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


[[Page 471]]


 
                 DEPARTMENT OF HEALTH AND HUMAN SERVICES

                      FOOD AND DRUG ADMINISTRATION

                              Federal Funds

General and special funds:

                          Salaries and Expenses

  For necessary expenses of the Food and Drug Administration, including 
hire and purchase of passenger motor vehicles; for rental of special 
purpose space in the District of Columbia or elsewhere; and for 
miscellaneous and emergency expenses of enforcement activities, 
authorized and approved by the Secretary and to be accounted for solely 
on the Secretary's certificate, not to exceed $25,000; [$904,694,000] 
$911,284,000, of which not to exceed [$84,723,000] $87,528,000 in fees 
pursuant to section 736 of the Federal Food, Drug, and Cosmetic Act may 
be credited to this appropriation and remain available until expended: 
Provided, That fees derived from applications received during fiscal 
year [1996] 1997 shall be subject to the fiscal year [1996] 1997 
limitation[: Provided further, That none of these funds shall be used to 
develop, establish, or operate any program of user fees authorized by 31 
U.S.C. 9701].
  In addition, fees pursuant to section 354 of the Public Health Service 
Act may be credited to this account, to remain available until expended.

                        Buildings and Facilities

    For plans, construction, repair, improvement, extension, alteration, 
and purchase of fixed equipment or facilities of or used by the Food and 
Drug Administration, where not otherwise provided, [$12,150,000] 
$8,350,000, to remain available until expended (7 U.S.C. 2209b).

                          Rental Payments (FDA)

                     (including transfers of funds)

  For payment of space rental and related costs pursuant to Public Law 
92-313 for programs and activities of the Food and Drug Administration 
which are included in this Act, $46,294,000: Provided, That in the event 
the Food and Drug Administration should require modification of space 
needs, a share of the salaries and expenses appropriation may be 
transferred to this appropriation, or a share of this appropriation may 
be transferred to the salaries and expenses appropriation, but such 
transfers shall not exceed 5 percent of the funds made available for 
rental payments (FDA) to or from this account. (Agriculture, Rural 
Development, Food and Drug Administration, and Related Agencies 
Appropriations Act, 1996.)

               Program and Financing (in millions of dollars)

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

    Obligations by program activity:
      Direct program:

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

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

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

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

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

    New budget authority (gross), detail:
      Current:

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

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

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

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

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

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

    Offsets:
      Against gross budget authority and outlays:

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

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

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

                        [In millions of dollars]

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

                 Summary of Budget Authority and Outlays

                        [In millions of dollars]

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

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

[[Page 472]]


               Object Classification (in millions of dollars)

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

      Direct obligations:

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

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

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

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

                              Personnel Summary

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

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

                                

                          Salaries and Expenses

              (Legislative proposal, not subject to PAYGO)

               Program and Financing (in millions of dollars)

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

    Obligations by program activity:
      Direct program:

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

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

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

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

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

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

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

    Offsets:
      Against gross budget authority and outlays:

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

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

               Object Classification (in millions of dollars)

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

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

                              Personnel Summary

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

                                

Public enterprise funds:

           Revolving Fund for Certification and Other Services

               Program and Financing (in millions of dollars)

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

    Obligations by program activity:
      Operating expenses:

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

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

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

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

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

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

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

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

    Offsets:
      Against gross budget authority and outlays:

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

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

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

[[Page 473]]
U.S.C. 346a, 356, 357, 376). These services are financed wholly by fees 
paid by the industries affected. 

               Object Classification (in millions of dollars)

----------------------------------------------------------------------------
Identification code 75-4309-0-3-554      1995 actual   1996 est.   1997 est.
----------------------------------------------------------------------------
11.1  Personnel compensation: Full-time 
        permanent.......................           2           2           2
12.1  Civilian personnel benefits.......           1           1           1
23.1  Rental payments to GSA............           1           1           1
31.0  Equipment.........................                       1           1
99.0  Subtotal, reimbursable obligations           4           5           5
                                           ---------   ---------  ----------

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

                              Personnel Summary

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

                                



 
              HEALTH RESOURCES AND SERVICES ADMINISTRATION

                              Federal Funds

General and special funds:

                      Health Resources and Services

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

               Program and Financing (in millions of dollars)

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

    Obligations by program activity:
      Direct program:

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

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

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

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

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

    New budget authority (gross), detail:
      Current:

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

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

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

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

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

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

    Offsets:
      Against gross budget authority and outlays:

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

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

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

[[Page 474]]


                          [Dollars in millions]

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

                 Summary of Budget Authority and Outlays

                        [In millions of dollars]

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

               Status of Direct Loans (in millions of dollars)

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

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

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

             Status of Guaranteed Loans (in millions of dollars)

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

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

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

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

               Object Classification (in millions of dollars)

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

      Direct obligations:

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

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

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

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

                              Personnel Summary

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

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

                                

                       Vaccine Injury Compensation

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

               Program and Financing (in millions of dollars)

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

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

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

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

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

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

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

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

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

    The Vaccine Improvement Program was established pursuant to Public 
Law 99-660 and Public Law 100-203, and serves as a source of funds to 
pay claims for compensation for vaccine related injury or death. Payment 
of claims associated with vaccine related injury or death occurring 
before October 1, 1988 are financed from the General Fund and are 
reflected in this account. Payment of claims associated with vaccine 
related injury or death occurring after October 1, 1988 are reflected in 
the Vaccine Improvement Trust Fund account.

                                

[[Page 475]]


Credit accounts:

   Health Professions Graduate Student Loan Insurance Program Account

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

               Program and Financing (in millions of dollars)

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

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

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

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

    New budget authority (gross), detail:
      Current:

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

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

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

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

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

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

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

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

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

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

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

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

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

    The Health Education Assistance Loan (HEAL) program guarantees loans 
from private lenders to health professions students to help pay for the 
costs of their training. As required by the Federal Credit Reform Act of 
1990, this account records, for the HEAL program, the subsidy costs 
associated with HEAL loan guarantees committed in 1992 and beyond 
(including modifications of HEAL loan guarantees that resulted from 
obligations or commitments in any year), as well as administrative 
expenses of the program. The subsidy amounts are estimated on a present 
value basis; the administrative expenses are estimated on a cash basis. 

               Object Classification (in millions of dollars)

----------------------------------------------------------------------------
Identification code 75-0340-0-1-552      1995 actual   1996 est.   1997 est.
----------------------------------------------------------------------------
11.1  Personnel compensation: Full-time 
        permanent.......................           1           2           2
25.2  Other services....................           2           2           2
41.0  Grants, subsidies, and 
        contributions...................          22           1
99.5  Below reporting threshold.........           1
                                           ---------   ---------  ----------

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

                              Personnel Summary

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

                                

   Health Professions Graduate Student Loan Guaranteed Loan Financing 
                                 Account

               Program and Financing (in millions of dollars)

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

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

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

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

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

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

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

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

    Offsets:
      Against gross financing authority and 
          financing disbursements:

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

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

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



[[Page 476]]


             Status of Guaranteed Loans (in millions of dollars)

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

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

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

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

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

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

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

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

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

    As required by the Federal Credit Reform Act of 1990, this non-
budgetary account records all cash flows to and from the Government 
resulting from Health Education Assistance Loan (HEAL) guarantees 
committed in 1992 and beyond (including modifications of loan guarantees 
that resulted from commitments in any year). The amounts in this account 
are a means of financing and are not included in the budget totals.

                             Balance Sheet (in millions of dollars)

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

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

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

                                

  Health Professions Graduate Student Loan Insurance Fund Liquidating 
                                 Account

               Program and Financing (in millions of dollars)

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

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

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

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

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

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

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

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

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

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

    Offsets:
      Against gross budget authority and outlays:

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

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

             Status of Guaranteed Loans (in millions of dollars)

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

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

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

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

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

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

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

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

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

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

                              DATA ON LOANS

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

                        Statement of Operations (in millions of dollars)

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

                             Balance Sheet (in millions of dollars)

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

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

               Object Classification (in millions of dollars)

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

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

                                

                            Health Loan Funds

               Medical Facilities Guarantee and Loan Fund

            federal interest subsidies for medical facilities

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

               Program and Financing (in millions of dollars)

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

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

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

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

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

    New budget authority (gross), detail:
      Current:

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

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

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

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

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

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

    Offsets:
      Against gross budget authority and outlays:

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

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

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

               Status of Direct Loans (in millions of dollars)

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

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

             Status of Guaranteed Loans (in millions of dollars)

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

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

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



[[Page 478]]


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

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

    Title VI and subsequently title XVI of the Public Health Service Act 
established a loan and loan guarantee fund for medical facilities with a 
maximum amount allowable for the Government's liability. Direct loans 
were made available for public facilities and guaranteed loans for 
private, nonprofit facilities. Funds under this authority were 
established in the amount of $50 million for use in fulfilling 
guarantees in event of default, $30 million as a revolving fund for 
direct loans and an amount for interest subsidy payments on guaranteed 
loans. Default and interest subsidy funds are replenished as necessary 
through the annual appropriation process.

