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