    [Appendix]
    [Detailed Budget Estimates by Agency]
    [Department of Health and Human Services, except Social Security]
    [From the U.S. Government Publishing Office, www.gpo.gov]

    [[Page 471]]

                     DEPARTMENT OF HEALTH AND HUMAN SERVICES

                          FOOD AND DRUG ADMINISTRATION

                                  Federal Funds

    General and special funds:

                              Salaries and Expenses

      For necessary expenses of the Food and Drug Administration, including
    hire and purchase of passenger motor vehicles; for rental of special
    purpose space in the District of Columbia or elsewhere; and 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; [$904,694,000]
    $911,284,000, of which not to exceed [$84,723,000] $87,528,000 in fees
    pursuant to section 736 of the Federal Food, Drug, and Cosmetic Act may
    be credited to this appropriation and remain available until expended:
    Provided, That fees derived from applications received during fiscal
    year [1996] 1997 shall be subject to the fiscal year [1996] 1997
    limitation[: 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].
      In addition, fees pursuant to section 354 of the Public Health Service
    Act may be credited to this account, to remain available until expended.

                            Buildings and Facilities

        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, [$12,150,000]
    $8,350,000, to remain available until expended (7 U.S.C. 2209b).

                              Rental Payments (FDA)

                         (including transfers of funds)

      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, $46,294,000: Provided, That in the event
    the Food and Drug Administration should require modification of space
    needs, a share of the salaries and expenses appropriation may be
    transferred to this appropriation, or a share of this appropriation may
    be transferred to the salaries and expenses appropriation, but such
    transfers shall not exceed 5 percent of the funds made available for
    rental payments (FDA) to or from this account. (Agriculture, Rural
    Development, Food and Drug Administration, and Related Agencies
    Appropriations Act, 1996.)

                   Program and Financing (in millions of dollars)

    ----------------------------------------------------------------------------
    Identification code 75-9911-0-1-554      1995 actual   1996 est.   1997 est.
    ----------------------------------------------------------------------------

        Obligations by program activity:
          Direct program:

    00.01   Foods...........................         216         222         225
    00.02   Drugs...........................         364         362         362
    00.03   Devices and radiological
              products......................         157         157         157
    00.04   National center for
              toxicological research........          38          38          38
    00.05   Program management..............          42          42          42
    00.06   Rental payments.................          46          46          46
    00.07   Buildings and facilities........           5          40           8
    00.08   CRADAs..........................           1
    00.09   Contingency Fund................           1
                                               ---------   ---------  ----------

    00.91     Total direct program..........         870         907         878
    01.01 Reimbursable program..............          91         108         113
                                               ---------   ---------  ----------

    10.00   Total obligations...............         961       1,015         991
    ----------------------------------------------------------------------------

        Budgetary resources available for obligation:
    21.40 Unobligated balance available,
            start of year: Uninvested
            balance.........................          54          67          38
    22.00 New budget authority (gross)......         973         986         991
                                               ---------   ---------  ----------

    23.90   Total budgetary resources
              available for obligation......       1,027       1,053       1,029
    23.95 New obligations...................        -961      -1,015        -991
    24.40 Unobligated balance available, end
            of year: Uninvested balance.....          67          38          38
    ----------------------------------------------------------------------------

        New budget authority (gross), detail:
          Current:

    40.00   Appropriation...................         882         878         878
          Permanent:

    68.00   Spending authority from
              offsetting collections:
              Offsetting collections (cash).          91         108         113
                                               ---------   ---------  ----------

    70.00   Total new budget authority
              (gross).......................         973         986         991
    ----------------------------------------------------------------------------

        Change in unpaid obligations:
    72.40 Unpaid obligations, start of year:
            Obligated balance: Appropriation         281         279         305
    73.10 New obligations...................         961       1,015         991
    73.20 Total outlays (gross).............        -951        -985        -994
    73.40 Adjustments in expired accounts...         -11          -6
    74.40 Unpaid obligations, end of year:
            Obligated balance: Appropriation         279         305         302
    ----------------------------------------------------------------------------

        Outlays (gross), detail:
    86.90 Outlays from new current authority         686         685         685
    86.93 Outlays from current balances.....         174         192         196
    86.97 Outlays from new permanent
            authority.......................          91         108         113
                                               ---------   ---------  ----------

    87.00   Total outlays (gross)...........         951         985         994
    ----------------------------------------------------------------------------

        Offsets:
          Against gross budget authority and outlays:

            Offsetting collections (cash)
                from:
    88.00     Federal sources...............         -17         -10         -12
    88.40     Non-Federal sources...........         -74         -98        -101
                                               ---------   ---------  ----------

    88.90       Total, offsetting
                  collections (cash)........         -91        -108        -113
    ----------------------------------------------------------------------------

        Net budget authority and outlays:
    89.00 Budget authority..................         882         878         878
    90.00 Outlays...........................         860         877         881
    ---------------------------------------------------------------------------

                            [In millions of dollars]

                                            1995        1996        1997
    Distribution of budget authority by
        account:
      Salaries and expenses.............         818         820         824
      Rental payments (FDA).............          46          46          46
      Buildings and facilities..........          18          12           8
    Distribution of outlays by account:
      Salaries and expenses.............         806         808         820
      Rental payments (FDA).............          37          46          46
      Buildings and facilities..........          17          23          15

                     Summary of Budget Authority and Outlays

                            [In millions of dollars]

                                         1995 actual  1996 est.   1997 est.
    Enacted/requested:
      Budget Authority..................         882         878         878
      Outlays...........................         860         877         881
    Legislative proposal, not subject to
        PAYGO:
      Budget Authority..................
      Outlays...........................
                                        ------------------------------------
    Total:
      Budget Authority..................         882         878         878
      Outlays...........................         860         877         881
                                        ====================================

        The Food and Drug Administration (FDA) administers laws concerning
    misbranded and adulterated foods, drugs, human biologics, medical
    devices, cosmetics, and man-made sources of radiation. The buildings and
    facilities appropriation provides funds for projects related to the
    repair, construction, alteration, and improvement of all buildings and
    facilities of FDA.

    [[Page 472]]

                   Object Classification (in millions of dollars)

    ----------------------------------------------------------------------------
    Identification code 75-9911-0-1-554      1995 actual   1996 est.   1997 est.
    ----------------------------------------------------------------------------

          Direct obligations:

            Personnel compensation:
    11.1      Full-time permanent...........         402         417         427
    11.3      Other than full-time permanent          28          29          29
    11.5      Other personnel compensation..          15          15          16
                                               ---------   ---------  ----------

    11.9        Total personnel compensation         445         461         472
    12.1    Civilian personnel benefits.....          95          99         101
    21.0    Travel and transportation of
              persons.......................          18          17          17
    22.0    Transportation of things........           1           1           1
    23.1    Rental payments to GSA..........          42          42          42
    23.2    Rental payments to others.......           7           6           5
    23.3    Communications, utilities, and
              miscellaneous charges.........          26          24          24
    24.0    Printing and reproduction.......           3           3           3
    25.1    Advisory and assistance services           6           7           6
    25.2    Other services..................          19          36          19
    25.3    Purchases of goods and services
              from Government accounts......          39          40          37
    25.4    Operation and maintenance of
              facilities....................          19          18          18
    25.5    Research and development
              contracts.....................          37          34          33
    25.7    Operation and maintenance of
              equipment.....................          30          31          28
    26.0    Supplies and materials..........          22          20          20
    31.0    Equipment.......................          39          37          33
    32.0    Land and structures.............                      10
    41.0    Grants, subsidies, and
              contributions.................          20          19          18
    42.0    Insurance claims and indemnities           2           2           1
                                               ---------   ---------  ----------

    99.0      Subtotal, direct obligations..         870         907         878
    99.0  Reimbursable obligations..........          91         108         113
                                               ---------   ---------  ----------

    99.9    Total obligations...............         961       1,015         991
    ---------------------------------------------------------------------------

                                  Personnel Summary

    ----------------------------------------------------------------------------
    Identification code 75-9911-0-1-554      1995 actual   1996 est.   1997 est.
    ----------------------------------------------------------------------------
        Direct:
          Total compensable workyears:

    1001    Full-time equivalent employment.       8,721       8,690       8,487
    1005    Full-time equivalent of overtime
              and holiday hours.............          87          87          87
        Reimbursable:
    2001  Total compensable workyears: Full-
            time equivalent employment......         481         532         626
    ---------------------------------------------------------------------------

                              Salaries and Expenses

                  (Legislative proposal, not subject to PAYGO)

                   Program and Financing (in millions of dollars)

    ----------------------------------------------------------------------------
    Identification code 75-9911-2-1-554      1995 actual   1996 est.   1997 est.
    ----------------------------------------------------------------------------

        Obligations by program activity:
          Direct program:

    00.01   Foods...........................                                  15
    00.02   Devices and radiological
              products......................                                  24
                                               ---------   ---------  ----------

    10.00   Total obligations...............                                  39
    ----------------------------------------------------------------------------

        Budgetary resources available for obligation:
    22.00 New budget authority (gross)......                                  39
    23.95 New obligations...................                                 -39
    ----------------------------------------------------------------------------

        New budget authority (gross), detail:
    68.00 Spending authority from offsetting
            collections (gross): Offsetting
            collections (cash)..............                                  39
    ----------------------------------------------------------------------------

        Change in unpaid obligations:
    73.10 New obligations...................                                  39
    73.20 Total outlays (gross).............                                 -39
    ----------------------------------------------------------------------------

        Outlays (gross), detail:
    86.97 Outlays from new permanent
            authority.......................                                  39
                                               ---------   ---------  ----------

    87.00   Total outlays (gross)...........                                  39
    ----------------------------------------------------------------------------

        Offsets:
          Against gross budget authority and outlays:

    88.40   Offsetting collections (cash)
              from: Non-Federal sources.....                                 -39
    ----------------------------------------------------------------------------

        Net budget authority and outlays:
    89.00 Budget authority..................
    90.00 Outlays...........................
    ---------------------------------------------------------------------------

                   Object Classification (in millions of dollars)

    ----------------------------------------------------------------------------
    Identification code 75-9911-2-1-554      1995 actual   1996 est.   1997 est.
    ----------------------------------------------------------------------------
    99.0  Reimbursable obligations:
            Subtotal, reimbursable
            obligations.....................                                  39
                                               ---------   ---------  ----------

    99.9    Total obligations...............                                  39
    ---------------------------------------------------------------------------

                                  Personnel Summary

    ----------------------------------------------------------------------------
    Identification code 75-9911-2-1-554      1995 actual   1996 est.   1997 est.
    ----------------------------------------------------------------------------
    2001  Total compensable workyears: Full-
            time equivalent employment......                                 109
    ---------------------------------------------------------------------------

    Public enterprise funds:

               Revolving Fund for Certification and Other Services

                   Program and Financing (in millions of dollars)

    ----------------------------------------------------------------------------
    Identification code 75-4309-0-3-554      1995 actual   1996 est.   1997 est.
    ----------------------------------------------------------------------------

        Obligations by program activity:
          Operating expenses:

    00.01   Color additives.................           3           4           4
    00.02   Insulin.........................           1           1           1
                                               ---------   ---------  ----------

    10.00   Total obligations...............           4           5           5
    ----------------------------------------------------------------------------

        Budgetary resources available for obligation:
    21.90 Unobligated balance available,
            start of year: Fund balance.....           2           3           3
    22.00 New budget authority (gross)......           5           5           5
                                               ---------   ---------  ----------

    23.90   Total budgetary resources
              available for obligation......           7           8           8
    23.95 New obligations...................          -4          -5          -5
    24.90 Unobligated balance available, end
            of year: Fund balance...........           3           3           2
    ----------------------------------------------------------------------------

        New budget authority (gross), detail:
    68.00 Spending authority from offsetting
            collections (gross): Offsetting
            collections (cash)..............           5           5           5
    ----------------------------------------------------------------------------

        Change in unpaid obligations:
    72.90 Unpaid obligations, start of year:
            Obligated balance: Fund balance.           1           1           2
    73.10 New obligations...................           4           5           5
    73.20 Total outlays (gross).............          -3          -4          -4
    74.90 Unpaid obligations, end of year:
            Obligated balance: Fund balance:
            Uninvested balance..............           1           2           3
    ----------------------------------------------------------------------------

        Outlays (gross), detail:
    86.97 Outlays from new permanent
            authority.......................           3           3           4
                                               ---------   ---------  ----------

    87.00   Total outlays (gross)...........           3           4           4
    ----------------------------------------------------------------------------

        Offsets:
          Against gross budget authority and outlays:

    88.40   Offsetting collections (cash)
              from: Non-Federal sources.....          -5          -5          -5
    ----------------------------------------------------------------------------

        Net budget authority and outlays:
    89.00 Budget authority..................
    90.00 Outlays...........................          -2          -1          -1
    ---------------------------------------------------------------------------

        FDA certifies batches of insulin and color additives for use in
    foods, drugs, and cosmetics. It also lists color additives for use in
    foods, drugs, medical devices, and cosmetics (21

    [[Page 473]]
    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      1995 actual   1996 est.   1997 est.
    ----------------------------------------------------------------------------
    11.1  Personnel compensation: Full-time
            permanent.......................           2           2           2
    12.1  Civilian personnel benefits.......           1           1           1
    23.1  Rental payments to GSA............           1           1           1
    31.0  Equipment.........................                       1           1
    99.0  Subtotal, reimbursable obligations           4           5           5
                                               ---------   ---------  ----------

    99.9    Total obligations...............           4           5           5
    ---------------------------------------------------------------------------

                                  Personnel Summary

    ----------------------------------------------------------------------------
    Identification code 75-4309-0-3-554      1995 actual   1996 est.   1997 est.
    ----------------------------------------------------------------------------
    2001  Total compensable workyears: Full-
            time equivalent employment......          40          42          42
    ---------------------------------------------------------------------------

                  HEALTH RESOURCES AND SERVICES ADMINISTRATION

                                  Federal Funds

    General and special funds:

                          Health Resources and Services

        For carrying out titles II, III, VII, VIII, X, XII, XIX, and XXVI of
    the Public Health Service Act, section 427(a) of the Federal Coal Mine
    Health and Safety Act, title V of the Social Security Act, the Health
    Care Quality Improvement Act of 1986, as amended, Public Law 101-527,
    and the Native Hawaiian Health Care Act of 1988, as amended,
    $3,113,483,000, of which $297,000 shall remain available until expended
    for interest subsidies on loan guarantees made prior to fiscal year 1981
    under part B of title VII of the Public Health Service Act, and of which
    $52,000,000 shall be used only for State AIDS Drug Assistance Programs
    authorized by section 2616 of the Public Health Service Act and shall be
    distributed to States as authorized by section 2618(b)(2) of such Act:
    Provided, That when the Department of Health and Human Services
    administers or operates an employee health program for any Federal
    department or agency, payment for the full estimated cost shall be made
    by way of reimbursement or in advance to this appropriation: Provided
    further, That of the funds made available under this heading, $828,000
    shall be available until expended for facilities renovations at the
    Gillis W. Long Hansen's Disease Center: Provided further, That in
    addition to fees authorized by section 427(b) of the Health Care Quality
    Improvement Act, fees shall be collected for the full disclosure of
    information under the 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
    no more than $5,000,000 is available for carrying out the provisions of
    Public Law 104-73: Provided further, That funds made available for
    activities authorized by part A of title XXVI of the Public Health
    Service Act are available only for those metropolitan areas previously
    funded in FY 1996 or with a cumulative total of more than 2,000 cases of
    AIDS, as reported to the Centers for Disease Control and Prevention as
    of March 31, 1996, and have a population of 500,000 or more: Provided
    further, the Secretary shall use amounts available for section 2603(b)
    of the Public Health Service Act as necessary to ensure that FY 1997
    grant awards made under section 2603(a) of such Act to eligible areas
    that received such grants in FY 1996 are not less than the FY 1996
    level.
        Note.--A regular 1996 appropriation for this account had not been
    enacted at the time this budget was prepared. The 1996 amounts included
    in this budget are based on the levels provided in three continuing
    resolutions: P.L. 104-91, P.L. 104-92, and P.L. 104-99.

                   Program and Financing (in millions of dollars)

    ----------------------------------------------------------------------------
    Identification code 75-0350-0-1-550      1995 actual   1996 est.   1997 est.
    ----------------------------------------------------------------------------

        Obligations by program activity:
          Direct program:

    00.01   Consolidated health centers.....                     756         759
    00.02   Community health centers........         613
    00.03   Migrant health centers..........          65
    00.04   Health care for the homeless....          65
    00.05   Public housing health services..           9
    00.06   Programs for special populations                                   8
    00.07   Black lung clinics..............           4
    00.09   Alzheimer's demonstration grants           5           4
    00.10   Native Hawaiian health care.....           4
    00.11   Payment to Hawaii for the
              treatment of Hansen's disease.           3
    00.12   Hansen's disease center.........          21          16          16
    00.13   Health professions clusters.....                                 366
    00.14   Health professions curriculum
              assistance....................         278         278
    00.15   National Health Service Corps...          42          39
    00.16   National Health Service Corps
              recruitment...................          78          78
    00.17   Nursing loan repayment..........           2
    00.18   Maternal and child health block
              grant.........................         684         684         681
    00.19   Healthy start...................         104          50          75
    00.20   Emergency medical services
              cluster.......................                                   9
    00.21   Pediatric emergency medical
              services......................          10          10
    00.23   Bone marrow donor program.......                      15          15
    00.24   Health care facilities..........          10
    00.25   Organ transplantation...........           3           2           2
    00.26   Family planning.................         193         193         198
    00.27   Buildings and facilities........           1           1           1
    00.28   Program management..............         121         112         113
    00.29   Rural health research...........           9                       8
    00.30   Rural health cluster............                                  30
    00.31   Health services outreach
              demonstration.................          26          26
    00.33   HIV.............................         656         663         831
    00.34   Malpractice claims fund.........                       1           6
    00.35   Other HRSA activities...........           2                       1
                                               ---------   ---------  ----------

    00.91     Total direct program..........       3,008       2,928       3,119
    01.01 Reimbursable obligations (Cash)...         151         156          65
                                               ---------   ---------  ----------

    10.00   Total obligations...............       3,159       3,084       3,184
    ----------------------------------------------------------------------------

        Budgetary resources available for obligation:
    21.40 Unobligated balance available,
            start of year: Uninvested
            balance.........................          17          22          19
    22.00 New budget authority (gross)......       3,164       3,081       3,175
    22.30 Unobligated balance expiring......          -1
                                               ---------   ---------  ----------

    23.90   Total budgetary resources
              available for obligation......       3,180       3,103       3,194
    23.95 New obligations...................      -3,159      -3,084      -3,184
    24.40 Unobligated balance available, end
            of year: Uninvested balance.....          22          19          10
    ----------------------------------------------------------------------------

        New budget authority (gross), detail:
          Current:

    40.00   Appropriation...................       3,011       2,927       3,113
          Permanent:

    68.00   Spending authority from
              offsetting collections:
              Offsetting collections (cash).         153         154          62
                                               ---------   ---------  ----------

    70.00   Total new budget authority
              (gross).......................       3,164       3,081       3,175
    ----------------------------------------------------------------------------

        Change in unpaid obligations:
    72.40 Unpaid obligations, start of year:
            Obligated balance: Appropriation       2,512       3,053       3,233
    73.10 New obligations...................       3,159       3,084       3,184
    73.20 Total outlays (gross).............      -2,605      -2,904      -2,980
    73.40 Adjustments in expired accounts...         -12
    74.40 Unpaid obligations, end of year:
            Obligated balance: Appropriation       3,053       3,233       3,437
    ----------------------------------------------------------------------------

        Outlays (gross), detail:
    86.90 Outlays from new current authority       1,093       1,116       1,186
    86.93 Outlays from current balances.....       1,359       1,634       1,732
    86.97 Outlays from new permanent
            authority.......................         153         154          62
                                               ---------   ---------  ----------

    87.00   Total outlays (gross)...........       2,605       2,904       2,980
    ----------------------------------------------------------------------------

        Offsets:
          Against gross budget authority and outlays:

            Offsetting collections (cash)
                from:
    88.00     Federal sources...............        -142        -146         -56
    88.40     Non-Federal sources...........         -11          -8          -6
                                               ---------   ---------  ----------

    88.90       Total, offsetting
                  collections (cash)........        -153        -154         -62
    ----------------------------------------------------------------------------

        Net budget authority and outlays:
    89.00 Budget authority..................       3,011       2,927       3,113
    90.00 Outlays...........................       2,452       2,750       2,918
    ---------------------------------------------------------------------------

    [[Page 474]]

                              [Dollars in millions]

                                            1995        1996        1997
    Distribution of budget authority by
        account:
      Health resources and services.....       3,006       2,927       3,113
      Health centers malpractice claims.           5           0           0
    Distribution of outlays by account:
      Health resources and services.....       2,452       2,749       2,912
      Health centers malpractice claims.           0           1           6

                     Summary of Budget Authority and Outlays

                            [In millions of dollars]

                                         1995 actual  1996 est.   1997 est.
    Enacted/requested:
      Budget Authority..................       3,011       2,927       3,113
      Outlays...........................       2,452       2,750       2,918
    Adjustment to 1996 continuing
        resolution levels:
      Budget Authority..................                     153
      Outlays...........................                      50          58
                                        ------------------------------------
    Total:
      Budget Authority..................       3,011       3,080       3,113
      Outlays...........................       2,452       2,800       2,976
                                        ====================================

                   Status of Direct Loans (in millions of dollars)

    ----------------------------------------------------------------------------
    Identification code 75-0350-0-1-550      1995 actual   1996 est.   1997 est.
    ----------------------------------------------------------------------------
        Cumulative balance of direct loans
                    outstanding:
    1210  Outstanding, start of year........         531         797         800
    1231  Disbursements: Direct loan
            disbursements...................          17          17          18
    1251  Repayments: Repayments and
            prepayments.....................         -15         -14         -14
          Write-offs for default:

    1263    Direct loans....................          -2
    1264    Other adjustments, net..........         266
                                               ---------   ---------  ----------

    1290    Outstanding, end of year........         797         800         804
    ---------------------------------------------------------------------------

                 Status of Guaranteed Loans (in millions of dollars)

    ----------------------------------------------------------------------------
    Identification code 75-0350-0-1-550      1995 actual   1996 est.   1997 est.
    ----------------------------------------------------------------------------
        Cumulative balance of guaranteed loans
                    outstanding:
    2210  Outstanding, start of year........          13          11          10
    2251  Repayments and prepayments........          -2          -1          -1
                                               ---------   ---------  ----------

    2290    Outstanding, end of year........          11          10           9
    ----------------------------------------------------------------------------

        Memorandum:
    2299  Guaranteed amount of guaranteed
            loans outstanding, end of year..          11          10           9
    ---------------------------------------------------------------------------

        Activities displayed here support categorical health resources and
    services grants and the Medical Malpractice Claims Fund, which pays
    malpractice claims filed against employees of federally-supported health
    centers.

                   Object Classification (in millions of dollars)

    ----------------------------------------------------------------------------
    Identification code 75-0350-0-1-550      1995 actual   1996 est.   1997 est.
    ----------------------------------------------------------------------------

          Direct obligations:

            Personnel compensation:
    11.1      Full-time permanent...........          89          86          91
    11.3      Other than full-time permanent           2           2           2
    11.5      Other personnel compensation..           4           3           3
                                               ---------   ---------  ----------

    11.9        Total personnel compensation          95          91          96
    12.1    Civilian personnel benefits.....          23          23          24
    13.0    Benefits for former personnel...           3           1           1
    21.0    Travel and transportation of
              persons.......................           2           2           2
    22.0    Transportation of things........           1           1           1
    23.1    Rental payments to GSA..........           9           9           9
    23.3    Communications, utilities, and
              miscellaneous charges.........           4           4           4
    24.0    Printing and reproduction.......           1           1           1
    25.1    Advisory and assistance services          24          27          25
    25.2    Other services..................          29          25          25
    25.3    Purchases of goods and services
              from Government accounts......          36          42          36
    26.0    Supplies and materials..........           3           2           3
    31.0    Equipment.......................           4           1           4
    33.0    Investments and loans...........           8           8           8
    41.0    Grants, subsidies, and
              contributions.................       2,766       2,690       2,874
    42.0    Insurance claims and indemnities                       1           6
                                               ---------   ---------  ----------

    99.0      Subtotal, direct obligations..       3,008       2,928       3,119
    99.0  Reimbursable obligations..........         151         156          65
                                               ---------   ---------  ----------

    99.9    Total obligations...............       3,159       3,084       3,184
    ---------------------------------------------------------------------------

                                  Personnel Summary

    ----------------------------------------------------------------------------
    Identification code 75-0350-0-1-550      1995 actual   1996 est.   1997 est.
    ----------------------------------------------------------------------------
        Direct:
          Total compensable workyears:

    1001    Full-time equivalent employment.       1,655       1,650       1,650
    1005    Full-time equivalent of overtime
              and holiday hours.............          10          10          10
    1011    Exempt Full-time equivalent
              employment....................         170         168         168
        Reimbursable:
    2001  Total compensable workyears: Full-
            time equivalent employment......         289         335         205
    ---------------------------------------------------------------------------

                           Vaccine Injury Compensation

        For payment of claims resolved by the United States Court of Federal
    Claims related to the administration of vaccines before October 1, 1988,
    $110,000,000, to remain available until expended.
        Note.--A regular 1996 appropriation for this account had not been
    enacted at the time this budget was prepared. The 1996 amounts included
    in this budget are based on the levels provided in three continuing
    resolutions: P.L. 104-91, P.L. 104-92, and P.L. 104-99.

                   Program and Financing (in millions of dollars)

    ----------------------------------------------------------------------------
    Identification code 75-0320-0-1-551      1995 actual   1996 est.   1997 est.
    ----------------------------------------------------------------------------

        Obligations by program activity:
    10.00 Total obligations (object class
            42.0)...........................          67         110         110
    ----------------------------------------------------------------------------

        Budgetary resources available for obligation:
    21.40 Unobligated balance available,
            start of year: Uninvested
            balance.........................          26          69          69
    22.00 New budget authority (gross)......         110         110         110
                                               ---------   ---------  ----------

    23.90   Total budgetary resources
              available for obligation......         136         179         179
    23.95 New obligations...................         -67        -110        -110
    24.40 Unobligated balance available, end
            of year: Uninvested balance.....          69          69          69
    ----------------------------------------------------------------------------

        New budget authority (gross), detail:
    40.05 Appropriation (indefinite)........         110         110         110
    ----------------------------------------------------------------------------

        Change in unpaid obligations:
    72.40 Unpaid obligations, start of year:
            Obligated balance: Appropriation           4           2          45
    73.10 New obligations...................          67         110         110
    73.20 Total outlays (gross).............         -68         -68         -68
    74.40 Unpaid obligations, end of year:
            Obligated balance: Appropriation           2          45          87
    ----------------------------------------------------------------------------

        Outlays (gross), detail:
    86.90 Outlays from new current authority          38
    86.93 Outlays from current balances.....          30          68          68
                                               ---------   ---------  ----------

    87.00   Total outlays (gross)...........          68          68          68
    ----------------------------------------------------------------------------

        Net budget authority and outlays:
    89.00 Budget authority..................         110         110         110
    90.00 Outlays...........................          68          68          68
    ---------------------------------------------------------------------------

        The Vaccine Improvement 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. Payment of claims associated with vaccine
    related injury or death occurring after October 1, 1988 are reflected in
    the Vaccine Improvement Trust Fund account.

    [[Page 475]]

    Credit accounts:

       Health Professions Graduate Student Loan Insurance Program Account

        For the cost of guaranteed loans, such sums as may be necessary to
    carry out the purpose of the program, as authorized by title VII of the
    Public Health Service Act, as amended: Provided, That such costs,
    including the cost of modifying such loans, shall be as defined in
    section 502 of the Congressional Budget Act of 1974: Provided further,
    That these funds are available to subsidize gross obligations for the
    total loan principal any part of which is to be guaranteed at not to
    exceed $140,000,000. In addition, for administrative expenses to carry
    out the guaranteed loan program, $2,695,000.
        Note.--A regular 1996 appropriation for this account had not been
    enacted at the time this budget was prepared. The 1996 amounts included
    in this budget are based on the levels provided in three continuing
    resolutions: P.L. 104-91, P.L. 104-92, and P.L. 104-99.