               Object Classification (in millions of dollars)

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

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

                                

                               Trust Funds

             Vaccine Injury Compensation Program Trust Fund

    For payments from the Vaccine Injury Compensation Program Trust 
Fund, such sums as may be necessary for claims associated with vaccine-
related injury or death with respect to vaccines administered after 
September 30, 1988, pursuant to subtitle 2 of title XXI of the Public 
Health Service Act, to remain available until expended: Provided, That 
for necessary administrative expenses, not to exceed $3,000,000 shall be 
available from the Trust Fund to the Secretary of Health and Human 
Services.
    Note.--A regular 1996 appropriation for this account had not been 
enacted at the time this budget was prepared. The 1996 amounts included 
in this budget are based on the levels provided in three continuing 
resolutions: P.L. 104-91, P.L. 104-92, and P.L. 104-99.

              Unavailable Collections (in millions of dollars)

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

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

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

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

               Program and Financing (in millions of dollars)

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

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

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

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

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

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

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

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

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

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

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

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

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

    The Vaccine Improvement Program was established pursuant to Public 
Law 99-660 and Public Law 100-203, and serves as a source of funds to 
pay claims for compensation for vaccine related injury or death. This 
account reflects payments for claims for vaccine related injury or death 
occurring after October 1, 1988.

               Object Classification (in millions of dollars)

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

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

                                



 
                          INDIAN HEALTH SERVICE

                              Federal Funds

General and special funds:

                         Indian Health Services

    For expenses necessary to carry out the Act of August 5, 1954 (68 
Stat. 674), the Indian Self-Determination Act, the Indian Health Care 
Improvement Act, and titles II and III of the Public Health Service Act 
with respect to the Indian Health Service, $1,898,941,000, together with 
payments received during the fiscal year pursuant to 42 U.S.C. 238(b) 
for services furnished by the Indian Health Service: Provided, That 
funds made available to tribes and tribal organizations through 
contracts, grant agreements, or any other agreements or compacts 
authorized by the Indian Health Self-Determination and Education 
Assistance Act of 1975 (25 U.S.C. 450), shall be deemed to be obligated 
at the time of the grant or contract award and thereafter shall remain 
available to the tribe or tribal organization without fiscal year 
limitation: Provided further, That $12,000,000 shall remain available 
until expended, for the Indian Catastrophic Health Emergency Fund: 
Provided further, That $357,533,000 for contract medical care shall 
remain available for obligation until September 30, 1998: Provided 
further, That of the funds provided, not less than $11,789,100 shall be 
used to carry out the loan repayment program under section 108 of the 
Indian Health Care Improvement Act: Provided further, That funds 
provided in this Act may be used for one-year contracts and grants which 
are to be performed in two fiscal years, so long as the total obligation 
is recorded in the year for which the funds are

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

               Program and Financing (in millions of dollars)

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

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

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

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

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

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

    New budget authority (gross), detail:
      Current:

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

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

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

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

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

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

    Offsets:
      Against gross budget authority and outlays:

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

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

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

                 Summary of Budget Authority and Outlays

                        [In millions of dollars]

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

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

               Object Classification (in millions of dollars)

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

      Direct obligations:

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

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

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

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

                              Personnel Summary

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

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

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

                                

                        Indian Health Facilities

    For construction, repair, maintenance, improvement, and equipment of 
health and related auxiliary facilities, including quarters for 
personnel; preparation of plans, specifications, and drawings; 
acquisition of sites, purchase and erection of modular buildings, and 
purchases of trailers; and for provision of domestic and community 
sanitation

[[Page 480]]
facilities for Indians, as authorized by section 7 of the Act of August 
5, 1954 (42 U.S.C. 2004a), the Indian Self-Determination Act, and the 
Indian Health Care Improvement Act, and for expenses necessary to carry 
out such Acts and titles II and III of the Public Health Service Act 
with respect to environmental health and facilities support activities 
of the Indian Health Service, $275,251,000 to remain available until 
expended: Provided, That notwithstanding any other provision of law, 
funds appropriated for the planning, design, construction or renovation 
of health facilities for the benefit of an Indian tribe or tribes may be 
used to purchase land for sites to construct, improve, or enlarge health 
or related facilities.
    Note.--A regular 1996 appropriation for this account had not been 
enacted at the time this budget was prepared. The 1996 amounts included 
in this budget are based on the levels provided in the three continuing 
resolutions: P.L. 104-91, P.L. 104-92, and P.L. 104-99.

              Unavailable Collections (in millions of dollars)

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

               Program and Financing (in millions of dollars)

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

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

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

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

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

    New budget authority (gross), detail:
      Current:

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

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

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

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

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

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

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

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

               Object Classification (in millions of dollars)

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

      Personnel compensation:

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

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

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

                              Personnel Summary

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

                                

            Administrative Provisions, Indian Health Service

    Appropriations in this Act to the Indian Health Service shall be 
available for services as authorized by 5 U.S.C. 3109 but at rates not 
to exceed the per diem rate equivalent to the maximum rate payable for 
senior-level positions under 5 U.S.C. 5376; hire of passenger motor 
vehicles and aircraft; purchase of medical equipment; purchase of 
reprints; purchase, renovation and erection of modular buildings and 
renovation of existing facilities; payments for telephone service in 
private residences in the field, when authorized under regulations 
approved by the Secretary; and for uniforms or allowances therefor as 
authorized by 5 U.S.C. 5901-5902; and for expenses of attendance at 
meetings which are concerned with the functions or activities for which 
the appropriation is made or which will contribute to improved conduct, 
supervision, or management of those functions or activities: Provided, 
That in accordance with the provisions of the Indian Health Care 
Improvement Act, non-Indian patients may be extended health care at all 
tribally administered or Indian Health Service facilities, subject to 
charges, and the proceeds along with funds recovered under the Federal 
Medical Care Recovery Act (42 U.S.C. 2651-53) shall be credited to the 
account of the facility providing the service and shall be available 
without fiscal year limitation: Provided further, That notwithstanding 
any other law or regulation, funds transferred from the Department of 
Housing and Urban Development to the Indian Health Service shall be 
administered under Public Law 86-121 (the Indian Sanitation Facilities 
Act) and Public Law 93-638, as amended: Provided further, That funds 
appropriated to the Indian Health Service in this Act, except those used 
for administrative and program direction purposes, shall not be subject 
to limitations directed at curtailing Federal travel and transportation: 
Provided further, That the Indian Health Service shall neither bill nor 
charge those Indians who may have the economic means to pay unless and 
until such time as Congress has agreed upon a specific policy to do so 
and has directed the Indian Health Service to implement such a policy: 
Provided further, That notwithstanding any other provision of law, funds 
previously or herein made available to a tribe or tribal organization 
through a contract, grant, or agreement authorized by title I or title 
III of the Indian Self-Determination and Education Assistance Act of 
1975 (25 U.S.C. 450), may be deobligated and reobligated to a self-
determination contract under title I, or a self-governance agreement 
under title III of such Act and thereafter shall remain

[[Page 481]]
available to the tribe or tribal organization without fiscal year 
limitation: Provided further, That none of the funds made available to 
the Indian Health Service in this Act shall be used to implement the 
final rule published in the Federal Register on September 16, 1987, by 
the Department of Health and Human Services, relating to the eligibility 
for the health care services of the Indian Health Service until the 
Indian Health Service has submitted a budget request for such costs that 
has been included in an appropriations Act and enacted into law: 
Provided further, That funds made available in this Act are to be 
apportioned to the Indian Health Service as appropriated in this Act, 
and accounted for in the appropriation structure set forth in this Act: 
Provided further, That the appropriation structure for the Indian Health 
Service may not be altered without advance notice to the House and 
Senate Committees on Appropriations.

