 |
Memorandum (non-add) entries: | ||||
1940 | Unobligated balance expiring | –12 | –13 | |
1941 | Unexpired unobligated balance, end of year | 25 | 13 | |
|
||||
Change in obligated balance: | ||||
Obligated balance, start of year (net): | ||||
3000 | Unpaid obligations, brought forward, Oct 1 (gross) | 552 | 614 | 542 |
3030 | Obligations incurred, unexpired accounts | 553 | 560 | 535 |
3040 | Outlays (gross) | –479 | –632 | –542 |
3080 | Recoveries of prior year unpaid obligations, unexpired | –3 | ||
3081 | Recoveries of prior year unpaid obligations, expired | –9 | ||
Obligated balance, end of year (net): | ||||
3090 | Unpaid obligations, end of year (gross) | 614 | 542 | 535 |
|
|
|
||
3100 | Obligated balance, end of year (net) | 614 | 542 | 535 |
|
||||
Budget authority and outlays, net: | ||||
Discretionary: | ||||
4000 | Budget authority, gross | 63 | 63 | 63 |
Outlays, gross: | ||||
4010 | Outlays from new discretionary authority | 21 | 19 | 19 |
4011 | Outlays from discretionary balances | 45 | 41 | 45 |
|
|
|
||
4020 | Outlays, gross (total) | 66 | 60 | 64 |
Mandatory: | ||||
4090 | Budget authority, gross | 505 | 485 | 485 |
Outlays, gross: | ||||
4100 | Outlays from new mandatory authority | 104 | 158 | 158 |
4101 | Outlays from mandatory balances | 309 | 414 | 320 |
|
|
|
||
4110 | Outlays, gross (total) | 413 | 572 | 478 |
4180 | Budget authority, net (total) | 568 | 548 | 548 |
4190 | Outlays, net (total) | 479 | 632 | 542 |
|
This account provides funds for a broad range of child welfare services, including family preservation and family support services. Additionally, this account includes funding for the Personal Responsibility Education Program (PREP) and Abstinence Education which were made available by the Patient Protection and Affordable Care Act (P.L. 111–148). This account also includes a new initiative to prevent pregnancy among youth in foster care.
Object Classification (in millions of dollars)
|
||||
Identification code 75–1512–0–1–506 | 2011 actual | 2012 est. | 2013 est. | |
|
||||
Direct obligations: | ||||
25.1 | Advisory and assistance services | 12 | 12 | 12 |
25.3 | Other goods and services from Federal sources | 2 | 2 | 2 |
41.0 | Grants, subsidies, and contributions | 539 | 546 | 521 |
|
|
|
||
99.9 | Total new obligations | 553 | 560 | 535 |
|
Employment Summary
|
||||
Identification code 75–1512–0–1–506 | 2011 actual | 2012 est. | 2013 est. | |
|
||||
1001 | Direct civilian full-time equivalent employment | 5 | 5 | 5 |
|
Program and Financing (in millions of dollars)
|
||||
Identification code 75–1550–0–1–609 | 2011 actual | 2012 est. | 2013 est. | |
|
||||
Obligations by program activity: | ||||
0001 | Mandatory child care | 1,178 | 1,178 | 1,178 |
0002 | Matching child care | 1,686 | 1,674 | 1,674 |
0003 | Training and technical assistance | 7 | 7 | 7 |
0004 | Child care tribal grants | 58 | 58 | 58 |
|
|
|
||
0900 | Total new obligations | 2,929 | 2,917 | 2,917 |
|
||||
Budgetary Resources: | ||||
Unobligated balance: | ||||
1012 | Unobligated balance transfers between expired and unexpired accounts | 25 | ||
Budget authority: | ||||
Appropriations, mandatory: | ||||
1200 | Appropriation | 2,917 | 2,917 | 2,917 |
|
|
|
||
1260 | Appropriations, mandatory (total) | 2,917 | 2,917 | 2,917 |
1900 | Budget authority (total) | 2,917 | 2,917 | 2,917 |
1930 | Total budgetary resources available | 2,942 | 2,917 | 2,917 |
Memorandum (non-add) entries: | ||||
1940 | Unobligated balance expiring | –13 | ||
|
||||
Change in obligated balance: | ||||
Obligated balance, start of year (net): | ||||
3000 | Unpaid obligations, brought forward, Oct 1 (gross) | 806 | 609 | 658 |
3030 | Obligations incurred, unexpired accounts | 2,929 | 2,917 | 2,917 |
3040 | Outlays (gross) | –3,100 | –2,868 | –2,877 |
3081 | Recoveries of prior year unpaid obligations, expired | –26 | ||
Obligated balance, end of year (net): | ||||
3090 | Unpaid obligations, end of year (gross) | 609 | 658 | 698 |
|
|
|
||
3100 | Obligated balance, end of year (net) | 609 | 658 | 698 |
|
||||
Budget authority and outlays, net: | ||||
Mandatory: | ||||
4090 | Budget authority, gross | 2,917 | 2,917 | 2,917 |
Outlays, gross: | ||||
4100 | Outlays from new mandatory authority | 2,382 | 2,357 | 2,357 |
4101 | Outlays from mandatory balances | 718 | 511 | 520 |
|
|
|
||
4110 | Outlays, gross (total) | 3,100 | 2,868 | 2,877 |
4180 | Budget authority, net (total) | 2,917 | 2,917 | 2,917 |
4190 | Outlays, net (total) | 3,100 | 2,868 | 2,877 |
|
Summary of Budget Authority and Outlays (in millions of dollars)
|
||||
2011 actual | 2012 est. | 2013 est. | ||
|
||||
Enacted/requested: | ||||
Budget Authority | 2,917 | 2,917 | 2,917 | |
Outlays | 3,100 | 2,868 | 2,877 | |
Legislative proposal, subject to PAYGO: | ||||
Budget Authority | 500 | |||
Outlays | 409 | |||
Total: | ||||
Budget Authority | 2,917 | 2,917 | 3,417 | |
Outlays | 3,100 | 2,868 | 3,286 | |
|
This account provides child care subsidies for low-income working families and was established by the Personal Responsibility and Work Opportunity Reconciliation Act of 1996 (P.L. 104–193), as amended by the Deficit Reduction Act of 2005 (P.L. 109–171), the Claims Resolution Act of 2010 (P.L. 111–291), the Short Term TANF Extension Act (P.L. 112–35), and the Temporary Payroll Tax Cut Continuation Act of 2011 (P.L. 112–78).
Object Classification (in millions of dollars)
|
||||
Identification code 75–1550–0–1–609 | 2011 actual | 2012 est. | 2013 est. | |
|
||||
Direct obligations: | ||||
25.1 | Advisory and assistance services | 1 | 1 | |
25.2 | Other services from non-Federal sources | 7 | 6 | 6 |
41.0 | Grants, subsidies, and contributions | 2,922 | 2,910 | 2,910 |
|
|
|
||
99.9 | Total new obligations | 2,929 | 2,917 | 2,917 |
|
Program and Financing (in millions of dollars)
|
||||
Identification code 75–1550–4–1–609 | 2011 actual | 2012 est. | 2013 est. | |
|
||||
Obligations by program activity: | ||||
0002 | Matching child care | 480 | ||
0003 | Training and technical assistance | 10 | ||
0004 | Child care tribal grants | 10 | ||
|
|
|
||
0900 | Total new obligations | 500 | ||
|
||||
Budgetary Resources: | ||||
Budget authority: | ||||
Appropriations, mandatory: | ||||
1200 | Appropriation | 500 | ||
|
|
|
||
1260 | Appropriations, mandatory (total) | 500 | ||
1900 | Budget authority (total) | 500 | ||
1930 | Total budgetary resources available | 500 | ||
|
||||
Change in obligated balance: | ||||
3030 | Obligations incurred, unexpired accounts | 500 | ||
3040 | Outlays (gross) | –409 | ||
Obligated balance, end of year (net): | ||||
3090 | Unpaid obligations, end of year (gross) | 91 | ||
|
|
|
||
3100 | Obligated balance, end of year (net) | 91 | ||
|
||||
Budget authority and outlays, net: | ||||
Mandatory: | ||||
4090 | Budget authority, gross | 500 | ||
Outlays, gross: | ||||
4100 | Outlays from new mandatory authority | 397 | ||
4101 | Outlays from mandatory balances | 12 | ||
|
|
|
||
4110 | Outlays, gross (total) | 409 | ||
4180 | Budget authority, net (total) | 500 | ||
4190 | Outlays, net (total) | 409 | ||
|
Object Classification (in millions of dollars)
|
||||
Identification code 75–1550–4–1–609 | 2011 actual | 2012 est. | 2013 est. | |
|
||||
Direct obligations: | ||||
25.2 | Other services from non-Federal sources | 10 | ||
41.0 | Grants, subsidies, and contributions | 490 | ||
|
|
|
||
99.9 | Total new obligations | 500 | ||
|
For carrying out the Child Care and Development Block Grant Act of 1990, [$2,282,627,000] $2,303,313,000 shall be used to supplement, not supplant State general revenue funds for child care assistance for low-income families: Provided, That [$19,433,000] $19,609,000 shall be available for child care resource and referral and school-aged child care activities, of which $1,000,000 shall be available to the Secretary for a competitive grant for the operation of a national toll free hotline and Web site to develop and disseminate child care consumer education information for parents and help parents access child care in their local community: Provided further, That, in addition to the amounts required to be reserved by the States under section 658G, [$291,248,000] $293,887,000 shall be reserved by the States for activities authorized under section 658G, of which [$106,813,000] $107,781,000 shall be for activities that improve the quality of infant and toddler care: Provided further, That [$9,890,000] $9,871,000 shall be for use by the Secretary for child care research, demonstration, and evaluation activities.
In addition, $300,000,000, for grants to States to improve the quality of child care and for the Federal costs of carrying out evaluations. (Department of Health and Human Services Appropriations Act, 2012.)
Program and Financing (in millions of dollars)
|
||||
Identification code 75–1515–0–1–609 | 2011 actual | 2012 est. | 2013 est. | |
|
||||
Obligations by program activity: | ||||
0001 | Block grant payments to States | 2,213 | 2,268 | 2,593 |
0004 | Research and evaluation fund | 10 | 10 | 10 |
|
|
|
||
0900 | Total new obligations | 2,223 | 2,278 | 2,603 |
|
||||
Budgetary Resources: | ||||
Budget authority: | ||||
Appropriations, discretionary: | ||||
1100 | Appropriation | 2,227 | 2,282 | 2,603 |
1130 | Appropriations permanently reduced | –4 | ||
1143 | Approp permanently reduced (Sec 527, HR 2055) | –4 | ||
|
|
|
||
1160 | Appropriation, discretionary (total) | 2,223 | 2,278 | 2,603 |
1930 | Total budgetary resources available | 2,223 | 2,278 | 2,603 |
|
||||
Change in obligated balance: | ||||
Obligated balance, start of year (net): | ||||
3000 | Unpaid obligations, brought forward, Oct 1 (gross) | 1,240 | 478 | 457 |
3030 | Obligations incurred, unexpired accounts | 2,223 | 2,278 | 2,603 |
3040 | Outlays (gross) | –2,984 | –2,299 | –2,461 |
3081 | Recoveries of prior year unpaid obligations, expired | –1 | ||
Obligated balance, end of year (net): | ||||
3090 | Unpaid obligations, end of year (gross) | 478 | 457 | 599 |
|
|
|
||
3100 | Obligated balance, end of year (net) | 478 | 457 | 599 |
|
||||
Budget authority and outlays, net: | ||||
Discretionary: | ||||
4000 | Budget authority, gross | 2,223 | 2,278 | 2,603 |
Outlays, gross: | ||||
4010 | Outlays from new discretionary authority | 1,825 | 1,845 | 2,108 |
4011 | Outlays from discretionary balances | 1,159 | 454 | 353 |
|
|
|
||
4020 | Outlays, gross (total) | 2,984 | 2,299 | 2,461 |
4180 | Budget authority, net (total) | 2,223 | 2,278 | 2,603 |
4190 | Outlays, net (total) | 2,984 | 2,299 | 2,461 |
|
This program provides grants to States for child care subsidies for low-income working families and activities to improve child care quality.
Object Classification (in millions of dollars)
|
||||
Identification code 75–1515–0–1–609 | 2011 actual | 2012 est. | 2013 est. | |
|
||||
Direct obligations: | ||||
25.1 | Advisory and assistance services | 14 | 5 | 11 |
25.3 | Other goods and services from Federal sources | 1 | 1 | 1 |
25.5 | Research and development contracts | 10 | 10 | |
41.0 | Grants, subsidies, and contributions | 2,208 | 2,262 | 2,581 |
|
|
|
||
99.9 | Total new obligations | 2,223 | 2,278 | 2,603 |
|
For making grants to States pursuant to section 2002 of the Social Security Act, $1,700,000,000: Provided, That notwithstanding subparagraph (B) of section 404(d)(2) of such Act, the applicable percent specified under such subparagraph for a State to carry out State programs pursuant to title XX-A of such Act shall be 10 percent. (Department of Health and Human Services Appropriations Act, 2012.)
Program and Financing (in millions of dollars)
|
||||
Identification code 75–1534–0–1–506 | 2011 actual | 2012 est. | 2013 est. | |
|
||||
Obligations by program activity: | ||||
0001 | Social Services Block Grant | 1,700 | 1,700 | 1,700 |
0002 | Health Profession Opportunity Grants | 85 | 85 | 85 |
|
|
|
||
0900 | Total new obligations | 1,785 | 1,785 | 1,785 |
|
||||
Budgetary Resources: | ||||
Unobligated balance: | ||||
1000 | Unobligated balance brought forward, Oct 1 | 30 | 30 | 30 |
1021 | Recoveries of prior year unpaid obligations | 66 | ||
1029 | Other balances withdrawn | –66 | ||
|
|
|
||
1050 | Unobligated balance (total) | 30 | 30 | 30 |
Budget authority: | ||||
Appropriations, mandatory: | ||||
1200 | Appropriation | 1,785 | 1,785 | 1,785 |
|
|
|
||
1260 | Appropriations, mandatory (total) | 1,785 | 1,785 | 1,785 |
1930 | Total budgetary resources available | 1,815 | 1,815 | 1,815 |
Memorandum (non-add) entries: | ||||
1941 | Unexpired unobligated balance, end of year | 30 | 30 | 30 |
|
||||
Change in obligated balance: | ||||
Obligated balance, start of year (net): | ||||
3000 | Unpaid obligations, brought forward, Oct 1 (gross) | 610 | 580 | 391 |
3030 | Obligations incurred, unexpired accounts | 1,785 | 1,785 | 1,785 |
3040 | Outlays (gross) | –1,787 | –1,908 | –1,792 |
3080 | Recoveries of prior year unpaid obligations, unexpired | –66 | ||
3081 | Recoveries of prior year unpaid obligations, expired | –28 | ||
Obligated balance, end of year (net): | ||||
3090 | Unpaid obligations, end of year (gross) | 580 | 391 | 384 |
|
|
|
||
3100 | Obligated balance, end of year (net) | 580 | 391 | 384 |
|
||||
Budget authority and outlays, net: | ||||
Mandatory: | ||||
4090 | Budget authority, gross | 1,785 | 1,785 | 1,785 |
Outlays, gross: | ||||
4100 | Outlays from new mandatory authority | 1,393 | 1,483 | 1,483 |
4101 | Outlays from mandatory balances | 394 | 425 | 309 |
|
|
|
||
4110 | Outlays, gross (total) | 1,787 | 1,908 | 1,792 |
4180 | Budget authority, net (total) | 1,785 | 1,785 | 1,785 |
4190 | Outlays, net (total) | 1,787 | 1,908 | 1,792 |
|
Object Classification (in millions of dollars)
|
||||
Identification code 75–1534–0–1–506 | 2011 actual | 2012 est. | 2013 est. | |
|
||||
Direct obligations: | ||||
11.1 | Personnel compensation: Full-time permanent | 1 | 1 | 1 |
25.1 | Advisory and assistance services | 15 | 16 | 16 |
41.0 | Grants, subsidies, and contributions | 1,769 | 1,768 | 1,768 |
|
|
|
||
99.9 | Total new obligations | 1,785 | 1,785 | 1,785 |
|
Employment Summary
|
||||
Identification code 75–1534–0–1–506 | 2011 actual | 2012 est. | 2013 est. | |
|
||||
1001 | Direct civilian full-time equivalent employment | 6 | 6 | 6 |
|
For carrying out, except as otherwise provided, the Runaway and Homeless Youth Act, the Developmental Disabilities Assistance and Bill of Rights Act, the Head Start Act, the Child Abuse Prevention and Treatment Act, sections 303 and 313 of the Family Violence Prevention and Services Act, the Native American Programs Act of 1974, title II of the Child Abuse Prevention and Treatment and Adoption Reform Act of 1978 (adoption opportunities), the Abandoned Infants Assistance Act of 1988, section 291 of the Help America Vote Act of 2002, part B-1 of title IV and sections 413, 1110, and 1115 of the Social Security Act; for making payments under the Community Services Block Grant Act ("CSBG Act''), sections [439(i),] 473B[,] and 477(i) of the Social Security Act, and the Assets for Independence Act; and for necessary administrative expenses to carry out such Acts and titles I, IV, V, X, XI, XIV, XVI, and XX of the Social Security Act, the Act of July 5, 1960, the Low Income Home Energy Assistance Act of 1981, title IV of the Immigration and Nationality Act, and section 501 of the Refugee Education Assistance Act of 1980, [$9,926,709,000] $9,688,767,000, of which [$39,421,000] $39,346,000, to remain available through September 30, [2013] 2014, shall be for grants to States for adoption incentive payments, as authorized by section 473A of the Social Security Act and may be made for adoptions completed before September 30, [2012] 2013: Provided, That [$7,983,633,000] $8,054,000,000 shall be for making payments under the Head Start Act: Provided further, That of the amount in the previous proviso, $7,968,543,933 shall be available for payments under section 640 of the Head Start Act at the same level of such payments for FY 2012; of which $40,000,000 shall be available through fiscal year 2014 for allocation by the Secretary to supplement activities described in paragraphs (7)(B) and (9) of section 641(c) of such Act under the Designation Renewal System, established under the authority of sections 641(c)(7), 645A(b)(12) and 645A(d) of such Act; and of which $45,456,067 shall be available for carrying out the cost of living adjustment described in section 640(a)(3)(A)(ii)(II)(aa) of such Act: Provided further, That amounts allocated to Head Start grantees at the discretion of the Secretary to supplement activities pursuant to the previous proviso shall not be included in the calculation of the "base grant" in subsequent fiscal years, as such term is used in section 640(a)(7)(A) of the Head Start Act:[for purposes of allocating funds described by the immediately preceding proviso, the term "base grant'' as used in subsection (a)(7)(A) of section 640 of such Act with respect to funding provided to a Head Start agency (including each Early Head Start agency) for fiscal year 2011 shall be calculated as described in such subsection and to which amount shall be added 50 percent of the amount of funds appropriated under the heading "Department of Health and Human Services, Administration for Children and Families, Children and Family Services Programs'' in Public Law 111–5 and provided to such agency for carrying out expansion of Head Start programs, as that phrase is used in subsection (a)(4)(D) of such section 640, and provided to such agency as the ongoing funding level for operations in the 12-month period beginning in fiscal year 2010:] Provided further, That [$713,630,000] $379,943,000 shall be for making payments under the CSBG Act: Provided further, That [$35,340,000] $30,293,000 shall be for sections 680 and 678E(b)(2) of the CSBG Act, of which not less than [$30,000,000] $29,943,000 shall be for section 680(a)(2) [and not less than $4,990,000 shall be for section 680(a)(3)(B)] of such Act: Provided further, That, to the extent funds for the Assets for Independence Act are distributed as grant funds to a qualified entity and have not been expended by such entity within three years after the date of award, such funds may be recaptured and reallocated among other qualified entities, to remain available for five years: Provided further, That, notwithstanding section 414(e) of the Assets for Independence Act, the Secretary may award up to $1,000,000 to support evidence-based research to evaluate the demonstration project: Provided further, That amounts provided herein to carry out section 1110 of the Social Security Act shall remain available until expended: Provided further, That, in addition to amounts provided herein, $5,762,000 shall be available from amounts available under section 241 of the PHS Act to carry out the provisions of section 1110 of the Social Security Act: Provided further, That to the extent Community Services Block Grant funds are distributed as grant funds by a State to an eligible entity as provided under the CSBG Act, and have not been expended by such entity, they shall remain with such entity for carryover into the next fiscal year for expenditure by such entity consistent with program purposes: Provided further, That the Secretary shall establish procedures regarding the disposition of intangible assets and program income that permit such assets acquired with, and program income derived from, grant funds authorized under section 680 of the CSBG Act to become the sole property of such grantees after a period of not more than 12 years after the end of the grant period for any activity consistent with section 680(a)(2)(A) of the CSBG Act: Provided further, That intangible assets in the form of loans, equity investments and other debt instruments, and program income may be used by grantees for any eligible purpose consistent with section 680(a)(2)(A) of the CSBG Act: Provided further, That these procedures shall apply to such grant funds made available after November 29, 1999: Provided further, That funds appropriated for section 680(a)(2) of the CSBG Act shall be available for financing construction and rehabilitation and loans or investments in private business enterprises owned by community development corporations: Provided further, That [$5,245,000] $5,235,000 shall be for activities authorized by section 291 of the Help America Vote Act of 2002: Provided further, That $1,996,000 shall be for a human services case management system for federally declared disasters, to include a comprehensive national case management contract and Federal costs of administering the system: Provided further, That section 303 (a)(2)(A)(i) of the Family Violence Prevention and Services Act shall not apply to amounts provided herein: Provided further, That up to $2,000,000 shall be for improving the Public Assistance Reporting Information System, including grants to States to support data collection for a study of the system's effectiveness. (Department of Health and Human Services Appropriations Act, 2012.)
