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

    [[Page 433]]

                     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 payment of
    space rental and related costs pursuant to Public Law 92-313 for
    programs and activities of the Food and Drug Administration which are
    included in this Act; for rental of special purpose space in the
    District of Columbia or elsewhere; 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; [$1,186,072,000] $1,306,178,000, of which not to
    exceed [$145,434,000] $149,273,000 in prescription drug user fees
    authorized by 21 U.S.C. 379(h) may be credited to this appropriation and
    remain available until expended: Provided, That [fees derived from
    applications received during fiscal year 2000 shall be subject to the
    fiscal year 2000 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: Provided further, That of the total amount
    appropriated: (1) $269,245,000 shall be for the Center for Food Safety
    and Applied Nutrition and related field activities in the Office of
    Regulatory Affairs; (2) $309,026,000 shall be for the Center for Drug
    Evaluation and Research and related field activities in the Office of
    Regulatory Affairs, of which no less than $11,542,000 shall be available
    for grants and contracts awarded under section 5 of the Orphan Drug Act
    (21 U.S.C. 360ee); (3) $132,092,000 shall be for the Center for
    Biologics Evaluation and Research and for related field activities in
    the Office of Regulatory Affairs; (4) $48,821,000 shall be for the
    Center for Veterinary Medicine and for related field activities in the
    Office of Regulatory Affairs; (5) $154,271,000 shall be for the Center
    for Devices and Radiological Health and for related field activities in
    the Office of Regulatory Affairs, of which $1,000,000 shall be for
    premarket review, enforcement and oversight activities related to users
    and manufacturers of all reprocessed medical devices as authorized by
    the Federal Food, Drug, and Cosmetic Act (21 U.S.C. 321 et seq.), and of
    which no less than $55,500,000 and 522 full-time equivalent positions
    shall be for premarket application review activities to meet statutory
    review times; (6) $34,536,000 shall be for the National Center for
    Toxicological Research; (7) $34,000,000 shall be for the Office of
    Tobacco; (8) $25,855,000 shall be for Rent and Related activities, other
    than the amounts paid to the General Services Administration; (9)
    $100,180,000 shall be for payments to the General Services
    Administration for rent and related costs; and (10) $78,046,000 shall be
    for other activities, including the Office of the Commissioner; the
    Office of Policy; the Office of the Senior Associate Commissioner; the
    Office of International and Constituent Relations; the Office of Policy,
    Legislation, and Planning; and central services for these offices:
    Provided further, That funds may be transferred from one specified
    activity to another with the prior approval of the Committee on
    Appropriations of both Houses of Congress] no more than $104,954,000
    shall be for payments to the General Services Administration for rent
    and related costs.
        In addition, mammography user fees authorized by 42 U.S.C. 263(b)
    may be credited to this account, to remain available until expended.
        In addition, export certification user fees authorized by 21 U.S.C.
    381, as amended, 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, [$11,350,000,] to
    remain available until expended $31,350,000, and to become available on
    October 1, 2001, $23,000,000. (7 U.S.C. 2209b). (Agriculture, Rural
    Development, Food and Drug Administration, and Related Agencies
    Appropriations Act, 2000.)

                  Unavailable Collections (in millions of dollars)

    ----------------------------------------------------------------------------
    Identification code 75-9911-0-1-554      1999 actual   2000 est.   2001 est.
    ----------------------------------------------------------------------------
        Balance, start of year:
    01.99 Balance, start of year............
        Receipts:
    02.01 Cooperative research and
            development agreements..........           1           1           1
        Appropriation:
    05.01 Salaries and expenses.............          -1          -1          -1
                                               ---------   ---------  ----------
    07.99 Total balance, end of year........
    ---------------------------------------------------------------------------

                   Program and Financing (in millions of dollars)

    ----------------------------------------------------------------------------
    Identification code 75-9911-0-1-554      1999 actual   2000 est.   2001 est.
    ----------------------------------------------------------------------------

        Obligations by program activity:
          Direct program:

    00.01   Foods...........................         235         267         303
    00.02   Drugs...........................         338         357         414
    00.03   Devices and radiological
              products......................         146         154         172
    00.04   National center for
              toxicological research........          32          34          38
    00.05   Tobacco.........................          34          34          39
    00.06   Other activities................          75          72          66
    00.07   Other rent and rent related
              activities....................          26          26          26
    00.08   Rental payments.................          83          94          99
    00.09   Buildings and facilities........          16          11          31
    00.10   CRADAs..........................           1           1           1
    09.01 Reimbursable program..............         156         181         200
                                               ---------   ---------  ----------
    10.00   Total new obligations...........       1,142       1,231       1,389
    ----------------------------------------------------------------------------

        Budgetary resources available for obligation:
    21.40 Unobligated balance available,
            start of year...................          95         106         106
    22.00 New budget authority (gross)......       1,147       1,231       1,389
    22.10 Resources available from
            recoveries of prior year
            obligations.....................           6
                                               ---------   ---------  ----------
    23.90   Total budgetary resources
              available for obligation......       1,248       1,337       1,495
    23.95 Total new obligations.............      -1,142      -1,231      -1,389
    24.40 Unobligated balance available, end
            of year.........................         106         106         108
    ----------------------------------------------------------------------------

        New budget authority (gross), detail:
          Discretionary:

    40.00   Appropriation...................         982       1,052       1,188
    40.75   Reduction pursuant to P.L. 106-
              51............................          -2
    40.76   Reduction pursuant to P.L. 106-
              113...........................                      -3
                                               ---------   ---------  ----------
    43.00     Appropriation (total
                discretionary)..............         980       1,049       1,188
          Mandatory:

    60.25   Appropriation (special fund,
              indefinite)...................           1           1           1
          Spending authority from offsetting
              collections:

            Discretionary:
    68.00     Offsetting collections (cash).         164         181         200
    68.10     From Federal sources: Change
                in receivables and unpaid,
                unfilled orders.............           2
                                               ---------   ---------  ----------
    68.90       Spending authority from
                  offsetting collections
                  (total discretionary).....         166         181         200
                                               ---------   ---------  ----------
    70.00   Total new budget authority
              (gross).......................       1,147       1,231       1,389
    ----------------------------------------------------------------------------

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

    72.40   Obligated balance, start of year         324         330         333
    72.95   From Federal sources:
              Receivables and unpaid,
              unfilled orders...............                       2           2
                                               ---------   ---------  ----------
    72.99     Total unpaid obligations,
                start of year...............         324         332         335
    73.10 Total new obligations.............       1,142       1,231       1,389
    73.20 Total outlays (gross).............      -1,112      -1,228      -1,393
    73.40 Adjustments in expired accounts
            (net)...........................         -18
    73.45 Adjustments in unexpired accounts.          -6
          Unpaid obligations, end of year:

    74.40   Obligated balance, end of year..         330         333         329
    74.95   From Federal sources:
              Receivables and unpaid,
              unfilled orders...............           2           2           2
                                               ---------   ---------  ----------

    [[Page 434]]

    74.99     Total unpaid obligations, end
                of year.....................         332         335         331
    ----------------------------------------------------------------------------

        Outlays (gross), detail:
    86.90 Outlays from new discretionary
            authority.......................         930         958       1,098
    86.93 Outlays from discretionary
            balances........................         182         269         294
    86.97 Outlays from new mandatory
            authority.......................                       1           1
                                               ---------   ---------  ----------
    87.00   Total outlays (gross)...........       1,112       1,228       1,393
    ----------------------------------------------------------------------------

        Offsets:
          Against gross budget authority and outlays:

    88.40   Offsetting collections (cash)
              from: Non-Federal sources.....        -164        -181        -200
          Against gross budget authority only:

    88.95   From Federal sources: Change in
              receivables and unpaid,
              unfilled orders...............          -2
    ----------------------------------------------------------------------------

        Net budget authority and outlays:
    89.00 Budget authority..................         981       1,050       1,189
    90.00 Outlays...........................         948       1,047       1,193
    ---------------------------------------------------------------------------

                            [In millions of dollars]

                                            1999         2000        2001
    Distribution of budget authority by
        account:
      Salaries and expenses.............         886         944       1,058
      Rental payments (FDA).............          83          94          99
      Buildings and facilities..........          16          11          31
    Distribution of outlays by account:
      Salaries and expenses.............         839         926       1,074
      Rental payments (FDA).............          83          98          99
      Buildings and facilities..........          26          23          18

                     Summary of Budget Authority and Outlays

                            (in millions of dollars)

                                         1999 actual  2000 est.   2001 est.
    Enacted/requested:
      Budget Authority..................         981       1,050       1,189
      Outlays...........................         948       1,047       1,193
    Legislative proposal, not subject to
        PAYGO:
      Budget Authority..................
      Outlays...........................
                                        ------------------------------------
    Total:
      Budget Authority..................         981       1,050       1,189
      Outlays...........................         948       1,047       1,193
                                        ====================================

        The Food and Drug Administration (FDA) administers laws concerning
    misbranded and adulterated foods, drugs, human biologics, medical
    devices, cosmetics, and human-made sources of radiation. The Budget
    provides a $163.2 million (+13 percent) increase over the FY 2000
    enacted program level. The Budget includes $1,156.9 million for Salaries
    and expenses, which includes funding for the food safety initiative and
    tobacco regulation, as well as initiatives for the reporting of medical
    errors and the prevention of illegal sales of prescription drugs over
    the Internet. Of the Salaries and expenses amount, $99.1 million will be
    used for payments to the General Services Administration for rent and
    rent related costs (an additional $5.9 million will be derived from
    fees). The Budget reflects the transfer of the Seafood Inspection
    Division of the National Oceanic and Atmospheric Administration of the
    Department of Commerce to the FDA, which will be financed with $12.7
    million in currently authorized fees. In addition, the Budget includes
    $189.9 million for user fees, an increase of $24.7 million in user fees
    over FY 2000, which will be used to finance FDA activities. Of the
    $189.9 million in user fees, $19.5 million consists of new user fees
    related to the review of direct food additive petitions, food export
    certificates, and for the review of medical device applications, which
    are represented in the legislative proposal schedule. The buildings and
    facilities appropriation of $31.4 million provides funds for projects
    related to the repair, construction, alteration, and improvement of all
    buildings and facilities of FDA, including a replacement laboratory in
    Los Angeles.

                   Object Classification (in millions of dollars)

    ----------------------------------------------------------------------------
    Identification code 75-9911-0-1-554      1999 actual   2000 est.   2001 est.
    ----------------------------------------------------------------------------

          Direct obligations:

            Personnel compensation:
    11.1      Full-time permanent...........         443         480         522
    11.3      Other than full-time permanent          28          30          32
    11.5      Other personnel compensation..          16          17          19
                                               ---------   ---------  ----------
    11.9        Total personnel compensation         487         527         573
    12.1    Civilian personnel benefits.....         112         121         132
    21.0    Travel and transportation of
              persons.......................          19          19          21
    22.0    Transportation of things........           2           2           3
    23.1    Rental payments to GSA..........          83          94          99
    23.2    Rental payments to others.......           5           5           7
    23.3    Communications, utilities, and
              miscellaneous charges.........          20          20          20
    24.0    Printing and reproduction.......           2           3           3
    25.1    Advisory and assistance services          12          12          19
    25.2    Other services..................          62          62          90
    25.3    Purchases of goods and services
              from Government accounts......          43          44          55
    25.4    Operation and maintenance of
              facilities....................          24          24          25
    25.5    Research and development
              contracts.....................          16          16          17
    25.7    Operation and maintenance of
              equipment.....................          19          19          20
    26.0    Supplies and materials..........          14          14          18
    31.0    Equipment.......................          29          30          41
    32.0    Land and structures.............          15          15          23
    41.0    Grants, subsidies, and
              contributions.................          20          21          21
    42.0    Insurance claims and indemnities           2           2           2
                                               ---------   ---------  ----------
    99.0      Subtotal, direct obligations..         986       1,050       1,189
    99.0  Reimbursable obligations..........         156         181         200
                                               ---------   ---------  ----------
    99.9    Total new obligations...........       1,142       1,231       1,389
    ---------------------------------------------------------------------------

                                  Personnel Summary

    ----------------------------------------------------------------------------
    Identification code 75-9911-0-1-554      1999 actual   2000 est.   2001 est.
    ----------------------------------------------------------------------------
        Direct:
    1001  Total compensable workyears: Full-
            time equivalent employment......       7,851       7,994       8,203
        Reimbursable:
    2001  Total compensable workyears: Full-
            time equivalent employment......       1,013         978       1,164
        Allocation account:
    3001  Total compensable workyears: Full-
            time equivalent employment......          14           2
    ---------------------------------------------------------------------------

                              Salaries and Expenses

                  (Legislative proposal, not subject to PAYGO)

        Contingent upon the enactment of authorizing legislation, up to
    $19,483,000 derived from fees assessed for activities related to the
    review of direct food additive petitions, the issuing of food export
    certificates, and the review of medical device applications may be
    collected and credited to this appropriation, to remain available until
    expended for those activities.

                   Program and Financing (in millions of dollars)

    ----------------------------------------------------------------------------
    Identification code 75-9911-2-1-554      1999 actual   2000 est.   2001 est.
    ----------------------------------------------------------------------------

        Obligations by program activity:
    09.01 Additive user fees................                                  19
                                               ---------   ---------  ----------
    10.00   Total new obligations...........                                  19
    ----------------------------------------------------------------------------

        Budgetary resources available for obligation:
    22.00 New budget authority (gross)......                                  19
    23.95 Total new obligations.............                                 -19
    ----------------------------------------------------------------------------

        New budget authority (gross), detail:
          Discretionary:

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

    [[Page 435]]

        Change in unpaid obligations:
    73.10 Total new obligations.............                                  19
    73.20 Total outlays (gross).............                                 -19
    ----------------------------------------------------------------------------

        Outlays (gross), detail:
    86.90 Outlays from new discretionary
            authority.......................                                  19
    ----------------------------------------------------------------------------

        Offsets:
          Against gross budget authority and outlays:

    88.40   Offsetting collections (cash)
              from: Non-Federal sources.....                                 -19
    ----------------------------------------------------------------------------

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

        The Budget includes $189.9 million in user fees, of which $19.5
    million are new user fees to finance FDA activities as reflected in the
    legislative proposal schedule. Additional appropriations language is
    being proposed contingent upon the enactment of authorizing legislation.
    The authorizing legislation will be proposed to authorize the collection
    and spending of the fees subject to appropriations action.

                   Object Classification (in millions of dollars)

    ----------------------------------------------------------------------------
    Identification code 75-9911-2-1-554      1999 actual   2000 est.   2001 est.
    ----------------------------------------------------------------------------
    99.0  Reimbursable obligations:
            Subtotal, reimbursable
            obligations.....................                                  19
                                               ---------   ---------  ----------
    99.9    Total new obligations...........                                  19
    ---------------------------------------------------------------------------

                                  Personnel Summary

    ----------------------------------------------------------------------------
    Identification code 75-9911-2-1-554      1999 actual   2000 est.   2001 est.
    ----------------------------------------------------------------------------
    2001  Total compensable workyears: Full-
            time equivalent employment......                                 108
    ---------------------------------------------------------------------------
                                                 -------

    Public enterprise funds:

               Revolving Fund for Certification and Other Services

                   Program and Financing (in millions of dollars)

    ----------------------------------------------------------------------------
    Identification code 75-4309-0-3-554      1999 actual   2000 est.   2001 est.
    ----------------------------------------------------------------------------

        Obligations by program activity:
    10.00 Total new obligations.............           7           4           4
    ----------------------------------------------------------------------------

        Budgetary resources available for obligation:
    21.40 Unobligated balance available,
            start of year...................           6           3           3
    22.00 New budget authority (gross)......           4           4           4
                                               ---------   ---------  ----------
    23.90   Total budgetary resources
              available for obligation......          10           7           7
    23.95 Total new obligations.............          -7          -4          -4
    24.40 Unobligated balance available, end
            of year.........................           3           3           3
    ----------------------------------------------------------------------------

        New budget authority (gross), detail:
          Mandatory:

    69.00   Offsetting collections (cash)...           4           4           4
    ----------------------------------------------------------------------------

        Change in unpaid obligations:
    72.40 Unpaid obligations, start of year:
            Obligated balance, start of year           2           1           1
    73.10 Total new obligations.............           7           4           4
    73.20 Total outlays (gross).............          -7          -4          -4
    74.40 Unpaid obligations, end of year:
            Obligated balance, end of year..           1           1           1
    ----------------------------------------------------------------------------

        Outlays (gross), detail:
    86.97 Outlays from new mandatory
            authority.......................           4           4           4
    86.98 Outlays from mandatory balances...           3
                                               ---------   ---------  ----------
    87.00   Total outlays (gross)...........           7           4           4
    ----------------------------------------------------------------------------

        Offsets:
          Against gross budget authority and outlays:

    88.40   Offsetting collections (cash)
              from: Non-Federal sources.....          -4          -4          -4
    ----------------------------------------------------------------------------

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

        FDA certifies color additives for use in foods, drugs, and
    cosmetics. It also lists color additives for use in foods, drugs,
    medical devices, and cosmetics (21 U.S.C. 346a, 356, 357, 376). These
    services are financed wholly by fees paid by the industries affected.

                   Object Classification (in millions of dollars)

    ----------------------------------------------------------------------------
    Identification code 75-4309-0-3-554      1999 actual   2000 est.   2001 est.
    ----------------------------------------------------------------------------
    11.1  Personnel compensation: Full-time
            permanent.......................           2           2           2
    12.1  Civilian personnel benefits.......                       1           1
    23.1  Rental payments to GSA............           1
    25.2  Other services....................           3           1           1
    31.0  Equipment.........................           1
                                               ---------   ---------  ----------
    99.9    Total new obligations...........           7           4           4
    ---------------------------------------------------------------------------

                                  Personnel Summary

    ----------------------------------------------------------------------------
    Identification code 75-4309-0-3-554      1999 actual   2000 est.   2001 est.
    ----------------------------------------------------------------------------
    2001  Total compensable workyears: Full-
            time equivalent employment......          32          35          35
    ---------------------------------------------------------------------------

             Administrative Provision, Food and Drug Administration

        Effective October 1, 2000, (1) the functions and authorities related
    to fish or fishery products under the Agricultural Marketing Act of
    1946, including inspections and other activities authorized under
    section 203(h) of that Act, are transferred from the Secretary of
    Commerce to the Secretary of Health and Human Services (``HHS''); (2)
    the Secretary of Commerce shall transfer to the Secretary of HHS (A) all
    personnel of the Seafood Inspection Division of the National Oceanic and
    Atmospheric Administration and such other employees of the Department of
    Commerce as may be designated by the Secretary of Commerce, with the
    concurrence of the Secretary of HHS, all of whom shall become personnel
    of a voluntary seafood inspection unit within the Food and Drug
    Administration (``FDA''); and (B) all assets and liabilities of the
    Department of Commerce pertaining to the activities specified in clause
    (1), which shall become assets and liabilities of such seafood
    inspection unit, including facilities, contracts, property, records,
    accounts payable and receivable, and unexpended and unobligated balances
    of funds; (3) all rules, regulations, administrative directives, grants,
    contracts, and other determinations and agreements in effect on such
    date relating to the activities specified in clause (1) shall remain in
    effect until modified by the Secretary of HHS; (4) the Secretary of HHS
    is authorized to promulgate, without comment, a final rule transferring
    to title 21, Code of Federal Regulations, regulations of the Secretary
    of Commerce necessary to carry out the activities specified in clause
    (1); (5) all activities of such seafood inspection unit shall be funded
    exclusively from fees charged for, and other amounts specifically
    appropriated for, such activities, and fees collected and amounts
    appropriated for such activities shall not be used for any other
    purpose; and (6) for purposes of any reduction in the personnel
    complement of the FDA on or before September 30, 2005, such unit will be
    deemed a distinct competitive area within the FDA, under 5 CFR 351.402.

    [[Page 436]]

                  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 and section 1820 of the Social Security
    Act, the Health Care Quality Improvement Act of 1986, as amended, and
    the Native Hawaiian Health Care Act of 1988, as amended,
    [$4,584,721,000, of which $150,000 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
    $122,182,000 shall be available for the construction and renovation of
    health care and other facilities, and] $4,681,337,000, of which
    $25,000,000 from general revenues, notwithstanding section 1820( j) of
    the Social Security Act, shall be available for carrying out the
    Medicare rural hospital flexibility grants program under section 1820 of
    such Act: Provided, That the Division of Federal Occupational Health may
    utilize personal services contracting to employ professional management/
    administrative and occupational health professionals: Provided further,
    That of the funds made available under this heading, $250,000 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
    of 1986, 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 of the funds made available under this
    heading, [$238,932,000] $273,932,000 shall be for the program under
    title X of the Public Health Service Act to provide for voluntary family
    planning projects: Provided further, That amounts provided to said
    projects under such title shall not be expended for abortions, that all
    pregnancy counseling shall be nondirective, and that such amounts shall
    not be expended for any activity (including the publication or
    distribution of literature) that in any way tends to promote public
    support or opposition to any legislative proposal or candidate for
    public office: Provided further, That [$528,000,000] $554,000,000 shall
    be for State AIDS Drug Assistance Programs authorized by section 2616 of
    the Public Health Service Act: Provided further, That of the funds made
    available under this heading, $90,000,000 shall be for grants for
    reducing infant mortality consistent with the methods used in the
    Healthy Start Infant Mortality Demonstration Project grants from 1991
    through 2000: Provided further, That such funds will be available first
    to continue making grants to Healthy Start grantees that were awarded
    funds on or before January 15, 2000, whose current grant award continues
    in FY 2001: Provided further, That if the total amount of such grant
    awards is less than $90,000,000, at least 95% of the remaining funds
    shall be available for States, under the cost sharing provisions of
    section 503 of such Act, according to the ratio that infant mortality in
    each State bears to the total of infant mortality in the United States,
    as measured by the Centers for Disease Control and Prevention for the
    most recently available calendar year, and up to 5% of remaining funds
    shall be available for States for technical assistance: Provided
    further, That these grants use those Healthy Start methods that have
    been proven successful and are designed to reduce infant mortality
    within high-incidence areas by 50% over 5 years: Provided further, That
    each State shall include in its annual audit report, as required by
    section 506 of such Act, an additional section reporting on Healthy
    Start: Provided further, That sections 507, 508, and 509 of such Act
    apply to said State allotments: Provided further, That, notwithstanding
    section 502(a)(1) of the Social Security Act, not to exceed
    [$109,307,000] $109,148,000 is available for carrying out special
    projects of regional and national significance pursuant to section
    501(a)(2) of such Act: [Provided further, That of the amount provided
    under this heading, $40,000,000 shall be available for children's
    hospitals graduate medical education payments, subject to authorization:
    Provided further, That of the amount provided under this heading,
    $900,000 shall be for the American Federation of Negro Affairs Education
    and Research Fund.] Provided further, That notwithstanding section
    757(b)2 of the Public Health Service Act, $28,587,000 shall be available
    under section 751, $3,765,000 under section 752, $4,720,000 under
    section 754, and $3,838,000 under section 755. (Department of Health and
    Human Services Appropriations Act, 2000, as enacted by section
    1000(a)(4) of the Consolidated Appropriations Act, 2000 (P.L. 106-113).)

                   Program and Financing (in millions of dollars)

    ----------------------------------------------------------------------------
    Identification code 75-0350-0-1-550      1999 actual   2000 est.   2001 est.
    ----------------------------------------------------------------------------

        Obligations by program activity:
          Direct program:

    00.01   Health centers..................         919       1,014       1,064
    00.02   National Health Service Corps...          37          38          38
    00.03   National Health Service Corps
              recruitment...................          78          79          79
    00.04   Hansen's disease center.........          22          20          17
    00.09   Payment to Hawaii for the
              treatment of Hansen's disease.           2           2           2
    00.10   Black lung clinics..............           5           6           6
    00.11   Nursing loan repayment..........           2           2           2
    00.12   Health professions..............         302         342         298
    00.13   Maternal and child health block
              grant.........................         700         709         799
    00.14   Healthy start...................         105          90
    00.15   Universal newborn hearing.......                       3           3
    00.16   Emergency medical services......          15          17          15
    00.17   Poison control centers..........                       3           1
    00.18   HIV/AIDS........................       1,411       1,595       1,720
    00.19   Organ transplantation...........          10          10          15
    00.20   Health care facilities..........          65         112
    00.21   Bone marrow donor registry......          18          18          18
    00.22   Rural health policy development.          12          33           6
    00.23   Rural health outreach grants....          38          36          38
    00.24   Rural health flexiblity grants..          25          25          25
    00.25   Office for the advancement of
              telehealth....................                                   6
    00.26   Program management..............         119         125         124
    00.27   Family planning.................         215         239         274
    00.28   Abstinence education............          49          50          50
    00.29   Health care access for the
              uninsured.....................                      25         125
    00.30   One-time access demos...........                      15
    00.31   Health centers tort claims fund.           5           5           5
    00.32   Health centers guarantee program
              account.......................                       3           1
                                               ---------   ---------  ----------
    03.00   Total direct programs...........       4,154       4,616       4,731
    09.01 Reimbursable program..............         100         124         127
                                               ---------   ---------  ----------
    10.00   Total new obligations...........       4,254       4,740       4,858
    ----------------------------------------------------------------------------

        Budgetary resources available for obligation:
    21.40 Unobligated balance available,
            start of year...................          47          50          48
    22.00 New budget authority (gross)......       4,257       4,738       4,858
    22.10 Resources available from
            recoveries of prior year
            obligations.....................           2
                                               ---------   ---------  ----------
    23.90   Total budgetary resources
              available for obligation......       4,306       4,788       4,906
    23.95 Total new obligations.............      -4,254      -4,740      -4,858
    23.98 Unobligated balance expiring or
            withdrawn.......................          -2
    24.40 Unobligated balance available, end
            of year.........................          50          48          48
    ----------------------------------------------------------------------------

        New budget authority (gross), detail:
          Discretionary:

    40.00   Appropriation...................       4,108       4,585       4,681
    40.75   Reduction pursuant to P.L. 106-
              51............................          -1
    40.76   Reduction pursuant to P.L. 106-
              113...........................                     -21
    41.00   Transferred to other accounts...          -1
                                               ---------   ---------  ----------
    43.00     Appropriation (total
                discretionary)..............       4,106       4,564       4,681
          Mandatory:

    60.00   Appropriation...................          50          50          50
          Discretionary:

    68.00   Spending authority from
              offsetting collections:
              Offsetting collections (cash).         101         121         123
          Mandatory:

    69.00   Offsetting collections (cash)...                       3           4
                                               ---------   ---------  ----------
    70.00   Total new budget authority
              (gross).......................       4,257       4,738       4,858
    ----------------------------------------------------------------------------

        Change in unpaid obligations:
    72.40 Unpaid obligations, start of year:
            Obligated balance, start of year       2,726       3,078       3,353
    73.10 Total new obligations.............       4,254       4,740       4,858
    73.20 Total outlays (gross).............      -3,859      -4,444      -4,746
    73.40 Adjustments in expired accounts
            (net)...........................         -41         -21           4
    73.45 Adjustments in unexpired accounts.          -2
    74.40 Unpaid obligations, end of year:
            Obligated balance, end of year..       3,078       3,353       3,469
    ----------------------------------------------------------------------------

        Outlays (gross), detail:
    86.90 Outlays from new discretionary
            authority.......................       1,611       1,837       1,922
    86.93 Outlays from discretionary
            balances........................       2,218       2,562       2,771

    [[Page 437]]

    86.97 Outlays from new mandatory
            authority.......................          10          15          16
    86.98 Outlays from mandatory balances...          20          30          38
                                               ---------   ---------  ----------
    87.00   Total outlays (gross)...........       3,859       4,444       4,746
    ----------------------------------------------------------------------------

        Offsets:
          Against gross budget authority and outlays:

            Offsetting collections (cash)
                from:
    88.00     Federal sources...............         -85        -106        -106
    88.40     Non-Federal sources...........         -16         -18         -21
                                               ---------   ---------  ----------
    88.90       Total, offsetting
                  collections (cash)........        -101        -124        -127
    ----------------------------------------------------------------------------

        Net budget authority and outlays:
    89.00 Budget authority..................       4,156       4,614       4,731
    90.00 Outlays...........................       3,758       4,320       4,619
    ---------------------------------------------------------------------------

                              [Dollars in millions]

                                            1999         2000        2001
    Distribution of budget authority by
        account:
      Health resources and services.....       4,151       4,609       4,726
      Health centers malpractice claims.           5           5           5
    Distribution of outlays by account:
      Health resources and services.....       3,753       4,315       4,614
      Health centers malpractice claims.           5           5           5

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

    ----------------------------------------------------------------------------
    Identification code 75-0350-0-1-550      1999 actual   2000 est.   2001 est.
    ----------------------------------------------------------------------------
        Guaranteed loan levels supportable by subsidy
                    budget authority:
    2150  Health centers: Facilities
            renovation loan guarantee levels                      54          34
    2150  Health centers: Managed care
            network development loan
            guarantee levels................                      20           7
    2150  Health centers: Managed care plan
            loan guarantee levels...........                      26          10
                                               ---------   ---------  ----------
    2159    Total loan guarantee levels.....                     100          51
        Guaranteed loan subsidy (in percent):
    2320  Facilities loan subsidy rate......        2.26        0.71        0.43
    2320  Managed care network development
            loan subsidy rate...............        8.59        8.19        7.71
    2320  Managed care plan loan subsidy
            rate............................        5.11        4.16        3.93
                                               ---------   ---------  ----------
    2329    Weighted average subsidy rate...        4.27        3.10        2.11
        Guaranteed loan subsidy budget authority:
    2330  Facilities loan subsidy budget
            authority.......................
    2330  Managed care network development
            loan subsidy budget authority...                       2           1
    2330  Managed care plan loan subsidy
            budget authority................                       1
                                               ---------   ---------  ----------
    2339    Total subsidy budget authority..                       3           1
        Guaranteed loan subsidy outlays:
    2340  Facilities loan subsidy outlays...
    2340  Managed care network development
            loan subsidy outlays............                       2           1
    2340  Managed care plan loan subsidy
            outlays.........................                       1
                                               ---------   ---------  ----------
    2349    Total subsidy outlays...........                       3           1
    ----------------------------------------------------------------------------

        Administrative expense data:
    3510  Administrative expenses...........           1           1           1
    3580  Outlays from balances.............
    3590  Outlays for administrative
            expenses........................           1           1           1
    ---------------------------------------------------------------------------

        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. In FY 2001, Healthy Start will become a separate grant program
    within the maternal and child health block grant.

                   Object Classification (in millions of dollars)

    ----------------------------------------------------------------------------
    Identification code 75-0350-0-1-550      1999 actual   2000 est.   2001 est.
    ----------------------------------------------------------------------------

          Direct obligations:

            Personnel compensation:
    11.1      Full-time permanent...........          97         103         105
    11.3      Other than full-time permanent           3           4           4
    11.5      Other personnel compensation..           4           4           4
                                               ---------   ---------  ----------
    11.9        Total personnel compensation         104         111         113
    12.1    Civilian personnel benefits.....          26          28          28
    21.0    Travel and transportation of
              persons.......................           4           5           6
    22.0    Transportation of things........           1           1           1
    23.1    Rental payments to GSA..........          10          12          12
    23.3    Communications, utilities, and
              miscellaneous charges.........           5           5           5
    24.0    Printing and reproduction.......           1           1           1
    25.1    Advisory and assistance services          45          50          50
    25.2    Other services..................          51          87         124
    25.3    Purchases of goods and services
              from Government accounts......          55          60          62
    25.4    Operation and maintenance of
              facilities....................           2           1           1
    25.6    Medical care....................           1           1           1
    25.7    Operation and maintenance of
              equipment.....................           3           4           3
    26.0    Supplies and materials..........           2           3           3
    31.0    Equipment.......................           3           4           4
    41.0    Grants, subsidies, and
              contributions.................       3,836       4,238       4,312
    42.0    Insurance claims and indemnities           5           5           5
                                               ---------   ---------  ----------
    99.0      Subtotal, direct obligations..       4,154       4,616       4,731
    99.0  Reimbursable obligations..........         100         124         127
                                               ---------   ---------  ----------
    99.9    Total new obligations...........       4,254       4,740       4,858
    ---------------------------------------------------------------------------

                                  Personnel Summary

    ----------------------------------------------------------------------------
    Identification code 75-0350-0-1-550      1999 actual   2000 est.   2001 est.
    ----------------------------------------------------------------------------
        Direct:
          Total compensable workyears:

    1001    Full-time equivalent employment.       1,607       1,744       1,681
    1011    Exempt Full-time equivalent
              employment....................          82
        Reimbursable:
    2001  Total compensable workyears: Full-
            time equivalent employment......         199         241         241
        Allocation account:
    3001  Total compensable workyears: Full-
            time equivalent employment......           5          11          11
    ---------------------------------------------------------------------------

                          Vaccine Injury Compensation

                   Program and Financing (in millions of dollars)

    ----------------------------------------------------------------------------
    Identification code 75-0320-0-1-551      1999 actual   2000 est.   2001 est.
    ----------------------------------------------------------------------------

        Obligations by program activity:
    10.00 Total new obligations (object
            class 42.0).....................          47          52
    ----------------------------------------------------------------------------

        Budgetary resources available for obligation:
    21.40 Unobligated balance available,
            start of year...................          61         115          64
    22.00 New budget authority (gross)......         100
    22.10 Resources available from
            recoveries of prior year
            obligations.....................           1
                                               ---------   ---------  ----------
    23.90   Total budgetary resources
              available for obligation......         162         115          64
    23.95 Total new obligations.............         -47         -52
    24.40 Unobligated balance available, end
            of year.........................         115          64          64
    ----------------------------------------------------------------------------

        New budget authority (gross), detail:
          Mandatory:

    60.00   Appropriation...................         100
    ----------------------------------------------------------------------------

        Change in unpaid obligations:
    72.40 Unpaid obligations, start of year:
            Obligated balance, start of year           2           5
    73.10 Total new obligations.............          47          52
    73.20 Total outlays (gross).............         -43         -57
    73.45 Adjustments in unexpired accounts.          -1
    74.40 Unpaid obligations, end of year:
            Obligated balance, end of year..           5
    ----------------------------------------------------------------------------

        Outlays (gross), detail:
    86.98 Outlays from mandatory balances...          43          57
    ----------------------------------------------------------------------------

        Net budget authority and outlays:
    89.00 Budget authority..................         100
    90.00 Outlays...........................          43          57
    ---------------------------------------------------------------------------

        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

    [[Page 438]]

    October 1, 1988 are financed from the General Fund and are reflected in
    this account. Given sufficient carry-over funds from prior years'
    appropriations to pay for the balance of the pre-1988 backlog of claims
    yet to be adjudicated, no appropriation is requested in FY 2001 to cover
    payment of pre-1988 claims. Payment of claims associated with vaccine
    related injury or death occurring after October 1, 1988 are reflected in
    the Vaccine improvement trust fund account.

                 Payment to the Ricky Ray Hemophilia Relief Fund

        For payment to the Ricky Ray Hemophilia Relief Fund, as provided by
    Public Law 105-369, and for administrative expenses, $100,000,000, of
    which up to $10,000,000 may be used for administrative expenses.

                   Program and Financing (in millions of dollars)

    ----------------------------------------------------------------------------
    Identification code 75-0355-0-1-551      1999 actual   2000 est.   2001 est.
    ----------------------------------------------------------------------------

        Obligations by program activity:
    10.00 Total new obligations (object
            class 92.0).....................                                 100
    ----------------------------------------------------------------------------

        Budgetary resources available for obligation:
    22.00 New budget authority (gross)......                                 100
    23.95 Total new obligations.............                                -100
    ----------------------------------------------------------------------------

        New budget authority (gross), detail:
          Discretionary:

    40.00   Appropriation...................                                 100
    ----------------------------------------------------------------------------

        Change in unpaid obligations:
    73.10 Total new obligations.............                                 100
    73.20 Total outlays (gross).............                                -100
    ----------------------------------------------------------------------------

        Outlays (gross), detail:
    86.90 Outlays from new discretionary
            authority.......................                                 100
    ----------------------------------------------------------------------------

        Net budget authority and outlays:
    89.00 Budget authority..................                                 100
    90.00 Outlays...........................                                 100
    ---------------------------------------------------------------------------

        These amounts will be paid to the Ricky Ray hemophilia relief fund.
    The Ricky Ray hemophilia relief fund was established pursuant to Public
    Law 105-369 and serves as a source of funds to pay claims to eligible
    individuals on behalf of persons with HIV and a blood clotting disorder,
    who were treated with an anti-hemophiliac factor between July 1982 and
    December 1987.