                                



 
               CENTERS FOR DISEASE CONTROL AND PREVENTION

                              Federal Funds

General and special funds:

                 Disease Control, Research, and Training

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

                    Violent Crime Reduction Programs

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

              Unavailable Collections (in millions of dollars)

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

               Program and Financing (in millions of dollars)

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

    Obligations by program activity:
      Direct program:

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

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

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

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

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

    New budget authority (gross), detail:
      Current:

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

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

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

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

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

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

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

    Offsets:
      Against gross budget authority and outlays:

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

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

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

[[Page 482]]


                          [Dollars in millions]

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

                 Summary of Budget Authority and Outlays

                        [In millions of dollars]

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

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

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

               Object Classification (in millions of dollars)

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

      Direct obligations:

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

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

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

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

                              Personnel Summary

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

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

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

                                

                Allocations Received From Other Accounts

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

                                



 
                      NATIONAL INSTITUTES OF HEALTH

                              Federal Funds

General and special funds:

                        National Cancer Institute

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

                National Heart, Lung, and Blood Institute

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

                  National Institute of Dental Research

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

    National Institute of Diabetes and Digestive and Kidney Diseases

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

         National Institute of Neurological Disorders and Stroke

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

          National Institute of Allergy and Infectious Diseases

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

             National Institute of General Medical Sciences

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

        National Institute of Child Health and Human Development

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

                         National Eye Institute

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

           National Institute of Environmental Health Sciences

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

                       National Institute on Aging

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

  National Institute of Arthritis and Musculoskeletal and Skin Diseases

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

    National Institute on Deafness and Other Communication Disorders

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

                 National Institute of Nursing Research

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

[[Page 483]]


           National Institute on Alcohol Abuse and Alcoholism

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

                    National Institute on Drug Abuse

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

                   National Institute of Mental Health

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

                 National Center for Research Resources

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

                National Center for Human Genome Research

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

                  John E. Fogarty International Center

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

                      National Library of Medicine

    For carrying out section 301 and title IV of the Public Health 
Service Act with respect to health information communications, 
$143,268,000, of which $4,000,000 shall be available until expended for 
improvement of information systems: Provided, That in fiscal year 1997 
and thereafter, the Library may enter into personal services contracts 
for the provision of services in facilities owned, operated, or 
constructed under the jurisdiction of the National Institutes of Health.

                         Office of the Director

                      (including transfer of funds)

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

                         Office of AIDS Research

                      (including transfer of funds)

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

                        Buildings and Facilities

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

              Unavailable Collections (in millions of dollars)

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

               Program and Financing (in millions of dollars)

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

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

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

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

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

    New budget authority (gross), detail:
      Current:

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

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

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

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

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

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

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

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

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

    Outlays (gross), detail:
86.90 Outlays from new current authority       5,515       5,090       5,259
                                                                 
[[Page 484]]

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

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

    Offsets:
      Against gross budget authority and outlays:

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

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

                          [Dollars in millions]

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

                          [Dollars in millions]

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

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

               Object Classification (in millions of dollars)

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

      Direct obligations:

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

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

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

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

                              Personnel Summary

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

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

                                



 
        SUBSTANCE ABUSE AND MENTAL HEALTH SERVICES ADMINISTRATION

                              Federal Funds

General and special funds:

               Substance Abuse and Mental Health Services

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

[[Page 485]]


               Program and Financing (in millions of dollars)

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

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

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

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

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

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

    New budget authority (gross), detail:
      Current:

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

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

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

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

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

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

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

    Offsets:
      Against gross budget authority and outlays:

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

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

                 Summary of Budget Authority and Outlays

                        [In millions of dollars]

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

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

               Object Classification (in millions of dollars)

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

      Direct obligations:

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

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

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

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

                              Personnel Summary

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

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

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

                                



 
               AGENCY FOR HEALTH CARE POLICY AND RESEARCH

                              Federal Funds

General and special funds:

                     Health Care Policy and Research

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

               Program and Financing (in millions of dollars)

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

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

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

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

[[Page 486]]


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

    New budget authority (gross), detail:
      Current:

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

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

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

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

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

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

    Offsets:
      Against gross budget authority and outlays:

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

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

                 Summary of Budget Authority and Outlays

                        [In millions of dollars]

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

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

               Object Classification (in millions of dollars)

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

      Direct obligations:

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

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

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

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

                              Personnel Summary

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

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

                                



 
                     ASSISTANT SECRETARY FOR HEALTH

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

                                



 
                  HEALTH CARE FINANCING ADMINISTRATION

                              Federal Funds

General and special funds:

                      Grants to States for Medicaid

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

               Program and Financing (in millions of dollars)

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

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

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

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

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

    New budget authority (gross), detail:
      Current:

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

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

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

    Change in unpaid obligations:
72.40 Unpaid obligations, start of year: 
        Obligated balance: Appropriation       4,144       4,606       4,606
                                                                 
[[Page 487]]

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

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

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

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

                 Summary of Budget Authority and Outlays

                        [In millions of dollars]

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

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

                                

                      Grants to States for Medicaid

                (Legislative proposal, subject to PAYGO)

               Program and Financing (in millions of dollars)

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

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

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

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

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

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

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

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

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

                                

                   Payments to Health Care Trust Funds

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

               Program and Financing (in millions of dollars)

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

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

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

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

    New budget authority (gross), detail:
      Current:

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

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

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

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

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

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

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

                 Summary of Budget Authority and Outlays

                        [In millions of dollars]

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

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

               Object Classification (in millions of dollars)

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

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

                                

[[Page 488]]


                   Payments to Health Care Trust Funds

              (Legislative proposal, not subject to PAYGO)

               Program and Financing (in millions of dollars)

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

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

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

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

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

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

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

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

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

                                

                           Program Management

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

               Program and Financing (in millions of dollars)

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

    Offsets:
      Against gross budget authority and outlays:

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

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

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

                 Summary of Budget Authority and Outlays

                        [In millions of dollars]

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

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

               Object Classification (in millions of dollars)

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

      Personnel compensation:

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

11.9      Total personnel compensation..         214         229         240
12.1  Civilian personnel benefits.......          37          38          41
21.0  Travel and transportation of 
        persons.........................           9           3           4
23.1  Rental payments to GSA............          16          25          23
23.3  Communications, utilities, and 
        miscellaneous charges...........           6           4           4
24.0  Printing and reproduction.........          29           3           3
25.1  Advisory and assistance services..           1          21          27
25.2  Other services....................         250         254         274
25.6  Medical care......................       1,585       1,564       1,614
                                                                 
[[Page 489]]

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

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

                              Personnel Summary

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

                                

                           Program Management

              (Legislative proposal, not subject to PAYGO)

               Program and Financing (in millions of dollars)

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

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

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

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

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

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

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

    Offsets:
      Against gross budget authority and outlays:

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

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

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

                                

                           Program Management

                (Legislative proposal, subject to PAYGO)

               Program and Financing (in millions of dollars)

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

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

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

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

    New budget authority (gross), detail:
      Current:

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

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

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

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

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

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

    Offsets:
      Against gross budget authority and outlays:

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

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

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

               Object Classification (in millions of dollars)

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

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

                                

      Health Maintenance Organization Loan and Loan Guarantee Fund

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

               Program and Financing (in millions of dollars)

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

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

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

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

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

    New budget authority (gross), detail:
      Current:

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

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

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

[[Page 490]]


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

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

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

    Offsets:
      Against gross budget authority and outlays:

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

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

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

                                

  

                               Trust Funds

                  Federal Hospital Insurance Trust Fund

              Unavailable Collections (in millions of dollars)

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

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

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

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

               Program and Financing (in millions of dollars)

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

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

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

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

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

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

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

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

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

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

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

                 Summary of Budget Authority and Outlays

                        [In millions of dollars]

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

    The Hospital Insurance (HI) program funds the costs of hospital and 
related care for individuals age 65 or older and for eligible disabled 
people.

    The status of the trust fund is as follows:

                  Status of Funds (in millions of dollars)

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

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

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

0221    FHI Trust Fund, Premiums 
          collected for uninsured 
          individuals not otherwise 
          eligible......................         998       1,100       1,224
                                                                 
[[Page 491]]

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

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

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

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

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

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

                Object Classification (in millions of dollars)

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

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

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

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

                                

                  Federal Hospital Insurance Trust Fund

              (Legislative proposal, not subject to PAYGO)

               Program and Financing (in millions of dollars)

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

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

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

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

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

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

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

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

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

               Object Classification (in millions of dollars)

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

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

                                

                  Federal Hospital Insurance Trust Fund

                (Legislative proposal, subject to PAYGO)

               Program and Financing (in millions of dollars)

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

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

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

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

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

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

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

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

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

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

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

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

[[Page 492]]


               Object Classification (in millions of dollars)

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

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

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

                                

           Federal Supplementary Medical Insurance Trust Fund

              Unavailable Collections (in millions of dollars)

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

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

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

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

               Program and Financing (in millions of dollars)

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

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

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

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

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

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

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

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

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

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

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

                 Summary of Budget Authority and Outlays

                        [In millions of dollars]

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

    The Supplementary Medical Insurance (SMI) program is a voluntary 
program which affords protection against the costs of physician and 
certain other medical services. The program also covers treatment of 
end-stage renal disease for eligible enrollees. SMI costs are financed 
by premium payments from enrollees and contributions from the general 
revenues.