                   Program and Financing (in millions of dollars)

    ----------------------------------------------------------------------------
    Identification code 75-0340-0-1-552      1995 actual   1996 est.   1997 est.
    ----------------------------------------------------------------------------

        Obligations by program activity:
    00.02 Guaranteed loan subsidy...........          22           1
    00.09 Administrative expenses subject to
            limitation......................           4           4           4
                                               ---------   ---------  ----------

    10.00   Total obligations...............          26           5           4
    ----------------------------------------------------------------------------

        Budgetary resources available for obligation:
    22.00 New budget authority (gross)......          26           5           4
    23.95 New obligations...................         -26          -5          -4
    ----------------------------------------------------------------------------

        New budget authority (gross), detail:
          Current:

    40.00   Appropriation...................           3           3           3
          Permanent:

    60.05   Appropriation (indefinite)......          22           1
    62.00   Transferred from other accounts.           1           1           1
                                               ---------   ---------  ----------

    63.00     Appropriation (total).........          23           2           1
                                               ---------   ---------  ----------

    70.00   Total new budget authority
              (gross).......................          26           5           4
    ----------------------------------------------------------------------------

        Change in unpaid obligations:
    72.40 Unpaid obligations, start of year:
            Obligated balance: Appropriation           1           1
    73.10 New obligations...................          26           5           4
    73.20 Total outlays (gross).............         -25          -5          -4
    74.40 Unpaid obligations, end of year:
            Obligated balance: Appropriation           1
    ----------------------------------------------------------------------------

        Outlays (gross), detail:
    86.90 Outlays from new current authority           3           3           3
    86.97 Outlays from new permanent
            authority.......................          23           1           1
                                               ---------   ---------  ----------

    87.00   Total outlays (gross)...........          25           5           4
    ----------------------------------------------------------------------------

        Net budget authority and outlays:
    89.00 Budget authority..................          26           5           4
    90.00 Outlays...........................          25           5           4
    ---------------------------------------------------------------------------

    Summary of Loan Levels, Subsidy Budget Authority and Outlays by Program (in
                                millions of dollars)

    ----------------------------------------------------------------------------
    Identification code 75-0340-0-1-552      1995 actual   1996 est.   1997 est.
    ----------------------------------------------------------------------------
        Guaranteed loan levels supportable by subsidy
                    budget authority:
    2150  Loan guarantee levels.............         275         210         140
                                               ---------   ---------  ----------

    2159    Total loan guarantee levels.....         275         210         140
        Guaranteed loan subsidy (in percent):
    2320  Subsidy rate......................        0.01        0.34        0.34
        Guaranteed loan subsidy budget authority:
    2330  Subsidy budget authority..........          22           1
                                               ---------   ---------  ----------

    2339    Total subsidy budget authority..          22           1
        Guaranteed loan subsidy outlays:
    2340  Subsidy outlays...................          22           1
                                               ---------   ---------  ----------

    2349    Total subsidy outlays...........          22           1
    ---------------------------------------------------------------------------

        The Health Education Assistance Loan (HEAL) program guarantees loans
    from private lenders to health professions students to help pay for the
    costs of their training. As required by the Federal Credit Reform Act of
    1990, this account records, for the HEAL program, the subsidy costs
    associated with HEAL loan guarantees committed in 1992 and beyond
    (including modifications of HEAL loan guarantees that resulted from
    obligations or commitments in any year), as well as administrative
    expenses of the 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 75-0340-0-1-552      1995 actual   1996 est.   1997 est.
    ----------------------------------------------------------------------------
    11.1  Personnel compensation: Full-time
            permanent.......................           1           2           2
    25.2  Other services....................           2           2           2
    41.0  Grants, subsidies, and
            contributions...................          22           1
    99.5  Below reporting threshold.........           1
                                               ---------   ---------  ----------

    99.9    Total obligations...............          26           5           4
    ---------------------------------------------------------------------------

                                  Personnel Summary

    ----------------------------------------------------------------------------
    Identification code 75-0340-0-1-552      1995 actual   1996 est.   1997 est.
    ----------------------------------------------------------------------------
        Total compensable workyears:
    1001  Full-time equivalent employment...          18          25          25
    1011  Exempt Full-time equivalent
            employment......................           5           7           7
    ---------------------------------------------------------------------------

       Health Professions Graduate Student Loan Guaranteed Loan Financing
                                     Account

                   Program and Financing (in millions of dollars)

    ----------------------------------------------------------------------------
    Identification code 75-4304-0-3-552      1995 actual   1996 est.   1997 est.
    ----------------------------------------------------------------------------

        Obligations by program activity:
    10.00 Total obligations.................           2           3           7
    ----------------------------------------------------------------------------

        Budgetary resources available for obligation:
    21.90 Unobligated balance available,
            start of year: Fund balance.....         153         202         230
    22.00 New financing authority (gross)...          52          31          28
                                               ---------   ---------  ----------

    23.90   Total budgetary resources
              available for obligation......         205         233         258
    23.95 New obligations...................          -2          -3          -7
    24.90 Unobligated balance available, end
            of year: Fund balance...........         202         230         251
    ----------------------------------------------------------------------------

        New financing authority (gross), detail:
    61.00 Transferred to other accounts.....          -1          -1          -1
    68.00 Spending authority from offsetting
            collections: Offsetting
            collections (cash)..............          52          31          28
                                               ---------   ---------  ----------

    70.00   Total new financing authority
              (gross).......................          52          31          28
    ----------------------------------------------------------------------------

        Change in unpaid obligations:
    73.10 New obligations...................           2           3           7
    73.20 Total financing disbursements
            (gross).........................          -2          -3          -7
    ----------------------------------------------------------------------------

        Outlays (gross), detail:
    87.00 Total financing disbursements
            (gross).........................           2           3           7
    ----------------------------------------------------------------------------

        Offsets:
          Against gross financing authority and
              financing disbursements:

            Offsetting collections (cash)
                from:
    88.00     Federal sources...............         -22
    88.25     Interest on uninvested funds..         -11         -16         -18
    88.40     Premium income................         -19         -15         -10
                                               ---------   ---------  ----------

    88.90       Total, offsetting
                  collections (cash)........         -52         -31         -28
    ----------------------------------------------------------------------------

        Net financing authority and financing
            disbursements:
    89.00 Financing authority...............          -1
    90.00 Financing disbursements...........         -51         -28         -21
    ---------------------------------------------------------------------------

    [[Page 476]]

                 Status of Guaranteed Loans (in millions of dollars)

    ----------------------------------------------------------------------------
    Identification code 75-4304-0-3-552      1995 actual   1996 est.   1997 est.
    ----------------------------------------------------------------------------
        Position with respect to appropriations act
                    limitation on commitments:
    2111  Limitation on guaranteed loans
            made by private lenders.........         275         210         140
                                               ---------   ---------  ----------

    2150    Total guaranteed loan
              commitments...................         275         210         140
    ----------------------------------------------------------------------------

        Cumulative balance of guaranteed loans
                    outstanding:
    2210  Outstanding, start of year........         889       1,163       1,370
    2231  Disbursements of new guaranteed
            loans...........................         275         210         140
          Adjustments:

    2261    Terminations for default that
              result in loans receivable....          -1          -3          -7
    2263    Terminations for default that
              result in claim payments......                                  -1
                                               ---------   ---------  ----------

    2290    Outstanding, end of year........       1,163       1,370       1,502
    ----------------------------------------------------------------------------

        Memorandum:
    2299  Guaranteed amount of guaranteed
            loans outstanding, end of year..       1,163       1,370       1,502
    ----------------------------------------------------------------------------

        Addendum:
          Cumulative balance of defaulted guaranteed
              loans that result in loans receivable:

    2310    Outstanding, start of year......                       1           4
    2331    Disbursements for guaranteed
              loan claims...................           1           3           7
    2351    Repayments of loans receivable..
                                               ---------   ---------  ----------

    2390      Outstanding, end of year......           1           4          11
    ---------------------------------------------------------------------------

        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 Health Education Assistance Loan (HEAL) guarantees
    committed in 1992 and beyond (including modifications of loan guarantees
    that resulted from commitments in any year). The amounts in this account
    are a means of financing and are not included in the budget totals.

                                 Balance Sheet (in millions of dollars)

    -----------------------------------------------------------------------------------------------
    Identification code   75-4304-0-3-552    1994 actual    1995 actual     1996 est.      1997 est.
    -----------------------------------------------------------------------------------------------
        ASSETS:
          Federal assets:

    1101    Fund balances with Treasury.....         115            153           202            230
            Investments in US securities:
    1106      Receivables, net..............          24             22
          Non-Federal assets:

    1201    Investments in non-Federal
              securities, net...............                         11            16             18
    1206    Receivables, net................          16             19            15             10
                                            ------------ --------------  ------------  -------------
    1999    Total assets....................         155            205           233            258
        LIABILITIES:
    2204  Non-Federal liabilities:
            Liabilities for loan guarantees.         889          1,163         1,370          1,502
                                            ------------ --------------  ------------  -------------
    2999    Total liabilities...............         889          1,163         1,370          1,502
        NET POSITION:
    3300  Cumulative results of operations..        -734           -958        -1,137         -1,244
                                            ------------ --------------  ------------  -------------
    3999    Total net position..............        -734           -958        -1,137         -1,244
                                            ------------ --------------  ------------  -------------
    4999  Total liabilities and net position         155            205           233            258
    -----------------------------------------------------------------------------------------------

      Health Professions Graduate Student Loan Insurance Fund Liquidating
                                     Account

                   Program and Financing (in millions of dollars)

    ----------------------------------------------------------------------------
    Identification code 75-4305-0-3-552      1995 actual   1996 est.   1997 est.
    ----------------------------------------------------------------------------

        Obligations by program activity:
    00.01 Operating expenses: death and
            disability......................           4           5           5
    00.02 Capital investment................          33          31          31
                                               ---------   ---------  ----------

    10.00   Total obligations...............          37          36          36
    ----------------------------------------------------------------------------

        Budgetary resources available for obligation:
    21.90 Unobligated balance available,
            start of year: Fund balance.....          26          24           4
    22.00 New budget authority (gross)......          34          16          31
                                               ---------   ---------  ----------

    23.90   Total budgetary resources
              available for obligation......          60          40          35
    23.95 New obligations...................         -37         -36         -36
    24.90 Unobligated balance available, end
            of year: Fund balance...........          24           4
    ----------------------------------------------------------------------------

        New budget authority (gross), detail:
    60.05 Appropriation (indefinite)........          18                      14
    68.00 Spending authority from offsetting
            collections: Offsetting
            collections (cash)..............          16          16          17
                                               ---------   ---------  ----------

    70.00   Total new budget authority
              (gross).......................          34          16          31
    ----------------------------------------------------------------------------

        Change in unpaid obligations:
    73.10 New obligations...................          37          36          36
    73.20 Total outlays (gross).............         -37         -36         -36
    ----------------------------------------------------------------------------

        Outlays (gross), detail:
    86.97 Outlays from new permanent
            authority.......................          17          16          31
    86.98 Outlays from permanent balances...          20          20           4
                                               ---------   ---------  ----------

    87.00   Total outlays (gross)...........          37          36          36
    ----------------------------------------------------------------------------

        Offsets:
          Against gross budget authority and outlays:

    88.40   Offsetting collections (cash)
              from: Non-Federal sources.....         -16         -16         -17
    ----------------------------------------------------------------------------

        Net budget authority and outlays:
    89.00 Budget authority..................          18                      14
    90.00 Outlays...........................          20          20          19
    ---------------------------------------------------------------------------

                 Status of Guaranteed Loans (in millions of dollars)

    ----------------------------------------------------------------------------
    Identification code 75-4305-0-3-552      1995 actual   1996 est.   1997 est.
    ----------------------------------------------------------------------------
        Cumulative balance of guaranteed loans
                    outstanding:
    2210  Outstanding, start of year........       1,721       1,657       1,589
    2251  Repayments and prepayments........         -39         -43         -48
          Adjustments:

    2261    Terminations for default that
              result in loans receivable....         -21         -20         -20
    2263    Terminations for default that
              result in claim payments......          -4          -5          -5
                                               ---------   ---------  ----------

    2290    Outstanding, end of year........       1,657       1,589       1,516
    ----------------------------------------------------------------------------

        Memorandum:
    2299  Guaranteed amount of guaranteed
            loans outstanding, end of year..       1,657       1,589       1,516
    ----------------------------------------------------------------------------

        Addendum:
          Cumulative balance of defaulted guaranteed
              loans that result in loans receivable:

    2310    Outstanding, start of year......         353         388         423
    2331    Disbursements for guaranteed
              loan claims...................          33          31          31
    2351    Repayments of loans receivable..          -6          -9          -9
    2361    Write-offs of loans receivable..           8          13          13
                                               ---------   ---------  ----------

    2390      Outstanding, end of year......         388         423         458
    ---------------------------------------------------------------------------
        \1\ Includes carryover commitments from prior years.

        Note.--The adjustment to loans receivable represents interest, which
    had not previously been reflected in cumulative outstanding balances.

        As required by the Federal Credit Reform Act of 1990, this account
    records, for the Health Education Assistance Loan program (HEAL), all
    cash flows to and from the Govern

    [[Page 477]]
    ment resulting from HEAL loan guarantees committed prior to 1992. This
    account is shown on a cash basis. All new activity in this program in
    1992 and beyond (including modifications of loan guarantees that
    resulted from obligations or commitments in any year) is recorded in
    corresponding program and financing accounts.

                                  DATA ON LOANS

                                         1995 actual  1996 est.   1997 est.
    Dollar volume of loans insured ($ in
    millions)...........................         275         210         140
    Number of students..................      25,650      19,090      12,727
    Average value of loans..............     $10,720     $11,000     $11,000

                            Statement of Operations (in millions of dollars)

    -----------------------------------------------------------------------------------------------
    Identification code   75-4305-0-3-552    1994 actual    1995 actual     1996 est.      1997 est.
    -----------------------------------------------------------------------------------------------
    0101  Revenue...........................          56             87            64             40
    0102  Expense...........................         -44            -36           -36            -36
                                            ------------ --------------  ------------  -------------
    0109  Net loss..........................          12             51            28              4
    -----------------------------------------------------------------------------------------------

                                 Balance Sheet (in millions of dollars)

    -----------------------------------------------------------------------------------------------
    Identification code   75-4305-0-3-552    1994 actual    1995 actual     1996 est.      1997 est.
    -----------------------------------------------------------------------------------------------
        ASSETS:
    1101  Federal assets: Fund balances with
            Treasury........................          22             20            20              4
          Net value of assets related to
              pre-1992 direct loans
              receivable and acquired
              defaulted guaranteed loans
              receivable:

    1701    Defaulted guaranteed loans,
              gross.........................         353            388           423            458
    1702    Interest receivable.............                          5
    1703    Allowance for estimated
              uncollectible loans and
              interest (-)..................                         -3
    1704    Defaulted guaranteed loans and
              interest receivable, net......         353            390           423            458
                                            ------------ --------------  ------------  -------------
    1799      Value of assets related to
                loan guarantees.............         353            390           423            458
    1801  Other Federal assets: Cash and
            other monetary assets...........          44             37            36             36
                                            ------------ --------------  ------------  -------------
    1999    Total assets....................         419            447           479            498
        LIABILITIES:
    2104  Federal liabilities: Resources
            payable to Treasury.............           5              4             5              5
    2201  Non-Federal liabilities: Accounts
            payable.........................          39             33            31             31
                                            ------------ --------------  ------------  -------------
    2999    Total liabilities...............          44             37            36             36
        NET POSITION:
    3300  Cumulative results of operations..         375            410           443            462
                                            ------------ --------------  ------------  -------------
    3999    Total net position..............         375            410           443            462
                                            ------------ --------------  ------------  -------------
    4999  Total liabilities and net position         419            447           479            498
    -----------------------------------------------------------------------------------------------

                   Object Classification (in millions of dollars)

    ----------------------------------------------------------------------------
    Identification code 75-4305-0-3-552      1995 actual   1996 est.   1997 est.
    ----------------------------------------------------------------------------
    25.2  Other services....................           1
    42.0  Insurance claims and indemnities..          36          36          36
                                               ---------   ---------  ----------

    99.9    Total obligations...............          37          36          36
    ---------------------------------------------------------------------------

                                Health Loan Funds

                   Medical Facilities Guarantee and Loan Fund

                federal interest subsidies for medical facilities

        For carrying out subsections (d) and (e) of section 1602 of the
    Public Health Service Act, $7,000,000, together with any amounts
    received by the Secretary in connection with loans and loan guarantees
    under title VI of the Public Health Service Act, to be available without
    fiscal year limitation for the payment of interest subsidies. During the
    fiscal year, no commitments for direct loans or loan guarantees shall be
    made.
        Note.--A regular 1996 appropriation for this account had not been
    enacted at the time this budget was prepared. The 1996 amounts included
    in this budget are based on the levels provided in three continuing
    resolutions: P.L. 104-91, P.L. 104-92, and P.L. 104-99.

                   Program and Financing (in millions of dollars)

    ----------------------------------------------------------------------------
    Identification code 75-9931-0-3-550      1995 actual   1996 est.   1997 est.
    ----------------------------------------------------------------------------

        Obligations by program activity:
    00.01 Operating expenses: Interest
            subsidies, private..............           9           8           8
    01.01 Capital investment: Direct loans..           1           1           1
                                               ---------   ---------  ----------

    10.00   Total obligations...............          10           9           9
    ----------------------------------------------------------------------------

        Budgetary resources available for obligation:
    21.90 Unobligated balance available,
            start of year: Fund balance.....          55          55          55
    22.00 New budget authority (gross)......          21          20          19
    22.60 Redemption of debt................         -12         -12         -12
                                               ---------   ---------  ----------

    23.90   Total budgetary resources
              available for obligation......          64          63          62
    23.95 New obligations...................         -10          -9          -9
    24.90 Unobligated balance available, end
            of year: Fund balance...........          55          55          55
    ----------------------------------------------------------------------------

        New budget authority (gross), detail:
          Current:

    40.00   Appropriation...................           9           8           7
          Permanent:

    68.00   Spending authority from
              offsetting collections:
              Offsetting collections (cash).          12          12          11
                                               ---------   ---------  ----------

    70.00   Total new budget authority
              (gross).......................          21          20          19
    ----------------------------------------------------------------------------

        Change in unpaid obligations:
    72.40 Unpaid obligations, start of year:
            Obligated balance: Appropriation           7           8          10
    73.10 New obligations...................          10           9           9
    73.20 Total outlays (gross).............          -9          -8          -8
    74.40 Unpaid obligations, end of year:
            Obligated balance: Appropriation           8          10          10
    ----------------------------------------------------------------------------

        Outlays (gross), detail:
    86.90 Outlays from new current authority           9           8           7
    86.93 Outlays from current balances.....                                   1
                                               ---------   ---------  ----------

    87.00   Total outlays (gross)...........           9           8           8
    ----------------------------------------------------------------------------

        Offsets:
          Against gross budget authority and outlays:

            Offsetting collections (cash)
                from:
              Non-Federal sources:
    88.40       Interest repaid on loans not
                  sold......................          -1          -1          -1
    88.40       Principal collections from
                  FFB.......................         -10         -10          -9
    88.40       Interest collections from
                  FFB.......................          -1          -1          -1
                                               ---------   ---------  ----------

    88.90       Total, offsetting
                  collections (cash)........         -12         -12         -11
    ----------------------------------------------------------------------------

        Net budget authority and outlays:
    89.00 Budget authority..................           9           8           8
    90.00 Outlays...........................          -3          -4          -3
    ---------------------------------------------------------------------------

                   Status of Direct Loans (in millions of dollars)

    ----------------------------------------------------------------------------
    Identification code 75-9931-0-3-550      1995 actual   1996 est.   1997 est.
    ----------------------------------------------------------------------------
        Cumulative balance of direct loans
                    outstanding:
    1210  Outstanding, start of year........          64          45          34
    1232  Disbursements: Purchase of loans
            assets from the public..........           2           1           1
    1251  Repayments: Repayments and
            prepayments.....................         -12         -12         -11
    1264  Write-offs for default: Other
            adjustments, net................          -9
                                               ---------   ---------  ----------

    1290    Outstanding, end of year........          45          34          24
    ---------------------------------------------------------------------------

                 Status of Guaranteed Loans (in millions of dollars)

    ----------------------------------------------------------------------------
    Identification code 75-9931-0-3-550      1995 actual   1996 est.   1997 est.
    ----------------------------------------------------------------------------
        Cumulative balance of guaranteed loans
                    outstanding:
    2210  Outstanding, start of year........         309         261         222
    2251  Repayments and prepayments........         -48         -39         -31
                                               ---------   ---------  ----------

    2290    Outstanding, end of year........         261         222         191
    ----------------------------------------------------------------------------

        Memorandum:
    2299  Guaranteed amount of guaranteed
            loans outstanding, end of year..         261         222         191
    ---------------------------------------------------------------------------

    [[Page 478]]

        Title VII, part C of the Public Health Service Act established a
    revolving fund from which health professions schools could borrow in
    order to provide loans to their students.

        Public Law 89-751, the Allied Health Professions Personnel Training
    Act of 1966, amended the Public Health Service Act to authorize the
    Federal Government to pay the difference between the interest paid by
    students to the schools and the interest payable by the schools to the
    Government National Mortgage Association (GNMA) and the Treasury.

        Title VI and subsequently title 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. Default and interest subsidy funds are replenished as necessary
    through the annual appropriation process.

                   Object Classification (in millions of dollars)

    ----------------------------------------------------------------------------
    Identification code 75-9931-0-3-550      1995 actual   1996 est.   1997 est.
    ----------------------------------------------------------------------------
    33.0  Investments and loans.............           1           1           1
    41.0  Grants, subsidies, and
            contributions...................           8           7           7
    43.0  Interest and dividends............           1           1           1
                                               ---------   ---------  ----------

    99.9    Total obligations...............          10           9           9
    ---------------------------------------------------------------------------

                                   Trust Funds

                 Vaccine Injury Compensation Program Trust Fund

        For payments from the Vaccine Injury Compensation Program 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 Public
    Health Service Act, to remain available until expended: Provided, That
    for necessary administrative expenses, not to exceed $3,000,000 shall be
    available from the Trust Fund to the Secretary of Health and Human
    Services.
        Note.--A regular 1996 appropriation for this account had not been
    enacted at the time this budget was prepared. The 1996 amounts included
    in this budget are based on the levels provided in three continuing
    resolutions: P.L. 104-91, P.L. 104-92, and P.L. 104-99.

                  Unavailable Collections (in millions of dollars)

    ----------------------------------------------------------------------------
    Identification code 20-8175-0-7-551      1995 actual   1996 est.   1997 est.
    ----------------------------------------------------------------------------
        Balance, start of year:
    01.99 Balance, start of year............         824         945       1,041
        Receipts:
    02.01 Deposits..........................         138         123         123
    02.03 Interest income...................          34          39          43
                                               ---------   ---------  ----------

    02.99   Total receipts..................         172         162         166
                                               ---------   ---------  ----------

    04.00 Total: Balances and collections...         996       1,107       1,207
        Appropriation:
    05.01 Vaccine injury compensation
            program trust fund..............         -51         -66         -66
                                               ---------   ---------  ----------

    05.99 Subtotal appropriation............         -51         -66         -66
    07.99 Total balance, end of year........         945       1,041       1,141
    ---------------------------------------------------------------------------

                   Program and Financing (in millions of dollars)

    ----------------------------------------------------------------------------
    Identification code 20-8175-0-7-551      1995 actual   1996 est.   1997 est.
    ----------------------------------------------------------------------------

        Obligations by program activity:
    00.01 Compensation: Claims for post--FY
            1989 injuries...................          44          57          57
          Administrative expenses:

    01.03   Claims processing (Claims Court)           2           2           2
    01.04   Claims processing (Public Health
              Service)......................           3           3           3
    01.05   Claims processing (Dept. of
              Justice)......................           2           4           4
                                               ---------   ---------  ----------

    01.91     Total, administrative expenses           7           9           9
                                               ---------   ---------  ----------

    10.00   Total obligations...............          51          66          66
    ----------------------------------------------------------------------------

        Budgetary resources available for obligation:
    22.00 New budget authority (gross)......          51          66          66
    23.95 New obligations...................         -51         -66         -66
    ----------------------------------------------------------------------------

        New budget authority (gross), detail:
    40.26 Appropriation (trust fund,
            definite).......................           7           9           9
    40.27 Appropriation (trust fund,
            indefinite).....................          44          57          57
                                               ---------   ---------  ----------

    43.00   Appropriation (total)...........          51          66          66
                                               ---------   ---------  ----------

    70.00   Total new budget authority
              (gross).......................          51          66          66
    ----------------------------------------------------------------------------

        Change in unpaid obligations:
    73.10 New obligations...................          51          66          66
    73.20 Total outlays (gross).............         -51         -66         -66
    ----------------------------------------------------------------------------

        Outlays (gross), detail:
    86.90 Outlays from new current authority          51          66          66
                                               ---------   ---------  ----------

    87.00   Total outlays (gross)...........          51          66          66
    ----------------------------------------------------------------------------

        Net budget authority and outlays:
    89.00 Budget authority..................          51          66          66
    90.00 Outlays...........................          51          66          66
    ---------------------------------------------------------------------------

        The Vaccine Improvement 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. 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 20-8175-0-7-551      1995 actual   1996 est.   1997 est.
    ----------------------------------------------------------------------------
    25.2  Other services....................           3           3           3
    25.3  Purchases of goods and services
            from Government accounts........           4           6           6
    42.0  Insurance claims and indemnities..          44          57          57
                                               ---------   ---------  ----------

    99.9    Total obligations...............          51          66          66
    ---------------------------------------------------------------------------

                              INDIAN HEALTH SERVICE

                                  Federal Funds

    General and special funds:

                             Indian Health Services

        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, $1,898,941,000, together with
    payments received during the fiscal year pursuant to 42 U.S.C. 238(b)
    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 Health 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 $12,000,000 shall remain available
    until expended, for the Indian Catastrophic Health Emergency Fund:
    Provided further, That $357,533,000 for contract medical care shall
    remain available for obligation until September 30, 1998: Provided
    further, That of the funds provided, not less than $11,789,100 shall be
    used to carry out the loan repayment program under section 108 of the
    Indian Health Care Improvement Act: Provided further, That funds
    provided in this Act may be used for one-year contracts and grants which
    are to be performed in two fiscal years, so long as the total obligation
    is recorded in the year for which the funds are

    [[Page 479]]
    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 be available for two
    fiscal years after the fiscal year in which they were collected for the
    purpose of achieving compliance with the applicable conditions and
    requirements of titles XVIII and XIX of the Social Security Act
    (exclusive of planning, design, or construction of new facilities):
    Provided further, That from the funds provided under this heading, not
    otherwise earmarked, amounts may be made available for the Indian Self-
    Determination Fund, for the transitional costs of initial or expanded
    tribal contracts, compacts, grants or cooperative agreements with the
    Indian Health Service under the provisions of the Indian Self-
    Determination Act, of which $7,500,000 shall remain available until
    expended: Provided further, That funding contained herein, and in any
    earlier appropriations Acts for scholarship programs under the Indian
    Health Care Improvement Act (25 U.S.C. 1613) shall remain available for
    obligation until September 30, 1998: 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.
        Note.--A regular 1996 appropriation for this account had not been
    enacted at the time this budget was prepared. The 1996 amounts included
    in this budget are based on the levels provided in the three continuing
    resolutions: P.L. 104-91, P.L. 104-92, and P.L. 104-99.

                   Program and Financing (in millions of dollars)

    ----------------------------------------------------------------------------
    Identification code 75-0390-0-1-551      1995 actual   1996 est.   1997 est.
    ----------------------------------------------------------------------------

        Obligations by program activity:
    00.01 Clinical services.................       1,370       1,406       1,497
    00.02 Preventive health.................          77          78          82
    00.03 Urban health......................          23          23          27
    00.04 Indian health professions.........          27          26          29
    00.05 Tribal management.................           5           2           2
    00.06 Direct operations.................          50          49          52
    00.07 Self-governance...................           9           9           9
    00.08 Contract support costs............         145         153         201
                                               ---------   ---------  ----------

    00.91   Total direct program............       1,706       1,748       1,899
    04.01 Reimbursable program..............         208         210         221
                                               ---------   ---------  ----------

    10.00   Total obligations...............       1,914       1,958       2,120
    ----------------------------------------------------------------------------

        Budgetary resources available for obligation:
    21.40 Unobligated balance available,
            start of year: Uninvested
            balance.........................          59          55          55
    22.00 New budget authority (gross)......       1,914       1,958       2,120
    22.30 Unobligated balance expiring......          -4
                                               ---------   ---------  ----------

    23.90   Total budgetary resources
              available for obligation......       1,969       2,013       2,175
    23.95 New obligations...................      -1,914      -1,958      -2,120
    24.40 Unobligated balance available, end
            of year: Uninvested balance.....          55          55          55
    ----------------------------------------------------------------------------

        New budget authority (gross), detail:
          Current:

    40.00   Appropriation...................       1,707       1,748       1,899
          Permanent:

    68.00   Spending authority from
              offsetting collections:
              Offsetting collections (cash).         207         210         221
                                               ---------   ---------  ----------

    70.00   Total new budget authority
              (gross).......................       1,914       1,958       2,120
    ----------------------------------------------------------------------------

        Change in unpaid obligations:
    72.40 Unpaid obligations, start of year:
            Obligated balance: Appropriation         622         602         729
    73.10 New obligations...................       1,914       1,958       2,120
    73.20 Total outlays (gross).............      -1,919      -1,829      -1,973
    73.40 Adjustments in expired accounts...         -16
    74.40 Unpaid obligations, end of year:
            Obligated balance: Appropriation         602         729         876
    ----------------------------------------------------------------------------

        Outlays (gross), detail:
    86.90 Outlays from new current authority       1,233       1,234       1,341
    86.93 Outlays from current balances.....         477         386         411
    86.97 Outlays from new permanent
            authority.......................         207         210         221
                                               ---------   ---------  ----------

    87.00   Total outlays (gross)...........       1,919       1,829       1,973
    ----------------------------------------------------------------------------

        Offsets:
          Against gross budget authority and outlays:

            Offsetting collections (cash)
                from:
    88.00     Federal sources...............         -11         -12         -13
    88.40     Non-Federal sources...........        -196        -198        -208
                                               ---------   ---------  ----------

    88.90       Total, offsetting
                  collections (cash)........        -207        -210        -221
    ----------------------------------------------------------------------------

        Net budget authority and outlays:
    89.00 Budget authority..................       1,707       1,748       1,899
    90.00 Outlays...........................       1,710       1,620       1,752
    ---------------------------------------------------------------------------

                     Summary of Budget Authority and Outlays

                            [In millions of dollars]

                                         1995 actual  1996 est.   1997 est.
    Enacted/requested:
      Budget Authority..................       1,707       1,748       1,899
      Outlays...........................       1,710       1,620       1,752
    Adjustment to 1996 continuing
        resolution levels:
      Budget Authority..................                      13
      Outlays...........................                       9           2
                                        ------------------------------------
    Total:
      Budget Authority..................       1,707       1,761       1,899
      Outlays...........................       1,710       1,629       1,754
                                        ====================================

        The Indian Health Services account provides medical care, public
    health services, and health professions training opportunities to
    American Indians and Alaska Natives.