    Credit accounts:

                 Health Center Guaranteed Loan Financing Account

                   Program and Financing (in millions of dollars)

    ----------------------------------------------------------------------------
    Identification code 75-4442-0-3-551      1999 actual   2000 est.   2001 est.
    ----------------------------------------------------------------------------

        Budgetary resources available for obligation:
    21.40 Unobligated balance available,
            start of year...................           1           1           5
    22.00 New financing authority (gross)...                       4           2
                                               ---------   ---------  ----------
    23.90   Total budgetary resources
              available for obligation......           1           5           7
    24.40 Unobligated balance available, end
            of year.........................           1           5           7
    ----------------------------------------------------------------------------

        New financing authority (gross), detail:
          Discretionary:

    68.00   Spending authority from
              offsetting collections
              (gross): (Federal sources:
              From program account).........                       4           3
    ----------------------------------------------------------------------------

        Offsets:
          Against gross financing authority and
              financing disbursements:

            Offsetting collections (cash)
                from:
    88.00     Federal sources...............                      -3          -1
    88.40     Premium income................                      -1          -2
                                               ---------   ---------  ----------
    88.90       Total, offsetting
                  collections (cash)........                      -4          -3
    ----------------------------------------------------------------------------

        Net financing authority and financing
            disbursements:
    89.00 Financing authority...............                                  -1
    90.00 Financing disbursements...........                      -4          -3
    ---------------------------------------------------------------------------

                 Status of Guaranteed Loans (in millions of dollars)

    ----------------------------------------------------------------------------
    Identification code 75-4442-0-3-551      1999 actual   2000 est.   2001 est.
    ----------------------------------------------------------------------------
        Position with respect to appropriations act
                    limitation on commitments:
    2111  Limitation on guaranteed loans
            made by private lenders.........                     100          51
                                               ---------   ---------  ----------
    2150    Total guaranteed loan
              commitments...................                     100          51
    ----------------------------------------------------------------------------

        Cumulative balance of guaranteed loans
                    outstanding:
    2210  Outstanding, start of year........           9           9         109
    2231  Disbursements of new guaranteed
            loans...........................                     100          51
    2261  Adjustments: Terminations for
            default that result in loans
            receivable......................
                                               ---------   ---------  ----------
    2290    Outstanding, end of year........           9         109         160
    ----------------------------------------------------------------------------

        Memorandum:
    2299  Guaranteed amount of guaranteed
            loans outstanding, end of year..           9         109         160
    ----------------------------------------------------------------------------

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

    2331    Disbursements for guaranteed
              loan claims...................
    2351    Repayments of loans receivable..
    ---------------------------------------------------------------------------

        P.L. 104-299 and P.L. 104-208 authorize HRSA to guarantee up to $80
    million in private loans to health centers for the costs of developing
    and operating managed care networks or plans and for the construction,
    renovation and modernization of medical facilities. Since this program
    has only used $9 million of its available $160 million in loan guarantee
    authority, HRSA will use the remaining existing loan guarantee limit
    over FY 2000 and FY 2001. As required by the Federal Credit Reform Act
    of 1990, this financing account records all cash flows to and from the
    Government resulting from the Health center loan guarantee program. The
    program account for this activity is displayed in the Health resources
    and services account (75-0350) as a line in the program and financing
    schedule.

                                 Balance Sheet (in millions of dollars)

    -----------------------------------------------------------------------------------------------
    Identification code   75-4442-0-3-551    1998 actual    1999 actual     2000 est.      2001 est.
    -----------------------------------------------------------------------------------------------
        ASSETS:
          Investments in US securities:

    1106    Federal assets: Receivables, net           9              9           109            160
                                            ------------ --------------  ------------  -------------
    1999    Total assets....................           9              9           109            160
        LIABILITIES:
    2204  Non-Federal liabilities:
            Liabilities for loan guarantees.           9              9           109            160
                                            ------------ --------------  ------------  -------------
    2999    Total liabilities...............           9              9           109            160
                                            ------------ --------------  ------------  -------------
    4999  Total liabilities and net position           9              9           109            160
    -----------------------------------------------------------------------------------------------

                Health Education Assistance Loans Program Account

        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. For administrative expenses to carry out the guaranteed loan
    program, including section 709 of the Public Health Service Act,
    [$3,688,000] $3,679,000. (Department of Health and Human Services
    Appropriations Act, 2000, as enacted by section 1000(a)(4) of the
    Consolidated Appropriations Act, 2000 (P.L. 106-113).)

    [[Page 439]]

                   Program and Financing (in millions of dollars)

    ----------------------------------------------------------------------------
    Identification code 75-0340-0-1-552      1999 actual   2000 est.   2001 est.
    ----------------------------------------------------------------------------

        Obligations by program activity:
    00.09 Administrative expenses subject to
            limitation......................           4           4           4
                                               ---------   ---------  ----------
    10.00   Total new obligations...........           4           4           4
    ----------------------------------------------------------------------------

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

        New budget authority (gross), detail:
          Discretionary:

    40.00   Appropriation...................           4           4           4
    ----------------------------------------------------------------------------

        Change in unpaid obligations:
    72.40 Unpaid obligations, start of year:
            Obligated balance, start of year           2           2
    73.10 Total new obligations.............           4           4           4
    73.20 Total outlays (gross).............          -3          -6          -4
    74.40 Unpaid obligations, end of year:
            Obligated balance, end of year..           2
    ----------------------------------------------------------------------------

        Outlays (gross), detail:
    86.90 Outlays from new discretionary
            authority.......................           2           4           4
    86.93 Outlays from discretionary
            balances........................           1           2
                                               ---------   ---------  ----------
    87.00   Total outlays (gross)...........           3           6           4
    ----------------------------------------------------------------------------

        Net budget authority and outlays:
    89.00 Budget authority..................           4           4           4
    90.00 Outlays...........................           3           6           4
    ---------------------------------------------------------------------------

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

    ----------------------------------------------------------------------------
    Identification code 75-0340-0-1-552      1999 actual   2000 est.   2001 est.
    ----------------------------------------------------------------------------
        Guaranteed loan levels supportable by subsidy
                    budget authority:
    2150  Loan guarantee levels.............
                                               ---------   ---------  ----------
    2159    Total loan guarantee levels.....
        Guaranteed loan subsidy (in percent):
    2320  Subsidy rate......................        0.00        0.00        0.00
                                               ---------   ---------  ----------
    2329    Weighted average subsidy rate...        0.00        0.00        0.00
        Guaranteed loan subsidy budget authority:
    2330  Subsidy budget authority..........
                                               ---------   ---------  ----------
    2339    Total subsidy budget authority..
        Guaranteed loan subsidy outlays:
    2340  Subsidy outlays...................
                                               ---------   ---------  ----------
    2349    Total subsidy outlays...........
    ----------------------------------------------------------------------------

        Administrative expense data:
    3510  Budget authority..................           4           4           4
    3580  Outlays from balances.............           1           2
    3590  Outlays from new authority........           2           4
    ---------------------------------------------------------------------------

        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 administrative expenses are estimated on a
    cash basis.

                   Object Classification (in millions of dollars)

    ----------------------------------------------------------------------------
    Identification code 75-0340-0-1-552      1999 actual   2000 est.   2001 est.
    ----------------------------------------------------------------------------
    11.1  Personnel compensation: Full-time
            permanent.......................           2           2           2
    25.3  Purchases of goods and services
            from Government accounts........           1           1           1
                                               ---------   ---------  ----------
    99.0      Subtotal, direct obligations..           3           3           3
    99.5  Below reporting threshold.........           1           1           1
                                               ---------   ---------  ----------
    99.9    Total new obligations...........           4           4           4
    ---------------------------------------------------------------------------

                                  Personnel Summary

    ----------------------------------------------------------------------------
    Identification code 75-0340-0-1-552      1999 actual   2000 est.   2001 est.
    ----------------------------------------------------------------------------
        Total compensable workyears:
    1001  Full-time equivalent employment...          17          24          24
    1011  Exempt Full-time equivalent
            employment......................           7
    ---------------------------------------------------------------------------

               Health Education Assistance Loans Financing Account

                   Program and Financing (in millions of dollars)

    ----------------------------------------------------------------------------
    Identification code 75-4304-0-3-552      1999 actual   2000 est.   2001 est.
    ----------------------------------------------------------------------------

        Obligations by program activity:
    00.01 Death and disability claims.......           2           1           1
    00.02 Default claims....................           9          22          28
                                               ---------   ---------  ----------
    10.00   Total new obligations...........          11          23          29
    ----------------------------------------------------------------------------

        Budgetary resources available for obligation:
    21.40 Unobligated balance available,
            start of year...................         259         295         303
    22.00 New financing authority (gross)...          48          31          33
                                               ---------   ---------  ----------
    23.90   Total budgetary resources
              available for obligation......         307         326         336
    23.95 Total new obligations.............         -11         -23         -29
    24.40 Unobligated balance available, end
            of year.........................         295         303         307
    ----------------------------------------------------------------------------

        New financing authority (gross), detail:
          Discretionary:

    68.00   Spending authority from
              offsetting collections
              (gross): Offsetting
              collections (cash)............          48          31          33
    ----------------------------------------------------------------------------

        Change in unpaid obligations:
    73.10 Total new obligations.............          11          23          29
    73.20 Total financing disbursements
            (gross).........................         -11         -23         -29
    87.00 Total financing disbursements
            (gross).........................          11          23          29
    ----------------------------------------------------------------------------

        Offsets:
          Against gross financing authority and
              financing disbursements:

            Offsetting collections (cash)
                from:
    88.25     Interest on uninvested funds..         -45         -29         -29
    88.40     Recoveries of defaulted loans.          -3          -2          -4
                                               ---------   ---------  ----------
    88.90       Total, offsetting
                  collections (cash)........         -48         -31         -33
    ----------------------------------------------------------------------------

        Net financing authority and financing
            disbursements:
    89.00 Financing authority...............
    90.00 Financing disbursements...........         -37          -8          -4
    ---------------------------------------------------------------------------

                 Status of Guaranteed Loans (in millions of dollars)

    ----------------------------------------------------------------------------
    Identification code 75-4304-0-3-552      1999 actual   2000 est.   2001 est.
    ----------------------------------------------------------------------------
        Position with respect to appropriations act
                    limitation on commitments:
    2111  Limitation on guaranteed loans
            made by private lenders.........
                                               ---------   ---------  ----------
    2150    Total guaranteed loan
              commitments...................
    ----------------------------------------------------------------------------

        Cumulative balance of guaranteed loans
                    outstanding:
    2210  Outstanding, start of year........       1,562       1,551       1,528
          Adjustments:

    2261    Terminations for default that
              result in loans receivable....          -9         -22         -28
    2263    Terminations for default that
              result in claim payments......          -2          -1          -2
                                               ---------   ---------  ----------
    2290    Outstanding, end of year........       1,551       1,528       1,498
    ----------------------------------------------------------------------------

        Memorandum:
    2299  Guaranteed amount of guaranteed
            loans outstanding, end of year..       1,551       1,528       1,498
    ----------------------------------------------------------------------------

    [[Page 440]]

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

    2310    Outstanding, start of year......          32          38          57
    2331    Disbursements for guaranteed
              loan claims...................           9          22          28
    2351    Repayments of loans receivable..          -3          -3          -4
                                               ---------   ---------  ----------
    2390      Outstanding, end of year......          38          57          81
    ---------------------------------------------------------------------------

        This account records all cash flows to and from the Government
    resulting from HEAL loan guarantees committed between 1992 and 1998.

                                 Balance Sheet (in millions of dollars)

    -----------------------------------------------------------------------------------------------
    Identification code   75-4304-0-3-552    1998 actual    1999 actual     2000 est.      2001 est.
    -----------------------------------------------------------------------------------------------
        ASSETS:
    1101  Federal assets: Fund balances with
            Treasury........................         247            295           303            307
          Non-Federal assets:

    1201    Investments in non-Federal
              securities, net...............          22             45            29             29
    1206    Receivables, net................           5              3             2              4
                                            ------------ --------------  ------------  -------------
    1999    Total assets....................         274            343           334            340
        LIABILITIES:
    2204  Non-Federal liabilities:
            Liabilities for loan guarantees.       1,562          1,551         1,528          1,498
                                            ------------ --------------  ------------  -------------
    2999    Total liabilities...............       1,562          1,551         1,528          1,498
        NET POSITION:
    3300  Cumulative results of operations..      -1,287         -1,208        -1,194         -1,158
                                            ------------ --------------  ------------  -------------
    3999    Total net position..............      -1,287         -1,208        -1,194         -1,158
                                            ------------ --------------  ------------  -------------
    4999  Total liabilities and net position         275            343           334            340
    -----------------------------------------------------------------------------------------------

              Health Education Assistance Loans Liquidating Account

                   Program and Financing (in millions of dollars)

    ----------------------------------------------------------------------------
    Identification code 75-4305-0-3-552      1999 actual   2000 est.   2001 est.
    ----------------------------------------------------------------------------

        Obligations by program activity:
    00.01 Death and disability claims.......           4           5           5
    00.02 Defaulted loans...................          20          23          18
    00.03 Debt collection...................           3           7           7
                                               ---------   ---------  ----------
    10.00   Total new obligations...........          27          35          30
    ----------------------------------------------------------------------------

        Budgetary resources available for obligation:
    21.40 Unobligated balance available,
            start of year...................          18
    22.00 New budget authority (gross)......          57          35          30
    22.40 Capital transfer to general fund..         -48
                                               ---------   ---------  ----------
    23.90   Total budgetary resources
              available for obligation......          27          35          30
    23.95 Total new obligations.............         -27         -35         -30
    ----------------------------------------------------------------------------

        New budget authority (gross), detail:
          Mandatory:

    60.05   Appropriation (indefinite)......          37          15          10
    69.00 Offsetting collections (cash).....          20          20          20
                                               ---------   ---------  ----------
    70.00   Total new budget authority
              (gross).......................          57          35          30
    ----------------------------------------------------------------------------

        Change in unpaid obligations:
    72.40 Unpaid obligations, start of year:
            Obligated balance, start of year           5          13
    73.10 Total new obligations.............          27          35          30
    73.20 Total outlays (gross).............         -20         -48         -30
    74.40 Unpaid obligations, end of year:
            Obligated balance, end of year..          13
    ----------------------------------------------------------------------------

        Outlays (gross), detail:
    86.97 Outlays from new mandatory
            authority.......................          20          35          30
    86.98 Outlays from mandatory balances...                      13
                                               ---------   ---------  ----------
    87.00   Total outlays (gross)...........          20          48          30
    ----------------------------------------------------------------------------

        Offsets:
          Against gross budget authority and outlays:

    88.40   Offsetting collections (cash)
              from: Non-Federal sources.....         -20         -20         -20
    ----------------------------------------------------------------------------

        Net budget authority and outlays:
    89.00 Budget authority..................          37          15          10
    90.00 Outlays...........................                      28          10
    ---------------------------------------------------------------------------

                 Status of Guaranteed Loans (in millions of dollars)

    ----------------------------------------------------------------------------
    Identification code 75-4305-0-3-552      1999 actual   2000 est.   2001 est.
    ----------------------------------------------------------------------------
        Cumulative balance of guaranteed loans
                    outstanding:
    2210  Outstanding, start of year........       1,412       1,343       1,260
    2251  Repayments and prepayments........         -58         -69         -75
          Adjustments:

    2261    Terminations for default that
              result in loans receivable....          -9         -12          -9
    2263    Terminations for default that
              result in claim payments......          -2          -2          -3
                                               ---------   ---------  ----------
    2290    Outstanding, end of year........       1,343       1,260       1,173
    ----------------------------------------------------------------------------

        Memorandum:
    2299  Guaranteed amount of guaranteed
            loans outstanding, end of year..       1,343       1,260       1,173
    ----------------------------------------------------------------------------

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

    2310    Outstanding, start of year......         494         496         475
    2331    Disbursements for guaranteed
              loan claims...................          20          23          18
    2351    Repayments of loans receivable..         -15         -15         -15
    2361    Write-offs of loans receivable..         -29         -29         -29
    2364    Other adjustments, net..........          26
                                               ---------   ---------  ----------
    2390      Outstanding, end of year......         496         475         449
    ---------------------------------------------------------------------------

        Note.--Includes carryover commitments from prior years.
        Note.--The adjustment to loans receivable represents interest, which
    had not previously been reflected in cumulative outstanding balances.

        This account records all cash flows to and from the Government
    resulting from HEAL loan guarantees committed prior to 1992.

                            Statement of Operations (in millions of dollars)

    -----------------------------------------------------------------------------------------------
    Identification code   75-4305-0-3-552    1998 actual    1999 actual     2000 est.      2001 est.
    -----------------------------------------------------------------------------------------------
    0101  Revenue...........................          48             45            35             30
    0102  Expense...........................         -38            -27           -35            -30
                                            ------------ --------------  ------------  -------------
    0105  Net income or loss (-)............          10             18
    -----------------------------------------------------------------------------------------------

                                 Balance Sheet (in millions of dollars)

    -----------------------------------------------------------------------------------------------
    Identification code   75-4305-0-3-552    1998 actual    1999 actual     2000 est.      2001 est.
    -----------------------------------------------------------------------------------------------
        ASSETS:
          Net value of assets related to
              pre-1992 direct loans
              receivable and acquired
              defaulted guaranteed loans
              receivable:

    1701    Defaulted guaranteed loans,
              gross.........................         470            496           475            449
    1702    Interest receivable.............           5              6             6              6
                                            ------------ --------------  ------------  -------------
    1704      Defaulted guaranteed loans and
                interest receivable, net....         475            502           481            455
                                            ------------ --------------  ------------  -------------
    1799      Value of assets related to
                loan guarantees.............         475            502           481            455
    1801  Other Federal assets: Cash and
            other monetary assets...........          38             27            35             30
                                            ------------ --------------  ------------  -------------
    1999    Total assets....................         513            529           516            485
        LIABILITIES:
    2104  Federal liabilities: Resources
            payable to Treasury.............           2              2             6              6
    2201  Non-Federal liabilities: Accounts
            payable.........................          29             20            23             18
                                            ------------ --------------  ------------  -------------
    2999    Total liabilities...............          31             22            29             24

    [[Page 441]]

        NET POSITION:
    3300  Cumulative results of operations..         482            507           487            461
                                            ------------ --------------  ------------  -------------
    3999    Total net position..............         482            507           487            461
                                            ------------ --------------  ------------  -------------
    4999  Total liabilities and net position         513            529           516            485
    -----------------------------------------------------------------------------------------------

                   Object Classification (in millions of dollars)

    ----------------------------------------------------------------------------
    Identification code 75-4305-0-3-552      1999 actual   2000 est.   2001 est.
    ----------------------------------------------------------------------------
    25.2  Other services....................           8           8           8
    42.0  Insurance claims and indemnities..          19          27          22
                                               ---------   ---------  ----------
    99.9    Total new obligations...........          27          35          30
    ---------------------------------------------------------------------------

                   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, $1,000,000, 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.] (Department of Health and Human Services Appropriations Act,
    2000, as enacted by section 1000(a)(4) of the Consolidated
    Appropriations Act, 2000 (P.L. 106-113).)

                   Program and Financing (in millions of dollars)

    ----------------------------------------------------------------------------
    Identification code 75-9931-0-3-551      1999 actual   2000 est.   2001 est.
    ----------------------------------------------------------------------------

        Obligations by program activity:
    00.01 Operating expenses: Interest
            subsidies, private..............           2           3           3
                                               ---------   ---------  ----------
    10.00   Total new obligations (object
              class 41.0)...................           2           3           3
    ----------------------------------------------------------------------------

        Budgetary resources available for obligation:
    21.40 Unobligated balance available,
            start of year...................          50          48          40
    22.00 New budget authority (gross)......           4           7           5
    22.60 Portion applied to repay debt.....          -4         -12         -12
                                               ---------   ---------  ----------
    23.90   Total budgetary resources
              available for obligation......          50          43          33
    23.95 Total new obligations.............          -2          -3          -3
    24.40 Unobligated balance available, end
            of year.........................          48          40          30
    ----------------------------------------------------------------------------

        New budget authority (gross), detail:
          Mandatory:

    60.00   Appropriation...................           1           1
    60.36   Unobligated balance rescinded...          -3
                                               ---------   ---------  ----------
    62.50     Appropriation (total
                mandatory)..................          -2           1
    69.00 Offsetting collections (cash).....           6           6           5
                                               ---------   ---------  ----------
    70.00   Total new budget authority
              (gross).......................           4           7           5
    ----------------------------------------------------------------------------

        Change in unpaid obligations:
    72.40 Unpaid obligations, start of year:
            Obligated balance, start of year          15          15          14
    73.10 Total new obligations.............           2           3           3
    73.20 Total outlays (gross).............          -3          -4          -4
    74.40 Unpaid obligations, end of year:
            Obligated balance, end of year..          15          14          13
    ----------------------------------------------------------------------------

        Outlays (gross), detail:
    86.97 Outlays from new mandatory
            authority.......................           1           1
    86.98 Outlays from mandatory balances...           2           3           4
                                               ---------   ---------  ----------
    87.00   Total outlays (gross)...........           3           4           4
    ----------------------------------------------------------------------------

        Offsets:
          Against gross budget authority and outlays:

            Offsetting collections (cash)
                from:
              Non-Federal sources:
    88.40       Principal repaid on loans
                  not sold..................          -2          -2          -1
    88.40       Principal collections from
                  FFB.......................          -4          -4          -4
                                               ---------   ---------  ----------
    88.90       Total, offsetting
                  collections (cash)........          -6          -6          -5
    ----------------------------------------------------------------------------

        Net budget authority and outlays:
    89.00 Budget authority..................          -2           1
    90.00 Outlays...........................          -4          -2          -1
    ---------------------------------------------------------------------------

                   Status of Direct Loans (in millions of dollars)

    ----------------------------------------------------------------------------
    Identification code 75-9931-0-3-551      1999 actual   2000 est.   2001 est.
    ----------------------------------------------------------------------------
        Cumulative balance of direct loans
                    outstanding:
    1210  Outstanding, start of year........          17          15           8
    1251  Repayments: Repayments and
            prepayments.....................          -6          -7          -8
    1264  Write-offs for default: Other
            adjustments, net................           4
                                               ---------   ---------  ----------
    1290    Outstanding, end of year........          15           8
    ---------------------------------------------------------------------------

                 Status of Guaranteed Loans (in millions of dollars)

    ----------------------------------------------------------------------------
    Identification code 75-9931-0-3-551      1999 actual   2000 est.   2001 est.
    ----------------------------------------------------------------------------
        Cumulative balance of guaranteed loans
                    outstanding:
    2210  Outstanding, start of year........          82          45          15
    2251  Repayments and prepayments........         -37         -30         -15
                                               ---------   ---------  ----------
    2290    Outstanding, end of year........          45          15
    ----------------------------------------------------------------------------

        Memorandum:
    2299  Guaranteed amount of guaranteed
            loans outstanding, end of year..          45          15
    ---------------------------------------------------------------------------

        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. Unobligated balances will be used to pay defaults and interest
    subsidy payments.

                                   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]
    $2,992,000 shall be available from the Trust Fund to the Secretary of
    Health and Human Services. (Department of Health and Human Services
    Appropriations Act, 2000, as enacted by section 1000(a)(4) of the
    Consolidated Appropriations Act, 2000 (P.L. 106-113).)

                  Unavailable Collections (in millions of dollars)

    ----------------------------------------------------------------------------
    Identification code 20-8175-0-7-551      1999 actual   2000 est.   2001 est.
    ----------------------------------------------------------------------------
        Balance, start of year:
    01.99 Balance, start of year............       1,264       1,398       1,528
        Receipts:
    02.01 Deposits..........................         130         131         134
    02.03 Interest income...................          64          71          77
                                               ---------   ---------  ----------
    02.99   Total receipts..................         194         202         211
                                               ---------   ---------  ----------
    04.00 Total: Balances and collections...       1,458       1,600       1,739
        Appropriation:
    05.01 Vaccine injury compensation
            program trust fund..............         -60         -72        -124
                                               ---------   ---------  ----------
    05.99 Subtotal appropriation............         -60         -72        -124
                                               ---------   ---------  ----------

    [[Page 442]]

    07.99 Total balance, end of year........       1,398       1,528       1,615
    ---------------------------------------------------------------------------

                   Program and Financing (in millions of dollars)

    ----------------------------------------------------------------------------
    Identification code 20-8175-0-7-551      1999 actual   2000 est.   2001 est.
    ----------------------------------------------------------------------------

        Obligations by program activity:
    00.01 Compensation: Claims for post--FY
            1989 injuries...................          53          62         114
          Administrative expenses:

    01.03   Claims processing (Claims Court)           2           3           3
    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          10          10
                                               ---------   ---------  ----------
    10.00   Total new obligations...........          60          72         124
    ----------------------------------------------------------------------------

        Budgetary resources available for obligation:
    21.40 Unobligated balance available,
            start of year...................           2           1
    22.00 New budget authority (gross)......          60          72         124
                                               ---------   ---------  ----------
    23.90   Total budgetary resources
              available for obligation......          62          73         124
    23.95 Total new obligations.............         -60         -72        -124
    24.40 Unobligated balance available, end
            of year.........................           1
    ----------------------------------------------------------------------------

        New budget authority (gross), detail:
          Discretionary:

    40.26   Appropriation (trust fund,
              definite).....................           7          10          10
          Mandatory:

    60.27   Appropriation (trust fund,
              indefinite)...................          53          62         114
                                               ---------   ---------  ----------
    70.00   Total new budget authority
              (gross).......................          60          72         124
    ----------------------------------------------------------------------------

        Change in unpaid obligations:
    72.40 Unpaid obligations, start of year:
            Obligated balance, start of year                       1
    73.10 Total new obligations.............          60          72         124
    73.20 Total outlays (gross).............         -60         -73        -124
    74.40 Unpaid obligations, end of year:
            Obligated balance, end of year..           1
    ----------------------------------------------------------------------------

        Outlays (gross), detail:
    86.90 Outlays from new discretionary
            authority.......................           5          10          10
    86.93 Outlays from discretionary
            balances........................           2           1
    86.97 Outlays from new mandatory
            authority.......................          53          62         114
                                               ---------   ---------  ----------
    87.00   Total outlays (gross)...........          60          73         124
    ----------------------------------------------------------------------------

        Net budget authority and outlays:
    89.00 Budget authority..................          60          72         124
    90.00 Outlays...........................          60          73         124
    ----------------------------------------------------------------------------

        Memorandum (non-add) entries:
    92.01 Total investments, start of year:
            U.S. securities: Par value......       1,285       1,431       1,528
    92.02 Total investments, end of year:
            U.S. securities: Par value......       1,431       1,528       1,615
    ---------------------------------------------------------------------------

        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      1999 actual   2000 est.   2001 est.
    ----------------------------------------------------------------------------
    25.2  Other services....................           3           3           3
    25.3  Purchases of goods and services
            from Government accounts........           4           7           7
    42.0  Insurance claims and indemnities..          53          62         114
                                               ---------   ---------  ----------
    99.9    Total new obligations...........          60          72         124
    ---------------------------------------------------------------------------

                        Ricky Ray Hemophilia Relief Fund

                  Unavailable Collections (in millions of dollars)

    ----------------------------------------------------------------------------
    Identification code 75-8074-0-7-551      1999 actual   2000 est.   2001 est.
    ----------------------------------------------------------------------------
        Balance, start of year:
    01.99 Balance, start of year............
        Receipts:
    02.01 Payments from the general fund....                      75         100
        Appropriation:
    05.01 Ricky Ray hemophilia relief fund..                     -75        -100
                                               ---------   ---------  ----------
    07.99 Total balance, end of year........
    ---------------------------------------------------------------------------

                   Program and Financing (in millions of dollars)

    ----------------------------------------------------------------------------
    Identification code 75-8074-0-7-551      1999 actual   2000 est.   2001 est.
    ----------------------------------------------------------------------------

        Obligations by program activity:
    10.00 Total new obligations.............                      75         100
    ----------------------------------------------------------------------------

        Budgetary resources available for obligation:
    22.00 New budget authority (gross)......                      75         100
    23.95 Total new obligations.............                     -75        -100
    ----------------------------------------------------------------------------

        New budget authority (gross), detail:
          Discretionary:

    40.27   Appropriation (trust fund,
              indefinite)...................                      75         100
    ----------------------------------------------------------------------------

        Change in unpaid obligations:
    73.10 Total new obligations.............                      75         100
    73.20 Total outlays (gross).............                     -75        -100
    ----------------------------------------------------------------------------

        Outlays (gross), detail:
    86.90 Outlays from new discretionary
            authority.......................                      75         100
    ----------------------------------------------------------------------------

        Net budget authority and outlays:
    89.00 Budget authority..................                      75         100
    90.00 Outlays...........................                      75         100
    ---------------------------------------------------------------------------

        These amounts will be paid to the Ricky Ray hemophilia relief fund.
    The Ricky Ray hemophilia relief fund was established pursuant to Public
    Law 105-369 and serves as a source of funds to pay claims to eligible
    individuals on behalf of persons with HIV and a blood clotting disorder,
    who were treated with an anti-hemophiliac factor between July 1982 and
    December 1987.

                   Object Classification (in millions of dollars)

    ----------------------------------------------------------------------------
    Identification code 75-8074-0-7-551      1999 actual   2000 est.   2001 est.
    ----------------------------------------------------------------------------
    25.2  Other services....................                       5           5
    42.0  Insurance claims and indemnities..                      70          95
                                               ---------   ---------  ----------
    99.9    Total new obligations...........                      75         100
    ---------------------------------------------------------------------------

                              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, [$2,078,967,000],
    $2,271,055,000 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 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] $18,000,000
    shall remain available

    [[Page 443]]

    until expended, for the Indian Catastrophic Health Emergency Fund:
    Provided further, That [$395,290,000] $429,672,000 for contract medical
    care shall remain available for obligation until September 30, [2001]
    2002: Provided further, That of the funds provided, up to $17,000,000
    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 1-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 appropriated: Provided
    further, That the amounts collected by the Secretary of Health and Human
    Services under the authority of title IV of the Indian Health Care
    Improvement Act shall remain available until expended for the purpose of
    achieving compliance with the applicable conditions and requirements of
    titles XVIII and XIX of the Social Security Act (exclusive of planning,
    design, or construction of new facilities): 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,
    [2001] 2002: Provided further, That amounts received by tribes and
    tribal organizations under title IV of the Indian Health Care
    Improvement Act shall be reported and accounted for and available to the
    receiving tribes and tribal organizations until expended: Provided
    further, That, notwithstanding any other provision of law, of the
    amounts provided herein, not to exceed [$228,781,000] $268,781,000 shall
    be for payments to tribes and tribal organizations for contract or grant
    support costs associated with contracts, grants, self-governance
    compacts or annual funding agreements (herein ``contracts/compacts'')
    between the Indian Health Service and a tribe or tribal organization
    pursuant to the Indian Self-Determination Act of 1975, as amended, prior
    to or during fiscal year [2000] 2001, of which not to exceed
    [$10,000,000 may be used for such costs associated with] $40,000,000 is
    available first for new and expanded [contracts, grants, self-governance
    compacts or annual funding agreements] contracts/compacts, which shall
    receive contract support costs at, and not greater than, the minimum
    percentage of need funded for existing contracts/compacts in fiscal year
    2001: Provided further, That any remaining portion of the $40,000,000
    shall be used for contract support costs for existing contracts/
    compacts: Provided further, That funds available for the Indian Health
    Care Improvement Fund may be used, as needed, to carry out activities
    typically funded under the Indian Health Facilities account. (Department
    of the Interior and Related Agencies Appropriations Act, 2000, as
    enacted by section 1000(a)(3) of the Consolidated Appropriations Act,
    2000 (P.L. 106-113).)

                   Program and Financing (in millions of dollars)

    ----------------------------------------------------------------------------
    Identification code 75-0390-0-1-551      1999 actual   2000 est.   2001 est.
    ----------------------------------------------------------------------------

        Obligations by program activity:
          Direct program:

    00.01   Clinical services...............       1,524       1,632       1,769
    00.02   Preventive health...............          86          92         103
    00.03   Urban health....................          27          28          31
    00.04   Indian health professions.......          29          30          33
    00.05   Tribal management...............           2           2           2
    00.06   Direct operations...............          48          51          54
    00.07   Self-governance.................           9          10          10
    00.08   Contract support costs..........         204         229         269
    00.09   Diabetes funds..................          34          30          30
    09.01 Reimbursable program..............         561         582         582
                                               ---------   ---------  ----------
    10.00   Total new obligations...........       2,524       2,686       2,883
    ----------------------------------------------------------------------------

        Budgetary resources available for obligation:
    21.40 Unobligated balance available,
            start of year...................         103         115         115
    22.00 New budget authority (gross)......       2,539       2,686       2,883
    22.10 Resources available from
            recoveries of prior year
            obligations.....................           1
                                               ---------   ---------  ----------
    23.90   Total budgetary resources
              available for obligation......       2,643       2,801       2,998
    23.95 Total new obligations.............      -2,524      -2,686      -2,883
    23.98 Unobligated balance expiring or
            withdrawn.......................          -4
    24.40 Unobligated balance available, end
            of year.........................         115         115         115
    ----------------------------------------------------------------------------

        New budget authority (gross), detail:
          Discretionary:

    40.00   Appropriation...................       1,950       2,079       2,271
    40.75   Reduction pursuant to P.L. 106-
              51............................          -2
    40.76   Reduction pursuant to P.L. 106-
              113...........................                      -5
                                               ---------   ---------  ----------
    43.00     Appropriation (total
                discretionary)..............       1,948       2,074       2,271
          Mandatory:

    62.00   Transferred from HCFA for
              Diabetes......................          30          30          30
          Discretionary:

    68.00   Spending authority from
              offsetting collections:
              Offsetting collections (cash).         561         582         582
                                               ---------   ---------  ----------
    70.00   Total new budget authority
              (gross).......................       2,539       2,686       2,883
    ----------------------------------------------------------------------------

        Change in unpaid obligations:
    72.40 Unpaid obligations, start of year:
            Obligated balance, start of year         484         481         514
    73.10 Total new obligations.............       2,524       2,686       2,883
    73.20 Total outlays (gross).............      -2,490      -2,653      -2,882
    73.40 Adjustments in expired accounts
            (net)...........................         -36
    73.45 Adjustments in unexpired accounts.          -1
    74.40 Unpaid obligations, end of year:
            Obligated balance, end of year..         481         514         515
    ----------------------------------------------------------------------------

        Outlays (gross), detail:
    86.90 Outlays from new discretionary
            authority.......................       2,061       2,154       2,331
    86.93 Outlays from discretionary
            balances........................         399         469         521
    86.97 Outlays from new mandatory
            authority.......................          23          23          23
    86.98 Outlays from mandatory balances...           7           7           7
                                               ---------   ---------  ----------
    87.00   Total outlays (gross)...........       2,490       2,653       2,882
    ----------------------------------------------------------------------------

        Offsets:
          Against gross budget authority and outlays:

            Offsetting collections (cash)
                from:
    88.00     Federal sources...............        -286        -288        -288
    88.40     Non-Federal sources...........        -275        -294        -294
                                               ---------   ---------  ----------
    88.90       Total, offsetting
                  collections (cash)........        -561        -582        -582
    ----------------------------------------------------------------------------

        Net budget authority and outlays:
    89.00 Budget authority..................       1,978       2,104       2,301
    90.00 Outlays...........................       1,930       2,071       2,300
    ---------------------------------------------------------------------------

        The Indian health services account provides medical care, public
    health services, and health professions training opportunities to
    American Indians and Alaska Natives. An estimated $592 million will be
    administered by tribal governments under self-governance compacts in FY
    2001.