Program and Financing (in millions of dollars)
|
||||
Identification code 75–1536–0–1–506 | 2011 actual | 2012 est. | 2013 est. | |
|
||||
Obligations by program activity: | ||||
0101 | Head start | 7,559 | 7,969 | 8,054 |
0103 | Runaway and homeless youth (basic centers) | 54 | 53 | 53 |
0104 | Transitional living | 44 | 44 | 44 |
0106 | Education grants to reduce sexual abuse of runaway youth | 18 | 18 | 18 |
0109 | Child abuse State grants | 26 | 26 | 26 |
0110 | Child abuse discretionary activities | 26 | 26 | 26 |
0111 | Community-based child abuse prevention | 42 | 42 | 42 |
0112 | Child welfare services | 281 | 281 | 281 |
0113 | Child welfare training, research, or demonstration projects | 27 | 26 | 31 |
0114 | Adoption opportunities | 39 | 39 | 39 |
0115 | Abandoned infants assistance | 12 | 11 | 11 |
0116 | Adoption incentives | 39 | 42 | 39 |
0117 | Independent living training vouchers | 45 | 45 | 45 |
0119 | State councils on developmental disabilities | 75 | 75 | 75 |
0120 | Protection and advocacy | 41 | 41 | 41 |
0121 | Projects of national significance | 14 | 8 | 8 |
0122 | University centers for excellence | 39 | 39 | 39 |
0123 | Voting access for individuals with disabilities | 17 | 5 | 5 |
0124 | Native American programs | 49 | 49 | 49 |
0125 | Social services and income maintenance research | 3 | ||
0128 | Federal administration | 207 | 204 | 212 |
0129 | Center for faith-based and community initiatives | 1 | 1 | 1 |
0131 | Disaster human services case management | 2 | 2 | 2 |
|
|
|
||
0191 | Subtotal | 8,657 | 9,046 | 9,144 |
0301 | Community services block grant | 678 | 677 | 350 |
0303 | Rural community facilities | 5 | 5 | |
0304 | Community services discretionary (JOLI & CED) | 20 | 30 | 30 |
0306 | Assets for independence | 24 | 20 | 20 |
0308 | Domestic violence hotline | 3 | 3 | 5 |
0309 | Family violence prevention and services | 130 | 130 | 135 |
0310 | Disconnected Youth | 5 | ||
|
|
|
||
0391 | Subtotal | 860 | 865 | 545 |
|
|
|
||
0400 | Total, direct program | 9,517 | 9,911 | 9,689 |
|
|
|
||
0799 | Total direct obligations | 9,517 | 9,911 | 9,689 |
0801 | Reimbursable program | 21 | 25 | 25 |
|
|
|
||
0809 | Reimbursable program activities, subtotal | 21 | 25 | 25 |
|
|
|
||
0900 | Total new obligations | 9,538 | 9,936 | 9,714 |
|
||||
Budgetary Resources: | ||||
Unobligated balance: | ||||
1000 | Unobligated balance brought forward, Oct 1 | 2 | 2 | 2 |
1021 | Recoveries of prior year unpaid obligations | 3 | ||
|
|
|
||
1050 | Unobligated balance (total) | 2 | 5 | 2 |
Budget authority: | ||||
Appropriations, discretionary: | ||||
1100 | Appropriation | 9,538 | 9,927 | 9,689 |
1130 | Appropriations permanently reduced | –19 | ||
1143 | Approp permanently reduced (Sec 527, HR 2055) | –19 | ||
|
|
|
||
1160 | Appropriation, discretionary (total) | 9,519 | 9,908 | 9,689 |
Spending authority from offsetting collections, discretionary: | ||||
1700 | Collected | 18 | 24 | 24 |
1701 | Change in uncollected payments, Federal sources | 2 | ||
|
|
|
||
1750 | Spending auth from offsetting collections, disc (total) | 20 | 24 | 24 |
Spending authority from offsetting collections, mandatory: | ||||
1800 | Collected | 1 | 1 | 1 |
1801 | Change in uncollected payments, Federal sources | 1 | ||
|
|
|
||
1850 | Spending auth from offsetting collections, mand (total) | 2 | 1 | 1 |
1900 | Budget authority (total) | 9,541 | 9,933 | 9,714 |
1930 | Total budgetary resources available | 9,543 | 9,938 | 9,716 |
Memorandum (non-add) entries: | ||||
1940 | Unobligated balance expiring | –3 | ||
1941 | Unexpired unobligated balance, end of year | 2 | 2 | 2 |
|
||||
Change in obligated balance: | ||||
Obligated balance, start of year (net): | ||||
3000 | Unpaid obligations, brought forward, Oct 1 (gross) | 7,810 | 6,702 | 6,554 |
3010 | Uncollected pymts, Fed sources, brought forward, Oct 1 | –15 | –7 | –7 |
|
|
|
||
3020 | Obligated balance, start of year (net) | 7,795 | 6,695 | 6,547 |
3030 | Obligations incurred, unexpired accounts | 9,538 | 9,936 | 9,714 |
3040 | Outlays (gross) | –10,551 | –10,081 | –9,868 |
3050 | Change in uncollected pymts, Fed sources, unexpired | –3 | ||
3051 | Change in uncollected pymts, Fed sources, expired | 11 | ||
3080 | Recoveries of prior year unpaid obligations, unexpired | –3 | ||
3081 | Recoveries of prior year unpaid obligations, expired | –95 | ||
Obligated balance, end of year (net): | ||||
3090 | Unpaid obligations, end of year (gross) | 6,702 | 6,554 | 6,400 |
3091 | Uncollected pymts, Fed sources, end of year | –7 | –7 | –7 |
|
|
|
||
3100 | Obligated balance, end of year (net) | 6,695 | 6,547 | 6,393 |
|
||||
Budget authority and outlays, net: | ||||
Discretionary: | ||||
4000 | Budget authority, gross | 9,539 | 9,932 | 9,713 |
Outlays, gross: | ||||
4010 | Outlays from new discretionary authority | 3,962 | 4,187 | 4,095 |
4011 | Outlays from discretionary balances | 6,585 | 5,892 | 5,771 |
|
|
|
||
4020 | Outlays, gross (total) | 10,547 | 10,079 | 9,866 |
Offsets against gross budget authority and outlays: | ||||
Offsetting collections (collected) from: | ||||
4030 | Federal sources | –21 | –18 | –18 |
4033 | Non-Federal sources | –8 | –6 | –6 |
|
|
|
||
4040 | Offsets against gross budget authority and outlays (total) | –29 | –24 | –24 |
Additional offsets against gross budget authority only: | ||||
4050 | Change in uncollected pymts, Fed sources, unexpired | –2 | ||
4052 | Offsetting collections credited to expired accounts | 11 | ||
|
|
|
||
4060 | Additional offsets against budget authority only (total) | 9 | ||
|
|
|
||
4070 | Budget authority, net (discretionary) | 9,519 | 9,908 | 9,689 |
4080 | Outlays, net (discretionary) | 10,518 | 10,055 | 9,842 |
Mandatory: | ||||
4090 | Budget authority, gross | 2 | 1 | 1 |
Outlays, gross: | ||||
4100 | Outlays from new mandatory authority | 2 | 1 | 1 |
4101 | Outlays from mandatory balances | 2 | 1 | 1 |
|
|
|
||
4110 | Outlays, gross (total) | 4 | 2 | 2 |
Offsets against gross budget authority and outlays: | ||||
Offsetting collections (collected) from: | ||||
4120 | Federal sources | –1 | –1 | –1 |
Additional offsets against gross budget authority only: | ||||
4140 | Change in uncollected pymts, Fed sources, unexpired | –1 | ||
4170 | Outlays, net (mandatory) | 3 | 1 | 1 |
4180 | Budget authority, net (total) | 9,519 | 9,908 | 9,689 |
4190 | Outlays, net (total) | 10,521 | 10,056 | 9,843 |
|
The request prioritizes investments in early learning to improve outcomes for children. A total of $8.054 billion is requested to maintain the number of children served in Head Start and support implementation of Head Start recompetition. This Budget also requests an additional $7 million for family violence prevention, $5 million for an interagency effort to improve outcomes for disconnected youth, and $5 million to enhance efforts to prevent domestic trafficking.
Object Classification (in millions of dollars)
|
||||
Identification code 75–1536–0–1–506 | 2011 actual | 2012 est. | 2013 est. | |
|
||||
Direct obligations: | ||||
Personnel compensation: | ||||
11.1 | Full-time permanent | 113 | 113 | 117 |
11.3 | Other than full-time permanent | 5 | 5 | 5 |
11.5 | Other personnel compensation | 3 | 3 | 3 |
|
|
|
||
11.9 | Total personnel compensation | 121 | 121 | 125 |
12.1 | Civilian personnel benefits | 30 | 30 | 31 |
21.0 | Travel and transportation of persons | 5 | 4 | 4 |
23.1 | Rental payments to GSA | 20 | 20 | 20 |
23.2 | Rental payments to others | 1 | 1 | 1 |
23.3 | Communications, utilities, and miscellaneous charges | 5 | 5 | 5 |
24.0 | Printing and reproduction | 2 | 2 | 2 |
25.1 | Advisory and assistance services | 248 | 251 | 251 |
25.2 | Other services from non-Federal sources | 15 | 15 | 15 |
25.3 | Other goods and services from Federal sources | 49 | 49 | 49 |
25.4 | Operation and maintenance of facilities | 3 | 3 | 3 |
25.5 | Research and development contracts | 1 | 1 | 1 |
26.0 | Supplies and materials | 1 | 1 | 1 |
41.0 | Grants, subsidies, and contributions | 9,016 | 9,408 | 9,181 |
|
|
|
||
99.0 | Direct obligations | 9,517 | 9,911 | 9,689 |
99.0 | Reimbursable obligations | 21 | 25 | 25 |
|
|
|
||
99.9 | Total new obligations | 9,538 | 9,936 | 9,714 |
|
Employment Summary
|
||||
Identification code 75–1536–0–1–506 | 2011 actual | 2012 est. | 2013 est. | |
|
||||
1001 | Direct civilian full-time equivalent employment | 1,193 | 1,193 | 1,217 |
1101 | Direct military average strength employment | 4 | 4 | 4 |
|
Program and Financing (in millions of dollars)
|
||||
Identification code 75–1553–0–1–609 | 2011 actual | 2012 est. | 2013 est. | |
|
||||
Obligations by program activity: | ||||
0001 | Training and technical assistance | 12 | 12 | 12 |
0002 | Federal parent locator service | 25 | 25 | 25 |
0003 | Child welfare study | 6 | ||
0004 | Welfare research | 15 | 15 | 15 |
|
|
|
||
0799 | Total direct obligations | 58 | 52 | 52 |
0801 | Reimbursable program | 24 | 26 | 26 |
|
|
|
||
0900 | Total new obligations | 82 | 78 | 78 |
|
||||
Budgetary Resources: | ||||
Unobligated balance: | ||||
1000 | Unobligated balance brought forward, Oct 1 | 5 | 8 | 10 |
1021 | Recoveries of prior year unpaid obligations | 4 | ||
|
|
|
||
1050 | Unobligated balance (total) | 9 | 8 | 10 |
Budget authority: | ||||
Appropriations, mandatory: | ||||
1200 | Appropriation | 58 | 52 | 52 |
|
|
|
||
1260 | Appropriations, mandatory (total) | 58 | 52 | 52 |
Spending authority from offsetting collections, mandatory: | ||||
1800 | Collected | 24 | 29 | 29 |
1801 | Change in uncollected payments, Federal sources | –1 | –1 | –1 |
|
|
|
||
1850 | Spending auth from offsetting collections, mand (total) | 23 | 28 | 28 |
1900 | Budget authority (total) | 81 | 80 | 80 |
1930 | Total budgetary resources available | 90 | 88 | 90 |
Memorandum (non-add) entries: | ||||
1941 | Unexpired unobligated balance, end of year | 8 | 10 | 12 |
|
||||
Change in obligated balance: | ||||
Obligated balance, start of year (net): | ||||
3000 | Unpaid obligations, brought forward, Oct 1 (gross) | 57 | 60 | 54 |
3010 | Uncollected pymts, Fed sources, brought forward, Oct 1 | –6 | –5 | –4 |
|
|
|
||
3020 | Obligated balance, start of year (net) | 51 | 55 | 50 |
3030 | Obligations incurred, unexpired accounts | 82 | 78 | 78 |
3040 | Outlays (gross) | –75 | –84 | –94 |
3050 | Change in uncollected pymts, Fed sources, unexpired | 1 | 1 | 1 |
3080 | Recoveries of prior year unpaid obligations, unexpired | –4 | ||
Obligated balance, end of year (net): | ||||
3090 | Unpaid obligations, end of year (gross) | 60 | 54 | 38 |
3091 | Uncollected pymts, Fed sources, end of year | –5 | –4 | –3 |
|
|
|
||
3100 | Obligated balance, end of year (net) | 55 | 50 | 35 |
|
||||
Budget authority and outlays, net: | ||||
Mandatory: | ||||
4090 | Budget authority, gross | 81 | 80 | 80 |
Outlays, gross: | ||||
4100 | Outlays from new mandatory authority | 33 | 38 | 37 |
4101 | Outlays from mandatory balances | 42 | 46 | 57 |
|
|
|
||
4110 | Outlays, gross (total) | 75 | 84 | 94 |
Offsets against gross budget authority and outlays: | ||||
Offsetting collections (collected) from: | ||||
4120 | Federal sources | –24 | –5 | –5 |
4123 | Non-Federal sources | –24 | –24 | |
|
|
|
||
4130 | Offsets against gross budget authority and outlays (total) | –24 | –29 | –29 |
Additional offsets against gross budget authority only: | ||||
4140 | Change in uncollected pymts, Fed sources, unexpired | 1 | 1 | 1 |
|
|
|
||
4160 | Budget authority, net (mandatory) | 58 | 52 | 52 |
4170 | Outlays, net (mandatory) | 51 | 55 | 65 |
4180 | Budget authority, net (total) | 58 | 52 | 52 |
4190 | Outlays, net (total) | 51 | 55 | 65 |
|
Summary of Budget Authority and Outlays (in millions of dollars)
|
||||
2011 actual | 2012 est. | 2013 est. | ||
|
||||
Enacted/requested: | ||||
Budget Authority | 58 | 52 | 52 | |
Outlays | 51 | 55 | 65 | |
Legislative proposal, subject to PAYGO: | ||||
Budget Authority | 6 | 6 | ||
Outlays | 1 | 3 | ||
Total: | ||||
Budget Authority | 58 | 58 | 58 | |
Outlays | 51 | 56 | 68 | |
|
This account provides funding for research and technical assistance activities established by the Personal Responsibility and Work Opportunity Reconciliation Act of 1996 (P.L. 104–193), as amended by the Deficit Reduction Act of 2005 (P.L. 109–171), the Claims Resolution Act of 2010 (P.L. 111–291), the Short Term TANF Extension Act (P.L. 112–35), and the Temporary Payroll Tax Cut Continuation Act of 2011 (P.L. 112–78).
Object Classification (in millions of dollars)
|
||||
Identification code 75–1553–0–1–609 | 2011 actual | 2012 est. | 2013 est. | |
|
||||
Direct obligations: | ||||
11.1 | Personnel compensation: Full-time permanent | 7 | 7 | 7 |
12.1 | Civilian personnel benefits | 2 | 2 | 2 |
21.0 | Travel and transportation of persons | 1 | 1 | 1 |
23.1 | Rental payments to GSA | 3 | 3 | 3 |
25.1 | Advisory and assistance services | 21 | 19 | 19 |
25.2 | Other services from non-Federal sources | 14 | 5 | 5 |
25.3 | Other goods and services from Federal sources | 5 | 6 | 6 |
25.7 | Operation and maintenance of equipment | 3 | 7 | 7 |
41.0 | Grants, subsidies, and contributions | 2 | 2 | 2 |
|
|
|
||
99.0 | Direct obligations | 58 | 52 | 52 |
99.0 | Reimbursable obligations | 24 | 26 | 26 |
|
|
|
||
99.9 | Total new obligations | 82 | 78 | 78 |
|
Employment Summary
|
||||
Identification code 75–1553–0–1–609 | 2011 actual | 2012 est. | 2013 est. | |
|
||||
1001 | Direct civilian full-time equivalent employment | 64 | 64 | 64 |
|
Program and Financing (in millions of dollars)
|
||||
Identification code 75–1553–4–1–609 | 2011 actual | 2012 est. | 2013 est. | |
|
||||
Obligations by program activity: | ||||
0003 | Child welfare study | 6 | 6 | |
|
|
|
||
0900 | Total new obligations (object class 25.2) | 6 | 6 | |
|
||||
Budgetary Resources: | ||||
Budget authority: | ||||
Appropriations, mandatory: | ||||
1200 | Appropriation | 6 | 6 | |
|
|
|
||
1260 | Appropriations, mandatory (total) | 6 | 6 | |
1900 | Budget authority (total) | 6 | 6 | |
1930 | Total budgetary resources available | 6 | 6 | |
|
||||
Change in obligated balance: | ||||
Obligated balance, start of year (net): | ||||
3000 | Unpaid obligations, brought forward, Oct 1 (gross) | 5 | ||
3030 | Obligations incurred, unexpired accounts | 6 | 6 | |
3040 | Outlays (gross) | –1 | –3 | |
Obligated balance, end of year (net): | ||||
3090 | Unpaid obligations, end of year (gross) | 5 | 8 | |
|
|
|
||
3100 | Obligated balance, end of year (net) | 5 | 8 | |
|
||||
Budget authority and outlays, net: | ||||
Mandatory: | ||||
4090 | Budget authority, gross | 6 | 6 | |
Outlays, gross: | ||||
4100 | Outlays from new mandatory authority | 1 | 1 | |
4101 | Outlays from mandatory balances | 2 | ||
|
|
|
||
4110 | Outlays, gross (total) | 1 | 3 | |
Offsets against gross budget authority and outlays: | ||||
Offsetting collections (collected) from: | ||||
4180 | Budget authority, net (total) | 6 | 6 | |
4190 | Outlays, net (total) | 1 | 3 | |
|
For making payments to States or other non-Federal entities under title IV-E of the Social Security Act, [$5,153,000,000] $4,810,000,000.