                   Object Classification (in millions of dollars)

    ----------------------------------------------------------------------------
    Identification code 75-0390-0-1-551      1995 actual   1996 est.   1997 est.
    ----------------------------------------------------------------------------

          Direct obligations:

            Personnel compensation:
    11.1      Full-time permanent...........         363         385         425
    11.3      Other than full-time permanent          17          18          19
    11.5      Other personnel compensation..          29          29          30
                                               ---------   ---------  ----------

    11.9        Total personnel compensation         409         432         474
    12.1    Civilian personnel benefits.....         119         125         133
    21.0    Travel and transportation of
              persons.......................          32          32          34
    22.0    Transportation of things........          10          11          14
    23.1    Rental payments to GSA..........          10          10          10
    23.2    Rental payments to others.......           2           2           2
    23.3    Communications, utilities, and
              miscellaneous charges.........          24          24          24
    24.0    Printing and reproduction.......           2           2           2
    25.1    Advisory and assistance services           2           2           2
    25.2    Other services..................         421         430         523
    25.3    Purchases of goods and services
              from Government accounts......           6           7           7
    25.4    Operation and maintenance of
              facilities....................           8           8           8
    25.6    Medical care....................         226         231         230
    25.7    Operation and maintenance of
              equipment.....................           7           8           8
    25.8    Subsistence and support of
              persons.......................           8           8           8
    26.0    Supplies and materials..........          98          99         101
    31.0    Equipment.......................          16          16          17
    41.0    Grants, subsidies, and
              contributions.................         307         301         302
                                               ---------   ---------  ----------

    99.0      Subtotal, direct obligations..       1,707       1,748       1,899
    99.0  Reimbursable obligations..........         207         210         221
                                               ---------   ---------  ----------

    99.9    Total obligations...............       1,914       1,958       2,120
    ---------------------------------------------------------------------------

                                  Personnel Summary

    ----------------------------------------------------------------------------
    Identification code 75-0390-0-1-551      1995 actual   1996 est.   1997 est.
    ----------------------------------------------------------------------------
        Direct:
          Total compensable workyears:

    1001    Full-time equivalent employment.      10,763      10,777      10,791
    1005    Full-time equivalent of overtime
              and holiday hours.............         192         191         191
    1011    Exempt Full-time equivalent
              employment....................          18          18          18
        Reimbursable:
          Total compensable workyears:

    2001    Full-time equivalent employment.       2,520       2,520       2,520
    2005    Full-time equivalent of overtime
              and holiday hours.............          58          58          58
    ---------------------------------------------------------------------------

                            Indian Health Facilities

        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

    [[Page 480]]
    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, $275,251,000 to remain available until
    expended: Provided, That notwithstanding any other provision of law,
    funds appropriated for the planning, design, construction or renovation
    of health facilities for the benefit of an Indian tribe or tribes may be
    used to purchase land for sites to construct, improve, or enlarge health
    or related facilities.
        Note.--A regular 1996 appropriation for this account had not been
    enacted at the time this budget was prepared. The 1996 amounts included
    in this budget are based on the levels provided in the three continuing
    resolutions: P.L. 104-91, P.L. 104-92, and P.L. 104-99.

                  Unavailable Collections (in millions of dollars)

    ----------------------------------------------------------------------------
    Identification code 75-0391-0-1-551      1995 actual   1996 est.   1997 est.
    ----------------------------------------------------------------------------
        Balance, start of year:
    01.99 Balance, start of year............
        Receipts:
    02.01 Rent and charges for quarters,
            Indian Health Service, HRSA, HHS           4           4           4
        Appropriation:
    05.01 Indian health facilities..........          -4          -4          -4
    07.99 Total balance, end of year........
    ---------------------------------------------------------------------------

                   Program and Financing (in millions of dollars)

    ----------------------------------------------------------------------------
    Identification code 75-0391-0-1-551      1995 actual   1996 est.   1997 est.
    ----------------------------------------------------------------------------

        Obligations by program activity:
    00.01 Construction......................         188         116         128
    01.01 Maintenance.......................          84          51          43
    02.01 Facilities and environmental
            health..........................          93          99          95
    05.01 Equipment.........................           6          14          13
                                               ---------   ---------  ----------

    10.00   Total obligations...............         371         280         279
    ----------------------------------------------------------------------------

        Budgetary resources available for obligation:
    21.40 Unobligated balance available,
            start of year: Uninvested
            balance.........................         149          36
    22.00 New budget authority (gross)......         258         244         279
                                               ---------   ---------  ----------

    23.90   Total budgetary resources
              available for obligation......         407         280         280
    23.95 New obligations...................        -371        -280        -279
    24.40 Unobligated balance available, end
            of year: Uninvested balance.....          36
    ----------------------------------------------------------------------------

        New budget authority (gross), detail:
          Current:

    40.00   Appropriation...................         253         239         275
          Permanent:

    60.25   Appropriation (special fund,
              indefinite)...................           4           4           4
                                               ---------   ---------  ----------

    70.00   Total new budget authority
              (gross).......................         258         244         279
    ----------------------------------------------------------------------------

        Change in unpaid obligations:
    72.40 Unpaid obligations, start of year:
            Obligated balance: Appropriation         345         413         390
    73.10 New obligations...................         371         280         279
    73.20 Total outlays (gross).............        -302        -303        -291
    74.40 Unpaid obligations, end of year:
            Obligated balance: Appropriation         413         390         378
    ----------------------------------------------------------------------------

        Outlays (gross), detail:
    86.90 Outlays from new current authority         124          80          92
    86.93 Outlays from current balances.....         178         219         196
    86.97 Outlays from new permanent
            authority.......................                       2           2
    86.98 Outlays from permanent balances...                       2           2
                                               ---------   ---------  ----------

    87.00   Total outlays (gross)...........         302         303         291
    ----------------------------------------------------------------------------

        Net budget authority and outlays:
    89.00 Budget authority..................         257         244         279
    90.00 Outlays...........................         302         303         291
    ---------------------------------------------------------------------------

        The Indian health facilities account supports construction, repair
    and improvement, equipment, and environmental health and facilities
    support for the Indian health services.

                   Object Classification (in millions of dollars)

    ----------------------------------------------------------------------------
    Identification code 75-0391-0-1-551      1995 actual   1996 est.   1997 est.
    ----------------------------------------------------------------------------

          Personnel compensation:

    11.1    Full-time permanent.............          45          49          46
    11.3    Other than full-time permanent..           6           6           5
    11.5    Other personnel compensation....           2           3           3
                                               ---------   ---------  ----------

    11.9      Total personnel compensation..          53          58          54
    12.1  Civilian personnel benefits.......          16          18          18
    21.0  Travel and transportation of
            persons.........................           4           5           4
    22.0  Transportation of things..........           4           4           4
    23.3  Communications, utilities, and
            miscellaneous charges...........           7           8           8
    25.1  Advisory and assistance services..           1
    25.2  Other services....................         102          41          19
    25.4  Operation and maintenance of
            facilities......................          59          23          31
    25.6  Medical care......................                                   1
    25.8  Subsistence and support of persons          14           5          35
    26.0  Supplies and materials............           8          10           8
    31.0  Equipment.........................           4           4           4
    32.0  Land and structures...............          75          64          57
    41.0  Grants, subsidies, and
            contributions...................          14          28          27
    43.0  Interest and dividends............          10          12          10
                                               ---------   ---------  ----------

    99.9    Total obligations...............         371         280         279
    ---------------------------------------------------------------------------

                                  Personnel Summary

    ----------------------------------------------------------------------------
    Identification code 75-0391-0-1-551      1995 actual   1996 est.   1997 est.
    ----------------------------------------------------------------------------
        Total compensable workyears:
    1001  Full-time equivalent employment...       1,471       1,460       1,446
    1005  Full-time equivalent of overtime
            and holiday hours...............          36          36          35
    ---------------------------------------------------------------------------

                Administrative Provisions, Indian Health Service

        Appropriations in this Act to the Indian Health Service shall be
    available for services as authorized by 5 U.S.C. 3109 but 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; and for uniforms or allowances therefor as
    authorized by 5 U.S.C. 5901-5902; and for expenses of attendance at
    meetings which are concerned with the functions or activities for which
    the appropriation is made or which will contribute to improved conduct,
    supervision, or management of those functions or activities: 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. 2651-53) 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 the Indian Health Service shall neither bill nor
    charge those Indians who may have the economic means to pay unless and
    until such time as Congress has agreed upon a specific policy to do so
    and has directed the Indian Health Service to implement such a policy:
    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
    III 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 III of such Act and thereafter shall remain

    [[Page 481]]
    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 for such costs that
    has been included in an appropriations Act and enacted into law:
    Provided further, That funds made available in this Act are to be
    apportioned to the Indian Health Service as appropriated in this Act,
    and accounted for in the appropriation structure set forth in this Act:
    Provided further, That the appropriation structure for the Indian Health
    Service may not be altered without advance notice to the House and
    Senate Committees on Appropriations.

                   CENTERS FOR DISEASE CONTROL AND PREVENTION

                                  Federal Funds

    General and special funds:

                     Disease Control, Research, and Training

        To carry out titles, II, III, VII, XI, XV, XVII, and XIX of the
    Public Health Service Act, sections 101-103, and 201-203 of the Federal
    Mine Safety and Health Act of 1977, and sections 20-22 of the
    Occupational Safety and Health Act of 1970; including insurance of
    official motor vehicles in foreign countries; and hire, maintenance, and
    operation of aircraft, $2,198,258,000, of which $8,353,000 shall remain
    available until expended for equipment, construction, and renovation of
    facilities, and of which $32,000,000 shall be available until expended
    for mine safety and health research; and in addition, such sums as may
    be derived from authorized user fees, which shall be credited to this
    account: Provided, That for fiscal year 1997 and subsequent fiscal years
    training of private persons shall be made subject to reimbursement or
    advances to this appropriation for not in excess of the full cost of
    such training: Provided further, That funds appropriated under this
    heading for fiscal year 1997 and subsequent fiscal years shall be
    available for payment of the costs of medical care, related expenses,
    and burial expenses hereafter incurred by or on behalf of any person who
    had participated in the study of untreated syphilis initiated in
    Tuskegee, Alabama, in 1932, in such amounts and subject to such terms
    and conditions as prescribed by the Secretary of Health and Human
    Services and for payment, in such amounts and subject to such terms and
    conditions, of such costs and expenses hereafter incurred by or on
    behalf of such person's wife or offspring determined by the Secretary to
    have suffered injury or disease from syphilis contracted from such
    person: Provided further, That for fiscal year 1997 and subsequent
    fiscal years amounts received by the National Center for Health
    Statistics from reimbursements and interagency agreements and the sale
    of data tapes may be credited to this appropriation and shall remain
    available until expended: Provided further, That in addition to amounts
    provided herein, up to $53,063,000 shall be available from amounts
    available under section 241 of the Public Health Service Act, to carry
    out the National Center for Health Statistics surveys.
        Note.--A regular 1996 appropriation for this account had not been
    enacted at the time this budget was prepared. The 1996 amounts included
    in this budget are based on the levels provided in three continuing
    resolutions: P.L. 104-91, P.L. 104-92, and P.L. 104-99.

                        Violent Crime Reduction Programs

        For Education and Prevention Grants to reduce sexual assaults
    against women and to establish Community Programs on Domestic Violence,
    as authorized by sections 40151, 40261, and 40293 of Public Law 103-322
    (including administrative costs), $31,642,000, to remain available until
    expended, which shall be derived from the Violent Crime Reduction Trust
    Fund.

                  Unavailable Collections (in millions of dollars)

    ----------------------------------------------------------------------------
    Identification code 75-0943-0-1-999      1995 actual   1996 est.   1997 est.
    ----------------------------------------------------------------------------
        Balance, start of year:
    01.99 Balance, start of year............
        Receipts:
    02.01 Cooperative Research and
            Development Agreements, Centers
            for Disease Control.............           1           1           1
        Appropriation:
    05.01 Disease control, research, and
            training........................          -1          -1          -1
    07.99 Total balance, end of year........
    ---------------------------------------------------------------------------

                   Program and Financing (in millions of dollars)

    ----------------------------------------------------------------------------
    Identification code 75-0943-0-1-999      1995 actual   1996 est.   1997 est.
    ----------------------------------------------------------------------------

        Obligations by program activity:
          Direct program:

    00.01   Preventive health block grant...         158         145         145
    00.02   Prevention centers..............           8           8           7
    00.03   Sexually transmitted diseases...         105         106          22
    00.04   STD TB Performance Partnership..                                 185
    00.05   Immunization....................         464         468         311
    00.06   Immunization Performance
              Partnership...................                                 177
    00.07   Infectious diseases.............         173         183         104
    00.08   Chronic and environmental
              diseases......................         320         348         230
    00.09   Chronic Disease Disability
              Performance Partnership.......                                 117
    00.10   Occupational Safety and Health..         132         129         137
    00.11   Mine Safety and Health..........                                  32
    00.12   Epidemic services...............          73          68          67
    00.13   Health statistics...............          54          38          35
    00.14   HIV.............................         590         585         320
    00.15   HIV Performance Partnership.....                                 298
    00.16   Buildings and facilities........           6          48           8
    00.17   Program management..............           3           3           3
    00.18   Violence Prevention Activities..                      32
    00.19   Violent crime reduction programs                                  32
                                               ---------   ---------  ----------

    00.91     Total direct program..........       2,086       2,161       2,230
    01.01 Reimbursable program..............         134         173         173
                                               ---------   ---------  ----------

    10.00   Total obligations...............       2,220       2,334       2,403
    ----------------------------------------------------------------------------

        Budgetary resources available for obligation:
    21.40 Unobligated balance available,
            start of year: Uninvested
            balance.........................          48          46
    22.00 New budget authority (gross)......       2,218       2,288       2,403
                                               ---------   ---------  ----------

    23.90   Total budgetary resources
              available for obligation......       2,266       2,334       2,403
    23.95 New obligations...................      -2,220      -2,334      -2,403
    24.40 Unobligated balance available, end
            of year: Uninvested balance.....          46
    ----------------------------------------------------------------------------

        New budget authority (gross), detail:
          Current:

    40.00   Appropriation...................       2,083       2,115       2,198
    42.00   Transferred from other accounts.                                  32
                                               ---------   ---------  ----------

    43.00     Appropriation (total).........       2,083       2,115       2,230
          Permanent:

    60.25   Appropriation (special fund,
              indefinite)...................           1           1           1
    68.00   Spending authority from
              offsetting collections:
              Offsetting collections (cash).         134         173         173
                                               ---------   ---------  ----------

    70.00   Total new budget authority
              (gross).......................       2,218       2,288       2,403
    ----------------------------------------------------------------------------

        Change in unpaid obligations:
    72.40 Unpaid obligations, start of year:
            Obligated balance: Appropriation       1,834       2,124       2,315
    73.10 New obligations...................       2,220       2,334       2,403
    73.20 Total outlays (gross).............      -1,920      -2,142      -2,237
    73.40 Adjustments in expired accounts...         -10
    74.40 Unpaid obligations, end of year:
            Obligated balance: Appropriation       2,124       2,315       2,483
    ----------------------------------------------------------------------------

        Outlays (gross), detail:
    86.90 Outlays from new current authority         836         701         740
    86.93 Outlays from current balances.....       1,084       1,267       1,323
    86.97 Outlays from new permanent
            authority.......................                     173         173
    86.98 Outlays from permanent balances...                       1           1
                                               ---------   ---------  ----------

    87.00   Total outlays (gross)...........       1,920       2,142       2,237
    ----------------------------------------------------------------------------

        Offsets:
          Against gross budget authority and outlays:

            Offsetting collections (cash)
                from:
    88.00     Federal sources...............        -133        -171        -171
    88.40     Non-Federal sources...........          -1          -2          -2
                                               ---------   ---------  ----------

    88.90       Total, offsetting
                  collections (cash)........        -134        -173        -173
    ----------------------------------------------------------------------------

        Net budget authority and outlays:
    89.00 Budget authority..................       2,084       2,115       2,230
    90.00 Outlays...........................       1,786       1,969       2,064
    ---------------------------------------------------------------------------

    [[Page 482]]

                              [Dollars in millions]

                                            1995        1996        1997
    Distribution of budget authority by
        account:
      Disease control, research and
        training........................       2,084       2,115       2,198
      Violent crime reduction programs..           0           0          32
    Distribution of outlays by account:
      Disease control, research and
        training........................       1,786       1,969       2,053
      Violent crime reduction programs..           0           0          11

                     Summary of Budget Authority and Outlays

                            [In millions of dollars]

                                         1995 actual  1996 est.   1997 est.
    Enacted/requested:
      Budget Authority..................       2,084       2,116       2,231
      Outlays...........................       1,786       1,969       2,064
    Adjustment to 1996 continuing
        resolution levels:
      Budget Authority..................                       8
      Outlays...........................                       3           3
                                        ------------------------------------
    Total:
      Budget Authority..................       2,084       2,124       2,231
      Outlays...........................       1,786       1,972       2,067
                                        ====================================

        The Centers for Disease Control and Prevention (CDC) supports a
    number of categorical programs including grants for immunizations,
    control of sexually transmitted diseases, HIV prevention, and control of
    other infectious and chronic diseases. CDC also supports the Preventive
    Health Block Grant.

        Beginning in FY 1997, CDC also includes funding for mine safety and
    health research previously conducted by the former Bureau of Mines. This
    display also includes amounts derived from the Violent Crime Reduction
    Trust Fund.

                   Object Classification (in millions of dollars)

    ----------------------------------------------------------------------------
    Identification code 75-0943-0-1-999      1995 actual   1996 est.   1997 est.
    ----------------------------------------------------------------------------

          Direct obligations:

            Personnel compensation:
    11.1      Full-time permanent...........         242         233         262
    11.3      Other than full-time permanent          11          12          12
    11.5      Other personnel compensation..          12          12          12
                                               ---------   ---------  ----------

    11.9        Total personnel compensation         265         257         286
    12.1    Civilian personnel benefits.....          68          66          74
    13.0    Benefits for former personnel...           8           3
    21.0    Travel and transportation of
              persons.......................          16          16          17
    22.0    Transportation of things........           3           3           3
    23.1    Rental payments to GSA..........          14          15          15
    23.2    Rental payments to others.......           1           1           1
    23.3    Communications, utilities, and
              miscellaneous charges.........          17          12          13
    24.0    Printing and reproduction.......           5           4           4
    25.1    Advisory and assistance services           2           2           2
    25.2    Other services..................          68          62          53
    25.5    Research and development
              contracts.....................         175         177         198
    25.7    Operation and maintenance of
              equipment.....................                                  10
    26.0    Supplies and materials..........          99         116         137
    31.0    Equipment.......................          34          36          42
    32.0    Land and structures.............           1          46           6
    41.0    Grants, subsidies, and
              contributions.................       1,310       1,345       1,369
                                               ---------   ---------  ----------

    99.0      Subtotal, direct obligations..       2,086       2,161       2,230
    99.0  Reimbursable obligations..........         133         172         172
    99.5  Below reporting threshold.........           1           1           1
                                               ---------   ---------  ----------

    99.9    Total obligations...............       2,220       2,334       2,403
    ---------------------------------------------------------------------------

                                  Personnel Summary

    ----------------------------------------------------------------------------
    Identification code 75-0943-0-1-999      1995 actual   1996 est.   1997 est.
    ----------------------------------------------------------------------------
        Direct:
          Total compensable workyears:

    1001    Full-time equivalent employment.       5,487       5,294       5,707
    1005    Full-time equivalent of overtime
              and holiday hours.............          32          36          36
    1011    Exempt Full-time equivalent
              employment....................          60          60          60
        Reimbursable:
          Total compensable workyears:

    2001    Full-time equivalent employment.         684         884         884
    2005    Full-time equivalent of overtime
              and holiday hours.............           2           2           2
    ---------------------------------------------------------------------------

                    Allocations Received From Other Accounts

        Note.--Obligations incurred under allocations from other accounts
    are included in the schedules of the parent appropriation as follows:
            Environmental Protection Agency: ``Hazardous substance response
                trust fund.''

                          NATIONAL INSTITUTES OF HEALTH

                                  Federal Funds

    General and special funds:

                            National Cancer Institute

        For carrying out section 301 and title IV (except section 417B(d))
    of the Public Health Service Act with respect to cancer, $2,060,392,000.

                    National Heart, Lung, and Blood Institute

        For carrying out section 301 and title IV of the Public Health
    Service Act with respect to cardiovascular, lung, and blood diseases,
    and blood and blood products, $1,320,555,000.

                      National Institute of Dental Research

        For carrying out section 301 and title IV of the Public Health
    Service Act with respect to dental disease, $174,463,000.

        National Institute of Diabetes and Digestive and Kidney Diseases

        For carrying out section 301 and title IV of the Public Health
    Service Act with respect to diabetes and digestive and kidney diseases,
    $772,975,000.

             National Institute of Neurological Disorders and Stroke

        For carrying out section 301 and title IV of the Public Health
    Service Act with respect to neurological disorders and stroke,
    $671,148,000.

              National Institute of Allergy and Infectious Diseases

        For carrying out section 301 and title IV of the Public Health
    Service Act with respect to allergy and infectious diseases,
    $584,362,000.

                 National Institute of General Medical Sciences

        For carrying out section 301 and title IV of the Public Health
    Service Act with respect to general medical sciences, $936,573,000.

            National Institute of Child Health and Human Development

        For carrying out section 301 and title IV of the Public Health
    Service Act with respect to child health and human development,
    $543,441,000.

                             National Eye Institute

        For carrying out section 301 and title IV of the Public Health
    Service Act with respect to eye diseases and visual disorders,
    $310,072,000.

               National Institute of Environmental Health Sciences

        For carrying out section 301 and 311, and title IV of the Public
    Health Service Act with respect to environmental health sciences,
    $289,114,000.

                           National Institute on Aging

        For carrying out section 301 and title IV of the Public Health
    Service Act with respect to aging, $461,541,000.

      National Institute of Arthritis and Musculoskeletal and Skin Diseases

        For carrying out section 301 and title IV of the Public Health
    Service Act with respect to arthritis, and musculoskeletal and skin
    diseases, $243,169,000.

        National Institute on Deafness and Other Communication Disorders

        For carrying out section 301 and title IV of the Public Health
    Service Act with respect to deafness and other communication disorders,
    $179,090,000.

                     National Institute of Nursing Research

        For carrying out section 301 and title IV of the Public Health
    Service Act with respect to nursing research, $51,951,000.

    [[Page 483]]

               National Institute on Alcohol Abuse and Alcoholism

        For carrying out section 301 and title IV of the Public Health
    Service Act with respect to alcohol abuse, and alcoholism, $192,280,000.

                        National Institute on Drug Abuse

        For carrying out section 301 and title IV of the Public Health
    Service Act with respect to drug abuse, $312,014,000.

                       National Institute of Mental Health

        For carrying out section 301 and title IV of the Public Health
    Service Act with respect to mental health, $578,149,000.

                     National Center for Research Resources

        For carrying out section 301 and title IV of the Public Health
    Service Act with respect to research resources and general research
    support grants, $309,344,000: Provided, That none of these funds shall
    be used to pay recipients of the general research support grants program
    any amount for indirect expenses in connection with such grants.

                    National Center for Human Genome Research

        For carrying out section 301 and title IV of the Public Health
    Service Act with respect to human genome research, $177,788,000.

                      John E. Fogarty International Center

        For carrying out the activities at the John E. Fogarty International
    Center, $15,790,000.

                          National Library of Medicine

        For carrying out section 301 and title IV of the Public Health
    Service Act with respect to health information communications,
    $143,268,000, of which $4,000,000 shall be available until expended for
    improvement of information systems: Provided, That in fiscal year 1997
    and thereafter, the Library 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.

                             Office of the Director

                          (including transfer of funds)

        For carrying out the responsibilities of the Office of the Director,
    National Institutes of Health, $226,913,000: Provided, That funding
    shall be available for the purchase of not to exceed five passenger
    motor vehicles for replacement only: Provided further, That the Director
    may direct up to 1 percent of the total amount made available in this
    Act to all National Institutes of Health appropriations to activities
    the Director may so designate: Provided further, That no such
    appropriation shall be increased or decreased by more than 1 percent by
    any such transfers and that the Congress is promptly notified of the
    transfer: Provided further, That NIH is authorized to collect third
    party payments for the cost of clinical services that are incurred in
    National Institutes of Health research facilities and that such payments
    shall be credited to the National Institutes of Health 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.

                             Office of AIDS Research

                          (including transfer of funds)

        For carrying out part D of title XXIII of the Public Health Service
    Act, $1,431,908,000: Provided, That the Director of the Office of AIDS
    Research shall transfer from this appropriation the amounts necessary to
    carry out subsection 2353(d) of the Act.

                            Buildings and Facilities

        For the study, construction, and acquisition of equipment for,
    facilities of or used by the National Institutes of Health, including
    the acquisition of real property, $420,000,000, to remain available
    until expended.
        Note.--A regular 1996 appropriation for this account had not been
    enacted at the time this budget was prepared. The 1996 amounts included
    in this budget are based on the levels provided in three continuing
    resolutions: P.L. 104-91, P.L. 104-92, and P.L. 104-99.

                  Unavailable Collections (in millions of dollars)

    ----------------------------------------------------------------------------
    Identification code 75-9915-0-1-552      1995 actual   1996 est.   1997 est.
    ----------------------------------------------------------------------------
        Balance, start of year:
    01.99 Balance, start of year............
        Receipts:
    02.01 Cooperative Research and
            Development Agreements, NIH.....           8           8           8
        Appropriation:
    05.01 National Institutes of Health.....          -8          -8          -8
    07.99 Total balance, end of year........
    ---------------------------------------------------------------------------

                   Program and Financing (in millions of dollars)

    ----------------------------------------------------------------------------
    Identification code 75-9915-0-1-552      1995 actual   1996 est.   1997 est.
    ----------------------------------------------------------------------------

        Obligations by program activity:
    00.01 National Cancer Institute.........       1,939       2,271       2,080
    00.02 National Heart, Lung, and Blood
            Institute.......................       1,266       1,363       1,328
    00.03 National Institute of Dental
            Research........................         165         187         178
    00.04 National Institute of Diabetes and
            Digestive and Kidney Disease....         741         786         788
    00.05 National Institute of Neurological
            Disorders and Stroke............         631         686         676
    00.06 National Institute of Allergy and
            Infectious Diseases.............         556       1,190         606
    00.07 National Institute of General
            Medical Sciences................         895         967         956
    00.08 National Institute of Child Health
            and Human Development...........         541         625         572
    00.09 National Eye Institute............         301         326         322
    00.10 National Institute of
            Environmental Health Sciences...         357         370         371
    00.11 National Institute on Aging.......         436         460         467
    00.12 National Institute of Arthritis
            and Musculoskeletal and Skin
            Disease.........................         231         246         247
    00.13 National Institute on Deafness and
            Other Communication Disorder....         169         181         183
    00.14 National Institute of Nursing
            Research........................          50          61          59
    00.15 National Institute of Alcohol
            Abuse and Alcoholism............         183         201         194
    00.16 National Institute on Drug Abuse..         293         461         315
    00.17 National Institute of Mental
            Health..........................         547         669         588
    00.18 National Center for Research
            Resources.......................         294         399         318
    00.19 National Center for Human Genome
            Research........................         153         171         179
    00.20 John E. Fogarty International
            Center..........................          25          36          27
    00.21 National Library of Medicine......         138         153         155
    00.22 Office of the Director............         272         321         286
    00.23 Office of AIDS Research...........       1,333                   1,432
    00.24 Buildings and facilities..........         154         302         422
    00.25 Cooperative research and
            development agreements..........           6           8           8
    01.01 Reimbursements....................           5           5          23
                                               ---------   ---------  ----------

    10.00   Total obligations...............      11,681      12,445      12,780
    ----------------------------------------------------------------------------

        Budgetary resources available for obligation:
    21.40 Unobligated balance available,
            start of year: Uninvested
            balance.........................         267         153
    22.00 New budget authority (gross)......      11,569      12,292      12,780
    22.30 Unobligated balance expiring......          -2
                                               ---------   ---------  ----------

    23.90   Total budgetary resources
              available for obligation......      11,834      12,445      12,780
    23.95 New obligations...................     -11,681     -12,445     -12,780
    24.40 Unobligated balance available, end
            of year: Uninvested balance.....         153
    ----------------------------------------------------------------------------

        New budget authority (gross), detail:
          Current:

    40.00   Appropriation...................      11,240      11,939      12,406
          Permanent:

    60.25   Appropriation (special fund,
              indefinite)...................           8           8           8
            Spending authority from
                offsetting collections:
    68.00     Offsetting collections (cash).         264         345         366
    68.10     Change in orders on hand from
                Federal sources.............          57
                                               ---------   ---------  ----------

    68.90       Spending authority from
                  offsetting collections
                  (total)...................         321         345         366
                                               ---------   ---------  ----------

    70.00   Total new budget authority
              (gross).......................      11,569      12,292      12,780
    ----------------------------------------------------------------------------

        Change in unpaid obligations:
          Unpaid obligations, start of year:

    72.40   Obligated balance: Appropriation       7,283       7,714       8,890
    72.95   Orders on hand from Federal
              sources.......................       4,137       4,194       4,194
                                               ---------   ---------  ----------

    72.99     Total unpaid obligations,
                start of year...............      11,420      11,908      13,084
    73.10 New obligations...................      11,681      12,445      12,780
    73.20 Total outlays (gross).............     -11,147     -11,269     -12,323
    73.40 Adjustments in expired accounts...         -46
          Unpaid obligations, end of year:

    74.40   Obligated balance: Appropriation       7,714       8,890       9,347
    74.95   Orders on hand from Federal
              sources.......................       4,194       4,194       4,194
                                               ---------   ---------  ----------

    74.99     Total unpaid obligations, end
                of year.....................      11,908      13,084      13,541
    ----------------------------------------------------------------------------

        Outlays (gross), detail:
    86.90 Outlays from new current authority       5,515       5,090       5,259

    [[Page 484]]

    86.93 Outlays from current balances.....       5,360       5,826       6,690
    86.97 Outlays from new permanent
            authority.......................         272         353         374
                                               ---------   ---------  ----------

    87.00   Total outlays (gross)...........      11,147      11,269      12,323
    ----------------------------------------------------------------------------

        Offsets:
          Against gross budget authority and outlays:

    88.00   Offsetting collections (cash)
              from: Federal sources.........        -264        -345        -366
    88.95 Change in orders on hand from
            Federal sources.................         -57
    ----------------------------------------------------------------------------

        Net budget authority and outlays:
    89.00 Budget authority..................      11,248      11,947      12,414
    90.00 Outlays...........................      10,883      10,924      11,957
    ---------------------------------------------------------------------------

                              [Dollars in millions]

                                            1995        1996        1997
    Distribution of budget authority by
        account:
      National Cancer Institute.........       1,912       2,251       2,060
      National Heart, Lung, and Blood
        Institute.......................       1,259       1,356       1,321
      National Institute of Dental
        Research........................         162         183         174
      National Institute of Diabetes and
        Digestive and Kidney Diseases...         726         771         773
      National Institute of Neurological
        Disorder and Stroke.............         627         682         671
      National Institute of Allergy and
        Infectious Diseases.............         535       1,170         584
      National Institute of General
        Medical Sciences................         880         947         937
      National Institute of Child Health
        and Human Development...........         512         595         543
      National Eye Institute............         291         314         310
      National Institute of
        Environmental Health Sciences...         266         289         289
      National Institute on Aging.......         432         454         462
      National Institute of Arthritis
        and Musculoskeletal and Skin
        Diseases........................         228         242         243
      National Institute on Deafness and
        Other Communication Disorders...         167         177         179
      National Institute of Nursing
        Research........................          48          56          52
      National Institute on Alcohol
        Abuse and Alcoholism............         181         199         192
      National Institute on Drug Abuse..         290         458         312
      National Institute of Mental
        Health..........................         542         661         578
      National Center for Research
        Resources.......................         287         390         309
      National Center for Human Genome
        Research........................         153         170         178
      John E. Fogarty International
        Center..........................          15          25          16
      National Library of Medicine......         125         141         143
      Office of the Director............         214         261         227
      Office of AIDS Research...........       1,334                   1,432
      Buildings and Facilities..........          54         146         420
                                        ------------------------------------
          Subtotal......................      11,240      11,939      12,406
      Cooperative Research and
        Development Agreements..........           8           8           8
                                        ------------------------------------
          Total Budget Authority, NIH...      11,248      11,947      12,414
                                        ====================================

                              [Dollars in millions]

                                            1995        1996        1997
    Distribution of outlays by account:
      National Cancer Institute.........       1,809       2,085       2,024
      National Heart, Lung, and Blood
        Institute.......................       1,220       1,262       1,300
      National Institute of Dental
        Research........................         157         162         172
      National Institute of Diabetes and
        Digestive and Kidney Diseases...         712         706         756
      National Institute of Neurological
        Disorders and Stroke............         608         637         660
      National Institute of Allergy and
        Infectious Diseases.............         516       1,025         567
      National Institute of General
        Medical Sciences................         857         877         922
      National Institute of Child Health
        and Human Development...........         519         543         534
      National Eye Institute............         281         301         307
      National Institute of
        Environmental Health Sciences...         271         261         284
      National Institute on Aging.......         424         410         451
      National Institute of Arthritis
        and Musculoskeletal and Skin
        Diseases........................         221         224         239
      National Institute on Deafness and
        Other Communication Disorders...         163         166         176
      National Institute of Nursing
        Research........................          54          46          50
      National Institute on Alcohol
        Abuse and Alcoholism............         172         180         185
      National Institute on Drug Abuse..         271         421         303
      National Institute of Mental
        Health..........................         511         609         564
      National Center for Research
        Resources.......................         277         366         315
      National Center for Human Genome
        Research........................         134         154         171
      John E. Fogarty International
        Center..........................          15          22          15
      National Library of Medicine......         124         132         140
      Office of the Director............         175         222         212
      Office of AIDS Research...........       1,280                   1,380
      Buildings and Facilities..........         103         105         222
                                        ------------------------------------
          Subtotal Outlays..............      10,875      10,916      11,949
      Cooperative Research and
        Development Agreements..........           8           8           8
                                        ------------------------------------
          Total Outlays, NIH............      10,883      10,924      11,957
                                        ====================================

        This program funds biomedical research and research training. These
    accounts will continue to be appropriated separately, and are being
    displayed in a consolidated format to improve the readability of the
    presentation. Detailed information will continue to be available through
    the Department of Health and Human Services.