    The status of the trust fund is as follows:

                   Status of Funds (in millions of dollars)

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

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

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

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

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

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

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

0505    Cash outgo for research.........         -18         -13         -14
0505    Cash outgo for research.........                      -4
0597  Outgo under present law (-).......     -65,213     -70,871     -78,184
                                                                 
[[Page 493]]

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

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

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

               Object Classification (in millions of dollars)

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

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

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

                                

           Federal Supplementary Medical Insurance Trust Fund

              (Legislative proposal, not subject to PAYGO)

               Program and Financing (in millions of dollars)

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

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

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

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

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

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

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

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

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

               Object Classification (in millions of dollars)

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

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

                                

           Federal Supplementary Medical Insurance Trust Fund

                (Legislative proposal, subject to PAYGO)

               Program and Financing (in millions of dollars)

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

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

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

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

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

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

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

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

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

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

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

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

               Object Classification (in millions of dollars)

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

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

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

                                



 
                ADMINISTRATION FOR CHILDREN AND FAMILIES

                              Federal Funds

General and special funds:

                    Family Support Payments to States

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

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

               Program and Financing (in millions of dollars)

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

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

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

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

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

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

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

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

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

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

    New budget authority (gross), detail:
      Current:

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

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

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

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

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

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

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

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

                                

                    Low Income Home Energy Assistance

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

               Program and Financing (in millions of dollars)

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

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

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

    New budget authority (gross), detail:
      Current:

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

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

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

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

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

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

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

    This program makes grants to States and Indian tribes to aid low-
income households with high energy costs through payments to eligible 
households, energy suppliers, and weatherization providers.

                                

                     Refugee and Entrant Assistance

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

                    [Refugee Resettlement Assistance]

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

[[Page 495]]


               Program and Financing (in millions of dollars)

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

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

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

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

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

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

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

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

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

    States are subsidized for administering the refugee assistance 
program.

               Object Classification (in millions of dollars)

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

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

                                

                     Family Preservation and Support

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

               Program and Financing (in millions of dollars)

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

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

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

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

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

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

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

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

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

               Object Classification (in millions of dollars)

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

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

                                

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

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

               Program and Financing (in millions of dollars)

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

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

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

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

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

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

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

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

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

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

                                

[[Page 496]]


               State Legalization Impact-Assistance Grants

               Program and Financing (in millions of dollars)

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

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

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

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

    New budget authority (gross), detail:
      Current:

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

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

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

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

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

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

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

                                

    Payments to States for the Child Care and Development Block Grant

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

               Program and Financing (in millions of dollars)

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

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

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

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

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

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

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

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

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

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

               Object Classification (in millions of dollars)

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

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

                                

                       Social Services Block Grant

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

               Program and Financing (in millions of dollars)

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

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

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

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

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

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

    New budget authority (gross), detail:
      Current:

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

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

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

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

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

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

    Offsets:
      Against gross budget authority and outlays:

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

[[Page 497]]


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

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

                                

                 Children and Families Services Programs

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

               Program and Financing (in millions of dollars)

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

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

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

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

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

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

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

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

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

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

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

    New budget authority (gross), detail:
      Current:

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

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

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

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

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

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

    Offsets:
      Against gross budget authority and outlays:

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

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

                 Summary of Budget Authority and Outlays

                        [In millions of dollars]

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

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

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

[[Page 498]]


               Object Classification (in millions of dollars)

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

      Direct obligations:

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

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

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

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

                              Personnel Summary

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

                                

                    Violent Crime Reduction Programs

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

               Program and Financing (in millions of dollars)

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

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

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

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

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

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

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

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

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

                 Summary of Budget Authority and Outlays

                        [In millions of dollars]

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

               Object Classification (in millions of dollars)

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

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

                                

       Payments to States for Foster Care and Adoption Assistance

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

               Program and Financing (in millions of dollars)

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

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

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

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

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

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

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

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

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

    Net budget authority and outlays:
89.00 Budget authority..................       3,597       4,322       4,445
                                                                 
[[Page 499]]

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

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

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

                                



 
                         ADMINISTRATION ON AGING

                              Federal Funds

General and special funds:

                         Aging Services Programs

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

               Program and Financing (in millions of dollars)

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

    Obligations by program activity:
01.01 Supportive services and centers...         307         294         295
01.02 Preventive health.................          17                      17
01.03 Ombudsman services................           4                       4
01.04 Elder abuse prevention............           5                       5
01.05 Congregate meals..................         377         358         357
01.06 Home-delivered meals..............          94          89          94
01.07 In-home services..................           9           9           9
01.08 Grants to Indian tribes...........          17          16          16
01.09 Research, training and 
        discretionary projects..........          26                      12
01.10 Federal administration............          16          15          17
01.12 Pension counseling................           2                       2
01.13 White House Conference on Aging...           3
01.14 Transfer from USDA for nutrition 
        program.........................                                 150
01.15 DOL transfer for senior community 
        service employment program......                                 350
                                           ---------   ---------  ----------

10.00   Total obligations...............         877         781       1,328
----------------------------------------------------------------------------

    Budgetary resources available for obligation:
22.00 New budget authority (gross)......         877         781       1,328
23.95 New obligations...................        -877        -781      -1,328
----------------------------------------------------------------------------

    New budget authority (gross), detail:
      Current:

40.00   Appropriation...................         876         781         828
42.00   Transferred from other accounts.                                 500
                                           ---------   ---------  ----------

43.00     Appropriation (total).........         876         781       1,328
      Permanent:

68.00   Spending authority from 
          offsetting collections: 
          Offsetting collections (cash).           1
                                           ---------   ---------  ----------

70.00   Total new budget authority 
          (gross).......................         877         781       1,328
----------------------------------------------------------------------------

    Change in unpaid obligations:
72.40 Unpaid obligations, start of year: 
        Obligated balance: Appropriation         290         216         253
73.10 New obligations...................         877         781       1,328
73.20 Total outlays (gross).............        -951        -742        -994
74.40 Unpaid obligations, end of year: 
        Obligated balance: Appropriation         216         253         587
----------------------------------------------------------------------------

    Outlays (gross), detail:
86.90 Outlays from new current authority         698         555         775
86.93 Outlays from current balances.....         254         188         219
86.97 Outlays from new permanent 
        authority.......................           1
                                           ---------   ---------  ----------

87.00   Total outlays (gross)...........         951         742         994
----------------------------------------------------------------------------

    Offsets:
      Against gross budget authority and outlays:

88.00   Offsetting collections (cash) 
          from: Federal sources.........          -1
----------------------------------------------------------------------------

    Net budget authority and outlays:
89.00 Budget authority..................         876         781       1,328
90.00 Outlays...........................         951         742         994
---------------------------------------------------------------------------

                 Summary of Budget Authority and Outlays

                        [In millions of dollars]

                                     1995 actual  1996 est.   1997 est.
Enacted/requested:
  Budget Authority..................         876         781       1,328
  Outlays...........................         952         743         994
Adjustment to 1996 continuing 
    resolution levels:
  Budget Authority..................                      47
  Outlays...........................                      33          12
                                    ------------------------------------
Total:
  Budget Authority..................         876         828       1,328
  Outlays...........................         952         776       1,006
                                    ====================================

    Administration on Aging.--The proposed level will continue to 
provide supportive and nutrition services, research, training and 
demonstration projects for the elderly.