For making payments to States or other non-Federal entities under title IV-E of the Social Security Act, for the first quarter of fiscal year [2013, $2,100,000,000]2014, $2,200,000,000.
For making, after May 31 of the current fiscal year, payments to States or other non-Federal entities under section 474 of title IV-E of the Social Security Act, for the last 3 months of the current fiscal year for unanticipated costs, incurred for the current fiscal year, such sums as may be necessary. (Department of Health and Human Services Appropriations Act, 2012.)
Program and Financing (in millions of dollars)
|
||||
Identification code 75–1545–0–1–609 | 2011 actual | 2012 est. | 2013 est. | |
|
||||
Obligations by program activity: | ||||
0001 | Foster care | 4,456 | 4,107 | 4,143 |
0002 | Independent living | 140 | 140 | 140 |
0004 | Adoption assistance | 2,362 | 2,415 | 2,537 |
0005 | Guardianship | 29 | 86 | 90 |
0006 | Tribal T&TA | 3 | 3 | 3 |
|
|
|
||
0900 | Total new obligations | 6,990 | 6,751 | 6,913 |
|
||||
Budgetary Resources: | ||||
Budget authority: | ||||
Appropriations, mandatory: | ||||
1200 | Appropriation | 5,140 | 5,156 | 4,813 |
|
|
|
||
1260 | Appropriations, mandatory (total) | 5,140 | 5,156 | 4,813 |
Advance appropriations, mandatory: | ||||
1270 | Advance appropriation | 1,850 | 1,850 | 2,100 |
|
|
|
||
1280 | Advanced appropriation, mandatory (total) | 1,850 | 1,850 | 2,100 |
1900 | Budget authority (total) | 6,990 | 7,006 | 6,913 |
1930 | Total budgetary resources available | 6,990 | 7,006 | 6,913 |
Memorandum (non-add) entries: | ||||
1940 | Unobligated balance expiring | –255 | ||
|
||||
Change in obligated balance: | ||||
Obligated balance, start of year (net): | ||||
3000 | Unpaid obligations, brought forward, Oct 1 (gross) | 1,216 | 1,218 | 1,174 |
3030 | Obligations incurred, unexpired accounts | 6,990 | 6,751 | 6,913 |
3031 | Obligations incurred, expired accounts | 11 | ||
3040 | Outlays (gross) | –6,860 | –6,795 | –6,948 |
3081 | Recoveries of prior year unpaid obligations, expired | –139 | ||
Obligated balance, end of year (net): | ||||
3090 | Unpaid obligations, end of year (gross) | 1,218 | 1,174 | 1,139 |
|
|
|
||
3100 | Obligated balance, end of year (net) | 1,218 | 1,174 | 1,139 |
|
||||
Budget authority and outlays, net: | ||||
Mandatory: | ||||
4090 | Budget authority, gross | 6,990 | 7,006 | 6,913 |
Outlays, gross: | ||||
4100 | Outlays from new mandatory authority | 6,030 | 5,883 | 6,035 |
4101 | Outlays from mandatory balances | 830 | 912 | 913 |
|
|
|
||
4110 | Outlays, gross (total) | 6,860 | 6,795 | 6,948 |
4180 | Budget authority, net (total) | 6,990 | 7,006 | 6,913 |
4190 | Outlays, net (total) | 6,860 | 6,795 | 6,948 |
|
Summary of Budget Authority and Outlays (in millions of dollars)
|
||||
2011 actual | 2012 est. | 2013 est. | ||
|
||||
Enacted/requested: | ||||
Budget Authority | 6,990 | 7,006 | 6,913 | |
Outlays | 6,860 | 6,795 | 6,948 | |
Legislative proposal, subject to PAYGO: | ||||
Budget Authority | 252 | |||
Outlays | 222 | |||
Total: | ||||
Budget Authority | 6,990 | 7,006 | 7,165 | |
Outlays | 6,860 | 6,795 | 7,170 | |
|
This account provides formula grants for Foster Care, Adoption Assistance, Guardianship Assistance, and the Chafee Foster Care Independence Program as well as technical assistance and implementation services for Tribal programs.
Foster care._The proposed level will support eligible low-income children who must be placed outside the home. An average of 165,000 children per month are estimated to be served in FY 2013.
Adoption assistance._The proposed funding level will support subsidies for families adopting eligible low-income children with special needs. An average of 459,500 children per month are estimated to be served in FY 2013.
Guardianship Assistance._The proposed funding level will provide payments for relatives taking legal guardianship of eligible children who have been in foster care. An average of 14,000 children per month are estimated to be served in FY 2013.
Object Classification (in millions of dollars)
|
||||
Identification code 75–1545–0–1–609 | 2011 actual | 2012 est. | 2013 est. | |
|
||||
Direct obligations: | ||||
23.1 | Rental payments to GSA | 1 | 1 | 1 |
25.1 | Advisory and assistance services | 18 | 22 | 22 |
25.3 | Other goods and services from Federal sources | 2 | 1 | 1 |
41.0 | Grants, subsidies, and contributions | 6,969 | 6,727 | 6,889 |
|
|
|
||
99.9 | Total new obligations | 6,990 | 6,751 | 6,913 |
|
Employment Summary
|
||||
Identification code 75–1545–0–1–609 | 2011 actual | 2012 est. | 2013 est. | |
|
||||
1001 | Direct civilian full-time equivalent employment | 4 | 4 | 4 |
|
Program and Financing (in millions of dollars)
|
||||
Identification code 75–1545–4–1–609 | 2011 actual | 2012 est. | 2013 est. | |
|
||||
Obligations by program activity: | ||||
0001 | Foster care | 252 | ||
|
|
|
||
0900 | Total new obligations (object class 41.0) | 252 | ||
|
||||
Budgetary Resources: | ||||
Budget authority: | ||||
Appropriations, mandatory: | ||||
1200 | Appropriation | 252 | ||
|
|
|
||
1260 | Appropriations, mandatory (total) | 252 | ||
1900 | Budget authority (total) | 252 | ||
1930 | Total budgetary resources available | 252 | ||
|
||||
Change in obligated balance: | ||||
3030 | Obligations incurred, unexpired accounts | 252 | ||
3040 | Outlays (gross) | –222 | ||
Obligated balance, end of year (net): | ||||
3090 | Unpaid obligations, end of year (gross) | 30 | ||
|
|
|
||
3100 | Obligated balance, end of year (net) | 30 | ||
|
||||
Budget authority and outlays, net: | ||||
Mandatory: | ||||
4090 | Budget authority, gross | 252 | ||
Outlays, gross: | ||||
4100 | Outlays from new mandatory authority | 222 | ||
4180 | Budget authority, net (total) | 252 | ||
4190 | Outlays, net (total) | 222 | ||
|
The legislative proposals provide financial incentives to improve the child welfare system, and require that child support payments made on behalf of children in foster care be used in the best interest of the child.
For carrying out, to the extent not otherwise provided, the Older Americans Act of 1965 ("OAA''), section 398 and title XXIX of the PHS Act, section 119 of the Medicare Improvements for Patients and Providers Act of 2008, [$1,473,703,000] and title XX-B of the Social Security Act, $1,926,434,000, together with $51,902,000 to be transferred from the Federal Hospital Insurance Trust Fund and the Federal Supplementary Medical Insurance Trust Fund to carry out section 4360 of the Omnibus Budget Reconcilliation Act of 1990: Provided, That amounts appropriated under this heading may be used for grants to States under section 361 of the OAA only for disease prevention and health promotion programs and activities which have been demonstrated through rigorous evaluation to be evidence-based and effective: Provided further, That, notwithstanding section 206(g) of the OAA, up to one percent of amounts appropriated to carry out programs authorized under title III of such Act shall be available for conducting evaluations, training and technical assistance: Provided further, That none of the funds provided shall be used to carry out sections 1701 and 1703 of the PHS Act (with respect to chronic disease self-management activity grants), except that such funds may be used for necessary expenses associated with administering any such grants awarded prior to the date of the enactment of this Act: [Provided further, That the total amount available for fiscal year 2012 under this and any other Act to carry out activities related to Aging and Disability Resource Centers under subsections (a)(20)(B)(iii) and (b)(8) of section 202 of the OAA shall not exceed the amount obligated for such purposes for fiscal year 2010 from funds available under Public Law 111–117:] Provided further, That notwithstanding any other provision of this Act, funds made available under this heading to carry out section 311 of the OAA may be transferred to the Secretary of Agriculture in accordance with such section: Provided further, That, of the amounts provided under this heading, $448,251,000 shall be available for carrying out title V of the OAA: Provided further, That, with respect to the previous proviso, such funds shall be available through June 30, 2014, and may be recaptured and reobligated in accordance with section 517(c) of the OAA. (Department of Health and Human Services Appropriations Act, 2012.)
Program and Financing (in millions of dollars)
|
||||
Identification code 75–0142–0–1–506 | 2011 actual | 2012 est. | 2013 est. | |
|
||||
Obligations by program activity: | ||||
0101 | Home and community-based supportive services | 369 | 367 | 367 |
0102 | Preventive health services | 21 | 21 | 21 |
0103 | National family caregiver support program | 154 | 154 | 154 |
0104 | Native American caregiver support program | 6 | 6 | 6 |
0105 | Congregate nutrition services | 441 | 440 | 440 |
0106 | Home-delivered nutrition services | 218 | 217 | 217 |
0107 | Nutrition services incentive program | 161 | 158 | 160 |
0108 | Native American nutrition and supportive services | 28 | 28 | 28 |
0109 | Program innovations | 12 | ||
0110 | Aging network support activities | 33 | 8 | 8 |
0111 | Long-term care ombudsmen program | 16 | 17 | 17 |
0112 | Prevention of elder abuse and neglect | 5 | 5 | 5 |
0113 | Alzheimer's disease demonstration grants | 11 | 4 | 9 |
0114 | Program administration | 20 | 23 | 23 |
0115 | Lifespan respite care program | 2 | 2 | 2 |
0117 | Aging and Disability Resource Centers (ADRC) | 10 | 16 | 10 |
0118 | Chronic Disease Self-Management Program | 10 | 10 | |
0120 | Adult Protective Services | 8 | ||
0121 | Senior Medicare Patrol program | 9 | 9 | |
0122 | Elder Rights Support Activities | 4 | 4 | |
0125 | Community Service Employment for Older Americans | 448 | ||
0126 | National Clearinghouse Long-Term Care Information | 3 | 3 | |
|
|
|
||
0300 | Total, direct program | 1,507 | 1,492 | 1,949 |
|
|
|
||
0799 | Total direct obligations | 1,507 | 1,492 | 1,949 |
0801 | Reimbursable program - HCFAC and Other | 6 | 11 | |
0802 | Reimbursable - SHIPs HI/SMI Trust Fund Transfer | 52 | ||
|
|
|
||
0899 | Total reimbursable obligations | 6 | 11 | 52 |
|
|
|
||
0900 | Total new obligations | 1,513 | 1,503 | 2,001 |
|
||||
Budgetary Resources: | ||||
Budget authority: | ||||
Appropriations, discretionary: | ||||
1100 | Appropriation | 1,500 | 1,474 | 1,926 |
1120 | Appropriations transferred to other accts [12–3507] | –2 | ||
1130 | Appropriations permanently reduced | –3 | ||
1143 | Approp permanently reduced (Sec 527, HR 2055) | –3 | ||
|
|
|
||
1160 | Appropriation, discretionary (total) | 1,497 | 1,469 | 1,926 |
Appropriations, mandatory: | ||||
1200 | Appropriation | 10 | 13 | 13 |
1221 | CDSMP Appropriations transferred from other accounts [75–0116] | 10 | 10 | |
|
|
|
||
1260 | Appropriations, mandatory (total) | 10 | 23 | 23 |
Spending authority from offsetting collections, discretionary: | ||||
1700 | Collected | 52 | ||
|
|
|
||
1750 | Spending auth from offsetting collections, disc (total) | 52 | ||
Spending authority from offsetting collections, mandatory: | ||||
1800 | Collected | 12 | 11 | |
1801 | Change in uncollected payments, Federal sources | –6 | ||
|
|
|
||
1850 | Spending auth from offsetting collections, mand (total) | 6 | 11 | |
1900 | Budget authority (total) | 1,513 | 1,503 | 2,001 |
1930 | Total budgetary resources available | 1,513 | 1,503 | 2,001 |
|
||||
Change in obligated balance: | ||||
Obligated balance, start of year (net): | ||||
3000 | Unpaid obligations, brought forward, Oct 1 (gross) | 746 | 678 | 679 |
3010 | Uncollected pymts, Fed sources, brought forward, Oct 1 | –48 | –37 | –37 |
|
|
|
||
3020 | Obligated balance, start of year (net) | 698 | 641 | 642 |
3030 | Obligations incurred, unexpired accounts | 1,513 | 1,503 | 2,001 |
3040 | Outlays (gross) | –1,573 | –1,502 | –1,804 |
3050 | Change in uncollected pymts, Fed sources, unexpired | 6 | ||
3051 | Change in uncollected pymts, Fed sources, expired | 5 | ||
3081 | Recoveries of prior year unpaid obligations, expired | –8 | ||
Obligated balance, end of year (net): | ||||
3090 | Unpaid obligations, end of year (gross) | 678 | 679 | 876 |
3091 | Uncollected pymts, Fed sources, end of year | –37 | –37 | –37 |
|
|
|
||
3100 | Obligated balance, end of year (net) | 641 | 642 | 839 |
|
||||
Budget authority and outlays, net: | ||||
Discretionary: | ||||
4000 | Budget authority, gross | 1,497 | 1,469 | 1,978 |
Outlays, gross: | ||||
4010 | Outlays from new discretionary authority | 953 | 896 | 1,227 |
4011 | Outlays from discretionary balances | 600 | 584 | 554 |
|
|
|
||
4020 | Outlays, gross (total) | 1,553 | 1,480 | 1,781 |
Offsets against gross budget authority and outlays: | ||||
Offsetting collections (collected) from: | ||||
4030 | Federal sources | –1 | –52 | |
Additional offsets against gross budget authority only: | ||||
4052 | Offsetting collections credited to expired accounts | 1 | ||
|
|
|
||
4070 | Budget authority, net (discretionary) | 1,497 | 1,469 | 1,926 |
4080 | Outlays, net (discretionary) | 1,552 | 1,480 | 1,729 |
Mandatory: | ||||
4090 | Budget authority, gross | 16 | 34 | 23 |
Outlays, gross: | ||||
4100 | Outlays from new mandatory authority | 3 | 13 | 2 |
4101 | Outlays from mandatory balances | 17 | 9 | 21 |
|
|
|
||
4110 | Outlays, gross (total) | 20 | 22 | 23 |
Offsets against gross budget authority and outlays: | ||||
Offsetting collections (collected) from: | ||||
4120 | Federal sources | –17 | –11 | |
Additional offsets against gross budget authority only: | ||||
4140 | Change in uncollected pymts, Fed sources, unexpired | 6 | ||
4142 | Offsetting collections credited to expired accounts | 5 | ||
|
|
|
||
4150 | Additional offsets against budget authority only (total) | 11 | ||
|
|
|
||
4160 | Budget authority, net (mandatory) | 10 | 23 | 23 |
4170 | Outlays, net (mandatory) | 3 | 11 | 23 |
4180 | Budget authority, net (total) | 1,507 | 1,492 | 1,949 |
4190 | Outlays, net (total) | 1,555 | 1,491 | 1,752 |
|
Note.—The reimbursable program (HCFAC) in the Administration on Aging (AoA) reflects the actual distribution of the allocation account for 2012. Future allocations will be determined annually, and are not estimated in the current budget.
This account provides funding for formula grant programs that provide nutrition, supportive services and caregiver support services through a network of aging-related organizations to help predominantly older Americans, with the assistance of their caregivers, maintain their dignity and independence in their homes and communities. The Budget proposes to transfer the Senior Community Services Employment Program (SCSEP), authorized under title V of the Older Americans Act, from the Department of Labor to the Department of Health and Human Services, which administers the remainder of the Older Americans Act. SCSEP offers participants work-based community service training so that they can gain on-the-job experience and prepare to enter or to re-enter the workforce.
Object Classification (in millions of dollars)
|
||||
Identification code 75–0142–0–1–506 | 2011 actual | 2012 est. | 2013 est. | |
|
||||
Direct obligations: | ||||
11.1 | Personnel compensation: Full-time permanent | 11 | 12 | 14 |
12.1 | Civilian personnel benefits | 3 | 3 | 4 |
23.1 | Rental payments to GSA | 2 | 2 | 4 |
25.1 | Advisory and assistance services | 11 | 13 | 14 |
25.3 | Other goods and services from Federal sources | 7 | 9 | 7 |
41.0 | Grants, subsidies, and contributions | 1,473 | 1,453 | 1,906 |
|
|
|
||
99.0 | Direct obligations | 1,507 | 1,492 | 1,949 |
99.0 | Reimbursable obligations | 6 | 11 | 52 |
|
|
|
||
99.9 | Total new obligations | 1,513 | 1,503 | 2,001 |
|
Employment Summary
|
||||
Identification code 75–0142–0–1–506 | 2011 actual | 2012 est. | 2013 est. | |
|
||||
1001 | Direct civilian full-time equivalent employment | 114 | 112 | 122 |
2001 | Reimbursable civilian full-time equivalent employment | 1 | 8 | 13 |
|
Per the Secretary of Health and Human Services' announcement on October 14, 2011, the President's 2013 Budget does not project CLASS enrollment or the associated premiums and benefit outlays in the 10-year budget window or in the long-term budget outlook.