                   Object Classification (in millions of dollars)

    ----------------------------------------------------------------------------
    Identification code 75-9915-0-1-552      1995 actual   1996 est.   1997 est.
    ----------------------------------------------------------------------------

          Direct obligations:

            Personnel compensation:
    11.1      Full-time permanent...........         439         449         464
    11.3      Other than full-time permanent          94          99         102
    11.5      Other personnel compensation..          21          21          22
    11.8      Special personal services
                payments....................          78          84          88
                                               ---------   ---------  ----------

    11.9        Total personnel compensation         632         653         676
    12.1    Civilian personnel benefits.....         132         136         141
    13.0    Benefits for former personnel...           5           2           2
    21.0    Travel and transportation of
              persons.......................          19          18          19
    22.0    Transportation of things........           4           4           4
    23.1    Rental payments to GSA..........           6           6           6
    23.2    Rental payments to others.......           6           6           4
    23.3    Communications, utilities, and
              miscellaneous charges.........          42          42          43
    24.0    Printing and reproduction.......          17          14          15
    25.1    Advisory and assistance services          16          18          18
    25.2    Other services..................         347         529         637
    25.3    Purchases of goods and services
              from Government accounts......         847         795         824
    25.4    Operation and maintenance of
              facilities....................          84          74          74
    25.5    Research and development
              contracts.....................         727         831         769
    25.6    Medical care....................           5           4           4
    25.7    Operation and maintenance of
              equipment.....................          33          27          27
    25.8    Subsistence and support of
              persons.......................          21           7           7
    26.0    Supplies and materials..........         126         129         128
    31.0    Equipment.......................          92          82          81
    41.0    Grants, subsidies, and
              contributions.................       8,195       8,722       8,933
    42.0    Insurance claims and indemnities           3           2           2
                                               ---------   ---------  ----------

    99.0      Subtotal, direct obligations..      11,359      12,101      12,414
    99.0  Reimbursable obligations..........         321         344         366
    99.5  Below reporting threshold.........           1
                                               ---------   ---------  ----------

    99.9    Total obligations...............      11,681      12,445      12,780
    ---------------------------------------------------------------------------

                                  Personnel Summary

    ----------------------------------------------------------------------------
    Identification code 75-9915-0-1-552      1995 actual   1996 est.   1997 est.
    ----------------------------------------------------------------------------
        Direct:
          Total compensable workyears:

    1001    Full-time equivalent employment.      15,275      15,388      15,388
    1005    Full-time equivalent of overtime
              and holiday hours.............         211         200         200
        Reimbursable:
    2001  Total compensable workyears: Full-
            time equivalent employment......          86          86          86
    ---------------------------------------------------------------------------

            SUBSTANCE ABUSE AND MENTAL HEALTH SERVICES ADMINISTRATION

                                  Federal Funds

    General and special funds:

                   Substance Abuse and Mental Health Services

        For carrying out the Public Health Service Act with respect to
    substance abuse and mental health services, section 612 of Public Law
    100-77, as amended, and the Protection and Advocacy for Mentally Ill
    Individuals Act of 1986, $2,098,011,000.
        Note.--A regular 1996 appropriation for this account had not been
    enacted at the time this budget was prepared. The 1996 amounts included
    in this budget are based on the levels provided in three continuing
    resolutions: P.L. 104-91, P.L. 104-92, and P.L. 104-99.

    [[Page 485]]

                   Program and Financing (in millions of dollars)

    ----------------------------------------------------------------------------
    Identification code 75-1362-0-1-550      1995 actual   1996 est.   1997 est.
    ----------------------------------------------------------------------------

        Obligations by program activity:
    00.01 Mental health and substance abuse
            activities......................         588         223         496
    00.02 Mental health partnership.........         305         275         275
    00.03 Substance abuse partnership.......       1,241       1,234       1,272
    00.04 Program management................          61          57          55
                                               ---------   ---------  ----------

    00.91   Total direct program............       2,195       1,789       2,098
    01.01 Reimbursable program..............          19          20          20
                                               ---------   ---------  ----------

    10.00   Total obligations...............       2,214       1,809       2,118
    ----------------------------------------------------------------------------

        Budgetary resources available for obligation:
    21.40 Unobligated balance available,
            start of year: Uninvested
            balance.........................           2           2           2
    22.00 New budget authority (gross)......       2,214       1,809       2,118
                                               ---------   ---------  ----------

    23.90   Total budgetary resources
              available for obligation......       2,216       1,811       2,120
    23.95 New obligations...................      -2,214      -1,809      -2,118
    24.40 Unobligated balance available, end
            of year: Uninvested balance.....           2           2           2
    ----------------------------------------------------------------------------

        New budget authority (gross), detail:
          Current:

    40.00   Appropriation...................       2,181       1,789       2,098
    42.00   Transferred from other accounts.          14
                                               ---------   ---------  ----------

    43.00     Appropriation (total).........       2,195       1,789       2,098
          Permanent:

    68.00   Spending authority from
              offsetting collections:
              Offsetting collections (cash).          19          20          20
                                               ---------   ---------  ----------

    70.00   Total new budget authority
              (gross).......................       2,214       1,809       2,118
    ----------------------------------------------------------------------------

        Change in unpaid obligations:
    72.40 Unpaid obligations, start of year:
            Obligated balance: Appropriation       1,514       1,250         969
    73.10 New obligations...................       2,214       1,809       2,118
    73.20 Total outlays (gross).............      -2,463      -2,090      -2,015
    73.40 Adjustments in expired accounts...         -15
    74.40 Unpaid obligations, end of year:
            Obligated balance: Appropriation       1,250         969       1,072
    ----------------------------------------------------------------------------

        Outlays (gross), detail:
    86.90 Outlays from new current authority       1,183         967       1,134
    86.93 Outlays from current balances.....       1,261       1,103         861
    86.97 Outlays from new permanent
            authority.......................          19          20          20
                                               ---------   ---------  ----------

    87.00   Total outlays (gross)...........       2,463       2,090       2,015
    ----------------------------------------------------------------------------

        Offsets:
          Against gross budget authority and outlays:

    88.00   Offsetting collections (cash)
              from: Federal sources.........         -19         -20         -20
    ----------------------------------------------------------------------------

        Net budget authority and outlays:
    89.00 Budget authority..................       2,195       1,789       2,098
    90.00 Outlays...........................       2,444       2,070       1,995
    ---------------------------------------------------------------------------

                     Summary of Budget Authority and Outlays

                            [In millions of dollars]

                                         1995 actual  1996 est.   1997 est.
    Enacted/requested:
      Budget Authority..................       2,195       1,789       2,098
      Outlays...........................       2,444       2,070       1,995
    Adjustment to 1996 continuing
        resolution levels:
      Budget Authority..................                      65
      Outlays...........................                      35          29
                                        ------------------------------------
    Total:
      Budget Authority..................       2,195       1,854       2,098
      Outlays...........................       2,444       2,105       2,024
                                        ====================================

        This program provides Federal support for treatment and prevention
    in the areas of alcoholism, drug abuse, and mental health.

                   Object Classification (in millions of dollars)

    ----------------------------------------------------------------------------
    Identification code 75-1362-0-1-550      1995 actual   1996 est.   1997 est.
    ----------------------------------------------------------------------------

          Direct obligations:

            Personnel compensation:
    11.1      Full-time permanent...........          31          32          33
    11.3      Other than full-time permanent           2           2           2
    11.5      Other personnel compensation..           1           1           1
                                               ---------   ---------  ----------

    11.9        Total personnel compensation          34          35          36
    12.1    Civilian personnel benefits.....           7           7           7
    21.0    Travel and transportation of
              persons.......................           2           1           1
    23.1    Rental payments to GSA..........           3           3           3
    23.3    Communications, utilities, and
              miscellaneous charges.........           2           2           2
    24.0    Printing and reproduction.......           4           2           2
    25.1    Advisory and assistance services          51          33          43
    25.2    Other services..................         103          70          90
    25.3    Purchases of goods and services
              from Government accounts......          18           8          16
    31.0    Equipment.......................           2           1           1
    41.0    Grants, subsidies, and
              contributions.................       1,967       1,625       1,895
    42.0    Insurance claims and indemnities           2           2           2
                                               ---------   ---------  ----------

    99.0      Subtotal, direct obligations..       2,195       1,789       2,098
    99.0  Reimbursable obligations..........          19          20          20
                                               ---------   ---------  ----------

    99.9    Total obligations...............       2,214       1,809       2,118
    ---------------------------------------------------------------------------

                                  Personnel Summary

    ----------------------------------------------------------------------------
    Identification code 75-1362-0-1-550      1995 actual   1996 est.   1997 est.
    ----------------------------------------------------------------------------
        Direct:
          Total compensable workyears:

    1001    Full-time equivalent employment.         628         647         647
    1005    Full-time equivalent of overtime
              and holiday hours.............           2           2           2
        Reimbursable:
          Total compensable workyears:

    2001    Full-time equivalent employment.           2           2           2
    2011    Exempt Full-time equivalent
              employment....................          74          74          74
    ---------------------------------------------------------------------------

                   AGENCY FOR HEALTH CARE POLICY AND RESEARCH

                                  Federal Funds

    General and special funds:

                         Health Care Policy and Research

        For carrying out titles III and IX of the Public Health Service Act,
    and part A of title XI of the Social Security Act, $84,000,000, together
    with not to exceed $5,796,000 to be transferred from the Federal
    Hospital Insurance and the Federal Supplementary Medical Insurance Trust
    Funds, as authorized by sections 1142 and 201(g) of the Social Security
    Act; in addition, amounts received from Freedom of Information Act fees,
    reimbursable and interagency agreements, and the sale of data tapes
    shall be credited to this appropriation and shall remain available until
    expended; and in addition, $53,984,000 from amounts available pursuant
    to section 241 of the Public Health Service Act, to be transferred and
    credited to this appropriation for authorized purposes under this
    heading: Provided, That $44,700,000 of the funds provided shall be for
    the Medical Expenditure Panel Survey.
        Note.--A regular 1996 appropriation for this account had not been
    enacted at the time this budget was prepared. The 1996 amounts included
    in this budget are based on the levels provided in three continuing
    resolutions: P.L. 104-91, P.L. 104-92, and P.L. 104-99.

                   Program and Financing (in millions of dollars)

    ----------------------------------------------------------------------------
    Identification code 75-1700-0-1-552      1995 actual   1996 est.   1997 est.
    ----------------------------------------------------------------------------

        Obligations by program activity:
    01.01 Research on Health Care Systems
            and Access......................          49          25          29
    01.02 Health Insurance and Expenditure
            Survey..........................          10          10          10
    01.03 Research on Health Care Outcomes
            and Quality.....................          74          25          43
    01.04 Program support...................           2           2           2
                                               ---------   ---------  ----------

    01.91   Total direct program............         135          62          84
    04.01 Reimbursable program..............          33          74          69
                                               ---------   ---------  ----------

    10.00   Total obligations...............         168         136         153
    ----------------------------------------------------------------------------

    [[Page 486]]

        Budgetary resources available for obligation:
    22.00 New budget authority (gross)......         168         136         153
    23.95 New obligations...................        -168        -136        -153
    ----------------------------------------------------------------------------

        New budget authority (gross), detail:
          Current:

    40.00   Appropriation...................         135          62          84
          Permanent:

    68.00   Spending authority from
              offsetting collections:
              Offsetting collections (cash).          33          74          69
                                               ---------   ---------  ----------

    70.00   Total new budget authority
              (gross).......................         168         136         153
    ----------------------------------------------------------------------------

        Change in unpaid obligations:
    72.40 Unpaid obligations, start of year:
            Obligated balance: Appropriation         158         159          98
    73.10 New obligations...................         168         136         153
    73.20 Total outlays (gross).............        -166        -197        -153
    73.40 Adjustments in expired accounts...          -1
    74.40 Unpaid obligations, end of year:
            Obligated balance: Appropriation         159          98          98
    ----------------------------------------------------------------------------

        Outlays (gross), detail:
    86.90 Outlays from new current authority          23          12          14
    86.93 Outlays from current balances.....         110         111          69
    86.97 Outlays from new permanent
            authority.......................          33          74          69
                                               ---------   ---------  ----------

    87.00   Total outlays (gross)...........         166         197         153
    ----------------------------------------------------------------------------

        Offsets:
          Against gross budget authority and outlays:

    88.00   Offsetting collections (cash)
              from: Federal sources.........         -33         -74         -69
    ----------------------------------------------------------------------------

        Net budget authority and outlays:
    89.00 Budget authority..................         135          62          84
    90.00 Outlays...........................         133         123          84
    ---------------------------------------------------------------------------

                     Summary of Budget Authority and Outlays

                            [In millions of dollars]

                                         1995 actual  1996 est.   1997 est.
    Enacted/requested:
      Budget Authority..................         135          62          84
      Outlays...........................         133         123          83
    Adjustment to 1996 continuing
        resolution levels:
      Budget Authority..................                      15
      Outlays...........................                       3           8
                                        ------------------------------------
    Total:
      Budget Authority..................         135          77          84
      Outlays...........................         133         126          91
                                        ====================================

        This activity supports research and information dissemination on
    health care services and technology, medical effectiveness, and patient
    outcomes.

                   Object Classification (in millions of dollars)

    ----------------------------------------------------------------------------
    Identification code 75-1700-0-1-552      1995 actual   1996 est.   1997 est.
    ----------------------------------------------------------------------------

          Direct obligations:

            Personnel compensation:
    11.1      Full-time permanent...........           9           9          10
    11.3      Other than full-time permanent           1           1           1
                                               ---------   ---------  ----------

    11.9        Total personnel compensation          10          10          11
    12.1    Civilian personnel benefits.....           2           3           3
    23.1    Rental payments to GSA..........           1           3           3
    23.3    Communications, utilities, and
              miscellaneous charges.........           1
    24.0    Printing and reproduction.......           2           2           2
    25.2    Other services..................           4           3           3
    25.3    Purchases of goods and services
              from Government accounts......           5           2           2
    25.5    Research and development
              contracts.....................          36          25          22
    31.0    Equipment.......................           1           1           1
    41.0    Grants, subsidies, and
              contributions.................          73          13          37
                                               ---------   ---------  ----------

    99.0      Subtotal, direct obligations..         135          62          84
    99.0  Reimbursable obligations..........          33          74          69
                                               ---------   ---------  ----------

    99.9    Total obligations...............         168         136         153
    ---------------------------------------------------------------------------

                                  Personnel Summary

    ----------------------------------------------------------------------------
    Identification code 75-1700-0-1-552      1995 actual   1996 est.   1997 est.
    ----------------------------------------------------------------------------
        Direct:
          Total compensable workyears:

    1001    Full-time equivalent employment.         170         183         183
    1005    Full-time equivalent of overtime
              and holiday hours.............           1           1           1
        Reimbursable:
    2001  Total compensable workyears: Full-
            time equivalent employment......          84          84          84
    ---------------------------------------------------------------------------

                         ASSISTANT SECRETARY FOR HEALTH

        Activities of the Office of the Assistant Secretary for Health have
    been transferred to the Office of the Secretary effective in FY 1996 and
    are now displayed in the Departmental Management or Program Support
    Center bureaus.

                      HEALTH CARE FINANCING ADMINISTRATION

                                  Federal Funds

    General and special funds:

                          Grants to States for Medicaid

        For carrying out, except as otherwise provided, titles XI and XIX of
    the Social Security Act, $75,056,618,000, to remain available until
    expended.
        For making, after May 31, 1997, payments to States under title XIX
    for the last quarter of fiscal year 1997 for unanticipated cost incurred
    for the current fiscal year, such sums as may be necessary.
        For making payments to States under title XIX for the first quarter
    of fiscal year 1998, $27,988,993,000, to remain available until
    expended.
        Payment under 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.
        Note.--A regular 1996 appropriation for this account had not been
    enacted at the time this budget was prepared. The 1996 amounts included
    in this budget are based on the levels provided in three continuing
    resolutions: P.L. 104-91, P.L. 104-92, and P.L. 104-99.

                   Program and Financing (in millions of dollars)

    ----------------------------------------------------------------------------
    Identification code 75-0512-0-1-551      1995 actual   1996 est.   1997 est.
    ----------------------------------------------------------------------------

        Obligations by program activity:
    00.01 Medicaid vendor payments..........      85,278      90,481      97,653
    00.02 State and local administration....       3,835       4,198       4,172
    00.03 Vaccine purchases.................         420         213         469
                                               ---------   ---------  ----------

    10.00   Total obligations (object class
              41.0).........................      89,533      94,892     102,294
    ----------------------------------------------------------------------------

        Budgetary resources available for obligation:
    21.40 Unobligated balance available,
            start of year: Uninvested
            balance.........................      13,033      12,740       1,101
    22.00 New budget authority (gross)......      89,241      83,252     101,193
                                               ---------   ---------  ----------

    23.90   Total budgetary resources
              available for obligation......     102,274      95,992     102,294
    23.95 New obligations...................     -89,533     -94,892    -102,294
    24.40 Unobligated balance available, end
            of year: Uninvested balance.....      12,740       1,101
    ----------------------------------------------------------------------------

        New budget authority (gross), detail:
          Current:

    40.00   Appropriation...................      62,641      56,204      75,057
          Permanent:

    65.00   Advance appropriation (definite)      26,600      27,048      26,136
                                               ---------   ---------  ----------

    70.00   Total new budget authority
              (gross).......................      89,241      83,252     101,193
    ----------------------------------------------------------------------------

        Change in unpaid obligations:
    72.40 Unpaid obligations, start of year:
            Obligated balance: Appropriation       4,144       4,606       4,606

    [[Page 487]]

    73.10 New obligations...................      89,533      94,892     102,294
    73.20 Total outlays (gross).............     -89,070     -94,892    -102,294
    74.40 Unpaid obligations, end of year:
            Obligated balance: Appropriation       4,606       4,606       4,606
    ----------------------------------------------------------------------------

        Outlays (gross), detail:
    86.90 Outlays from new current authority      45,293      50,498      70,450
    86.93 Outlays from current balances.....      17,177      17,346       5,707
    86.97 Outlays from new permanent
            authority.......................      26,600      27,048      26,136
                                               ---------   ---------  ----------

    87.00   Total outlays (gross)...........      89,070      94,892     102,294
    ----------------------------------------------------------------------------

        Net budget authority and outlays:
    89.00 Budget authority..................      89,241      83,252     101,193
    90.00 Outlays...........................      89,070      94,892     102,294
    ---------------------------------------------------------------------------

                     Summary of Budget Authority and Outlays

                            [In millions of dollars]

                                         1995 actual  1996 est.   1997 est.
    Enacted/requested:
      Budget Authority..................      89,241      83,252     101,193
      Outlays...........................      89,070      94,892     102,293
    Legislative proposal, subject to
        PAYGO:
      Budget Authority..................                               3,277
      Outlays...........................                               3,277
                                        ------------------------------------
    Total:
      Budget Authority..................      89,241      83,252     104,470
      Outlays...........................      89,070      94,892     105,570
                                        ====================================

        Medicaid assists States in providing medical care to their low-
    income population by granting Federal matching payments under title XIX
    of the Social Security Act to States with approved plans.

                          Grants to States for Medicaid

                    (Legislative proposal, subject to PAYGO)

                   Program and Financing (in millions of dollars)

    ----------------------------------------------------------------------------
    Identification code 75-0512-4-1-551      1995 actual   1996 est.   1997 est.
    ----------------------------------------------------------------------------

        Obligations by program activity:
    10.00 Total obligations (object class
            41.0)...........................                               3,277
    ----------------------------------------------------------------------------

        Budgetary resources available for obligation:
    22.00 New budget authority (gross)......                               3,277
    23.95 New obligations...................                              -3,277
    ----------------------------------------------------------------------------

        New budget authority (gross), detail:
    40.00 Appropriation.....................                               3,277
    ----------------------------------------------------------------------------

        Change in unpaid obligations:
    73.10 New obligations...................                               3,277
    73.20 Total outlays (gross).............                              -3,277
    ----------------------------------------------------------------------------

        Outlays (gross), detail:
    86.90 Outlays from new current authority                               3,277
                                               ---------   ---------  ----------

    87.00   Total outlays (gross)...........                               3,277
    ----------------------------------------------------------------------------

        Net budget authority and outlays:
    89.00 Budget authority..................                               3,277
    90.00 Outlays...........................                               3,277
    ---------------------------------------------------------------------------

        This schedule reflects the effects of the Medicaid, Medicare, and
    Veterans' reform proposals contained in the Administration's balanced
    budget proposal on the Grants to States for Medicaid account.

                       Payments to Health Care Trust Funds

        For payment to the Federal Hospital Insurance and the Federal
    Supplementary Medical Insurance Trust Funds, as provided under sections
    217(g) and 1844 of the Social Security Act, sections 103(c) and 111(d)
    of the Social Security Amendments of 1965, section 278(d) of Public Law
    97-248, and for administrative expenses incurred pursuant to section
    201(g) of the Social Security Act, $60,079,000,000.
        Note.--A regular 1996 appropriation for this account had not been
    enacted at the time this budget was prepared. The 1996 amounts included
    in this budget are based on the levels provided in three continuing
    resolutions: P.L. 104-91, P.L. 104-92, and P.L. 104-99.

                   Program and Financing (in millions of dollars)

    ----------------------------------------------------------------------------
    Identification code 75-0580-0-1-571      1995 actual   1996 est.   1997 est.
    ----------------------------------------------------------------------------

        Obligations by program activity:
    00.01 Supplementary medical insurance
            (SMI)...........................      36,955      61,331      59,456
    00.02 Hospital Insurance for uninsured
            (HI)............................         406         358         405
    00.03 Federal uninsured payment (HI)....          56          61          76
    00.04 Program management (HI)...........         130         149         142
    00.06 Federal payments from taxation of
            OASDI benefits (HI).............       3,913       4,069       4,349
    00.07 SECA tax credits (HI).............          -1         -10           1
                                               ---------   ---------  ----------

    10.00   Total obligations...............      41,459      65,958      64,429
    ----------------------------------------------------------------------------

        Budgetary resources available for obligation:
    22.00 New budget authority (gross)......      41,459      65,958      64,429
    23.95 New obligations...................     -41,459     -65,958     -64,429
    ----------------------------------------------------------------------------

        New budget authority (gross), detail:
          Current:

    40.00   Appropriation...................      37,547      61,899      60,079
          Permanent:

    60.05   Appropriation (indefinite)......       3,912       4,059       4,350
                                               ---------   ---------  ----------

    70.00   Total new budget authority
              (gross).......................      41,459      65,958      64,429
    ----------------------------------------------------------------------------

        Change in unpaid obligations:
    73.10 New obligations...................      41,459      65,958      64,429
    73.20 Total outlays (gross).............     -41,492     -65,958     -64,429
    73.40 Adjustments in expired accounts...          33
    ----------------------------------------------------------------------------

        Outlays (gross), detail:
    86.90 Outlays from new current authority      37,547      61,899      60,079
    86.93 Outlays from current balances.....          33
    86.97 Outlays from new permanent
            authority.......................       3,912       4,059       4,350
                                               ---------   ---------  ----------

    87.00   Total outlays (gross)...........      41,492      65,958      64,429
    ----------------------------------------------------------------------------

        Net budget authority and outlays:
    89.00 Budget authority..................      41,459      65,958      64,429
    90.00 Outlays...........................      41,492      65,958      64,429
    ---------------------------------------------------------------------------

                     Summary of Budget Authority and Outlays

                            [In millions of dollars]

                                         1995 actual  1996 est.   1997 est.
    Enacted/requested:
      Budget Authority..................      41,459      65,958      64,429
      Outlays...........................      41,492      65,958      64,429
    Legislative proposal, not subject to
        PAYGO:
      Budget Authority..................                               7,867
      Outlays...........................                               7,867
                                        ------------------------------------
    Total:
      Budget Authority..................      41,459      65,958      72,296
      Outlays...........................      41,492      65,958      72,296
                                        ====================================

        Payments are made (1) to the Federal Supplementary Medical Insurance
    Trust Fund; and (2) to the Federal Hospital Insurance Trust Fund for
    individuals aged 65 and over who meet certain transitional insured
    status requirements, and for civil service employees and annuitants who
    worked before 1983 and who were employed during January 1983. Beginning
    in 1992, amounts were included for non-Medicare activities of HCFA
    Program Management.

                   Object Classification (in millions of dollars)

    ----------------------------------------------------------------------------
    Identification code 75-0580-0-1-571      1995 actual   1996 est.   1997 est.
    ----------------------------------------------------------------------------
    41.0  Grants, subsidies, and
            contributions...................      40,867      65,390      63,806
    42.0  Insurance claims and indemnities..         462         419         481
    92.0  Undistributed.....................         130         149         142
                                               ---------   ---------  ----------

    99.9    Total obligations...............      41,459      65,958      64,429
    ---------------------------------------------------------------------------

    [[Page 488]]

                       Payments to Health Care Trust Funds

                  (Legislative proposal, not subject to PAYGO)

                   Program and Financing (in millions of dollars)

    ----------------------------------------------------------------------------
    Identification code 75-0580-2-1-571      1995 actual   1996 est.   1997 est.
    ----------------------------------------------------------------------------

        Obligations by program activity:
    10.00 Total obligations (object class
            42.0)...........................                               7,867
    ----------------------------------------------------------------------------

        Budgetary resources available for obligation:
    22.00 New budget authority (gross)......                               7,867
    23.95 New obligations...................                              -7,867
    ----------------------------------------------------------------------------

        New budget authority (gross), detail:
    40.00 Appropriation.....................                               7,867
    ----------------------------------------------------------------------------

        Change in unpaid obligations:
    73.10 New obligations...................                               7,867
    73.20 Total outlays (gross).............                              -7,867
    ----------------------------------------------------------------------------

        Outlays (gross), detail:
    86.90 Outlays from new current authority                               7,867
                                               ---------   ---------  ----------

    87.00   Total outlays (gross)...........                               7,867
    ----------------------------------------------------------------------------

        Net budget authority and outlays:
    89.00 Budget authority..................                               7,867
    90.00 Outlays...........................                               7,867
    ---------------------------------------------------------------------------

        This schedule reflects the effects of the Medicare reform proposals
    contained in the Administration's balanced budget proposal on the
    Payments to Health Care Trust Funds account.

                               Program Management

        For carrying out, except as otherwise provided, titles XI, XVIII,
    and XIX of the Social Security Act, title XIII of the Public Health
    Service Act, the Clinical Laboratory Improvement Amendments of 1988,
    section 4360 of Public Law 101-508, and section 4005(e) of Public Law
    100-203, not to exceed $2,202,284,000, to be transferred from the
    Federal Hospital Insurance and the Federal Supplementary Medical
    Insurance Trust Funds, as authorized by section 201(g) of the Social
    Security Act; together with all funds collected in accordance with
    section 353 of the Public Health Service Act, the latter funds to remain
    available until expended: Provided, That all funds derived in accordance
    with 31 U.S.C. 9701 from organizations established under title XIII of
    the Public Health Service Act are to be credited to and available for
    carrying out the purposes of this appropriation.
        Note.--A regular 1996 appropriation for this account had not been
    enacted at the time this budget was prepared. The 1996 amounts included
    in this budget are based on the levels provided in three continuing
    resolutions: P.L. 104-91, P.L. 104-92, and P.L. 104-99.

