INCREASED FUNDING FOR BBEDCA PROGRAM INTEGRITY ADJUSTMENTS

Centers for Medicare and Medicaid Services

Federal Funds

Payments to Health Care Trust Funds

Program and Financing (in millions of dollars)


Identification code 75–0580–6–1–571 2011 actual 2012 est. 2013 est.

Obligations by program activity:
0004 General Fund Transfers to HI 114



0900 Total new obligations (object class 94.0) 114
Memorandum (non-add) entries:
1940 Unobligated balance expiring 114

Change in obligated balance:
3030 Obligations incurred, unexpired accounts 114
3040 Outlays (gross) –114

Budget authority and outlays, net:
Mandatory:
Outlays, gross:
4100 Outlays from new mandatory authority 114
4190 Outlays, net (total) 114

Program Management

Of the funds made available for Program Management by Public Law 112–10, $1,211,899 are hereby cancelled.

Program and Financing (in millions of dollars)


Identification code 75–0511–6–1–550 2011 actual 2012 est. 2013 est.

Obligations by program activity:
0001 Program operations –1



0900 Total new obligations (object class 25.2) –1

Budgetary Resources:
Budget authority:
Spending authority from offsetting collections, discretionary:
1701 Change in uncollected payments, Federal sources –1



1750 Spending auth from offsetting collections, disc (total) –1
1930 Total budgetary resources available –1

Change in obligated balance:
Obligated balance, start of year (net):
3000 Unpaid obligations, brought forward, Oct 1 (gross) –1
3010 Uncollected pymts, Fed sources, brought forward, Oct 1 1
3030 Obligations incurred, unexpired accounts –1
3050 Change in uncollected pymts, Fed sources, unexpired 1
Obligated balance, end of year (net):
3090 Unpaid obligations, end of year (gross) –1 –1
3091 Uncollected pymts, Fed sources, end of year 1 1

Budget authority and outlays, net:
Discretionary:
4000 Budget authority, gross –1
Additional offsets against gross budget authority only:
4050 Change in uncollected pymts, Fed sources, unexpired 1

Since the Consolidated Appropriations Act of 2012 (P.L. 112–74) did not fully fund the Health Care Fraud and Abuse Control base or cap adjustment for 2012, the President's Budget proposes to offset the increase to the HCFAC 2012 base funding with unobligated multi-year Healthcare Integrated General Ledger Accounting System and Contracting Reform funding provided in Public Law 112–10.

Trust Funds

Federal Hospital Insurance Trust Fund

Program and Financing (in millions of dollars)


Identification code 75–8005–6–7–571 2011 actual 2012 est. 2013 est.

Obligations by program activity:
0001 Direct program activity –1



0900 Total new obligations (object class 94.0) –1

Budgetary Resources:
Budget authority:
Appropriations, discretionary:
1133 Unobligated balance of appropriations temporarily reduced –1



1160 Appropriation, discretionary (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:
Discretionary:
4000 Budget authority, gross –1
Outlays, gross:
4010 Outlays from new discretionary authority –1
4180 Budget authority, net (total) –1
4190 Outlays, net (total) –1

Health Care Fraud and Abuse Control Account

For an additional amount for "Health Care Fraud and Abuse Control Account" and in addition to amounts otherwise available for program integrity and program management, $271,722,199, to remain available through September 30, 2013, 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 $140,041,412 shall be for 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 and the Medicare Prescription Drug Program authorized in title XVIII of the Social Security Act and for activities described in section 1893 of such Act and for Medicaid and Children's Health Insurance Program ("CHIP'') program integrity activities; of which $68,081,621 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; and of which $63,599,166 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, $1,211,899 is provided to meet the terms of section 251(b)(2)(C)(ii) of the Balanced Budget and Emergency Deficit Control Act of 1985: Provided further, That, of the amount provided under this heading, $270,510,300 is additional new budget authority specified for purposes of subsection 251(b)(2)(C) of the Balanced Budget and Emergency Deficit Control Act of 1985, as amended: Provided further, That the amount provided under this heading shall be treated for purposes of section 251(b)(2)(C) as being included under this heading in the Departments of Labor, Health and Human Services, and Education, and Related Agencies Appropriations Act, 2012.

Program and Financing (in millions of dollars)


Identification code 75–8393–6–7–571 2011 actual 2012 est. 2013 est.