For necessary expenses, not otherwise provided, for general departmental management, including hire of [six] passenger motor vehicles, and for carrying out titles III, XVII, and XXI of the PHS Act, the United States-Mexico Border Health Commission Act, and research studies under section 1110 of the Social Security Act, [$475,221,000] $306,320,000, together with [$69,211,000] $116,841,000 from the amounts available under section 241 of the PHS Act to carry out national health or human services research and evaluation activities: Provided, [That of this amount, $53,783,000 shall be for minority AIDS prevention and treatment activities: Provided further, That of the funds made available under this heading, $104,790,000 shall be for making competitive contracts and grants to public and private entities to fund medically accurate and age appropriate programs that reduce teen pregnancy and for the Federal costs associated with administering and evaluating such contracts and grants, of which not less than $75,000,000 shall be for replicating programs that have been proven effective through rigorous evaluation to reduce teenage pregnancy, behavioral risk factors underlying teenage pregnancy, or other associated risk factors, of which not less than $25,000,000 shall be available for research and demonstration grants to develop, replicate, refine, and test additional models and innovative strategies for preventing teenage pregnancy, and of which any remaining amounts shall be available for training and technical assistance, evaluation, outreach, and additional program support activities: Provided further,] That of the funds made available under this heading, $3,500,000 is for strengthening the Department's acquisition workforce capacity and capabilities: Provided further, That with respect to the previous proviso, such funds shall be available for training, recruitment, retention and hiring members of the acquisition workforce as defined by the Office of Federal Procurement Policy Act, as amended (41 U.S.C. 401 et seq.): Provided further, That, with respect to the second proviso, such funds shall be available for information technology in support of acquisition workforce effectiveness or for management solutions to improve acquisition management: Provided further, That of the amounts provided under this heading from amounts available under section 241 of the PHS Act, [$8,455,000] no less than $4,232,000 shall be available to carry out evaluations (including longitudinal evaluations) of teenage pregnancy prevention approaches, and $53,891,000 shall be for minority AIDS prevention and treatment activities[: Provided further, That of the funds made available under this heading, $5,000,000 shall be for making competitive grants to provide abstinence education (as defined by section 510(b)(2)(A)-(H) of the Social Security Act) to adolescents, and for Federal costs of administering the grant: Provided further, That grants made under the authority of section 510(b)(2)(A)-(H) of the Social Security Act shall be made only to public and private entities that agree that, with respect to an adolescent to whom the entities provide abstinence education under such grant, the entities will not provide to that adolescent any other education regarding sexual conduct, except that, in the case of an entity expressly required by law to provide health information or services the adolescent shall not be precluded from seeking health information or services from the entity in a different setting than the setting in which abstinence education was provided: Provided further, That funds provided in this Act for embryo adoption activities may be used to provide to individuals adopting embryos, through grants and other mechanisms, medical and administrative services deemed necessary for such adoptions: Provided further, That such services shall be provided consistent with 42 CFR 59.5(a)(4)]. (Department of Health and Human Services Appropriations Act, 2012.)
Program and Financing (in millions of dollars)
|
||||
Identification code 75–9912–0–1–551 | 2011 actual | 2012 est. | 2013 est. | |
|
||||
Obligations by program activity: | ||||
0001 | General departmental management | 652 | 475 | 306 |
0004 | Prevention and Public Health Fund (Mandatory) | 19 | 10 | 120 |
0005 | Prevention and Public Health Fund (Mandatory, Alzheimer's) | 90 | ||
|
|
|
||
0799 | Total direct obligations | 671 | 485 | 516 |
0801 | General departmental management | 174 | 172 | 170 |
0802 | HCFAC (Mandatory) | 9 | 9 | |
0803 | PHS evaluation | 65 | 69 | 117 |
|
|
|
||
0899 | Total reimbursable obligations | 248 | 250 | 287 |
|
|
|
||
0900 | Total new obligations | 919 | 735 | 803 |
|
||||
Budgetary Resources: | ||||
Unobligated balance: | ||||
1000 | Unobligated balance brought forward, Oct 1 | 14 | ||
Budget authority: | ||||
Appropriations, discretionary: | ||||
1100 | Appropriation | 652 | 475 | 306 |
1120 | Appropriations transferred to other accts [75–9915] | –1 | ||
1130 | Appropriations permanently reduced (Rescission) | –1 | ||
1143 | Approp permanently reduced (Sec 527, HR 2055) | –1 | ||
|
|
|
||
1160 | Appropriation, discretionary (total) | 650 | 474 | 306 |
Appropriations, mandatory: | ||||
1221 | Appropriations transferred from other accts [75–0116] | 19 | 10 | 210 |
|
|
|
||
1260 | Appropriations, mandatory (total) | 19 | 10 | 210 |
Spending authority from offsetting collections, discretionary: | ||||
1700 | Collected (PHS & Reimburseable) | 161 | 242 | 287 |
1701 | Change in uncollected payments, Federal sources (PHS Evaluation & Reimb.) | 67 | ||
|
|
|
||
1750 | Spending auth from offsetting collections, disc (total) | 228 | 242 | 287 |
Spending authority from offsetting collections, mandatory: | ||||
1800 | Collected | 9 | ||
1801 | Change in uncollected payments, Federal sources | 9 | ||
|
|
|
||
1850 | Spending auth from offsetting collections, mand (total) | 9 | 9 | |
1900 | Budget authority (total) | 906 | 735 | 803 |
1930 | Total budgetary resources available | 920 | 735 | 803 |
Memorandum (non-add) entries: | ||||
1940 | Unobligated balance expiring | –1 | ||
|
||||
Change in obligated balance: | ||||
Obligated balance, start of year (net): | ||||
3000 | Unpaid obligations, brought forward, Oct 1 (gross) | 543 | 718 | 549 |
3010 | Uncollected pymts, Fed sources, brought forward, Oct 1 | –344 | –225 | –225 |
|
|
|
||
3020 | Obligated balance, start of year (net) | 199 | 493 | 324 |
3030 | Obligations incurred, unexpired accounts | 919 | 735 | 803 |
3031 | Obligations incurred, expired accounts | 10 | ||
3040 | Outlays (gross) | –749 | –904 | –753 |
3050 | Change in uncollected pymts, Fed sources, unexpired | –76 | ||
3051 | Change in uncollected pymts, Fed sources, expired | 195 | ||
3081 | Recoveries of prior year unpaid obligations, expired | –5 | ||
Obligated balance, end of year (net): | ||||
3090 | Unpaid obligations, end of year (gross) | 718 | 549 | 599 |
3091 | Uncollected pymts, Fed sources, end of year | –225 | –225 | –225 |
|
|
|
||
3100 | Obligated balance, end of year (net) | 493 | 324 | 374 |
|
||||
Budget authority and outlays, net: | ||||
Discretionary: | ||||
4000 | Budget authority, gross | 878 | 716 | 593 |
Outlays, gross: | ||||
4010 | Outlays from new discretionary authority | 384 | 323 | 280 |
4011 | Outlays from discretionary balances | 347 | 571 | 443 |
|
|
|
||
4020 | Outlays, gross (total) | 731 | 894 | 723 |
Offsets against gross budget authority and outlays: | ||||
Offsetting collections (collected) from: | ||||
4030 | Federal sources | –375 | –242 | –287 |
Additional offsets against gross budget authority only: | ||||
4050 | Change in uncollected pymts, Fed sources, unexpired | –67 | ||
4052 | Offsetting collections credited to expired accounts | 214 | ||
|
|
|
||
4060 | Additional offsets against budget authority only (total) | 147 | ||
|
|
|
||
4070 | Budget authority, net (discretionary) | 650 | 474 | 306 |
4080 | Outlays, net (discretionary) | 356 | 652 | 436 |
Mandatory: | ||||
4090 | Budget authority, gross | 28 | 19 | 210 |
Outlays, gross: | ||||
4100 | Outlays from new mandatory authority | 12 | 10 | 27 |
4101 | Outlays from mandatory balances | 6 | 3 | |
|
|
|
||
4110 | Outlays, gross (total) | 18 | 10 | 30 |
Offsets against gross budget authority and outlays: | ||||
Offsetting collections (collected) from: | ||||
4120 | Federal sources | –9 | ||
Additional offsets against gross budget authority only: | ||||
4140 | Change in uncollected pymts, Fed sources, unexpired | –9 | ||
|
|
|
||
4160 | Budget authority, net (mandatory) | 19 | 10 | 210 |
4170 | Outlays, net (mandatory) | 18 | 1 | 30 |
4180 | Budget authority, net (total) | 669 | 484 | 516 |
4190 | Outlays, net (total) | 374 | 653 | 466 |
|
Note.—The reimbursable program (HCFAC) in the General Department Management (GDM) account reflects the actual distribution of the allocation account for 2012. Future allocation will be determined annually, and are not estimated in the current budget.
General Departmental Management (GDM) funds activities that provide leadership, policy, legal, and administrative guidance to HHS components, and support research to develop policy initiatives and improve existing HHS programs. GDM also funds the activities of the Office of the Assistant Secretary for Health, including adolescent health, disease prevention and health promotion, physical fitness and sports, minority health, research integrity, women's health, and programs funded through the Prevention and Public Health Fund. This includes funding the continuation of grants for medically accurate and age appropriate programs to reduce teen pregnancy, including funds for research, demonstration grants, and replication of programs that have been proven effective through rigorous evaluation to reduce teen pregnancy.
Object Classification (in millions of dollars)
|
||||
Identification code 75–9912–0–1–551 | 2011 actual | 2012 est. | 2013 est. | |
|
||||
Direct obligations: | ||||
Personnel compensation: | ||||
11.1 | Full-time permanent | 87 | 96 | 96 |
11.3 | Other than full-time permanent | 8 | 3 | 2 |
11.5 | Other personnel compensation | 9 | 3 | 2 |
11.7 | Military personnel | 7 | 5 | 5 |
|
|
|
||
11.9 | Total personnel compensation | 111 | 107 | 105 |
12.1 | Civilian personnel benefits | 26 | 24 | 24 |
12.2 | Military personnel benefits | 5 | 1 | 2 |
21.0 | Travel and transportation of persons | 4 | 4 | 3 |
23.1 | Rental payments to GSA | 15 | 17 | 17 |
23.3 | Communications, utilities, and miscellaneous charges | 1 | 4 | 4 |
24.0 | Printing and reproduction | 1 | 1 | 1 |
25.1 | Advisory and assistance services | 38 | 36 | 29 |
25.2 | Other services from non-Federal sources | 160 | 85 | 144 |
25.3 | Other goods and services from Federal sources | 70 | 51 | 144 |
25.4 | Operation and maintenance of facilities | 3 | 5 | 4 |
25.7 | Operation and maintenance of equipment | 1 | 4 | 3 |
26.0 | Supplies and materials | 2 | 6 | 6 |
31.0 | Equipment | 3 | 4 | 5 |
41.0 | Grants, subsidies, and contributions | 159 | 136 | 25 |
|
|
|
||
99.0 | Direct obligations | 599 | 485 | 516 |
99.0 | Reimbursable obligations | 248 | 250 | 287 |
Allocation Account - direct: | ||||
11.1 | Personnel compensation: Full-time permanent | 60 | ||
12.1 | Civilian personnel benefits | 12 | ||
|
|
|
||
99.0 | Allocation account - direct | 72 | ||
|
|
|
||
99.9 | Total new obligations | 919 | 735 | 803 |
|
Employment Summary
|
||||
Identification code 75–9912–0–1–551 | 2011 actual | 2012 est. | 2013 est. | |
|
||||
1001 | Direct civilian full-time equivalent employment | 957 | 1,072 | 1,074 |
1101 | Direct military average strength employment | 48 | 50 | 45 |
2001 | Reimbursable civilian full-time equivalent employment | 458 | 314 | 317 |
2101 | Reimbursable military average strength employment | 11 | 10 | 10 |
3001 | Allocation account civilian full-time equivalent employment | 498 | ||
|
For expenses necessary for the Office for Civil Rights, [$41,016,000] $38,966,000. (Department of Health and Human Services Appropriations Act, 2012.)
Program and Financing (in millions of dollars)
|
||||
Identification code 75–0135–0–1–751 | 2011 actual | 2012 est. | 2013 est. | |
|
||||
Obligations by program activity: | ||||
0001 | Direct program activity | 38 | 41 | 39 |
0801 | Reimbursable program activity | 5 | ||
|
|
|
||
0900 | Total new obligations | 43 | 41 | 39 |
|
||||
Budgetary Resources: | ||||
Budget authority: | ||||
Appropriations, discretionary: | ||||
1100 | Appropriation | 38 | 41 | 39 |
|
|
|
||
1160 | Appropriation, discretionary (total) | 38 | 41 | 39 |
Spending authority from offsetting collections, discretionary: | ||||
1700 | Collected | 5 | ||
|
|
|
||
1750 | Spending auth from offsetting collections, disc (total) | 5 | ||
1900 | Budget authority (total) | 43 | 41 | 39 |
1930 | Total budgetary resources available | 43 | 41 | 39 |
|
||||
Change in obligated balance: | ||||
Obligated balance, start of year (net): | ||||
3000 | Unpaid obligations, brought forward, Oct 1 (gross) | 11 | 13 | 12 |
3030 | Obligations incurred, unexpired accounts | 43 | 41 | 39 |
3040 | Outlays (gross) | –41 | –42 | –40 |
Obligated balance, end of year (net): | ||||
3090 | Unpaid obligations, end of year (gross) | 13 | 12 | 11 |
|
|
|
||
3100 | Obligated balance, end of year (net) | 13 | 12 | 11 |
|
||||
Budget authority and outlays, net: | ||||
Discretionary: | ||||
4000 | Budget authority, gross | 43 | 41 | 39 |
Outlays, gross: | ||||
4010 | Outlays from new discretionary authority | 34 | 33 | 31 |
4011 | Outlays from discretionary balances | 7 | 9 | 9 |
|
|
|
||
4020 | Outlays, gross (total) | 41 | 42 | 40 |
Offsets against gross budget authority and outlays: | ||||
Offsetting collections (collected) from: | ||||
4030 | Federal sources | –3 | ||
4033 | Non-Federal sources | –2 | ||
|
|
|
||
4040 | Offsets against gross budget authority and outlays (total) | –5 | ||
|
|
|
||
4070 | Budget authority, net (discretionary) | 38 | 41 | 39 |
4080 | Outlays, net (discretionary) | 36 | 42 | 40 |
4180 | Budget authority, net (total) | 38 | 41 | 39 |
4190 | Outlays, net (total) | 36 | 42 | 40 |
|
The Office for Civil Rights funds activities that carry out the Department's civil rights nondiscrimination and health information privacy and security compliance programs.
Object Classification (in millions of dollars)
|
||||
Identification code 75–0135–0–1–751 | 2011 actual | 2012 est. | 2013 est. | |
|
||||
Direct obligations: | ||||
Personnel compensation: | ||||
11.1 | Full-time permanent | 23 | 23 | 22 |
11.3 | Other than full-time permanent | 1 | 1 | |
11.5 | Other personnel compensation | 1 | 1 | |
|
|
|
||
11.9 | Total personnel compensation | 23 | 25 | 24 |
12.1 | Civilian personnel benefits | 6 | 6 | 6 |
23.1 | Rental payments to GSA | 3 | 3 | 3 |
25.2 | Other services from non-Federal sources | 8 | ||
25.2 | Other services from non-Federal sources | 2 | 2 | |
25.3 | Other goods and services from Federal sources | 2 | 2 | |
25.4 | Operation and maintenance of facilities | 1 | 1 | |
25.7 | Operation and maintenance of equipment | 2 | 1 | |
|
|
|
||
99.0 | Direct obligations | 40 | 41 | 39 |
99.0 | Reimbursable obligations | 3 | ||
|
|
|
||
99.9 | Total new obligations | 43 | 41 | 39 |
|
Employment Summary
|
||||
Identification code 75–0135–0–1–751 | 2011 actual | 2012 est. | 2013 est. | |
|
||||
1001 | Direct civilian full-time equivalent employment | 262 | 262 | 252 |
1101 | Direct military average strength employment | 1 | 1 | 1 |
2001 | Reimbursable civilian full-time equivalent employment | 3 | 3 | 3 |
|
For expenses necessary for the Office of the National Coordinator for Health Information Technology, including grants, contracts, and cooperative agreements for the development and advancement of interoperable health information technology, [$16,446,000] $26,246,000: Provided, That in addition to amounts provided herein, [$44,811,000] $40,011,000 shall be available from amounts available under section 241 of the PHS Act. (Department of Health and Human Services Appropriations Act, 2012.)
Program and Financing (in millions of dollars)
|
||||
Identification code 75–0130–0–1–551 | 2011 actual | 2012 est. | 2013 est. | |
|
||||
Obligations by program activity: | ||||
0001 | Health information technology | 41 | 16 | 26 |
0002 | Recovery Act activities | 157 | 5 | |
|
|
|
||
0799 | Total direct obligations | 198 | 21 | 26 |
0801 | Reimbursable program | 19 | 7 | 7 |
0802 | Reimbursable program: PHS evaluation | 19 | 45 | 40 |
|
|
|
||
0899 | Total reimbursable obligations | 38 | 52 | 47 |
|
|
|
||
0900 | Total new obligations | 236 | 73 | 73 |
|
||||
Budgetary Resources: | ||||
Unobligated balance: | ||||
1000 | Unobligated balance brought forward, Oct 1 | 159 | 5 | |
1021 | Recoveries of prior year unpaid obligations | 1 | ||
|
|
|
||
1050 | Unobligated balance (total) | 160 | 5 | |
Budget authority: | ||||
Appropriations, discretionary: | ||||
1100 | Appropriation | 42 | 16 | 26 |
|
|
|
||
1160 | Appropriation, discretionary (total) | 42 | 16 | 26 |
Spending authority from offsetting collections, discretionary: | ||||
1700 | Collected | 3 | 52 | 47 |
1701 | Change in uncollected payments, Federal sources | 30 | ||
|
|
|
||
1750 | Spending auth from offsetting collections, disc (total) | 33 | 52 | 47 |
Spending authority from offsetting collections, mandatory: | ||||
1800 | Collected | 7 | ||
|
|
|
||
1850 | Spending auth from offsetting collections, mand (total) | 7 | ||
1900 | Budget authority (total) | 82 | 68 | 73 |
1930 | Total budgetary resources available | 242 | 73 | 73 |
Memorandum (non-add) entries: | ||||
1940 | Unobligated balance expiring | –1 | ||
1941 | Unexpired unobligated balance, end of year | 5 | ||
|
||||
Change in obligated balance: | ||||
Obligated balance, start of year (net): | ||||
3000 | Unpaid obligations, brought forward, Oct 1 (gross) | 1,813 | 1,553 | 603 |
3010 | Uncollected pymts, Fed sources, brought forward, Oct 1 | –34 | –44 | –44 |
|
|
|
||
3020 | Obligated balance, start of year (net) | 1,779 | 1,509 | 559 |
3030 | Obligations incurred, unexpired accounts | 236 | 73 | 73 |
3040 | Outlays (gross) | –493 | –1,023 | –466 |
3050 | Change in uncollected pymts, Fed sources, unexpired | –30 | ||
3051 | Change in uncollected pymts, Fed sources, expired | 20 | ||
3080 | Recoveries of prior year unpaid obligations, unexpired | –1 | ||
3081 | Recoveries of prior year unpaid obligations, expired | –2 | ||
Obligated balance, end of year (net): | ||||
3090 | Unpaid obligations, end of year (gross) | 1,553 | 603 | 210 |
3091 | Uncollected pymts, Fed sources, end of year | –44 | –44 | –44 |
|
|
|
||
3100 | Obligated balance, end of year (net) | 1,509 | 559 | 166 |
|
||||
Budget authority and outlays, net: | ||||
Discretionary: | ||||
4000 | Budget authority, gross | 75 | 68 | 73 |
Outlays, gross: | ||||
4010 | Outlays from new discretionary authority | 47 | 66 | 69 |
4011 | Outlays from discretionary balances | 446 | 951 | 396 |
|
|
|
||
4020 | Outlays, gross (total) | 493 | 1,017 | 465 |
Offsets against gross budget authority and outlays: | ||||
Offsetting collections (collected) from: | ||||
4030 | Federal sources | –23 | –52 | –47 |
Additional offsets against gross budget authority only: | ||||
4050 | Change in uncollected pymts, Fed sources, unexpired | –30 | ||
4052 | Offsetting collections credited to expired accounts | 20 | ||
|
|
|
||
4060 | Additional offsets against budget authority only (total) | –10 | ||
|
|
|
||
4070 | Budget authority, net (discretionary) | 42 | 16 | 26 |
4080 | Outlays, net (discretionary) | 470 | 965 | 418 |
Mandatory: | ||||
4090 | Budget authority, gross | 7 | ||
Outlays, gross: | ||||
4101 | Outlays from mandatory balances | 6 | 1 | |
Offsets against gross budget authority and outlays: | ||||
Offsetting collections (collected) from: | ||||
4120 | Federal sources | –7 | ||
4180 | Budget authority, net (total) | 42 | 16 | 26 |
4190 | Outlays, net (total) | 463 | 971 | 419 |
|
This program supports coordination, leadership, and development of Federal health information technology activities and Federal initiatives for the nationwide advancement of private and secure interoperable health information technology, in cooperation with participants in the health sector. The Office of the National Coordinator for Health Information Technology was established in the Health Information Technology for Economic and Clinical Health Act (P.L. 111–5, Title XIII), for the purpose of addressing strategic planning, coordination, and the analysis of key technical, economic and other issues related to the public and private adoption of health information technology.