                   Object Classification (in millions of dollars)

    ----------------------------------------------------------------------------
    Identification code 75-0390-0-1-551      1999 actual   2000 est.   2001 est.
    ----------------------------------------------------------------------------

          Direct obligations:

            Personnel compensation:
    11.1      Full-time permanent...........         312         334         357
    11.3      Other than full-time permanent          14          15          16
    11.5      Other personnel compensation..          29          36          38
                                               ---------   ---------  ----------
    11.9        Total personnel compensation         355         385         411
    12.1    Civilian personnel benefits.....          99         105         114
    13.0    Benefits for former personnel...           2           3           4
    21.0    Travel and transportation of
              persons.......................          28          31          31
    22.0    Transportation of things........          10          11          11
    23.1    Rental payments to GSA..........           8           8           8
    23.2    Rental payments to others.......           3           9           9
    23.3    Communications, utilities, and
              miscellaneous charges.........          21          24          24
    24.0    Printing and reproduction.......           1           1           1
    25.1    Advisory and assistance services           7          13          13
    25.2    Other services..................          66          25          30
    25.3    Purchases of goods and services
              from Government accounts......          24          25          25
    25.4    Operation and maintenance of
              facilities....................          -5           4           4
    25.5    Research and development
              contracts.....................                       1           1
    25.6    Medical care....................         182         191         232
    25.7    Operation and maintenance of
              equipment.....................          -2          16          16
    25.8    Subsistence and support of
              persons.......................           1           5           5
    26.0    Supplies and materials..........          95         139         139
    31.0    Equipment.......................          24           9          10
    32.0    Land and structures.............           1           1           1
    41.0    Grants, subsidies, and
              contributions.................       1,043       1,098       1,212
                                               ---------   ---------  ----------
    99.0      Subtotal, direct obligations..       1,963       2,104       2,301
    99.0  Reimbursable obligations..........         561         582         582
                                               ---------   ---------  ----------
    99.9    Total new obligations...........       2,524       2,686       2,883
    ---------------------------------------------------------------------------

    [[Page 444]]

                                  Personnel Summary

    ----------------------------------------------------------------------------
    Identification code 75-0390-0-1-551      1999 actual   2000 est.   2001 est.
    ----------------------------------------------------------------------------
        Direct:
          Total compensable workyears:

    1001    Full-time equivalent employment.      10,376      10,433      10,546
    1011    Exempt Full-time equivalent
              employment....................           1
        Reimbursable:
    2001  Total compensable workyears: Full-
            time equivalent employment......       2,916       2,916       2,916
        Allocation account:
    3001  Total compensable workyears: Full-
            time equivalent employment......           2
    ---------------------------------------------------------------------------

                            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 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, [$318,580,000] $290,795,000, 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: [Provided
    further, That notwithstanding any provision of law governing Federal
    construction, $3,000,000 of the funds provided herein shall be provided
    to the Hopi Tribe to reduce the debt incurred by the Tribe in providing
    staff quarters to meet the housing needs associated with the new Hopi
    Health Center:] Provided further, That not to exceed $500,000 shall be
    used by the Indian Health Service to purchase TRANSAM equipment from the
    Department of Defense for distribution to the Indian Health Service and
    tribal facilities: Provided further, That not to exceed $500,000 shall
    be used by the Indian Health Service to obtain ambulances for the Indian
    Health Service and tribal facilities in conjunction with an existing
    interagency agreement between the Indian Health Service and the General
    Services Administration: Provided further, That not to exceed $500,000
    shall be placed in a Demolition Fund, available until expended, to be
    used by the Indian Health Service for demolition of Federal buildings[:
    Provided further, That from within existing funds, the Indian Health
    Service may purchase up to 5 acres of land for expanding the parking
    facilities at the Indian Health Service hospital in Tahlequah,
    Oklahoma].
        In addition, to remain available until expended: for construction of
    a replacement health facility at Fort Defiance, Arizona, up to
    $38,715,000; for construction of a replacement health facility at
    Parker, Arizona, up to $7,578,000; and for construction of a replacement
    health facility at Winnebago, Nebraska, up to $12,286,000 and, to become
    available October 1, 2001 and remain available until expended, up to
    $17,541,000. (Department of the Interior and Related Agencies
    Appropriations Act, 2000, as enacted by section 1000(a)(3) of the
    Consolidated Appropriations Act, 2000 (P.L. 106-113).)

                  Unavailable Collections (in millions of dollars)

    ----------------------------------------------------------------------------
    Identification code 75-0391-0-1-551      1999 actual   2000 est.   2001 est.
    ----------------------------------------------------------------------------
        Balance, start of year:
    01.99 Balance, start of year............
        Receipts:
    02.01 Rent and charges for quarters,
            Indian health service, HHS......           5           5           5
        Appropriation:
    05.01 Indian health facilities..........          -5          -5          -5
                                               ---------   ---------  ----------
    07.99 Total balance, end of year........
    ---------------------------------------------------------------------------

                   Program and Financing (in millions of dollars)

    ----------------------------------------------------------------------------
    Identification code 75-0391-0-1-551      1999 actual   2000 est.   2001 est.
    ----------------------------------------------------------------------------

        Obligations by program activity:
          Direct program:

    00.01   Sanitation and health facilities         122         143         162
    00.02   Maintenance.....................          40          48          50
    00.03   Facilities and environmental
              health........................          95         117         130
    00.04   Equipment.......................          12          14          12
                                               ---------   ---------  ----------
    01.00     Total direct program..........         269         322         354
    09.01 Reimbursable program..............          11          12          12
                                               ---------   ---------  ----------
    10.00   Total new obligations...........         280         334         366
    ----------------------------------------------------------------------------

        Budgetary resources available for obligation:
    21.40 Unobligated balance available,
            start of year...................          22          72          72
    22.00 New budget authority (gross)......         318         334         366
    22.10 Resources available from
            recoveries of prior year
            obligations.....................          11
                                               ---------   ---------  ----------
    23.90   Total budgetary resources
              available for obligation......         351         406         438
    23.95 Total new obligations.............        -280        -334        -366
    24.40 Unobligated balance available, end
            of year.........................          72          72          72
    ----------------------------------------------------------------------------

        New budget authority (gross), detail:
          Discretionary:

    40.00   Appropriation...................         292         319         349
    40.76   Reduction pursuant to P.L. 106-
              113...........................                      -2
                                               ---------   ---------  ----------
    43.00     Appropriation (total
                discretionary)..............         292         317         349
          Mandatory:

    60.25   Appropriation (special fund,
              indefinite)...................           5           5           5
          Discretionary:

    68.00   Spending authority from
              offsetting collections:
              Offsetting collections (cash).          21          12          12
                                               ---------   ---------  ----------
    70.00   Total new budget authority
              (gross).......................         318         334         366
    ----------------------------------------------------------------------------

        Change in unpaid obligations:
    72.40 Unpaid obligations, start of year:
            Obligated balance, start of year         356         335         346
    73.10 Total new obligations.............         280         334         366
    73.20 Total outlays (gross).............        -290        -323        -340
    73.45 Adjustments in unexpired accounts.         -11
    74.40 Unpaid obligations, end of year:
            Obligated balance, end of year..         335         346         372
    ----------------------------------------------------------------------------

        Outlays (gross), detail:
    86.90 Outlays from new discretionary
            authority.......................         109         105         117
    86.93 Outlays from discretionary
            balances........................         176         212         218
    86.97 Outlays from new mandatory
            authority.......................           5           5           5
                                               ---------   ---------  ----------
    87.00   Total outlays (gross)...........         290         323         340
    ----------------------------------------------------------------------------

        Offsets:
          Against gross budget authority and outlays:

    88.00   Offsetting collections (cash)
              from: Federal sources.........         -21         -12         -12
    ----------------------------------------------------------------------------

        Net budget authority and outlays:
    89.00 Budget authority..................         297         322         354
    90.00 Outlays...........................         269         311         328
    ---------------------------------------------------------------------------

        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      1999 actual   2000 est.   2001 est.
    ----------------------------------------------------------------------------

          Direct obligations:

            Personnel compensation:
    11.1      Full-time permanent...........          46          50          54
    11.3      Other than full-time permanent           3           4           4
    11.5      Other personnel compensation..           1           1           1
                                               ---------   ---------  ----------
    11.9        Total personnel compensation          50          55          59
    12.1    Civilian personnel benefits.....          13          14          15
    21.0    Travel and transportation of
              persons.......................           4           5           5
    22.0    Transportation of things........           3           3           3
    23.3    Communications, utilities, and
              miscellaneous charges.........          11          11          11
    25.1    Advisory and assistance services           1           1           1

    [[Page 445]]

    25.2    Other services..................         115         146         169
    25.3    Purchases of goods and services
              from Government accounts......           5           5           5
    25.4    Operation and maintenance of
              facilities....................          12          10          10
    25.7    Operation and maintenance of
              equipment.....................           2           1           1
    26.0    Supplies and materials..........           6           7           7
    31.0    Equipment.......................           7           2           2
    32.0    Land and structures.............           2          17          17
    41.0    Grants, subsidies, and
              contributions.................          38          45          49
                                               ---------   ---------  ----------
    99.0      Subtotal, direct obligations..         269         322         354
    99.0  Reimbursable obligations..........          11          12          12
                                               ---------   ---------  ----------
    99.9    Total new obligations...........         280         334         366
    ---------------------------------------------------------------------------

                                  Personnel Summary

    ----------------------------------------------------------------------------
    Identification code 75-0391-0-1-551      1999 actual   2000 est.   2001 est.
    ----------------------------------------------------------------------------
    1001  Total compensable workyears: Full-
            time equivalent employment......       1,231       1,264       1,301
    ---------------------------------------------------------------------------

                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 therefore 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. 2651-2653) shall be credited to the
    account of the facility providing the service and shall be available
    without fiscal year limitation: Provided further, That notwithstanding
    any other law or regulation, funds transferred from the Department of
    Housing and Urban Development to the Indian Health Service shall be
    administered under Public Law 86-121 (the Indian Sanitation Facilities
    Act) and Public Law 93-638, as amended: Provided further, That funds
    appropriated to the Indian Health Service in this Act, except those used
    for administrative and program direction purposes, shall not be subject
    to limitations directed at curtailing Federal travel and transportation:
    Provided further, That 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 available to the
    tribe or tribal organization without fiscal year limitation: Provided
    further, That none of the funds made available to the Indian Health
    Service in this Act shall be used to implement the final rule published
    in the Federal Register on September 16, 1987, by the Department of
    Health and Human Services, relating to the eligibility for the health
    care services of the Indian Health Service until the Indian Health
    Service has submitted a budget request reflecting the increased costs
    associated with the proposed final rule, and such request has been
    included in an appropriations Act and enacted into law: Provided
    further, That 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 with respect to functions transferred by the Indian Health Service
    to tribes or tribal organizations, the Indian Health Service is
    authorized to provide goods and services to those entities, on a
    reimbursable basis, including payment in advance with subsequent
    adjustment, and the reimbursements received therefrom, along with the
    funds received from those entities pursuant to the Indian Self-
    Determination Act, may be credited to the same or subsequent
    appropriation account which provided the funding, said amounts to remain
    available until expended: Provided further, That reimbursements for
    training, technical assistance, or services provided by the Indian
    Health Service will contain total costs, including direct,
    administrative, and overhead associated with the provision of goods,
    services, or technical assistance: Provided further, That the
    appropriation structure for the Indian Health Service may not be altered
    without advance [approval of] notice submitted to the House and Senate
    Committees on Appropriations. (Department of the Interior and Related
    Agencies Appropriations Act, 2000, as enacted by section 1000(a)(3) of
    the Consolidated Appropriations Act, 2000 (P.L. 106-113).)

                   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, XIX and XXVI of the
    Public Health Service Act, sections 101, 102, 103, 201, 202, 203, 301,
    and 501 of the Federal Mine Safety and Health Act of 1977, sections 20,
    21, and 22 of the Occupational Safety and Health Act of 1970, title IV
    of the Immigration and Nationality Act and section 501 of the Refugee
    Education Assistance Act of 1980; including insurance of official motor
    vehicles in foreign countries; and hire, maintenance, and operation of
    aircraft, [$2,910,761,000] $3,239,487,000, of which [$60,000,000]
    $127,074,000 shall remain available until expended for equipment and
    construction and renovation of facilities, and in addition, such sums as
    may be derived from authorized user fees, which shall be credited to
    this account: Provided, That in addition to amounts provided herein, up
    to [$71,690,000] $76,690,000 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: Provided further, That
    none of the funds made available for injury prevention and control at
    the Centers for Disease Control and Prevention may be used to advocate
    or promote gun control: Provided further, That the Director may redirect
    the total amount made available under authority of Public Law 101-502,
    section 3, dated November 3, 1990, to activities the Director may so
    designate: Provided further, That the Congress is to be notified
    promptly of any such transfer[: Provided further, That notwithstanding
    any other provision of law, a single contract or related contracts for
    the development and construction of the infectious disease laboratory
    through the General Services Administration may be employed which
    collectively include the full scope of the project: Provided further,
    That the solicitation and contract shall contain the clause
    ``availability of funds'' found at 48 CFR 52.232-18]: Provided further,
    That not to exceed $10,000,000 may be available for making grants under
    section 1509 of the Public Health Service Act to not more than 10
    States[: Provided further, That of the amount provided under this
    heading, $3,000,000 shall be for the Center for Environmental Medicine
    and Toxicology at the University of Mississippi Medical Center at
    Jackson; $2,000,000 shall be for the University of Mississippi
    phytomedicine project; $500,000 shall be for the Alaska aviation safety
    initiative; and $1,000,000 shall be for the University of South Alabama
    birth defects monitoring and prevention activities.
        In addition, $51,000,000, to be derived from the Violent Crime
    Reduction Trust Fund, for carrying out sections 40151 and 40261 of
    Public Law 103-322]. In addition, to become available on October 1 of
    the fiscal year specified and remain available until expended for
    construction of Laboratory Building 18: $20,840,000 for fiscal year 2002
    and $20,840,000 for fiscal year 2003. (Department of Health and Human
    Services Appropriations Act, 2000, as enacted by section 1000(a)(4) of
    the Consolidated Appropriations Act, 2000 (P.L. 106-113).)

                  Unavailable Collections (in millions of dollars)

    ----------------------------------------------------------------------------
    Identification code 75-0943-0-1-999      1999 actual   2000 est.   2001 est.
    ----------------------------------------------------------------------------
        Balance, start of year:
    01.99 Balance, start of year............
        Receipts:
    02.01 Cooperative research and
            development agreements, Centers
            for Disease Control.............           2           2           2

    [[Page 446]]

        Appropriation:
    05.01 Disease control, research, and
            training........................          -2          -2          -2
                                               ---------   ---------  ----------
    07.99 Total balance, end of year........
    ---------------------------------------------------------------------------

                   Program and Financing (in millions of dollars)

    ----------------------------------------------------------------------------
    Identification code 75-0943-0-1-999      1999 actual   2000 est.   2001 est.
    ----------------------------------------------------------------------------

        Obligations by program activity:
          Direct program:

    00.01   Preventive health block grant...         150         135         179
    00.02   Prevention centers..............          13          18          15
    00.03   Sexually transmitted diseases...         124         136         151
    00.04   Immunization....................         420         490         530
    00.05   Infectious diseases.............         257         294         329
    00.06   Other chronic and environmental
              diseases......................         475         553         583
    00.07   Tobacco.........................          74         101         106
    00.08   Occupational safety and health..         200         215         220
    00.10   Epidemic services...............          86          86          86
    00.11   Health statistics...............          27          33          33
    00.12   HIV.............................         657         695         795
    00.13   Prevention research.............          15          15          15
    00.14   Buildings and facilities........          45         100         127
    00.15   Office of the director..........          30          38          36
    00.16   Violent crime reduction programs          51          50
    00.17   Eliminating racial and ethnic
              disparities...................          10          30          35
    09.01 Reimbursable program..............         180         189         195
                                               ---------   ---------  ----------
    10.00   Total new obligations...........       2,814       3,178       3,435
    ----------------------------------------------------------------------------

        Budgetary resources available for obligation:
    21.40 Unobligated balance available,
            start of year...................          56          43          22
    22.00 New budget authority (gross)......       2,791       3,157       3,439
    22.10 Resources available from
            recoveries of prior year
            obligations.....................          11
                                               ---------   ---------  ----------
    23.90   Total budgetary resources
              available for obligation......       2,858       3,200       3,461
    23.95 Total new obligations.............      -2,814      -3,178      -3,435
    23.98 Unobligated balance expiring or
            withdrawn.......................          -1
    24.40 Unobligated balance available, end
            of year.........................          43          22          27
    ----------------------------------------------------------------------------

        New budget authority (gross), detail:
          Discretionary:

    40.00   Appropriation...................       2,559       2,911       3,239
    40.75   Reduction pursuant to P.L. 106-
              51............................          -3
    40.76   Reduction pursuant to P.L. 106-
              113...........................                     -19
    41.00   Transferred to other accounts...          -1
    42.00   Transferred from other accounts.          51          71
                                               ---------   ---------  ----------
    43.00     Appropriation (total
                discretionary)..............       2,606       2,963       3,239
          Mandatory:

    60.25   Appropriation (special fund,
              indefinite)...................           2           2           2
    62.00   Transferred from other accounts.           3           3           3
                                               ---------   ---------  ----------
    62.50     Appropriation (total
                mandatory)..................           5           5           5
          Discretionary:

    68.00   Spending authority from
              offsetting collections:
              Offsetting collections (cash).         180         189         195
                                               ---------   ---------  ----------
    70.00   Total new budget authority
              (gross).......................       2,791       3,157       3,439
    ----------------------------------------------------------------------------

        Change in unpaid obligations:
    72.40 Unpaid obligations, start of year:
            Obligated balance, start of year       2,042       2,223       2,518
    73.10 Total new obligations.............       2,814       3,178       3,435
    73.20 Total outlays (gross).............      -2,610      -2,881      -3,228
    73.40 Adjustments in expired accounts
            (net)...........................         -13
    73.45 Adjustments in unexpired accounts.         -11
    74.40 Unpaid obligations, end of year:
            Obligated balance, end of year..       2,223       2,518       2,724
    ----------------------------------------------------------------------------

        Outlays (gross), detail:
    86.90 Outlays from new discretionary
            authority.......................       1,133       1,211       1,329
    86.93 Outlays from discretionary
            balances........................       1,470       1,664       1,893
    86.97 Outlays from new mandatory
            authority.......................           5           5           5
    86.98 Outlays from mandatory balances...           2           1           1
                                               ---------   ---------  ----------
    87.00   Total outlays (gross)...........       2,610       2,881       3,228
    ----------------------------------------------------------------------------

        Offsets:
          Against gross budget authority and outlays:

            Offsetting collections (cash)
                from:
    88.00     Federal sources...............        -178        -187        -193
    88.40     Non-Federal sources...........          -2          -2          -2
                                               ---------   ---------  ----------
    88.90       Total, offsetting
                  collections (cash)........        -180        -189        -195
    ----------------------------------------------------------------------------

        Net budget authority and outlays:
    89.00 Budget authority..................       2,611       2,968       3,244
    90.00 Outlays...........................       2,430       2,692       3,033
    ---------------------------------------------------------------------------

                              [Dollars in millions]

                                            1999         2000        2001
    Distribution of budget authority by
        account:
      Disease control, research and
        training........................       2,560       2,918       3,244
      Violent crime reduction programs..          51          50
    Distribution of outlays by account:
      Disease control, research and
        training........................       2,382       2,658       2,996
      Violent crime reduction programs..          48          34          37

        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.

        This display also includes amounts derived from the Violent crime
    reduction trust fund in FY 1999 and FY 2000. In FY 2001, the activities
    funded through the trust fund in FY 2000 are maintained at the same
    funding level of $51 million, and displayed in FY 2001 within the
    activity lines for the preventive health block grant ($45 million) and
    other chronic and environmental diseases ($6 million).

                   Object Classification (in millions of dollars)

    ----------------------------------------------------------------------------
    Identification code 75-0943-0-1-999      1999 actual   2000 est.   2001 est.
    ----------------------------------------------------------------------------

          Direct obligations:

            Personnel compensation:
    11.1      Full-time permanent...........         304         335         368
    11.3      Other than full-time permanent           7           9          10
    11.5      Other personnel compensation..          16          17          18
                                               ---------   ---------  ----------
    11.9        Total personnel compensation         327         361         396
    12.1    Civilian personnel benefits.....          97         104         112
    21.0    Travel and transportation of
              persons.......................          26          31          34
    22.0    Transportation of things........           5           6           7
    23.1    Rental payments to GSA..........          19          22          24
    23.2    Rental payments to others.......           2           3           3
    23.3    Communications, utilities, and
              miscellaneous charges.........          24          26          28
    24.0    Printing and reproduction.......           7           9          10
    25.1    Advisory and assistance services          24          29          31
    25.2    Other services..................          50          56          60
    25.3    Purchases of goods and services
              from Government accounts......          71          80          87
    25.4    Operation and maintenance of
              facilities....................          12          57          62
    25.5    Research and development
              contracts.....................         123         133         145
    25.6    Medical care....................           3           5           5
    25.7    Operation and maintenance of
              equipment.....................          10          13          14
    26.0    Supplies and materials..........          23          30          39
    31.0    Equipment.......................          38          43          47
    32.0    Land and structures.............          14          38          41
    41.0    Grants, subsidies, and
              contributions.................       1,759       1,943       2,095
                                               ---------   ---------  ----------
    99.0      Subtotal, direct obligations..       2,634       2,989       3,240
    99.0  Reimbursable obligations..........         180         189         195
                                               ---------   ---------  ----------
    99.9    Total new obligations...........       2,814       3,178       3,435
    ---------------------------------------------------------------------------

                                  Personnel Summary

    ----------------------------------------------------------------------------
    Identification code 75-0943-0-1-999      1999 actual   2000 est.   2001 est.
    ----------------------------------------------------------------------------
        Direct:
          Total compensable workyears:

    1001    Full-time equivalent employment.       6,381       6,582       6,796
    1011    Exempt Full-time equivalent
              employment....................           4
        Reimbursable:
    2001  Total compensable workyears: Full-
            time equivalent employment......         972       1,114       1,124

    [[Page 447]]

        Allocation account:
    3001  Total compensable workyears: Full-
            time equivalent employment......         133         226         140
    ---------------------------------------------------------------------------

                    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 of the Public Health
    Service Act with respect to cancer, [$3,332,317,000] $3,249,730,000.
    (Department of Health and Human Services Appropriations Act, 2000, as
    enacted by section 1000(a)(4) of the Consolidated Appropriations Act,
    2000 (P.L. 106-113).)

                    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, [$2,040,291,000] $2,069,582,000.
    (Department of Health and Human Services Appropriations Act, 2000, as
    enacted by section 1000(a)(4) of the Consolidated Appropriations Act,
    2000 (P.L. 106-113).)

             National Institute of Dental and Craniofacial Research

        For carrying out section 301 and title IV of the Public Health
    Service Act with respect to dental disease, [$270,253,000] $263,075,000.
    (Department of Health and Human Services Appropriations Act, 2000, as
    enacted by section 1000(a)(4) of the Consolidated Appropriations Act,
    2000 (P.L. 106-113).)

        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 disease,
    [$1,147,588,000] $1,186,266,000. (Department of Health and Human
    Services Appropriations Act, 2000, as enacted by section 1000(a)(4) of
    the Consolidated Appropriations Act, 2000 (P.L. 106-113).)

             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,
    [$1,034,886,000] $1,050,412,000. (Department of Health and Human
    Services Appropriations Act, 2000, as enacted by section 1000(a)(4) of
    the Consolidated Appropriations Act, 2000 (P.L. 106-113).)

              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,
    [$1,803,063,000] $935,166,000. (Department of Health and Human Services
    Appropriations Act, 2000, as enacted by section 1000(a)(4) of the
    Consolidated Appropriations Act, 2000 (P.L. 106-113).)

                 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, [$1,361,668,000]
    $1,389,492,000. (Department of Health and Human Services Appropriations
    Act, 2000, as enacted by section 1000(a)(4) of the Consolidated
    Appropriations Act, 2000 (P.L. 106-113).)

            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,
    [$862,884,000] $810,501,000. (Department of Health and Human Services
    Appropriations Act, 2000, as enacted by section 1000(a)(4) of the
    Consolidated Appropriations Act, 2000 (P.L. 106-113).)

                             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,
    [$452,706,000] $462,776,000. (Department of Health and Human Services
    Appropriations Act, 2000, as enacted by section 1000(a)(4) of the
    Consolidated Appropriations Act, 2000 (P.L. 106-113).)

               National Institute of Environmental Health Sciences

        For carrying out sections 301 and 311 and title IV of the Public
    Health Service Act with respect to environmental health sciences,
    [$444,817,000] $460,971,000. (Department of Health and Human Services
    Appropriations Act, 2000, as enacted by section 1000(a)(4) of the
    Consolidated Appropriations Act, 2000 (P.L. 106-113).)

                           National Institute on Aging

        For carrying out section 301 and title IV of the Public Health
    Service Act with respect to aging, [$690,156,000] $721,651,000.
    (Department of Health and Human Services Appropriations Act, 2000, as
    enacted by section 1000(a)(4) of the Consolidated Appropriations Act,
    2000 (P.L. 106-113).)

      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, [$351,840,000] $363,479,000. (Department of Health and Human
    Services Appropriations Act, 2000, as enacted by section 1000(a)(4) of
    the Consolidated Appropriations Act, 2000 (P.L. 106-113).)

        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,
    [$265,185,000] $276,418,000. (Department of Health and Human Services
    Appropriations Act, 2000, as enacted by section 1000(a)(4) of the
    Consolidated Appropriations Act, 2000 (P.L. 106-113).)

                     National Institute of Nursing Research

        For carrying out section 301 and title IV of the Public Health
    Service Act with respect to nursing research, [$90,000,000] $84,714,000.
    (Department of Health and Human Services Appropriations Act, 2000, as
    enacted by section 1000(a)(4) of the Consolidated Appropriations Act,
    2000 (P.L. 106-113).)

               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, [$293,935,000]
    $288,578,000. (Department of Health and Human Services Appropriations
    Act, 2000, as enacted by section 1000(a)(4) of the Consolidated
    Appropriations Act, 2000 (P.L. 106-113).)

                        National Institute on Drug Abuse

        For carrying out section 301 and title IV of the Public Health
    Service Act with respect to drug abuse, [$689,448,000] $496,294,000.
    (Department of Health and Human Services Appropriations Act, 2000, as
    enacted by section 1000(a)(4) of the Consolidated Appropriations Act,
    2000 (P.L. 106-113).)

                       National Institute of Mental Health

        For carrying out section 301 and title IV of the Public Health
    Service Act with respect to mental health, [$978,360,000] $896,059,000.
    (Department of Health and Human Services Appropriations Act, 2000, as
    enacted by section 1000(a)(4) of the Consolidated Appropriations Act,
    2000 (P.L. 106-113).)

                    National Human Genome Research Institute

        For carrying out section 301 and title IV of the Public Health
    Service Act with respect to human genome research, [$337,322,000]
    $353,427,000. (Department of Health and Human Services Appropriations
    Act, 2000, as enacted by section 1000(a)(4) of the Consolidated
    Appropriations Act, 2000 (P.L. 106-113).)

                     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, [$680,176,000] $602,728,000: 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: Provided further, That $72,500,000 shall be for
    extramural facilities construction grants. (Department of Health and
    Human Services ppropriations Act, 2000, as enacted by section

    [[Page 448]]

    1000(a)(4) of the Consolidated Appropriations Act, 2000 (P.L. 106-113).)

           National Center for Complementary and Alternative Medicine

        For carrying out section 301 and title IV of the Public Health
    Service Act with respect to complementary and alternative medicine,
    [$68,753,000] $71,362,000. (Department of Health and Human Services
    ppropriations Act, 2000, as enacted by section 1000(a)(4) of the
    Consolidated Appropriations Act, 2000 (P.L. 106-113).)

                      John E. Fogarty International Center

        For carrying out the activities at the John E. Fogarty International
    Center, [$43,723,000] $32,532,000. (Department of Health and Human
    Services Appropriations Act, 2000, as enacted by section 1000(a)(4) of
    the Consolidated Appropriations Act, 2000 (P.L. 106-113).)

                          National Library of Medicine

        For carrying out section 301 and title IV of the Public Health
    Service Act with respect to health information communications,
    [$215,214,000] $224,942,000, of which $4,000,000 shall be available
    until expended for improvement of information systems: Provided, That in
    fiscal year [2000] 2001, 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. (Department of Health and Human Services Appropriations Act,
    2000, as enacted by section 1000(a)(4) of the Consolidated
    Appropriations Act, 2000 (P.L. 106-113).)

                             Office of the Director

                          (including transfer of funds)

        For carrying out the responsibilities of the Office of the Director,
    National Institutes of Health, [$283,509,000, of which $44,953,000 shall
    be for the Office of AIDS Research] $262,456,000: Provided, That funding
    shall be available for the purchase of not to exceed [29] 20 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 or
    any other Act to all National Institutes of Health appropriations to
    activities the Director may so designate: Provided further, That no such
    appropriation shall be decreased by more than 1 percent by any such
    transfers and that the Congress is promptly notified of the transfer:
    Provided further, That the National Institutes of Health 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
    National Institutes of Health Management Fund shall remain available for
    one fiscal year after the fiscal year in which they are deposited:
    [Provided further, That up to $500,000 shall be available to carry out
    section 499 of the Public Health Service Act: Provided further, That,
    notwithstanding section 499(k)(10) of the Public Health Service Act,
    funds from the Foundation for the National Institutes of Health may be
    transferred to the National Institutes of Health] Provided further, That
    the Director of NIH may establish an extramural clinical loan repayment
    program in order to provide recruitment and retention incentives for
    clinical researchers: Provided further, That the Director of the Office
    of Research on Minority Health, in consultation with the Advisory
    Council for the Office of Research on Minority Health and the Institutes
    and Centers, may, in exceptional circumstances, fund peer-reviewed
    grants for innovative projects that address high priority areas of
    minority health. (Department of Health and Human Services Appropriations
    Act, 2000, as enacted by section 1000(a)(4) of the Consolidated
    Appropriations Act, 2000 (P.L. 106-113).)

                             Office of AIDS Research

                          (including transfer of funds)

        For carrying out part D of title XXIII of the Public Health Service
    Act, $2,111,224,000: Provided, That the Director of the Office of AIDS
    Research shall transfer funds from this appropriation as authorized by
    subsection 2353(d) of such Act.

                            Buildings and Facilities

        For the study of, construction of, and acquisition of equipment for,
    facilities of or used by the National Institutes of Health, including
    the acquisition of real property, [$135,376,000] $148,900,000, to remain
    available until expended, of which $47,300,000 shall be for the
    neuroscience research center.
        In addition, to become available on October 1, 2001 and remain
    available until expended, for the neuroscience research center,
    $26,000,000. (Department of Health and Human Services Appropriations
    Act, 2000, as enacted by section 1000(a)(4) of the Consolidated
    Appropriations Act, 2000 (P.L. 106-113).)

                  Unavailable Collections (in millions of dollars)

    ----------------------------------------------------------------------------
    Identification code 75-9915-0-1-552      1999 actual   2000 est.   2001 est.
    ----------------------------------------------------------------------------
        Balance, start of year:
    01.99 Balance, start of year............
        Receipts:
    02.01 Cooperative research and
            development agreements, NIH.....          13          13          13
        Appropriation:
    05.01 National Institutes of Health.....         -13         -13         -13
                                               ---------   ---------  ----------
    07.99 Total balance, end of year........
    ---------------------------------------------------------------------------

                   Program and Financing (in millions of dollars)

    ----------------------------------------------------------------------------
    Identification code 75-9915-0-1-552      1999 actual   2000 est.   2001 est.
    ----------------------------------------------------------------------------

        Obligations by program activity:
          Direct program:

    00.01   National Cancer Institute.......       2,918       3,315       3,250
    00.02   National Heart, Lung, and Blood
              Institute.....................       1,788       2,029       2,070
    00.03   National Institute of Dental and
              Craniofacial Research.........         234         269         263
    00.04   National Institute of Diabetes
              and Digestive and Kidney
              Disease.......................       1,018       1,168       1,213
    00.05   National Institute of
              Neurological Disorders and
              Stroke........................         900       1,029       1,050
    00.06   National Institute of Allergy
              and Infectious Diseases.......       1,565       1,778         935
    00.07   National Institute of General
              Medical Sciences..............       1,203       1,354       1,390
    00.08   National Institute of Child
              Health and Human Development..         749         858         811
    00.09   National Eye Institute..........         395         450         463
    00.10   National Institute of
              Environmental Health Sciences.         374         442         461
    00.11   National Institute on Aging.....         594         686         722
    00.12   National Institute of Arthritis
              and Musculoskeletal and Skin
              Disease.......................         307         350         364
    00.13   National Institute on Deafness
              and Other Communication
              Disorder......................         229         264         276
    00.14   National Institute of Mental
              Health........................         858         973         896
    00.15   National Institute on Drug Abuse         611         687         496
    00.16   Natinal Institute on Alcohol
              Abuse and Alcoholism..........         259         292         289
    00.17   National Institute of Nursing
              Research......................          70          90          85
    00.18   National Human Genome Research
              Institute.....................         279         336         353
    00.19   National Center for Research
              Resources.....................         562         677         603
    00.20   National Center for
              Complementary and Alternative
              Medicine......................          40          68          71
    00.21   John F. Fogarty International
              Center........................          35          44          33
    00.22   National Library of Medicine....         181         214         225
    00.23   Office of the Director..........         256         282         262
    00.24   Office of AIDS Research.........                               2,111
    00.25   Buildings and facilities........         217         165         148
    00.26   Cooperative research and
              development agreements........          16          13          13
    00.27   Royalities......................          45
    09.00 Reimbursable program..............       1,038       1,187       1,215
                                               ---------   ---------  ----------
    10.00   Total new obligations...........      16,741      19,020      20,068
    ----------------------------------------------------------------------------

        Budgetary resources available for obligation:
    21.40 Unobligated balance available,
            start of year...................         147         161         161
    22.00 New budget authority (gross)......      16,756      19,020      20,068
                                               ---------   ---------  ----------
    23.90   Total budgetary resources
              available for obligation......      16,903      19,181      20,229
    23.95 Total new obligations.............     -16,741     -19,020     -20,068
    23.98 Unobligated balance expiring or
            withdrawn.......................          -1
    24.40 Unobligated balance available, end
            of year.........................         161         161         161
    ----------------------------------------------------------------------------

        New budget authority (gross), detail:
          Discretionary:

    40.00   Appropriation...................      15,612      17,913      18,813
    40.75   Reduction pursuant to P.L. 106-
              51............................         -10
    40.76   Reduction pursuant to P.L. 106-
              113...........................                    -100

    [[Page 449]]

    41.00   Transferred to other accounts...          -5         -20
    42.00   Transferred from other accounts.          10
                                               ---------   ---------  ----------
    43.00     Appropriation (total
                discretionary)..............      15,607      17,793      18,813
          Mandatory:

    60.25   Appropriation (special fund,
              indefinite)...................          13          13          13
    62.00   Transferred from other accounts.          27          27          27
                                               ---------   ---------  ----------
    62.50     Appropriation (total
                mandatory)..................          40          40          40
          Spending authority from offsetting
              collections:

            Discretionary:
    68.00     Offsetting collections (cash).         949       1,187       1,215
    68.10     From Federal sources: Change
                in receivables and unpaid,
                unfilled orders.............         160
                                               ---------   ---------  ----------
    68.90       Spending authority from
                  offsetting collections
                  (total discretionary).....       1,109       1,187       1,215
                                               ---------   ---------  ----------
    70.00   Total new budget authority
              (gross).......................      16,756      19,020      20,068
    ----------------------------------------------------------------------------

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

    72.40   Obligated balance, start of year      12,119      13,898      16,194
    72.95   From Federal sources:
              Receivables and unpaid,
              unfilled orders...............       3,984       4,144       4,144
                                               ---------   ---------  ----------
    72.99     Total unpaid obligations,
                start of year...............      16,103      18,042      20,338
    73.10 Total new obligations.............      16,741      19,020      20,068
    73.20 Total outlays (gross).............     -14,764     -16,725     -19,080
    73.40 Adjustments in expired accounts
            (net)...........................         -38
          Unpaid obligations, end of year:

    74.40   Obligated balance, end of year..      13,898      16,194      17,182
    74.95   From Federal sources:
              Receivables and unpaid,
              unfilled orders...............       4,144       4,144       4,144
                                               ---------   ---------  ----------
    74.99     Total unpaid obligations, end
                of year.....................      18,042      20,338      21,326
    ----------------------------------------------------------------------------

        Outlays (gross), detail:
    86.90 Outlays from new discretionary
            authority.......................       5,549       5,998       6,606
    86.93 Outlays from discretionary
            balances........................       9,190      10,692      12,435
    86.97 Outlays from new mandatory
            authority.......................          14          14          14
    86.98 Outlays from mandatory balances...          11          21          25
                                               ---------   ---------  ----------
    87.00   Total outlays (gross)...........      14,764      16,725      19,080
    ----------------------------------------------------------------------------

        Offsets:
          Against gross budget authority and outlays:

    88.00   Offsetting collections (cash)
              from: Federal sources.........        -949      -1,187      -1,215
          Against gross budget authority only:

    88.95   From Federal sources: Change in
              receivables and unpaid,
              unfilled orders...............        -160
    ----------------------------------------------------------------------------

        Net budget authority and outlays:
    89.00 Budget authority..................      15,647      17,833      18,853
    90.00 Outlays...........................      13,815      15,538      17,865
    ---------------------------------------------------------------------------

                              [Dollars in millions]

                                            1999         2000        2001
    Distribution of budget authority by
        account:
      National Cancer Institute.........       2,918       3,315       3,250
      National Heart, Lung, and Blood
        Institute.......................       1,788       2,029       2,070
      National Institute of Dental and
        Craniofacial Research...........         234         269         263
      National Institute of Diabetes and
        Digestive and Kidney Diseases...       1,018       1,168       1,213
      National Institute of Neurological
        Disorder and Stroke.............         900       1,029       1,050
      National Institute of Allergy and
        Infectious Diseases.............       1,565       1,778         935
      National Institute of General
        Medical Sciences................       1,203       1,354       1,390
      National Institute of Child Health
        and Human Development...........         749         858         811
      National Eye Institute............         395         450         463
      National Institute of
        Environmental Health Sciences...         374         442         461
      National Institute on Aging.......         595         686         722
      National Institute of Arthritis
        and Musculoskeletal and Skin
        Diseases........................         307         350         364
      National Institute on Deafness and
        Other Communication Disorders...         229         264         276
      National Institute of Nursing
        Research........................          70          90          85
      National Institute on Alcohol
        Abuse and Alcoholism............         259         292         289
      National Institute on Drug Abuse..         611         687         496
      National Institute of Mental
        Health..........................         858         973         896
      National Center for Research
        Resources.......................         562         677         603
      National Human Genome Research
        Institute.......................         279         336         353
      National Center for Complementary
        and Alternative Medicine........          50          68          71
      John E. Fogarty International
        Center..........................          35          44          33
      National Library of Medicine......         181         214         225
      Office of the Director............         256         282         262
      Office of AIDS Research...........                               2,111
      Buildings and Facilities..........         197         165         148
                                        ------------------------------------
          Subtotal......................      15,633      17,820      18,840
      Cooperative Research and
        Development Agreements..........          13          13          13
                                        ------------------------------------
          Total Budget Authority, NIH...      15,646      17,833      18,853
                                        ====================================

                              [Dollars in millions]

                                            1999         2000        2001
    Distribution of outlays by account:
      National Cancer Institute.........       2,617       2,906       3,110
      National Heart, Lung, and Blood
        Institute.......................       1,539       1,749       1,949
      National Institute of Dental and
        Craniofacial Research...........         212         234         248
      National Institute of Diabetes and
        Digestive and Kidney Diseases...         903       1,014       1,145
      National Institute of Neurological
        Disorders and Stroke............         776         899         996
      National Institute of Allergy and
        Infectious Diseases.............       1,375       1,549         871
      National Institute of General
        Medical Sciences................       1,076       1,202       1,322
      National Institute of Child Health
        and Human Development...........         675         755         771
      National Eye Institute............         352         391         440
      National Institute of
        Environmental Health Sciences...         335         380         441
      National Institute on Aging.......         518         592         676
      National Institute of Arthritis
        and Musculoskeletal and Skin
        Diseases........................         267         309         345
      National Institute on Deafness and
        Other Communication Disorders...         197         226         261
      National Institute of Nursing
        Research........................          63          70          79
      National Institute on Alcohol
        Abuse and Alcoholism............         228         254         272
      National Institute on Drug Abuse..         539         596         464
      National Institute of Mental
        Health..........................         738         849         841
      National Center for Research
        Resources.......................         460         557         554
      National Human Genome Research
        Institute.......................         228         280         330
      National Center for Complementary
        and Alternative Medicine........           3          40          65
      John E. Fogarty International
        Center..........................          24          35          29
      National Library of Medicine......         161         193         215
      Office of the Director............         309         247         240
      Office of AIDS Research...........                               1,981
      Buildings and Facilities..........         198         198         208
      Service and Supply Fund/Management
        Fund............................           3
                                        ------------------------------------
          Subtotal Outlays..............      13,796      15,525      17,853
      Cooperative Research and
        Development Agreements..........          19          13          13
                                        ------------------------------------
          Total Outlays, NIH............      13,815      15,538      17,866
                                        ====================================
        Note: The total amount for FY 2000 AIDS research was $2,006,368,000
    which was jointly determined by the Director of NIH and the Director of the
    Office of AIDS Research pursuant to section 208 of P.L. 106-113.
    $1,961,654,000 was made available to OAR. This amount is net of the
    $44,714,000 in AIDS funds earmarked in P.L. 106-113 in the Office of the
    Director account. Amounts available under section 4921 of P.L. 105-33 for
    research on diabetes are included in the National Institute of Diabetes and
    Digestive and Kidney Disorders.