               Object Classification (in millions of dollars)

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

      Personnel compensation:

11.1    Full-time permanent.............          10          10          11
                                           ---------   ---------  ----------

11.9      Total personnel compensation..          10          10          11
12.1  Civilian personnel benefits.......           2           1           2
23.1  Rental payments to GSA............           1           1           1
25.1  Advisory and assistance services..           3
25.2  Other services....................           6           2           2
41.0  Grants, subsidies, and 
        contributions...................         851         766       1,311
99.5  Below reporting threshold.........           4           1           1
                                           ---------   ---------  ----------

99.9    Total obligations...............         877         781       1,328
---------------------------------------------------------------------------

                              Personnel Summary

----------------------------------------------------------------------------
Identification code 75-0142-0-1-506      1995 actual   1996 est.   1997 est.
----------------------------------------------------------------------------
    Total compensable workyears:
1001  Full-time equivalent employment...         177         158         177
1005  Full-time equivalent of overtime 
        and holiday hours...............           1           1           1
---------------------------------------------------------------------------

                                



 
                         DEPARTMENTAL MANAGEMENT

                              Federal Funds

General and special funds:

                     General Departmental Management

    For necessary expenses, not otherwise provided, for general 
departmental management, including hire of six medium sedans, and for 
carrying out titles III, XVII, and XX of the Public Health Service Act, 
$136,163,000, together with $9,187,000, to be transferred and expended 
as authorized by section 201(g)(1) of the Social Security Act from the 
Hospital Insurance Trust Fund and the Supplemental Medical Insurance 
Trust Fund.

                       Office of Consumer Affairs

    For necessary expenses of the Office of Consumer Affairs, including 
services authorized by 5 U.S.C. 3109, $1,811,000: Provided, That 
notwithstanding any other provision of law, that Office may accept and 
deposit to this account, during fiscal year 1997, gifts for the purpose 
of defraying its costs of printing, publishing, and distributing 
consumer information and educational materials; may expend up to 
$1,100,000 of those gifts for those purposes, in addition to amounts 
otherwise appropriated; and the balance shall remain available for 
expenditure for such purposes to the extent authorized in subsequent 
appropriations Acts: Provided further, That none of the funds provided 
under this heading may be made available for any other activities within 
the Department of Health and Human Services.

                         Office for Civil Rights

    For expenses necessary of the Office for Civil Rights, $18,188,000, 
together with not to exceed $3,602,000, to be transferred and expended 
as authorized by section 201(g)(1) of the Social Security Act from

[[Page 500]]
the Hospital Insurance Trust Fund and the Supplemental Medical Insurance 
Trust Fund.

                             Policy Research

    For carrying out, to the extent not otherwise provided, research 
studies under section 1110 of the Social Security Act, $9,000,000.
    Note.--A regular 1996 appropriation for this account had not been 
enacted at the time this budget was prepared. The 1996 amounts included 
in this budget are based on the levels provided in three continuing 
resolutions: P.L. 104-91, P.L. 104-92, and P.L. 104-99.

               Program and Financing (in millions of dollars)

----------------------------------------------------------------------------
Identification code 75-9912-0-1-999      1995 actual   1996 est.   1997 est.
----------------------------------------------------------------------------

    Obligations by program activity:
00.01 General departmental management...         173         140         145
00.02 U.S Office of Consumer Affairs....           2           2           2
00.03 Office for Civil Rights...........          22          19          22
00.04 Policy research...................           9           9           9
00.05 Emergency supplemental............           1           7
                                           ---------   ---------  ----------

00.91   Subtotal, direct activities.....         207         177         178
01.01 Reimbursable activities...........          88          92          92
                                           ---------   ---------  ----------

10.00   Total obligations...............         295         269         270
----------------------------------------------------------------------------

    Budgetary resources available for obligation:
21.40 Unobligated balance available, 
        start of year: Uninvested 
        balance.........................           8           7
22.00 New budget authority (gross)......         295         262         270
22.30 Unobligated balance expiring......          -1
                                           ---------   ---------  ----------

23.90   Total budgetary resources 
          available for obligation......         302         269         270
23.95 New obligations...................        -295        -269        -270
24.40 Unobligated balance available, end 
        of year: Uninvested balance.....           7
----------------------------------------------------------------------------

    New budget authority (gross), detail:
      Current:

40.00   Appropriation...................         184         160         165
      Permanent:

68.00   Spending authority from 
          offsetting collections: 
          Offsetting collections (cash).         111         102         104
                                           ---------   ---------  ----------

70.00   Total new budget authority 
          (gross).......................         295         262         270
----------------------------------------------------------------------------

    Change in unpaid obligations:
72.40 Unpaid obligations, start of year: 
        Obligated balance: Appropriation         187         108          61
73.10 New obligations...................         295         269         270
73.20 Total outlays (gross).............        -363        -316        -259
73.40 Adjustments in expired accounts...         -11
74.40 Unpaid obligations, end of year: 
        Obligated balance: Appropriation         108          61          72
----------------------------------------------------------------------------

    Outlays (gross), detail:
86.90 Outlays from new current authority         151         123         127
86.93 Outlays from current balances.....         101          90          30
86.97 Outlays from new permanent 
        authority.......................         111         102         104
                                           ---------   ---------  ----------

87.00   Total outlays (gross)...........         363         316         259
----------------------------------------------------------------------------

    Offsets:
      Against gross budget authority and outlays:

88.00   Offsetting collections (cash) 
          from: Federal sources.........        -111        -102        -104
----------------------------------------------------------------------------

    Net budget authority and outlays:
89.00 Budget authority..................         184         160         166
90.00 Outlays...........................         252         214         155
---------------------------------------------------------------------------

                          [Dollars in millions]

                                        1995        1996        1997
Distribution of budget authority by 
    account:
  General departmental management...         155         133         136
  Office of Consumer Affairs........           2           2           2
  Office for Civil Rights...........          18          16          18
  Policy research...................           9           9           9
Distribution of outlays by account:
  General departmental management...         145         159         127
  Office of Consumer Affairs........           2           3           2
  Office for Civil Rights...........          18          16          19
  Policy research...................          15          17           7

    Departmental Management (DM) is a consolidated display of accounts 
that fund activities which provide leadership, policy, legal, and 
administrative guidance to HHS components; carry out the Department's 
civil rights and nondiscrimination enforcement programs; present 
consumer needs and viewpoints in the Federal government; and support 
research to develop policy initiatives and improve existing HHS 
programs. These accounts will continue to be appropriated separately, 
and are being displayed in a consolidated format to improve the 
readability of the presentation. Detailed information will continue to 
be available through the Department of Health and Human Services.

    DM also incorporates the activities of the former Office of the 
Assistant Secretary for Health, including adolescent family life, 
disease prevention and health promotion, physical fitness and sports, 
minority health, research integrity, women's health, and emergency 
preparedness.

    These schedules include six months of resources for general 
departmental management, civil rights, and policy research activities 
transferred to the independent Social Security Administration on March 
31, 1995.

               Object Classification (in millions of dollars)

----------------------------------------------------------------------------
Identification code 75-9912-0-1-999      1995 actual   1996 est.   1997 est.
----------------------------------------------------------------------------

      Direct obligations:

        Personnel compensation:
11.1      Full-time permanent...........          97          90          82
11.3      Other than full-time permanent           5           5           5
11.5      Other personnel compensation..           1           1           1
                                           ---------   ---------  ----------

11.9        Total personnel compensation         103          96          88
12.1    Civilian personnel benefits.....          18          17          16
13.0    Benefits for former personnel...           4
21.0    Travel and transportation of 
          persons.......................           2           1           1
23.1    Rental payments to GSA..........          14          11          12
23.3    Communications, utilities, and 
          miscellaneous charges.........           4           4           3
24.0    Printing and reproduction.......           1           1           1
25.1    Advisory and assistance services           4           3           4
25.2    Other services..................          12          15          14
25.3    Purchases of goods and services 
          from Government accounts......          16           9          10
25.5    Research and development 
          contracts.....................           3           3           2
25.7    Operation and maintenance of 
          equipment.....................           4           4           3
26.0    Supplies and materials..........           1           1           1
31.0    Equipment.......................           2           1           4
41.0    Grants, subsidies, and 
          contributions.................          19          18          19
                                           ---------   ---------  ----------

99.0      Subtotal, direct obligations..         207         184         178
99.0  Reimbursable obligations..........          88          85          92
                                           ---------   ---------  ----------

99.9    Total obligations...............         295         269         270
---------------------------------------------------------------------------

                              Personnel Summary

----------------------------------------------------------------------------
Identification code 75-9912-0-1-999      1995 actual   1996 est.   1997 est.
----------------------------------------------------------------------------
    Direct:
      Total compensable workyears:

1001    Full-time equivalent employment.       1,810       1,356       1,356
1005    Full-time equivalent of overtime 
          and holiday hours.............           8           8           8
    Reimbursable:
2001  Total compensable workyears: Full-
        time equivalent employment......         141         141         141
---------------------------------------------------------------------------

                                



 
                         PROGRAM SUPPORT CENTER

General and special funds:

      Retirement Pay and Medical Benefits for Commissioned Officers

    For retirement pay and medical benefits of Public Health Service 
Commissioned Officers as authorized by law, and for payments under the 
Retired Serviceman's Family Protection Plan and Survivor Benefit Plan 
and for medical care of dependents and retired personnel under

[[Page 501]]
the Dependents' Medical Care Act (10 U.S.C. ch. 55), and for payments 
pursuant to section 229(b) of the Social Security Act (42 U.S.C. 
429(b)), such amounts as may be required during the current fiscal year.
    Note.--A regular 1996 appropriation for this account had not been 
enacted at the time this budget was prepared. The 1996 amounts included 
in this budget are based on the levels provided in three continuing 
resolutions: P.L. 104-91, P.L. 104-92, and P.L. 104-99.