Object Classification (in millions of dollars)
|
||||
Identification code 75–0130–0–1–551 | 2011 actual | 2012 est. | 2013 est. | |
|
||||
Direct obligations: | ||||
11.1 | Personnel compensation: Full-time permanent | 15 | 4 | |
12.1 | Civilian personnel benefits | 4 | 1 | |
21.0 | Travel and transportation of persons | 1 | ||
23.1 | Rental payments to GSA | 2 | 2 | 2 |
25.1 | Advisory and assistance services | 3 | 2 | |
25.2 | Other services from non-Federal sources | 69 | 2 | 9 |
25.3 | Other goods and services from Federal sources | 7 | 10 | 10 |
25.4 | Operation and maintenance of facilities | 2 | 2 | |
31.0 | Equipment | 4 | 1 | |
41.0 | Grants, subsidies, and contributions | 94 | ||
|
|
|
||
99.0 | Direct obligations | 199 | 21 | 26 |
99.0 | Reimbursable obligations | 37 | 52 | 47 |
|
|
|
||
99.9 | Total new obligations | 236 | 73 | 73 |
|
Employment Summary
|
||||
Identification code 75–0130–0–1–551 | 2011 actual | 2012 est. | 2013 est. | |
|
||||
1001 | Direct civilian full-time equivalent employment | 146 | 171 | 190 |
1101 | Direct military average strength employment | 1 | 1 | 1 |
|
For expenses necessary for administrative law judges responsible for hearing cases under title XVIII of the Social Security Act (and related provisions of title XI of such Act), [$72,147,000] $84,234,000, to be transferred in appropriate part from the Federal Hospital Insurance Trust Fund and the Federal Supplementary Medical Insurance Trust Fund. (Department of Health and Human Services Appropriations Act, 2012.)
Program and Financing (in millions of dollars)
|
||||
Identification code 75–0139–0–1–551 | 2011 actual | 2012 est. | 2013 est. | |
|
||||
Obligations by program activity: | ||||
0001 | Direct program activity | 70 | 72 | 84 |
|
||||
Budgetary Resources: | ||||
Budget authority: | ||||
Spending authority from offsetting collections, discretionary: | ||||
1700 | Collected | 71 | 72 | 84 |
|
|
|
||
1750 | Spending auth from offsetting collections, disc (total) | 71 | 72 | 84 |
1930 | Total budgetary resources available | 71 | 72 | 84 |
Memorandum (non-add) entries: | ||||
1940 | Unobligated balance expiring | –1 | ||
|
||||
Change in obligated balance: | ||||
Obligated balance, start of year (net): | ||||
3000 | Unpaid obligations, brought forward, Oct 1 (gross) | 20 | 15 | |
3030 | Obligations incurred, unexpired accounts | 70 | 72 | 84 |
3040 | Outlays (gross) | –72 | –87 | –84 |
3081 | Recoveries of prior year unpaid obligations, expired | –3 | ||
Obligated balance, end of year (net): | ||||
3090 | Unpaid obligations, end of year (gross) | 15 | ||
|
|
|
||
3100 | Obligated balance, end of year (net) | 15 | ||
|
||||
Budget authority and outlays, net: | ||||
Discretionary: | ||||
4000 | Budget authority, gross | 71 | 72 | 84 |
Outlays, gross: | ||||
4010 | Outlays from new discretionary authority | 63 | 72 | 84 |
4011 | Outlays from discretionary balances | 9 | 15 | |
|
|
|
||
4020 | Outlays, gross (total) | 72 | 87 | 84 |
Offsets against gross budget authority and outlays: | ||||
Offsetting collections (collected) from: | ||||
4030 | Federal sources | –71 | –72 | –84 |
4190 | Outlays, net (total) | 1 | 15 | |
|
This appropriation funds the operations of the Office of Medicare Hearings and Appeals (OMHA), as authorized by the Medicare Prescription Drug, Improvement, and Modernization Act of 2003. OMHA provides the forum through which individuals and organizations who are dissatisfied with Medicare determinations affecting their rights to, or their participation in, the Medicare program may administratively appeal those determinations, in accordance with the requirements of the Administrative Procedures Act and the Social Security Act.
Object Classification (in millions of dollars)
|
||||
Identification code 75–0139–0–1–551 | 2011 actual | 2012 est. | 2013 est. | |
|
||||
Direct obligations: | ||||
11.1 | Personnel compensation: Full-time permanent | 36 | 43 | 47 |
12.1 | Civilian personnel benefits | 10 | 13 | 14 |
23.1 | Rental payments to GSA | 6 | 6 | 7 |
23.3 | Communications, utilities, and miscellaneous charges | 1 | 1 | 2 |
25.1 | Advisory and assistance services | 7 | 1 | 1 |
25.2 | Other services from non-Federal sources | 3 | 1 | 2 |
25.3 | Other goods and services from Federal sources | 6 | 7 | 9 |
25.4 | Operation and maintenance of facilities | 1 | ||
26.0 | Supplies and materials | 1 | ||
31.0 | Equipment | 1 | ||
|
|
|
||
99.9 | Total new obligations | 70 | 72 | 84 |
|
Employment Summary
|
||||
Identification code 75–0139–0–1–551 | 2011 actual | 2012 est. | 2013 est. | |
|
||||
1001 | Direct civilian full-time equivalent employment | 418 | 466 | 518 |
|
For expenses necessary to support activities related to countering potential biological, nuclear, radiological, chemical, and cybersecurity threats to civilian populations, and for other public health emergencies, [$569,452,000] $625,262,000; of which [$10,000,000] $5,000,000 shall remain available until [September 30, 2014,] expended to support emergency operations and of which $50,000,000 shall remain available until expended for the purpose of funding a strategic investment corporation established to further the purposes of section 319L of the PHS Act (42 U.S.C. 247d-7e) to foster innovation in the development of medical countermeasures; and of which up to $5,000,000 shall remain available through September 30, 2015 to support the delivery of medical countermeasures.
From funds transferred to this account pursuant to the fourth paragraph under this heading in Public Law 111–117, up to $415,000,000 shall be available for expenses necessary to support advanced research and development pursuant to section 319L of the PHS Act, and other administrative expenses of the Biomedical Advanced Research and Development Authority to support additional advanced research and development: Provided, That funds provided under this heading for the purpose of acquisition of security countermeasures may be used and shall be in addition to any other funds available for such purpose: Provided further, That products purchased with funds provided under this heading may, at the discretion of the Secretary, be deposited in the Strategic National Stockpile pursuant to section 319F-2 of the PHS Act.
In addition, for expenses necessary for replacement of building leases and associated renovation costs for Public Health Service agencies and other components of the Department of Health and Human Services, including relocation and fit-out costs, $17,000,000, to remain available until expended. (Department of Health and Human Services Appropriations Act, 2012.)
Program and Financing (in millions of dollars)
|
||||
Identification code 75–0140–0–1–551 | 2011 actual | 2012 est. | 2013 est. | |
|
||||
Obligations by program activity: | ||||
0001 | Public Health and Social Services Emergency Fund | 2,685 | 2,657 | 1,213 |
0801 | Reimbursable program | 14 | 60 | 60 |
|
|
|
||
0900 | Total new obligations | 2,699 | 2,717 | 1,273 |
|
||||
Budgetary Resources: | ||||
Unobligated balance: | ||||
1000 | Unobligated balance brought forward, Oct 1 | 6,618 | 3,414 | 1,322 |
1010 | Unobligated balance transfer to other accts [75–0343] | –5 | –3 | –5 |
1021 | Recoveries of prior year unpaid obligations | 71 | ||
|
|
|
||
1050 | Unobligated balance (total) | 6,684 | 3,411 | 1,317 |
Budget authority: | ||||
Appropriations, discretionary: | ||||
1100 | Appropriation | 676 | 569 | 642 |
1130 | Appropriations permanently reduced | –1 | ||
1131 | Unobligated balance of appropriations permanently reduced | –1,259 | ||
1143 | Approp permanently reduced (Sec 527, HR 2055) | –1 | ||
|
|
|
||
1160 | Appropriation, discretionary (total) | –584 | 568 | 642 |
Spending authority from offsetting collections, discretionary: | ||||
1700 | Collected | 2 | 60 | 60 |
1701 | Change in uncollected payments, Federal sources | 12 | ||
|
|
|
||
1750 | Spending auth from offsetting collections, disc (total) | 14 | 60 | 60 |
1900 | Budget authority (total) | –570 | 628 | 702 |
1930 | Total budgetary resources available | 6,114 | 4,039 | 2,019 |
Memorandum (non-add) entries: | ||||
1940 | Unobligated balance expiring | –1 | ||
1941 | Unexpired unobligated balance, end of year | 3,414 | 1,322 | 746 |
|
||||
Change in obligated balance: | ||||
Obligated balance, start of year (net): | ||||
3000 | Unpaid obligations, brought forward, Oct 1 (gross) | 3,835 | 4,610 | 5,369 |
3010 | Uncollected pymts, Fed sources, brought forward, Oct 1 | –461 | –289 | –289 |
|
|
|
||
3020 | Obligated balance, start of year (net) | 3,374 | 4,321 | 5,080 |
3030 | Obligations incurred, unexpired accounts | 2,699 | 2,717 | 1,273 |
3031 | Obligations incurred, expired accounts | 10 | ||
3040 | Outlays (gross) | –1,778 | –1,958 | –1,941 |
3050 | Change in uncollected pymts, Fed sources, unexpired | –12 | ||
3051 | Change in uncollected pymts, Fed sources, expired | 184 | ||
3080 | Recoveries of prior year unpaid obligations, unexpired | –71 | ||
3081 | Recoveries of prior year unpaid obligations, expired | –85 | ||
Obligated balance, end of year (net): | ||||
3090 | Unpaid obligations, end of year (gross) | 4,610 | 5,369 | 4,701 |
3091 | Uncollected pymts, Fed sources, end of year | –289 | –289 | –289 |
|
|
|
||
3100 | Obligated balance, end of year (net) | 4,321 | 5,080 | 4,412 |
|
||||
Budget authority and outlays, net: | ||||
Discretionary: | ||||
4000 | Budget authority, gross | –570 | 628 | 702 |
Outlays, gross: | ||||
4010 | Outlays from new discretionary authority | 149 | 217 | 294 |
4011 | Outlays from discretionary balances | 1,629 | 1,741 | 1,647 |
|
|
|
||
4020 | Outlays, gross (total) | 1,778 | 1,958 | 1,941 |
Offsets against gross budget authority and outlays: | ||||
Offsetting collections (collected) from: | ||||
4030 | Federal sources | –76 | –60 | –60 |
Additional offsets against gross budget authority only: | ||||
4050 | Change in uncollected pymts, Fed sources, unexpired | –12 | ||
4052 | Offsetting collections credited to expired accounts | 74 | ||
|
|
|
||
4060 | Additional offsets against budget authority only (total) | 62 | ||
|
|
|
||
4070 | Budget authority, net (discretionary) | –584 | 568 | 642 |
4080 | Outlays, net (discretionary) | 1,702 | 1,898 | 1,881 |
4180 | Budget authority, net (total) | –584 | 568 | 642 |
4190 | Outlays, net (total) | 1,702 | 1,898 | 1,881 |
|
The Public Health and Social Services Emergency Fund (PHSSEF) provides resources to support a comprehensive program to prepare for the health and medical consequences of bioterrorism or other public health emergencies. This account includes funding for the Office of the Assistant Secretary for Preparedness and Response (ASPR), as authorized by the Pandemic and All-Hazards Preparedness Act. Funds will be used for hospital preparedness and other emergency preparedness activities including the National Disaster Medical System. The PHSSEF also supports the HHS Cyber Security and Security and Strategic Information programs, and the Medical Reserve Corps.
The PHSSEF also continues to support the advanced development of biodefense countermeasures. These resources will in part be derived from available funds appropriated for the BioShield Special Reserve Fund.
Resources are also being provided to consolidate the offices of the Assistant Secretary for Preparedness and Response.
A Strategic Investor corporation will be created to make investments in the private sector with specific focus on disruptive technologies including novel antimicrobials and multi-use platform technologies for diagnostics and medical countermeasures.
Object Classification (in millions of dollars)
|
||||
Identification code 75–0140–0–1–551 | 2011 actual | 2012 est. | 2013 est. | |
|
||||
Direct obligations: | ||||
Personnel compensation: | ||||
11.1 | Full-time permanent | 54 | 57 | 57 |
11.3 | Other than full-time permanent | 14 | 14 | 14 |
11.7 | Military personnel | 9 | 9 | 9 |
|
|
|
||
11.9 | Total personnel compensation | 77 | 80 | 80 |
12.1 | Civilian personnel benefits | 14 | 16 | 16 |
12.2 | Military personnel benefits | 4 | 4 | 4 |
21.0 | Travel and transportation of persons | 11 | 9 | 9 |
22.0 | Transportation of things | 1 | 1 | 1 |
23.1 | Rental payments to GSA | 13 | 13 | 13 |
23.3 | Communications, utilities, and miscellaneous charges | 5 | 5 | 4 |
25.1 | Advisory and assistance services | 141 | 145 | 90 |
25.2 | Other services from non-Federal sources | 56 | 60 | 40 |
25.3 | Other goods and services from Federal sources | 200 | 244 | 182 |
25.4 | Operation and maintenance of facilities | 1 | 3 | 3 |
25.5 | Research and development contracts | 1,179 | 1,172 | 260 |
25.6 | Medical care | 14 | ||
25.7 | Operation and maintenance of equipment | 15 | 19 | 16 |
26.0 | Supplies and materials | 100 | 160 | 127 |
31.0 | Equipment | 15 | 14 | 14 |
32.0 | Land and structures | 475 | 351 | 125 |
41.0 | Grants, subsidies, and contributions | 364 | 361 | 229 |
|
|
|
||
99.0 | Direct obligations | 2,685 | 2,657 | 1,213 |
99.0 | Reimbursable obligations | 14 | 60 | 60 |
|
|
|
||
99.9 | Total new obligations | 2,699 | 2,717 | 1,273 |
|
Employment Summary
|
||||
Identification code 75–0140–0–1–551 | 2011 actual | 2012 est. | 2013 est. | |
|
||||
1001 | Direct civilian full-time equivalent employment | 538 | 541 | 541 |
1101 | Direct military average strength employment | 87 | 87 | 87 |
|
Program and Financing (in millions of dollars)
|
||||
Identification code 75–0145–0–1–552 | 2011 actual | 2012 est. | 2013 est. | |
|
||||
Obligations by program activity: | ||||
0801 | AHRQ | 32 | 62 | |
0802 | Office of the Secretary | 1 | 7 | 16 |
|
|
|
||
0900 | Total new obligations | 1 | 39 | 78 |
|
||||
Budgetary Resources: | ||||
Unobligated balance: | ||||
1000 | Unobligated balance brought forward, Oct 1 | 9 | ||
Budget authority: | ||||
Spending authority from offsetting collections, mandatory: | ||||
1800 | Collected | 10 | 30 | 78 |
|
|
|
||
1850 | Spending auth from offsetting collections, mand (total) | 10 | 30 | 78 |
1930 | Total budgetary resources available | 10 | 39 | 78 |
Memorandum (non-add) entries: | ||||
1941 | Unexpired unobligated balance, end of year | 9 | ||
|
||||
Change in obligated balance: | ||||
Obligated balance, start of year (net): | ||||
3000 | Unpaid obligations, brought forward, Oct 1 (gross) | 1 | 31 | |
3030 | Obligations incurred, unexpired accounts | 1 | 39 | 78 |
3040 | Outlays (gross) | –9 | –27 | |
Obligated balance, end of year (net): | ||||
3090 | Unpaid obligations, end of year (gross) | 1 | 31 | 82 |
|
|
|
||
3100 | Obligated balance, end of year (net) | 1 | 31 | 82 |
|
||||
Budget authority and outlays, net: | ||||
Mandatory: | ||||
4090 | Budget authority, gross | 10 | 30 | 78 |
Outlays, gross: | ||||
4100 | Outlays from new mandatory authority | 5 | 12 | |
4101 | Outlays from mandatory balances | 4 | 15 | |
|
|
|
||
4110 | Outlays, gross (total) | 9 | 27 | |
Offsets against gross budget authority and outlays: | ||||
Offsetting collections (collected) from: | ||||
4120 | Federal sources | –10 | –30 | –78 |
4190 | Outlays, net (total) | –10 | –21 | –51 |
|
Public Law 111–148 established the Patient-Centered Outcomes Research Trust Fund (PCORTF). Beginning in FY 2011, a total of 20 percent of the funds appropriated or credited to the PCORTF will be transferred each year to the Department of Health and Human Services (HHS). As authorized in section 937 of the Public Health Service Act, HHS will disseminate research findings from the Patient-Centered Outcomes Research Institute and other government-funded comparative clinical effectiveness research and build research and data capacity for comparative clinical effectiveness research. Transferred funds will be distributed to the Secretary of HHS and the Agency for Healthcare Research and Quality to carry out these activities.
Object Classification (in millions of dollars)
|
||||
Identification code 75–0145–0–1–552 | 2011 actual | 2012 est. | 2013 est. | |
|
||||
99.0 | Reimbursable obligations | 1 | 7 | 16 |
Allocation Account - reimbursable: | ||||
11.1 | Personnel compensation: Full-time permanent | 1 | 2 | |
25.5 | Research and development contracts | 31 | 60 | |
|
|
|
||
99.0 | Allocation account - reimbursable | 32 | 62 | |
|
|
|
||
99.9 | Total new obligations | 1 | 39 | 78 |
|
Employment Summary
|
||||
Identification code 75–0145–0–1–552 | 2011 actual | 2012 est. | 2013 est. | |
|
||||
1001 | Direct civilian full-time equivalent employment | 2 | 4 | |
3001 | Allocation account civilian full-time equivalent employment | 12 | 20 | |
|
Program and Financing (in millions of dollars)
|
||||
Identification code 75–0144–0–1–551 | 2011 actual | 2012 est. | 2013 est. | |
|
||||
Change in obligated balance: | ||||
Obligated balance, start of year (net): | ||||
3000 | Unpaid obligations, brought forward, Oct 1 (gross) | 40 | 18 | |
3040 | Outlays (gross) | –22 | –18 | |
Obligated balance, end of year (net): | ||||
3090 | Unpaid obligations, end of year (gross) | 18 | ||
|
|
|
||
3100 | Obligated balance, end of year (net) | 18 | ||
|
||||
Budget authority and outlays, net: | ||||
Discretionary: | ||||
Outlays, gross: | ||||
4011 | Outlays from discretionary balances | 22 | 18 | |
4190 | Outlays, net (total) | 22 | 18 | |
|
The Prevention and Wellness Fund is authorized under the American Recovery and Reinvestment Act (ARRA), (P.L. 111–5). The Prevention and Wellness Fund administers evidence-based clinical and community-based prevention and wellness strategies.
The Nonrecurring Expenses Fund is a no-year account that captures expired unobligated balances from discretionary accounts prior to cancellation. The Fund will be used for nonrecurring expenses that are difficult to accomodate or arise outside of the normal budget process. Beginning with 2008 appropriations, transfers will occur up to five years after expiration, when it is certain that original obligations have been fully paid and closed out. Advance notification of a proposed use of the Fund will be submitted to the relevant Committees on Appropriations of the House of Representatives and the Senate, with justification for the proposed areas/projects.