                   Program and Financing (in millions of dollars)

    ----------------------------------------------------------------------------
    Identification code 75-0511-0-1-550      1995 actual   1996 est.   1997 est.
    ----------------------------------------------------------------------------

        Obligations by program activity:
    00.01 Research, demonstrations, and
            evaluation projects.............          76          50          55
    00.02 Medicare contractors..............       1,189       1,208       1,218
    00.03 Medicare anti-fraud and abuse.....         396         396         396
    00.04 State certification...............         145         146         174
    00.05 Administrative costs..............         354         328         359
    00.06 Clinical laboratories improvement
            amendment (CLIA)................          34          37          43
                                               ---------   ---------  ----------

    10.00   Total obligations...............       2,194       2,165       2,245
    ----------------------------------------------------------------------------

        Budgetary resources available for obligation:
    21.40 Unobligated balance available,
            start of year: Uninvested
            balance.........................          19          15          15
    22.00 New budget authority (gross)......       2,189       2,165       2,245
                                               ---------   ---------  ----------

    23.90   Total budgetary resources
              available for obligation......       2,208       2,180       2,260
    23.95 New obligations...................      -2,194      -2,165      -2,245
    24.40 Unobligated balance available, end
            of year: Uninvested balance.....          15          15          15
    ----------------------------------------------------------------------------

        New budget authority (gross), detail:
          Spending authority from offsetting
              collections:

    68.00   Offsetting collections (cash)...       2,142       2,165       2,245
    68.10   Change in orders on hand from
              Federal sources...............          47
                                               ---------   ---------  ----------

    68.90     Spending authority from
                offsetting collections
                (total).....................       2,189       2,165       2,245
                                               ---------   ---------  ----------

    70.00   Total new budget authority
              (gross).......................       2,189       2,165       2,245
    ----------------------------------------------------------------------------

        Change in unpaid obligations:
          Unpaid obligations, start of year:

    72.40   Obligated balance: Appropriation         428         445         445
    72.95   Orders on hand from Federal
              sources.......................          27          74          74
                                               ---------   ---------  ----------

    72.99     Total unpaid obligations,
                start of year...............         455         519         519
    73.10 New obligations...................       2,194       2,165       2,245
    73.20 Total outlays (gross).............      -2,145      -2,165      -2,245
    73.40 Adjustments in expired accounts...          15
          Unpaid obligations, end of year:

    74.40   Obligated balance: Appropriation         445         445         445
    74.95   Orders on hand from Federal
              sources.......................          74          74          74
                                               ---------   ---------  ----------

    74.99     Total unpaid obligations, end
                of year.....................         519         519         519
    ----------------------------------------------------------------------------

        Outlays (gross), detail:
    86.97 Outlays from new permanent
            authority.......................       2,110       2,165       2,245
    86.98 Outlays from permanent balances...          35
                                               ---------   ---------  ----------

    87.00   Total outlays (gross)...........       2,145       2,165       2,245
    ----------------------------------------------------------------------------

        Offsets:
          Against gross budget authority and outlays:

            Offsetting collections (cash)
                from:
    88.00     Federal sources...............      -2,109      -2,128      -2,202
    88.40     Non-Federal sources...........         -33         -37         -43
                                               ---------   ---------  ----------

    88.90       Total, offsetting
                  collections (cash)........      -2,142      -2,165      -2,245
    88.95 Change in orders on hand from
            Federal sources.................         -47
    ----------------------------------------------------------------------------

        Net budget authority and outlays:
    89.00 Budget authority..................
    90.00 Outlays...........................           3
    ---------------------------------------------------------------------------

                     Summary of Budget Authority and Outlays

                            [In millions of dollars]

                                         1995 actual  1996 est.   1997 est.
    Enacted/requested:
      Budget Authority..................
      Outlays...........................           3
    Legislative proposal, not subject to
        PAYGO:
      Budget Authority..................
      Outlays...........................
    Legislative proposal, subject to
        PAYGO:
      Budget Authority..................                               1,544
      Outlays...........................                               1,544
    Adjustment to 1996 continuing
        resolution levels:
      Budget Authority..................
      Outlays...........................
                                        ------------------------------------
    Total:
      Budget Authority..................                               1,544
      Outlays...........................           3                   1,544
                                        ====================================

        Program management activities include funding for research, Medicare
    contractors, survey and certification, CLIA, and administrative costs.

                   Object Classification (in millions of dollars)

    ----------------------------------------------------------------------------
    Identification code 75-0511-0-1-550      1995 actual   1996 est.   1997 est.
    ----------------------------------------------------------------------------

          Personnel compensation:

    11.1    Full-time permanent.............         206         223         233
    11.3    Other than full-time permanent..           5           5           5
    11.5    Other personnel compensation....           3           1           2
                                               ---------   ---------  ----------

    11.9      Total personnel compensation..         214         229         240
    12.1  Civilian personnel benefits.......          37          38          41
    21.0  Travel and transportation of
            persons.........................           9           3           4
    23.1  Rental payments to GSA............          16          25          23
    23.3  Communications, utilities, and
            miscellaneous charges...........           6           4           4
    24.0  Printing and reproduction.........          29           3           3
    25.1  Advisory and assistance services..           1          21          27
    25.2  Other services....................         250         254         274
    25.6  Medical care......................       1,585       1,564       1,614

    [[Page 489]]

    26.0  Supplies and materials............           2
    31.0  Equipment.........................           8
    41.0  Grants, subsidies, and
            contributions...................          37          23          14
    99.5  Below reporting threshold.........                       1           1
                                               ---------   ---------  ----------

    99.9    Total obligations...............       2,194       2,165       2,245
    ---------------------------------------------------------------------------

                                  Personnel Summary

    ----------------------------------------------------------------------------
    Identification code 75-0511-0-1-550      1995 actual   1996 est.   1997 est.
    ----------------------------------------------------------------------------
        Total compensable workyears:
    1001  Full-time equivalent employment...       4,099       4,100       4,100
    1005  Full-time equivalent of overtime
            and holiday hours...............           9           9           9
    ---------------------------------------------------------------------------

                               Program Management

                  (Legislative proposal, not subject to PAYGO)

                   Program and Financing (in millions of dollars)

    ----------------------------------------------------------------------------
    Identification code 75-0511-2-1-550      1995 actual   1996 est.   1997 est.
    ----------------------------------------------------------------------------

        Obligations by program activity:
    10.00 Total obligations (object class
            25.2)...........................                    -396        -396
    ----------------------------------------------------------------------------

        Budgetary resources available for obligation:
    22.00 New budget authority (gross)......                    -396        -396
    23.95 New obligations...................                     396         396
    ----------------------------------------------------------------------------

        New budget authority (gross), detail:
    68.00 Spending authority from offsetting
            collections (gross): Offsetting
            collections (cash)..............                    -396        -396
    ----------------------------------------------------------------------------

        Change in unpaid obligations:
    73.10 New obligations...................                    -396        -396
    73.20 Total outlays (gross).............                     396         396
    ----------------------------------------------------------------------------

        Outlays (gross), detail:
    86.97 Outlays from new permanent
            authority.......................                    -396        -396
                                               ---------   ---------  ----------

    87.00   Total outlays (gross)...........                    -396        -396
    ----------------------------------------------------------------------------

        Offsets:
          Against gross budget authority and outlays:

    88.00   Offsetting collections (cash)
              from: Federal sources.........                     396         396
    ----------------------------------------------------------------------------

        Net budget authority and outlays:
    89.00 Budget authority..................
    90.00 Outlays...........................
    ---------------------------------------------------------------------------

        This schedule reflects the effects on the Program Management account
    of the Administration's proposal to shift spending on Medicare anti-
    fraud activities from discretionary to mandatory.

                               Program Management

                    (Legislative proposal, subject to PAYGO)

                   Program and Financing (in millions of dollars)

    ----------------------------------------------------------------------------
    Identification code 75-0511-4-1-550      1995 actual   1996 est.   1997 est.
    ----------------------------------------------------------------------------

        Obligations by program activity:
    00.01 Health insurance for the
            temporarily unemployed..........                               1,519
    00.02 Grants for health insurance
            cooperatives....................                                  25
    00.03 Payment safeguards................                     440         500
                                               ---------   ---------  ----------

    10.00   Total obligations...............                     440       2,044
    ----------------------------------------------------------------------------

        Budgetary resources available for obligation:
    22.00 New budget authority (gross)......                     440       2,044
    23.95 New obligations...................                    -440      -2,044
    ----------------------------------------------------------------------------

        New budget authority (gross), detail:
          Current:

    40.00   Appropriation...................                               1,544
          Permanent:

    68.00   Spending authority from
              offsetting collections:
              Offsetting collections (cash).                     440         500
                                               ---------   ---------  ----------

    70.00   Total new budget authority
              (gross).......................                     440       2,044
    ----------------------------------------------------------------------------

        Change in unpaid obligations:
    73.10 New obligations...................                     440       2,044
    73.20 Total outlays (gross).............                    -440      -2,044
    ----------------------------------------------------------------------------

        Outlays (gross), detail:
    86.90 Outlays from new current authority                               1,544
    86.97 Outlays from new permanent
            authority.......................                     440         500
    86.98 Outlays from permanent balances...
                                               ---------   ---------  ----------

    87.00   Total outlays (gross)...........                     440       2,044
    ----------------------------------------------------------------------------

        Offsets:
          Against gross budget authority and outlays:

    88.00   Offsetting collections (cash)
              from: Federal sources.........                    -440        -500
    ----------------------------------------------------------------------------

        Net budget authority and outlays:
    89.00 Budget authority..................                               1,544
    90.00 Outlays...........................                               1,544
    ---------------------------------------------------------------------------

        This schedule reflects the effects on the Program Management account
    of the Administration's proposals to: (1) shift spending on Medicare
    anti-fraud activities from discretionary to mandatory, (2) create a
    five-year demonstration program to finance health insurance for the
    temporarily unemployed and (3) create a State grant to foster the
    development of purchasing cooperatives.

                   Object Classification (in millions of dollars)

    ----------------------------------------------------------------------------
    Identification code 75-0511-4-1-550      1995 actual   1996 est.   1997 est.
    ----------------------------------------------------------------------------
    25.2  Other services....................                     440         500
    41.0  Grants, subsidies, and
            contributions...................                               1,544
                                               ---------   ---------  ----------

    99.9    Total obligations...............                     440       2,044
    ---------------------------------------------------------------------------

          Health Maintenance Organization Loan and Loan Guarantee Fund

        For carrying out subsections (d) and (e) of section 1308 of the
    Public Health Service Act, any amounts received by the Secretary in
    connection with loans and loan guarantees under title XIII of such Act,
    to be available without fiscal year limitation for the payment of
    outstanding obligations. During fiscal year 1997, no commitments for
    direct loans or loan guarantees shall be made.
        Note.--A regular 1996 appropriation for this account had not been
    enacted at the time this budget was prepared. The 1996 amounts included
    in this budget are based on the levels provided in three continuing
    resolutions: P.L. 104-91, P.L. 104-92, and P.L. 104-99.

                   Program and Financing (in millions of dollars)

    ----------------------------------------------------------------------------
    Identification code 75-4420-0-3-551      1995 actual   1996 est.   1997 est.
    ----------------------------------------------------------------------------

        Obligations by program activity:
    00.05 Interest payments to FFB..........           1           1           1
    00.06 Premium payments to FFB...........           1
                                               ---------   ---------  ----------

    10.00   Total obligations (object class
              43.0).........................           2           1           1
    ----------------------------------------------------------------------------

        Budgetary resources available for obligation:
    21.90 Unobligated balance available,
            start of year: Fund balance.....           9          11          10
    22.00 New budget authority (gross)......          22           4           3
    22.60 Redemption of debt................         -18          -3          -2
                                               ---------   ---------  ----------

    23.90   Total budgetary resources
              available for obligation......          13          12          11
    23.95 New obligations...................          -2          -1          -1
    24.90 Unobligated balance available, end
            of year: Fund balance...........          11          10          10
    ----------------------------------------------------------------------------

        New budget authority (gross), detail:
          Current:

    40.00   Appropriation...................          15
          Permanent:

    68.00   Spending authority from
              offsetting collections:
              Offsetting collections (cash).           7           4           3
                                               ---------   ---------  ----------

    70.00   Total new budget authority
              (gross).......................          22           4           3
    ----------------------------------------------------------------------------

    [[Page 490]]

        Change in unpaid obligations:
    73.10 New obligations...................           2           1           1
    73.20 Total outlays (gross).............          -3          -1          -1
    ----------------------------------------------------------------------------

        Outlays (gross), detail:
    86.93 Outlays from current balances.....           3           1           1
                                               ---------   ---------  ----------

    87.00   Total outlays (gross)...........           3           1           1
    ----------------------------------------------------------------------------

        Offsets:
          Against gross budget authority and outlays:

            Offsetting collections (cash)
                from:
              Non-Federal sources:
    88.40       Interest....................          -7          -1          -1
    88.40       Other.......................                      -3          -2
                                               ---------   ---------  ----------

    88.90       Total, offsetting
                  collections (cash)........          -7          -4          -3
    ----------------------------------------------------------------------------

        Net budget authority and outlays:
    89.00 Budget authority..................          15
    90.00 Outlays...........................          -4          -3          -2
    ---------------------------------------------------------------------------

                                   Trust Funds

                      Federal Hospital Insurance Trust Fund

                  Unavailable Collections (in millions of dollars)

    ----------------------------------------------------------------------------
    Identification code 20-8005-0-7-571      1995 actual   1996 est.   1997 est.
    ----------------------------------------------------------------------------
        Balance, start of year:
    01.99 Balance, start of year............     109,844     114,828     108,391
        Receipts:
    02.01 Transfers from general fund (FICA
            taxes)..........................      88,934      94,695     100,843
    02.02 Receipts from Railroad Retirement
            Board...........................         358         369         369
    02.03 Transfers from general fund (SECA
            taxes)..........................       6,732       6,771       7,558
    02.04 Federal employer contributions
            (FICA)..........................       1,824       1,744       1,798
    02.05 Postal service employer
            contributions (FICA)............         564         549         562
    02.06 Refunds...........................                      13
    02.07 Interest received by trust funds..      10,833      10,479       9,735
    02.08 Other proprietary receipts from
            the public......................           1
    02.09 Interest received by trust funds,
            legislative proposal............                      -4         172
    02.10 Taxation on OASDI benefits........       3,913       4,069       4,349
    02.12 Interest payments by Railroad
            Retirement Board................          38          39          34
    02.13 Payments from the general fund
            (uninsured and program
            management).....................         591         558         624
    02.14 Payments for military service
            credits.........................          61          73          70
    02.15 Premiums collected for uninsured
            individuals not otherwise
            eligible........................         998       1,100       1,224
    02.17 Premiums collected for uninsured
            individuals not otherwise
            eligible, proposed legislation..                                -123
                                               ---------   ---------  ----------

    02.99   Total receipts..................     114,847     120,455     127,215
                                               ---------   ---------  ----------

    04.00 Total: Balances and collections...     224,691     235,283     235,606
        Appropriation:
    05.01 Federal hospital insurance trust
            fund............................    -109,863    -127,003    -138,208
    05.02 Federal hospital insurance trust
            fund, adjustment to 1996
            Continuing Resolution level.....                     -40
    05.03 Federal hospital insurance trust
            fund, proposed legislation......                      74      14,107
    05.04 Federal hospital insurance trust
            fund, legislative proposal, not
            subject to PAYGO................                      77          77
                                               ---------   ---------  ----------

    05.99 Subtotal appropriation............    -109,863    -126,892    -124,024
    07.99 Total balance, end of year........     114,828     108,391     111,582
    ---------------------------------------------------------------------------

                   Program and Financing (in millions of dollars)

    ----------------------------------------------------------------------------
    Identification code 20-8005-0-7-571      1995 actual   1996 est.   1997 est.
    ----------------------------------------------------------------------------

        Obligations by program activity:
    00.01 Benefit payments, HI..............     108,512     124,841     136,799
    00.02 Administration, HI................       1,247       1,169       1,283
    00.03 Peer review organizations, HI.....          44         633          84
    00.04 Research, HI......................          58          41          42
    00.05 Quinquennial adjustment for
            military service credits........                     319
                                               ---------   ---------  ----------

    10.00   Total obligations...............     109,861     127,003     138,208
    ----------------------------------------------------------------------------

        Budgetary resources available for obligation:
    22.00 New budget authority (gross)......     109,861     127,003     138,208
    23.95 New obligations...................    -109,861    -127,003    -138,208
    ----------------------------------------------------------------------------

        New budget authority (gross), detail:
    60.27 Appropriation (trust fund,
            indefinite).....................     114,847     120,459     127,166
    60.28 Appropriation (unavailable
            balances).......................                   6,544      11,042
    60.45 Portion precluded from obligation.      -4,984
    60.75 Procurement reduction pursuant to
            P.L. 103-[333]..................          -2
                                               ---------   ---------  ----------

    63.00   Appropriation (total)...........     109,861     127,003     138,208
                                               ---------   ---------  ----------

    70.00   Total new budget authority
              (gross).......................     109,861     127,003     138,208
    ----------------------------------------------------------------------------

        Change in unpaid obligations:
    72.41 Unpaid obligations, start of year:
            Obligated balance: U.S.
            Securities: Par value...........      19,712      14,689      15,051
    73.10 New obligations...................     109,861     127,003     138,208
    73.20 Total outlays (gross).............    -114,883    -126,642    -138,372
    74.41 Unpaid obligations, end of year:
            Obligated balance: U.S.
            Securities: Par value...........      14,689      15,051      14,887
    ----------------------------------------------------------------------------

        Outlays (gross), detail:
    86.90 Outlays from new current authority       1,142       1,076       1,183
    86.93 Outlays from current balances.....         158         151         134
    86.97 Outlays from new permanent
            authority.......................      96,546     110,876     122,139
    86.98 Outlays from permanent balances...      17,037      14,539      14,916
                                               ---------   ---------  ----------

    87.00   Total outlays (gross)...........     114,883     126,642     138,372
    ----------------------------------------------------------------------------

        Net budget authority and outlays:
    89.00 Budget authority..................     109,861     127,003     138,208
    90.00 Outlays...........................     114,883     126,642     138,372
    ---------------------------------------------------------------------------

                     Summary of Budget Authority and Outlays

                            [In millions of dollars]

                                         1995 actual  1996 est.   1997 est.
    Enacted/requested:
      Budget Authority..................     109,861     127,003     138,208
      Outlays...........................     114,883     126,642     138,372
    Legislative proposal, not subject to
        PAYGO:
      Budget Authority..................                     -77         -77
      Outlays...........................                     -77         -77
    Legislative proposal, subject to
        PAYGO:
      Budget Authority..................                     -74     -14,107
      Outlays...........................                     -74     -14,107
    Adjustment to 1996 continuing
        resolution levels:
      Budget Authority..................                      40
      Outlays...........................                      40
                                        ------------------------------------
    Total:
      Budget Authority..................     109,861     126,892     124,024
      Outlays...........................     114,883     126,531     124,188
                                        ====================================

        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:

                      Status of Funds (in millions of dollars)

    ----------------------------------------------------------------------------
    Identification code 20-8005-0-7-571      1995 actual   1996 est.   1997 est.
    ----------------------------------------------------------------------------
        Unexpended balance, start of year:
    0100  Treasury balance..................         840        -344           1
    0101  U.S. Securities: Par value........     128,715     129,862     123,441
                                               ---------   ---------  ----------

    0199    Total balance, start of year....     129,555     129,518     123,442
        Cash income during the year:
          Governmental receipts:

    0200    FHI Trust Fund, Transfers from
              general fund (FICA taxes).....      88,934      94,695     100,843
    0201    FHI Trust Fund, Transfers from
              general fund (SECA taxes).....       6,732       6,771       7,558
    0202    Refunds.........................                      13
    0205    FHI Trust Fund, Receipts from
              Railroad Retirement Board.....         358         369         369
          Proprietary receipts:

    0221    FHI Trust Fund, Premiums
              collected for uninsured
              individuals not otherwise
              eligible......................         998       1,100       1,224

    [[Page 491]]

    0222    FHI Trust Fund, Premiums
              collected for uninsured
              individuals not otherwise
              eligible......................                                -123
    0223    Proprietary receipts............           1
          Intragovernmental transactions:

    0240    FHI Trust Fund, Federal employer
              contributions (FICA)..........       1,824       1,744       1,798
    0241    FHI Trust Fund, Postal service
              employer contributions (FICA).         564         549         562
    0242    FHI Trust Fund, Federal payment
              for transitional coverage for
              uninsured Federal employees...          56          61          76
    0243    FHI Trust Fund, Federal payment
              for transitional coverage for
              the uninsured.................         406         358         405
    0244    FHI Trust Fund, Federal payment
              for SECA tax credits..........          -1         -10           1
    0245    FHI Trust Fund, General Fund
              transfer, Program management
              (HI)..........................         130         149         142
    0246    FHI Trust Fund, Federal payments
              for OASDI taxes...............       3,913       4,069       4,349
    0248    FHI Trust fund, Interest payment
              from Railroad Retirement Board          38          39          34
    0249    FHI Trust Fund, Interest on
              investments...................      10,833      10,479       9,735
    0250    FHI Trust Fund, Interest on
              investments...................                      -4         172
    0251    FHI Trust Fund, Transfer from
              Department of Defense for
              military service credits......          61          73          70
    0297  Income under present law..........     114,847     120,459     127,166
    0298  Income under proposed legislation.                      -4          49
                                               ---------   ---------  ----------

    0299    Total cash income...............     114,847     120,455     127,215
        Cash outgo during year:
    0500  Benefit payments..................    -113,402    -124,841    -136,799
    0501  Benefit payments (proposed
            legislation)....................                     205      14,256
    0502  Administration....................      -1,246      -1,174      -1,272
          Cash outgo during the year (-) Budget Acct:

    0503    Administration (proposed
              legislation)..................                      77          77
    0503    Administration (proposed
              legislation)..................                    -131        -149
    0503    Administration (proposed
              legislation)..................                     -40
    0504  Peer review organizations.........        -181        -255        -256
    0505  Research..........................         -54         -53         -45
    0507  Quinquennial Adjustment for
            Military Service Credits........                    -319
    0597  Outgo under present law (-).......    -114,883    -126,642    -138,372
    0598  Outgo under proposed legislation
            (-).............................                     111      14,184
                                               ---------   ---------  ----------

    0599  Total cash outgo (-)..............    -114,883    -126,531    -124,188
    0625  Balances expired or permanently
            cancelled.......................          -2
        Unexpended balance, end of year:
    0700  Uninvested balance................        -344           1           1
    0701  U.S. Securities: Par value........     129,862     123,441     126,468
                                               ---------   ---------  ----------

    0799    Total balance, end of year......     129,518     123,442     126,469
    ---------------------------------------------------------------------------

                    Object Classification (in millions of dollars)

    ----------------------------------------------------------------------------
    Identification code 20-8005-0-7-571      1995 actual   1996 est.   1997 est.
    ----------------------------------------------------------------------------
    25.3  Purchases of goods and services
            from Government accounts........         728         671         722
          Grants, subsidies, and contributions:

    41.0    Payment for health insurance
              experiments and demonstration
              projects......................          58          41          42
    41.0    Payment for peer review
              organization (PRO) activities.          44         633          84
    42.0  Insurance claims and indemnities..     108,512     124,841     136,799
          Undistributed:

    92.0    Quinquennial Adjustment for
              Military Service Credits......                     319
    92.0    Reimbursement for administrative
              expenses for other than SSA
              LAE...........................          45          39          39
    93.0  Administrative expenses: Portion
            of limitation on salaries and
            expenses: Social Security
            Administration..................         475         459         522
    99.5  Below reporting threshold.........          -1
                                               ---------   ---------  ----------

    99.9    Total obligations...............     109,861     127,003     138,208
    ---------------------------------------------------------------------------

                      Federal Hospital Insurance Trust Fund

                  (Legislative proposal, not subject to PAYGO)

                   Program and Financing (in millions of dollars)

    ----------------------------------------------------------------------------
    Identification code 20-8005-2-7-571      1995 actual   1996 est.   1997 est.
    ----------------------------------------------------------------------------

        Obligations by program activity:
    10.00 Total obligations.................                     -77         -77
    ----------------------------------------------------------------------------

        Budgetary resources available for obligation:
    22.00 New budget authority (gross)......                     -77         -77
    23.95 New obligations...................                      77          77
    ----------------------------------------------------------------------------

        New budget authority (gross), detail:
    60.28 Appropriation (unavailable
            balances).......................                     -77         -77
    ----------------------------------------------------------------------------

        Change in unpaid obligations:
    73.10 New obligations...................                     -77         -77
    73.20 Total outlays (gross).............                      77          77
    ----------------------------------------------------------------------------

        Outlays (gross), detail:
    86.90 Outlays from new current authority                     -77         -77
                                               ---------   ---------  ----------

    87.00   Total outlays (gross)...........                     -77         -77
    ----------------------------------------------------------------------------

        Net budget authority and outlays:
    89.00 Budget authority..................                     -77         -77
    90.00 Outlays...........................                     -77         -77
    ---------------------------------------------------------------------------

        This schedule reflects the effects on the Hospital Insurance Trust
    Fund of the Administration's proposal to shift spending on Medicare
    anti-fraud activities from discretionary to mandatory.

                   Object Classification (in millions of dollars)

    ----------------------------------------------------------------------------
    Identification code 20-8005-2-7-571      1995 actual   1996 est.   1997 est.
    ----------------------------------------------------------------------------
    25.3  Purchases of goods and services
            from Government accounts........                     -67         -67
    92.0  Reimbursement for administrative
            expenses for other than SSA LAE.                     -10         -10
                                               ---------   ---------  ----------

    99.9    Total obligations...............                     -77         -77
    ---------------------------------------------------------------------------

                      Federal Hospital Insurance Trust Fund

                    (Legislative proposal, subject to PAYGO)

                   Program and Financing (in millions of dollars)

    ----------------------------------------------------------------------------
    Identification code 20-8005-4-7-571      1995 actual   1996 est.   1997 est.
    ----------------------------------------------------------------------------

        Obligations by program activity:
    00.01 Benefit payments, HI..............                             -13,640
    00.02 Administration, HI................                     131         149
    00.06 Benefits--program integrity.......                    -205        -616
                                               ---------   ---------  ----------

    10.00   Total obligations...............                     -74     -14,107
    ----------------------------------------------------------------------------

        Budgetary resources available for obligation:
    22.00 New budget authority (gross)......                     -74     -14,107
    23.95 New obligations...................                      74      14,107
    ----------------------------------------------------------------------------

        New budget authority (gross), detail:
    60.27 Appropriation (trust fund,
            indefinite).....................                      -4          49
    60.28 Appropriation (unavailable
            balances).......................                     -70     -14,156
                                               ---------   ---------  ----------

    63.00   Appropriation (total)...........                     -74     -14,107
                                               ---------   ---------  ----------

    70.00   Total new budget authority
              (gross).......................                     -74     -14,107
    ----------------------------------------------------------------------------

        Change in unpaid obligations:
    73.10 New obligations...................                     -74     -14,107
    73.20 Total outlays (gross).............                      74      14,107
    ----------------------------------------------------------------------------

        Outlays (gross), detail:
    86.90 Outlays from new current authority                     131         149
    86.97 Outlays from new permanent
            authority.......................                    -205     -14,256
                                               ---------   ---------  ----------

    87.00   Total outlays (gross)...........                     -74     -14,107
    ----------------------------------------------------------------------------

        Net budget authority and outlays:
    89.00 Budget authority..................                     -74     -14,107
    90.00 Outlays...........................                     -74     -14,107
    ---------------------------------------------------------------------------

        This schedule reflects the effects of the Medicare reform proposals
    contained in the Administration's balanced budget proposal on the
    Hospital Insurance Trust Fund.