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

        NIH research and related activities are included in the 21st Century
    research fund.

                   Object Classification (in millions of dollars)

    ----------------------------------------------------------------------------
    Identification code 75-9915-0-1-552      1999 actual   2000 est.   2001 est.
    ----------------------------------------------------------------------------

          Direct obligations:

            Personnel compensation:
    11.1      Full-time permanent...........         520         602         647
    11.3      Other than full-time permanent         123         142         153
    11.5      Other personnel compensation..          36          32          34
    11.8      Special personal services
                payments....................          89         106         114
                                               ---------   ---------  ----------
    11.9        Total personnel compensation         768         882         948
    12.1    Civilian personnel benefits.....         170         196         215
    21.0    Travel and transportation of
              persons.......................          26          27          28
    22.0    Transportation of things........           4           4           4
    23.1    Rental payments to GSA..........           7           8           9
    23.2    Rental payments to others.......          19          18          19
    23.3    Communications, utilities, and
              miscellaneous charges.........          36          39          40
    24.0    Printing and reproduction.......          15          16          17
    25.1    Advisory and assistance services          47          39          40
    25.2    Other services..................         313         503         493
    25.3    Purchases of goods and services
              from Government accounts......       1,116       1,014       1,151
    25.4    Operation and maintenance of
              facilities....................         224         118         120
    25.5    Research and development
              contracts.....................         857         958         986

    [[Page 450]]

    25.6    Medical care....................          11          13          12
    25.7    Operation and maintenance of
              equipment.....................          39          33          34
    26.0    Supplies and materials..........         162         156         159
    31.0    Equipment.......................         154         158         163
    41.0    Grants, subsidies, and
              contributions.................      11,735      13,651      14,415
                                               ---------   ---------  ----------
    99.0      Subtotal, direct obligations..      15,703      17,833      18,853
    99.0  Reimbursable obligations..........       1,038       1,187       1,215
                                               ---------   ---------  ----------
    99.9    Total new obligations...........      16,741      19,020      20,068
    ---------------------------------------------------------------------------

                                  Personnel Summary

    ----------------------------------------------------------------------------
    Identification code 75-9915-0-1-552      1999 actual   2000 est.   2001 est.
    ----------------------------------------------------------------------------
        Direct:
          Total compensable workyears:

    1001    Full-time equivalent employment.      10,986      12,058      12,432
    1011    Exempt Full-time equivalent
              employment....................          22
        Reimbursable:
    2001  Total compensable workyears: Full-
            time equivalent employment......       4,321       4,615       4,638
    ---------------------------------------------------------------------------

            SUBSTANCE ABUSE AND MENTAL HEALTH SERVICES ADMINISTRATION

                                  Federal Funds

    General and special funds:

                   Substance Abuse and Mental Health Services

        For carrying out titles V and XIX of the Public Health Service Act
    with respect to substance abuse and mental health services, the
    Protection and Advocacy for Mentally Ill Individuals Act of 1986, and
    section 301 of the Public Health Service Act with respect to program
    management, [$2,654,953,000] $2,823,016,000: Provided, That in addition
    to amounts provided herein, $12,000,000 shall be available from amounts
    available under section 241 of the Public Health Services Act, to carry
    out the National Household Survey on Drug Abuse. (Department of Health
    and Human Services Appropriations Act, 2000, as enacted by section
    1000(a)(4) of the Consolidated Appropriations Act, 2000 (P.L. 106-113).)

                   Program and Financing (in millions of dollars)

    ----------------------------------------------------------------------------
    Identification code 75-1362-0-1-551      1999 actual   2000 est.   2001 est.
    ----------------------------------------------------------------------------

        Obligations by program activity:
          Direct program:

    00.01   Mental health and substance
              abuse activities..............         556         637         716
    00.02   Mental health partnership.......         289         356         416
    00.03   Substance abuse partnership.....       1,585       1,600       1,631
    00.05   Program management..............          56          59          60
    09.01 Reimbursable program..............          33          40          40
                                               ---------   ---------  ----------
    10.00   Total new obligations...........       2,519       2,692       2,863
    ----------------------------------------------------------------------------

        Budgetary resources available for obligation:
    22.00 New budget authority (gross)......       2,520       2,692       2,863
    23.95 Total new obligations.............      -2,519      -2,692      -2,863
    23.98 Unobligated balance expiring or
            withdrawn.......................          -1
    ----------------------------------------------------------------------------

        New budget authority (gross), detail:
          Discretionary:

    40.00   Appropriation...................       2,488       2,655       2,823
    40.76   Reduction pursuant to P.L. 106-
              113...........................                      -3
    41.00   Transferred to other accounts...          -1
                                               ---------   ---------  ----------
    43.00     Appropriation (total
                discretionary)..............       2,487       2,652       2,823
    68.00 Spending authority from offsetting
            collections: Offsetting
            collections (cash)..............          33          40          40
                                               ---------   ---------  ----------
    70.00   Total new budget authority
              (gross).......................       2,520       2,692       2,863
    ----------------------------------------------------------------------------

        Change in unpaid obligations:
    72.40 Unpaid obligations, start of year:
            Obligated balance, start of year       1,620       1,852       2,053
    73.10 Total new obligations.............       2,519       2,692       2,863
    73.20 Total outlays (gross).............      -2,247      -2,491      -2,688
    73.40 Adjustments in expired accounts
            (net)...........................         -40
    74.40 Unpaid obligations, end of year:
            Obligated balance, end of year..       1,852       2,053       2,228
    ----------------------------------------------------------------------------

        Outlays (gross), detail:
    86.90 Outlays from new discretionary
            authority.......................       1,086       1,109       1,164
    86.93 Outlays from discretionary
            balances........................       1,161       1,382       1,524
                                               ---------   ---------  ----------
    87.00   Total outlays (gross)...........       2,247       2,491       2,688
    ----------------------------------------------------------------------------

        Offsets:
          Against gross budget authority and outlays:

    88.00   Offsetting collections (cash)
              from: Federal sources.........         -33         -40         -40
    ----------------------------------------------------------------------------

        Net budget authority and outlays:
    89.00 Budget authority..................       2,487       2,652       2,823
    90.00 Outlays...........................       2,214       2,451       2,648
    ---------------------------------------------------------------------------

        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 75-1362-0-1-551      1999 actual   2000 est.   2001 est.
    ----------------------------------------------------------------------------

          Direct obligations:

            Personnel compensation:
    11.1      Full-time permanent...........          35          40          42
    11.3      Other than full-time permanent           1           1           1
    11.5      Other personnel compensation..           1           1           1
                                               ---------   ---------  ----------
    11.9        Total personnel compensation          37          42          44
    12.1    Civilian personnel benefits.....           8           9          10
    21.0    Travel and transportation of
              persons.......................           1           1           1
    23.1    Rental payments to GSA..........           5           5           6
    23.3    Communications, utilities, and
              miscellaneous charges.........           1           1           1
    24.0    Printing and reproduction.......           4           4           4
    25.1    Advisory and assistance services          11          16          18
    25.2    Other services..................         152         169         175
    25.3    Purchases of goods and services
              from Government accounts......          46          50          52
    31.0    Equipment.......................           1           2           2
    41.0    Grants, subsidies, and
              contributions.................       2,218       2,351       2,508
    42.0    Insurance claims and indemnities           2           2           2
                                               ---------   ---------  ----------
    99.0      Subtotal, direct obligations..       2,486       2,652       2,823
    99.0  Reimbursable obligations..........          33          40          40
                                               ---------   ---------  ----------
    99.9    Total new obligations...........       2,519       2,692       2,863
    ---------------------------------------------------------------------------

                                  Personnel Summary

    ----------------------------------------------------------------------------
    Identification code 75-1362-0-1-551      1999 actual   2000 est.   2001 est.
    ----------------------------------------------------------------------------
        Direct:
    1001  Total compensable workyears: Full-
            time equivalent employment......         559         612         612
        Reimbursable:
          Total compensable workyears:

    2001    Full-time equivalent employment.           2          74          74
    2011    Exempt Full-time equivalent
              employment....................          71
    ---------------------------------------------------------------------------

                   AGENCY FOR HEALTHCARE RESEARCH AND QUALITY

                                  Federal Funds

    General and special funds:

        [Health Care Policy and Research] Healthcare Research and Quality

        For carrying out titles III and IX of the Public Health Service Act,
    and part A of title XI of the Social Security Act, [$111,424,000; in
    addition,] amounts received from Freedom of Information Act fees,
    reimbursable and interagency agreements, and the sale of data

    [[Page 451]]

    [tapes] shall be credited to this appropriation and shall remain
    available until expended: Provided, That the amount made available
    pursuant to section 926(b) of the Public Health Service Act shall not
    exceed [$88,576,000] $249,943,000. (Department of Health and Human
    Services Appropriations Act, 2000, as enacted by section 1000(a)(4) of
    the Consolidated Appropriations Act, 2000 (P.L. 106-113).)

                   Program and Financing (in millions of dollars)

    ----------------------------------------------------------------------------
    Identification code 75-1700-0-1-552      1999 actual   2000 est.   2001 est.
    ----------------------------------------------------------------------------

        Obligations by program activity:
          Direct program:

    01.01   Research on health costs,
              quality, and outcomes.........          98         108
    01.04   Program support.................           2           2
    09.00 Reimbursable program..............          82         100         261
                                               ---------   ---------  ----------
    10.00   Total new obligations...........         182         210         261
    ----------------------------------------------------------------------------

        Budgetary resources available for obligation:
    21.40 Unobligated balance available,
            start of year...................           2           2           2
    22.00 New budget authority (gross)......         182         210         261
                                               ---------   ---------  ----------
    23.90   Total budgetary resources
              available for obligation......         184         212         263
    23.95 Total new obligations.............        -182        -210        -261
    23.98 Unobligated balance expiring or
            withdrawn.......................
    24.40 Unobligated balance available, end
            of year.........................           2           2
    ----------------------------------------------------------------------------

        New budget authority (gross), detail:
          Discretionary:

    40.00   Appropriation...................         100         111
    40.76   Reduction pursuant to P.L. 106-
              113...........................                      -1
                                               ---------   ---------  ----------
    43.00     Appropriation (total
                discretionary)..............         100         110
    68.00 Spending authority from offsetting
            collections: Offsetting
            collections (cash)..............          82         100         261
                                               ---------   ---------  ----------
    70.00   Total new budget authority
              (gross).......................         182         210         261
    ----------------------------------------------------------------------------

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

    72.40   Obligated balance, start of year         139         154         138
    72.95   From Federal sources:
              Receivables and unpaid,
              unfilled orders...............           7           7           7
                                               ---------   ---------  ----------
    72.99     Total unpaid obligations,
                start of year...............         146         161         145
    73.10 Total new obligations.............         182         210         261
    73.20 Total outlays (gross).............        -161        -220        -353
    73.40 Adjustments in expired accounts
            (net)...........................          -6          -6          -2
          Unpaid obligations, end of year:

    74.40   Obligated balance, end of year..         154         138          46
    74.95   From Federal sources:
              Receivables and unpaid,
              unfilled orders...............           7           7           7
                                               ---------   ---------  ----------
    74.99     Total unpaid obligations, end
                of year.....................         161         145          53
    ----------------------------------------------------------------------------

        Outlays (gross), detail:
    86.90 Outlays from new discretionary
            authority.......................          65         110         261
    86.93 Outlays from discretionary
            balances........................          96         110          92
                                               ---------   ---------  ----------
    87.00   Total outlays (gross)...........         161         220         353
    ----------------------------------------------------------------------------

        Offsets:
          Against gross budget authority and outlays:

    88.00   Offsetting collections (cash)
              from: Federal sources.........         -82        -100        -261
    ----------------------------------------------------------------------------

        Net budget authority and outlays:
    89.00 Budget authority..................         100         110
    90.00 Outlays...........................          79         120          92
    ---------------------------------------------------------------------------

        This activity supports the development of scientific evidence and
    tools to improve the quality, safety, and effectiveness of all aspects
    of the health care system, and initiatives to disseminate and translate
    scientific findings into health care practice.

                   Object Classification (in millions of dollars)

    ----------------------------------------------------------------------------
    Identification code 75-1700-0-1-552      1999 actual   2000 est.   2001 est.
    ----------------------------------------------------------------------------

          Direct obligations:

            Personnel compensation:
    11.1      Full-time permanent...........          11          13
    11.3      Other than full-time permanent           2           2
                                               ---------   ---------  ----------
    11.9        Total personnel compensation          13          15
    12.1    Civilian personnel benefits.....           3           4
    21.0    Travel and transportation of
              persons.......................                       1
    23.1    Rental payments to GSA..........           3           2
    23.3    Communications, utilities, and
              miscellaneous charges.........           1           1
    24.0    Printing and reproduction.......           1           1
    25.2    Other services..................           7           7
    25.3    Purchases of goods and services
              from Government accounts......           3           3
    25.5    Research and development
              contracts.....................          26          21
    31.0    Equipment.......................           1           1
    41.0    Grants, subsidies, and
              contributions.................          42          54
                                               ---------   ---------  ----------
    99.0      Subtotal, direct obligations..         100         110
    99.0  Reimbursable obligations..........          82         100         261
                                               ---------   ---------  ----------
    99.9    Total new obligations...........         182         210         261
    ---------------------------------------------------------------------------

                                  Personnel Summary

    ----------------------------------------------------------------------------
    Identification code 75-1700-0-1-552      1999 actual   2000 est.   2001 est.
    ----------------------------------------------------------------------------
        Direct:
    1001  Total compensable workyears: Full-
            time equivalent employment......         194         226
        Reimbursable:
    2001  Total compensable workyears: Full-
            time equivalent employment......          59          59         294
    ---------------------------------------------------------------------------

                      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, [$86,087,393,000] $93,586,251,000, to remain
    available until expended.
        For making, after May 31, [2000] 2001, payments to States under
    title XIX of the Social Security Act for the last quarter of fiscal year
    [2000] 2001 for unanticipated costs, incurred for the current fiscal
    year, such sums as may be necessary.
        For making payments to States or in the case of section 1928 on
    behalf of States under title XIX of the Social Security Act for the
    first quarter of fiscal year [2001, $30,589,003,000] 2002,
    $36,207,551,000, 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. (Department of Health and Human Services
    Appropriations Act, 2000, as enacted by section 1000(a)(4) of the
    Consolidated Appropriations Act, 2000 (P.L. 106-113).)

                   Program and Financing (in millions of dollars)

    ----------------------------------------------------------------------------
    Identification code 75-0512-0-1-551      1999 actual   2000 est.   2001 est.
    ----------------------------------------------------------------------------

        Obligations by program activity:
    00.01 Medicaid vendor payments..........     104,775     109,272     116,448
    00.02 State and local administration....       5,836       6,380       7,258
    00.03 Vaccine purchases.................         531         465         469
    09.00 Medicare Part B premium transfer..                      50          60
                                               ---------   ---------  ----------
    10.00   Total new obligations...........     111,142     116,167     124,235
    ----------------------------------------------------------------------------

        Budgetary resources available for obligation:
    21.40 Unobligated balance available,
            start of year...................       6,012       1,117
    22.00 New budget authority (gross)......     102,394     115,050     124,235
    22.10 Resources available from
            recoveries of prior year
            obligations.....................       3,852
                                               ---------   ---------  ----------
    23.90   Total budgetary resources
              available for obligation......     112,258     116,167     124,235
    23.95 Total new obligations.............    -111,142    -116,167    -124,235
    24.40 Unobligated balance available, end
            of year.........................       1,117
    ----------------------------------------------------------------------------

        New budget authority (gross), detail:
          Mandatory:

    60.00   Appropriation...................      74,594      86,087      93,586

    [[Page 452]]

    60.05   Appropriation (indefinite)......                     179
                                               ---------   ---------  ----------
    62.50     Appropriation (total
                mandatory)..................      74,594      86,266      93,586
    65.00   Advance appropriation...........      27,801      28,734      30,589
    69.00 Offsetting collections (cash).....                      50          60
                                               ---------   ---------  ----------
    70.00   Total new budget authority
              (gross).......................     102,395     115,050     124,235
    ----------------------------------------------------------------------------

        Change in unpaid obligations:
    72.40 Unpaid obligations, start of year:
            Obligated balance, start of year       5,504       4,751       4,751
    73.10 Total new obligations.............     111,142     116,167     124,235
    73.20 Total outlays (gross).............    -108,043    -116,167    -124,235
    73.45 Adjustments in unexpired accounts.      -3,852
    74.40 Unpaid obligations, end of year:
            Obligated balance, end of year..       4,751       4,751       4,751
    ----------------------------------------------------------------------------

        Outlays (gross), detail:
    86.97 Outlays from new mandatory
            authority.......................      96,526     115,050     124,235
    86.98 Outlays from mandatory balances...      11,516       1,117
                                               ---------   ---------  ----------
    87.00   Total outlays (gross)...........     108,043     116,167     124,235
    ----------------------------------------------------------------------------

        Offsets:
          Against gross budget authority and outlays:

    88.00   Offsetting collections (cash)
              from: Federal sources.........                     -50         -60
    ----------------------------------------------------------------------------

        Net budget authority and outlays:
    89.00 Budget authority..................     102,394     115,000     124,175
    90.00 Outlays...........................     108,043     116,117     124,175
    ---------------------------------------------------------------------------

                     Summary of Budget Authority and Outlays

                            (in millions of dollars)

                                         1999 actual  2000 est.   2001 est.
    Enacted/requested:
      Budget Authority..................     102,395     115,000     124,175
      Outlays...........................     108,042     116,117     124,175
    Legislative proposal, subject to
        PAYGO:
      Budget Authority..................                                 663
      Outlays...........................                                 663
                                        ------------------------------------
    Total:
      Budget Authority..................     102,395     115,000     124,838
      Outlays...........................     108,042     116,117     124,838
                                        ====================================
                                          ==========

        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.

                   Object Classification (in millions of dollars)

    ----------------------------------------------------------------------------
    Identification code 75-0512-0-1-551      1999 actual   2000 est.   2001 est.
    ----------------------------------------------------------------------------
    41.0  Direct obligations: Grants,
            subsidies, and contributions....     111,142     116,117     124,175
    99.0  Reimbursable obligations:
            Subtotal, reimbursable
            obligations.....................                      50          60
                                               ---------   ---------  ----------
    99.9    Total new obligations...........     111,142     116,167     124,235
    ---------------------------------------------------------------------------

                          Grants to States for Medicaid

                    (Legislative proposal, subject to PAYGO)

                   Program and Financing (in millions of dollars)

    ----------------------------------------------------------------------------
    Identification code 75-0512-4-1-551      1999 actual   2000 est.   2001 est.
    ----------------------------------------------------------------------------

        Obligations by program activity:
    10.00 Total new obligations (object
            class 41.0).....................                                 663
    ----------------------------------------------------------------------------

        Budgetary resources available for obligation:
    22.00 New budget authority (gross)......                                 663
    23.95 Total new obligations.............                                -663
    ----------------------------------------------------------------------------

        New budget authority (gross), detail:
          Mandatory:

    60.00   Appropriation...................                                 663
    ----------------------------------------------------------------------------

        Change in unpaid obligations:
    73.10 Total new obligations.............                                 663
    73.20 Total outlays (gross).............                                -663
    ----------------------------------------------------------------------------

        Outlays (gross), detail:
    86.97 Outlays from new mandatory
            authority.......................                                 663
    ----------------------------------------------------------------------------

        Net budget authority and outlays:
    89.00 Budget authority..................                                 663
    90.00 Outlays...........................                                 663
    ---------------------------------------------------------------------------

        This schedule reflects the effects of proposals contained in the
    Budget on the Grants to States for Medicaid account.

                         State Grants and Demonstrations

                   Program and Financing (in millions of dollars)

    ----------------------------------------------------------------------------
    Identification code 75-0897-0-1-551      1999 actual   2000 est.   2001 est.
    ----------------------------------------------------------------------------

        Obligations by program activity:
    00.01 Infrastructure grants.............                                  20
    00.02 Coverage demonstrations...........                                  42
                                               ---------   ---------  ----------
    10.00   Total new obligations (object
              class 41.0)...................                                  62
    ----------------------------------------------------------------------------

        Budgetary resources available for obligation:
    22.00 New budget authority (gross)......                                  62
    23.95 Total new obligations.............                                 -62
    24.40 Unobligated balance available, end
            of year.........................
    ----------------------------------------------------------------------------

        New budget authority (gross), detail:
          Mandatory:

    60.00   Appropriation...................                                  62
    ----------------------------------------------------------------------------

        Change in unpaid obligations:
    73.10 Total new obligations.............                                  62
    73.20 Total outlays (gross).............                                 -16
    74.40 Unpaid obligations, end of year:
            Obligated balance, end of year..                                  46
    ----------------------------------------------------------------------------

        Outlays (gross), detail:
    86.97 Outlays from new mandatory
            authority.......................                                  16
    ----------------------------------------------------------------------------

        Net budget authority and outlays:
    89.00 Budget authority..................                                  62
    90.00 Outlays...........................                                  16
    ---------------------------------------------------------------------------

                     Summary of Budget Authority and Outlays

                            (in millions of dollars)

                                         1999 actual  2000 est.   2001 est.
    Enacted/requested:
      Budget Authority..................                                  62
      Outlays...........................                                  16
    Legislative proposal, subject to
        PAYGO:
      Budget Authority..................                                  10
      Outlays...........................                                  10
                                        ------------------------------------
    Total:
      Budget Authority..................                                  72
      Outlays...........................                                  26
                                        ====================================

        This account includes funds for: grants to develop and establish
    State infrastructures to support working individuals with disabilities
    (sec. 203 of P.L. 106-170), and demonstration of health care coverage of
    workers with potentially severe disabilities (sec. 204 of P.L. 106-170).

    [[Page 453]]

                         State Grants and Demonstrations

                    (Legislative proposal, subject to PAYGO)

                   Program and Financing (in millions of dollars)

    ----------------------------------------------------------------------------
    Identification code 75-0897-4-1-551      1999 actual   2000 est.   2001 est.
    ----------------------------------------------------------------------------

        Obligations by program activity:
    10.00 Total new obligations (object
            class 41.0).....................                                  10
    ----------------------------------------------------------------------------

        Budgetary resources available for obligation:
    22.00 New budget authority (gross)......                                  10
    23.95 Total new obligations.............                                 -10
    ----------------------------------------------------------------------------

        New budget authority (gross), detail:
          Mandatory:

    60.00   Appropriation...................                                  10
    ----------------------------------------------------------------------------

        Change in unpaid obligations:
    73.10 Total new obligations.............                                  10
    73.20 Total outlays (gross).............                                 -10
    ----------------------------------------------------------------------------

        Outlays (gross), detail:
    86.97 Outlays from new mandatory
            authority.......................                                  10
    ----------------------------------------------------------------------------

        Net budget authority and outlays:
    89.00 Budget authority..................                                  10
    90.00 Outlays...........................                                  10
    ---------------------------------------------------------------------------

        The Budget contains $10 million in FY 2001 for competitive
    demonstration grants to States. The demonstrations will assess eligible
    individuals' access to programs addressing the needs of the homeless and
    improve coordination among these programs.

                       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, [$69,289,100,000] $70,381,600,000.
    (Department of Health and Human Services Appropriations Act, 2000, as
    enacted by section 1000(a)(4) of the Consolidated Appropriations Act,
    2000 (P.L. 106-113).)

                   Program and Financing (in millions of dollars)

    ----------------------------------------------------------------------------
    Identification code 75-0580-0-1-571      1999 actual   2000 est.   2001 est.
    ----------------------------------------------------------------------------

        Obligations by program activity:
    00.01 Supplementary medical insurance
            (SMI)...........................      62,171      65,063      69,777
    00.02 Hospital insurance for uninsured
            (HI)............................         555         349         321
    00.03 Federal uninsured payment (HI)....          97         121         132
    00.04 Program management (HI)...........          96         129         152
    00.06 Federal payments from taxation of
            OASDI benefits (HI).............       6,552       7,190       6,878
    00.08 Fraud and abuse control, FBI......          66          76          88
    00.10 Fraud and abuse control, criminal
            fines...........................          36          40          44
    00.13 Fraud and abuse, civil monetary
            penalties.......................                       5           6
    00.14 Fraud and abuse control,
            administrative fees.............           2
    00.15 Other (SMI).......................          14
                                               ---------   ---------  ----------
    10.00   Total new obligations...........      69,589      72,973      77,398
    ----------------------------------------------------------------------------

        Budgetary resources available for obligation:
    21.40 Unobligated balance available,
            start of year...................          14
    22.00 New budget authority (gross)......      69,609      76,600      77,398
                                               ---------   ---------  ----------
    23.90   Total budgetary resources
              available for obligation......      69,623      76,600      77,398
    23.95 Total new obligations.............     -69,589     -72,973     -77,398
    23.98 Unobligated balance expiring or
            withdrawn.......................         -34      -3,627
    ----------------------------------------------------------------------------

        New budget authority (gross), detail:
          Mandatory:

            Appropriation:
    60.00     Appropriation.................          66          76          88
    60.00     Appropriation.................      62,953      69,289      70,382
    60.05   Appropriation (indefinite)......       6,590       7,235       6,928
                                               ---------   ---------  ----------
    62.50     Appropriation (total
                mandatory)..................      69,609      76,600      77,398
    ----------------------------------------------------------------------------

        Change in unpaid obligations:
    73.10 Total new obligations.............      69,589      72,973      77,398
    73.20 Total outlays (gross).............     -69,589     -72,973     -77,398
    ----------------------------------------------------------------------------

        Outlays (gross), detail:
    86.97 Outlays from new mandatory
            authority.......................      69,589      72,973      77,398
    ----------------------------------------------------------------------------

        Net budget authority and outlays:
    89.00 Budget authority..................      69,609      76,600      77,398
    90.00 Outlays...........................      69,589      72,973      77,398
    ---------------------------------------------------------------------------

                     Summary of Budget Authority and Outlays

                            (in millions of dollars)

                                         1999 actual  2000 est.   2001 est.
    Enacted/requested:
      Budget Authority..................      69,609      76,600      77,398
      Outlays...........................      69,589      72,973      77,398
    Legislative proposal, not subject to
        PAYGO:
      Budget Authority..................                              15,120
      Outlays...........................                              15,120
                                        ------------------------------------
    Total:
      Budget Authority..................      69,609      76,600      92,518
      Outlays...........................      69,589      72,973      92,518
                                        ====================================

        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. Since
    1992, amounts have been included for non-Medicare activities of HCFA
    program management.

                   Object Classification (in millions of dollars)

    ----------------------------------------------------------------------------
    Identification code 75-0580-0-1-571      1999 actual   2000 est.   2001 est.
    ----------------------------------------------------------------------------
    41.0  Grants, subsidies, and
            contributions...................      69,033      72,374      76,793
    42.0  Insurance claims and indemnities..         460         470         453
    92.0  Undistributed.....................          96         129         152
                                               ---------   ---------  ----------
    99.9    Total new obligations...........      69,589      72,973      77,398
    ---------------------------------------------------------------------------

                     Payments to the Health Care Trust Funds

                  (Legislative proposal, not subject to PAYGO)

                   Program and Financing (in millions of dollars)

    ----------------------------------------------------------------------------
    Identification code 75-0580-2-1-571      1999 actual   2000 est.   2001 est.
    ----------------------------------------------------------------------------

        Obligations by program activity:
    00.02 SMI premium match match--savings
            proposals.......................                                -280
    00.03 Surplus transfer for HI solvency..                              15,400
                                               ---------   ---------  ----------
    10.00   Total new obligations...........                              15,120
    ----------------------------------------------------------------------------

        Budgetary resources available for obligation:
    22.00 New budget authority (gross)......                              15,120
    23.95 Total new obligations.............                             -15,120
    ----------------------------------------------------------------------------

        New budget authority (gross), detail:
          Mandatory:

    60.00   Appropriation...................                                -280
    60.05   Appropriation (indefinite)......                              15,400
                                               ---------   ---------  ----------
    62.50     Appropriation (total
                mandatory)..................                              15,120
    ----------------------------------------------------------------------------

        Change in unpaid obligations:
    73.10 Total new obligations.............                              15,120
    73.20 Total outlays (gross).............                             -15,120
    ----------------------------------------------------------------------------

        Outlays (gross), detail:
    86.97 Outlays from new mandatory
            authority.......................                              15,120
    ----------------------------------------------------------------------------

        Net budget authority and outlays:
    89.00 Budget authority..................                              15,120

    [[Page 454]]

    90.00 Outlays...........................                              15,120
    ---------------------------------------------------------------------------

        This schedule reflects the effects of the Medicare proposals
    contained in the Budget on the Payments to the health care trust funds
    account.

                   Object Classification (in millions of dollars)

    ----------------------------------------------------------------------------
    Identification code 75-0580-2-1-571      1999 actual   2000 est.   2001 est.
    ----------------------------------------------------------------------------
    41.0  Grants, subsidies, and
            contributions...................                                -280
    92.0  Undistributed.....................                              15,400
                                               ---------   ---------  ----------
    99.9    Total new obligations...........                              15,120
    ---------------------------------------------------------------------------

                               Program Management

        For carrying out, except as otherwise provided, titles XI, XVIII,
    XIX, and XXI of the Social Security Act, titles XIII and XXVII of the
    Public Health Service Act, and the Clinical Laboratory Improvement
    Amendments of 1988, not to exceed [$1,994,548,000] $2,086,302,000, 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 and such
    sums as may be collected from authorized user fees and the sale of data,
    which shall remain available until expended[, and together with
    administrative fees collected relative to Medicare overpayment recovery
    activities, which shall 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 shall be
    credited to and available for carrying out the purposes of this
    appropriation: Provided further, That $18,000,000 appropriated under
    this heading for the managed care system redesign shall remain available
    until expended: [Provided further, That $2,000,000 of the amount
    available for research, demonstration, and evaluation activities shall
    be available to continue carrying out demonstration projects on Medicaid
    coverage of community-based attendant care services for people with
    disabilities which ensures maximum control by the consumer to select and
    manage their attendant care services: Provided further, That $3,000,000
    of the amount available for research, demonstration, and evaluation
    activities shall be awarded to an application from the University of
    Pennsylvania Medical Center, the University of Louisville Sciences
    Center, and St. Vincent's Hospital in Montana to conduct a demonstration
    to reduce hospitalizations among high-risk patients with congestive
    heart failure: Provided further, That $2,000,000 of the amount available
    for research, demonstration, and evaluation activities shall be awarded
    to the AIDS Healthcare Foundation in Los Angeles: Provided further, That
    $100,000 of the amount available for research, demonstration, and
    evaluation activities shall be awarded to Littleton Regional Hospital in
    New Hampshire, to assist in the development of rural emergency medical
    services: Provided further, That $250,000 of the amount available for
    research, demonstration, and evaluation activities shall be awarded to
    the University of Missouri-Kansas City to test behavorial interventions
    of nursing home residents with moderate to severe dementia: Provided
    further, That $1,000,000 of the amount available for research,
    demonstration, and evaluation activities shall be awarded for a
    children's hospice care demonstration program in Virginia, Florida,
    Kentucky, New York, and Utah: Provided further, That $150,000 of the
    amount available for research, demonstration, and evaluation activities
    shall be awarded to L.A. Care Health Plan in Los Angeles, California for
    a Medicaid outreach demonstration project to provide access to medical
    care for uninsured workers: Provided further, That $500,000 of the
    amount available for research, demonstration, and evaluation activities
    shall be awarded to the Baystate Medical Center in Springfield,
    Massachusetts for the Partners for a Healthier Community childhood
    immunization demonstration project: Provided further, That $250,000
    shall be awarded to the Shelby County Regional Medical Center to
    establish a Master Patient Index to determine patient Medicaid/TennCare
    eligibility:] Provided further, That the Secretary of Health and Human
    Services is directed to collect[, in aggregate, $95,000,000 in] fees in
    fiscal year [2000] 2001 from Medicare+Choice organizations pursuant to
    section 1857(e)(2) of the Social Security Act and from eligible
    organizations with risk-sharing contracts under section 1876 of that Act
    pursuant to section 1876(k)(4)(D) of that Act: Provided further, That
    administrative fees collected relative to Medicare overpayment recovery
    activities shall be transferred to the Health Care Fraud and Abuse
    Control (HCFAC) account, to be used for Medicare Integrity Program (MIP)
    activities in addition to the amounts already specified, and shall
    remain available until expended. (Department of Health and Human
    Services Appropriations Act, 2000, as enacted by section 1000(a)(4) of
    the Consolidated Appropriations Act, 2000 (P.L. 106-113).)