Program and Financing (in millions of dollars)
|
||||
Identification code 75–0119–0–1–551 | 2011 actual | 2012 est. | 2013 est. | |
|
||||
Obligations by program activity: | ||||
0001 | Direct program activity | 312 | 565 | |
|
||||
Budgetary Resources: | ||||
Unobligated balance: | ||||
1000 | Unobligated balance brought forward, Oct 1 | 872 | 565 | |
1010 | Unobligated balance transfer to other accts [75–0119] | –231 | ||
1011 | Unobligated balance transfer from other accts [75–0119] | 231 | ||
1021 | Recoveries of prior year unpaid obligations | 5 | ||
|
|
|
||
1050 | Unobligated balance (total) | 877 | 565 | |
1930 | Total budgetary resources available | 877 | 565 | |
Memorandum (non-add) entries: | ||||
1941 | Unexpired unobligated balance, end of year | 565 | ||
|
||||
Change in obligated balance: | ||||
Obligated balance, start of year (net): | ||||
3000 | Unpaid obligations, brought forward, Oct 1 (gross) | 106 | 205 | 359 |
3030 | Obligations incurred, unexpired accounts | 312 | 565 | |
3040 | Outlays (gross) | –208 | –411 | –344 |
3080 | Recoveries of prior year unpaid obligations, unexpired | –5 | ||
Obligated balance, end of year (net): | ||||
3090 | Unpaid obligations, end of year (gross) | 205 | 359 | 15 |
|
|
|
||
3100 | Obligated balance, end of year (net) | 205 | 359 | 15 |
|
||||
Budget authority and outlays, net: | ||||
Mandatory: | ||||
Outlays, gross: | ||||
4101 | Outlays from mandatory balances | 208 | 411 | 344 |
4190 | Outlays, net (total) | 208 | 411 | 344 |
|
Section 1005 of the Health Care and Education Reconciliation Act of 2010 (P.L. 111–152) appropriated $1,000,000,000 to the Health Insurance Reform Implementation Fund within the Department of Health and Human Services. The Fund shall be used for Federal administrative expenses necessary to carry out the requirements of the Patient Protection and Affordable Care Act of 2010 (P.L. 111–148) and the Health Care and Education Reconciliation Act of 2010.
Object Classification (in millions of dollars)
|
||||
Identification code 75–0119–0–1–551 | 2011 actual | 2012 est. | 2013 est. | |
|
||||
Direct obligations: | ||||
11.1 | Personnel compensation: Full-time permanent | 17 | ||
12.1 | Civilian personnel benefits | 5 | ||
23.1 | Rental payments to GSA | 1 | 1 | |
25.1 | Advisory and assistance services | 27 | 83 | |
25.2 | Other services from non-Federal sources | 87 | 304 | |
|
|
|
||
99.0 | Direct obligations | 137 | 388 | |
Allocation Account - direct: | ||||
11.1 | Personnel compensation: Full-time permanent | 55 | 55 | |
12.1 | Civilian personnel benefits | 15 | 15 | |
21.0 | Travel and transportation of persons | 4 | 4 | |
23.1 | Rental payments to GSA | 1 | 1 | |
25.1 | Advisory and assistance services | 80 | 82 | |
25.2 | Other services from non-Federal sources | 8 | 8 | |
25.3 | Other goods and services from Federal sources | 3 | 3 | |
31.0 | Equipment | 6 | 6 | |
|
|
|
||
99.0 | Allocation account - direct | 172 | 174 | |
99.5 | Below reporting threshold | 3 | 3 | |
|
|
|
||
99.9 | Total new obligations | 312 | 565 | |
|
Employment Summary
|
||||
Identification code 75–0119–0–1–551 | 2011 actual | 2012 est. | 2013 est. | |
|
||||
1001 | Direct civilian full-time equivalent employment | 164 | ||
|
Program and Financing (in millions of dollars)
|
||||
Identification code 75–0116–0–1–551 | 2011 actual | 2012 est. | 2013 est. | |
|
||||
Budgetary Resources: | ||||
Budget authority: | ||||
Appropriations, mandatory: | ||||
1200 | Appropriation | 750 | 1,000 | 1,250 |
1220 | Appropriations transferred to other accts [75–0142] | –10 | –10 | |
1220 | Appropriations transferred to other accts [75–1700] | –12 | –12 | –12 |
1220 | Appropriations transferred to other accts [75–0943] | –611 | –805 | –903 |
1220 | Appropriations transferred to other accts [75–9912] | –19 | –10 | –210 |
1220 | Appropriations transferred to other accts [75–0350] | –20 | –75 | –10 |
1220 | Appropriations transferred to other accts [75–1362] | –88 | –88 | –105 |
|
The Patient Protection and Affordable Care Act, (P.L. 111–148) establishes the Prevention and Public Health Fund as a mandatory appropriation for prevention and public health activities. For FY 2013, the law appropriates $1.25 billion into the Fund, which the Secretary then has authority to transfer to accounts within HHS. The Prevention and Public Health Fund increases and sustains investments in a range of public health efforts intended to prevent disease and reduce health care costs.
Program and Financing (in millions of dollars)
|
||||
Identification code 75–0117–0–1–551 | 2011 actual | 2012 est. | 2013 est. | |
|
||||
Obligations by program activity: | ||||
0001 | Direct program activity | 25 | 25 | 25 |
|
||||
Budgetary Resources: | ||||
Budget authority: | ||||
Appropriations, mandatory: | ||||
1200 | Appropriation | 25 | 25 | 25 |
|
|
|
||
1260 | Appropriations, mandatory (total) | 25 | 25 | 25 |
1930 | Total budgetary resources available | 25 | 25 | 25 |
|
||||
Change in obligated balance: | ||||
Obligated balance, start of year (net): | ||||
3000 | Unpaid obligations, brought forward, Oct 1 (gross) | 22 | 40 | 43 |
3030 | Obligations incurred, unexpired accounts | 25 | 25 | 25 |
3040 | Outlays (gross) | –7 | –22 | –25 |
Obligated balance, end of year (net): | ||||
3090 | Unpaid obligations, end of year (gross) | 40 | 43 | 43 |
|
|
|
||
3100 | Obligated balance, end of year (net) | 40 | 43 | 43 |
|
||||
Budget authority and outlays, net: | ||||
Mandatory: | ||||
4090 | Budget authority, gross | 25 | 25 | 25 |
Outlays, gross: | ||||
4100 | Outlays from new mandatory authority | 2 | 2 | |
4101 | Outlays from mandatory balances | 7 | 20 | 23 |
|
|
|
||
4110 | Outlays, gross (total) | 7 | 22 | 25 |
4180 | Budget authority, net (total) | 25 | 25 | 25 |
4190 | Outlays, net (total) | 7 | 22 | 25 |
|
For awarding competitive grants to States to assist pregnant and parenting teens and women.
Object Classification (in millions of dollars)
|
||||
Identification code 75–0117–0–1–551 | 2011 actual | 2012 est. | 2013 est. | |
|
||||
Direct obligations: | ||||
25.3 | Other goods and services from Federal sources | 1 | 1 | 1 |
41.0 | Grants, subsidies, and contributions | 24 | 24 | 24 |
|
|
|
||
99.9 | Total new obligations | 25 | 25 | 25 |
|
For retirement pay and medical benefits of Public Health Service Commissioned Officers as authorized by law, for payments under the Retired Serviceman's Family Protection Plan and Survivor Benefit Plan, and for medical care of dependents and retired personnel under the Dependents' Medical Care Act, such amounts as may be required during the current fiscal year. (Department of Health and Human Services Appropriations Act, 2012.)
Program and Financing (in millions of dollars)
|
||||
Identification code 75–0379–0–1–551 | 2011 actual | 2012 est. | 2013 est. | |
|
||||
Obligations by program activity: | ||||
0001 | Retirement payments | 355 | 375 | 396 |
0002 | Survivors' benefits | 26 | 28 | 31 |
0003 | Medical care | 86 | 94 | 101 |
|
|
|
||
0900 | Total new obligations | 467 | 497 | 528 |
|
||||
Budgetary Resources: | ||||
Budget authority: | ||||
Appropriations, mandatory: | ||||
1200 | Appropriation | 467 | 497 | 528 |
|
|
|
||
1260 | Appropriations, mandatory (total) | 467 | 497 | 528 |
1930 | Total budgetary resources available | 467 | 497 | 528 |
|
||||
Change in obligated balance: | ||||
Obligated balance, start of year (net): | ||||
3000 | Unpaid obligations, brought forward, Oct 1 (gross) | 43 | 30 | 25 |
3001 | Adjustments to unpaid obligations, brought forward, Oct 1 | 20 | ||
|
|
|
||
3020 | Obligated balance, start of year (net) | 63 | 30 | 25 |
3030 | Obligations incurred, unexpired accounts | 467 | 497 | 528 |
3031 | Obligations incurred, expired accounts | 2 | ||
3040 | Outlays (gross) | –497 | –502 | –527 |
3081 | Recoveries of prior year unpaid obligations, expired | –5 | ||
Obligated balance, end of year (net): | ||||
3090 | Unpaid obligations, end of year (gross) | 30 | 25 | 26 |
|
|
|
||
3100 | Obligated balance, end of year (net) | 30 | 25 | 26 |
|
||||
Budget authority and outlays, net: | ||||
Mandatory: | ||||
4090 | Budget authority, gross | 467 | 497 | 528 |
Outlays, gross: | ||||
4100 | Outlays from new mandatory authority | 445 | 472 | 502 |
4101 | Outlays from mandatory balances | 52 | 30 | 25 |
|
|
|
||
4110 | Outlays, gross (total) | 497 | 502 | 527 |
4180 | Budget authority, net (total) | 467 | 497 | 528 |
4190 | Outlays, net (total) | 497 | 502 | 527 |
|
Summary of Budget Authority and Outlays (in millions of dollars)
|
||||
2011 actual | 2012 est. | 2013 est. | ||
|
||||
Enacted/requested: | ||||
Budget Authority | 467 | 497 | 528 | |
Outlays | 497 | 502 | 527 | |
Legislative proposal, subject to PAYGO: | ||||
Budget Authority | –1 | |||
Outlays | –1 | |||
Total: | ||||
Budget Authority | 467 | 497 | 527 | |
Outlays | 497 | 502 | 526 | |
|
The number of beneficiaries using the Commissioned Corps system is estimated as follows:
Retirement Pay, Survivor Benefits, and Medical Benefits
|
|||
2011 | 2012 | 2013 | |
|
|||
Active Duty: | |||
HHS | 4890 | 4890 | 4890 |
DOJ, BOP | 776 | 769 | 769 |
Homeland Security | 464 | 471 | 471 |
EPA | 76 | 76 | 76 |
|
|||
All Other | 316 | 316 | 316 |
|
|
|
|
Total Active Duty | 6522 | 6522 | 6522 |
Retirees & Survivors: | |||
Retirees | 5308 | 5430 | 5475 |
|
|||
Retiree family members and survivors | 948 | 979 | 985 |
|
|
|
|
Total Retirement Pay | 6256 | 6409 | 6460 |
|
|||
Total Beneficiaries (active duty, retirees, survivors) | 12778 | 12931 | 12982 |
|
|
|
|
|
This activity funds annuities of retired Public Health Service (PHS) commissioned officers and survivors of retirees, and medical benefits for active duty PHS commissioned officers, retirees, and dependents of members and retirees of the PHS Commissioned Corps.
Object Classification (in millions of dollars)
|
||||
Identification code 75–0379–0–1–551 | 2011 actual | 2012 est. | 2013 est. | |
|
||||
Direct obligations: | ||||
13.0 | Benefits for former personnel | 381 | 403 | 427 |
25.6 | Medical care | 86 | 94 | 101 |
|
|
|
||
99.9 | Total new obligations | 467 | 497 | 528 |
|
Program and Financing (in millions of dollars)
|
||||
Identification code 75–0379–4–1–551 | 2011 actual | 2012 est. | 2013 est. | |
|
||||
Obligations by program activity: | ||||
0001 | Direct program activity | –1 | ||
|
|
|
||
0900 | Total new obligations (object class 25.6) | –1 | ||
|
||||
Budgetary Resources: | ||||
Budget authority: | ||||
Appropriations, mandatory: | ||||
1200 | Appropriation | –1 | ||
|
|
|
||
1260 | Appropriations, mandatory (total) | –1 | ||
1930 | Total budgetary resources available | –1 | ||
|
||||
Change in obligated balance: | ||||
3030 | Obligations incurred, unexpired accounts | –1 | ||
3040 | Outlays (gross) | 1 | ||
|
||||
Budget authority and outlays, net: | ||||
Mandatory: | ||||
4090 | Budget authority, gross | –1 | ||
Outlays, gross: | ||||
4100 | Outlays from new mandatory authority | –1 | ||
4180 | Budget authority, net (total) | –1 | ||
4190 | Outlays, net (total) | –1 | ||
|
Program and Financing (in millions of dollars)
|
||||
Identification code 75–0170–0–1–551 | 2011 actual | 2012 est. | 2013 est. | |
|
||||
Obligations by program activity: | ||||
0001 | Medicare eligible accruals | 38 | 36 | 29 |
|
|
|
||
0900 | Total new obligations (object class 12.2) | 38 | 36 | 29 |
|
||||
Budgetary Resources: | ||||
Budget authority: | ||||
Appropriations, discretionary: | ||||
1100 | Appropriation | 38 | 36 | 29 |
|
|
|
||
1160 | Appropriation, discretionary (total) | 38 | 36 | 29 |
1930 | Total budgetary resources available | 38 | 36 | 29 |
|
||||
Change in obligated balance: | ||||
3030 | Obligations incurred, unexpired accounts | 38 | 36 | 29 |
3040 | Outlays (gross) | –38 | –36 | –29 |
|
||||
Budget authority and outlays, net: | ||||
Discretionary: | ||||
4000 | Budget authority, gross | 38 | 36 | 29 |
Outlays, gross: | ||||
4010 | Outlays from new discretionary authority | 38 | 36 | 29 |
4180 | Budget authority, net (total) | 38 | 36 | 29 |
4190 | Outlays, net (total) | 38 | 36 | 29 |
|
Summary of Budget Authority and Outlays (in millions of dollars)
|
||||
2011 actual | 2012 est. | 2013 est. | ||
|
||||
Enacted/requested: | ||||
Budget Authority | 38 | 36 | 29 | |
Outlays | 38 | 36 | 29 | |
Legislative proposal, not subject to PAYGO: | ||||
Budget Authority | –3 | |||
Outlays | –3 | |||
Total: | ||||
Budget Authority | 38 | 36 | 26 | |
Outlays | 38 | 36 | 26 | |
|
The cost of medical benefits for Medicare-eligible beneficiaries is paid from the Department of Defense Medicare-Eligible Retiree Health Care Fund (10 U.S.C., ch. 56). Beginning in 2006, permanent indefinite authority is provided for a discretionary appropriation of the annual accrual payment into this fund (P.L. No. 108–375, section 725).
Program and Financing (in millions of dollars)
|
||||
Identification code 75–0170–2–1–551 | 2011 actual | 2012 est. | 2013 est. | |
|
||||
Obligations by program activity: | ||||
0001 | Direct program activity | –3 | ||
|
|
|
||
0900 | Total new obligations (object class 12.2) | –3 | ||
|
||||
Budgetary Resources: | ||||
Budget authority: | ||||
Appropriations, discretionary: | ||||
1100 | Appropriation | –3 | ||
|
|
|
||
1160 | Appropriation, discretionary (total) | –3 | ||
1930 | Total budgetary resources available | –3 | ||
|
||||
Change in obligated balance: | ||||
3030 | Obligations incurred, unexpired accounts | –3 | ||
3040 | Outlays (gross) | 3 | ||
|
||||
Budget authority and outlays, net: | ||||
Discretionary: | ||||
4000 | Budget authority, gross | –3 | ||
Outlays, gross: | ||||
4010 | Outlays from new discretionary authority | –3 | ||
4180 | Budget authority, net (total) | –3 | ||
4190 | Outlays, net (total) | –3 | ||
|
Program and Financing (in millions of dollars)
|
||||
Identification code 75–9913–0–1–552 | 2011 actual | 2012 est. | 2013 est. | |
|
||||
Change in obligated balance: | ||||
Obligated balance, start of year (net): | ||||
3000 | Unpaid obligations, brought forward, Oct 1 (gross) | 1 | 1 | 1 |
Obligated balance, end of year (net): | ||||
3090 | Unpaid obligations, end of year (gross) | 1 | 1 | 1 |
|
|
|
||
3100 | Obligated balance, end of year (net) | 1 | 1 | 1 |
|
This display shows activities in support of scientific activities overseas that were supported by foreign currencies by the United States abroad.
Program and Financing (in millions of dollars)
|
||||
Identification code 75–9941–0–4–551 | 2011 actual | 2012 est. | 2013 est. | |
|
||||
Obligations by program activity: | ||||
0801 | Program Support Center | 924 | 947 | 1,004 |
0802 | OS activities | 52 | 131 | 127 |
|
|
|
||
0900 | Total new obligations | 976 | 1,078 | 1,131 |
|
||||
Budgetary Resources: | ||||
Unobligated balance: | ||||
1000 | Unobligated balance brought forward, Oct 1 | 181 | 215 | 215 |
1021 | Recoveries of prior year unpaid obligations | 39 | ||
|
|
|
||
1050 | Unobligated balance (total) | 220 | 215 | 215 |
Budget authority: | ||||
Spending authority from offsetting collections, discretionary: | ||||
1700 | Collected | 929 | 1,078 | 1,131 |
1701 | Change in uncollected payments, Federal sources | 42 | ||
|
|
|
||
1750 | Spending auth from offsetting collections, disc (total) | 971 | 1,078 | 1,131 |
1930 | Total budgetary resources available | 1,191 | 1,293 | 1,346 |
Memorandum (non-add) entries: | ||||
1941 | Unexpired unobligated balance, end of year | 215 | 215 | 215 |
|
||||
Change in obligated balance: | ||||
Obligated balance, start of year (net): | ||||
3000 | Unpaid obligations, brought forward, Oct 1 (gross) | 383 | 416 | 22 |
3010 | Uncollected pymts, Fed sources, brought forward, Oct 1 | –439 | –481 | –481 |
|
|
|
||
3020 | Obligated balance, start of year (net) | –56 | –65 | –459 |
3030 | Obligations incurred, unexpired accounts | 976 | 1,078 | 1,131 |
3040 | Outlays (gross) | –904 | –1,472 | –1,131 |
3050 | Change in uncollected pymts, Fed sources, unexpired | –42 | ||
3080 | Recoveries of prior year unpaid obligations, unexpired | –39 | ||
Obligated balance, end of year (net): | ||||
3090 | Unpaid obligations, end of year (gross) | 416 | 22 | 22 |
3091 | Uncollected pymts, Fed sources, end of year | –481 | –481 | –481 |
|
|
|
||
3100 | Obligated balance, end of year (net) | –65 | –459 | –459 |
|
||||
Budget authority and outlays, net: | ||||
Discretionary: | ||||
4000 | Budget authority, gross | 971 | 1,078 | 1,131 |
Outlays, gross: | ||||
4010 | Outlays from new discretionary authority | 667 | 1,078 | 1,131 |
4011 | Outlays from discretionary balances | 237 | 394 | |
|
|
|
||
4020 | Outlays, gross (total) | 904 | 1,472 | 1,131 |
Offsets against gross budget authority and outlays: | ||||
Offsetting collections (collected) from: | ||||
4030 | Federal sources | –925 | –1,078 | –1,131 |
4033 | Non-Federal sources | –4 | ||
|
|
|
||
4040 | Offsets against gross budget authority and outlays (total) | –929 | –1,078 | –1,131 |
Additional offsets against gross budget authority only: | ||||
4050 | Change in uncollected pymts, Fed sources, unexpired | –42 | ||
4080 | Outlays, net (discretionary) | –25 | 394 | |
4190 | Outlays, net (total) | –25 | 394 | |
|
HHS Service and Supply Fund (SSF) provides a wide range of logistical and support services to components of the Department and other Federal agencies. The Program Support Center includes activities such as personnel and payroll support, information technology, financial management operations, and administrative services, including acquisitions management, building and property management, telecommunication services, medical supplies repackaging and distribution services, and the Federal Occupational Health Service. The Office of Secretary activities include the fund manager, departmental contracts, audit resolutions, Commissioned Corps force management, web management, claims, acquisition integration and modernization, small business, grants tracking, the physical access aspects of the Department's implementation of Homeland Security Presidential Directive 12, and commercial services management.