Obligations by program activity:
0101 CMS discretionary BASE 1
0103 CMS discretionary CAP 139
0104 Other discretionary CAP 131



0900 Total new obligations 271

Budgetary Resources:
Budget authority:
Appropriations, discretionary:
1101 Appropriation (special or trust fund) 272
1144 Approp temporarily reduced (Sec 527, HR 2055) –1



1160 Appropriation, discretionary (total) 271
1930 Total budgetary resources available 271

Change in obligated balance:
3030 Obligations incurred, unexpired accounts 271
3040 Outlays (gross) –271

Budget authority and outlays, net:
Discretionary:
4000 Budget authority, gross 271
Outlays, gross:
4010 Outlays from new discretionary authority 271
4180 Budget authority, net (total) 271
4190 Outlays, net (total) 271

Since the Consolidated Appropriations Act of 2012 (P.L. 112–74) did not fully fund the base or the cap adjustment for 2012, the President's Budget proposes to increase the 2012 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.

Object Classification (in millions of dollars)


Identification code 75–8393–6–7–571 2011 actual 2012 est. 2013 est.

Direct obligations:
25.3 Other purchases of goods and services from Government accounts (HHS/DOJ) 63
25.3 Other purchases of goods and services from Government accounts (HHS/OIG) 68
25.6 Medical care (CMS) 140



99.9 Total new obligations 271

Office of the Inspector General

Federal Funds

Office of the Inspector General

Program and Financing (in millions of dollars)


Identification code 75–0128–6–1–551 2011 actual 2012 est. 2013 est.

Obligations by program activity:
0803 HCFAC Discretionary allocation adjustment 68

Budgetary Resources:
Budget authority:
Spending authority from offsetting collections, discretionary:
1700 Collected 68



1750 Spending auth from offsetting collections, disc (total) 68
1930 Total budgetary resources available 68

Change in obligated balance:
3030 Obligations incurred, unexpired accounts 68
3040 Outlays (gross) –68

Budget authority and outlays, net:
Discretionary:
4000 Budget authority, gross 68
Outlays, gross:
4010 Outlays from new discretionary authority 68
Offsets against gross budget authority and outlays:
Offsetting collections (collected) from:
4030 Federal sources –68

Object Classification (in millions of dollars)


Identification code 75–0128–6–1–551 2011 actual 2012 est. 2013 est.

99.9 Total new obligations 68

Employment Summary


Identification code 75–0128–6–1–551 2011 actual 2012 est. 2013 est.

2001 Reimbursable civilian full-time equivalent employment 208

Legal Activities and U.S. Marshals

Federal Funds

Salaries and Expenses, General Legal Activities

Program and Financing (in millions of dollars)


Identification code 15–0128–6–1–999 2011 actual 2012 est. 2013 est.

Obligations by program activity:
0880 Health Care Fraud salaries and expenses 30

Budgetary Resources:
Budget authority:
Spending authority from offsetting collections, discretionary:
1700 Collected 30



1750 Spending auth from offsetting collections, disc (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:
Discretionary:
4000 Budget authority, gross 30
Outlays, gross:
4010 Outlays from new discretionary authority 30
Offsets against gross budget authority and outlays:
Offsetting collections (collected) from:
4030 Federal sources –30

Object Classification (in millions of dollars)


Identification code 15–0128–6–1–999 2011 actual 2012 est. 2013 est.

99.9 Total new obligations 30

Employment Summary


Identification code 15–0128–6–1–999 2011 actual 2012 est. 2013 est.

2001 Reimbursable civilian full-time equivalent employment 77

Salaries and Expenses, United States Attorneys

Program and Financing (in millions of dollars)


Identification code 15–0322–6–1–752 2011 actual 2012 est. 2013 est.

Obligations by program activity:
0801 Health Care Fraud salaries and expenses 25

Budgetary Resources:
Budget authority:
Spending authority from offsetting collections, discretionary:
1700 Collected 25



1750 Spending auth from offsetting collections, disc (total) 25
1930 Total budgetary resources available 25

Change in obligated balance:
3030 Obligations incurred, unexpired accounts 25
3040 Outlays (gross) –25

Budget authority and outlays, net:
Discretionary:
4000 Budget authority, gross 25
Outlays, gross:
4010 Outlays from new discretionary authority 25
Offsets against gross budget authority and outlays:
Offsetting collections (collected) from:
4030 Federal sources –25

Object Classification (in millions of dollars)


Identification code 15–0322–6–1–752 2011 actual 2012 est. 2013 est.

99.9 Total new obligations 25

Employment Summary


Identification code 15–0322–6–1–752 2011 actual 2012 est. 2013 est.

2001 Reimbursable civilian full-time equivalent employment 70

Federal Bureau of Investigation

Federal Funds

Salaries and Expenses

Program and Financing (in millions of dollars)


Identification code 15–0200–6–1–999 2011 actual 2012 est. 2013 est.