                   Program and Financing (in millions of dollars)

    ----------------------------------------------------------------------------
    Identification code 75-0511-0-1-550      1999 actual   2000 est.   2001 est.
    ----------------------------------------------------------------------------

        Obligations by program activity:
          Direct program:

    00.01   Medicare contractors............       1,256       1,264       1,301
    00.02   Federal administration..........         455         483         496
    00.03   State survey and certification..         175         205         234
    00.04   Research, demonstrations, and
              evaluation projects...........          50          62          55
                                               ---------   ---------  ----------
    01.00   Total direct program............       1,936       2,014       2,086
    09.01 CLIA..............................          34          43          43
    09.03 Other reimbursements..............           3           1           2
    09.06 Medicare+Choice...................          91          95          19
                                               ---------   ---------  ----------
    09.09   Total reimbursable program......         128         139          64
                                               ---------   ---------  ----------
    10.00   Total new obligations...........       2,063       2,153       2,150
    ----------------------------------------------------------------------------

        Budgetary resources available for obligation:
    21.40 Unobligated balance available,
            start of year...................          15          88          67
    22.00 New budget authority (gross)......       2,082       2,133       2,150
    22.10 Resources available from
            recoveries of prior year
            obligations.....................          64
                                               ---------   ---------  ----------
    23.90   Total budgetary resources
              available for obligation......       2,161       2,221       2,217
    23.95 Total new obligations.............      -2,063      -2,153      -2,150
    23.98 Unobligated balance expiring or
            withdrawn.......................         -10
    24.40 Unobligated balance available, end
            of year.........................          88          67          67
    ----------------------------------------------------------------------------

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

            Discretionary:
              Offsetting collections (cash):
    68.00       Offsetting collections
                  (cash)....................       1,812       1,993       2,086
    68.00       Offsetting collections
                  (cash)....................         134         140          64
    68.10     From Federal sources: Change
                in receivables and unpaid,
                unfilled orders.............         286
    68.15     From Federal sources:
                Adjustments to receivables
                and unpaid, unfilled orders.        -149
    68.75     Reduction pursuant to P.L.
                106-51......................          -1
                                               ---------   ---------  ----------
    68.90       Spending authority from
                  offsetting collections
                  (total discretionary).....       2,082       2,133       2,150
    ----------------------------------------------------------------------------

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

    72.40   Obligated balance, start of year         280          74          74
    72.95   From Federal sources:
              Receivables and unpaid,
              unfilled orders...............         377         663         663
                                               ---------   ---------  ----------
    72.99     Total unpaid obligations,
                start of year...............         657         737         737
    73.10 Total new obligations.............       2,063       2,153       2,150
    73.20 Total outlays (gross).............      -1,914      -2,153      -2,150
    73.40 Adjustments in expired accounts
            (net)...........................          -5
    73.45 Adjustments in unexpired accounts.         -64
          Unpaid obligations, end of year:

    74.40   Obligated balance, end of year..          74          74          74
    74.95   From Federal sources:
              Receivables and unpaid,
              unfilled orders...............         663         663         663
                                               ---------   ---------  ----------
    74.99     Total unpaid obligations, end
                of year.....................         737         737         737
    ----------------------------------------------------------------------------

        Outlays (gross), detail:
    86.90 Outlays from new discretionary
            authority.......................       1,524       2,133       2,150
    86.93 Outlays from discretionary
            balances........................         389          20
                                               ---------   ---------  ----------
    87.00   Total outlays (gross)...........       1,914       2,153       2,150
    ----------------------------------------------------------------------------

    [[Page 455]]

        Offsets:
          Against gross budget authority and outlays:

            Offsetting collections (cash)
                from:
    88.00     Federal sources...............      -1,812      -1,993      -2,086
    88.40     Non-Federal sources...........        -134        -140         -64
                                               ---------   ---------  ----------
    88.90       Total, offsetting
                  collections (cash)........      -1,946      -2,133      -2,150
          Against gross budget authority only:

    88.95   From Federal sources: Change in
              receivables and unpaid,
              unfilled orders...............        -286
    88.96   From Federal sources: Adjustment
              to receivables and unpaid,
              unfilled orders...............         149
    ----------------------------------------------------------------------------

        Net budget authority and outlays:
    89.00 Budget authority..................          -1
    90.00 Outlays...........................         -32          20
    ---------------------------------------------------------------------------

                     Summary of Budget Authority and Outlays

                            (in millions of dollars)

                                         1999 actual  2000 est.   2001 est.
    Enacted/requested:
      Budget Authority..................          -1
      Outlays...........................         -33          20
    Legislative proposal, not subject to
        PAYGO:
      Budget Authority..................
      Outlays...........................
    Legislative proposal, subject to
        PAYGO:
      Budget Authority..................                                 250
      Outlays...........................                                 250
                                        ------------------------------------
    Total:
      Budget Authority..................          -1                     250
      Outlays...........................         -33          20         250
                                        ====================================

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

                   Object Classification (in millions of dollars)

    ----------------------------------------------------------------------------
    Identification code 75-0511-0-1-550      1999 actual   2000 est.   2001 est.
    ----------------------------------------------------------------------------

          Direct obligations:

            Personnel compensation:
    11.1      Full-time permanent...........         246         280         291
    11.3      Other than full-time permanent           8           5           8
    11.5      Other personnel compensation..           5           4           5
                                               ---------   ---------  ----------
    11.9        Total personnel compensation         259         289         304
    12.1    Civilian personnel benefits.....          51          55          59
    21.0    Travel and transportation of
              persons.......................          11          11           8
    23.1    Rental payments to GSA..........          19          21          22
    23.3    Communications, utilities, and
              miscellaneous charges.........          22           6           8
    24.0    Printing and reproduction.......           8           9           8
    25.1    Advisory and assistance services           6           1           1
    25.2    Other services..................         443         318         349
    25.3    Purchases of goods and services
              from Government accounts......           9          17           8
    25.6    Medical care....................       1,055       1,260       1,297
    26.0    Supplies and materials..........           3           1           1
    31.0    Equipment.......................          31           2           2
    32.0    Land and structures.............          10          10          10
    41.0    Grants, subsidies, and
              contributions.................           8          13           9
                                               ---------   ---------  ----------
    99.0      Subtotal, direct obligations..       1,935       2,013       2,086
    99.0  Reimbursable obligations..........         128         140          64
                                               ---------   ---------  ----------
    99.9    Total new obligations...........       2,063       2,153       2,150
    ---------------------------------------------------------------------------

                                  Personnel Summary

    ----------------------------------------------------------------------------
    Identification code 75-0511-0-1-550      1999 actual   2000 est.   2001 est.
    ----------------------------------------------------------------------------
        Direct:
    1001  Total compensable workyears: Full-
            time equivalent employment......       4,139       4,233       4,353
        Reimbursable:
    2001  Total compensable workyears: Full-
            time equivalent employment......          80          80          82
        Allocation account:
    3001  Total compensable workyears: Full-
            time equivalent employment......                      50
    ---------------------------------------------------------------------------

                               Program Management

                  (Legislative proposal, not subject to PAYGO)

        Contingent upon enactment of authorization to establish fees to
    cover administrative costs of the Health Care Financing Administration
    and its contractors, such fees may be collected and credited to this
    account as offsetting collections, to remain available until expended
    for authorized purposes: Provided, That upon enactment of such
    authorizing legislation, the amount appropriated for fiscal year 2001
    from the Federal Hospital Insurance and Federal Supplementary Medical
    Insurance Trust Funds shall be reduced by $220,000,000: Provided
    further, That contingent upon enactment of an amendment to section
    1857(e)(2) of the Social Security Act which increases the aggregate
    amount of user fees from Medicare+Choice organizations, the Secretary of
    Health and Human Services is directed to collect up to $150,000,000 in
    fiscal year 2001 which shall be credited to this account as offsetting
    collections and remain available until expended to implement the
    Medicare+Choice education campaign: Provided further, That contingent
    upon enactment of authorizing legislation, the Secretary is directed to
    collect up to $4,300,000 in fiscal year 2001 which shall be credited to
    this account as offsetting collections and remain available until
    expended for the purposes of operating a nursing home criminal abuse
    registry.

                   Program and Financing (in millions of dollars)

    ----------------------------------------------------------------------------
    Identification code 75-0511-2-1-550      1999 actual   2000 est.   2001 est.
    ----------------------------------------------------------------------------

        Obligations by program activity:
          Direct program:

    00.01   Medicare contractor
              appropriation.................                                -136
    00.02   Federal administration
              appropriation.................                                 -21
    00.03   State survey and certification
              appropriation.................                                 -63
                                               ---------   ---------  ----------
    01.00   Total direct program............                                -220
    09.01 User fee for duplicate and
            unprocessable claims............                                  53
    09.02 User fee for paper claims.........                                  83
    09.03 User fee for initial survey and
            certification...................                                  13
    09.04 User fee for recertification
            (survey)........................                                  50
    09.05 User fee for processing health
            plan applications...............                                  21
    09.06 HMO user fee: Medicare+Choice
            beneficiary information campaign                                 131
    09.07 User fee for background checks in
            nursing home patient abuse
            registry........................                                   4
                                               ---------   ---------  ----------
    09.09   Total reimbursable program......                                 355
                                               ---------   ---------  ----------
    10.00   Total new obligations...........                                 135
    ----------------------------------------------------------------------------

        Budgetary resources available for obligation:
    22.00 New budget authority (gross)......                                 135
    23.95 Total new obligations.............                                -135
    ----------------------------------------------------------------------------

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

            Discretionary:
              Offsetting collections (cash):
    68.00       Offsetting collections
                  (cash)....................                                -220
    68.00       Offsetting collections
                  (cash)....................                                 355
                                               ---------   ---------  ----------
    68.90       Spending authority from
                  offsetting collections
                  (total discretionary).....                                 135
    ----------------------------------------------------------------------------

        Change in unpaid obligations:
    73.10 Total new obligations.............                                 135
    73.20 Total outlays (gross).............                                -135
    ----------------------------------------------------------------------------

        Outlays (gross), detail:
    86.90 Outlays from new discretionary
            authority.......................                                 135
    ----------------------------------------------------------------------------

        Offsets:
          Against gross budget authority and outlays:

            Offsetting collections (cash)
                from:
    88.00     Federal sources...............                                 220
    88.40     Non-Federal sources...........                                -355
                                               ---------   ---------  ----------
    88.90       Total, offsetting
                  collections (cash)........                                -135
    ----------------------------------------------------------------------------

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

        The Budget includes $220 million in new user fees to finance HCFA
    activities. Proposed fees include: a duplicate or

    [[Page 456]]

    unprocessable claims fee, a paper claims fee, a managed care
    organization application and renewal fee, an initial survey and
    certification fee, and a recertification fee. If the authorizing
    legislation is enacted, the amount appropriated from the Federal
    hospital insurance and Federal supplementary medical insurance trust
    funds will be reduced by $220 million. Additional appropriations
    language is being proposed contingent upon the enactment of authorizing
    legislation. The authorizing legislation will be proposed to authorize
    the collection and spending of the fee subject to appropriations action.
    Contingent upon the enactment of authorizing legislation, the budget
    also authorizes the Secretary to collect up to $150 million in user fees
    to finance the Medicare+Choice education campaign. Additional
    appropriations language is being proposed contingent upon the enactment
    of authorizing legislation. The authorizing legislation will be proposed
    to authorize the collection and spending of the fee subject to
    appropriations action. Contingent upon the enactment of authorizing
    legislation, the Budget also authorizes the Secretary to collect up to
    $4.3 million in user fees to finance the operation of a nursing home
    criminal abuse registry. Additional appropriations language is being
    proposed contingent upon the enactment of authorizing legislation. The
    authorizing legislation will be proposed to authorize the collection and
    spending of the fee subject to appropriations action.

                   Object Classification (in millions of dollars)

    ----------------------------------------------------------------------------
    Identification code 75-0511-2-1-550      1999 actual   2000 est.   2001 est.
    ----------------------------------------------------------------------------

          Direct obligations:

    25.2    Other services..................                                 -84
    25.6    Medical care....................                                -136
                                               ---------   ---------  ----------
    99.0      Subtotal, direct obligations..                                -220
    99.0  Reimbursable obligations..........                                 355
                                               ---------   ---------  ----------
    99.9    Total new obligations...........                                 135
    ---------------------------------------------------------------------------

                               Program Management

                    (Legislative proposal, subject to PAYGO)

                   Program and Financing (in millions of dollars)

    ----------------------------------------------------------------------------
    Identification code 75-0511-4-1-550      1999 actual   2000 est.   2001 est.
    ----------------------------------------------------------------------------

        Obligations by program activity:
          Direct program:

    00.04   Research, demonstrations, and
              evaluation projects...........                                 250
                                               ---------   ---------  ----------
    10.00   Total new obligations (object
              class 41.0)...................                                 250
    ----------------------------------------------------------------------------

        Budgetary resources available for obligation:
    22.00 New budget authority (gross)......                                 250
    23.95 Total new obligations.............                                -250
    ----------------------------------------------------------------------------

        New budget authority (gross), detail:
          Mandatory:

    60.00   Appropriation...................                                 250
    ----------------------------------------------------------------------------

        Change in unpaid obligations:
    73.10 Total new obligations.............                                 250
    73.20 Total outlays (gross).............                                -250
    ----------------------------------------------------------------------------

        Outlays (gross), detail:
    86.97 Outlays from new mandatory
            authority.......................                                 250
    ----------------------------------------------------------------------------

        Net budget authority and outlays:
    89.00 Budget authority..................                                 250
    90.00 Outlays...........................                                 250
    ---------------------------------------------------------------------------

        This schedule reflects the effects on the Program management account
    of the Administration's proposal to create a time-limited demonstration
    that would cover the patient care costs associated with Medicare
    beneficiary participation in certain clinical trials for cancer.

                     State Children's Health Insurance Fund

                   Program and Financing (in millions of dollars)

    ----------------------------------------------------------------------------
    Identification code 75-0515-0-1-551      1999 actual   2000 est.   2001 est.
    ----------------------------------------------------------------------------

        Obligations by program activity:
    00.01 Grants, subsidies, and
            contributions...................       4,732       4,249       4,249
    00.02 Advisory and assistance services..                      10
                                               ---------   ---------  ----------
    10.00   Total new obligations (object
              class 41.0)...................       4,732       4,259       4,249
    ----------------------------------------------------------------------------

        Budgetary resources available for obligation:
    21.40 Unobligated balance available,
            start of year...................         485
    22.00 New budget authority (gross)......       4,247       4,259       4,249
                                               ---------   ---------  ----------
    23.90   Total budgetary resources
              available for obligation......       4,732       4,259       4,249
    23.95 Total new obligations.............      -4,732      -4,259      -4,249
    24.40 Unobligated balance available, end
            of year.........................
    ----------------------------------------------------------------------------

        New budget authority (gross), detail:
          Mandatory:

            Appropriation:
    60.00     Appropriation, BBRA Sec. 702..       4,307       4,275       4,275
    60.00     Appropriation, BBRA for
                territories.................                      34          34
    60.00     Appropriation, BBRA Sec. 703..                      10
    61.00   Transferred to other accounts...         -60         -60         -60
                                               ---------   ---------  ----------
    62.50     Appropriation (total
                mandatory)..................       4,247       4,259       4,249
    ----------------------------------------------------------------------------

        Change in unpaid obligations:
    72.40 Unpaid obligations, start of year:
            Obligated balance, start of year       3,745       7,912      10,871
    73.10 Total new obligations.............       4,732       4,259       4,249
    73.20 Total outlays (gross).............        -565      -1,300      -1,905
    74.40 Unpaid obligations, end of year:
            Obligated balance, end of year..       7,912      10,871      13,215
    ----------------------------------------------------------------------------

        Outlays (gross), detail:
    86.97 Outlays from new mandatory
            authority.......................          43         200
    86.98 Outlays from mandatory balances...         522       1,100       1,905
                                               ---------   ---------  ----------
    87.00   Total outlays (gross)...........         565       1,300       1,905
    ----------------------------------------------------------------------------

        Net budget authority and outlays:
    89.00 Budget authority..................       4,247       4,259       4,249
    90.00 Outlays...........................         565       1,300       1,905
    ---------------------------------------------------------------------------

                     Summary of Budget Authority and Outlays

                            (in millions of dollars)

                                         1999 actual  2000 est.   2001 est.
    Enacted/requested:
      Budget Authority..................       4,247       4,259       4,249
      Outlays...........................         565       1,300       1,905
    Legislative proposal, subject to
        PAYGO:
      Budget Authority..................                                 212
      Outlays...........................                                 212
                                        ------------------------------------
    Total:
      Budget Authority..................       4,247       4,259       4,461
      Outlays...........................         565       1,300       2,117
                                        ====================================

        The Balanced Budget Act of 1997 established the State children's
    health insurance program (SCHIP) under Title XXI of the Social Security
    Act. Title XXI provides Federal matching funds to States to enable them
    to extend coverage to uninsured children from low-income families.
    States are able to use Title XXI funds for obtaining health benefit
    coverage for uninsured children through a SCHIP program, a SCHIP
    Medicaid expansion program, or a combination of both.

    [[Page 457]]

                     State Children's Health Insurance Fund

                    (Legislative proposal, subject to PAYGO)

                   Program and Financing (in millions of dollars)

    ----------------------------------------------------------------------------
    Identification code 75-0515-4-1-551      1999 actual   2000 est.   2001 est.
    ----------------------------------------------------------------------------

        Obligations by program activity:
    10.00 Total new obligations (object
            class 41.0).....................                                 212
    ----------------------------------------------------------------------------

        Budgetary resources available for obligation:
    22.00 New budget authority (gross)......                                 212
    23.95 Total new obligations.............                                -212
    ----------------------------------------------------------------------------

        New budget authority (gross), detail:
          Mandatory:

    60.00   Appropriation...................                                 212
    ----------------------------------------------------------------------------

        Change in unpaid obligations:
    73.10 Total new obligations.............                                 212
    73.20 Total outlays (gross).............                                -212
    ----------------------------------------------------------------------------

        Outlays (gross), detail:
    86.97 Outlays from new mandatory
            authority.......................                                 212
    ----------------------------------------------------------------------------

        Net budget authority and outlays:
    89.00 Budget authority..................                                 212
    90.00 Outlays...........................                                 212
    ---------------------------------------------------------------------------

        This schedule reflects the effects of the SCHIP proposals contained
    in the Budget on the State children's health insurance fund.

          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 the Public
    Health Service Act, to be available without fiscal year limitation for
    the payment of outstanding obligations. During fiscal year [2000] 2001,
    no commitments for direct loans or loan guarantees shall be made.
    (Department of Health and Human Services Appropriations Act, 2000, as
    enacted by section 1000(a)(4) of the Consolidated Appropriations Act,
    2000 (P.L. 106-113).)

                   Program and Financing (in millions of dollars)

    ----------------------------------------------------------------------------
    Identification code 75-4420-0-3-551      1999 actual   2000 est.   2001 est.
    ----------------------------------------------------------------------------

        Budgetary resources available for obligation:
    21.40 Unobligated balance available,
            start of year...................          11          11          11
    22.00 New budget authority (gross)......           2           1
    22.60 Portion applied to repay debt.....          -1          -1          -1
                                               ---------   ---------  ----------
    23.90   Total budgetary resources
              available for obligation......          12          11          10
    24.40 Unobligated balance available, end
            of year.........................          11          11          10
    ----------------------------------------------------------------------------

        New budget authority (gross), detail:
          Mandatory:

    69.00   Offsetting collections (cash)...           2           1
    ----------------------------------------------------------------------------

        Offsets:
          Against gross budget authority and outlays:

    88.40   Offsetting collections (cash)
              from: Other...................          -2          -1
    ----------------------------------------------------------------------------

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

        The last loan commitments from the HMO loan fund were made in 1983.
    The schedule above reflects receipts on outstanding loans and payments
    to the Federal Financing Bank.

                                   Trust Funds

                      Federal Hospital Insurance Trust Fund

                  Unavailable Collections (in millions of dollars)

    ----------------------------------------------------------------------------
    Identification code 20-8005-0-7-571      1999 actual   2000 est.   2001 est.
    ----------------------------------------------------------------------------
        Balance, start of year:
    01.99 Balance, start of year............     116,434     137,807     162,730
        Receipts:
    02.00 Interest on investments,
            legislative proposal, not
            subject to PAYGO................                                 264
    02.01 Transfers from general fund (FICA
            taxes)..........................     123,360     126,602     133,621
    02.02 Receipts from Railroad Retirement
            Board...........................         388         388         393
    02.03 Transfers from general fund (SECA
            taxes)..........................       8,520       9,525       9,681
    02.04 Federal employer contributions
            (FICA)..........................       1,894       1,980       2,029
    02.05 Postal service employer
            contributions (FICA)............         611         633         659
    02.07 Interest received by trust funds..       9,244      11,010      12,242
    02.08 Other proprietary receipts from
            the public......................           2
    02.10 Taxation on OASDI benefits........       6,552       7,190       6,878
    02.12 Interest payments by Railroad
            Retirement Board................          42          36          38
    02.13 Payments from the general fund
            (uninsured and program
            management).....................         749         599         605
    02.14 Payments for military service
            credits.........................          71          63          64
    02.15 Premiums collected for uninsured
            individuals not otherwise
            eligible........................       1,401       1,379       1,426
    02.16 FBI, Payment from the general fund          66          76          88
    02.17 Criminal fines, transfers from the
            general fund....................          41          40          44
    02.18 Civil monetary penalties,
            transfers from the general fund.           5           5           6
    02.20 Civil penalties and damages.......          69          81          90
    02.21 Transfers from DOD, HI............                      11          14
    02.23 Payment to extend solvency,
            legislative proposal not subject
            to PAYGO........................                              15,400
                                               ---------   ---------  ----------
    02.99   Total receipts..................     153,015     159,618     183,542
                                               ---------   ---------  ----------
    04.00 Total: Balances and collections...     269,449     297,425     346,272
        Appropriation:
    05.01 Federal hospital insurance trust
            fund............................    -130,873    -133,832    -144,750
    05.02 Health care fraud and abuse
            control account.................        -764        -864        -950
    05.04 Proposed legislation subject to
            PAYGO...........................                                 185
    05.06 Proposed legislation not subject
            to PAYGO........................                                  74
                                               ---------   ---------  ----------
    05.99 Subtotal appropriation............    -131,637    -134,696    -145,441
    06.10 Unobligated balance returned to
            receipts........................          -5
    06.20 Reduction pursuant to Public Law
            106-113.........................                       1
                                               ---------   ---------  ----------
    07.99 Total balance, end of year........     137,807     162,730     200,831
    ---------------------------------------------------------------------------

                   Program and Financing (in millions of dollars)

    ----------------------------------------------------------------------------
    Identification code 20-8005-0-7-571      1999 actual   2000 est.   2001 est.
    ----------------------------------------------------------------------------

        Obligations by program activity:
    00.01 Benefit payments, HI..............     129,221     129,216     139,869
    00.02 Administration, HI................       1,264       1,360       1,428
    00.03 Peer review organizations, HI.....         177         495          71
    00.04 Research, HI......................          32          41          37
    00.05 HI partial transfer of home health
            to SMI..........................         179       2,718       3,345
                                               ---------   ---------  ----------
    10.00   Total new obligations...........     130,873     133,830     144,750
    ----------------------------------------------------------------------------

        Budgetary resources available for obligation:
    22.00 New budget authority (gross)......     130,873     133,831     144,750
    23.95 Total new obligations.............    -130,873    -133,830    -144,750
    ----------------------------------------------------------------------------

        New budget authority (gross), detail:
          Discretionary:

    40.26   Appropriation (trust fund,
              definite).....................       1,297       1,363       1,425
    40.76   Reduction pursuant to P.L. 106-
              113...........................                      -1
                                               ---------   ---------  ----------
    43.00     Appropriation (total
                discretionary)..............       1,297       1,361       1,425
          Mandatory:

    60.27   Appropriation (trust fund,
              indefinite)...................     150,954     157,393     165,502
    60.28   Appropriation (unavailable
              balances).....................     -21,378     -24,924     -22,177
                                               ---------   ---------  ----------
    62.50     Appropriation (total
                mandatory)..................     129,576     132,469     143,325
                                               ---------   ---------  ----------
    70.00   Total new budget authority
              (gross).......................     130,873     133,831     144,750
    ----------------------------------------------------------------------------

        Change in unpaid obligations:
    72.40 Unpaid obligations, start of year:
            Obligated balance, start of year         352         465         564
    73.10 Total new obligations.............     130,873     133,830     144,750
    73.20 Total outlays (gross).............    -130,759    -133,731    -145,023

    [[Page 458]]

    74.40 Unpaid obligations, end of year:
            Obligated balance, end of year..         465         564         291
    ----------------------------------------------------------------------------

        Outlays (gross), detail:
    86.90 Outlays from new discretionary
            authority.......................       1,118       1,168       1,225
    86.93 Outlays from discretionary
            balances........................         130         170         186
    86.97 Outlays from new mandatory
            authority.......................     129,289     132,097     143,234
    86.98 Outlays from mandatory balances...         221         295         378
                                               ---------   ---------  ----------
    87.00   Total outlays (gross)...........     130,759     133,731     145,023
    ----------------------------------------------------------------------------

        Net budget authority and outlays:
    89.00 Budget authority..................     130,873     133,831     144,750
    90.00 Outlays...........................     130,759     133,731     145,023
    ----------------------------------------------------------------------------

        Memorandum (non-add) entries:
    92.01 Total investments, start of year:
            U.S. securities: Par value......     118,250     153,767     163,444
    92.02 Total investments, end of year:
            U.S. securities: Par value......     153,767     163,444     185,612
    ---------------------------------------------------------------------------

                     Summary of Budget Authority and Outlays

                            (in millions of dollars)

                                         1999 actual  2000 est.   2001 est.
    Enacted/requested:
      Budget Authority..................     130,873     133,830     144,750
      Outlays...........................     130,758     133,730     145,023
    Legislative proposal, not subject to
        PAYGO:
      Budget Authority..................                                 -74
      Outlays...........................                                 -74
    Legislative proposal, subject to
        PAYGO:
      Budget Authority..................                                -185
      Outlays...........................                                -185
                                        ------------------------------------
    Total:
      Budget Authority..................     130,873     133,830     144,491
      Outlays...........................     130,758     133,730     144,764
                                        ====================================

        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      1999 actual   2000 est.   2001 est.
    ----------------------------------------------------------------------------
        Unexpended balance, start of year:
    0100  Treasury balance..................      -1,343     -15,346
    0101  U.S. Securities: Par value........     118,250     153,767     163,444
                                               ---------   ---------  ----------
    0199    Total balance, start of year....     116,909     138,421     163,443
        Cash income during the year:
          Governmental receipts:

    0200    FHI trust fund, transfers from
              general fund (FICA taxes).....     123,360     126,602     133,621
    0201    FHI trust fund, transfers from
              general fund (SECA taxes).....       8,520       9,525       9,681
    0205    FHI trust fund, receipts from
              Railroad Retirement Board.....         388         388         393
    0206    HCFAC: Civil penalties and
              damages.......................          69          81          90
          Proprietary receipts:

    0221    FHI trust fund, premiums
              collected for uninsured
              individuals not otherwise
              eligible......................       1,401       1,379       1,426
    0222    Other proprietary receipts......           2
          Intragovernmental transactions:

    0240    FHI trust fund, Federal employer
              contributions (FICA)..........       1,894       1,980       2,029
    0241    FHI trust fund, Postal Service
              employer contributions (FICA).         611         633         659
    0242    FHI trust fund, Federal payment
              for transitional coverage for
              uninsured Federal employees...          97         121         132
    0243    FHI trust fund, Federal payment
              for transitional coverage for
              the uninsured.................         555         349         321
    0245    FHI trust fund, general fund
              transfer, program management
              (HI)..........................          96         129         152
    0246    FHI trust fund, Federal payments
              for OASDI taxes...............       6,552       7,190       6,878
    0248    FHI trust fund, interest payment
              from Railroad Retirement Board          42          36          38
    0249    FHI trust fund, interest on
              investments...................       9,244      11,010      12,242
    0250    Interest on investments,
              legislative proposal not
              subject to PAYGO..............                                 264
    0251    FHI trust fund, transfer from
              Department of Defense for
              military service credits......          71          63          64
    0252    HCFAC: FBI......................          66          76          88
    0253    HCFAC: Criminal fines...........          41          40          44
    0254    HCFAC: Civil monetary penalties.           5           5           6
    0255    Other intragovernmental
              transactions..................                      11          14
    0256    Payment to extend solvency,
              legislative proposal not
              subject to PAYGO..............                              15,400
          Offsetting collections:

    0280    HCFAC user fees.................           3           4
    0297  Income under present law..........     153,017     159,622     167,878
    0298  Income under proposed legislation.                              15,664
                                               ---------   ---------  ----------
    0299    Total cash income...............     153,018     159,622     183,542
        Cash outgo during year:
    0500  Benefit Payments..................    -129,107    -129,216    -139,869
    0501  Benefit payments, legislative
            proposal subject to PAYGO.......                                 185
    0502  Administration....................      -1,264      -1,344      -1,415
    0503  Administration, legislative
            proposal not subject to PAYGO...                                  74
    0504  Peer Review Organizations.........        -177        -418        -358
    0505  Research..........................         -32         -35         -37
    0506  HCFAC.............................        -744        -868        -950
    0507  HI Partial Transfer of Home Health
            to SMI..........................        -179      -2,718      -3,345
    0597  Outgo under present law (-).......    -131,503    -134,599    -145,974
    0598  Outgo under proposed legislation
            (-).............................                                 259
                                               ---------   ---------  ----------
    0599  Total cash outgo (-)..............    -131,503    -134,599    -145,714
        Unexpended balance, end of year:
    0700  Treasury Balance..................     -15,346
    0701  U.S. Securities: Par value........     153,767     163,444     201,271
                                               ---------   ---------  ----------
    0799    Total balance, end of year......     138,421     163,443     201,271
    ---------------------------------------------------------------------------

                    Object Classification (in millions of dollars)

    ----------------------------------------------------------------------------
    Identification code 20-8005-0-7-571      1999 actual   2000 est.   2001 est.
    ----------------------------------------------------------------------------

          Grants, subsidies, and contributions:

    41.0    Payment for health insurance
              experiments and demonstration
              projects......................          32          41          37
    41.0    Payment for peer review
              organization (PRO) activities.         177         495          71
    42.0  Insurance claims and indemnities..     129,221     129,216     139,869
          Undistributed:

    92.0    HI Partial Transfer of Home
              Health to SMI.................         179       2,718       3,345
    92.0    Reimbursement for administrative
              expenses for other than SSA
              LAE...........................          48          40          40
    92.0    Purchases of goods and services.         720         764         807
    93.0  Administrative expenses: Portion
            of limitation on salaries and
            expenses: Social Security
            Administration..................         496         556         581
                                               ---------   ---------  ----------
    99.9    Total new obligations...........     130,873     133,830     144,750
    ---------------------------------------------------------------------------

                      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      1999 actual   2000 est.   2001 est.
    ----------------------------------------------------------------------------

        Obligations by program activity:
    00.02 Administration....................                                 -74
                                               ---------   ---------  ----------
    10.00   Total new obligations (object
              class 92.0)...................                                 -74
    ----------------------------------------------------------------------------

        Budgetary resources available for obligation:
    22.00 New budget authority (gross)......                                 -74
    23.95 Total new obligations.............                                  74
    ----------------------------------------------------------------------------

        New budget authority (gross), detail:
          Discretionary:

    40.26   Appropriation (trust fund,
              definite).....................                                 -74
          Mandatory:

    60.27   Appropriation (trust fund,
              indefinite)...................                              15,400
    60.28   Appropriation (unavailable
              balances).....................                             -15,400
                                               ---------   ---------  ----------
    62.50     Appropriation (total
                mandatory)..................
                                               ---------   ---------  ----------

    [[Page 459]]

    70.00   Total new budget authority
              (gross).......................                                 -74
    ----------------------------------------------------------------------------

        Change in unpaid obligations:
    73.10 Total new obligations.............                                 -74
    73.20 Total outlays (gross).............                                  74
    ----------------------------------------------------------------------------

        Outlays (gross), detail:
    86.90 Outlays from new discretionary
            authority.......................                                 -74
    ----------------------------------------------------------------------------

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

        Memorandum (non-add) entries:
    92.02 Total investments, end of year:
            U.S. securities: Par value......                              15,474
    ---------------------------------------------------------------------------

        This schedule reflects the effects of the HCFA user fees proposed in
    the Budget on the Hospital Insurance trust fund.

                      Federal Hospital Insurance Trust Fund

                    (Legislative proposal, subject to PAYGO)

                   Program and Financing (in millions of dollars)

    ----------------------------------------------------------------------------
    Identification code 20-8005-4-7-571      1999 actual   2000 est.   2001 est.
    ----------------------------------------------------------------------------

        Obligations by program activity:
    10.00 Total new obligations (object
            class 42.0).....................                                -185
    ----------------------------------------------------------------------------

        Budgetary resources available for obligation:
    22.00 New budget authority (gross)......                                -185
    23.95 Total new obligations.............                                 185
    ----------------------------------------------------------------------------

        New budget authority (gross), detail:
          Mandatory:

    60.28   Appropriation (unavailable
              balances).....................                                -185
    ----------------------------------------------------------------------------

        Change in unpaid obligations:
    73.10 Total new obligations.............                                -185
    73.20 Total outlays (gross).............                                 185
    ----------------------------------------------------------------------------

        Outlays (gross), detail:
    86.97 Outlays from new mandatory
            authority.......................                                -185
    ----------------------------------------------------------------------------

        Net budget authority and outlays:
    89.00 Budget authority..................                                -185
    90.00 Outlays...........................                                -185
    ----------------------------------------------------------------------------

        Memorandum (non-add) entries:
    92.02 Total investments, end of year:
            U.S. securities: Par value......                                 185
    ---------------------------------------------------------------------------

        This schedule reflects the effects of Medicare proposals contained
    in the Budget on the Hospital Insurance trust fund.

                   Health Care Fraud and Abuse Control Account

                     (federal hospital insurance trust fund)

                   Program and Financing (in millions of dollars)

    ----------------------------------------------------------------------------
    Identification code 75-8393-0-7-571      1999 actual   2000 est.   2001 est.
    ----------------------------------------------------------------------------

        Obligations by program activity:
    00.01 Medicare integrity program........         551         630         680
    00.02 FBI fraud and abuse control.......          66          76          88
    00.03 Other fraud and abuse control.....         135         158         182
    09.01 Reimbursable......................           3           4
                                               ---------   ---------  ----------
    10.00   Total new obligations...........         755         868         950
    ----------------------------------------------------------------------------

        Budgetary resources available for obligation:
    22.00 New budget authority (gross)......         767         868         950
    23.95 Total new obligations.............        -755        -868        -950
    23.98 Unobligated balance expiring or
            withdrawn.......................         -11
    ----------------------------------------------------------------------------

        New budget authority (gross), detail:
          Mandatory:

    60.26   Appropriation (trust fund,
              definite).....................         764         864         950
    69.00 Offsetting collections (cash).....           3           4
                                               ---------   ---------  ----------
    70.00   Total new budget authority
              (gross).......................         767         868         950
    ----------------------------------------------------------------------------

        Change in unpaid obligations:
    72.40 Unpaid obligations, start of year:
            Obligated balance, start of year         123         149         149
    73.10 Total new obligations.............         755         868         950
    73.20 Total outlays (gross).............        -744        -868        -950
    73.40 Adjustments in expired accounts
            (net)...........................          16
    74.40 Unpaid obligations, end of year:
            Obligated balance, end of year..         149         149         149
    ----------------------------------------------------------------------------

        Outlays (gross), detail:
    86.97 Outlays from new mandatory
            authority.......................         663         868         950
    86.98 Outlays from mandatory balances...          82
                                               ---------   ---------  ----------
    87.00   Total outlays (gross)...........         744         868         950
    ----------------------------------------------------------------------------

        Offsets:
          Against gross budget authority and outlays:

    88.00   Offsetting collections (cash)
              from: Federal sources.........          -3          -4
    ----------------------------------------------------------------------------

        Net budget authority and outlays:
    89.00 Budget authority..................         764         864         950
    90.00 Outlays...........................         742         864         950
    ---------------------------------------------------------------------------

        P.L. 104-191 established the Health Care Fraud and Abuse Control
    (HCFAC) account within the Federal hospital insurance trust fund and
    appropriated funds, to be available without further appropriation, from
    the trust fund to the HCFAC account for specified health care fraud and
    abuse control activities of the Department of Health and Human Services
    (HHS), the Department of Justice, and other agencies.