Most Commissioned Corps officers work for agencies in the Department of Health and Human Services and are reflected in the agencies' personnel summaries. However, some officers are assigned to other Federal agencies. The allocation account section in the following personnel summary shows officers assigned to other agencies, which are paid directly by that agency, either through an allocation account or by directly citing that agency's appropriation.
Object Classification (in millions of dollars)
|
||||
Identification code 75–9941–0–4–551 | 2011 actual | 2012 est. | 2013 est. | |
|
||||
Reimbursable obligations: | ||||
Personnel compensation: | ||||
11.1 | Full-time permanent | 114 | 131 | 131 |
11.3 | Other than full-time permanent | 4 | 6 | 6 |
11.5 | Other personnel compensation | 3 | 5 | 5 |
11.7 | Military personnel | 8 | 7 | 7 |
11.8 | Special personal services payments | 14 | 7 | |
|
|
|
||
11.9 | Total personnel compensation | 143 | 156 | 149 |
12.1 | Civilian personnel benefits | 32 | 41 | 41 |
12.2 | Military personnel benefits | 4 | 6 | 4 |
21.0 | Travel and transportation of persons | 3 | 2 | 2 |
22.0 | Transportation of things | 3 | 5 | 3 |
23.1 | Rental payments to GSA | 27 | 15 | 22 |
23.3 | Communications, utilities, and miscellaneous charges | 34 | 7 | 6 |
24.0 | Printing and reproduction | 1 | 1 | 1 |
25.1 | Advisory and assistance services | 42 | 32 | 38 |
25.2 | Other services from non-Federal sources | 480 | 624 | 685 |
25.3 | Other goods and services from Federal sources | 62 | 49 | 47 |
25.4 | Operation and maintenance of facilities | 5 | 6 | 7 |
25.6 | Medical care | 22 | 22 | 19 |
25.7 | Operation and maintenance of equipment | 75 | 72 | 70 |
26.0 | Supplies and materials | 35 | 36 | 33 |
31.0 | Equipment | 4 | 4 | 4 |
41.0 | Grants, subsidies, and contributions | 4 | ||
|
|
|
||
99.9 | Total new obligations | 976 | 1,078 | 1,131 |
|
Employment Summary
|
||||
Identification code 75–9941–0–4–551 | 2011 actual | 2012 est. | 2013 est. | |
|
||||
2001 | Reimbursable civilian full-time equivalent employment | 1,346 | 1,440 | 1,391 |
2101 | Reimbursable military average strength employment | 105 | 98 | 98 |
3101 | Allocation account military average strength employment | 776 | 769 | 769 |
3101 | Allocation account military average strength employment | 780 | 787 | 787 |
|
Special and Trust Fund Receipts (in millions of dollars)
|
||||
Identification code 75–9971–0–7–551 | 2011 actual | 2012 est. | 2013 est. | |
|
||||
0100 | Balance, start of year | |||
Receipts: | ||||
0220 | Contributions, Indian Health Facilities | 9 | 33 | 33 |
0221 | Contributions, N.I.H., Unconditional Gift Fund | 5 | 5 | 7 |
0222 | Centers for Disease Control, Gifts and Donations | 9 | 6 | 6 |
0223 | Contributions, N.I.H., Conditional Gift Fund | 27 | 27 | 34 |
0224 | Contributions to the Indian Health Service Gift Fund | 1 | 1 | 1 |
0240 | Interest, Miscellaneous Trust Funds | 2 | 2 | |
|
|
|
||
0299 | Total receipts and collections | 51 | 74 | 83 |
|
|
|
||
0400 | Total: Balances and collections | 51 | 74 | 83 |
Appropriations: | ||||
0500 | Miscellaneous Trust Funds | –51 | –74 | –83 |
|
|
|
||
0799 | Balance, end of year | |||
|
Program and Financing (in millions of dollars)
|
||||
Identification code 75–9971–0–7–551 | 2011 actual | 2012 est. | 2013 est. | |
|
||||
Obligations by program activity: | ||||
0002 | Gifts | 62 | 41 | 50 |
0003 | Contributions, Indian Health Facilities | 11 | 33 | 33 |
0004 | Reclassification of reimbursable activity | 133 | ||
|
|
|
||
0900 | Total new obligations | 206 | 74 | 83 |
|
||||
Budgetary Resources: | ||||
Unobligated balance: | ||||
1000 | Unobligated balance brought forward, Oct 1 | 148 | 112 | 112 |
1020 | Adjustment of unobligated bal brought forward, Oct 1 | –6 | ||
1021 | Recoveries of prior year unpaid obligations | 125 | ||
|
|
|
||
1050 | Unobligated balance (total) | 267 | 112 | 112 |
Budget authority: | ||||
Appropriations, mandatory: | ||||
1201 | Appropriation (special or trust fund) | 51 | 74 | 83 |
|
|
|
||
1260 | Appropriations, mandatory (total) | 51 | 74 | 83 |
1930 | Total budgetary resources available | 318 | 186 | 195 |
Memorandum (non-add) entries: | ||||
1941 | Unexpired unobligated balance, end of year | 112 | 112 | 112 |
|
||||
Change in obligated balance: | ||||
Obligated balance, start of year (net): | ||||
3000 | Unpaid obligations, brought forward, Oct 1 (gross) | 172 | 62 | 59 |
3030 | Obligations incurred, unexpired accounts | 206 | 74 | 83 |
3040 | Outlays (gross) | –191 | –77 | –69 |
3080 | Recoveries of prior year unpaid obligations, unexpired | –125 | ||
Obligated balance, end of year (net): | ||||
3090 | Unpaid obligations, end of year (gross) | 62 | 59 | 73 |
|
|
|
||
3100 | Obligated balance, end of year (net) | 62 | 59 | 73 |
|
||||
Budget authority and outlays, net: | ||||
Mandatory: | ||||
4090 | Budget authority, gross | 51 | 74 | 83 |
Outlays, gross: | ||||
4100 | Outlays from new mandatory authority | 51 | 7 | 8 |
4101 | Outlays from mandatory balances | 140 | 70 | 61 |
|
|
|
||
4110 | Outlays, gross (total) | 191 | 77 | 69 |
4180 | Budget authority, net (total) | 51 | 74 | 83 |
4190 | Outlays, net (total) | 191 | 77 | 69 |
|
||||
Memorandum (non-add) entries: | ||||
5000 | Total investments, SOY: Federal securities: Par value | 39 | 28 | 30 |
5001 | Total investments, EOY: Federal securities: Par value | 28 | 30 | 32 |
|
(in millions of dollars)
|
|||
2011 | 2012 | 2013 | |
|
|||
Distribution of budget authority by account: | |||
Gifts | 62 | 41 | 50 |
Contributions, Indian Health Facilities | 11 | 33 | 33 |
Distribution of outlays by account: | |||
Gifts | 115 | 46 | 41 |
Contributions, Indian Health Facilities | 76 | 31 | 28 |
|
Gifts to the Public Health Service are for the benefit of patients and for research. Contributions are made for the construction, improvement, extension, and provision of sanitation facilities.
Object Classification (in millions of dollars)
|
||||
Identification code 75–9971–0–7–551 | 2011 actual | 2012 est. | 2013 est. | |
|
||||
Direct obligations: | ||||
Personnel compensation: | ||||
11.1 | Full-time permanent | 2 | 2 | 2 |
11.3 | Other than full-time permanent | 1 | 1 | 1 |
11.8 | Special personal services payments | 3 | 1 | 1 |
|
|
|
||
11.9 | Total personnel compensation | 6 | 4 | 4 |
12.1 | Civilian personnel benefits | 1 | 1 | 1 |
21.0 | Travel and transportation of persons | 2 | 1 | 1 |
25.1 | Advisory and assistance services | 3 | 3 | 3 |
25.2 | Other services from non-Federal sources | 11 | 12 | 13 |
25.3 | Other goods and services from Federal sources | 10 | 10 | 12 |
25.5 | Research and development contracts | 6 | 7 | 8 |
25.6 | Medical care | 1 | 1 | 1 |
26.0 | Supplies and materials | 6 | 6 | 6 |
31.0 | Equipment | 4 | 4 | 5 |
41.0 | Grants, subsidies, and contributions | 23 | 25 | 29 |
44.0 | Refunds | 133 | ||
|
|
|
||
99.9 | Total new obligations | 206 | 74 | 83 |
|
Employment Summary
|
||||
Identification code 75–9971–0–7–551 | 2011 actual | 2012 est. | 2013 est. | |
|
||||
1001 | Direct civilian full-time equivalent employment | 28 | 27 | 27 |
|
For expenses necessary for the Office of Inspector General, including the hire of passenger motor vehicles for investigations, in carrying out the provisions of the Inspector General Act of 1978, [$50,178,000] $58,579,000: Provided, That of such amount, necessary sums shall be available for providing protective services to the Secretary of Health and Human Services and investigating non-payment of child support cases for which non-payment is a Federal offense under 18 U.S.C. 228[: Provided further, That at least 40 percent of the funds provided in this Act for the Office of Inspector General shall be used only for investigations, audits, and evaluations pertaining to the discretionary programs funded in this Act]. (Department of Health and Human Services Appropriations Act, 2012.)
Program and Financing (in millions of dollars)
|
||||
Identification code 75–0128–0–1–551 | 2011 actual | 2012 est. | 2013 est. | |
|
||||
Obligations by program activity: | ||||
0001 | Direct program | 93 | 76 | 59 |
0801 | HCFAC Reimbursable program | 196 | 212 | 209 |
0802 | Direct Reimbursable program | 17 | 24 | 24 |
0803 | HCFAC Discretionary allocation adjustment | 36 | 34 | 103 |
|
|
|
||
0899 | Total reimbursable obligations | 249 | 270 | 336 |
|
|
|
||
0900 | Total new obligations | 342 | 346 | 395 |
|
||||
Budgetary Resources: | ||||
Unobligated balance: | ||||
1000 | Unobligated balance brought forward, Oct 1 | 69 | 43 | 13 |
1012 | Unobligated balance transfers between expired and unexpired accounts | 9 | 7 | 7 |
|
|
|
||
1050 | Unobligated balance (total) | 78 | 50 | 20 |
Budget authority: | ||||
Appropriations, discretionary: | ||||
1100 | Appropriation | 50 | 50 | 59 |
|
|
|
||
1160 | Appropriation, discretionary (total) | 50 | 50 | 59 |
Spending authority from offsetting collections, discretionary: | ||||
1700 | Collected | 31 | 58 | 127 |
1701 | Change in uncollected payments, Federal sources | 22 | ||
|
|
|
||
1750 | Spending auth from offsetting collections, disc (total) | 53 | 58 | 127 |
Spending authority from offsetting collections, mandatory: | ||||
1800 | Collected | 184 | 208 | 209 |
1801 | Change in uncollected payments, Federal sources | 28 | ||
|
|
|
||
1850 | Spending auth from offsetting collections, mand (total) | 212 | 208 | 209 |
1900 | Budget authority (total) | 315 | 316 | 395 |
1930 | Total budgetary resources available | 393 | 366 | 415 |
Memorandum (non-add) entries: | ||||
1940 | Unobligated balance expiring | –8 | –7 | –7 |
1941 | Unexpired unobligated balance, end of year | 43 | 13 | 13 |
|
||||
Change in obligated balance: | ||||
Obligated balance, start of year (net): | ||||
3000 | Unpaid obligations, brought forward, Oct 1 (gross) | 76 | 61 | 66 |
3010 | Uncollected pymts, Fed sources, brought forward, Oct 1 | –41 | –74 | –74 |
|
|
|
||
3020 | Obligated balance, start of year (net) | 35 | –13 | –8 |
3030 | Obligations incurred, unexpired accounts | 342 | 346 | 395 |
3031 | Obligations incurred, expired accounts | 3 | ||
3040 | Outlays (gross) | –346 | –341 | –396 |
3050 | Change in uncollected pymts, Fed sources, unexpired | –50 | ||
3051 | Change in uncollected pymts, Fed sources, expired | 17 | ||
3081 | Recoveries of prior year unpaid obligations, expired | –14 | ||
Obligated balance, end of year (net): | ||||
3090 | Unpaid obligations, end of year (gross) | 61 | 66 | 65 |
3091 | Uncollected pymts, Fed sources, end of year | –74 | –74 | –74 |
|
|
|
||
3100 | Obligated balance, end of year (net) | –13 | –8 | –9 |
|
||||
Budget authority and outlays, net: | ||||
Discretionary: | ||||
4000 | Budget authority, gross | 103 | 108 | 186 |
Outlays, gross: | ||||
4010 | Outlays from new discretionary authority | 79 | 101 | 177 |
4011 | Outlays from discretionary balances | 25 | 12 | 7 |
|
|
|
||
4020 | Outlays, gross (total) | 104 | 113 | 184 |
Offsets against gross budget authority and outlays: | ||||
Offsetting collections (collected) from: | ||||
4030 | Federal sources | –31 | –58 | –127 |
Additional offsets against gross budget authority only: | ||||
4050 | Change in uncollected pymts, Fed sources, unexpired | –22 | ||
|
|
|
||
4070 | Budget authority, net (discretionary) | 50 | 50 | 59 |
4080 | Outlays, net (discretionary) | 73 | 55 | 57 |
Mandatory: | ||||
4090 | Budget authority, gross | 212 | 208 | 209 |
Outlays, gross: | ||||
4100 | Outlays from new mandatory authority | 166 | 208 | 209 |
4101 | Outlays from mandatory balances | 76 | 20 | 3 |
|
|
|
||
4110 | Outlays, gross (total) | 242 | 228 | 212 |
Offsets against gross budget authority and outlays: | ||||
Offsetting collections (collected) from: | ||||
4120 | Federal sources | –219 | –196 | –197 |
4123 | Non-Federal sources | –2 | –12 | –12 |
|
|
|
||
4130 | Offsets against gross budget authority and outlays (total) | –221 | –208 | –209 |
Additional offsets against gross budget authority only: | ||||
4140 | Change in uncollected pymts, Fed sources, unexpired | –28 | ||
4142 | Offsetting collections credited to expired accounts | 37 | ||
|
|
|
||
4150 | Additional offsets against budget authority only (total) | 9 | ||
4170 | Outlays, net (mandatory) | 21 | 20 | 3 |
4180 | Budget authority, net (total) | 50 | 50 | 59 |
4190 | Outlays, net (total) | 94 | 75 | 60 |
|
The Office of Inspector General (OIG) is an independent oversight organization within the U.S. Department of Health and Human Services (HHS) that promotes economy, efficiency, and effectiveness through the elimination of fraud, waste, and abuse in the Department's programs and operations. OIG fulfills its mission through a broad range of audits, evaluations, investigations, and enforcement and compliance activities. In addition to discretionary appropriations, OIG receives funds through the Health Care Fraud and Abuse Control (HCFAC) account created by the Health Insurance Portability and Accountability Act of 1996. The following table shows total appropriated funding for OIG:
(in millions of dollars)
|
|||
2011 actual | 2012 est. | 2013 est. | |
|
|||
Discretionary Appropriation | 50 | 50 | 59 |
HCFAC - Mandatory | 198 | 196 | 197 |
|
|||
HCFAC - Discretionary | 30 | 98 | 103 |
|
|
|
|
Total | 278 | 344 | 359 |
|
The President's Budget proposes to increase the 2012 HCFAC Discretionary base funding to $311 million (which is fully offset) and to provide the additional $270 million in funding allowed by the cap adjustment, consistent with section 251(b)(2)(C) of the Balanced Budget and Emergency Deficit Control Act of 1985, as amended. OIG's allocation of these adjustments is displayed above.
Object Classification (in millions of dollars)
|
||||
Identification code 75–0128–0–1–551 | 2011 actual | 2012 est. | 2013 est. | |
|
||||
Direct obligations: | ||||
Personnel compensation: | ||||
11.1 | Full-time permanent | 50 | 36 | 28 |
11.3 | Other than full-time permanent | 1 | 1 | 1 |
11.5 | Other personnel compensation | 1 | 1 | 1 |
|
|
|
||
11.9 | Total personnel compensation | 52 | 38 | 30 |
12.1 | Civilian personnel benefits | 17 | 13 | 10 |
21.0 | Travel and transportation of persons | 3 | 4 | 3 |
22.0 | Transportation of things | 1 | 1 | 1 |
23.1 | Rental payments to GSA | 4 | 4 | 3 |
23.3 | Communications, utilities, and miscellaneous charges | 1 | 1 | 1 |
25.2 | Other services from non-Federal sources | 2 | 2 | 1 |
25.3 | Other goods and services from Federal sources | 6 | 6 | 5 |
25.4 | Operation and maintenance of facilities | 3 | 1 | 2 |
25.7 | Operation and maintenance of equipment | 1 | 1 | 1 |
31.0 | Equipment | 3 | 5 | 2 |
|
|
|
||
99.0 | Direct obligations | 93 | 76 | 59 |
99.0 | Reimbursable obligations | 249 | 270 | 336 |
|
|
|
||
99.9 | Total new obligations | 342 | 346 | 395 |
|
Employment Summary
|
||||
Identification code 75–0128–0–1–551 | 2011 actual | 2012 est. | 2013 est. | |
|
||||
1001 | Direct civilian full-time equivalent employment | 556 | 397 | 301 |
1101 | Direct military average strength employment | |||
2001 | Reimbursable civilian full-time equivalent employment | 1,188 | 1,356 | 1,673 |
2101 | Reimbursable military average strength employment | 1 | ||
|
(in millions of dollars)
|
||||
2011 actual | 2012 est. | 2013 est. | ||
|
||||
Offsetting receipts from the public: | ||||
75–143500 | General Fund Proprietary Interest Receipts, not Otherwise Classified | 77 | 89 | 90 |
75–274530 | Health Education Assistance Loans, Downward Reestimates of Subsidies | 12 | ||
75–310700 | Federal Share of Child Support Collections | 940 | 1,049 | 1,040 |
Legislative proposal, subject to PAYGO | 5 | |||
75–322000 | All Other General Fund Proprietary Receipts Including Budget Clearing Accounts | –198 | 56 | 56 |
General Fund Offsetting receipts from the public | 819 | 1,206 | 1,191 | |
|
||||
Intragovernmental payments: | ||||
75–388500 | Undistributed Intragovernmental Payments and Receivables from Cancelled Accounts | 353 | ||
|
|
|
||
General Fund Intragovernmental payments | 353 | |||
|
Note.—Obligations incurred under allocations from other accounts are included in the schedules of the parent appropriations as follows: Centers for Medicare and Medicaid Services "Health Care Fraud and Abuse Control Account."