               Program and Financing (in millions of dollars)

----------------------------------------------------------------------------
Identification code 75-0379-0-1-551      1995 actual   1996 est.   1997 est.
----------------------------------------------------------------------------

    Obligations by program activity:
00.01 Retirement payments...............         112         130         136
00.02 Survivors' benefits...............           8           9          11
00.03 Medical care......................          22          25          26
00.04 Military service credits..........           2           3           3
                                           ---------   ---------  ----------

10.00   Total obligations...............         144         167         176
----------------------------------------------------------------------------

    Budgetary resources available for obligation:
22.00 New budget authority (gross)......         159         167         176
22.30 Unobligated balance expiring......         -15
                                           ---------   ---------  ----------

23.90   Total budgetary resources 
          available for obligation......         144         167         176
23.95 New obligations...................        -144        -167        -176
----------------------------------------------------------------------------

    New budget authority (gross), detail:
40.05 Appropriation (indefinite)........         159         167         176
----------------------------------------------------------------------------

    Change in unpaid obligations:
72.40 Unpaid obligations, start of year: 
        Obligated balance: Appropriation          25          14          14
73.10 New obligations...................         144         167         176
73.20 Total outlays (gross).............        -152        -167        -176
73.40 Adjustments in expired accounts...          -3
74.40 Unpaid obligations, end of year: 
        Obligated balance: Appropriation          14          14          14
----------------------------------------------------------------------------

    Outlays (gross), detail:
86.90 Outlays from new current authority         138         159         168
86.93 Outlays from current balances.....          14           8           8
                                           ---------   ---------  ----------

87.00   Total outlays (gross)...........         152         167         176
----------------------------------------------------------------------------

    Net budget authority and outlays:
89.00 Budget authority..................         159         167         176
90.00 Outlays...........................         152         167         176
---------------------------------------------------------------------------

    This activity funds annuities of retired Public Health Service (PHS) 
commissioned officers and survivors of retirees, and medical care to 
active duty PHS commissioned officers, retirees, and dependents of 
members and retirees of the PHS Commissioned Corps.

               Object Classification (in millions of dollars)

----------------------------------------------------------------------------
Identification code 75-0379-0-1-551      1995 actual   1996 est.   1997 est.
----------------------------------------------------------------------------
13.0  Benefits for former personnel.....         120         139         147
25.2  Other services....................          22          25          26
25.3  Purchases of goods and services 
        from Government accounts........           2           3           3
                                           ---------   ---------  ----------

99.9    Total obligations...............         144         167         176
---------------------------------------------------------------------------

                                

                         Health Activities Funds

               Program and Financing (in millions of dollars)

----------------------------------------------------------------------------
Identification code 75-9913-0-1-550      1995 actual   1996 est.   1997 est.
----------------------------------------------------------------------------

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

    New budget authority (gross), detail:
70.00 Total new budget authority (gross)
----------------------------------------------------------------------------

    Change in unpaid obligations:
72.40 Unpaid obligations, start of year: 
        Obligated balance: Appropriation          13          12          11
73.10 New obligations...................
73.20 Total outlays (gross).............          -1          -1          -1
74.40 Unpaid obligations, end of year: 
        Obligated balance: Appropriation          12          11          10
----------------------------------------------------------------------------

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

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

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

    This display shows activities in support of St. Elizabeths Hospital 
and scientific activities overseas that were supported by foreign 
currencies by the United States abroad.

                                

Intragovernmental funds:

                      HHS Service and Supply Fund 

               Program and Financing (in millions of dollars)

----------------------------------------------------------------------------
Identification code 75-9941-0-4-999      1995 actual   1996 est.   1997 est.
----------------------------------------------------------------------------

    Obligations by program activity:
00.01 Program support center............         145         184         244
00.02 Federal employee occupational 
        health..........................                                  90
00.03 OS activities.....................          83          62           7
                                           ---------   ---------  ----------

10.00   Total obligations...............         228         246         341
----------------------------------------------------------------------------

    Budgetary resources available for obligation:
21.90 Unobligated balance available, 
        start of year: Fund balance.....          32          30          30
22.00 New budget authority (gross)......         217         246         341
22.10 Resources available from 
        recoveries of prior year 
        obligations.....................           9
                                           ---------   ---------  ----------

23.90   Total budgetary resources 
          available for obligation......         258         276         371
23.95 New obligations...................        -228        -246        -341
24.90 Unobligated balance available, end 
        of year: Fund balance...........          30          30          30
----------------------------------------------------------------------------

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

68.00   Offsetting collections (cash)...         205         246         341
68.10   Change in orders on hand from 
          Federal sources...............          12
                                           ---------   ---------  ----------

68.90     Spending authority from 
            offsetting collections 
            (total).....................         217         246         341
                                           ---------   ---------  ----------

70.00   Total new budget authority 
          (gross).......................         217         246         341
----------------------------------------------------------------------------

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

72.90   Obligated balance: Fund balance.          75          68          58
72.95   Orders on hand from Federal 
          sources.......................          57          69          69
                                           ---------   ---------  ----------

72.99     Total unpaid obligations, 
            start of year...............         132         137         127
73.10 New obligations...................         228         246         341
73.20 Total outlays (gross).............        -214        -256        -341
73.45 Adjustments in unexpired accounts.          -9
      Unpaid obligations, end of year:

74.90   Obligated balance: Fund balance: 
          Uninvested balance............          68          58          58
74.95   Orders on hand from Federal 
          sources.......................          69          69          69
                                           ---------   ---------  ----------

74.99     Total unpaid obligations, end 
            of year.....................         137         127         127
----------------------------------------------------------------------------

    Outlays (gross), detail:
86.97 Outlays from new permanent 
        authority.......................         196         246         341
86.98 Outlays from permanent balances...          18          10
                                           ---------   ---------  ----------

87.00   Total outlays (gross)...........         214         256         341
----------------------------------------------------------------------------

    Offsets:
      Against gross budget authority and outlays:

88.00   Offsetting collections (cash) 
          from: Federal sources.........        -205        -246        -341
88.95 Change in orders on hand from 
        Federal sources.................         -12
----------------------------------------------------------------------------

    Net budget authority and outlays:
89.00 Budget authority..................
                                                                 
[[Page 502]]

90.00 Outlays...........................           9          10
---------------------------------------------------------------------------

    The HHS Service and Supply Fund (SSF) provides common centralized 
services to HHS components. Beginning in FY 1995, all PHS SSF activities 
are reflected in the Program Support Center. For FY 1995 and FY 1996, 
all OS Working Capital Fund (WCF) activities are included in the OS 
Activities line. The WCF will be terminated in FY 1997 and both PSC and 
OS activities will be funded through the SSF. The OS Activity line 
includes the Fund Manager, Departmental Contracts Information System, 
Audit Resolution, OS Graphics, and the Regional Health Administrators. 
For FY 1995 and FY 1996, Federal Occupational Health funds operate 
through the Health Resources and Services Administration general fund 
account, but will be funded through the SSF in FY 1997.