    [[Page 492]]

                   Object Classification (in millions of dollars)

    ----------------------------------------------------------------------------
    Identification code 20-8005-4-7-571      1995 actual   1996 est.   1997 est.
    ----------------------------------------------------------------------------
    25.3  Purchases of goods and services
            from Government accounts........                      74          84
          Insurance claims and indemnities:

    42.0    Insurance claims and indemnities                    -205        -616
    42.0    Insurance claims and indemnities                             -13,640
    92.0  Reimbursement for administrative
            expenses for other than SSA LAE.                      57          65
                                               ---------   ---------  ----------

    99.9    Total obligations...............                     -74     -14,107
    ---------------------------------------------------------------------------

               Federal Supplementary Medical Insurance Trust Fund

                  Unavailable Collections (in millions of dollars)

    ----------------------------------------------------------------------------
    Identification code 20-8004-0-7-571      1995 actual   1996 est.   1997 est.
    ----------------------------------------------------------------------------
        Balance, start of year:
    01.99 Balance, start of year............      17,632       8,848      19,777
        Receipts:
    02.01 Federal contributions.............      36,988      61,331      59,456
    02.02 Interest received by trust fund...       1,935       1,786       2,203
    02.03 Other proprietary receipts from
            the public......................           3
    02.05 Premiums collected for the aged...      17,126      16,622      16,813
    02.06 Premiums collected for the
            disabled........................       2,117       2,120       2,250
    02.07 Federal contributions, proposed
            legislation.....................                               7,867
    02.08 Interest received by trust fund,
            proposed legislation............                      -1          -2
    02.09 Premiums collected for the aged,
            proposed legislation............                                -146
    02.10 Premiums collected for the
            disabled, proposed legislation..                                 -19
                                               ---------   ---------  ----------

    02.99   Total receipts..................      58,169      81,858      88,422
                                               ---------   ---------  ----------

    04.00 Total: Balances and collections...      75,801      90,706     108,199
        Appropriation:
    05.01 Federal supplementary medical
            insurance trust fund............     -66,953     -70,903     -78,177
    05.02 Federal supplementary medical
            insurance trust fund, adjustment
            to 1996 Continuing Resolution
            level...........................                     -36
    05.03 Federal supplementary medical
            insurance trust fund, proposed
            legislation.....................                    -327      -8,071
    05.04 Federal supplementary medical
            insurance trust fund,
            legislative proposal, not
            subject to PAYGO................                     337         337
                                               ---------   ---------  ----------

    05.99 Subtotal appropriation............     -66,953     -70,929     -85,911
    07.99 Total balance, end of year........       8,848      19,777      22,288
    ---------------------------------------------------------------------------

                   Program and Financing (in millions of dollars)

    ----------------------------------------------------------------------------
    Identification code 20-8004-0-7-571      1995 actual   1996 est.   1997 est.
    ----------------------------------------------------------------------------

        Obligations by program activity:
    00.01 Benefit payments, SMI.............      65,182      69,055      76,287
    00.02 Administration, SMI...............       1,750       1,806       1,872
    00.03 Peer review organizations, SMI....           2          33           4
    00.04 Research, SMI.....................          19           9          13
                                               ---------   ---------  ----------

    10.00   Total obligations...............      66,953      70,903      78,177
    ----------------------------------------------------------------------------

        Budgetary resources available for obligation:
    22.00 New budget authority (gross)......      66,953      70,903      78,177
    23.95 New obligations...................     -66,953     -70,903     -78,177
    ----------------------------------------------------------------------------

        New budget authority (gross), detail:
    60.27 Appropriation (trust fund,
            indefinite).....................      58,169      81,859      80,722
    60.28 Appropriation (unavailable
            balances).......................       8,784
    60.45 Portion precluded from obligation.                 -10,956      -2,545
                                               ---------   ---------  ----------

    63.00   Appropriation (total)...........      66,953      70,903      78,177
                                               ---------   ---------  ----------

    70.00   Total new budget authority
              (gross).......................      66,953      70,903      78,177
    ----------------------------------------------------------------------------

        Change in unpaid obligations:
    72.41 Unpaid obligations, start of year:
            Obligated balance: U.S.
            Securities: Par value...........       3,287       5,027       5,059
    73.10 New obligations...................      66,953      70,903      78,177
    73.20 Total outlays (gross).............     -65,213     -70,871     -78,184
    74.41 Unpaid obligations, end of year:
            Obligated balance: U.S.
            Securities: Par value...........       5,027       5,059       5,052
    ----------------------------------------------------------------------------

        Outlays (gross), detail:
    86.90 Outlays from new current authority       1,619       1,679       1,757
    86.93 Outlays from current balances.....         103         123         127
    86.97 Outlays from new permanent
            authority.......................      60,308      64,165      71,369
    86.98 Outlays from permanent balances...       3,183       4,904       4,931
                                               ---------   ---------  ----------

    87.00   Total outlays (gross)...........      65,213      70,871      78,184
    ----------------------------------------------------------------------------

        Net budget authority and outlays:
    89.00 Budget authority..................      66,953      70,903      78,177
    90.00 Outlays...........................      65,213      70,871      78,184
    ---------------------------------------------------------------------------

                     Summary of Budget Authority and Outlays

                            [In millions of dollars]

                                         1995 actual  1996 est.   1997 est.
    Enacted/requested:
      Budget Authority..................      66,953      70,903      78,177
      Outlays...........................      65,213      70,871      78,184
    Legislative proposal, not subject to
        PAYGO:
      Budget Authority..................                    -337        -337
      Outlays...........................                    -337        -337
    Legislative proposal, subject to
        PAYGO:
      Budget Authority..................                     327       8,071
      Outlays...........................                     327       8,071
    Adjustment to 1996 continuing
        resolution levels:
      Budget Authority..................                      36
      Outlays...........................                      36
                                        ------------------------------------
    Total:
      Budget Authority..................      66,953      70,929      85,911
      Outlays...........................      65,213      70,897      85,918
                                        ====================================

        The Supplementary Medical Insurance (SMI) program is a voluntary
    program which 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 financed
    by premium payments from enrollees and contributions from the general
    revenues.

        The status of the trust fund is as follows:

                       Status of Funds (in millions of dollars)

    ----------------------------------------------------------------------------
    Identification code 20-8004-0-7-571      1995 actual   1996 est.   1997 est.
    ----------------------------------------------------------------------------
        Unexpended balance, start of year:
    0100  Treasury balance..................        -570         361           1
    0101  U.S. Securities: U.S. securities:
            Par value.......................      21,489      13,513      24,834
                                               ---------   ---------  ----------

    0199    Total balance, start of year....      20,919      13,874      24,835
        Cash income during the year:
          Proprietary receipts:

    0221    Premiums collected for the aged,
              FSMI Fund.....................      17,126      16,622      16,813
    0222    Premiums collected for the aged,
              proposed law, FSMI Fund.......                                -146
            Proprietary receipts Receipt
                Acct:
    0223      Premiums collected for the
                disabled, FSMI Fund.........       2,117       2,120       2,250
    0223      Premiums collected for the
                disabled, proposed law, FSMI
                Fund........................                                 -19
    0224    Proprietary receipts............           3
          Intragovernmental transactions:

    0240    Federal contributions, FSMI Fund      36,988      61,331      59,456
    0241    Federal Contributions, proposed
              law, FSMI Fund................                               7,867
    0242    Interest received by trust fund,
              FSMI Fund.....................       1,935       1,786       2,203
    0243    Interest received by trust fund,
              proposed law, FSMI Fund.......                      -1          -2
    0297  Income under present law..........      58,169      81,859      80,722
    0298  Income under proposed legislation.                      -1       7,700
                                               ---------   ---------  ----------

    0299    Total cash income...............      58,169      81,858      88,422
        Cash outgo during year:
          Cash outgo during the year (-) Budget Acct:

    0501    Cash outgo for benefit payments
              & ESRD........................     -63,482     -69,055     -76,287
    0501    Benefit payments, proposed
              legislation...................                      86      -7,601
    0502  Cash outgo for administration.....      -1,704      -1,790      -1,869
          Cash outgo during the year (-) Budget Acct:

    0503    Administration, proposed
              legislation...................                     337         337
    0503    Administration, proposed
              legislation...................                    -413        -470
    0503    Administration, proposed
              legislation...................                     -32
    0504  Cash outgo for peer review
            organizations...................          -9         -13         -14
          Cash outgo during the year (-) Budget Acct:

    0505    Cash outgo for research.........         -18         -13         -14
    0505    Cash outgo for research.........                      -4
    0597  Outgo under present law (-).......     -65,213     -70,871     -78,184

    [[Page 493]]

    0598  Outgo under proposed legislation
            (-).............................                     -26      -7,734
                                               ---------   ---------  ----------

    0599  Total cash outgo (-)..............     -65,213     -70,897     -85,918
        Unexpended balance, end of year:
    0700  Treasury balance..................         361           1           1
    0701  U.S. Securities: U.S. securities:
            Par value.......................      13,513      24,834      27,338
                                               ---------   ---------  ----------

    0799    Total balance, end of year......      13,874      24,835      27,339
    ---------------------------------------------------------------------------

                   Object Classification (in millions of dollars)

    ----------------------------------------------------------------------------
    Identification code 20-8004-0-7-571      1995 actual   1996 est.   1997 est.
    ----------------------------------------------------------------------------
    25.3  Purchases of goods and services
            from Government accounts........       1,393       1,457       1,475
          Grants, subsidies, and contributions:

    41.0    Payment for peer review
              organization (PRO) activity...           2          33           4
    41.0    Payment for health insurance
              experiments and demonstration
              projects......................          19           9          13
    42.0  Insurance claims and indemnities..      65,182      69,055      76,287
    93.0  Administrative expenses: Portion
            of limitation on salaries and
            expenses: Social Security
            Administration..................         357         349         397
                                               ---------   ---------  ----------

    99.9    Total obligations...............      66,953      70,903      78,177
    ---------------------------------------------------------------------------

               Federal Supplementary Medical Insurance Trust Fund

                  (Legislative proposal, not subject to PAYGO)

                   Program and Financing (in millions of dollars)

    ----------------------------------------------------------------------------
    Identification code 20-8004-2-7-571      1995 actual   1996 est.   1997 est.
    ----------------------------------------------------------------------------

        Obligations by program activity:
    10.00 Total obligations.................                    -337        -337
    ----------------------------------------------------------------------------

        Budgetary resources available for obligation:
    22.00 New budget authority (gross)......                    -337        -337
    23.95 New obligations...................                     337         337
    ----------------------------------------------------------------------------

        New budget authority (gross), detail:
    60.28 Appropriation (unavailable
            balances).......................                    -337        -337
    ----------------------------------------------------------------------------

        Change in unpaid obligations:
    73.10 New obligations...................                    -337        -337
    73.20 Total outlays (gross).............                     337         337
    ----------------------------------------------------------------------------

        Outlays (gross), detail:
    86.90 Outlays from new current authority                    -337        -337
                                               ---------   ---------  ----------

    87.00   Total outlays (gross)...........                    -337        -337
    ----------------------------------------------------------------------------

        Net budget authority and outlays:
    89.00 Budget authority..................                    -337        -337
    90.00 Outlays...........................                    -337        -337
    ---------------------------------------------------------------------------

        This schedule reflects the effects on the Supplementary Medical
    Insurance Trust Fund of the Administration's proposal to shift spending
    on Medicare anti-fraud activities from discretionary to mandatory.

                   Object Classification (in millions of dollars)

    ----------------------------------------------------------------------------
    Identification code 20-8004-2-7-571      1995 actual   1996 est.   1997 est.
    ----------------------------------------------------------------------------
    25.3  Purchases of goods and services
            from Government accounts........                    -329        -329
    92.0  Undistributed.....................                      -8          -8
                                               ---------   ---------  ----------

    99.9    Total obligations...............                    -337        -337
    ---------------------------------------------------------------------------

               Federal Supplementary Medical Insurance Trust Fund

                    (Legislative proposal, subject to PAYGO)

                   Program and Financing (in millions of dollars)

    ----------------------------------------------------------------------------
    Identification code 20-8004-4-7-571      1995 actual   1996 est.   1997 est.
    ----------------------------------------------------------------------------

        Obligations by program activity:
    00.01 Benefit payments, SMI.............                               7,860
    00.02 Administration, SMI...............                     413         470
    00.05 Benefits--program integrity.......                     -86        -259
                                               ---------   ---------  ----------

    10.00   Total obligations...............                     327       8,071
    ----------------------------------------------------------------------------

        Budgetary resources available for obligation:
    22.00 New budget authority (gross)......                     327       8,071
    23.95 New obligations...................                    -327      -8,071
    ----------------------------------------------------------------------------

        New budget authority (gross), detail:
    60.27 Appropriation (trust fund,
            indefinite).....................                      -1       7,700
    60.28 Appropriation (unavailable
            balances).......................                     328         371
                                               ---------   ---------  ----------

    63.00   Appropriation (total)...........                     327       8,071
                                               ---------   ---------  ----------

    70.00   Total new budget authority
              (gross).......................                     327       8,071
    ----------------------------------------------------------------------------

        Change in unpaid obligations:
    73.10 New obligations...................                     327       8,071
    73.20 Total outlays (gross).............                    -327      -8,071
    ----------------------------------------------------------------------------

        Outlays (gross), detail:
    86.90 Outlays from new current authority                     413         470
    86.97 Outlays from new permanent
            authority.......................                     -86       7,601
                                               ---------   ---------  ----------

    87.00   Total outlays (gross)...........                     327       8,071
    ----------------------------------------------------------------------------

        Net budget authority and outlays:
    89.00 Budget authority..................                     327       8,071
    90.00 Outlays...........................                     327       8,071
    ---------------------------------------------------------------------------

        This schedule reflects the effects of the Medicare reform proposals
    contained in the Administration's balanced budget proposal on the
    Supplementary Medical Insurance Trust Fund.

                   Object Classification (in millions of dollars)

    ----------------------------------------------------------------------------
    Identification code 20-8004-4-7-571      1995 actual   1996 est.   1997 est.
    ----------------------------------------------------------------------------
    25.3  Purchases of goods and services
            from Government accounts........                     366         416
          Insurance claims and indemnities:

    42.0    Insurance claims and indemnities                     -86        -259
    42.0    Insurance claims and indemnities                               7,860
    92.0  Reimbursement for Administrative
            Expenses for Other Than SSA LAE.                      47          54
                                               ---------   ---------  ----------

    99.9    Total obligations...............                     327       8,071
    ---------------------------------------------------------------------------

                    ADMINISTRATION FOR CHILDREN AND FAMILIES

                                  Federal Funds

    General and special funds:

                        Family Support Payments to States

        For making payments to States or other non-Federal entities, except
    as otherwise provided, under titles I, IV-A (other than section
    402(g)(6)) and D, X, XI, XIV, and XVI of the Social Security Act, and
    the Act of July 5, 1960 (24 U.S.C. ch. 9), $13,301,000,000, to remain
    available until expended.
        For making, after May 31 of the current fiscal year, payments to
    States or other non-Federal entities under titles I, IV-A and D, X, XI,
    XIV, and XVI of the Social Security Act, for the last three months of
    the current year for unanticipated costs, incurred for the current
    fiscal year, such sums as may be necessary.
        For making payments to States or other non-Federal entities under
    titles I, IV-A (other than section 402(g)(6)) and D, X, XI, XIV, and XVI
    of the Social Security Act and the Act of July 5, 1960 (24 U.S.C.

    [[Page 494]]
    ch. 9) for the first quarter of fiscal year 1998, $4,700,000,000, to
    remain available until expended.
        Note.--A regular 1996 appropriation for this account had not been
    enacted at the time this budget was prepared. The 1996 amounts included
    in this budget are based on the levels provided in three continuing
    resolutions: P.L. 104-91, P.L. 104-92, and P.L. 104-99.

                   Program and Financing (in millions of dollars)

    ----------------------------------------------------------------------------
    Identification code 75-1501-0-1-609      1995 actual   1996 est.   1997 est.
    ----------------------------------------------------------------------------

        Obligations by program activity:
          Aid to families with dependent children (AFDC)
              payments:

            Benefit payments:
    00.01     Properly issued payments......      11,436      10,698      11,022
    00.02     Erroneously issued payments...         743         683         691
    00.03     Collection of excess State
                errors......................                     -41         -52
                                               ---------   ---------  ----------

    00.91   Subtotal, benefit payments......      12,179      11,340      11,661
    01.02 Payments to territories...........          25          25          25
    01.03 Emergency assistance..............         984       1,687       1,867
    01.04 Repatriation......................                       1           1
    01.05 AFDC day care.....................         655         820         879
    01.06 Transitional day care.............         200         249         268
    01.07 At-risk day care..................         297         335         300
    01.08 State welfare administrative costs       1,780       1,679       1,875
                                               ---------   ---------  ----------

    01.91   Subtotal, other payments........       3,941       4,796       5,215
                                               ---------   ---------  ----------

    02.00   Subtotal, AFDC..................      16,120      16,136      16,876
    02.01 Gross Federal share of collections      -1,212      -1,282      -1,366
    02.02 Federal incentive payments to
            States..........................         390         429         459
    02.03 State child support administrative
            costs...........................       2,124       1,916       2,132
                                               ---------   ---------  ----------

    02.91   Subtotal, CSE...................       1,302       1,063       1,225
    03.01 Federal administration............           1
                                               ---------   ---------  ----------

    10.00   Total obligations (object class
              41.0).........................      17,423      17,199      18,101
    ----------------------------------------------------------------------------

        Budgetary resources available for obligation:
    21.40 Unobligated balance available,
            start of year: Uninvested
            balance.........................          37         105
    22.00 New budget authority (gross)......      17,491      17,094      18,101
                                               ---------   ---------  ----------

    23.90   Total budgetary resources
              available for obligation......      17,528      17,199      18,101
    23.95 New obligations...................     -17,423     -17,199     -18,101
    24.40 Unobligated balance available, end
            of year: Uninvested balance.....         105
    ----------------------------------------------------------------------------

        New budget authority (gross), detail:
          Current:

    40.00   Appropriation...................      12,762      12,694      13,301
    40.05   Appropriation (indefinite)......         529
                                               ---------   ---------  ----------

    43.00     Appropriation (total).........      13,291      12,694      13,301
          Permanent:

    65.00   Advance appropriation (definite)       4,200       4,400       4,800
                                               ---------   ---------  ----------

    70.00   Total new budget authority
              (gross).......................      17,491      17,094      18,101
    ----------------------------------------------------------------------------

        Change in unpaid obligations:
    72.40 Unpaid obligations, start of year:
            Obligated balance: Appropriation       1,400       1,690       1,523
    73.10 New obligations...................      17,423      17,199      18,101
    73.20 Total outlays (gross).............     -17,133     -17,366     -17,956
    74.40 Unpaid obligations, end of year:
            Obligated balance: Appropriation       1,690       1,523       1,667
    ----------------------------------------------------------------------------

        Outlays (gross), detail:
    86.90 Outlays from new current authority      11,957      11,597      11,632
    86.93 Outlays from current balances.....       1,354       1,765       1,523
    86.97 Outlays from new permanent
            authority.......................       3,822       4,004       4,800
                                               ---------   ---------  ----------

    87.00   Total outlays (gross)...........      17,133      17,366      17,956
    ----------------------------------------------------------------------------

        Net budget authority and outlays:
    89.00 Budget authority..................      17,491      17,094      18,101
    90.00 Outlays...........................      17,133      17,366      17,956
    ---------------------------------------------------------------------------

                        Low Income Home Energy Assistance

        For making payments under title XXVI of the Omnibus Budget
    Reconciliation Act of 1981: (1) $1,000,000,000, to be available in the
    period October 1, 1996 through September 30, 1997; (2) an additional
    $300,000,000, which is hereby designated by Congress to be emergency
    requirements pursuant to section 251(b)(2)(D)(i) of the Balanced Budget
    and Emergency Deficit Control Act of 1985, as amended, and which shall
    be made available only after submission to Congress of a formal budget
    request by the President that includes designation of the entire amount
    of the request as an emergency requirement as defined in that Act; and
    (3) $1,000,000,000, to be available for the period October 1, 1997
    through September 30, 1998.
        Note.--A regular 1996 appropriation for this account had not been
    enacted at the time this budget was prepared. The 1996 amounts included
    in this budget are based on the levels provided in three continuing
    resolutions: P.L. 104-91, P.L. 104-92, and P.L. 104-99.

                   Program and Financing (in millions of dollars)

    ----------------------------------------------------------------------------
    Identification code 75-1502-0-1-609      1995 actual   1996 est.   1997 est.
    ----------------------------------------------------------------------------

        Obligations by program activity:
    10.00 Total obligations (object class
            41.0)...........................       1,419       1,000       1,000
    ----------------------------------------------------------------------------

        Budgetary resources available for obligation:
    22.00 New budget authority (gross)......       1,419       1,000       1,000
    23.95 New obligations...................      -1,419      -1,000      -1,000
    ----------------------------------------------------------------------------

        New budget authority (gross), detail:
          Current:

    40.00   Appropriation...................         100
          Permanent:

    65.00   Advance appropriation (definite)       1,319       1,000       1,000
                                               ---------   ---------  ----------

    70.00   Total new budget authority
              (gross).......................       1,419       1,000       1,000
    ----------------------------------------------------------------------------

        Change in unpaid obligations:
    72.40 Unpaid obligations, start of year:
            Obligated balance: Appropriation         347         346          94
    73.10 New obligations...................       1,419       1,000       1,000
    73.20 Total outlays (gross).............      -1,419      -1,252      -1,025
    73.40 Adjustments in expired accounts...          -1
    74.40 Unpaid obligations, end of year:
            Obligated balance: Appropriation         346          94          69
    ----------------------------------------------------------------------------

        Outlays (gross), detail:
    86.90 Outlays from new current authority         100
    86.93 Outlays from current balances.....          85
    86.97 Outlays from new permanent
            authority.......................       1,013         940         940
    86.98 Outlays from permanent balances...         221         312          83
                                               ---------   ---------  ----------

    87.00   Total outlays (gross)...........       1,419       1,252       1,025
    88.95 Change in orders on hand from
            Federal sources.................
    ----------------------------------------------------------------------------

        Net budget authority and outlays:
    89.00 Budget authority..................       1,419       1,000       1,000
    90.00 Outlays...........................       1,419       1,252       1,025
    ---------------------------------------------------------------------------

        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.

                         Refugee and Entrant Assistance

        For making payments for refugee and entrant assistance activities
    authorized by title IV of the Immigration and Nationality Act and
    section 501 of the Refugee Education Assistance Act of 1980 (Public Law
    96-422), $381,536,000.
        Note.--A regular 1996 appropriation for this account had not been
    enacted at the time this budget was prepared. The 1996 amounts included
    in this budget are based on the levels provided in three continuing
    resolutions: P.L. 104-91, P.L. 104-92, and P.L. 104-99.

                        [Refugee Resettlement Assistance]

        [For necessary expenses for the targeted assistance program
    authorized by title IV of the Immigration and Nationality Act and
    section 501 of the Refugee Education Assistance Act of 1980 and
    administered by the Office of Refugee Resettlement of the Department of
    Health and Human Services, in addition to amounts otherwise available
    for such purposes, $5,000,000.] (Foreign Operations, Export Financing,
    and Related Appropriations Act, 1996.)

    [[Page 495]]

                   Program and Financing (in millions of dollars)

    ----------------------------------------------------------------------------
    Identification code 75-1503-0-1-609      1995 actual   1996 est.   1997 est.
    ----------------------------------------------------------------------------

        Obligations by program activity:
    10.00 Total obligations.................         396         405         382
    ----------------------------------------------------------------------------

        Budgetary resources available for obligation:
    21.40 Unobligated balance available,
            start of year: Uninvested
            balance.........................           2           2           2
    22.00 New budget authority (gross)......         406         405         382
    22.30 Unobligated balance expiring......         -10
                                               ---------   ---------  ----------

    23.90   Total budgetary resources
              available for obligation......         398         407         384
    23.95 New obligations...................        -396        -405        -382
    24.40 Unobligated balance available, end
            of year: Uninvested balance.....           2           2           2
    ----------------------------------------------------------------------------

        New budget authority (gross), detail:
    40.00 Appropriation.....................         406         405         382
    ----------------------------------------------------------------------------

        Change in unpaid obligations:
    72.40 Unpaid obligations, start of year:
            Obligated balance: Appropriation         297         297         303
    73.10 New obligations...................         396         405         382
    73.20 Total outlays (gross).............        -393        -399        -389
    73.40 Adjustments in expired accounts...          -3
    74.40 Unpaid obligations, end of year:
            Obligated balance: Appropriation         297         303         296
    ----------------------------------------------------------------------------

        Outlays (gross), detail:
    86.90 Outlays from new current authority         219         229         216
    86.93 Outlays from current balances.....         174         170         173
                                               ---------   ---------  ----------

    87.00   Total outlays (gross)...........         393         399         389
    ----------------------------------------------------------------------------

        Net budget authority and outlays:
    89.00 Budget authority..................         406         405         382
    90.00 Outlays...........................         393         399         389
    ---------------------------------------------------------------------------

        States are subsidized for administering the refugee assistance
    program.

                   Object Classification (in millions of dollars)

    ----------------------------------------------------------------------------
    Identification code 75-1503-0-1-609      1995 actual   1996 est.   1997 est.
    ----------------------------------------------------------------------------
    25.3  Purchases of goods and services
            from Government accounts........           3           3           3
    41.0  Grants, subsidies, and
            contributions...................         393         402         379
                                               ---------   ---------  ----------

    99.9    Total obligations...............         396         405         382
    ---------------------------------------------------------------------------

                         Family Preservation and Support

        For carrying out Section 430 of the Social Security Act,
    $240,000,000.
        Note.--A regular 1996 appropriation for this account had not been
    enacted at the time this budget was prepared. The 1996 amounts included
    in this budget are based on the levels provided in three continuing
    resolutions: P.L. 104-91, P.L. 104-92, and P.L. 104-99.

                   Program and Financing (in millions of dollars)

    ----------------------------------------------------------------------------
    Identification code 75-1512-0-1-506      1995 actual   1996 est.   1997 est.
    ----------------------------------------------------------------------------

        Obligations by program activity:
    00.01 Grants to States and Tribes.......         139         209         224
    00.02 Training and technical assistance.           6           6           6
    00.03 State court assessment activities.           5          10          10
                                               ---------   ---------  ----------

    10.00   Total obligations...............         150         225         240
    ----------------------------------------------------------------------------

        Budgetary resources available for obligation:
    22.00 New budget authority (gross)......         150         225         240
    23.95 New obligations...................        -150        -225        -240
    ----------------------------------------------------------------------------

        New budget authority (gross), detail:
    40.00 Appropriation.....................         150         225         240
    ----------------------------------------------------------------------------

        Change in unpaid obligations:
    72.40 Unpaid obligations, start of year:
            Obligated balance: Appropriation          59         171         264
    73.10 New obligations...................         150         225         240
    73.20 Total outlays (gross).............         -38        -132        -201
    74.40 Unpaid obligations, end of year:
            Obligated balance: Appropriation         171         264         303
    ----------------------------------------------------------------------------

        Outlays (gross), detail:
    86.90 Outlays from new current authority                      34          36
    86.93 Outlays from current balances.....          38          98         165
                                               ---------   ---------  ----------

    87.00   Total outlays (gross)...........          38         132         201
    ----------------------------------------------------------------------------

        Net budget authority and outlays:
    89.00 Budget authority..................         150         225         240
    90.00 Outlays...........................          38         132         201
    ---------------------------------------------------------------------------

                   Object Classification (in millions of dollars)

    ----------------------------------------------------------------------------
    Identification code 75-1512-0-1-506      1995 actual   1996 est.   1997 est.
    ----------------------------------------------------------------------------
    25.1  Advisory and assistance services..           3           6           6
    25.3  Purchases of goods and services
            from Government accounts........           2
    41.0  Grants, subsidies, and
            contributions...................         145         219         234
                                               ---------   ---------  ----------

    99.9    Total obligations...............         150         225         240
    ---------------------------------------------------------------------------

     Payments to States for the Job Opportunities and Basic Skills Training
                                     Program

        For carrying out the Job Opportunities and Basic Skills Training
    Program (JOBS), as authorized by part F of title IV of the Social
    Security Act, $1,000,000,000.
        Note.--A regular 1996 appropriation for this account had not been
    enacted at the time this budget was prepared. The 1996 amounts included
    in this budget are based on the levels provided in three continuing
    resolutions: P.L. 104-91, P.L. 104-92, and P.L. 104-99.

                   Program and Financing (in millions of dollars)

    ----------------------------------------------------------------------------
    Identification code 75-1509-0-1-504      1995 actual   1996 est.   1997 est.
    ----------------------------------------------------------------------------

        Obligations by program activity:
    10.00 Total obligations (object class
            41.0)...........................       1,012         990       1,000
    ----------------------------------------------------------------------------

        Budgetary resources available for obligation:
    22.00 New budget authority (gross)......       1,300       1,000       1,000
    22.30 Unobligated balance expiring......        -288         -10
                                               ---------   ---------  ----------

    23.90   Total budgetary resources
              available for obligation......       1,012         990       1,000
    23.95 New obligations...................      -1,012        -990      -1,000
    ----------------------------------------------------------------------------

        New budget authority (gross), detail:
    40.00 Appropriation.....................       1,300       1,000       1,000
    ----------------------------------------------------------------------------

        Change in unpaid obligations:
    72.40 Unpaid obligations, start of year:
            Obligated balance: Appropriation         281         314         345
    73.10 New obligations...................       1,012         990       1,000
    73.20 Total outlays (gross).............        -953        -959        -988
    73.40 Adjustments in expired accounts...         -26
    74.40 Unpaid obligations, end of year:
            Obligated balance: Appropriation         314         345         357
    ----------------------------------------------------------------------------

        Outlays (gross), detail:
    86.90 Outlays from new current authority         759         743         750
    86.93 Outlays from current balances.....         194         216         238
                                               ---------   ---------  ----------

    87.00   Total outlays (gross)...........         953         959         988
    ----------------------------------------------------------------------------

        Net budget authority and outlays:
    89.00 Budget authority..................       1,300       1,000       1,000
    90.00 Outlays...........................         953         959         988
    ---------------------------------------------------------------------------

        This appropriation funds employment, training, and education
    activities created by the Family Support Act of 1988.

    [[Page 496]]

                   State Legalization Impact-Assistance Grants

                   Program and Financing (in millions of dollars)

    ----------------------------------------------------------------------------
    Identification code 75-1508-0-1-506      1995 actual   1996 est.   1997 est.
    ----------------------------------------------------------------------------

        Obligations by program activity:
    00.01 Grants to States..................         191
    00.03 Citizenship grants................           4
                                               ---------   ---------  ----------

    10.00   Total obligations (object class
              41.0).........................         195
    ----------------------------------------------------------------------------

        Budgetary resources available for obligation:
    22.00 New budget authority (gross)......         195
    23.95 New obligations...................        -195
    ----------------------------------------------------------------------------

        New budget authority (gross), detail:
          Current:

    40.00   Appropriation...................           4
          Permanent:

    60.05   Appropriation (indefinite)......         191
                                               ---------   ---------  ----------

    70.00   Total new budget authority
              (gross).......................         195
    ----------------------------------------------------------------------------

        Change in unpaid obligations:
    72.40 Unpaid obligations, start of year:
            Obligated balance: Appropriation         363           4           1
    73.10 New obligations...................         195
    73.20 Total outlays (gross).............        -358          -3          -1
    73.40 Adjustments in expired accounts...        -196
    74.40 Unpaid obligations, end of year:
            Obligated balance: Appropriation           4           1
    ----------------------------------------------------------------------------

        Outlays (gross), detail:
    86.93 Outlays from current balances.....                       3           1
    86.97 Outlays from new permanent
            authority.......................         191
    86.98 Outlays from permanent balances...         167
                                               ---------   ---------  ----------

    87.00   Total outlays (gross)...........         358           3           1
    ----------------------------------------------------------------------------

        Net budget authority and outlays:
    89.00 Budget authority..................         195
    90.00 Outlays...........................         358           3           1
    ---------------------------------------------------------------------------

        Payments to States for the Child Care and Development Block Grant

        For carrying out sections 658A through 658R of the Omnibus Budget
    Reconciliation Act of 1981 (The Child Care and Development Block Grant
    Act of 1990), $1,048,825,000, which shall be available for obligation
    under the same statutory terms and conditions applicable in the prior
    fiscal year.
        Note.--A regular 1996 appropriation for this account had not been
    enacted at the time this budget was prepared. The 1996 amounts included
    in this budget are based on the levels provided in three continuing
    resolutions: P.L. 104-91, P.L. 104-92, and P.L. 104-99.