(transfer of funds)
SEC. [206]205. Not to exceed 1 percent of any discretionary funds (pursuant to the Balanced Budget and Emergency Deficit Control Act of 1985) which are appropriated for the current fiscal year for HHS in this Act may be transferred between appropriations, but no such appropriation shall be increased by more than 3 percent by any such transfer: Provided, That the transfer authority granted by this section shall not be used to create any new program or to fund any project or activity for which no funds are provided in this Act: Provided further, That the Committees on Appropriations of the House of Representatives and the Senate are notified at least 15 days in advance of any transfer.'(transfer of funds)
SEC. [207]206. The Director of the NIH, jointly with the Director of the Office of AIDS Research, may transfer up to 3 percent among institutes and centers from the total amounts identified by these two Directors as funding for research pertaining to the human immunodeficiency virus: Provided, That the Committees on Appropriations of the House of Representatives and the Senate are notified at least 15 days in advance of any transfer.'(transfer of funds)
SEC. [208]207. Of the amounts made available in this Act for NIH, the amount for research related to the human immunodeficiency virus, as jointly determined by the Director of NIH and the Director of the Office of AIDS Research, shall be made available to the "Office of AIDS Research'' account. The Director of the Office of AIDS Research shall transfer from such account amounts necessary to carry out section 2353(d)(3) of the PHS Act.SEC. [209]208. None of the funds appropriated in this Act may be made available to any entity under title X of the PHS Act unless the applicant for the award certifies to the Secretary that it encourages family participation in the decision of minors to seek family planning services and that it provides counseling to minors on how to resist attempts to coerce minors into engaging in sexual activities.SEC. [210]209. Notwithstanding any other provision of law, no provider of services under title X of the PHS Act shall be exempt from any State law requiring notification or the reporting of child abuse, child molestation, sexual abuse, rape, or incest.SEC. [211]210. None of the funds appropriated by this Act (including funds appropriated to any trust fund) may be used to carry out the Medicare Advantage program if the Secretary denies participation in such program to an otherwise eligible entity (including a Provider Sponsored Organization) because the entity informs the Secretary that it will not provide, pay for, provide coverage of, or provide referrals for abortions: Provided, That the Secretary shall make appropriate prospective adjustments to the capitation payment to such an entity (based on an actuarially sound estimate of the expected costs of providing the service to such entity's enrollees): Provided further, That nothing in this section shall be construed to change the Medicare program's coverage for such services and a Medicare Advantage organization described in this section shall be responsible for informing enrollees where to obtain information about all Medicare covered services.SEC. [212]211. In order for HHS to carry out international health activities, including HIV/AIDS and other infectious disease, chronic and environmental disease, and other health activities abroad during fiscal year [2012] 2013:(1) The Secretary may exercise authority equivalent to that available to the Secretary of State in section 2(c) of the State Department Basic Authorities Act of 1956. The Secretary shall consult with the Secretary of State and relevant Chief of Mission to ensure that the authority provided in this section is exercised in a manner consistent with section 207 of the Foreign Service Act of 1980 and other applicable statutes administered by the Department of State.
(2) The Secretary is authorized to provide such funds by advance or reimbursement to the Secretary of State as may be necessary to pay the costs of acquisition, lease, alteration, renovation, and management of facilities outside of the United States for the use of HHS. The Department of State shall cooperate fully with the Secretary to ensure that HHS has secure, safe, functional facilities that comply with applicable regulation governing location, setback, and other facilities requirements and serve the purposes established by this Act. The Secretary is authorized, in consultation with the Secretary of State, through grant or cooperative agreement, to make available to public or nonprofit private institutions or agencies in participating foreign countries, funds to acquire, lease, alter, or renovate facilities in those countries as necessary to conduct programs of assistance for international health activities, including activities relating to HIV/AIDS and other infectious diseases, chronic and environmental diseases, and other health activities abroad.
(3) The Secretary is authorized to provide to personnel appointed or assigned by the Secretary to serve abroad, allowances and benefits similar to those provided under chapter 9 of title I of the Foreign Service Act of 1980, and 22 U.S.C. 4081 through 4086 and subject to such regulations prescribed by the Secretary. The Secretary is further authorized to provide locality-based comparability payments (stated as a percentage) up to the amount of the locality-based comparability payment (stated as a percentage) that would be payable to such personnel under section 5304 of title 5, United States Code if such personnel's official duty station were in the District of Columbia. Leaves of absence for personnel under this subsection shall be on the same basis as that provided under subchapter I of chapter 63 of title 5, United States Code, or section 903 of the Foreign Service Act of 1980, to individuals serving in the Foreign Service.
SEC. [213]212. (a) Authority.—Notwithstanding any other provision of law, the Director of NIH ("Director'') may use funds available under section 402(b)(7) or 402(b)(12) of the PHS Act to enter into transactions (other than contracts, cooperative agreements, or grants) to carry out research identified pursuant to such section 402(b)(7) (pertaining to the Common Fund) or research and activities described in such section 402(b)(12).(b) Peer Review.—In entering into transactions under subsection (a), the Director may utilize such peer review procedures (including consultation with appropriate scientific experts) as the Director determines to be appropriate to obtain assessments of scientific and technical merit. Such procedures shall apply to such transactions in lieu of the peer review and advisory council review procedures that would otherwise be required under sections 301(a)(3), 405(b)(1)(B), 405(b)(2), 406(a)(3)(A), 492, and 494 of the PHS Act.
SEC. [214]213. Funds which are available for Individual Learning Accounts for employees of CDC and the Agency for Toxic Substances and Disease Registry ("ATSDR'') may be transferred to appropriate accounts of CDC, to be available only for Individual Learning Accounts: Provided, That such funds may be used for any individual full-time equivalent employee while such employee is employed either by CDC or ATSDR.SEC. [215]214. Notwithstanding any other provisions of law, discretionary funds made available in this Act may be used to continue operating the Council on Graduate Medical Education established by section 301 of Public Law 102–408.SEC. [216]215. Not to exceed $45,000,000 of funds appropriated by this Act to the institutes and centers of the National Institutes of Health may be used for alteration, repair, or improvement of facilities, as necessary for the proper and efficient conduct of the activities authorized herein, at not to exceed $3,500,000 per project.'(transfer of funds)
SEC. [217]216. Of the amounts made available for NIH, 1 percent of the amount made available for National Research Service Awards ("NRSA'') shall be made available to the Administrator of the Health Resources and Services Administration to make NRSA awards for research in primary medical care to individuals affiliated with entities who have received grants or contracts under section 747 of the PHS Act, and 1 percent of the amount made available for NRSA shall be made available to the Director of the Agency for Healthcare Research and Quality to make NRSA awards for health service research.[SEC. 218. None of the funds made available in this title may be used, in whole or in part, to advocate or promote gun control.][SEC. 219. None of the funds appropriated or otherwise made available in this Act may be expended to advance the creation of a Federally Funded Research and Development Center at the Centers for Medicare and Medicaid Services, prior to a Federal Register notice being issued that outlines: how this proposal would meet the specific requirements identified in FAR 35.017–2; agency procedures that ensure small business competitiveness is maintained; and the outline of a transparent award and governance process to be employed.][SEC. 220. (a) The Secretary shall establish a publicly accessible website to provide information regarding the uses of funds made available under section 4002 of Public Law 111–148.(b) With respect to funds provided for fiscal year 2012, the Secretary shall include on the website established under subsection (a) at a minimum the following information:
(1) In the case of each transfer of funds under section 4002(c), a statement indicating the program or activity receiving funds, the operating division or office that will administer the funds, and the planned uses of the funds, to be posted not later than the day after the transfer is made.
(2) Identification (along with a link to the full text) of each funding opportunity announcement, request for proposals, or other announcement or solicitation of proposals for grants, cooperative agreements, or contracts intended to be awarded using such funds, to be posted not later than the day after the announcement or solicitation is issued.
(3) Identification of each grant, cooperative agreement, or contract with a value of $25,000 or more awarded using such funds, including the purpose of the award and the identity of the recipient, to be posted not later than 5 days after the award is made.
(4) A report detailing the uses of all funds transferred under section 4002(c) during the fiscal year, to be posted not later than 90 days after the end of the fiscal year.
(5) Semi-annual reports from each entity awarded a grant, cooperative agreement, or contract from such funds with a value of $25,000 or more, summarizing the activities undertaken and identifying any sub-grants or sub-contracts awarded (including the purpose of the award and the identity of the recipient), to be posted not later than 30 days after the end of each 6-month period.]
[SEC. 221. (a) Establishment of National Center for Advancing Translational Sciences; Elimination of National Center for Research Resources.—(1) In general.—Subpart 1 of part E of title IV of the Public Health Service Act (42 U.S.C. 287 et seq.) is amended—
(A) in the subpart heading, by striking "National Center for Research Resources'' and inserting "National Center for Advancing Translational Sciences'';
(B) by striking sections 480 and 481; and
(C) by amending section 479 to read as follows:]
["SEC. 479. NATIONAL CENTER FOR ADVANCING TRANSLATIONAL SCIENCES."(a)Purpose.—The purpose of the National Center for Advancing Translational Sciences (in this subpart referred to as the 'Center') is to advance translational sciences, including by—
"(1) coordinating and developing resources that leverage basic research in support of translational science; and
"(2) developing partnerships and working cooperatively to foster synergy in ways that do not create duplication, redundancy, and competition with industry activities.
"(b)Clinical Trial Activities.—"(1)In general.—The Center may develop and provide infrastructure and resources for all phases of clinical trials research. Except as provided in paragraph (2), the Center may support clinical trials only through the end of phase IIA.
"(2)Exception.—The Center may support clinical trial activities through the end of phase IIB for a treatment for a rare disease or condition (as defined in section 526 of the Federal Food, Drug, and Cosmetic Act) so long as—
"(A) the Center gives public notice for a period of at least 120 days of the Center's intention to support the clinical trial activities in phase IIB;
"(B) no public or private organization provides credible written intent to the Center that the organization has timely plans to further the clinical trial activities or conduct clinical trials of a similar nature beyond phase IIA; and
"(C) the Center ensures that support of the clinical trial activities in phase IIB will not increase the Federal Government's liability beyond the award value of the Center's support.
"(c)Annual Report.—The Center shall publish an annual report that, with respect to all research supported by the Center, includes a complete list of—"(1) the molecules being studied;
"(2) clinical trial activities being conducted;
"(3) the methods and tools in development;
"(4) ongoing partnerships, including—
"(A) the rationale for each partnership;
"(B) the status of each partnership;
"(C) the funding provided by the Center to other entities pursuant to each partnership, and
"(D) the activities which have been transferred to industry pursuant to each partnership; and
"(5) known research activity of other entities that is or will expand upon research activity of the Center.''.
(2) List of institutes and centers.—Section 401(b)(21) of the Public Health Service Act (42 U.S.C. 281(b)(21)) is amended by striking "National Center for Research Resources'' and inserting "National Center for Advancing Translational Sciences''.
(b) Assignment of Certain Functions of Former National Center for Research Resources.—
(1) Biomedical and behavioral research facilities.—Section 481A of the Public Health Service Act (42 U.S.C. 287a-2)—
(A) is redesignated as section 404I and is moved to follow section 404H of such Act (42 U.S.C. 283j); and
(B) is amended—
(i) in subsection (a)(1), by striking "acting through the Director of the Center or the Director of the National Institute of Allergy and Infectious Diseases'' and inserting "acting through the Office of the Director of NIH or the Director of the National Institute of Allergy and Infectious Diseases'';
(ii) in subsections (c), (d), (e), and (f)(2), by striking "Director of the Center or the Director of the National Institute of Allergy and Infectious Diseases'' each place it appears and inserting "Director of NIH, acting through the Office of the Director of NIH or the National Institute of Allergy and Infectious Diseases,'';
(iii) in subsection (b)(2), by striking "Director of the Center'' each place it appears and inserting "Director of NIH'';
(iv) in subsections (b)(3)(A), (f)(1), and (g), by striking the comma at the end of "Director of the Center,'' each place it appears;
(v) by striking "Director of the Center'' each place it appears and inserting "Director of NIH, acting through the Office of the Director of NIH,'';
(vi) in subsection (b)—]
[(I) in paragraph (1)(A), by striking "within the Center''; and][(II) in paragraph (2)—][(aa) in subparagraph (A), by striking "and the advisory council established under section 480 (in this section referred to as the 'Advisory Council')'' and inserting "and the Council of Councils established under section 402(l) (in this section referred to as the 'Council')''; and][(bb) in subparagraphs (B), (C), and (D), by striking "Advisory'' each place it appears; and(vii) in subsection (g), by striking "after consultation with the Advisory Council'' and inserting "after consultation with the Council''.
(2) Construction of regional centers for research on primates.—Section 481B of the Public Health Service Act (42 U.S.C. 287a-3)—
(A) is redesignated as section 404J and is moved to follow section 404I, as redesignated by paragraph (1); and
(B) in subsection (a), is amended—
(i) by striking "by the National Center for Research Resources'' and inserting "by the Director of NIH, acting through the Office of the Director of NIH,''; and
(ii) by striking "481A'' and inserting "404I''.
(3) Sanctuary system for surplus chimpanzees.—Section 481C of the Public Health Service Act (42 U.S.C. 287a-3a)—
(A) is redesignated as section 404K and is moved to follow section 404J, as redesignated by paragraph (2); and
(B) in subsection (d)(4)(A)(ii), is amended by striking "that is carried out by the National Center for Research Resources'' and inserting "that is carried out by the Director of NIH, acting through the Office of the Director of NIH,''.
(4) Shared instrumentation grant program.—Section 305 of the Public Health Improvement Act (42 U.S.C. 287 note)—
(A) is redesignated as section 404L of the Public Health Service Act and is moved to follow section 404K of that Act, as redesignated by paragraph (3); and
(B) is amended—
(i) by striking subsection (a) and redesignating subsections (b) and (c) as subsections (a) and (b), respectively;
(ii) in subsection (a), as so redesignated, by striking "under the program described in subsection (a)'' and inserting "under the Shared Instrumentation Grant Program'';
(iii) by striking "Director of the National Center for Research Resources'' each place it appears and inserting "Director of NIH, acting through the Office of the Director of NIH,''; and
(iv) in subsection (b), as so redesignated—]
[(I) by striking "in subsection (a)'' and inserting "in subsection (a), the''; and][(II) by striking "of the Public Health Service Act (42 U.S.C. 289a)''.(5) Institutional development award program.—Title IV of the Public Health Service Act (42 U.S.C. 281 et seq.) is amended—
(A) in section 461, by striking the section heading and designation and all that follows through "The general purpose'' and inserting the following:]
["SEC. 461. NATIONAL INSTITUTE OF GENERAL MEDICAL SCIENCES."(a)General Purpose.—The general purpose'';
(B) by moving subsection (g) of section 402 to the end of section 461, as amended, and redesignating that subsection as subsection (b); and
(C) in section 461(b), as so redesignated—
(i) by striking "(b)(1)(A) In the case of'' and inserting the following:]
["(b)Institutional Development Award Program.—
"(1)(A) In the case of'';
(ii) by moving two ems to the right—]
[(I) subparagraphs (B) and (C) of paragraph (1);][(II) clauses (i), (ii), and (iii) of such subparagraph (C); and][(III) paragraph (2); and(iii) in paragraph (1)(A), by striking "acting through the Director of the National Center for Research Resources'' and inserting "acting through the Director of the National Institute of General Medical Sciences''.
(c) Assignment of Certain Offices and Functions to National Center for Advancing Translational Sciences.—
(1) Cures acceleration network.—Section 402C of the Public Health Service Act (42 U.S.C. 282d)—
(A) is redesignated as section 480 and is moved to follow section 479;
(B) in subsection (b), is amended in the matter that precedes paragraph (1) by striking "within the Office of the Director of NIH'' and inserting "within the Center'';
(C) by striking "Director of NIH'' each place it appears and inserting "Director of the Center''; and
(D) in the headings of subsections (d)(4) and (d)(4)(B), by striking "Director of nih'' each place it appears and inserting "Director of the center''.
(2) Office of rare diseases.—Title IV of the Public Health Service Act (42 U.S.C. 281 et seq.) is amended—
(A) in section 404F—
(i) by redesignating such section as section 481 and moving such section to follow section 480, as redesignated by paragraph (1);
(ii) in subsection (a)—]
[(I) by striking "within the Office of the Director of NIH'' and inserting "within the Center''; and][(II) by striking "Director of NIH'' and inserting "Director of the Center''; and(iii) in subsection (b)(1)(C), by striking "404G'' and inserting "481A''; and
(B) in section 401(c)(2)(A), by striking "the Office of Rare Diseases,''.
(3) Rare disease regional centers of excellence.—Section 404G of the Public Health Service Act (42 U.S.C. 283i) is redesignated as section 481A and is moved to follow section 481, as redesignated by paragraph (2).
(4) General clinical research centers.—Section 481D of the Public Health Service Act (42 U.S.C. 287a-4)—
(A) is redesignated as section 481B; and
(B) in subsection (a), is amended by striking "Director of the National Center for Research Resources'' and inserting "Director of the Center''.
(d) Conforming Amendments.—Title IV of the Public Health Service Act (42 U.S.C. 281 et seq.) is amended—
(1) in section 402(b)(24) (42 U.S.C. 282(b)(24)), by striking "402C'' and inserting "480'';
(2) in section 404C(e)(3)(A) (42 U.S.C. 283e(e)(3)(A)), by striking "and the Director of the Center for Research Resources'';
(3) in section 464z-3(i)(1) (42 U.S.C. 285t(i)(1))—
(A) by striking "Director of National Institute for Research Resources'' and inserting "Director of NIH'';
(B) by striking "481(c)(3)'' and inserting "404I(c)(2)''; and
(C) by inserting "under such section'' after "Institutions of Emerging Excellence'';
(4) in section 499(c)(1)(E) (42 U.S.C. 290b(c)(1)(E)), by striking "section 402C'' and inserting "section 480''.]
[SEC. 222. The discretionary appropriation for CDC is hereby reduced by $20,000,000: Provided, That the reduction should be taken from contracting and administrative costs in each of the CDC accounts.]SEC. 217. Such portion as the Secretary shall determine, but not more than 1 percent, of any discretionary funds which are appropriated in this Act for the current fiscal year for domestic HIV/AIDS activities in any program, project, or activity carried out by the Department of Health and Human Services shall be made available to the Office of the Assistant Secretary for Health to support the National HIV/AIDS Strategy: Provided, That such support may be provided directly, or by grants or contracts, on a reimbursable basis. SEC. 218.(a) A state shall be entitled to receive a grant under section 510 of the Social Security Act (42 U.S.C. 710) for fiscal year 2013 only if the Department of Health and Human Services receives an application under section 505(a) of such Act (42 U.S.C. 705(a)) for such fiscal year by no later than September 20, 2013.
(b) CANCELLATION. The remaining unobligated balances of the amount appropriated for fiscal year 2013 by section 510(d) of such Act (42 U.S.C. 710(d)) for which no application has been received by September 20, 2013, shall be permanently cancelled as of September 27, 2013.
(c) APPROPRIATION. There is appropriated to the Department of Health and Human Services, to become available on September 27, 2013, and to remain available through September 30, 2014, an amount equal to the unobligated balances cancelled pursuant to subsection (b), for carrying out (in addition to any other funds that may be available for such purpose) a program of competitive contracts and grants to State and local governments to develop approaches to reduce pregnancy among youth in foster care and to fund age appropriate evidence-based programs that reduce teenage pregnancy, behavioral risk factors underlying teen pregnancy, or other associated risk factors among youth in foster care and for the Federal costs associated with administering and evaluating such contracts and grants.
(Department of Health and Human Services Appropriations Act, 2012.)