Obligations by program activity:
0801 Health Care Fraud salaries and expenses 8

Budgetary Resources:
Budget authority:
Spending authority from offsetting collections, discretionary:
1700 Collected 8



1750 Spending auth from offsetting collections, disc (total) 8
1930 Total budgetary resources available 8

Change in obligated balance:
3030 Obligations incurred, unexpired accounts 8
3040 Outlays (gross) –8

Budget authority and outlays, net:
Discretionary:
4000 Budget authority, gross 8
Outlays, gross:
4010 Outlays from new discretionary authority 8
Offsets against gross budget authority and outlays:
Offsetting collections (collected) from:
4030 Federal sources –8

Object Classification (in millions of dollars)


Identification code 15–0200–6–1–999 2011 actual 2012 est. 2013 est.

99.9 Total new obligations 8

Employment Summary


Identification code 15–0200–6–1–999 2011 actual 2012 est. 2013 est.

2001 Reimbursable civilian full-time equivalent employment 30

Federal Funds

Supplemental Security Income Program

Program and Financing (in millions of dollars)


Identification code 28–0406–6–1–609 2011 actual 2012 est. 2013 est.

Obligations by program activity:
0001 Program Integrity Cap Adjustment 46



0900 Total new obligations (object class 25.3) 46

Budgetary Resources:
Budget authority:
Appropriations, discretionary:
1100 Appropriation 46



1160 Appropriation, discretionary (total) 46
1930 Total budgetary resources available 46

Change in obligated balance:
3030 Obligations incurred, unexpired accounts 46
3040 Outlays (gross) –46

Budget authority and outlays, net:
Discretionary:
4000 Budget authority, gross 46
Outlays, gross:
4010 Outlays from new discretionary authority 46
4180 Budget authority, net (total) 46
4190 Outlays, net (total) 46

Trust Funds

Federal Disability Insurance Trust Fund

Program and Financing (in millions of dollars)


Identification code 28–8007–6–7–651 2011 actual 2012 est. 2013 est.

Obligations by program activity:
0001 Program Integrity Cap Adjustment 94



0900 Total new obligations (object class 94.0) 94

Budgetary Resources:
Budget authority:
Appropriations, discretionary:
1101 Appropriation (special or trust fund) 94



1160 Appropriation, discretionary (total) 94
1930 Total budgetary resources available 94

Change in obligated balance:
3030 Obligations incurred, unexpired accounts 94
3040 Outlays (gross) –94

Budget authority and outlays, net:
Discretionary:
4000 Budget authority, gross 94
Outlays, gross:
4010 Outlays from new discretionary authority 94
4180 Budget authority, net (total) 94
4190 Outlays, net (total) 94

Limitation on Administrative Expenses

For an additional amount for "Limitation on Administrative Expenses" for the cost associated with continuing disability reviews under titles II and XVI of the Social Security Act and for the cost associated with conducting redeterminations of eligibility under title XVI of the Social Security Act, $140,695,700 may be expended, as authorized by section 201(g)(1) of the Social Security Act, from any one or all of the trust funds referred to therein: Provided, That such amount is additional new budget authority specified for purposes of subsection 251(b)(2)(B) of the Balanced Budget and Emergency Deficit Control Act of 1985, and shall be treated for such purposes as being included under this heading in the Departments of Labor, Health and Human Services, and Education, and Related Agencies Appropriations Act, 2012.

Program and Financing (in millions of dollars)


Identification code 28–8704–6–7–651 2011 actual 2012 est. 2013 est.

Obligations by program activity:
0001 Program Integrity Cap Adjustment 140

Budgetary Resources:
Budget authority:
Spending authority from offsetting collections, discretionary:
1700 Collected - Program Integrity Cap Adjustment 140



1750 Spending auth from offsetting collections, disc (total) 140
1900 Budget authority (total) 140
1930 Total budgetary resources available 140

Change in obligated balance:
3030 Obligations incurred, unexpired accounts 140
3040 Outlays (gross) –140

Budget authority and outlays, net:
Discretionary:
4000 Budget authority, gross 140
Outlays, gross:
4010 Outlays from new discretionary authority 140
Offsets against gross budget authority and outlays:
Offsetting collections (collected) from:
4030 Federal sources - Program Integrity Cap Adjustment –140

Since the Consolidated Appropriations Act of 2012 (P.L. 112–74) did not fully fund the cap adjustment for 2012, the President's Budget proposes to provide the additional $140 million in funding allowed by the cap adjustment, consistent with section 251(b)(2)(B) of the Balanced Budget and Emergency Deficit Control Act of 1985, as amended.

Object Classification (in millions of dollars)


Identification code 28–8704–6–7–651 2011 actual 2012 est. 2013 est.

Direct obligations:
11.1 Personnel compensation: Full-time permanent 32
12.1 Civilian personnel benefits 20
23.3 Communications, utilities, and miscellaneous charges 25
25.1 Advisory and assistance services 63



99.9 Total new obligations 140

Employment Summary


Identification code 28–8704–6–7–651 2011 actual 2012 est. 2013 est.

1001 Direct civilian full-time equivalent employment 320