                   Program and Financing (in millions of dollars)

    ----------------------------------------------------------------------------
    Identification code 75-1515-0-1-609      1995 actual   1996 est.   1997 est.
    ----------------------------------------------------------------------------

        Obligations by program activity:
    00.01 Block grant payments to States....         932         932       1,046
    00.02 Advisory and assistance services..           3           3           3
                                               ---------   ---------  ----------

    10.00   Total obligations...............         935         935       1,049
    ----------------------------------------------------------------------------

        Budgetary resources available for obligation:
    22.00 New budget authority (gross)......         935         935       1,049
    23.95 New obligations...................        -935        -935      -1,049
    ----------------------------------------------------------------------------

        New budget authority (gross), detail:
    40.00 Appropriation.....................         935         935       1,049
    ----------------------------------------------------------------------------

        Change in unpaid obligations:
    72.40 Unpaid obligations, start of year:
            Obligated balance: Appropriation       1,413       1,415       1,415
    73.10 New obligations...................         935         935       1,049
    73.20 Total outlays (gross).............        -933        -935        -946
    74.40 Unpaid obligations, end of year:
            Obligated balance: Appropriation       1,415       1,415       1,518
    ----------------------------------------------------------------------------

        Outlays (gross), detail:
    86.93 Outlays from current balances.....         933         935         946
                                               ---------   ---------  ----------

    87.00   Total outlays (gross)...........         933         935         946
    ----------------------------------------------------------------------------

        Net budget authority and outlays:
    89.00 Budget authority..................         935         935       1,049
    90.00 Outlays...........................         933         935         946
    ---------------------------------------------------------------------------

        This appropriation helps low-income families pay for child care and
    related services.

                   Object Classification (in millions of dollars)

    ----------------------------------------------------------------------------
    Identification code 75-1515-0-1-609      1995 actual   1996 est.   1997 est.
    ----------------------------------------------------------------------------
    25.1  Advisory and assistance services..           2           2           3
    25.2  Other services....................           1
    41.0  Grants, subsidies, and
            contributions...................         932         932       1,046
    99.5  Below reporting threshold.........                       1
                                               ---------   ---------  ----------

    99.9    Total obligations...............         935         935       1,049
    ---------------------------------------------------------------------------

                           Social Services Block Grant

        For making grants to States pursuant to section 2002 of the Social
    Security Act, $2,800,000,000.
        Note.--A regular 1996 appropriation for this account had not been
    enacted at the time this budget was prepared. The 1996 amounts included
    in this budget are based on the levels provided in three continuing
    resolutions: P.L. 104-91, P.L. 104-92, and P.L. 104-99.

                   Program and Financing (in millions of dollars)

    ----------------------------------------------------------------------------
    Identification code 75-1534-0-1-506      1995 actual   1996 est.   1997 est.
    ----------------------------------------------------------------------------

        Obligations by program activity:
    00.01 Block grant.......................       2,800       2,800       2,800
    00.02 Empowerment zone..................         640         360
                                               ---------   ---------  ----------

    00.91   Total direct program............       3,440       3,160       2,800
    01.01 Reimbursable......................           6
                                               ---------   ---------  ----------

    10.00   Total obligations (object class
              41.0).........................       3,446       3,160       2,800
    ----------------------------------------------------------------------------

        Budgetary resources available for obligation:
    21.40 Unobligated balance available,
            start of year: Uninvested
            balance.........................       1,000         360
    22.00 New budget authority (gross)......       2,806       2,800       2,800
                                               ---------   ---------  ----------

    23.90   Total budgetary resources
              available for obligation......       3,806       3,160       2,800
    23.95 New obligations...................      -3,446      -3,160      -2,800
    24.40 Unobligated balance available, end
            of year: Uninvested balance.....         360
    ----------------------------------------------------------------------------

        New budget authority (gross), detail:
          Current:

    40.00   Appropriation...................       2,800       2,800       2,800
          Permanent:

    68.00   Spending authority from
              offsetting collections:
              Offsetting collections (cash).           6
                                               ---------   ---------  ----------

    70.00   Total new budget authority
              (gross).......................       2,806       2,800       2,800
    ----------------------------------------------------------------------------

        Change in unpaid obligations:
    72.40 Unpaid obligations, start of year:
            Obligated balance: Appropriation         319         962         939
    73.10 New obligations...................       3,446       3,160       2,800
    73.20 Total outlays (gross).............      -2,803      -3,183      -2,839
    74.40 Unpaid obligations, end of year:
            Obligated balance: Appropriation         962         939         900
    ----------------------------------------------------------------------------

        Outlays (gross), detail:
    86.90 Outlays from new current authority       2,519       2,520       2,520
    86.93 Outlays from current balances.....         278         663         319
    86.97 Outlays from new permanent
            authority.......................           6
                                               ---------   ---------  ----------

    87.00   Total outlays (gross)...........       2,803       3,183       2,839
    ----------------------------------------------------------------------------

        Offsets:
          Against gross budget authority and outlays:

    88.45   Offsetting collections (cash)
              from: Offsetting governmental
              collections...................          -6
    ----------------------------------------------------------------------------

    [[Page 497]]

        Net budget authority and outlays:
    89.00 Budget authority..................       2,800       2,800       2,800
    90.00 Outlays...........................       2,797       3,183       2,839
    ---------------------------------------------------------------------------

        Social services block grant.--The proposed level will support grants
    to States for social services to: (1) prevent, reduce, or eliminate
    dependency; (2) prevent neglect, abuse, or exploitation of children and
    adults; (3) prevent or reduce inappropriate institutional care; (4)
    secure admission or referral for institutional care when other forms of
    care are not appropriate; and (5) provide services to individuals in
    institutions.

                     Children and Families Services Programs

        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, chapters 1 and 2 of subtitle B of title III of the Anti-
    Drug Abuse Act of 1988, the Family Violence Prevention and Services Act,
    the Native American Programs Act of 1974, title II of Public Law 95-266
    (adoption opportunities), the Abandoned Infants Assistance Act of 1988,
    part B(1) of title IV and section 1110 of the Social Security Act; for
    making payments under the Community Services Block Grant Act; and for
    necessary administrative expenses to carry out said Acts and titles I,
    IV, X, XI, XIV, XVI, and XX of the Social Security Act, the Act of July
    5, 1960 (24 U.S.C. ch. 9), the Omnibus Budget Reconciliation Act of
    1981, title IV of the Immigration and Nationality Act, section 501 of
    the Refugee Education Assistance Act of 1980, Public Law 100-77,
    sections 30401, 40211, 40241, and title III of Public Law 103-322, and
    section 126 and titles IV and V of Public Law 100-485, $5,251,328,000,
    of which $30,000,000 for the Teen Pregnancy Prevention Program under
    section 1110 of the Social Security Act shall remain available until
    expended.
        Note.--A regular 1996 appropriation for this account had not been
    enacted at the time this budget was prepared. The 1996 amounts included
    in this budget are based on the levels provided in three continuing
    resolutions: P.L. 104-91, P.L. 104-92, and P.L. 104-99.

                   Program and Financing (in millions of dollars)

    ----------------------------------------------------------------------------
    Identification code 75-1536-0-1-506      1995 actual   1996 est.   1997 est.
    ----------------------------------------------------------------------------

        Obligations by program activity:
    00.01 Head Start........................       3,534       3,397       3,981
          Social services programs:

            Children, youth, and families:
    01.01     Child development associate
                scholarships................           1
    01.03     Runaway and homeless youth....          40          40
    01.04     Runaway youth transitional
                living......................          14          14
    01.05     Runaway youth activities--
                drugs.......................          14
    01.06     Comprehensive runaway and
                homeless youth..............                                  69
    01.07     Child abuse state grants......          23          23          23
    01.08     Child abuse discretionary
                grants......................          15          15
    01.09     Community based resource
                centers.....................          31                      51
    01.10     Teen pregnancy prevention
                initiative..................                                  30
    01.11     Abandoned infants assistance..          14          12          14
    01.12     Dependent care grants.........          13
    01.13     Temporary child care and
                crisis nurseries............          12          10
    01.14     Child welfare services........         292         292         292
    01.15     Child welfare training........           4           2
    01.16     Child welfare research and
                demonstration...............           6
    01.17     Adoption opportunities........          13          11
    01.18     Drug abuse preventions for
                youth gangs.................          10
    01.19     Family violence grants........          33          33          33
    01.20     Social services and income
                maintenance research........          15                      10
    01.21     Family support centers........           7
    01.22     Child welfare innovative
                programs....................                                  39
            Developmental disabilities:
    01.23     State grants and advocacy.....          97          67          97
    01.24     Special projects and
                university affiliated
                projects....................          24          13          24
    01.25     Native american programs......          38          35          38
                                               ---------   ---------  ----------

    01.91     Subtotal social services
                programs....................         716         567         720
    02.01 ACF Federal administration........         161         151         160
    02.03 White House Conference on Aging...           1
                                               ---------   ---------  ----------

    02.91   Subtotal, administrative
              activities....................         162         151         160
                                               ---------   ---------  ----------

    02.93   Total direct program............       4,412       4,115       4,861
          Community services programs:

    03.01   Community services block grants.         389         390         390
    03.02   Community services emergency
              services for the homeless.....          20
    03.03   Community food and nutrition....           9
    03.04   Community services discretionary          40          39
                                               ---------   ---------  ----------

    03.91   Subtotal, community services....         458         429         390
    04.01 Reimbursable program..............          24          22          22
                                               ---------   ---------  ----------

    10.00   Total obligations...............       4,894       4,566       5,273
    ----------------------------------------------------------------------------

        Budgetary resources available for obligation:
    21.40 Unobligated balance available,
            start of year: Uninvested
            balance.........................           9          13          13
    22.00 New budget authority (gross)......       4,903       4,566       5,273
    22.30 Unobligated balance expiring......          -4
                                               ---------   ---------  ----------

    23.90   Total budgetary resources
              available for obligation......       4,908       4,579       5,286
    23.95 New obligations...................      -4,894      -4,566      -5,273
    24.40 Unobligated balance available, end
            of year: Uninvested balance.....          13          13          13
    ----------------------------------------------------------------------------

        New budget authority (gross), detail:
          Current:

    40.00   Appropriation...................       4,874       4,545       5,251
          Permanent:

    68.00   Spending authority from
              offsetting collections:
              Offsetting collections (cash).          28          22          22
                                               ---------   ---------  ----------

    70.00   Total new budget authority
              (gross).......................       4,903       4,566       5,273
    ----------------------------------------------------------------------------

        Change in unpaid obligations:
    72.40 Unpaid obligations, start of year:
            Obligated balance: Appropriation       3,211       3,308       3,067
    73.10 New obligations...................       4,894       4,566       5,273
    73.20 Total outlays (gross).............      -4,754      -4,807      -4,867
    73.40 Adjustments in expired accounts...         -45
    74.40 Unpaid obligations, end of year:
            Obligated balance: Appropriation       3,308       3,067       3,473
    ----------------------------------------------------------------------------

        Outlays (gross), detail:
    86.90 Outlays from new current authority       2,093       2,006       2,261
    86.93 Outlays from current balances.....       2,633       2,780       2,584
    86.97 Outlays from new permanent
            authority.......................          28          22          22
    86.98 Outlays from permanent balances...
                                               ---------   ---------  ----------

    87.00   Total outlays (gross)...........       4,754       4,807       4,867
    ----------------------------------------------------------------------------

        Offsets:
          Against gross budget authority and outlays:

    88.00   Offsetting collections (cash)
              from: Federal sources.........         -28         -22         -22
    ----------------------------------------------------------------------------

        Net budget authority and outlays:
    89.00 Budget authority..................       4,875       4,544       5,251
    90.00 Outlays...........................       4,726       4,785       4,845
    ---------------------------------------------------------------------------

                     Summary of Budget Authority and Outlays

                            [In millions of dollars]

                                         1995 actual  1996 est.   1997 est.
    Enacted/requested:
      Budget Authority..................       4,874       4,545       5,251
      Outlays...........................       4,726       4,786       4,845
    Adjustment to 1996 continuing
        resolution levels:
      Budget Authority..................                     272
      Outlays...........................                     112         142
                                        ------------------------------------
    Total:
      Budget Authority..................       4,874       4,817       5,251
      Outlays...........................       4,726       4,898       4,987
                                        ====================================

        Head Start.--The proposed level will enable Head Start projects to
    continue comprehensive early childhood education services.

        Social Services.--The proposed level will continue to support State,
    local, and private efforts to provide developmental and other services
    for children, grants to improve support networks for persons with
    developmental disabilities, and economic development assistance to
    Native American populations.

    [[Page 498]]

                   Object Classification (in millions of dollars)

    ----------------------------------------------------------------------------
    Identification code 75-1536-0-1-506      1995 actual   1996 est.   1997 est.
    ----------------------------------------------------------------------------

          Direct obligations:

            Personnel compensation:
    11.1      Full-time permanent...........          96          96         100
    11.3      Other than full-time permanent           1           1           1
    11.5      Other personnel compensation..           1           1           1
                                               ---------   ---------  ----------

    11.9        Total personnel compensation          98          98         102
    12.1    Civilian personnel benefits.....          16          17          18
    13.0    Benefits for former personnel...           3           1           1
    21.0    Travel and transportation of
              persons.......................           4           2           4
    22.0    Transportation of things........           1           1           1
    23.1    Rental payments to GSA..........          13          13          14
    23.2    Rental payments to others.......           1
    23.3    Communications, utilities, and
              miscellaneous charges.........           3           2           2
    24.0    Printing and reproduction.......           1           1           1
    25.1    Advisory and assistance services          70          60          65
    25.2    Other services..................           3           5           9
    25.3    Purchases of goods and services
              from Government accounts......          23          19          20
    25.5    Research and development
              contracts.....................           3
    25.7    Operation and maintenance of
              equipment.....................           5           1           1
    26.0    Supplies and materials..........           1           1           1
    31.0    Equipment.......................           4           1           1
    41.0    Grants, subsidies, and
              contributions.................       4,622       4,323       5,012
                                               ---------   ---------  ----------

    99.0      Subtotal, direct obligations..       4,871       4,545       5,252
    99.0  Reimbursable obligations..........          24          22          22
    99.5  Below reporting threshold.........          -1          -1          -1
                                               ---------   ---------  ----------

    99.9    Total obligations...............       4,894       4,566       5,273
    ---------------------------------------------------------------------------

                                  Personnel Summary

    ----------------------------------------------------------------------------
    Identification code 75-1536-0-1-506      1995 actual   1996 est.   1997 est.
    ----------------------------------------------------------------------------
        Total compensable workyears:
    1001  Full-time equivalent employment...       1,803       1,803       1,803
    1005  Full-time equivalent of overtime
            and holiday hours...............           3           2           3
    ---------------------------------------------------------------------------

                        Violent Crime Reduction Programs

        For activities authorized by sections 30401, 40211, and 40241 of
    Public Law 103-322, $29,000,000, to remain available until expended,
    which shall be derived from the Violent Crime Reduction Trust Fund, of
    which $13,600,000 shall be for the Community Schools Youth Services and
    Supervision Grant Program; $15,000,000 for grants for Battered Women's
    Shelters; and $400,000 for the National Domestic Violence Hotline.
        Note.--A regular 1996 appropriation for this account had not been
    enacted at the time this budget was prepared. The 1996 amounts included
    in this budget are based on the levels provided in three continuing
    resolutions: P.L. 104-91, P.L. 104-92, and P.L. 104-99.

                   Program and Financing (in millions of dollars)

    ----------------------------------------------------------------------------
    Identification code 75-8605-0-1-754      1995 actual   1996 est.   1997 est.
    ----------------------------------------------------------------------------

        Obligations by program activity:
    00.02 Community schools.................          10           8          14
    00.03 Battered women's shelters and
            domestic violence hotline.......           1                      15
                                               ---------   ---------  ----------

    10.00   Total obligations...............          11           8          29
    ----------------------------------------------------------------------------

        Budgetary resources available for obligation:
    22.00 New budget authority (gross)......          11           8          29
    23.95 New obligations...................         -11          -8         -29
    ----------------------------------------------------------------------------

        New budget authority (gross), detail:
    42.00 Transferred from other accounts...          11           8          29
    ----------------------------------------------------------------------------

        Change in unpaid obligations:
    72.40 Unpaid obligations, start of year:
            Obligated balance: Appropriation                      11          12
    73.10 New obligations...................          11           8          29
    73.20 Total outlays (gross).............                      -7         -12
    74.40 Unpaid obligations, end of year:
            Obligated balance: Appropriation          11          12          29
    ----------------------------------------------------------------------------

        Outlays (gross), detail:
    86.90 Outlays from new current authority                       2           6
    86.93 Outlays from current balances.....                       5           6
                                               ---------   ---------  ----------

    87.00   Total outlays (gross)...........                       7          12
    ----------------------------------------------------------------------------

        Net budget authority and outlays:
    89.00 Budget authority..................          11           8          29
    90.00 Outlays...........................                       7          12
    ---------------------------------------------------------------------------

                     Summary of Budget Authority and Outlays

                            [In millions of dollars]

                                         1995 actual  1996 est.   1997 est.
    Enacted/requested:
      Budget Authority..................          11           8          29
      Outlays...........................                       7          12
    Adjustment to 1996 continuing
        resolution levels:
      Budget Authority..................                       5
      Outlays...........................                       1           3
                                        ------------------------------------
    Total:
      Budget Authority..................          11          13          29
      Outlays...........................                       8          15
                                        ====================================

                   Object Classification (in millions of dollars)

    ----------------------------------------------------------------------------
    Identification code 75-8605-0-1-754      1995 actual   1996 est.   1997 est.
    ----------------------------------------------------------------------------
    25.1  Advisory and assistance services..           1                       1
    41.0  Grants, subsidies, and
            contributions...................          10           8          28
                                               ---------   ---------  ----------

    99.9    Total obligations...............          11           8          29
    ---------------------------------------------------------------------------

           Payments to States for Foster Care and Adoption Assistance

        For making payments to States or other non-Federal entities, under
    title IV-E of the Social Security Act, $4,445,000,000; and in addition,
    for the first quarter of fiscal year 1998, $1,111,000,000.
        Note.--A regular 1996 appropriation for this account had not been
    enacted at the time this budget was prepared. The 1996 amounts included
    in this budget are based on the levels provided in three continuing
    resolutions: P.L. 104-91, P.L. 104-92, and P.L. 104-99.

                   Program and Financing (in millions of dollars)

    ----------------------------------------------------------------------------
    Identification code 75-1545-0-1-506      1995 actual   1996 est.   1997 est.
    ----------------------------------------------------------------------------

        Obligations by program activity:
    00.01 Foster care.......................       2,899       3,742       3,807
    00.02 Independent living................          70          70          70
    00.03 Adoption assistance...............         434         510         568
                                               ---------   ---------  ----------

    10.00   Total obligations (object class
              41.0).........................       3,403       4,322       4,445
    ----------------------------------------------------------------------------

        Budgetary resources available for obligation:
    22.00 New budget authority (gross)......       3,597       4,322       4,445
    22.30 Unobligated balance expiring......        -194
                                               ---------   ---------  ----------

    23.90   Total budgetary resources
              available for obligation......       3,403       4,322       4,445
    23.95 New obligations...................      -3,403      -4,322      -4,445
    ----------------------------------------------------------------------------

        New budget authority (gross), detail:
    40.00 Appropriation.....................       3,597       4,322       4,445
    ----------------------------------------------------------------------------

        Change in unpaid obligations:
    72.40 Unpaid obligations, start of year:
            Obligated balance: Appropriation         760         919       1,501
    73.10 New obligations...................       3,403       4,322       4,445
    73.20 Total outlays (gross).............      -3,244      -3,740      -4,144
    74.40 Unpaid obligations, end of year:
            Obligated balance: Appropriation         919       1,501       1,802
    ----------------------------------------------------------------------------

        Outlays (gross), detail:
    86.90 Outlays from new current authority       2,762       3,108       3,086
    86.93 Outlays from current balances.....         481         632       1,058
                                               ---------   ---------  ----------

    87.00   Total outlays (gross)...........       3,244       3,740       4,144
    ----------------------------------------------------------------------------

        Net budget authority and outlays:
    89.00 Budget authority..................       3,597       4,322       4,445

    [[Page 499]]

    90.00 Outlays...........................       3,244       3,740       4,144
    ---------------------------------------------------------------------------

        Foster care.--The proposed level will support eligible low-income
    children who must be placed outside the home. An average of 285,000
    children per month will be served in 1997.

        Adoption assistance.--The proposed funding level will support
    subsidies for families adopting eligible low-income children with
    special needs. An average of 131,000 children per month will be served
    in 1997.

                             ADMINISTRATION ON AGING

                                  Federal Funds

    General and special funds:

                             Aging Services Programs

        For carrying out, to the extent not otherwise provided, the Older
    Americans Act of 1965, as amended, and section 10404 of Public Law 101-
    239 (volunteer senior aides demonstration), $828,137,000.
        Note.--A regular 1996 appropriation for this account had not been
    enacted at the time this budget was prepared. The 1996 amounts included
    in this budget are based on the levels provided in three continuing
    resolutions: P.L. 104-91, P.L. 104-92, and P.L. 104-99.

                   Program and Financing (in millions of dollars)

    ----------------------------------------------------------------------------
    Identification code 75-0142-0-1-506      1995 actual   1996 est.   1997 est.
    ----------------------------------------------------------------------------

        Obligations by program activity:
    01.01 Supportive services and centers...         307         294         295
    01.02 Preventive health.................          17                      17
    01.03 Ombudsman services................           4                       4
    01.04 Elder abuse prevention............           5                       5
    01.05 Congregate meals..................         377         358         357
    01.06 Home-delivered meals..............          94          89          94
    01.07 In-home services..................           9           9           9
    01.08 Grants to Indian tribes...........          17          16          16
    01.09 Research, training and
            discretionary projects..........          26                      12
    01.10 Federal administration............          16          15          17
    01.12 Pension counseling................           2                       2
    01.13 White House Conference on Aging...           3
    01.14 Transfer from USDA for nutrition
            program.........................                                 150
    01.15 DOL transfer for senior community
            service employment program......                                 350
                                               ---------   ---------  ----------

    10.00   Total obligations...............         877         781       1,328
    ----------------------------------------------------------------------------

        Budgetary resources available for obligation:
    22.00 New budget authority (gross)......         877         781       1,328
    23.95 New obligations...................        -877        -781      -1,328
    ----------------------------------------------------------------------------

        New budget authority (gross), detail:
          Current:

    40.00   Appropriation...................         876         781         828
    42.00   Transferred from other accounts.                                 500
                                               ---------   ---------  ----------

    43.00     Appropriation (total).........         876         781       1,328
          Permanent:

    68.00   Spending authority from
              offsetting collections:
              Offsetting collections (cash).           1
                                               ---------   ---------  ----------

    70.00   Total new budget authority
              (gross).......................         877         781       1,328
    ----------------------------------------------------------------------------

        Change in unpaid obligations:
    72.40 Unpaid obligations, start of year:
            Obligated balance: Appropriation         290         216         253
    73.10 New obligations...................         877         781       1,328
    73.20 Total outlays (gross).............        -951        -742        -994
    74.40 Unpaid obligations, end of year:
            Obligated balance: Appropriation         216         253         587
    ----------------------------------------------------------------------------

        Outlays (gross), detail:
    86.90 Outlays from new current authority         698         555         775
    86.93 Outlays from current balances.....         254         188         219
    86.97 Outlays from new permanent
            authority.......................           1
                                               ---------   ---------  ----------

    87.00   Total outlays (gross)...........         951         742         994
    ----------------------------------------------------------------------------

        Offsets:
          Against gross budget authority and outlays:

    88.00   Offsetting collections (cash)
              from: Federal sources.........          -1
    ----------------------------------------------------------------------------

        Net budget authority and outlays:
    89.00 Budget authority..................         876         781       1,328
    90.00 Outlays...........................         951         742         994
    ---------------------------------------------------------------------------

                     Summary of Budget Authority and Outlays

                            [In millions of dollars]

                                         1995 actual  1996 est.   1997 est.
    Enacted/requested:
      Budget Authority..................         876         781       1,328
      Outlays...........................         952         743         994
    Adjustment to 1996 continuing
        resolution levels:
      Budget Authority..................                      47
      Outlays...........................                      33          12
                                        ------------------------------------
    Total:
      Budget Authority..................         876         828       1,328
      Outlays...........................         952         776       1,006
                                        ====================================

        Administration on Aging.--The proposed level will continue to
    provide supportive and nutrition services, research, training and
    demonstration projects for the elderly.

                   Object Classification (in millions of dollars)

    ----------------------------------------------------------------------------
    Identification code 75-0142-0-1-506      1995 actual   1996 est.   1997 est.
    ----------------------------------------------------------------------------

          Personnel compensation:

    11.1    Full-time permanent.............          10          10          11
                                               ---------   ---------  ----------

    11.9      Total personnel compensation..          10          10          11
    12.1  Civilian personnel benefits.......           2           1           2
    23.1  Rental payments to GSA............           1           1           1
    25.1  Advisory and assistance services..           3
    25.2  Other services....................           6           2           2
    41.0  Grants, subsidies, and
            contributions...................         851         766       1,311
    99.5  Below reporting threshold.........           4           1           1
                                               ---------   ---------  ----------

    99.9    Total obligations...............         877         781       1,328
    ---------------------------------------------------------------------------

                                  Personnel Summary

    ----------------------------------------------------------------------------
    Identification code 75-0142-0-1-506      1995 actual   1996 est.   1997 est.
    ----------------------------------------------------------------------------
        Total compensable workyears:
    1001  Full-time equivalent employment...         177         158         177
    1005  Full-time equivalent of overtime
            and holiday hours...............           1           1           1
    ---------------------------------------------------------------------------

                             DEPARTMENTAL MANAGEMENT

                                  Federal Funds

    General and special funds:

                         General Departmental Management

        For necessary expenses, not otherwise provided, for general
    departmental management, including hire of six medium sedans, and for
    carrying out titles III, XVII, and XX of the Public Health Service Act,
    $136,163,000, together with $9,187,000, to be transferred and expended
    as authorized by section 201(g)(1) of the Social Security Act from the
    Hospital Insurance Trust Fund and the Supplemental Medical Insurance
    Trust Fund.

                           Office of Consumer Affairs

        For necessary expenses of the Office of Consumer Affairs, including
    services authorized by 5 U.S.C. 3109, $1,811,000: Provided, That
    notwithstanding any other provision of law, that Office may accept and
    deposit to this account, during fiscal year 1997, gifts for the purpose
    of defraying its costs of printing, publishing, and distributing
    consumer information and educational materials; may expend up to
    $1,100,000 of those gifts for those purposes, in addition to amounts
    otherwise appropriated; and the balance shall remain available for
    expenditure for such purposes to the extent authorized in subsequent
    appropriations Acts: Provided further, That none of the funds provided
    under this heading may be made available for any other activities within
    the Department of Health and Human Services.

                             Office for Civil Rights

        For expenses necessary of the Office for Civil Rights, $18,188,000,
    together with not to exceed $3,602,000, to be transferred and expended
    as authorized by section 201(g)(1) of the Social Security Act from

    [[Page 500]]
    the Hospital Insurance Trust Fund and the Supplemental Medical Insurance
    Trust Fund.

                                 Policy Research

        For carrying out, to the extent not otherwise provided, research
    studies under section 1110 of the Social Security Act, $9,000,000.
        Note.--A regular 1996 appropriation for this account had not been
    enacted at the time this budget was prepared. The 1996 amounts included
    in this budget are based on the levels provided in three continuing
    resolutions: P.L. 104-91, P.L. 104-92, and P.L. 104-99.

                   Program and Financing (in millions of dollars)

    ----------------------------------------------------------------------------
    Identification code 75-9912-0-1-999      1995 actual   1996 est.   1997 est.
    ----------------------------------------------------------------------------

        Obligations by program activity:
    00.01 General departmental management...         173         140         145
    00.02 U.S Office of Consumer Affairs....           2           2           2
    00.03 Office for Civil Rights...........          22          19          22
    00.04 Policy research...................           9           9           9
    00.05 Emergency supplemental............           1           7
                                               ---------   ---------  ----------

    00.91   Subtotal, direct activities.....         207         177         178
    01.01 Reimbursable activities...........          88          92          92
                                               ---------   ---------  ----------

    10.00   Total obligations...............         295         269         270
    ----------------------------------------------------------------------------

        Budgetary resources available for obligation:
    21.40 Unobligated balance available,
            start of year: Uninvested
            balance.........................           8           7
    22.00 New budget authority (gross)......         295         262         270
    22.30 Unobligated balance expiring......          -1
                                               ---------   ---------  ----------

    23.90   Total budgetary resources
              available for obligation......         302         269         270
    23.95 New obligations...................        -295        -269        -270
    24.40 Unobligated balance available, end
            of year: Uninvested balance.....           7
    ----------------------------------------------------------------------------

        New budget authority (gross), detail:
          Current:

    40.00   Appropriation...................         184         160         165
          Permanent:

    68.00   Spending authority from
              offsetting collections:
              Offsetting collections (cash).         111         102         104
                                               ---------   ---------  ----------

    70.00   Total new budget authority
              (gross).......................         295         262         270
    ----------------------------------------------------------------------------

        Change in unpaid obligations:
    72.40 Unpaid obligations, start of year:
            Obligated balance: Appropriation         187         108          61
    73.10 New obligations...................         295         269         270
    73.20 Total outlays (gross).............        -363        -316        -259
    73.40 Adjustments in expired accounts...         -11
    74.40 Unpaid obligations, end of year:
            Obligated balance: Appropriation         108          61          72
    ----------------------------------------------------------------------------

        Outlays (gross), detail:
    86.90 Outlays from new current authority         151         123         127
    86.93 Outlays from current balances.....         101          90          30
    86.97 Outlays from new permanent
            authority.......................         111         102         104
                                               ---------   ---------  ----------

    87.00   Total outlays (gross)...........         363         316         259
    ----------------------------------------------------------------------------

        Offsets:
          Against gross budget authority and outlays:

    88.00   Offsetting collections (cash)
              from: Federal sources.........        -111        -102        -104
    ----------------------------------------------------------------------------

        Net budget authority and outlays:
    89.00 Budget authority..................         184         160         166
    90.00 Outlays...........................         252         214         155
    ---------------------------------------------------------------------------

                              [Dollars in millions]

                                            1995        1996        1997
    Distribution of budget authority by
        account:
      General departmental management...         155         133         136
      Office of Consumer Affairs........           2           2           2
      Office for Civil Rights...........          18          16          18
      Policy research...................           9           9           9
    Distribution of outlays by account:
      General departmental management...         145         159         127
      Office of Consumer Affairs........           2           3           2
      Office for Civil Rights...........          18          16          19
      Policy research...................          15          17           7

        Departmental Management (DM) is a consolidated display of accounts
    that fund activities which provide leadership, policy, legal, and
    administrative guidance to HHS components; carry out the Department's
    civil rights and nondiscrimination enforcement programs; present
    consumer needs and viewpoints in the Federal government; and support
    research to develop policy initiatives and improve existing HHS
    programs. These accounts will continue to be appropriated separately,
    and are being displayed in a consolidated format to improve the
    readability of the presentation. Detailed information will continue to
    be available through the Department of Health and Human Services.