                   Object Classification (in millions of dollars)

    ----------------------------------------------------------------------------
    Identification code 75-8393-0-7-571      1999 actual   2000 est.   2001 est.
    ----------------------------------------------------------------------------

          Direct obligations:

    25.6    Medical care (HCFA).............         551         630         680
    92.0    Undistributed (FBI).............          66          76          88
                                               ---------   ---------  ----------
    99.0      Subtotal, direct obligations..         617         706         768
          Allocation Account:

            Personnel compensation:
              Full-time permanent:
    11.1        Full-time permanent (OIG)...          54          70          74
    11.1        Full-time permanent (DoJ)...          14          16          18
    11.1        Full-time permanent (OGC)...           1           2           2
              Other than full-time
                  permanent:
    11.3        Other than full-time
                  permanent (DOJ)...........                       1           1
    11.3        Other than full-time
                  permanent (OIG)...........                                   1
    11.5      Other personnel compensation
                (OIG).......................                                   1
              Special personal services
                  payments:
    11.8        Special personal services
                  payments (DOJ)............           1                       1
    11.8        Special personal services
                  payments (AoA)............           1                       1
                                               ---------   ---------  ----------
    11.9        Total personnel compensation          71          89          99
            Civilian personnel benefits:
    12.1      Civilian personnel benefits
                (OIG).......................          13          15          17
    12.1      Civilian personnel benefits
                (DoJ).......................           4           4           4
            Travel and transportation of
                persons:
    21.0      Travel and transportation of
                persons (OIG)...............           5           6           6
    21.0      Travel and transportation of
                persons (DoJ)...............                       1           1
    22.0    Transportation of things (OIG)..                                   1
            Rental payments to GSA:
    23.1      Rental payments to GSA (OIG)..           8           8           8
    23.1      Rental payments to GSA (DoJ)..           3           3           3
    23.1      Rental payments to GSA (OGC)..           1                       1
    23.3    Communications, utilities, and
              miscellaneous charges (OIG)...           1           1           2
            Other services:
    25.2      Other services (DoJ)..........           6           8          16
    25.2      Other services (OIG)..........                                   2
    25.2      Other services (HRSA).........           2
            Purchases of goods and services
                from Government accounts:
    25.3      Purchases of goods and
                services from Government
                accounts (OIG)..............           1           2          12
    25.3      Purchases of goods and
                services from Government
                accounts (DoJ)..............                       2           1
    25.5    Research and development
              contracts (OIG)...............          12          17
    25.7    Operation and maintenance of
              equipment (HRSA)..............           4
    26.0    Supplies and materials (OIG)....           1           1           2

    [[Page 460]]

            Equipment:
    31.0      Equipment (OIG)...............           5           4           4
    31.0      Equipment (DOJ)...............                                   1
    41.0    Grants, subsidies, and
              contributions (AoA)...........           1           1           2
                                               ---------   ---------  ----------
    99.0      Subtotal, allocation account..         138         162         182
                                               ---------   ---------  ----------
    99.9    Total new obligations...........         755         868         950
    ---------------------------------------------------------------------------

        This schedule reflects estimated distribution of the allocation
    account. This allocation assumes $12.5 million within HCFAC would be
    used for oversight of HCFA's contractor initiative and $3.5 million
    would fund incentive grants for States to develop Medicaid error rates.
    The non-HHS/DoJ amounts would be distributed based on competitive
    criteria established by HHS and DoJ.

                                         1999 actual  2000 est.   2001 est.
    Department of Justice (DOJ).........          28          34          34
    Office of the Inspector General, HHS         100         124         124
    Health Care Financing Administration         551         630         680
    Office of General Counsel, HHS......           2           2           0
    Other HHS...........................           8           2           2
    Other non-HHS/non-DOJ...............           0           0          22
                                        ------------------------------------
        Total...........................         689         794         862
                                        ====================================

               Federal Supplementary Medical Insurance Trust Fund

                  Unavailable Collections (in millions of dollars)

    ----------------------------------------------------------------------------
    Identification code 20-8004-0-7-571      1999 actual   2000 est.   2001 est.
    ----------------------------------------------------------------------------
        Balance, start of year:
    01.99 Balance, start of year............      40,875      45,615      44,386
        Receipts:
    02.00 Interest on investments,
            legislative proposal not subject
            to PAYGO........................                                   9
    02.01 Federal contributions.............      62,185      65,063      69,777
    02.02 Interest received by trust fund...       2,926       3,080       2,940
    02.03 Other proprietary receipts from
            the public......................           7
    02.05 Premiums collected for the aged...      17,722      17,773      19,065
    02.06 Premiums collected for the
            disabled........................       2,438       2,583       2,849
    02.07 Transfers from DOD, SMI...........                      11          14
    02.09 Premiums collected for the aged,
            legislative proposal subject to
            PAYGO...........................                                -160
    02.10 Premiums collected for the
            disabled, legislative proposal
            subject to PAYGO................                                 -20
    02.12 Federal contributions, legislative
            proposal not subject to PAYGO...                                -280
                                               ---------   ---------  ----------
    02.99   Total receipts..................      85,278      88,510      94,194
                                               ---------   ---------  ----------
    04.00 Total: Balances and collections...     126,153     134,125     138,580
        Appropriation:
    05.01 Federal supplementary medical
            insurance trust fund............     -80,538     -89,740     -98,782
    05.03 Legislative proposal subject to
            PAYGO...........................                                 685
    05.04 Legislative proposal not subject
            to PAYGO........................                                 146
                                               ---------   ---------  ----------
    05.99 Subtotal appropriation............     -80,538     -89,740     -97,951
    06.20 Reduction pursuant to Public Law
            xx-xxx..........................                       1
                                               ---------   ---------  ----------
    07.99 Total balance, end of year........      45,615      44,386      40,629
    ---------------------------------------------------------------------------

                   Program and Financing (in millions of dollars)

    ----------------------------------------------------------------------------
    Identification code 20-8004-0-7-571      1999 actual   2000 est.   2001 est.
    ----------------------------------------------------------------------------

        Obligations by program activity:
    00.01 Benefit payments, SMI.............      78,972      87,856      96,928
    00.02 Administration, SMI...............       1,494       1,690       1,758
    00.03 Peer review organizations, SMI....          56         124          18
    00.04 Research, SMI.....................          16          20          18
    00.06 Transfer to Medicaid for payment
            of SMI premiums.................                      50          60
    09.01 HI partial transfer of home health         179       2,718       3,345
                                               ---------   ---------  ----------
    10.00   Total new obligations...........      80,717      92,458     102,127
    ----------------------------------------------------------------------------

        Budgetary resources available for obligation:
    22.00 New budget authority (gross)......      80,717      92,457     102,127
    23.95 Total new obligations.............     -80,717     -92,458    -102,127
    ----------------------------------------------------------------------------

        New budget authority (gross), detail:
          Discretionary:

    40.26   Appropriation (trust fund,
              definite).....................       1,506       1,706       1,772
    40.76   Reduction pursuant to P.L. 106-
              113...........................                      -1
                                               ---------   ---------  ----------
    43.00     Appropriation (total
                discretionary)..............       1,506       1,706       1,772
          Mandatory:

    60.27   Appropriation (trust fund,
              indefinite)...................      83,772      86,804      92,873
    60.28   Appropriation (unavailable
              balances).....................                   1,230       4,137
    60.45   Portion precluded from
              obligation....................      -4,740
                                               ---------   ---------  ----------
    62.50     Appropriation (total
                mandatory)..................      79,032      88,034      97,010
    69.00 Offsetting collections (cash).....         179       2,718       3,345
                                               ---------   ---------  ----------
    70.00   Total new budget authority
              (gross).......................      80,717      92,457     102,127
    ----------------------------------------------------------------------------

        Change in unpaid obligations:
    72.40 Unpaid obligations, start of year:
            Obligated balance, start of year          14          34          98
    73.10 Total new obligations.............      80,717      92,458     102,127
    73.20 Total outlays (gross).............     -80,697     -92,394    -102,165
    74.40 Unpaid obligations, end of year:
            Obligated balance, end of year..          34          98          60
    ----------------------------------------------------------------------------

        Outlays (gross), detail:
    86.90 Outlays from new discretionary
            authority.......................       1,506       1,697       1,763
    86.93 Outlays from discretionary
            balances........................                       3
    86.97 Outlays from new mandatory
            authority.......................      79,191      90,694     100,359
    86.98 Outlays from mandatory balances...                                  43
                                               ---------   ---------  ----------
    87.00   Total outlays (gross)...........      80,697      92,394     102,165
    ----------------------------------------------------------------------------

        Offsets:
          Against gross budget authority and outlays:

    88.00   Offsetting collections (cash)
              from: Federal sources.........        -179      -2,718      -3,345
    ----------------------------------------------------------------------------

        Net budget authority and outlays:
    89.00 Budget authority..................      80,538      89,739      98,782
    90.00 Outlays...........................      80,518      89,676      98,820
    ----------------------------------------------------------------------------

        Memorandum (non-add) entries:
    92.01 Total investments, start of year:
            U.S. securities: Par value......      39,502      26,528      44,484
    92.02 Total investments, end of year:
            U.S. securities: Par value......      26,528      44,484      40,318
    ---------------------------------------------------------------------------

                     Summary of Budget Authority and Outlays

                            (in millions of dollars)

                                         1999 actual  2000 est.   2001 est.
    Enacted/requested:
      Budget Authority..................      80,538      89,740      98,782
      Outlays...........................      80,518      89,676      98,820
    Legislative proposal, not subject to
        PAYGO:
      Budget Authority..................                                -146
      Outlays...........................                                -146
    Legislative proposal, subject to
        PAYGO:
      Budget Authority..................                                -685
      Outlays...........................                                -685
                                        ------------------------------------
    Total:
      Budget Authority..................      80,538      89,740      97,951
      Outlays...........................      80,518      89,676      97,989
                                        ====================================

        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      1999 actual   2000 est.   2001 est.
    ----------------------------------------------------------------------------
        Unexpended balance, start of year:
    0100  Treasury balance..................       1,387      19,120

    [[Page 461]]

    0101  U.S. Securities: Par value........      39,502      26,528      44,484
                                               ---------   ---------  ----------
    0199    Total balance, start of year....      40,889      45,649      44,484
        Cash income during the year:
          Proprietary receipts:

    0221    Premiums collected for the aged,
              FSMI fund.....................      17,722      17,773      19,065
    0222    Premiums collected for the aged,
              legislative proposal subject
              to PAYGO......................                                -160
            Proprietary receipts:
    0223      Premiums collected for the
                disabled, FSMI fund.........       2,438       2,583       2,849
    0223      Premiums collected for the
                disabled, legislative
                proposal subject to PAYGO...                                 -20
    0225    Other proprietary receipts......           7
          Intragovernmental transactions:

            Intragovernmental transactions:
    0240      Federal contributions, FSMI
                fund........................      62,185      65,063      69,777
    0240      Interest received by trust
                fund, legislative proposal
                not subject to PAYGO........                                   9
    0241    Federal contributions,
              legislative proposal not
              subject to PAYGO..............                                -280
    0242    Interest received by trust fund,
              FSMI fund.....................       2,926       3,080       2,940
    0243    Intragovernmental transactions..                      11          14
          Offsetting collections:

    0280    HI partial transfer of home
              health........................         179       2,718       3,345
    0297  Income under present law..........      85,457      91,228      97,990
    0298  Income under proposed legislation.                                -451
                                               ---------   ---------  ----------
    0299    Total cash income...............      85,457      91,228      97,539
        Cash outgo during year:
          Cash outgo during the year (-):

    0501    Benefit payments & ESRD.........     -78,972     -87,856     -96,928
    0501    Benefit payments & ESRD,
              legislative proposal subject
              to PAYGO......................                                 685
    0502  Administration....................      -1,494      -1,687      -1,749
    0503  Administration, legislative
            proposal not subject to PAYGO...                                 146
    0504  Peer review organizations.........         -36         -66         -65
    0505  Research..........................         -16         -17         -18
    0506  HI partial transfer of home health        -179      -2,718      -3,345
    0507  Transfer to Medicaid for payment
            of SMI premiums.................                     -50         -60
    0597  Outgo under present law (-).......     -80,697     -92,394    -102,165
    0598  Outgo under proposed legislation
            (-).............................                                 831
                                               ---------   ---------  ----------
    0599  Total cash outgo (-)..............     -80,697     -92,394    -101,334
        Unexpended balance, end of year:
    0700  Treasury balance..................      19,120
    0701  U.S. Securities: Par value........      26,528      44,484      40,689
                                               ---------   ---------  ----------
    0799    Total balance, end of year......      45,649      44,484      40,689
    ---------------------------------------------------------------------------

                   Object Classification (in millions of dollars)

    ----------------------------------------------------------------------------
    Identification code 20-8004-0-7-571      1999 actual   2000 est.   2001 est.
    ----------------------------------------------------------------------------

          Direct obligations:

            Grants, subsidies, and
                contributions:
    41.0      Payment for peer review
                organization (PRO) activity.          56         124          18
    41.0      Payment for health insurance
                experiments and
                demonstration projects......          16          20          18
    42.0    Insurance claims and indemnities      78,972      87,910      96,992
    92.0    Undistributed...................       1,064       1,204       1,241
    93.0    Administrative expenses: Portion
              of limitation on salaries and
              expenses: Social Security
              Administration................         430         482         513
                                               ---------   ---------  ----------
    99.0      Subtotal, direct obligations..      80,538      89,740      98,782
    99.0  Reimbursable obligations..........         179       2,718       3,345
                                               ---------   ---------  ----------
    99.9    Total new obligations...........      80,717      92,458     102,127
    ---------------------------------------------------------------------------

               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      1999 actual   2000 est.   2001 est.
    ----------------------------------------------------------------------------

        Obligations by program activity:
    00.02 Administration, SMI...............                                -146
                                               ---------   ---------  ----------
    10.00   Total new obligations (object
              class 92.0)...................                                -146
    ----------------------------------------------------------------------------

        Budgetary resources available for obligation:
    22.00 New budget authority (gross)......                                -146
    23.95 Total new obligations.............                                 146
    ----------------------------------------------------------------------------

        New budget authority (gross), detail:
          Discretionary:

    40.26   Appropriation (trust fund,
              definite).....................                                -146
    ----------------------------------------------------------------------------

        Change in unpaid obligations:
    73.10 Total new obligations.............                                -146
    73.20 Total outlays (gross).............                                 146
    ----------------------------------------------------------------------------

        Outlays (gross), detail:
    86.90 Outlays from new discretionary
            authority.......................                                -146
    ----------------------------------------------------------------------------

        Net budget authority and outlays:
    89.00 Budget authority..................                                -146
    90.00 Outlays...........................                                -146
    ----------------------------------------------------------------------------

        Memorandum (non-add) entries:
    92.02 Total investments, end of year:
            U.S. securities: Par value......                                 146
    ---------------------------------------------------------------------------

        This schedule reflects the effects of the HCFA user fees proposed in
    the Budget on the Supplemental Medical Insurance trust fund.

               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      1999 actual   2000 est.   2001 est.
    ----------------------------------------------------------------------------

        Obligations by program activity:
    10.00 Total new obligations (object
            class 42.0).....................                                -685
    ----------------------------------------------------------------------------

        Budgetary resources available for obligation:
    22.00 New budget authority (gross)......                                -685
    23.95 Total new obligations.............                                 685
    ----------------------------------------------------------------------------

        New budget authority (gross), detail:
          Mandatory:

    60.27   Appropriation (trust fund,
              indefinite)...................                                -460
    60.28   Appropriation (unavailable
              balances).....................                                -225
                                               ---------   ---------  ----------
    62.50     Appropriation (total
                mandatory)..................                                -685
    ----------------------------------------------------------------------------

        Change in unpaid obligations:
    73.10 Total new obligations.............                                -685
    73.20 Total outlays (gross).............                                 685
    ----------------------------------------------------------------------------

        Outlays (gross), detail:
    86.97 Outlays from new mandatory
            authority.......................                                -685
    ----------------------------------------------------------------------------

        Net budget authority and outlays:
    89.00 Budget authority..................                                -685
    90.00 Outlays...........................                                -685
    ----------------------------------------------------------------------------

        Memorandum (non-add) entries:
    92.02 Total investments, end of year:
            U.S. securities: Par value......                                 225
    ---------------------------------------------------------------------------

        This schedule reflects the effects of Medicare proposals contained
    in the Budget on the Supplemental Medical Insurance trust fund.

                     Allocation Received From Other Accounts

        Note.--Obligations incurred under allocations from other accounts
    are included in the schedule of the parent appropriation as follows:
    Health Care Financing Administration: ``Health Care Fraud and Abuse
    Control Account.''

    [[Page 462]]

                    ADMINISTRATION FOR CHILDREN AND FAMILIES

                                  Federal Funds

    General and special funds:

                     Temporary Assistance for Needy Families

                   Program and Financing (in millions of dollars)

    ----------------------------------------------------------------------------
    Identification code 75-1552-0-1-609      1999 actual   2000 est.   2001 est.
    ----------------------------------------------------------------------------

        Obligations by program activity:
    00.01 State family assistance grant.....      16,489      16,489      16,489
    00.02 State penalties...................                                 -10
    00.03 Territories--family assistance
            grants..........................          78          78          78
    00.04 Matching grants to territories....           3          15          15
    00.05 Bonus to reward decrease in
            illegitimacy....................         100         100         100
    00.06 Supplemental grants for population
            increases.......................         160         239         319
    00.07 Bonus to reward high performance
            States..........................                     200         200
    00.08 Tribal work programs..............           7           7           7
                                               ---------   ---------  ----------
    10.00   Total new obligations (object
              class 41.0)...................      16,837      17,128      17,198
    ----------------------------------------------------------------------------

        Budgetary resources available for obligation:
    21.40 Unobligated balance available,
            start of year...................         721       1,561       1,122
    22.00 New budget authority (gross)......      17,693      16,689      16,679
                                               ---------   ---------  ----------
    23.90   Total budgetary resources
              available for obligation......      18,414      18,250      17,801
    23.95 Total new obligations.............     -16,837     -17,128     -17,198
    23.98 Unobligated balance expiring or
            withdrawn.......................         -16                      -3
    24.40 Unobligated balance available, end
            of year.........................       1,561       1,122         600
    ----------------------------------------------------------------------------

        New budget authority (gross), detail:
          Mandatory:

    60.05   Appropriation (indefinite)......      17,693      16,689      16,679
    ----------------------------------------------------------------------------

        Change in unpaid obligations:
    72.40 Unpaid obligations, start of year:
            Obligated balance, start of year       7,212      10,056      12,084
    73.10 Total new obligations.............      16,837      17,128      17,198
    73.20 Total outlays (gross).............     -14,161     -14,996     -15,742
    73.40 Adjustments in expired accounts
            (net)...........................         168        -104
    74.40 Unpaid obligations, end of year:
            Obligated balance, end of year..      10,056      12,084      13,540
    ----------------------------------------------------------------------------

        Outlays (gross), detail:
    86.97 Outlays from new mandatory
            authority.......................       9,924       9,160       8,661
    86.98 Outlays from mandatory balances...       4,237       5,836       7,081
                                               ---------   ---------  ----------
    87.00   Total outlays (gross)...........      14,161      14,996      15,742
    ----------------------------------------------------------------------------

        Net budget authority and outlays:
    89.00 Budget authority..................      17,693      16,689      16,679
    90.00 Outlays...........................      14,161      14,996      15,742
    ---------------------------------------------------------------------------

                     Summary of Budget Authority and Outlays

                            (in millions of dollars)

                                         1999 actual  2000 est.   2001 est.
    Enacted/requested:
      Budget Authority..................      17,693      16,689      16,679
      Outlays...........................      14,161      14,996      15,742
    Legislative proposal, subject to
        PAYGO:
      Budget Authority..................
      Outlays...........................                                 208
    Legislative proposal, discretionary
        offset:
      Budget Authority..................                                -240
      Outlays...........................                                -122
                                        ------------------------------------
    Total:
      Budget Authority..................      17,693      16,689      16,439
      Outlays...........................      14,161      14,996      15,828
                                        ====================================

        This account provides funding for activities established by the
    Personal Responsibility and Work Opportunity Reconciliation Act of 1996
    (P.L. 104-193). The Temporary assistance for needy families block grant
    provides funding to States for aid to low-income families with children.

        This account also includes Federal loans for State welfare programs,
    established by section 406 of the Social Security Act as amended.

                     Temporary Assistance for Needy Families

                    (Legislative proposal, subject to PAYGO)

                   Program and Financing (in millions of dollars)

    ----------------------------------------------------------------------------
    Identification code 75-1552-4-1-609      1999 actual   2000 est.   2001 est.
    ----------------------------------------------------------------------------

        Change in unpaid obligations:
    73.20 Total outlays (gross).............                                -208
    74.40 Unpaid obligations, end of year:
            Obligated balance, end of year..                                -208
    ----------------------------------------------------------------------------

        Outlays (gross), detail:
    86.98 Outlays from mandatory balances...                                 208
    ----------------------------------------------------------------------------

        Net budget authority and outlays:
    89.00 Budget authority..................
    90.00 Outlays...........................                                 208
    ---------------------------------------------------------------------------

        This reflects interactions with the Administration's proposal on the
    allocation of common State administrative costs between the Medicaid and
    Temporary Assistance for Needy Families programs.

                     Temporary Assistance For Needy Families

                  (Legislative proposal, discretionary offset)

                   Program and Financing (in millions of dollars)

    ----------------------------------------------------------------------------
    Identification code 75-1552-6-1-609      1999 actual   2000 est.   2001 est.
    ----------------------------------------------------------------------------

        Obligations by program activity:
    10.00 Total new obligations (object
            class 41.0).....................                                -240
    ----------------------------------------------------------------------------

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

        New budget authority (gross), detail:
          Mandatory:

    60.36   Unobligated balance rescinded...                                -240
    ----------------------------------------------------------------------------

        Change in unpaid obligations:
    73.10 Total new obligations.............                                -240
    73.20 Total outlays (gross).............                                 122
    74.40 Unpaid obligations, end of year:
            Obligated balance, end of year..                                -118
    ----------------------------------------------------------------------------

        Outlays (gross), detail:
    86.98 Outlays from mandatory balances...                                -122
    ----------------------------------------------------------------------------

        Net budget authority and outlays:
    89.00 Budget authority..................                                -240
    90.00 Outlays...........................                                -122
    ---------------------------------------------------------------------------

        The Administration will propose legislation that reduces TANF
    supplemental grant funds in 2001 to the 1998 level for all eligible
    States, and will apply the offset to discretionary spending.

                                Contingency Fund

                   Program and Financing (in millions of dollars)

    ----------------------------------------------------------------------------
    Identification code 75-1522-0-1-609      1999 actual   2000 est.   2001 est.
    ----------------------------------------------------------------------------

        Budgetary resources available for obligation:
    21.40 Unobligated balance available,
            start of year...................       1,958       1,958       1,958
    24.40 Unobligated balance available, end
            of year.........................       1,958       1,958       1,958
    ----------------------------------------------------------------------------

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

    [[Page 463]]

      Payments to States for Child Support Enforcement and Family Support
                                    Programs

        For making payments to States or other non-Federal entities under
    titles I, IV-D, X, XI, XIV, and XVI of the Social Security Act and the
    Act of July 5, 1960 (24 U.S.C. ch. 9), $2,442,000,000, to remain
    available until expended; and for such purposes for the first quarter of
    fiscal year [2001, $650,000,000] 2002, $1,000,000,000, to remain
    available until expended.
        For making payments to each State for carrying out the program of
    Aid to Families with Dependent Children under title IV-A of the Social
    Security Act before the effective date of the program of Temporary
    Assistance to Needy Families (TANF) with respect to such State, such
    sums as may be necessary: Provided, That the sum of the amounts
    available to a State with respect to expenditures under such title IV-A
    in fiscal year 1997 under this appropriation and under such title IV-A
    as amended by the Personal Responsibility and Work Opportunity
    Reconciliation Act of 1996 shall not exceed the limitations under
    section 116(b) of such Act.
        For making, after May 31 of the current fiscal year, payments to
    States or other non-Federal entities under titles I, IV-D, X, XI, XIV,
    and XVI of the Social Security Act and the Act of July 5, 1960 (24
    U.S.C. ch. 9), for the last 3 months of the current year for
    unanticipated costs, incurred for the current fiscal year, such sums as
    may be necessary. (Department of Health and Human Services
    Appropriations Act, 2000, as enacted by section 1000(a)(4) of the
    Consolidated Appropriations Act, 2000 (P.L. 106-113).)

                   Program and Financing (in millions of dollars)

    ----------------------------------------------------------------------------
    Identification code 75-1501-0-1-609      1999 actual   2000 est.   2001 est.
    ----------------------------------------------------------------------------

        Obligations by program activity:
          Child support enforcement (CSE):

            Benefit payments:
    00.01     State child support
                administrative costs........       2,513       2,819       3,058
    00.02     Federal incentive/hold
                harmless payments to States.         400         382         415
    00.03     Access and visitation grants..          10          10          10
                                               ---------   ---------  ----------
    00.91   Subtotal, child support
              enforcement...................       2,923       3,211       3,483
    01.02 Payments to territories...........          16          23          23
    01.03 Repatriation......................           1           1           1
                                               ---------   ---------  ----------
    01.91   Subtotal, other payments........          17          24          24
          Aid to families with dependent children (AFDC)
              payments:

    02.01   AFDC benefit payments...........          95          98
    02.03   State and local welfare
              administration................          13           2
    02.04   AFDC/JOBS child care............           6
                                               ---------   ---------  ----------
    02.91     Subtotal, AFDC programs.......         114         100
                                               ---------   ---------  ----------
    10.00   Total new obligations (object
              class 41.0)...................       3,054       3,335       3,507
    ----------------------------------------------------------------------------

        Budgetary resources available for obligation:
    21.40 Unobligated balance available,
            start of year...................       1,564       1,920
    22.00 New budget authority (gross)......       3,049       1,415       3,507
    22.10 Resources available from
            recoveries of prior year
            obligations.....................         361
                                               ---------   ---------  ----------
    23.90   Total budgetary resources
              available for obligation......       4,974       3,335       3,507
    23.95 Total new obligations.............      -3,054      -3,335      -3,507
    24.40 Unobligated balance available, end
            of year.........................       1,920
    ----------------------------------------------------------------------------

        New budget authority (gross), detail:
          Mandatory:

    60.00   Appropriation...................       1,989         283       2,442
    65.00   Advance appropriation...........         660         750         650
    69.00 Offsetting collections (cash).....         400         382         415
                                               ---------   ---------  ----------
    70.00   Total new budget authority
              (gross).......................       3,049       1,415       3,507
    ----------------------------------------------------------------------------

        Change in unpaid obligations:
    72.40 Unpaid obligations, start of year:
            Obligated balance, start of year       1,520       1,057         957
    73.10 Total new obligations.............       3,054       3,335       3,507
    73.20 Total outlays (gross).............      -3,156      -3,435      -3,474
    73.45 Adjustments in unexpired accounts.        -361
    74.40 Unpaid obligations, end of year:
            Obligated balance, end of year..       1,057         957         990
    ----------------------------------------------------------------------------

        Outlays (gross), detail:
    86.97 Outlays from new mandatory
            authority.......................       3,049       1,415       2,978
    86.98 Outlays from mandatory balances...         107       2,020         496
                                               ---------   ---------  ----------
    87.00   Total outlays (gross)...........       3,156       3,435       3,474
    ----------------------------------------------------------------------------

        Offsets:
          Against gross budget authority and outlays:

    88.40   Offsetting collections (cash)
              from: Non-Federal sources.....        -400        -382        -415
    ----------------------------------------------------------------------------

        Net budget authority and outlays:
    89.00 Budget authority..................       2,649       1,033       3,092
    90.00 Outlays...........................       2,756       3,053       3,059
    ---------------------------------------------------------------------------

                     Summary of Budget Authority and Outlays

                            (in millions of dollars)

                                         1999 actual  2000 est.   2001 est.
    Enacted/requested:
      Budget Authority..................       2,649       1,033       3,092
      Outlays...........................       2,756       3,053       3,059
    Legislative proposal, subject to
        PAYGO:
      Budget Authority..................                                  32
      Outlays...........................                                  32
                                        ------------------------------------
    Total:
      Budget Authority..................       2,649       1,033       3,124
      Outlays...........................       2,756       3,053       3,091
                                        ====================================

        This account provides for payments to States for child support
    enforcement and other family support programs including access and
    visitation programs for families. Spending authority from the Federal
    share of child support collections is used to pay incentive payments
    and, for a limited time, hold harmless payments to States. The remaining
    net Federal share of collections is returned to the Treasury in a
    receipt account. The text table below shows the traditional display of
    child support enforcement costs:

                 Net Federal Costs of Child Support Enforcement

                            (In millions of dollars)

                                            1999         2000        2001
    Gross Federal share of collections..      (1268)      (1233)      (1265)
    Federal incentive payments to States         362         371         404
    Hold harmless payments..............          38          11          11
    State child support administrative
    costs...............................        2513        2819        3058
    Access and visitation grants........          10          10          10
                                        ------------------------------------
        Subtotal........................        1655        1978        2218
                                        ====================================

      Payments to States for Child Support Enforcement and Family Support
                                    Programs

                    (Legislative proposal, subject to PAYGO)

                   Program and Financing (in millions of dollars)

    ----------------------------------------------------------------------------
    Identification code 75-1501-4-1-609      1999 actual   2000 est.   2001 est.
    ----------------------------------------------------------------------------

        Obligations by program activity:
          Child support enforcement (CSE):

            Benefit payments:
    00.01     State child support
                administrative costs........                                  32
                                               ---------   ---------  ----------
    10.00   Total new obligations (object
              class 41.0)...................                                  32
    ----------------------------------------------------------------------------

        Budgetary resources available for obligation:
    22.00 New budget authority (gross)......                                  32
    23.95 Total new obligations.............                                 -32
    ----------------------------------------------------------------------------

        New budget authority (gross), detail:
          Mandatory:

    60.00   Appropriation...................                                  32
    ----------------------------------------------------------------------------

        Change in unpaid obligations:
    73.10 Total new obligations.............                                  32
    73.20 Total outlays (gross).............                                 -32
    ----------------------------------------------------------------------------

        Outlays (gross), detail:
    86.97 Outlays from new mandatory
            authority.......................                                  32
    ----------------------------------------------------------------------------

        Net budget authority and outlays:
    89.00 Budget authority..................                                  32

    [[Page 464]]

    90.00 Outlays...........................                                  32
    ---------------------------------------------------------------------------

        This legislative proposal includes several provisions to increase
    child support collections and to direct more of these payments to
    families. The proposal would also conform the match rate for paternity
    testing with the basic administrative match rate.

                        Low Income Home Energy Assistance

        For making payments under title XXVI of the Omnibus Budget
    Reconciliation Act of 1981, $1,100,000,000, to be available for
    obligation in the period October 1, [2000] 2001 through September 30,
    [2001] 2002.
        For making payments under title XXVI of such Act, $300,000,000:
    Provided, That these funds are hereby designated by Congress to be
    emergency requirements pursuant to section 251(b)(2)(A) of the Balanced
    Budget and Emergency Deficit Control Act of 1985: Provided further, That
    these funds 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 [the Balanced Budget and Emergency Deficit Control] such Act [of
    1985].
        [The $1,100,000,000 provided in the first paragraph under this
    heading in the Departments of Labor, Health and Human Services, and
    Education, and Related Agencies Appropriations Act, 1999 (as contained
    in section 101(f ) of division A of Public Law 105-277) is hereby
    designated by the Congress as an emergency requirement pursuant to
    section 251(b)(2)(A) of the Balanced Budget and Emergency Deficit
    Control Act of 1985: Provided, That such funds shall be available only
    if the President submits to the Congress one official budget request for
    $1,100,000,000 that includes designation of the entire amount as an
    emergency requirement pursuant to such section: Provided further, That
    such funds shall be distributed in accordance with section 2604 of the
    Omnibus Budget Reconciliation Act of 1981 (42 U.S.C. 8623), other than
    subsection (e) of such section.] (Department of Health and Human
    Services Appropriations Act, 2000, as enacted by section 1000(a)(4) of
    the Consolidated Appropriations Act, 2000 (P.L. 106-113).)

                   Program and Financing (in millions of dollars)

    ----------------------------------------------------------------------------
    Identification code 75-1502-0-1-609      1999 actual   2000 est.   2001 est.
    ----------------------------------------------------------------------------

        Obligations by program activity:
    10.00 Total new obligations (object
            class 41.0).....................       1,277       1,105       1,100
    ----------------------------------------------------------------------------

        Budgetary resources available for obligation:
    22.00 New budget authority (gross)......       1,277       1,400       1,400
    23.95 Total new obligations.............      -1,277      -1,105      -1,100
    23.98 Unobligated balance expiring or
            withdrawn.......................                    -295        -300
    ----------------------------------------------------------------------------

        New budget authority (gross), detail:
          Discretionary:

    40.15   Appropriation (emergency).......         300         300         300
    40.60   Contingent emergency
              appropriation not available
              for obligations...............        -125
                                               ---------   ---------  ----------
    43.00     Appropriation (total
                discretionary)..............         175         300         300
    50.00   Reappropriation.................           2
    55.00   Advance appropriation...........       1,100       1,100       1,100
                                               ---------   ---------  ----------
    70.00   Total new budget authority
              (gross).......................       1,277       1,400       1,400
    ----------------------------------------------------------------------------

        Change in unpaid obligations:
    72.40 Unpaid obligations, start of year:
            Obligated balance, start of year         377         474         337
    73.10 Total new obligations.............       1,277       1,105       1,100
    73.20 Total outlays (gross).............      -1,176      -1,242      -1,105
    73.40 Adjustments in expired accounts
            (net)...........................          -4
    74.40 Unpaid obligations, end of year:
            Obligated balance, end of year..         474         337         332
    ----------------------------------------------------------------------------

        Outlays (gross), detail:
    86.90 Outlays from new discretionary
            authority.......................         859         818         814
    86.93 Outlays from discretionary
            balances........................         317         424         291
                                               ---------   ---------  ----------
    87.00   Total outlays (gross)...........       1,176       1,242       1,105
    ----------------------------------------------------------------------------

        Net budget authority and outlays:
    89.00 Budget authority..................       1,275       1,400       1,400
    90.00 Outlays...........................       1,176       1,242       1,105
    ---------------------------------------------------------------------------

        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), [$419,005,000] $422,804,000, to remain available through
    September 30, 2003: Provided, That funds appropriated pursuant to
    section 414(a) of the Immigration and Nationality Act under Public Law
    [105-78] 106-113 for fiscal year [1998 and under Public Law 105-277 for
    fiscal year 1999] 2000 shall be available for the costs of assistance
    provided and other activities through September 30, [2001] 2002.
        For carrying out section 5 of the Torture Victims Relief Act of 1998
    (Public Law 105-320), [$7,500,000] $9,765,000.
        [The $426,505,000 provided under this heading is hereby designated
    by the Congress as an emergency requirement pursuant to section
    251(b)(2)(A) of the Balanced Budget and Emergency Deficit Control Act of
    1985: Provided, That such funds shall be available only if the President
    submits to the Congress one official budget request for $426,505,000
    that includes designation of the entire amount as an emergency
    requirement pursuant to such section.] (Department of Health and Human
    Services Appropriations Act, 2000, as enacted by section 1000(a)(4) of
    the Consolidated Appropriations Act, 2000 (P.L. 106-113).)