               Object Classification (in millions of dollars)

----------------------------------------------------------------------------
Identification code 75-9941-0-4-999      1995 actual   1996 est.   1997 est.
----------------------------------------------------------------------------

      Personnel compensation:

11.1    Full-time permanent.............          63          64          74
11.3    Other than full-time permanent..           2           2           3
11.5    Other personnel compensation....           2           2           2
                                           ---------   ---------  ----------

11.9      Total personnel compensation..          67          68          79
12.1  Civilian personnel benefits.......          13          13          15
13.0  Benefits for former personnel.....           4
21.0  Travel and transportation of 
        persons.........................           1           2           3
22.0  Transportation of things..........           1           2           2
23.1  Rental payments to GSA............          13          11          11
23.3  Communications, utilities, and 
        miscellaneous charges...........           8          12          14
24.0  Printing and reproduction.........           2           2           2
25.1  Advisory and assistance services..           4           4           4
25.2  Other services....................          51          59         130
25.3  Purchases of goods and services 
        from Government accounts........          25          29          30
26.0  Supplies and materials............          34          39          46
31.0  Equipment.........................           5           5           5
99.0  Subtotal, reimbursable obligations         228         246         341
                                           ---------   ---------  ----------

99.9    Total obligations...............         228         246         341
---------------------------------------------------------------------------

                              Personnel Summary

----------------------------------------------------------------------------
Identification code 75-9941-0-4-999      1995 actual   1996 est.   1997 est.
----------------------------------------------------------------------------
    Total compensable workyears:
2001  Full-time equivalent employment...       1,456       1,308       1,438
2005  Full-time equivalent of overtime 
        and holiday hours...............          14          14          17
---------------------------------------------------------------------------

                        Miscellaneous Trust Funds

              Unavailable Collections (in millions of dollars)

----------------------------------------------------------------------------
Identification code 75-9971-0-7-551      1995 actual   1996 est.   1997 est.
----------------------------------------------------------------------------
    Balance, start of year:
01.99 Balance, start of year............
    Receipts:
02.01 Contributions, Indian health 
        facilities, Health Services 
        Administration..................          32          33          33
02.02 Gifts and contributions, 
        Miscellaneous trust funds.......          19          19          19
02.03 Interest, Miscellaneous trust 
        funds...........................           1           1           1
                                           ---------   ---------  ----------

02.99   Total receipts..................          53          53          53
    Appropriation:
05.01 Miscellaneous trust funds.........         -53         -53         -53
07.99 Total balance, end of year........
---------------------------------------------------------------------------

               Program and Financing (in millions of dollars)

----------------------------------------------------------------------------
Identification code 75-9971-0-7-551      1995 actual   1996 est.   1997 est.
----------------------------------------------------------------------------

    Obligations by program activity:
00.02 Gifts.............................          11          20          20
00.03 Contributions, Indian health 
        facilities......................          37          33          33
                                           ---------   ---------  ----------

10.00   Total obligations...............          48          53          53
----------------------------------------------------------------------------

    Budgetary resources available for obligation:
21.40 Unobligated balance available, 
        start of year: Uninvested 
        balance.........................          37          42          42
22.00 New budget authority (gross)......          53          53          53
                                           ---------   ---------  ----------

23.90   Total budgetary resources 
          available for obligation......          90          95          95
23.95 New obligations...................         -48         -53         -53
24.40 Unobligated balance available, end 
        of year: Uninvested balance.....          42          42          42
----------------------------------------------------------------------------

    New budget authority (gross), detail:
60.27 Appropriation (trust fund, 
        indefinite).....................          53          53          53
----------------------------------------------------------------------------

    Change in unpaid obligations:
72.40 Unpaid obligations, start of year: 
        Obligated balance: Appropriation          93          95         101
73.10 New obligations...................          48          53          53
73.20 Total outlays (gross).............         -46         -47         -50
74.40 Unpaid obligations, end of year: 
        Obligated balance: Appropriation          95         101         104
----------------------------------------------------------------------------

    Outlays (gross), detail:
86.97 Outlays from new permanent 
        authority.......................           9           9           9
86.98 Outlays from permanent balances...          37          38          40
                                           ---------   ---------  ----------

87.00   Total outlays (gross)...........          46          47          50
----------------------------------------------------------------------------

    Net budget authority and outlays:
89.00 Budget authority..................          53          53          53
90.00 Outlays...........................          46          47          50
---------------------------------------------------------------------------

                          [Dollars in millions]

                                        1995        1996        1997
Distribution of budget authority by 
    account:
  Gifts.............................          20          20          20
  Contributions, Indian health 
    facilities......................          33          33          33
Distribution of outlays by account:
  Gifts.............................          16          16          17
  Contributions, Indian health 
    facilities......................          30          31          33

    Gifts to the Public Health Service are for the benefit of patients 
and for research. Contributions are made for the construction, 
improvement, extension, and provision of sanitation facilities.

               Object Classification (in millions of dollars)

----------------------------------------------------------------------------
Identification code 75-9971-0-7-551      1995 actual   1996 est.   1997 est.
----------------------------------------------------------------------------

      Personnel compensation:

11.3    Other than full-time permanent..           3           3           3
11.5    Other personnel compensation....           1           1           1
11.8    Special personal services 
          payments......................           1           1           1
                                           ---------   ---------  ----------

11.9      Total personnel compensation..           5           5           5
12.1  Civilian personnel benefits.......           1           1           1
21.0  Travel and transportation of 
        persons.........................           1           1           1
22.0  Transportation of things..........           1           1           1
25.2  Other services....................           8          11          11
25.3  Purchases of goods and services 
        from Government accounts........           5           7           7
26.0  Supplies and materials............           4           4           4
31.0  Equipment.........................           2           2           2
32.0  Land and structures...............          20          20          20
41.0  Grants, subsidies, and 
        contributions...................           1           1           1
                                           ---------   ---------  ----------

99.9    Total obligations...............          48          53          53
---------------------------------------------------------------------------

                              Personnel Summary

----------------------------------------------------------------------------
Identification code 75-9971-0-7-551      1995 actual   1996 est.   1997 est.
----------------------------------------------------------------------------
    Total compensable workyears:
1001  Full-time equivalent employment...         100         100         100
                                                                 
[[Page 503]]

1005  Full-time equivalent of overtime 
        and holiday hours...............          20          20          20
---------------------------------------------------------------------------

                                



 
                     OFFICE OF THE INSPECTOR GENERAL

General and special funds:

                       Office of Inspector General

    For necessary expenses of the Office of Inspector General in 
carrying out the Inspector General Act of 1978, as amended, $56,139,000, 
together with not to exceed $18,810,000, to be transferred and expended 
as authorized by section 201(g)(1) of the Social Security Act from the 
Hospital Insurance Trust Fund and the Supplemental Medical Insurance 
Trust Fund.
    Note.--A regular 1996 appropriation for this account had not been 
enacted at the time this budget was prepared. The 1996 amounts included 
in this budget are based on the levels provided in three continuing 
resolutions: P.L. 104-91, P.L. 104-92, and P.L. 104-99.

               Program and Financing (in millions of dollars)

----------------------------------------------------------------------------
Identification code 75-0128-0-1-609      1995 actual   1996 est.   1997 est.
----------------------------------------------------------------------------

    Obligations by program activity:
00.01 Direct program....................          91          74          75
01.01 Reimbursable program..............           5           7           7
                                           ---------   ---------  ----------

10.00   Total obligations...............          96          81          82
----------------------------------------------------------------------------

    Budgetary resources available for obligation:
21.40 Unobligated balance available, 
        start of year: Uninvested 
        balance.........................           1           1           1
22.00 New budget authority (gross)......          96          81          82
                                           ---------   ---------  ----------

23.90   Total budgetary resources 
          available for obligation......          97          82          83
23.95 New obligations...................         -96         -81         -82
24.40 Unobligated balance available, end 
        of year: Uninvested balance.....           1           1           1
----------------------------------------------------------------------------

    New budget authority (gross), detail:
      Current:

40.00   Appropriation...................          60          56          56
      Permanent:

68.00   Spending authority from 
          offsetting collections: 
          Offsetting collections (cash).          36          25          26
                                           ---------   ---------  ----------

70.00   Total new budget authority 
          (gross).......................          96          81          82
----------------------------------------------------------------------------

    Change in unpaid obligations:
72.40 Unpaid obligations, start of year: 
        Obligated balance: Appropriation           9                       7
73.10 New obligations...................          96          81          82
73.20 Total outlays (gross).............        -105         -74         -81
74.40 Unpaid obligations, end of year: 
        Obligated balance: Appropriation                       7           8
----------------------------------------------------------------------------

    Outlays (gross), detail:
86.90 Outlays from new current authority          60          49          49
86.93 Outlays from current balances.....          10                       6
86.97 Outlays from new permanent 
        authority.......................          36          25          26
                                           ---------   ---------  ----------

87.00   Total outlays (gross)...........         105          74          81
----------------------------------------------------------------------------

    Offsets:
      Against gross budget authority and outlays:

88.00   Offsetting collections (cash) 
          from: Federal sources.........         -36         -25         -26
----------------------------------------------------------------------------

    Net budget authority and outlays:
89.00 Budget authority..................          60          56          56
90.00 Outlays...........................          70          49          55
---------------------------------------------------------------------------

                 Summary of Budget Authority and Outlays

                        [In millions of dollars]

                                     1995 actual  1996 est.   1997 est.
Enacted/requested:
  Budget Authority..................          60          56          56
  Outlays...........................          70          49          55
Legislative proposal, not subject to 
    PAYGO:
  Budget Authority..................                     -25         -24
  Outlays...........................                     -25         -24
Legislative proposal, subject to 
    PAYGO:
  Budget Authority..................
  Outlays...........................
                                    ------------------------------------
Total:
  Budget Authority..................          60          31          32
  Outlays...........................          70          24          31
                                    ====================================

    The Office of Inspector General identifies and recommends actions to 
correct fraud, waste, and abuse in HHS administered and assisted 
programs and operations through audits and investigations.