        DM also incorporates the activities of the former Office of the
    Assistant Secretary for Health, including adolescent family life,
    disease prevention and health promotion, physical fitness and sports,
    minority health, research integrity, women's health, and emergency
    preparedness.

        These schedules include six months of resources for general
    departmental management, civil rights, and policy research activities
    transferred to the independent Social Security Administration on March
    31, 1995.

                   Object Classification (in millions of dollars)

    ----------------------------------------------------------------------------
    Identification code 75-9912-0-1-999      1995 actual   1996 est.   1997 est.
    ----------------------------------------------------------------------------

          Direct obligations:

            Personnel compensation:
    11.1      Full-time permanent...........          97          90          82
    11.3      Other than full-time permanent           5           5           5
    11.5      Other personnel compensation..           1           1           1
                                               ---------   ---------  ----------

    11.9        Total personnel compensation         103          96          88
    12.1    Civilian personnel benefits.....          18          17          16
    13.0    Benefits for former personnel...           4
    21.0    Travel and transportation of
              persons.......................           2           1           1
    23.1    Rental payments to GSA..........          14          11          12
    23.3    Communications, utilities, and
              miscellaneous charges.........           4           4           3
    24.0    Printing and reproduction.......           1           1           1
    25.1    Advisory and assistance services           4           3           4
    25.2    Other services..................          12          15          14
    25.3    Purchases of goods and services
              from Government accounts......          16           9          10
    25.5    Research and development
              contracts.....................           3           3           2
    25.7    Operation and maintenance of
              equipment.....................           4           4           3
    26.0    Supplies and materials..........           1           1           1
    31.0    Equipment.......................           2           1           4
    41.0    Grants, subsidies, and
              contributions.................          19          18          19
                                               ---------   ---------  ----------

    99.0      Subtotal, direct obligations..         207         184         178
    99.0  Reimbursable obligations..........          88          85          92
                                               ---------   ---------  ----------

    99.9    Total obligations...............         295         269         270
    ---------------------------------------------------------------------------

                                  Personnel Summary

    ----------------------------------------------------------------------------
    Identification code 75-9912-0-1-999      1995 actual   1996 est.   1997 est.
    ----------------------------------------------------------------------------
        Direct:
          Total compensable workyears:

    1001    Full-time equivalent employment.       1,810       1,356       1,356
    1005    Full-time equivalent of overtime
              and holiday hours.............           8           8           8
        Reimbursable:
    2001  Total compensable workyears: Full-
            time equivalent employment......         141         141         141
    ---------------------------------------------------------------------------

                             PROGRAM SUPPORT CENTER

    General and special funds:

          Retirement Pay and Medical Benefits for Commissioned Officers

        For retirement pay and medical benefits of Public Health Service
    Commissioned Officers as authorized by law, and for payments under the
    Retired Serviceman's Family Protection Plan and Survivor Benefit Plan
    and for medical care of dependents and retired personnel under

    [[Page 501]]
    the Dependents' Medical Care Act (10 U.S.C. ch. 55), and for payments
    pursuant to section 229(b) of the Social Security Act (42 U.S.C.
    429(b)), such amounts as may be required during the current fiscal year.
        Note.--A regular 1996 appropriation for this account had not been
    enacted at the time this budget was prepared. The 1996 amounts included
    in this budget are based on the levels provided in three continuing
    resolutions: P.L. 104-91, P.L. 104-92, and P.L. 104-99.

                   Program and Financing (in millions of dollars)

    ----------------------------------------------------------------------------
    Identification code 75-0379-0-1-551      1995 actual   1996 est.   1997 est.
    ----------------------------------------------------------------------------

        Obligations by program activity:
    00.01 Retirement payments...............         112         130         136
    00.02 Survivors' benefits...............           8           9          11
    00.03 Medical care......................          22          25          26
    00.04 Military service credits..........           2           3           3
                                               ---------   ---------  ----------

    10.00   Total obligations...............         144         167         176
    ----------------------------------------------------------------------------

        Budgetary resources available for obligation:
    22.00 New budget authority (gross)......         159         167         176
    22.30 Unobligated balance expiring......         -15
                                               ---------   ---------  ----------

    23.90   Total budgetary resources
              available for obligation......         144         167         176
    23.95 New obligations...................        -144        -167        -176
    ----------------------------------------------------------------------------

        New budget authority (gross), detail:
    40.05 Appropriation (indefinite)........         159         167         176
    ----------------------------------------------------------------------------

        Change in unpaid obligations:
    72.40 Unpaid obligations, start of year:
            Obligated balance: Appropriation          25          14          14
    73.10 New obligations...................         144         167         176
    73.20 Total outlays (gross).............        -152        -167        -176
    73.40 Adjustments in expired accounts...          -3
    74.40 Unpaid obligations, end of year:
            Obligated balance: Appropriation          14          14          14
    ----------------------------------------------------------------------------

        Outlays (gross), detail:
    86.90 Outlays from new current authority         138         159         168
    86.93 Outlays from current balances.....          14           8           8
                                               ---------   ---------  ----------

    87.00   Total outlays (gross)...........         152         167         176
    ----------------------------------------------------------------------------

        Net budget authority and outlays:
    89.00 Budget authority..................         159         167         176
    90.00 Outlays...........................         152         167         176
    ---------------------------------------------------------------------------

        This activity funds annuities of retired Public Health Service (PHS)
    commissioned officers and survivors of retirees, and medical care to
    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      1995 actual   1996 est.   1997 est.
    ----------------------------------------------------------------------------
    13.0  Benefits for former personnel.....         120         139         147
    25.2  Other services....................          22          25          26
    25.3  Purchases of goods and services
            from Government accounts........           2           3           3
                                               ---------   ---------  ----------

    99.9    Total obligations...............         144         167         176
    ---------------------------------------------------------------------------

                             Health Activities Funds

                   Program and Financing (in millions of dollars)

    ----------------------------------------------------------------------------
    Identification code 75-9913-0-1-550      1995 actual   1996 est.   1997 est.
    ----------------------------------------------------------------------------

        Budgetary resources available for obligation:
    22.00 New budget authority (gross)......
    ----------------------------------------------------------------------------

        New budget authority (gross), detail:
    70.00 Total new budget authority (gross)
    ----------------------------------------------------------------------------

        Change in unpaid obligations:
    72.40 Unpaid obligations, start of year:
            Obligated balance: Appropriation          13          12          11
    73.10 New obligations...................
    73.20 Total outlays (gross).............          -1          -1          -1
    74.40 Unpaid obligations, end of year:
            Obligated balance: Appropriation          12          11          10
    ----------------------------------------------------------------------------

        Outlays (gross), detail:
    86.93 Outlays from current balances.....           1
                                               ---------   ---------  ----------

    87.00   Total outlays (gross)...........           1           1           1
    ----------------------------------------------------------------------------

        Net budget authority and outlays:
    89.00 Budget authority..................
    90.00 Outlays...........................           1           1           1
    ---------------------------------------------------------------------------

        This display shows activities in support of St. Elizabeths Hospital
    and scientific activities overseas that were supported by foreign
    currencies by the United States abroad.

    Intragovernmental funds:

                          HHS Service and Supply Fund

                   Program and Financing (in millions of dollars)

    ----------------------------------------------------------------------------
    Identification code 75-9941-0-4-999      1995 actual   1996 est.   1997 est.
    ----------------------------------------------------------------------------

        Obligations by program activity:
    00.01 Program support center............         145         184         244
    00.02 Federal employee occupational
            health..........................                                  90
    00.03 OS activities.....................          83          62           7
                                               ---------   ---------  ----------

    10.00   Total obligations...............         228         246         341
    ----------------------------------------------------------------------------

        Budgetary resources available for obligation:
    21.90 Unobligated balance available,
            start of year: Fund balance.....          32          30          30
    22.00 New budget authority (gross)......         217         246         341
    22.10 Resources available from
            recoveries of prior year
            obligations.....................           9
                                               ---------   ---------  ----------

    23.90   Total budgetary resources
              available for obligation......         258         276         371
    23.95 New obligations...................        -228        -246        -341
    24.90 Unobligated balance available, end
            of year: Fund balance...........          30          30          30
    ----------------------------------------------------------------------------

        New budget authority (gross), detail:
          Spending authority from offsetting
              collections:

    68.00   Offsetting collections (cash)...         205         246         341
    68.10   Change in orders on hand from
              Federal sources...............          12
                                               ---------   ---------  ----------

    68.90     Spending authority from
                offsetting collections
                (total).....................         217         246         341
                                               ---------   ---------  ----------

    70.00   Total new budget authority
              (gross).......................         217         246         341
    ----------------------------------------------------------------------------

        Change in unpaid obligations:
          Unpaid obligations, start of year:

    72.90   Obligated balance: Fund balance.          75          68          58
    72.95   Orders on hand from Federal
              sources.......................          57          69          69
                                               ---------   ---------  ----------

    72.99     Total unpaid obligations,
                start of year...............         132         137         127
    73.10 New obligations...................         228         246         341
    73.20 Total outlays (gross).............        -214        -256        -341
    73.45 Adjustments in unexpired accounts.          -9
          Unpaid obligations, end of year:

    74.90   Obligated balance: Fund balance:
              Uninvested balance............          68          58          58
    74.95   Orders on hand from Federal
              sources.......................          69          69          69
                                               ---------   ---------  ----------

    74.99     Total unpaid obligations, end
                of year.....................         137         127         127
    ----------------------------------------------------------------------------

        Outlays (gross), detail:
    86.97 Outlays from new permanent
            authority.......................         196         246         341
    86.98 Outlays from permanent balances...          18          10
                                               ---------   ---------  ----------

    87.00   Total outlays (gross)...........         214         256         341
    ----------------------------------------------------------------------------

        Offsets:
          Against gross budget authority and outlays:

    88.00   Offsetting collections (cash)
              from: Federal sources.........        -205        -246        -341
    88.95 Change in orders on hand from
            Federal sources.................         -12
    ----------------------------------------------------------------------------

        Net budget authority and outlays:
    89.00 Budget authority..................

    [[Page 502]]

    90.00 Outlays...........................           9          10
    ---------------------------------------------------------------------------

        The HHS Service and Supply Fund (SSF) provides common centralized
    services to HHS components. Beginning in FY 1995, all PHS SSF activities
    are reflected in the Program Support Center. For FY 1995 and FY 1996,
    all OS Working Capital Fund (WCF) activities are included in the OS
    Activities line. The WCF will be terminated in FY 1997 and both PSC and
    OS activities will be funded through the SSF. The OS Activity line
    includes the Fund Manager, Departmental Contracts Information System,
    Audit Resolution, OS Graphics, and the Regional Health Administrators.
    For FY 1995 and FY 1996, Federal Occupational Health funds operate
    through the Health Resources and Services Administration general fund
    account, but will be funded through the SSF in FY 1997.

                   Object Classification (in millions of dollars)

    ----------------------------------------------------------------------------
    Identification code 75-9941-0-4-999      1995 actual   1996 est.   1997 est.
    ----------------------------------------------------------------------------

          Personnel compensation:

    11.1    Full-time permanent.............          63          64          74
    11.3    Other than full-time permanent..           2           2           3
    11.5    Other personnel compensation....           2           2           2
                                               ---------   ---------  ----------

    11.9      Total personnel compensation..          67          68          79
    12.1  Civilian personnel benefits.......          13          13          15
    13.0  Benefits for former personnel.....           4
    21.0  Travel and transportation of
            persons.........................           1           2           3
    22.0  Transportation of things..........           1           2           2
    23.1  Rental payments to GSA............          13          11          11
    23.3  Communications, utilities, and
            miscellaneous charges...........           8          12          14
    24.0  Printing and reproduction.........           2           2           2
    25.1  Advisory and assistance services..           4           4           4
    25.2  Other services....................          51          59         130
    25.3  Purchases of goods and services
            from Government accounts........          25          29          30
    26.0  Supplies and materials............          34          39          46
    31.0  Equipment.........................           5           5           5
    99.0  Subtotal, reimbursable obligations         228         246         341
                                               ---------   ---------  ----------

    99.9    Total obligations...............         228         246         341
    ---------------------------------------------------------------------------

                                  Personnel Summary

    ----------------------------------------------------------------------------
    Identification code 75-9941-0-4-999      1995 actual   1996 est.   1997 est.
    ----------------------------------------------------------------------------
        Total compensable workyears:
    2001  Full-time equivalent employment...       1,456       1,308       1,438
    2005  Full-time equivalent of overtime
            and holiday hours...............          14          14          17
    ---------------------------------------------------------------------------

                            Miscellaneous Trust Funds

                  Unavailable Collections (in millions of dollars)

    ----------------------------------------------------------------------------
    Identification code 75-9971-0-7-551      1995 actual   1996 est.   1997 est.
    ----------------------------------------------------------------------------
        Balance, start of year:
    01.99 Balance, start of year............
        Receipts:
    02.01 Contributions, Indian health
            facilities, Health Services
            Administration..................          32          33          33
    02.02 Gifts and contributions,
            Miscellaneous trust funds.......          19          19          19
    02.03 Interest, Miscellaneous trust
            funds...........................           1           1           1
                                               ---------   ---------  ----------

    02.99   Total receipts..................          53          53          53
        Appropriation:
    05.01 Miscellaneous trust funds.........         -53         -53         -53
    07.99 Total balance, end of year........
    ---------------------------------------------------------------------------

                   Program and Financing (in millions of dollars)

    ----------------------------------------------------------------------------
    Identification code 75-9971-0-7-551      1995 actual   1996 est.   1997 est.
    ----------------------------------------------------------------------------

        Obligations by program activity:
    00.02 Gifts.............................          11          20          20
    00.03 Contributions, Indian health
            facilities......................          37          33          33
                                               ---------   ---------  ----------

    10.00   Total obligations...............          48          53          53
    ----------------------------------------------------------------------------

        Budgetary resources available for obligation:
    21.40 Unobligated balance available,
            start of year: Uninvested
            balance.........................          37          42          42
    22.00 New budget authority (gross)......          53          53          53
                                               ---------   ---------  ----------

    23.90   Total budgetary resources
              available for obligation......          90          95          95
    23.95 New obligations...................         -48         -53         -53
    24.40 Unobligated balance available, end
            of year: Uninvested balance.....          42          42          42
    ----------------------------------------------------------------------------

        New budget authority (gross), detail:
    60.27 Appropriation (trust fund,
            indefinite).....................          53          53          53
    ----------------------------------------------------------------------------

        Change in unpaid obligations:
    72.40 Unpaid obligations, start of year:
            Obligated balance: Appropriation          93          95         101
    73.10 New obligations...................          48          53          53
    73.20 Total outlays (gross).............         -46         -47         -50
    74.40 Unpaid obligations, end of year:
            Obligated balance: Appropriation          95         101         104
    ----------------------------------------------------------------------------

        Outlays (gross), detail:
    86.97 Outlays from new permanent
            authority.......................           9           9           9
    86.98 Outlays from permanent balances...          37          38          40
                                               ---------   ---------  ----------

    87.00   Total outlays (gross)...........          46          47          50
    ----------------------------------------------------------------------------

        Net budget authority and outlays:
    89.00 Budget authority..................          53          53          53
    90.00 Outlays...........................          46          47          50
    ---------------------------------------------------------------------------

                              [Dollars in millions]

                                            1995        1996        1997
    Distribution of budget authority by
        account:
      Gifts.............................          20          20          20
      Contributions, Indian health
        facilities......................          33          33          33
    Distribution of outlays by account:
      Gifts.............................          16          16          17
      Contributions, Indian health
        facilities......................          30          31          33

        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      1995 actual   1996 est.   1997 est.
    ----------------------------------------------------------------------------

          Personnel compensation:

    11.3    Other than full-time permanent..           3           3           3
    11.5    Other personnel compensation....           1           1           1
    11.8    Special personal services
              payments......................           1           1           1
                                               ---------   ---------  ----------

    11.9      Total personnel compensation..           5           5           5
    12.1  Civilian personnel benefits.......           1           1           1
    21.0  Travel and transportation of
            persons.........................           1           1           1
    22.0  Transportation of things..........           1           1           1
    25.2  Other services....................           8          11          11
    25.3  Purchases of goods and services
            from Government accounts........           5           7           7
    26.0  Supplies and materials............           4           4           4
    31.0  Equipment.........................           2           2           2
    32.0  Land and structures...............          20          20          20
    41.0  Grants, subsidies, and
            contributions...................           1           1           1
                                               ---------   ---------  ----------

    99.9    Total obligations...............          48          53          53
    ---------------------------------------------------------------------------

                                  Personnel Summary

    ----------------------------------------------------------------------------
    Identification code 75-9971-0-7-551      1995 actual   1996 est.   1997 est.
    ----------------------------------------------------------------------------
        Total compensable workyears:
    1001  Full-time equivalent employment...         100         100         100

    [[Page 503]]

    1005  Full-time equivalent of overtime
            and holiday hours...............          20          20          20
    ---------------------------------------------------------------------------

                         OFFICE OF THE INSPECTOR GENERAL

    General and special funds:

                           Office of Inspector General

        For necessary expenses of the Office of Inspector General in
    carrying out the Inspector General Act of 1978, as amended, $56,139,000,
    together with not to exceed $18,810,000, to be transferred and expended
    as authorized by section 201(g)(1) of the Social Security Act from the
    Hospital Insurance Trust Fund and the Supplemental Medical Insurance
    Trust Fund.
        Note.--A regular 1996 appropriation for this account had not been
    enacted at the time this budget was prepared. The 1996 amounts included
    in this budget are based on the levels provided in three continuing
    resolutions: P.L. 104-91, P.L. 104-92, and P.L. 104-99.

                   Program and Financing (in millions of dollars)

    ----------------------------------------------------------------------------
    Identification code 75-0128-0-1-609      1995 actual   1996 est.   1997 est.
    ----------------------------------------------------------------------------

        Obligations by program activity:
    00.01 Direct program....................          91          74          75
    01.01 Reimbursable program..............           5           7           7
                                               ---------   ---------  ----------

    10.00   Total obligations...............          96          81          82
    ----------------------------------------------------------------------------

        Budgetary resources available for obligation:
    21.40 Unobligated balance available,
            start of year: Uninvested
            balance.........................           1           1           1
    22.00 New budget authority (gross)......          96          81          82
                                               ---------   ---------  ----------

    23.90   Total budgetary resources
              available for obligation......          97          82          83
    23.95 New obligations...................         -96         -81         -82
    24.40 Unobligated balance available, end
            of year: Uninvested balance.....           1           1           1
    ----------------------------------------------------------------------------

        New budget authority (gross), detail:
          Current:

    40.00   Appropriation...................          60          56          56
          Permanent:

    68.00   Spending authority from
              offsetting collections:
              Offsetting collections (cash).          36          25          26
                                               ---------   ---------  ----------

    70.00   Total new budget authority
              (gross).......................          96          81          82
    ----------------------------------------------------------------------------

        Change in unpaid obligations:
    72.40 Unpaid obligations, start of year:
            Obligated balance: Appropriation           9                       7
    73.10 New obligations...................          96          81          82
    73.20 Total outlays (gross).............        -105         -74         -81
    74.40 Unpaid obligations, end of year:
            Obligated balance: Appropriation                       7           8
    ----------------------------------------------------------------------------

        Outlays (gross), detail:
    86.90 Outlays from new current authority          60          49          49
    86.93 Outlays from current balances.....          10                       6
    86.97 Outlays from new permanent
            authority.......................          36          25          26
                                               ---------   ---------  ----------

    87.00   Total outlays (gross)...........         105          74          81
    ----------------------------------------------------------------------------

        Offsets:
          Against gross budget authority and outlays:

    88.00   Offsetting collections (cash)
              from: Federal sources.........         -36         -25         -26
    ----------------------------------------------------------------------------

        Net budget authority and outlays:
    89.00 Budget authority..................          60          56          56
    90.00 Outlays...........................          70          49          55
    ---------------------------------------------------------------------------

                     Summary of Budget Authority and Outlays

                            [In millions of dollars]

                                         1995 actual  1996 est.   1997 est.
    Enacted/requested:
      Budget Authority..................          60          56          56
      Outlays...........................          70          49          55
    Legislative proposal, not subject to
        PAYGO:
      Budget Authority..................                     -25         -24
      Outlays...........................                     -25         -24
    Legislative proposal, subject to
        PAYGO:
      Budget Authority..................
      Outlays...........................
                                        ------------------------------------
    Total:
      Budget Authority..................          60          31          32
      Outlays...........................          70          24          31
                                        ====================================

        The Office of Inspector General identifies and recommends actions to
    correct fraud, waste, and abuse in HHS administered and assisted
    programs and operations through audits and investigations.

                   Object Classification (in millions of dollars)

    ----------------------------------------------------------------------------
    Identification code 75-0128-0-1-609      1995 actual   1996 est.   1997 est.
    ----------------------------------------------------------------------------

          Direct obligations:

            Personnel compensation:
    11.1      Full-time permanent...........          56          49          51
    11.5      Other personnel compensation..           1
                                               ---------   ---------  ----------

    11.9        Total personnel compensation          57          49          51
    12.1    Civilian personnel benefits.....          11          11          11
    13.0    Benefits for former personnel...           1
    21.0    Travel and transportation of
              persons.......................           3           2           1
    23.1    Rental payments to GSA..........           4           5           5
    23.3    Communications, utilities, and
              miscellaneous charges.........           2           1           1
    25.2    Other services..................           1           1           1
    25.3    Purchases of goods and services
              from Government accounts......           8           5           5
    25.6    Medical care....................           1
    26.0    Supplies and materials..........           1
    31.0    Equipment.......................           2
                                               ---------   ---------  ----------

    99.0      Subtotal, direct obligations..          91          74          75
    99.0  Reimbursable obligations..........           5           7           7
                                               ---------   ---------  ----------

    99.9    Total obligations...............          96          81          82
    ---------------------------------------------------------------------------

                                  Personnel Summary

    ----------------------------------------------------------------------------
    Identification code 75-0128-0-1-609      1995 actual   1996 est.   1997 est.
    ----------------------------------------------------------------------------
        Total compensable workyears:
    1001  Full-time equivalent employment...       1,051         927         927
    1005  Full-time equivalent of overtime
            and holiday hours...............           5
    ---------------------------------------------------------------------------

                         Office of the Inspector General

                  (Legislative proposal, not subject to PAYGO)

                   Program and Financing (in millions of dollars)

    ----------------------------------------------------------------------------
    Identification code 75-0128-2-1-609      1995 actual   1996 est.   1997 est.
    ----------------------------------------------------------------------------

        Obligations by program activity:
    10.00 Total obligations.................                     -43         -43
    ----------------------------------------------------------------------------

        Budgetary resources available for obligation:
    22.00 New budget authority (gross)......                     -43         -43
    23.95 New obligations...................                      43          43
    ----------------------------------------------------------------------------

        New budget authority (gross), detail:
          Current:

    40.00   Appropriation...................                     -25         -24
          Permanent:

    68.00   Spending authority from
              offsetting collections:
              Offsetting collections (cash).                     -18         -19
                                               ---------   ---------  ----------

    70.00   Total new budget authority
              (gross).......................                     -43         -43
    ----------------------------------------------------------------------------

        Change in unpaid obligations:
    73.10 New obligations...................                     -43         -43
    73.20 Total outlays (gross).............                      43          43
    ----------------------------------------------------------------------------

        Outlays (gross), detail:
    86.90 Outlays from new current authority                     -25         -24
    86.97 Outlays from new permanent
            authority.......................                     -18         -19
                                               ---------   ---------  ----------

    87.00   Total outlays (gross)...........                     -43         -43
    ----------------------------------------------------------------------------

        Offsets:
          Against gross budget authority and outlays:

    88.00   Offsetting collections (cash)
              from: Federal sources.........                      18          19
    ----------------------------------------------------------------------------

    [[Page 504]]

        Net budget authority and outlays:
    89.00 Budget authority..................                     -25         -24
    90.00 Outlays...........................                     -25         -24
    ---------------------------------------------------------------------------

        This schedule reflects the effects of a legislative proposal to
    shift base funding for Medicare anti-fraud and abuse activities from
    discretionary to mandatory.

                   Object Classification (in millions of dollars)

    ----------------------------------------------------------------------------
    Identification code 75-0128-2-1-609      1995 actual   1996 est.   1997 est.
    ----------------------------------------------------------------------------
    11.1  Personnel compensation: Full-time
            permanent.......................                     -29         -29
    12.1  Civilian personnel benefits.......                      -6          -6
    21.0  Travel and transportation of
            persons.........................                      -1          -1
    23.1  Rental payments to GSA............                      -3          -3
    23.3  Communications, utilities, and
            miscellaneous charges...........                      -1          -1
    25.3  Purchases of goods and services
            from Government accounts........                      -3          -3
                                               ---------   ---------  ----------

    99.9    Total obligations...............                     -43         -43
    ---------------------------------------------------------------------------

                                  Personnel Summary

    ----------------------------------------------------------------------------
    Identification code 75-0128-2-1-609      1995 actual   1996 est.   1997 est.
    ----------------------------------------------------------------------------
    1001  Total compensable workyears: Full-
            time equivalent employment......                    -430        -430
    ---------------------------------------------------------------------------

                         Office of the Inspector General

                    (Legislative proposal, subject to PAYGO)

                   Program and Financing (in millions of dollars)

    ----------------------------------------------------------------------------
    Identification code 75-0128-4-1-609      1995 actual   1996 est.   1997 est.
    ----------------------------------------------------------------------------

        Obligations by program activity:
    10.00 Total obligations.................                      84          97
    ----------------------------------------------------------------------------

        Budgetary resources available for obligation:
    22.00 New budget authority (gross)......                      84          97
    23.95 New obligations...................                     -84         -97
    ----------------------------------------------------------------------------

        New budget authority (gross), detail:
    68.00 Spending authority from offsetting
            collections (gross): Offsetting
            collections (cash)..............                      84          97
    ----------------------------------------------------------------------------

        Change in unpaid obligations:
    73.10 New obligations...................                      84          97
    73.20 Total outlays (gross).............                     -84         -97
    ----------------------------------------------------------------------------

        Outlays (gross), detail:
    86.97 Outlays from new permanent
            authority.......................                      84          97
                                               ---------   ---------  ----------

    87.00   Total outlays (gross)...........                      84          97
    ----------------------------------------------------------------------------

        Offsets:
          Against gross budget authority and outlays:

    88.00   Offsetting collections (cash)
              from: Federal sources.........                     -84         -97
    ----------------------------------------------------------------------------

        Net budget authority and outlays:
    89.00 Budget authority..................
    90.00 Outlays...........................
    ---------------------------------------------------------------------------

        The Budget reflects a legislative proposal to authorize mandatory
    funding for the Department of Health and Human Services and the
    Department of Justice to expand efforts to combat Medicare fraud and
    abuse. This schedule reflects an estimated distribution of these funds.
    Final distribution will be determined by the Secretary of HHS and the
    Attorney General.

                   Object Classification (in millions of dollars)

    ----------------------------------------------------------------------------
    Identification code 75-0128-4-1-609      1995 actual   1996 est.   1997 est.
    ----------------------------------------------------------------------------
    11.1  Personnel compensation: Full-time
            permanent.......................                      41          51
    12.1  Civilian personnel benefits.......                      15          17
    21.0  Travel and transportation of
            persons.........................                       2           3
    23.1  Rental payments to GSA............                       4           4
    23.3  Communications, utilities, and
            miscellaneous charges...........                       2           2
    25.1  Advisory and assistance services..                       9           9
    25.2  Other services....................                       2           2
    25.3  Purchases of goods and services
            from Government accounts........                       6           6
    26.0  Supplies and materials............                       1           1
    31.0  Equipment.........................                       2           2
                                               ---------   ---------  ----------

    99.9    Total obligations...............                      84          97
    ---------------------------------------------------------------------------

                                  Personnel Summary

    ----------------------------------------------------------------------------
    Identification code 75-0128-4-1-609      1995 actual   1996 est.   1997 est.
    ----------------------------------------------------------------------------
    1001  Total compensable workyears: Full-
            time equivalent employment......                     430         430
    ---------------------------------------------------------------------------

                               GENERAL PROVISIONS

        Sec. 201. Funds appropriated in this title shall be available for
    not to exceed $37,000 for official reception and representation expenses
    when specifically approved by the Secretary.
        Sec. 202. The Secretary shall make available through assignment not
    more than 60 employees of the Public Health Service to assist in child
    survival activities and to work in AIDS programs through and with funds
    provided by the Agency for International Development, the United Nations
    International Children's Emergency Fund, or the World Health
    Organization.
        Sec. 203. None of the funds appropriated in this title for the
    National Institutes of Health and the Substance Abuse and Mental Health
    Services Administration shall be used to pay the salary of an
    individual, through a grant or other extramural mechanism, at a rate in
    excess of $125,000 per year.