                   Program and Financing (in millions of dollars)

    ----------------------------------------------------------------------------
    Identification code 75-1503-0-1-609      1999 actual   2000 est.   2001 est.
    ----------------------------------------------------------------------------

        Obligations by program activity:
    00.01 Refugee and entrant assistance....         465         447         423
    00.02 Assistance for treatment of
            torture victims.................                       7          10
                                               ---------   ---------  ----------
    10.00   Total new obligations...........         465         454         433
    ----------------------------------------------------------------------------

        Budgetary resources available for obligation:
    21.40 Unobligated balance available,
            start of year...................           2           2           2
    22.00 New budget authority (gross)......         481         454         433
                                               ---------   ---------  ----------
    23.90   Total budgetary resources
              available for obligation......         483         454         433
    23.95 Total new obligations.............        -465        -454        -433
    23.98 Unobligated balance expiring or
            withdrawn.......................         -16
    24.40 Unobligated balance available, end
            of year.........................           2           2           2
    ----------------------------------------------------------------------------

        New budget authority (gross), detail:
          Discretionary:

    40.00   Appropriation...................         415                     433
    40.15   Appropriation (emergency).......                     427
    40.76   Reduction pursuant to P.L. 106-
              113...........................                      -1
                                               ---------   ---------  ----------
    43.00     Appropriation (total
                discretionary)..............         415         426         433
    50.00   Reappropriation.................          66          28
                                               ---------   ---------  ----------
    70.00   Total new budget authority
              (gross).......................         481         454         433
    ----------------------------------------------------------------------------

        Change in unpaid obligations:
    72.40 Unpaid obligations, start of year:
            Obligated balance, start of year         511         587         574
    73.10 Total new obligations.............         465         454         433
    73.20 Total outlays (gross).............        -332        -444        -446
    73.40 Adjustments in expired accounts
            (net)...........................         -57         -23
    74.40 Unpaid obligations, end of year:
            Obligated balance, end of year..         587         574         561
    ----------------------------------------------------------------------------

    [[Page 465]]

        Outlays (gross), detail:
    86.90 Outlays from new discretionary
            authority.......................         122         123         117
    86.93 Outlays from discretionary
            balances........................         210         321         329
                                               ---------   ---------  ----------
    87.00   Total outlays (gross)...........         332         444         446
    ----------------------------------------------------------------------------

        Net budget authority and outlays:
    89.00 Budget authority..................         481         454         433
    90.00 Outlays...........................         332         444         446
    ---------------------------------------------------------------------------

        States are subsidized for administering the refugee assistance
    program. Funds are also provided to assist in the rehabilitation of
    victims of torture.

                   Object Classification (in millions of dollars)

    ----------------------------------------------------------------------------
    Identification code 75-1503-0-1-609      1999 actual   2000 est.   2001 est.
    ----------------------------------------------------------------------------
    25.1  Advisory and assistance services..           1           1           1
    25.2  Other services....................           1           1           1
    25.3  Purchases of goods and services
            from Government accounts........          29           1           1
    41.0  Grants, subsidies, and
            contributions...................         434         451         430
                                               ---------   ---------  ----------
    99.9    Total new obligations...........         465         454         433
    ---------------------------------------------------------------------------

                       Promoting Safe and Stable Families

        For carrying out section 430 of the Social Security Act,
    [$295,000,000.] $305,000,000. (Department of Health and Human Services
    Appropriations Act, 2000, as enacted by section 1000(a)(4) of the
    Consolidated Appropriations Act, 2000 (P.L. 106-113).)

                   Program and Financing (in millions of dollars)

    ----------------------------------------------------------------------------
    Identification code 75-1512-0-1-506      1999 actual   2000 est.   2001 est.
    ----------------------------------------------------------------------------

        Obligations by program activity:
    00.01 Grants to States and Tribes.......         241         279         289
    00.02 Training and technical assistance.           6           6           6
    00.03 State court assessment activities.          10          10          10
                                               ---------   ---------  ----------
    10.00   Total new obligations...........         257         295         305
    ----------------------------------------------------------------------------

        Budgetary resources available for obligation:
    22.00 New budget authority (gross)......         275         295         305
    23.95 Total new obligations.............        -257        -295        -305
    23.98 Unobligated balance expiring or
            withdrawn.......................         -18
    ----------------------------------------------------------------------------

        New budget authority (gross), detail:
          Mandatory:

    60.00   Appropriation...................         275         295         305
    ----------------------------------------------------------------------------

        Change in unpaid obligations:
    72.40 Unpaid obligations, start of year:
            Obligated balance, start of year         274         322         331
    73.10 Total new obligations.............         257         295         305
    73.20 Total outlays (gross).............        -248        -286        -288
    73.40 Adjustments in expired accounts
            (net)...........................          39                     -13
    74.40 Unpaid obligations, end of year:
            Obligated balance, end of year..         322         331         335
    ----------------------------------------------------------------------------

        Outlays (gross), detail:
    86.97 Outlays from new mandatory
            authority.......................          46          50          52
    86.98 Outlays from mandatory balances...         202         236         236
                                               ---------   ---------  ----------
    87.00   Total outlays (gross)...........         248         286         288
    ----------------------------------------------------------------------------

        Net budget authority and outlays:
    89.00 Budget authority..................         275         295         305
    90.00 Outlays...........................         248         286         288
    ---------------------------------------------------------------------------

        This program provides funds for a broad range of child welfare
    services, including family preservation and family support services.

                   Object Classification (in millions of dollars)

    ----------------------------------------------------------------------------
    Identification code 75-1512-0-1-506      1999 actual   2000 est.   2001 est.
    ----------------------------------------------------------------------------
    25.1  Advisory and assistance services..           6           6           6
    41.0  Grants, subsidies, and
            contributions...................         251         289         299
                                               ---------   ---------  ----------
    99.9    Total new obligations...........         257         295         305
    ---------------------------------------------------------------------------

               Job Opportunities and Basic Skills Training Program

                   Program and Financing (in millions of dollars)

    ----------------------------------------------------------------------------
    Identification code 75-1509-0-1-504      1999 actual   2000 est.   2001 est.
    ----------------------------------------------------------------------------

        Change in unpaid obligations:
    72.40 Unpaid obligations, start of year:
            Obligated balance, start of year          77          62          47
    73.20 Total outlays (gross).............          -9          -8          -5
    73.40 Adjustments in expired accounts
            (net)...........................          -6          -7         -42
    74.40 Unpaid obligations, end of year:
            Obligated balance, end of year..          62          47
    ----------------------------------------------------------------------------

        Outlays (gross), detail:
    86.98 Outlays from mandatory balances...           9           8           5
    ----------------------------------------------------------------------------

        Net budget authority and outlays:
    89.00 Budget authority..................
    90.00 Outlays...........................           9           8           5
    ---------------------------------------------------------------------------

        This activity is replaced by Temporary assistance for needy
    families.

                   State Legalization Impact-Assistance Grants

                   Program and Financing (in millions of dollars)

    ----------------------------------------------------------------------------
    Identification code 75-1508-0-1-506      1999 actual   2000 est.   2001 est.
    ----------------------------------------------------------------------------

        Change in unpaid obligations:
    72.40 Unpaid obligations, start of year:
            Obligated balance, start of year          11           7           7
    73.20 Total outlays (gross).............           1
    73.40 Adjustments in expired accounts
            (net)...........................          -5
    74.40 Unpaid obligations, end of year:
            Obligated balance, end of year..           7           7           7
    ----------------------------------------------------------------------------

        Outlays (gross), detail:
    86.98 Outlays from mandatory balances...          -1
    ----------------------------------------------------------------------------

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

                        Child Care Entitlement to States

                   Program and Financing (in millions of dollars)

    ----------------------------------------------------------------------------
    Identification code 75-1550-0-1-609      1999 actual   2000 est.   2001 est.
    ----------------------------------------------------------------------------

        Obligations by program activity:
    00.01 Mandatory child care..............       1,221       1,225       1,229
    00.02 Matching child care...............         941       1,136       1,332
    00.03 Training and technical assistance.           5           6           6
                                               ---------   ---------  ----------
    10.00   Total new obligations...........       2,167       2,367       2,567
    ----------------------------------------------------------------------------

        Budgetary resources available for obligation:
    22.00 New budget authority (gross)......       2,167       2,367       2,567
    23.95 Total new obligations.............      -2,167      -2,367      -2,567
    ----------------------------------------------------------------------------

        New budget authority (gross), detail:
          Mandatory:

    60.00   Appropriation...................       2,167       2,367       2,567
    ----------------------------------------------------------------------------

        Change in unpaid obligations:
    72.40 Unpaid obligations, start of year:
            Obligated balance, start of year         608         522         465
    73.10 Total new obligations.............       2,167       2,367       2,567
    73.20 Total outlays (gross).............      -2,254      -2,420      -2,556
    73.40 Adjustments in expired accounts
            (net)...........................           1          -4
    74.40 Unpaid obligations, end of year:
            Obligated balance, end of year..         522         465         476
    ----------------------------------------------------------------------------

    [[Page 466]]

        Outlays (gross), detail:
    86.97 Outlays from new mandatory
            authority.......................       1,742       1,988       2,168
    86.98 Outlays from mandatory balances...         512         432         388
                                               ---------   ---------  ----------
    87.00   Total outlays (gross)...........       2,254       2,420       2,556
    ----------------------------------------------------------------------------

        Net budget authority and outlays:
    89.00 Budget authority..................       2,167       2,367       2,567
    90.00 Outlays...........................       2,254       2,420       2,556
    ---------------------------------------------------------------------------

                     Summary of Budget Authority and Outlays

                            (in millions of dollars)

                                         1999 actual  2000 est.   2001 est.
    Enacted/requested:
      Budget Authority..................       2,167       2,367       2,567
      Outlays...........................       2,254       2,420       2,556
    Legislative proposal, subject to
        PAYGO:
      Budget Authority..................                                 600
      Outlays...........................                                 402
                                        ------------------------------------
    Total:
      Budget Authority..................       2,167       2,367       3,167
      Outlays...........................       2,254       2,420       2,958
                                        ====================================

        This account provides child care funding for welfare recipients and
    low-income working families and was established by the Personal
    Responsibility and Work Opportunity Reconciliation Act of 1996 (P.L.
    104-193).

                   Object Classification (in millions of dollars)

    ----------------------------------------------------------------------------
    Identification code 75-1550-0-1-609      1999 actual   2000 est.   2001 est.
    ----------------------------------------------------------------------------
    25.1  Advisory and assistance services..           5           6           6
    41.0  Grants, subsidies, and
            contributions...................       2,162       2,361       2,561
                                               ---------   ---------  ----------
    99.9    Total new obligations...........       2,167       2,367       2,567
    ---------------------------------------------------------------------------

                        Child Care Entitlement to States

                    (Legislative proposal, subject to PAYGO)

                   Program and Financing (in millions of dollars)

    ----------------------------------------------------------------------------
    Identification code 75-1550-4-1-609      1999 actual   2000 est.   2001 est.
    ----------------------------------------------------------------------------

        Obligations by program activity:
    00.01 Early learning fund...............                                 600
                                               ---------   ---------  ----------
    10.00   Total new obligations...........                                 600
    ----------------------------------------------------------------------------

        Budgetary resources available for obligation:
    22.00 New budget authority (gross)......                                 600
    23.95 Total new obligations.............                                -600
    ----------------------------------------------------------------------------

        New budget authority (gross), detail:
          Mandatory:

    60.00   Appropriation...................                                 600
    ----------------------------------------------------------------------------

        Change in unpaid obligations:
    72.40 Unpaid obligations, start of year:
            Obligated balance, start of year
    73.10 Total new obligations.............                                 600
    73.20 Total outlays (gross).............                                -402
    74.40 Unpaid obligations, end of year:
            Obligated balance, end of year..                                 198
    ----------------------------------------------------------------------------

        Outlays (gross), detail:
    86.97 Outlays from new mandatory
            authority.......................                                 402
    ----------------------------------------------------------------------------

        Net budget authority and outlays:
    89.00 Budget authority..................                                 600
    90.00 Outlays...........................                                 402
    ---------------------------------------------------------------------------

        This legislative proposal will provide challenge grants to
    communities to support early childhood education for children under
    five, with a focus on language acquisition, emergent literacy, reading,
    numeracy, and other cognitive, physical, social, and emotional
    development activities aimed at improving readiness for school.

                   Object Classification (in millions of dollars)

    ----------------------------------------------------------------------------
    Identification code 75-1550-4-1-609      1999 actual   2000 est.   2001 est.
    ----------------------------------------------------------------------------
    25.1  Advisory and assistance services..                                   6
    41.0  Grants, subsidies, and
            contributions...................                                 594
                                               ---------   ---------  ----------
    99.9    Total new obligations...........                                 600
    ---------------------------------------------------------------------------

        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), in addition to amounts already appropriated for fiscal
    year 2001, $817,328,000; and to become available on October 1, [2000]
    2001 and remain available through September 30, [2001, $1,182,672,000]
    2002, $2,000,000,000: Provided, That of the funds appropriated for each
    of fiscal years 2001 and 2002, $19,120,000 shall be available for child
    care resource and referral and school-aged child care activities, of
    which $500,000 shall be for a toll-free child care services program
    hotline to be operated by Child Care Aware: Provided further, That of
    the funds [provided for fiscal year 2001, $172,672,000] appropriated for
    each of fiscal years 2001 and 2002, in addition to the amounts required
    to be reserved by the States under section 658G, $222,672,000 shall be
    reserved by the States for activities authorized under section 658G [of
    the Omnibus Budget Reconciliation Act of 1981 (The Child Care and
    Development Block Grant Act of 1990), such funds to be in addition to
    the amounts required to be reserved by the States under section 658G],
    of which $50,000,000 shall be for activities that improve the quality of
    infant and toddler child care: Provided further, That of the funds
    appropriated for each of fiscal years 2001 and 2002, $10,000,000 shall
    be for use by the Secretary for child care research, demonstration, and
    evaluation activities[: Provided further, That of the funds provided for
    fiscal year 2000 under Public Law 105-277, $500,000 shall be for a toll-
    free child care services program hotline to be operated by Child Care
    Aware]. (Department of Health and Human Services Appropriations Act,
    2000, as enacted by section 1000(a)(4) of the Consolidated
    Appropriations Act, 2000 (P.L. 106-113).)

                   Program and Financing (in millions of dollars)

    ----------------------------------------------------------------------------
    Identification code 75-1515-0-1-609      1999 actual   2000 est.   2001 est.
    ----------------------------------------------------------------------------

        Obligations by program activity:
    00.01 Block grant payments to States....         997       1,170       1,985
    00.02 Advisory and assistance services..           3           3           5
    00.03 Research and evaluation fund......                      10          10
                                               ---------   ---------  ----------
    10.00   Total new obligations...........       1,000       1,183       2,000
    ----------------------------------------------------------------------------

        Budgetary resources available for obligation:
    22.00 New budget authority (gross)......       1,000       1,183       2,000
    23.95 Total new obligations.............      -1,000      -1,183      -2,000
    ----------------------------------------------------------------------------

        New budget authority (gross), detail:
          Discretionary:

    40.00   Appropriation...................       1,000                     817
    55.00   Advance appropriation...........                   1,183       1,183
                                               ---------   ---------  ----------
    70.00   Total new budget authority
              (gross).......................       1,000       1,183       2,000
    ----------------------------------------------------------------------------

        Change in unpaid obligations:
    72.40 Unpaid obligations, start of year:
            Obligated balance, start of year         410         390         426
    73.10 Total new obligations.............       1,000       1,183       2,000
    73.20 Total outlays (gross).............      -1,032      -1,147      -1,720
    73.40 Adjustments in expired accounts
            (net)...........................          12
    74.40 Unpaid obligations, end of year:
            Obligated balance, end of year..         390         426         706
    ----------------------------------------------------------------------------

        Outlays (gross), detail:
    86.90 Outlays from new discretionary
            authority.......................         668         787       1,335

    [[Page 467]]

    86.93 Outlays from discretionary
            balances........................         364         360         385
                                               ---------   ---------  ----------
    87.00   Total outlays (gross)...........       1,032       1,147       1,720
    ----------------------------------------------------------------------------

        Net budget authority and outlays:
    89.00 Budget authority..................       1,000       1,183       2,000
    90.00 Outlays...........................       1,032       1,147       1,720
    ---------------------------------------------------------------------------

        This appropriation helps low-income families pay for child care and
    related services and supports grants to States for child care quality
    activities.

                   Object Classification (in millions of dollars)

    ----------------------------------------------------------------------------
    Identification code 75-1515-0-1-609      1999 actual   2000 est.   2001 est.
    ----------------------------------------------------------------------------
    25.1  Advisory and assistance services..           3           5           7
    41.0  Grants, subsidies, and
            contributions...................         997       1,178       1,993
                                               ---------   ---------  ----------
    99.9    Total new obligations...........       1,000       1,183       2,000
    ---------------------------------------------------------------------------

                           Social Services Block Grant

        [For making grants to States pursuant to section 2002 of the Social
    Security Act, $1,775,000,000: Provided, That notwithstanding section
    2003(c) of such Act, as amended, the amount specified for allocation
    under such section for fiscal year 2000 shall be $1,775,000,000.]
    (Department of Health and Human Services Appropriations Act, 2000, as
    enacted by section 1000(a)(4) of the Consolidated Appropriations Act,
    2000 (P.L. 106-113).)

                   Program and Financing (in millions of dollars)

    ----------------------------------------------------------------------------
    Identification code 75-1534-0-1-506      1999 actual   2000 est.   2001 est.
    ----------------------------------------------------------------------------

        Obligations by program activity:
    10.00 Total new obligations (object
            class 41.0).....................       1,909       1,775       1,700
    ----------------------------------------------------------------------------

        Budgetary resources available for obligation:
    22.00 New budget authority (gross)......       1,909       1,775       1,700
    23.95 Total new obligations.............      -1,909      -1,775      -1,700
    ----------------------------------------------------------------------------

        New budget authority (gross), detail:
          Mandatory:

    60.00   Appropriation...................       1,909       1,775       1,700
    ----------------------------------------------------------------------------

        Change in unpaid obligations:
    72.40 Unpaid obligations, start of year:
            Obligated balance, start of year       1,007         927       1,079
    73.10 Total new obligations.............       1,909       1,775       1,700
    73.20 Total outlays (gross).............      -1,993      -1,623      -1,932
    73.40 Adjustments in expired accounts
            (net)...........................           4                      -2
    74.40 Unpaid obligations, end of year:
            Obligated balance, end of year..         927       1,079         845
    ----------------------------------------------------------------------------

        Outlays (gross), detail:
    86.97 Outlays from new mandatory
            authority.......................       1,677       1,349       1,496
    86.98 Outlays from mandatory balances...         316         274         436
                                               ---------   ---------  ----------
    87.00   Total outlays (gross)...........       1,993       1,623       1,932
    ----------------------------------------------------------------------------

        Net budget authority and outlays:
    89.00 Budget authority..................       1,909       1,775       1,700
    90.00 Outlays...........................       1,993       1,623       1,932
    ---------------------------------------------------------------------------

                     Summary of Budget Authority and Outlays

                            (in millions of dollars)

                                         1999 actual  2000 est.   2001 est.
    Enacted/requested:
      Budget Authority..................       1,909       1,775       1,700
      Outlays...........................       1,993       1,623       1,932
    Legislative proposal, subject to
        PAYGO:
      Budget Authority..................                                  75
      Outlays...........................                                  66
                                        ------------------------------------
    Total:
      Budget Authority..................       1,909       1,775       1,775
      Outlays...........................       1,993       1,623       1,998
                                        ====================================

        Social services block grant.--The proposed level will support grants
    to States for social services.

                           Social Service Block Grant

                    (Legislative proposal, subject to PAYGO)

                   Program and Financing (in millions of dollars)

    ----------------------------------------------------------------------------
    Identification code 75-1534-4-1-506      1999 actual   2000 est.   2001 est.
    ----------------------------------------------------------------------------

        Obligations by program activity:
    10.00 Total new obligations (object
            class 41.0).....................                                  75
    ----------------------------------------------------------------------------

        Budgetary resources available for obligation:
    22.00 New budget authority (gross)......                                  75
    23.95 Total new obligations.............                                 -75
    ----------------------------------------------------------------------------

        New budget authority (gross), detail:
          Mandatory:

    60.00   Appropriation...................                                  75
    ----------------------------------------------------------------------------

        Change in unpaid obligations:
    72.40 Unpaid obligations, start of year:
            Obligated balance, start of year
    73.10 Total new obligations.............                                  75
    73.20 Total outlays (gross).............                                 -66
    74.40 Unpaid obligations, end of year:
            Obligated balance, end of year..                                   9
    ----------------------------------------------------------------------------

        Outlays (gross), detail:
    86.97 Outlays from new mandatory
            authority.......................                                  66
    ----------------------------------------------------------------------------

        Net budget authority and outlays:
    89.00 Budget authority..................                                  75
    90.00 Outlays...........................                                  66
    ---------------------------------------------------------------------------

        This proposal increases FY 2001 funding for the Social services
    block grant by $75 million for a total of $1,775 million. Of this
    amount, $25 million will be available to support second-chance homes for
    teen-age parents.

                     Children and Families Services Programs

                             (including rescissions)

        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, the Native American Programs Act of 1974, title II of
    Public Law 95-266 (adoption opportunities), the Adoption and Safe
    Families Act of 1997 (Public Law 105-89), the Abandoned Infants
    Assistance Act of 1988, part B(1) of title IV and sections 413, 429A,
    1110, and 1115 of the Social Security Act; for making payments under the
    Community Services Block Grant Act, section 473A of the Social Security
    Act, and title IV of Public Law 105-285; 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, section 5 of the Torture Victims
    Relief Act of 1998 (Public Law 105-320), sections 40155, 40211, and
    40241 of Public Law 103-322 and section 126 and titles IV and V of
    Public Law 100-485, [$6,734,133,000] $7,671,590,000, of which
    [$43,000,000] $41,791,000, to remain available until September 30,
    [2001] 2002, shall be for grants to States for adoption incentive
    payments, as authorized by section 473A of title IV of the Social
    Security Act (42 U.S.C. 670-679); of which [$587,065,000] $540,500,000
    shall be for making payments under the Community Services Block Grant
    Act; and of which [$5,267,000,000] $6,267,000,000 shall be for making
    payments under the Head Start Act, of which $1,400,000,000 shall become
    available October 1, [2000] 2001 and remain available through September
    30, [2001: Provided, That to the extent Community Services Block Grant
    funds are distributed as grant funds by a State to an eligible entity as
    provided under the Act, and have not been expended by such entity, they
    shall remain with such entity for carryover into the next fiscal year
    for expenditure by such entity consistent with program purposes:
    Provided further, That the Secretary shall establish procedures
    regarding the disposition of intangible property which permits grant
    funds, or intangible assets acquired with funds authorized under section
    680 of the Community Services Block Grant Act, as amended, to become the
    sole property

    [[Page 468]]

    of such grantees after a period of not more than 12 years after the end
    of the grant for purposes and uses consistent with the original grant:
    Provided further, That $1,700,000,000 of the amount provided for making
    payments under the Head Start Act is hereby designated by Congress as an
    emergency requirement pursuant to section 251(b)(2)(A) of the Balanced
    Budget and Emergency Deficit Control Act of 1985: Provided further, That
    such funds shall be available only if the President submits to the
    Congress one official budget request for $1,700,000,000 that includes
    designation of the entire amount as an emergency requirement pursuant to
    such section] 2002.
        [In addition, $101,000,000, to be derived from the Violent Crime
    Reduction Trust Fund for carrying out sections 40155, 40211, and 40241
    of Public Law 103-322.]
        [Funds appropriated for fiscal year 2000 under section 429A(e), part
    B of title IV of the Social Security Act shall be reduced by $6,000,000.
        Funds appropriated for fiscal year 2000 under section 413(h)(1) of
    the Social Security Act shall be reduced by $15,000,000.] (Department of
    Health and Human Services Appropriations Act, 2000, as enacted by
    section 1000(a)(4) of the Consolidated Appropriations Act, 2000 (P.L.
    106-113).)

                   Program and Financing (in millions of dollars)

    ----------------------------------------------------------------------------
    Identification code 75-1536-0-1-506      1999 actual   2000 est.   2001 est.
    ----------------------------------------------------------------------------

        Obligations by program activity:
    00.01 Head Start........................       4,658       3,867       6,267
          Social services programs:

            Children, youth, and families:
    01.03     Runaway and homeless youth....          44          44          44
    01.04     Runaway youth transitional
                living......................          15          21          21
    01.05     Strengthening of parent-
                adolescent relationships....                                  10
    01.07     Child abuse state grants......          21          21          21
    01.08     Child abuse discretionary
                grants......................          14          18          18
    01.09     Community based resource
                centers.....................          33          33          33
    01.11     Abandoned infants assistance..          12          12          12
    01.14     Child welfare services........         292         292         292
    01.15     Child welfare training........           7           7           7
    01.16     Adoption initiative...........          20          42          42
    01.17     Adoption opportunities........          25          27          27
    01.19     Family violence grants........                      17
    01.20     Social services and income
                maintenance research........          26          28           7
            Developmental disabilities:
    01.23     State grants..................          65          66          66
    01.24     Protection and advocacy.......          27          28          28
    01.25     Special projects..............          10          10          10
    01.26     University affiliated projects          17          18          18
    01.28   Native American programs........          36          35          44
                                               ---------   ---------  ----------
    01.91     Subtotal social services
                programs....................         664         719         701
    02.01 ACF Federal administration........         144         148         165
                                               ---------   ---------  ----------
    02.93   Total Head Start, social
              services programs, Federal
              administration................       5,466       4,734       7,132
          Community services programs:

    03.01   Community services block grants.         500         528         510
    03.03   Community food and nutrition....           5           6
    03.04   Community services discretionary          33          35           5
    03.05   National youth sports...........          15          15
    03.06 Individual development accounts...          10          10          25
                                               ---------   ---------  ----------
    03.91   Subtotal, community services....         563         594         540
                                               ---------   ---------  ----------
    04.00   Total direct programs...........       6,029       5,328       7,672
    09.01 Reimbursable program..............          14          14          14
                                               ---------   ---------  ----------
    10.00   Total new obligations...........       6,043       5,342       7,686
    ----------------------------------------------------------------------------

        Budgetary resources available for obligation:
    21.40 Unobligated balance available,
            start of year...................                       1
    22.00 New budget authority (gross)......       6,045       5,342       7,686
                                               ---------   ---------  ----------
    23.90   Total budgetary resources
              available for obligation......       6,045       5,343       7,686
    23.95 Total new obligations.............      -6,043      -5,342      -7,686
    23.98 Unobligated balance expiring or
            withdrawn.......................          -2
    24.40 Unobligated balance available, end
            of year.........................           1
    ----------------------------------------------------------------------------

        New budget authority (gross), detail:
          Discretionary:

    40.00   Appropriation...................       6,032       3,634       6,272
    40.15   Appropriation (emergency).......                   1,700
    40.75   Reduction pursuant to P.L. 106-
              51............................          -1
    40.76   Reduction pursuant to P.L. 106-
              113...........................                      -6
    41.00   Transferred to other accounts...          -2
                                               ---------   ---------  ----------
    43.00     Appropriation (total
                discretionary)..............       6,029       5,328       6,272
    55.00   Advance appropriation...........                               1,400
          Spending authority from offsetting
              collections:

    68.00   Offsetting collections (cash)...          20          14          14
    68.10   From Federal sources: Change in
              receivables and unpaid,
              unfilled orders...............          -4
                                               ---------   ---------  ----------
    68.90     Spending authority from
                offsetting collections
                (total discretionary).......          16          14          14
                                               ---------   ---------  ----------
    70.00   Total new budget authority
              (gross).......................       6,045       5,342       7,686
    ----------------------------------------------------------------------------

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

    72.40   Obligated balance, start of year       3,951       4,261       3,322
    72.95   From Federal sources:
              Receivables and unpaid,
              unfilled orders...............           4
                                               ---------   ---------  ----------
    72.99     Total unpaid obligations,
                start of year...............       3,955       4,261       3,322
    73.10 Total new obligations.............       6,043       5,342       7,686
    73.20 Total outlays (gross).............      -5,723      -6,228      -7,027
    73.40 Adjustments in expired accounts
            (net)...........................         -15         -53
          Unpaid obligations, end of year:

    74.40   Obligated balance, end of year..       4,261       3,322       3,981
    74.95   From Federal sources:
              Receivables and unpaid,
              unfilled orders...............
                                               ---------   ---------  ----------
    74.99     Total unpaid obligations, end
                of year.....................       4,261       3,322       3,981
    ----------------------------------------------------------------------------

        Outlays (gross), detail:
    86.90 Outlays from new discretionary
            authority.......................       2,442       2,668       4,106
    86.93 Outlays from discretionary
            balances........................       3,281       3,560       2,921
                                               ---------   ---------  ----------
    87.00   Total outlays (gross)...........       5,723       6,228       7,027
    ----------------------------------------------------------------------------

        Offsets:
          Against gross budget authority and outlays:

    88.00   Offsetting collections (cash)
              from: Federal sources.........         -20         -14         -14
          Against gross budget authority only:

    88.95   From Federal sources: Change in
              receivables and unpaid,
              unfilled orders...............           4
    ----------------------------------------------------------------------------

        Net budget authority and outlays:
    89.00 Budget authority..................       6,029       5,328       7,672
    90.00 Outlays...........................       5,703       6,214       7,013
    ---------------------------------------------------------------------------

        Head Start.--The proposed level will enable Head Start projects to
    continue comprehensive early childhood development services and is
    consistent with the President's goal to serve one million children by
    2002, including a doubling of the number of infants and toddlers in
    Early Head Start. The proposed level will allow Head Start to expand
    beyond the 2000 enrollment level of 880,000 slots, adding approximately
    60,000 pre-school slots and 10,000 Early Head Start slots in 2001, for
    total enrollment of nearly 950,000.

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

        Adoption incentive payments.--The proposed level includes almost $42
    million for bonus payments to States that increase the number of
    children adopted from the foster care system.

        Individual development accounts (IDAs).--The Administration will
    transmit legislation to allow low-income working families to use IDAs to
    save for a car that helps them get or keep a job.

    [[Page 469]]

                   Object Classification (in millions of dollars)

    ----------------------------------------------------------------------------
    Identification code 75-1536-0-1-506      1999 actual   2000 est.   2001 est.
    ----------------------------------------------------------------------------

          Direct obligations:

            Personnel compensation:
    11.1      Full-time permanent...........          90          94         104
    11.3      Other than full-time permanent           1           1           1
    11.5      Other personnel compensation..           1           1           1
                                               ---------   ---------  ----------
    11.9        Total personnel compensation          92          96         106
    12.1    Civilian personnel benefits.....          17          18          19
    21.0    Travel and transportation of
              persons.......................           2           3           4
    23.1    Rental payments to GSA..........          13          14          15
    23.3    Communications, utilities, and
              miscellaneous charges.........           2           2           2
    24.0    Printing and reproduction.......           1           2           2
    25.1    Advisory and assistance services          76          78          67
    25.2    Other services..................           3           4           5
    25.3    Purchases of goods and services
              from Government accounts......          22          16          17
    25.7    Operation and maintenance of
              equipment.....................                       1           1
    26.0    Supplies and materials..........           1                       1
    31.0    Equipment.......................           1                       1
    41.0    Grants, subsidies, and
              contributions.................       5,799       5,094       7,432
                                               ---------   ---------  ----------
    99.0      Subtotal, direct obligations..       6,029       5,328       7,672
    99.0  Reimbursable obligations..........          14          14          14
                                               ---------   ---------  ----------
    99.9    Total new obligations...........       6,043       5,342       7,686
    ---------------------------------------------------------------------------

                                  Personnel Summary

    ----------------------------------------------------------------------------
    Identification code 75-1536-0-1-506      1999 actual   2000 est.   2001 est.
    ----------------------------------------------------------------------------
        Direct:
    1001  Total compensable workyears: Full-
            time equivalent employment......       1,507       1,498       1,560
        Allocation account:
    3001  Total compensable workyears: Full-
            time equivalent employment......           2           2
    ---------------------------------------------------------------------------

                        Violent Crime Reduction Programs

        For activities authorized by sections 40155, 40211, and 40241 of
    Public Law 103-322, $134,074,000, to remain available until expended, of
    which $116,918,000 shall be for Family Violence (including Battered
    Women's Shelters); $14,999,000 for Education and Prevention grants to
    reduce sexual abuse of runaway, homeless and street youth; and
    $2,157,000 for the National Domestic Violence Hotline.

                   Program and Financing (in millions of dollars)

    ----------------------------------------------------------------------------
    Identification code 75-8605-0-1-754      1999 actual   2000 est.   2001 est.
    ----------------------------------------------------------------------------

        Obligations by program activity:
    00.01 Family violence/battered women's
            shelters and domestic violence
            hotline.........................          89          86         119
    00.02 Education and prevention grants to
            reduce sexual abuse of runaway,
            homeless and street youth.......          15          15          15
                                               ---------   ---------  ----------
    10.00   Total new obligations...........         104         101         134
    ----------------------------------------------------------------------------

        Budgetary resources available for obligation:
    22.00 New budget authority (gross)......         105         101         134
    23.95 Total new obligations.............        -104        -101        -134
    23.98 Unobligated balance expiring or
            withdrawn.......................          -1
    ----------------------------------------------------------------------------

        New budget authority (gross), detail:
          Discretionary:

    40.00   Appropriation...................                                 134
    42.00   Transferred from other accounts.         105         101
                                               ---------   ---------  ----------
    43.00     Appropriation (total
                discretionary)..............         105         101         134
    ----------------------------------------------------------------------------

        Change in unpaid obligations:
    72.40 Unpaid obligations, start of year:
            Obligated balance, start of year          82         116         114
    73.10 Total new obligations.............         104         101         134
    73.20 Total outlays (gross).............         -70        -103        -112
    74.40 Unpaid obligations, end of year:
            Obligated balance, end of year..         116         114         136
    ----------------------------------------------------------------------------

        Outlays (gross), detail:
    86.90 Outlays from new discretionary
            authority.......................          19          32          43
    86.93 Outlays from discretionary
            balances........................          51          71          69
                                               ---------   ---------  ----------
    87.00   Total outlays (gross)...........          70         103         112
    ----------------------------------------------------------------------------

        Net budget authority and outlays:
    89.00 Budget authority..................         105         101         134
    90.00 Outlays...........................          70         103         112
    ---------------------------------------------------------------------------

                   Object Classification (in millions of dollars)

    ----------------------------------------------------------------------------
    Identification code 75-8605-0-1-754      1999 actual   2000 est.   2001 est.
    ----------------------------------------------------------------------------
    25.1  Advisory and assistance services..           2           2           3
    41.0  Grants, subsidies, and
            contributions...................         102          99         131
                                               ---------   ---------  ----------
    99.9    Total new obligations...........         104         101         134
    ---------------------------------------------------------------------------

                  Children's Research and Technical Assistance

                   Program and Financing (in millions of dollars)

    ----------------------------------------------------------------------------
    Identification code 75-1553-0-1-609      1999 actual   2000 est.   2001 est.
    ----------------------------------------------------------------------------

        Obligations by program activity:
    00.01 Training and technical assistance.          13          15          12
    00.02 Federal parent locator service....          23          30          25
    00.03 Child welfare study...............                                   6
    00.04 Welfare research..................                                  15
    00.05 Evaluation of welfare to work.....           9
    00.06 Evaluation of abstinence education           3
    09.01 Reimbursable program..............           4           9          13
                                               ---------   ---------  ----------
    09.09   Reimbursable program--subtotal
              line..........................           4           9          13
                                               ---------   ---------  ----------
    10.00   Total new obligations...........          52          54          71
    ----------------------------------------------------------------------------

        Budgetary resources available for obligation:
    21.40 Unobligated balance available,
            start of year...................           3           8           2
    22.00 New budget authority (gross)......          56          48          71
    22.10 Resources available from
            recoveries of prior year
            obligations.....................           1
                                               ---------   ---------  ----------
    23.90   Total budgetary resources
              available for obligation......          60          56          73
    23.95 Total new obligations.............         -52         -54         -71
    24.40 Unobligated balance available, end
            of year.........................           8           2           2
    ----------------------------------------------------------------------------

        New budget authority (gross), detail:
          Mandatory:

    60.00   Appropriation...................          52          39          58
    69.00 Offsetting collections (cash).....           4           9          13
                                               ---------   ---------  ----------
    70.00   Total new budget authority
              (gross).......................          56          48          71
    ----------------------------------------------------------------------------

        Change in unpaid obligations:
    72.40 Unpaid obligations, start of year:
            Obligated balance, start of year          65          59          44
    73.10 Total new obligations.............          52          54          71
    73.20 Total outlays (gross).............         -57         -71         -68
    73.40 Adjustments in expired accounts
            (net)...........................           1
    73.45 Adjustments in unexpired accounts.          -1
    74.40 Unpaid obligations, end of year:
            Obligated balance, end of year..          59          44          47
    ----------------------------------------------------------------------------

        Outlays (gross), detail:
    86.97 Outlays from new mandatory
            authority.......................          42          32          33
    86.98 Outlays from mandatory balances...          15          39          35
                                               ---------   ---------  ----------
    87.00   Total outlays (gross)...........          57          71          68
    ----------------------------------------------------------------------------

        Offsets:
          Against gross budget authority and outlays:

    88.40   Offsetting collections (cash)
              from: Non-Federal sources.....          -4          -9         -13
    ----------------------------------------------------------------------------

        Net budget authority and outlays:
    89.00 Budget authority..................          52          39          58
    90.00 Outlays...........................          53          62          55
    ---------------------------------------------------------------------------

                     Summary of Budget Authority and Outlays

                            (in millions of dollars)

                                         1999 actual  2000 est.   2001 est.
    Enacted/requested:
      Budget Authority..................          52          39          58

    [[Page 470]]

      Outlays...........................          53          62          55
    Legislative proposal, subject to
        PAYGO:
      Budget Authority..................                                   1
      Outlays...........................                                   3
                                        ------------------------------------
    Total:
      Budget Authority..................          52          39          59
      Outlays...........................          53          62          58
                                        ====================================

        This account provides funding for research and technical assistance
    activities established in P.L. 104-193. Amounts for child welfare study
    and welfare research are in addition to research amounts in the Children
    and families services program account.