               Object Classification (in millions of dollars)

----------------------------------------------------------------------------
Identification code 75-0128-0-1-609      1995 actual   1996 est.   1997 est.
----------------------------------------------------------------------------

      Direct obligations:

        Personnel compensation:
11.1      Full-time permanent...........          56          49          51
11.5      Other personnel compensation..           1
                                           ---------   ---------  ----------

11.9        Total personnel compensation          57          49          51
12.1    Civilian personnel benefits.....          11          11          11
13.0    Benefits for former personnel...           1
21.0    Travel and transportation of 
          persons.......................           3           2           1
23.1    Rental payments to GSA..........           4           5           5
23.3    Communications, utilities, and 
          miscellaneous charges.........           2           1           1
25.2    Other services..................           1           1           1
25.3    Purchases of goods and services 
          from Government accounts......           8           5           5
25.6    Medical care....................           1
26.0    Supplies and materials..........           1
31.0    Equipment.......................           2
                                           ---------   ---------  ----------

99.0      Subtotal, direct obligations..          91          74          75
99.0  Reimbursable obligations..........           5           7           7
                                           ---------   ---------  ----------

99.9    Total obligations...............          96          81          82
---------------------------------------------------------------------------

                              Personnel Summary

----------------------------------------------------------------------------
Identification code 75-0128-0-1-609      1995 actual   1996 est.   1997 est.
----------------------------------------------------------------------------
    Total compensable workyears:
1001  Full-time equivalent employment...       1,051         927         927
1005  Full-time equivalent of overtime 
        and holiday hours...............           5
---------------------------------------------------------------------------

                                

                     Office of the Inspector General

              (Legislative proposal, not subject to PAYGO)

               Program and Financing (in millions of dollars)

----------------------------------------------------------------------------
Identification code 75-0128-2-1-609      1995 actual   1996 est.   1997 est.
----------------------------------------------------------------------------

    Obligations by program activity:
10.00 Total obligations.................                     -43         -43
----------------------------------------------------------------------------

    Budgetary resources available for obligation:
22.00 New budget authority (gross)......                     -43         -43
23.95 New obligations...................                      43          43
----------------------------------------------------------------------------

    New budget authority (gross), detail:
      Current:

40.00   Appropriation...................                     -25         -24
      Permanent:

68.00   Spending authority from 
          offsetting collections: 
          Offsetting collections (cash).                     -18         -19
                                           ---------   ---------  ----------

70.00   Total new budget authority 
          (gross).......................                     -43         -43
----------------------------------------------------------------------------

    Change in unpaid obligations:
73.10 New obligations...................                     -43         -43
73.20 Total outlays (gross).............                      43          43
----------------------------------------------------------------------------

    Outlays (gross), detail:
86.90 Outlays from new current authority                     -25         -24
86.97 Outlays from new permanent 
        authority.......................                     -18         -19
                                           ---------   ---------  ----------

87.00   Total outlays (gross)...........                     -43         -43
----------------------------------------------------------------------------

    Offsets:
      Against gross budget authority and outlays:

88.00   Offsetting collections (cash) 
          from: Federal sources.........                      18          19
----------------------------------------------------------------------------

[[Page 504]]


    Net budget authority and outlays:
89.00 Budget authority..................                     -25         -24
90.00 Outlays...........................                     -25         -24
---------------------------------------------------------------------------

    This schedule reflects the effects of a legislative proposal to 
shift base funding for Medicare anti-fraud and abuse activities from 
discretionary to mandatory.

               Object Classification (in millions of dollars)

----------------------------------------------------------------------------
Identification code 75-0128-2-1-609      1995 actual   1996 est.   1997 est.
----------------------------------------------------------------------------
11.1  Personnel compensation: Full-time 
        permanent.......................                     -29         -29
12.1  Civilian personnel benefits.......                      -6          -6
21.0  Travel and transportation of 
        persons.........................                      -1          -1
23.1  Rental payments to GSA............                      -3          -3
23.3  Communications, utilities, and 
        miscellaneous charges...........                      -1          -1
25.3  Purchases of goods and services 
        from Government accounts........                      -3          -3
                                           ---------   ---------  ----------

99.9    Total obligations...............                     -43         -43
---------------------------------------------------------------------------

                              Personnel Summary

----------------------------------------------------------------------------
Identification code 75-0128-2-1-609      1995 actual   1996 est.   1997 est.
----------------------------------------------------------------------------
1001  Total compensable workyears: Full-
        time equivalent employment......                    -430        -430
---------------------------------------------------------------------------

                                

                     Office of the Inspector General

                (Legislative proposal, subject to PAYGO)

               Program and Financing (in millions of dollars)

----------------------------------------------------------------------------
Identification code 75-0128-4-1-609      1995 actual   1996 est.   1997 est.
----------------------------------------------------------------------------

    Obligations by program activity:
10.00 Total obligations.................                      84          97
----------------------------------------------------------------------------

    Budgetary resources available for obligation:
22.00 New budget authority (gross)......                      84          97
23.95 New obligations...................                     -84         -97
----------------------------------------------------------------------------

    New budget authority (gross), detail:
68.00 Spending authority from offsetting 
        collections (gross): Offsetting 
        collections (cash)..............                      84          97
----------------------------------------------------------------------------

    Change in unpaid obligations:
73.10 New obligations...................                      84          97
73.20 Total outlays (gross).............                     -84         -97
----------------------------------------------------------------------------

    Outlays (gross), detail:
86.97 Outlays from new permanent 
        authority.......................                      84          97
                                           ---------   ---------  ----------

87.00   Total outlays (gross)...........                      84          97
----------------------------------------------------------------------------

    Offsets:
      Against gross budget authority and outlays:

88.00   Offsetting collections (cash) 
          from: Federal sources.........                     -84         -97
----------------------------------------------------------------------------

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

    The Budget reflects a legislative proposal to authorize mandatory 
funding for the Department of Health and Human Services and the 
Department of Justice to expand efforts to combat Medicare fraud and 
abuse. This schedule reflects an estimated distribution of these funds. 
Final distribution will be determined by the Secretary of HHS and the 
Attorney General.

               Object Classification (in millions of dollars)

----------------------------------------------------------------------------
Identification code 75-0128-4-1-609      1995 actual   1996 est.   1997 est.
----------------------------------------------------------------------------
11.1  Personnel compensation: Full-time 
        permanent.......................                      41          51
12.1  Civilian personnel benefits.......                      15          17
21.0  Travel and transportation of 
        persons.........................                       2           3
23.1  Rental payments to GSA............                       4           4
23.3  Communications, utilities, and 
        miscellaneous charges...........                       2           2
25.1  Advisory and assistance services..                       9           9
25.2  Other services....................                       2           2
25.3  Purchases of goods and services 
        from Government accounts........                       6           6
26.0  Supplies and materials............                       1           1
31.0  Equipment.........................                       2           2
                                           ---------   ---------  ----------

99.9    Total obligations...............                      84          97
---------------------------------------------------------------------------

                              Personnel Summary

----------------------------------------------------------------------------
Identification code 75-0128-4-1-609      1995 actual   1996 est.   1997 est.
----------------------------------------------------------------------------
1001  Total compensable workyears: Full-
        time equivalent employment......                     430         430
---------------------------------------------------------------------------

                                



 
                           GENERAL PROVISIONS

    Sec. 201. Funds appropriated in this title shall be available for 
not to exceed $37,000 for official reception and representation expenses 
when specifically approved by the Secretary.
    Sec. 202. The Secretary shall make available through assignment not 
more than 60 employees of the Public Health Service to assist in child 
survival activities and to work in AIDS programs through and with funds 
provided by the Agency for International Development, the United Nations 
International Children's Emergency Fund, or the World Health 
Organization.
    Sec. 203. None of the funds appropriated in this title for the 
National Institutes of Health and the Substance Abuse and Mental Health 
Services Administration shall be used to pay the salary of an 
individual, through a grant or other extramural mechanism, at a rate in 
excess of $125,000 per year.