                   Object Classification (in millions of dollars)

    ----------------------------------------------------------------------------
    Identification code 75-1553-0-1-609      1999 actual   2000 est.   2001 est.
    ----------------------------------------------------------------------------

          Direct obligations:

    21.0    Travel and transportation of
              persons.......................           1           1           1
    23.1    Rental payments to GSA..........                       1           1
    23.3    Communications, utilities, and
              miscellaneous charges.........           1           1           1
    24.0    Printing and reproduction.......           1           1           1
    25.1    Advisory and assistance services           3           5          13
    25.2    Other services..................          11          14          11
    25.3    Purchases of goods and services
              from Government accounts......          26          15          14
    25.7    Operation and maintenance of
              equipment.....................           1           1           1
    26.0    Supplies and materials..........           1           1           1
    31.0    Equipment.......................           1           1           1
    41.0    Grants, subsidies, and
              contributions.................           2           4          13
                                               ---------   ---------  ----------
    99.0      Subtotal, direct obligations..          48          45          58
    99.0  Reimbursable obligations..........           4           9          13
                                               ---------   ---------  ----------
    99.9    Total new obligations...........          52          54          71
    ---------------------------------------------------------------------------

                  Children's Research and Technical Assistance

                    (Legislative proposal, subject to PAYGO)

                   Program and Financing (in millions of dollars)

    ----------------------------------------------------------------------------
    Identification code 75-1553-4-1-609      1999 actual   2000 est.   2001 est.
    ----------------------------------------------------------------------------

        Obligations by program activity:
    00.02 Federal parent locator service....                                   3
                                               ---------   ---------  ----------
    10.00   Total new obligations...........                                   3
    ----------------------------------------------------------------------------

        Budgetary resources available for obligation:
    21.40 Unobligated balance available,
            start of year...................                                   2
    22.00 New budget authority (gross)......                                   1
                                               ---------   ---------  ----------
    23.90   Total budgetary resources
              available for obligation......                                   3
    23.95 Total new obligations.............                                  -3
    24.40 Unobligated balance available, end
            of year.........................                       2
    ----------------------------------------------------------------------------

        New budget authority (gross), detail:
          Mandatory:

    60.00   Appropriation...................                                   1
    ----------------------------------------------------------------------------

        Change in unpaid obligations:
    72.40 Unpaid obligations, start of year:
            Obligated balance, start of year
    73.10 Total new obligations.............                                   3
    73.20 Total outlays (gross).............                                  -3
    ----------------------------------------------------------------------------

        Outlays (gross), detail:
    86.97 Outlays from new mandatory
            authority.......................                                   1
    86.98 Outlays from mandatory balances...                                   2
                                               ---------   ---------  ----------
    87.00   Total outlays (gross)...........                                   3
    ----------------------------------------------------------------------------

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

        The legislative proposals for the child support enforcement program
    impact this account by changing the estimated funding levels for child
    support training and technical assistance and the Federal parent locator
    service. In addition, these proposals increase Federal administrative
    costs.

                   Object Classification (in millions of dollars)

    ----------------------------------------------------------------------------
    Identification code 75-1553-4-1-609      1999 actual   2000 est.   2001 est.
    ----------------------------------------------------------------------------
    25.2  Other services....................                                   1
    31.0  Equipment.........................                                   2
                                               ---------   ---------  ----------
    99.9    Total new obligations...........                                   3
    ---------------------------------------------------------------------------

           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, [$4,307,300,000] $4,863,100,000.
    [of which $105,000,000 shall be for making payments under sections 470
    and 477 of title IV-E of the Social Security Act;]
        For making payments to States or other non-Federal entities under
    title IV-E of the Social Security Act, for the first quarter of fiscal
    year [2001, $1,538,000,000] 2002, $1,735,900,000. (Department of Health
    and Human Services Appropriations Act, 2000, as enacted by section
    1000(a)(4) of the Consolidated Appropriations Act, 2000 (P.L. 106-113).)

                   Program and Financing (in millions of dollars)

    ----------------------------------------------------------------------------
    Identification code 75-1545-0-1-506      1999 actual   2000 est.   2001 est.
    ----------------------------------------------------------------------------

        Obligations by program activity:
    00.01 Foster care.......................       3,982       4,537       5,063
    00.02 Independent living................          70         105         140
    00.03 Adoption assistance...............         826       1,020       1,198
                                               ---------   ---------  ----------
    10.00   Total new obligations (object
              class 41.0)...................       4,878       5,662       6,401
    ----------------------------------------------------------------------------

        Budgetary resources available for obligation:
    22.00 New budget authority (gross)......       4,922       5,662       6,401
    23.95 Total new obligations.............      -4,878      -5,662      -6,401
    23.98 Unobligated balance expiring or
            withdrawn.......................         -43
    ----------------------------------------------------------------------------

        New budget authority (gross), detail:
          Mandatory:

    60.00   Appropriation...................       3,764       4,307       4,863
    65.00   Advance appropriation...........       1,158       1,355       1,538
                                               ---------   ---------  ----------
    70.00   Total new budget authority
              (gross).......................       4,922       5,662       6,401
    ----------------------------------------------------------------------------

        Change in unpaid obligations:
    72.40 Unpaid obligations, start of year:
            Obligated balance, start of year         688         853       1,025
    73.10 Total new obligations.............       4,878       5,662       6,401
    73.20 Total outlays (gross).............      -4,707      -5,490      -6,272
    73.40 Adjustments in expired accounts
            (net)...........................          -6
    74.40 Unpaid obligations, end of year:
            Obligated balance, end of year..         853       1,025       1,153
    ----------------------------------------------------------------------------

        Outlays (gross), detail:
    86.97 Outlays from new mandatory
            authority.......................       4,231       4,911       5,596
    86.98 Outlays from mandatory balances...         476         579         676
                                               ---------   ---------  ----------
    87.00   Total outlays (gross)...........       4,707       5,490       6,272
    ----------------------------------------------------------------------------

        Net budget authority and outlays:
    89.00 Budget authority..................       4,922       5,662       6,401
    90.00 Outlays...........................       4,707       5,490       6,272
    ---------------------------------------------------------------------------

                     Summary of Budget Authority and Outlays

                            (in millions of dollars)

                                         1999 actual  2000 est.   2001 est.
    Enacted/requested:
      Budget Authority..................       4,922       5,662       6,401
      Outlays...........................       4,707       5,490       6,272
    Supplemental proposal:
      Budget Authority..................                      35

    [[Page 471]]

      Outlays...........................                       5          21
    Legislative proposal, subject to
        PAYGO:
      Budget Authority..................                                   5
      Outlays...........................                                   1
                                        ------------------------------------
    Total:
      Budget Authority..................       4,922       5,697       6,406
      Outlays...........................       4,707       5,495       6,294
                                        ====================================

        Foster care.--The proposed level will support eligible low-income
    children who must be placed outside the home. An average of 341,700
    children per month will be served in 2001.

        Adoption assistance.--The proposed funding level will support
    subsidies for families adopting eligible low-income children with
    special needs. An average of 256,400 children per month will be served
    in 2001.

           Payments to States for Foster Care and Adoption Assistance

                    (Legislative proposal, subject to PAYGO)

                   Program and Financing (in millions of dollars)

    ----------------------------------------------------------------------------
    Identification code 75-1545-4-1-506      1999 actual   2000 est.   2001 est.
    ----------------------------------------------------------------------------

        Obligations by program activity:
    00.01 Foster care.......................                                   5
                                               ---------   ---------  ----------
    10.00   Total new obligations (object
              class 41.0)...................                                   5
    ----------------------------------------------------------------------------

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

        New budget authority (gross), detail:
          Mandatory:

    60.00   Appropriation...................                                   5
    ----------------------------------------------------------------------------

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

        Outlays (gross), detail:
    86.97 Outlays from new mandatory
            authority.......................                                   1
    ----------------------------------------------------------------------------

        Net budget authority and outlays:
    89.00 Budget authority..................                                   5
    90.00 Outlays...........................                                   1
    ---------------------------------------------------------------------------

        This proposal supports a five-year project to enhance Tribal
    management of child welfare services.

                             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 398 of the Public Health
    Service Act, [$934,285,000: Provided, That notwithstanding section
    308(b)(1) of the Older Americans Act of 1965, as amended, the amounts
    available to each State for administration of the State plan under title
    III of such Act shall be reduced not more than 5 percent below the
    amount that was available to such State for such purpose for fiscal year
    1995:] $1,083,619,000, of which not less than $125,000,000 shall be for
    an expanded focus on respite and other assistance for families of
    vulnerable elderly, as authorized by section 341 of the Older Americans
    Act: Provided [further], That in considering grant applications for
    nutrition services for elder Indian recipients, the Assistant Secretary
    shall provide maximum flexibility to applicants who seek to take into
    account subsistence, local customs, and other characteristics that are
    appropriate to the unique cultural, regional, and geographic needs of
    the American Indian, Alaska and Hawaiian Native communities to be
    served. (Department of Health and Human Services Appropriations Act,
    2000, as enacted by section 1000(a)(4) of the Consolidated
    Appropriations Act, 2000 (P.L. 106-113).)

                   Program and Financing (in millions of dollars)

    ----------------------------------------------------------------------------
    Identification code 75-0142-0-1-506      1999 actual   2000 est.   2001 est.
    ----------------------------------------------------------------------------

        Obligations by program activity:
    01.01 Supportive services and centers...         300         310         450
    01.02 Preventive health.................          16          16          16
    01.05 Congregate meals..................         374         374         374
    01.06 Home-delivered meals..............         112         147         147
    01.07 In home services for the frail
            elderly.........................          10
    01.08 Grants to Indian tribes...........          18          18          23
    01.09 State and local innovations and
            projects of national
            significance....................          18          32          36
    01.10 Federal administration............          15          17          17
    01.13 Alzheimer's disease demonstration
            grants to States................           6           6           6
    01.14 Grants to States for the
            protection of vulnerable older
            Americans.......................          12          13          13
                                               ---------   ---------  ----------
    10.00   Total new obligations...........         882         933       1,084
    ----------------------------------------------------------------------------

        Budgetary resources available for obligation:
    22.00 New budget authority (gross)......         882         933       1,084
    23.95 Total new obligations.............        -882        -933      -1,084
    ----------------------------------------------------------------------------

        New budget authority (gross), detail:
          Discretionary:

    40.00   Appropriation...................         882         934       1,084
    40.76   Reduction pursuant to P.L. 106-
              113...........................                      -1
                                               ---------   ---------  ----------
    43.00     Appropriation (total
                discretionary)..............         882         933       1,084
    ----------------------------------------------------------------------------

        Change in unpaid obligations:
    72.40 Unpaid obligations, start of year:
            Obligated balance, start of year         259         260         307
    73.10 Total new obligations.............         882         933       1,084
    73.20 Total outlays (gross).............        -879        -887      -1,020
    73.40 Adjustments in expired accounts
            (net)...........................
    74.40 Unpaid obligations, end of year:
            Obligated balance, end of year..         260         307         371
    ----------------------------------------------------------------------------

        Outlays (gross), detail:
    86.90 Outlays from new discretionary
            authority.......................         639         649         745
    86.93 Outlays from discretionary
            balances........................         240         237         275
                                               ---------   ---------  ----------
    87.00   Total outlays (gross)...........         879         887       1,020
    ----------------------------------------------------------------------------

        Net budget authority and outlays:
    89.00 Budget authority..................         882         933       1,084
    90.00 Outlays...........................         879         887       1,020
    ---------------------------------------------------------------------------

        Administration on Aging.--The proposed level will provide continued
    funding for core formula grant programs that provide nutrition and
    supportive services through the aging network. Funding will also support
    an expanded focus on respite and other assistance for families of
    vulnerable elderly as authorized by section 341 of the Older Americans
    Act. These programs and the State and local innovations and projects of
    national significance are part of a comprehensive system of support for
    older people and their families.

                   Object Classification (in millions of dollars)

    ----------------------------------------------------------------------------
    Identification code 75-0142-0-1-506      1999 actual   2000 est.   2001 est.
    ----------------------------------------------------------------------------
    11.1  Personnel compensation: Full-time
            permanent.......................           8          10          11
    12.1  Civilian personnel benefits.......           1           2           2
    23.1  Rental payments to GSA............           1           1           1
    25.2  Other services....................           5           5           6
    41.0  Grants, subsidies, and
            contributions...................         867         915       1,064
                                               ---------   ---------  ----------
    99.9    Total new obligations...........         882         933       1,084
    ---------------------------------------------------------------------------

    [[Page 472]]

                                  Personnel Summary

    ----------------------------------------------------------------------------
    Identification code 75-0142-0-1-506      1999 actual   2000 est.   2001 est.
    ----------------------------------------------------------------------------
        Direct:
    1001  Total compensable workyears: Full-
            time equivalent employment......         116         142         154
        Allocation account:
    3001  Total compensable workyears: Full-
            time equivalent employment......           4           5          13
    ---------------------------------------------------------------------------

                             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 sedans, and for carrying
    out titles III, XVII, and XX of the Public Health Service Act, and the
    United States-Mexico Border Health Commission Act, [$227,051,000, of
    which $20,000,000 shall become available on October 1, 2000, and shall
    remain available until September 30, 2001] $223,741,000, together with
    $5,851,000, 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: Provided, That
    [$450,000 shall be for a contract with the National Academy of Sciences
    to conduct a study of the proposed tuberculosis standard promulgated by
    the Occupational Safety and Health Administration: Provided further,
    That said contract shall be awarded not later than 60 days after the
    enactment of this Act: Provided further, That said study shall be
    submitted to the Congress not later than 12 months after award of the
    contract: Provided further, That of the funds made available under this
    heading for carrying out title XX of the Public Health Service Act,
    $10,569,000 shall be for activities specified under section 2003(b)(2),
    of which $9,131,000 shall be for prevention service demonstration grants
    under section 510(b)(2) of title V of the Social Security Act, as
    amended, without application of the limitation of section 2010(c) of
    said title XX: Provided further, That $500,000 shall be available to the
    Office of the Surgeon General, within the Office of Public Health and
    Science, to prepare and disseminate the findings of the Surgeon
    General's report on youth violence, and to coordinate activities across
    the Department of Health and Human Services: Provided further, That the
    Secretary may transfer a portion of such funds to other Federal entities
    for youth violence prevention coordination activities: Provided further,
    That $2,000,000 shall be available to the Lawton Chiles Foundation]
    $20,000,000 appropriated under this heading in Public Law 106-113, to
    become available October 1, 2000, are hereby rescinded. (Department of
    Health and Human Services Appropriations Act, 2000, as enacted by
    section 1000(a)(4) of the Consolidated Appropriations Act, 2000 (P.L.
    106-113).)

                             Office for Civil Rights

        For expenses necessary for the Office for Civil Rights,
    [$18,838,000] $20,742,000, together with not to exceed $3,314,000, 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. (Department of Health and
    Human Services Appropriations Act, 2000, as enacted by section
    1000(a)(4) of the Consolidated Appropriations Act, 2000 (P.L. 106-113).)

                                 Policy Research

        For carrying out, to the extent not otherwise provided, research
    studies under section 1110 of the Social Security Act, [$17,000,000]
    $16,738,000. (Department of Health and Human Services Appropriations
    Act, 2000, as enacted by section 1000(a)(4) of the Consolidated
    Appropriations Act, 2000 (P.L. 106-113).)

                Public Health and Social Services Emergency Fund

        For public health and social services, $264,600,000, of which
    $208,600,000 is for expenses necessary to support activities related to
    countering potential biological, disease and chemical threats to
    civilian populations[, $214,600,000]: Provided, That this amount is
    distributed as follows: Centers for Disease Control and Prevention,
    [$155,000,000, of which $30,000,000 shall be for the Health Alert
    Network, $1,000,000 shall be for the Carnegie Mellon Research Institute,
    $1,000,000 shall be for the St. Louis University School of Public
    Health, $1,000,000 shall be for the University of Texas Medical Branch
    at Galveston, $1,000,000 shall be for the Noble Army Hospital of Alabama
    bioterrorism program and $1,000,000 shall be for the Johns Hopkins
    University Center for Civilian Biodefense] $148,500,000; Office of the
    Secretary, $30,000,000; [Agency for Health Care Policy and Research,
    $5,000,000,] and Office of Emergency Preparedness, [$24,600,000. In
    addition, for expenses necessary for the portion of the Global Health
    Initiative conducted by the Centers for Disease Control and Prevention,
    $69,000,000: Provided further, That this amount is distributed as
    follows: $35,000,000 shall be for international HIV/AIDS programs,
    $9,000,000 shall be for malaria programs, $5,000,000 shall be for global
    micronutrient malnutrition programs and $20,000,000 shall be for
    carrying out polio eradication activities. In addition, $150,000,000 for
    carrying out the Department's Year 2000 computer conversion activities,
    $5,000,000 for the environmental health laboratory at the Centers for
    Disease Control and Prevention, $50,000,000] $30,100,000: Provided
    further, That $50,000,000 of this amount is for minority AIDS prevention
    and treatment activities[, $20,000,000 for the National Institutes of
    Health challenge grant program, and $75,000,000 to support the Ricky Ray
    Hemophilia Relief Fund Act of 1998: Provided further, That
    notwithstanding any other provision of law, up to $10,000,000 of the
    amount provided for the Ricky Ray Hemophilia Relief Fund Act may be
    available for administrative expenses: Provided further, That the entire
    amount under this heading is hereby designated by the Congress to be
    emergency requirements pursuant to section 251(b)(2)(A) of the Balanced
    Budget and Emergency Deficit Control Act of 1985, as amended: Provided
    further, That the entire amount under this heading shall be made
    available only after submission to the 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 the Balanced
    Budget and Emergency Deficit Control Act of 1985, as amended: Provided
    further, That no funds shall be obligated until the Department of Health
    and Human Services submits an operating plan to the House and Senate
    Committees on Appropriations]. (Department of Health and Human Services
    Appropriations Act, 2000, as enacted by section 1000(a)(4) of the
    Consolidated Appropriations Act, 2000 (P.L. 106-113).)

                   Program and Financing (in millions of dollars)

    ----------------------------------------------------------------------------
    Identification code 75-9912-0-1-551      1999 actual   2000 est.   2001 est.
    ----------------------------------------------------------------------------

        Obligations by program activity:
          Direct activities:

    00.01   General departmental management.         196         205         230
    00.02   Office for Civil Rights.........          21          22          24
    00.03   Policy research.................          14          17          17
    00.04   Public health and social
              services emergency fund.......         465         688         265
    09.01 Reimbursable program..............          98          98         103
                                               ---------   ---------  ----------
    10.00   Total new obligations...........         794       1,030         639
    ----------------------------------------------------------------------------

        Budgetary resources available for obligation:
    21.40 Unobligated balance available,
            start of year...................          21         105
    22.00 New budget authority (gross)......         881         925         637
    22.10 Resources available from
            recoveries of prior year
            obligations.....................           2
    22.21 Unobligated balance transferred to
            other accounts..................
                                               ---------   ---------  ----------
    23.90   Total budgetary resources
              available for obligation......         904       1,030         637
    23.95 Total new obligations.............        -794      -1,030        -639
    23.98 Unobligated balance expiring or
            withdrawn.......................          -5
    24.40 Unobligated balance available, end
            of year.........................         105
    ----------------------------------------------------------------------------

        New budget authority (gross), detail:
          Discretionary:

    40.00   Appropriation...................         221         826         526
    40.15   Appropriation (emergency).......         217
    40.75   Reduction pursuant to P.L. 106-
              51............................          -1
    40.76   Reduction pursuant to P.L. 106-
              113...........................                      -2
    41.00   Transferred to other accounts...          -1
    42.00   Transferred from other accounts.         337
                                               ---------   ---------  ----------
    43.00     Appropriation (total
                discretionary)..............         773         824         526
    55.00   Advance appropriation...........                                  20
    55.35   Advance appropriation rescinded.                                 -20
                                               ---------   ---------  ----------

    [[Page 473]]

    55.90     Advance appropriation (total
                discretionary)..............
          Spending authority from offsetting
              collections:

    68.00   Offsetting collections (cash)...         106         101         111
    68.10   From Federal sources: Change in
              receivables and unpaid,
              unfilled orders...............           2
                                               ---------   ---------  ----------
    68.90     Spending authority from
                offsetting collections
                (total discretionary).......         109         101         111
                                               ---------   ---------  ----------
    70.00   Total new budget authority
              (gross).......................         881         925         637
    ----------------------------------------------------------------------------

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

    72.40   Obligated balance, start of year         191         514         638
    72.95   From Federal sources:
              Receivables and unpaid,
              unfilled orders...............         109         111         111
                                               ---------   ---------  ----------
    72.99     Total unpaid obligations,
                start of year...............         300         625         749
    73.10 Total new obligations.............         794       1,030         639
    73.20 Total outlays (gross).............        -449        -906        -618
    73.40 Adjustments in expired accounts
            (net)...........................         -17
    73.45 Adjustments in unexpired accounts.          -2
          Unpaid obligations, end of year:

    74.40   Obligated balance, end of year..         514         638         659
    74.95   From Federal sources:
              Receivables and unpaid,
              unfilled orders...............         111         111         111
                                               ---------   ---------  ----------
    74.99     Total unpaid obligations, end
                of year.....................         625         749         770
    ----------------------------------------------------------------------------

        Outlays (gross), detail:
    86.90 Outlays from new discretionary
            authority.......................         363         508         285
    86.93 Outlays from discretionary
            balances........................          86         398         333
                                               ---------   ---------  ----------
    87.00   Total outlays (gross)...........         449         906         618
    ----------------------------------------------------------------------------

        Offsets:
          Against gross budget authority and outlays:

    88.00   Offsetting collections (cash)
              from: Federal sources.........        -106        -101        -111
          Against gross budget authority only:

    88.95   From Federal sources: Change in
              receivables and unpaid,
              unfilled orders...............          -2
    ----------------------------------------------------------------------------

        Net budget authority and outlays:
    89.00 Budget authority..................         773         824         526
    90.00 Outlays...........................         343         805         507
    ---------------------------------------------------------------------------

                              [Dollars in millions]

                                         1999 actual  2000 est.   2001 est.
    Distribution of budget authority by
        account:
      General departmental management...         193         206         224
      Office for Civil Rights...........          17          19          21
      Policy research...................          14          17          17
      Public Health and Social Services
        Emergency Fund..................         547         583         265
        Year 2000 computer conversion...         324         150           0
        Bioterrorism....................         140         214         209
        Minority AIDS...................          50          50          50
        Other...........................          33         169           6
    Distribution of outlays by account:
      General departmental management...         179         182         213
      Office for Civil Rights...........          18          21          24
      Policy research...................          15          13          16
      Public Health and Social Services
        Emergency Fund..................         131         589         254

        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; and support
    research to develop policy initiatives and improve existing HHS
    programs. DM also includes the activities of the Office of Public Health
    and Science, including adolescent family life, disease prevention and
    health promotion, physical fitness and sports, minority health, research
    integrity, women's health, and emergency preparedness. 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.

        The Public health and social services emergency fund supports two
    main activities: preparing for and responding to the medical and public
    health consequences of potential bioterrorist events and minority AIDS
    prevention and treatment. In FY 2000 it also supported Year 2000
    computer conversion activities and some activities that are being
    requested within HHS operating divisions in FY 2001.

                   Object Classification (in millions of dollars)

    ----------------------------------------------------------------------------
    Identification code 75-9912-0-1-551      1999 actual   2000 est.   2001 est.
    ----------------------------------------------------------------------------

          Direct obligations:

            Personnel compensation:
    11.1      Full-time permanent...........          80          93         102
    11.3      Other than full-time permanent           6           7           8
    11.5      Other personnel compensation..           2           2           2
                                               ---------   ---------  ----------
    11.9        Total personnel compensation          88         102         112
    12.1    Civilian personnel benefits.....          18          21          23
    21.0    Travel and transportation of
              persons.......................           3           4           4
    23.1    Rental payments to GSA..........          11          13          14
    23.3    Communications, utilities, and
              miscellaneous charges.........           4           4           4
    24.0    Printing and reproduction.......           1           1           1
    25.1    Advisory and assistance services           7           1           1
    25.2    Other services..................          36          34          51
    25.3    Purchases of goods and services
              from Government accounts......          28          23          27
    25.4    Operation and maintenance of
              facilities....................           4           3           3
    25.5    Research and development
              contracts.....................           2          35          34
    25.7    Operation and maintenance of
              equipment.....................           3           5           5
    26.0    Supplies and materials..........           3           4           4
    31.0    Equipment.......................           4           6           7
    41.0    Grants, subsidies, and
              contributions.................          49         101          41
                                               ---------   ---------  ----------
    99.0      Subtotal, direct obligations..         261         357         331
    99.0  Reimbursable obligations..........          98          98         103
          Allocation Account:

            Personnel compensation:
    11.1      Full-time permanent...........          17          17           9
    11.3      Other than full-time permanent                       2
    11.5      Other personnel compensation..                       1
                                               ---------   ---------  ----------
    11.9        Total personnel compensation          17          20           9
    12.1    Civilian personnel benefits.....           7           6           2
    21.0    Travel and transportation of
              persons.......................           3           5           1
    22.0    Transportation of things........                       1
    23.1    Rental payments to GSA..........                       2           2
    23.3    Communications, utilities, and
              miscellaneous charges.........           4          12
    24.0    Printing and reproduction.......           1           4
    25.1    Advisory and assistance services          12           1
    25.2    Other services..................         125         220          65
    25.3    Purchases of goods and services
              from Government accounts......           4
    25.5    Research and development
              contracts.....................           7           2           2
    25.6    Medical care....................          54         154
    25.7    Operation and maintenance of
              equipment.....................          18
    26.0    Supplies and materials..........           1           2           1
    31.0    Equipment.......................          49          10           8
    41.0    Grants, subsidies, and
              contributions.................         133         136         115
                                               ---------   ---------  ----------
    99.0      Subtotal, allocation account..         435         575         205
                                               ---------   ---------  ----------
    99.9    Total new obligations...........         794       1,030         639
    ---------------------------------------------------------------------------

                                  Personnel Summary

    ----------------------------------------------------------------------------
    Identification code 75-9912-0-1-551      1999 actual   2000 est.   2001 est.
    ----------------------------------------------------------------------------
        Direct:
    1001  Total compensable workyears: Full-
            time equivalent employment......       1,250       1,412       1,498
        Reimbursable:
    2001  Total compensable workyears: Full-
            time equivalent employment......         177         184         201
        Allocation account:
    3001  Total compensable workyears: Full-
            time equivalent employment......          56          63          66
    ---------------------------------------------------------------------------

                    Allocations Received From Other Accounts

        Note.--Obligations incurred under allocations from other accounts
    are included in the schedules of the parent appropriation as follows:
    Health Care Financing Administration: ``Health Care Fraud and Abuse
    Control Account.''

    [[Page 474]]

                             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, for payments under the
    Retired Serviceman's Family Protection Plan and Survivor Benefit Plan,
    for medical care of dependents and retired personnel under 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.
    (Department of Health and Human Services Appropriations Act, 2000, as
    enacted by section 1000(a)(4) of the Consolidated Appropriations Act,
    2000 (P.L. 106-113).)

                   Program and Financing (in millions of dollars)

    ----------------------------------------------------------------------------
    Identification code 75-0379-0-1-551      1999 actual   2000 est.   2001 est.
    ----------------------------------------------------------------------------

        Obligations by program activity:
    00.01 Retirement payments...............         159         172         176
    00.02 Survivors' benefits...............          12          12          12
    00.03 Medical care......................          29          30          31
    00.04 Military service credits..........           2           1           1
                                               ---------   ---------  ----------
    10.00   Total new obligations...........         202         215         220
    ----------------------------------------------------------------------------

        Budgetary resources available for obligation:
    22.00 New budget authority (gross)......         202         215         220
    23.95 Total new obligations.............        -202        -215        -220
    ----------------------------------------------------------------------------

        New budget authority (gross), detail:
          Mandatory:

    60.05   Appropriation (indefinite)......         202         215         220
    ----------------------------------------------------------------------------

        Change in unpaid obligations:
    72.40 Unpaid obligations, start of year:
            Obligated balance, start of year          23          23          23
    73.10 Total new obligations.............         202         215         220
    73.20 Total outlays (gross).............        -202        -213        -219
    74.40 Unpaid obligations, end of year:
            Obligated balance, end of year..          23          23          24
    ----------------------------------------------------------------------------

        Outlays (gross), detail:
    86.97 Outlays from new mandatory
            authority.......................         184         197         201
    86.98 Outlays from mandatory balances...          18          18          18
                                               ---------   ---------  ----------
    87.00   Total outlays (gross)...........         202         213         219
    ----------------------------------------------------------------------------

        Net budget authority and outlays:
    89.00 Budget authority..................         202         215         220
    90.00 Outlays...........................         202         213         219
    ---------------------------------------------------------------------------

        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      1999 actual   2000 est.   2001 est.
    ----------------------------------------------------------------------------
    13.0  Benefits for former personnel.....         171         184         188
    25.2  Other services....................          29          30          31
    25.3  Purchases of goods and services
            from Government accounts........           2           1           1
                                               ---------   ---------  ----------
    99.9    Total new obligations...........         202         215         220
    ---------------------------------------------------------------------------

                             Health Activities Funds

                   Program and Financing (in millions of dollars)

    ----------------------------------------------------------------------------
    Identification code 75-9913-0-1-552      1999 actual   2000 est.   2001 est.
    ----------------------------------------------------------------------------

        Change in unpaid obligations:
    72.40 Unpaid obligations, start of year:
            Obligated balance, start of year          10          10          10
    74.40 Unpaid obligations, end of year:
            Obligated balance, end of year..          10          10          10
    ----------------------------------------------------------------------------

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

        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 75-9941-0-4-551      1999 actual   2000 est.   2001 est.
    ----------------------------------------------------------------------------

        Obligations by program activity:
    09.01 Program support center............         307         311         326
    09.02 Federal employee occupational
            health..........................          85          93         101
    09.03 OS activities.....................           7           7           7
                                               ---------   ---------  ----------
    10.00   Total new obligations...........         399         411         434
    ----------------------------------------------------------------------------

        Budgetary resources available for obligation:
    21.40 Unobligated balance available,
            start of year...................          35          57          57
    22.00 New budget authority (gross)......         421         411         434
                                               ---------   ---------  ----------
    23.90   Total budgetary resources
              available for obligation......         456         468         491
    23.95 Total new obligations.............        -399        -411        -434
    24.40 Unobligated balance available, end
            of year.........................          57          57          57
    ----------------------------------------------------------------------------

        New budget authority (gross), detail:
          Mandatory:

    69.00   Offsetting collections (cash)...         376         411         434
    69.10   From Federal sources: Change in
              receivables and unpaid,
              unfilled orders...............          45
                                               ---------   ---------  ----------
    69.90     Spending authority from
                offsetting collections
                (total mandatory)...........         421         411         434
    ----------------------------------------------------------------------------

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

    72.40   Obligated balance, start of year         -41        -108        -108
    72.95   From Federal sources:
              Receivables and unpaid,
              unfilled orders...............         218         263         263
                                               ---------   ---------  ----------
    72.99     Total unpaid obligations,
                start of year...............         177         155         155
    73.10 Total new obligations.............         399         411         434
    73.20 Total outlays (gross).............        -421        -411        -434
          Unpaid obligations, end of year:

    74.40   Obligated balance, end of year..        -108        -108        -108
    74.95   From Federal sources:
              Receivables and unpaid,
              unfilled orders...............         263         263         263
                                               ---------   ---------  ----------
    74.99     Total unpaid obligations, end
                of year.....................         155         155         155
    ----------------------------------------------------------------------------

        Outlays (gross), detail:
    86.97 Outlays from new mandatory
            authority.......................         421         411         434
    ----------------------------------------------------------------------------

        Offsets:
          Against gross budget authority and outlays:

    88.00   Offsetting collections (cash)
              from: Federal sources.........        -376        -411        -434
          Against gross budget authority only:

    88.95   From Federal sources: Change in
              receivables and unpaid,
              unfilled orders...............         -45
    ----------------------------------------------------------------------------

        Net budget authority and outlays:
    89.00 Budget authority..................
    90.00 Outlays...........................          44
    ---------------------------------------------------------------------------

        The HHS Service and supply fund (SSF) provides common centralized
    services to HHS components. The Program support center (PSC) line
    includes activities such as personnel and payroll administration,
    financial management operations, and a wide array of administrative
    services, including acquisitions management, building and property
    management, and technical support. The Office of the Secretary (OS)
    activities line includes the fund manager, departmental contracts and

    [[Page 475]]

    grants, audit resolution, OS graphics, and the regional health
    administrators. The Federal employee occupational health (FOH) program
    is also funded through the SSF. FOH includes clinical services,
    environmental health services and employee assistance programs.

                   Object Classification (in millions of dollars)

    ----------------------------------------------------------------------------
    Identification code 75-9941-0-4-551      1999 actual   2000 est.   2001 est.
    ----------------------------------------------------------------------------

          Personnel compensation:

    11.1    Full-time permanent.............          56          60          64
    11.3    Other than full-time permanent..           9          10          10
    11.5    Other personnel compensation....           3           3           3
                                               ---------   ---------  ----------
    11.9      Total personnel compensation..          68          73          77
    12.1  Civilian personnel benefits.......          12          14          15
    21.0  Travel and transportation of
            persons.........................           2           2           3
    22.0  Transportation of things..........           2           2           2
    23.1  Rental payments to GSA............           9          10          10
    23.3  Communications, utilities, and
            miscellaneous charges...........          38          43          44
    24.0  Printing and reproduction.........           2           2           2
    25.1  Advisory and assistance services..           2           3           3
    25.2  Other services....................          86          93          98
    25.3  Purchases of goods and services
            from Government accounts........          57          36          36
    26.0  Supplies and materials............         113         128         138
    31.0  Equipment.........................           8           5           6
                                               ---------   ---------  ----------
    99.9    Total new obligations...........         399         411         434
    ---------------------------------------------------------------------------

                                  Personnel Summary

    ----------------------------------------------------------------------------
    Identification code 75-9941-0-4-551      1999 actual   2000 est.   2001 est.
    ----------------------------------------------------------------------------
        Reimbursable:
    2001  Total compensable workyears: Full-
            time equivalent employment......       1,179       1,284       1,290
        Allocation account:
    3001  Total compensable workyears: Full-
            time equivalent employment......          29
    ---------------------------------------------------------------------------

                                   Trust Funds

                            Miscellaneous Trust Funds

                  Unavailable Collections (in millions of dollars)

    ----------------------------------------------------------------------------
    Identification code 75-9971-0-7-551      1999 actual   2000 est.   2001 est.
    ----------------------------------------------------------------------------
        Balance, start of year:
    01.99 Balance, start of year............
        Receipts:
    02.01 Contributions, Indian health
            facilities, Health Services
            Administration..................          25          25          25
    02.02 Gifts and contributions,
            miscellaneous trust funds.......          26          26          26
    02.03 Interest, miscellaneous trust
            funds...........................           1           1           1
                                               ---------   ---------  ----------
    02.99   Total receipts..................          52          52          52
        Appropriation:
    05.01 Miscellaneous trust funds.........         -52         -52         -52
                                               ---------   ---------  ----------
    07.99 Total balance, end of year........
    ---------------------------------------------------------------------------

                   Program and Financing (in millions of dollars)

    ----------------------------------------------------------------------------
    Identification code 75-9971-0-7-551      1999 actual   2000 est.   2001 est.
    ----------------------------------------------------------------------------

        Obligations by program activity:
    00.02 Gifts.............................          23          27          27
    00.03 Contributions, Indian health
            facilities......................          12          25          25
                                               ---------   ---------  ----------
    10.00   Total new obligations...........          35          52          52
    ----------------------------------------------------------------------------

        Budgetary resources available for obligation:
    21.40 Unobligated balance available,
            start of year...................          27          47          47
    22.00 New budget authority (gross)......          52          52          52
    22.10 Resources available from
            recoveries of prior year
            obligations.....................           3
                                               ---------   ---------  ----------
    23.90   Total budgetary resources
              available for obligation......          82          99          99
    23.95 Total new obligations.............         -35         -52         -52
    24.40 Unobligated balance available, end
            of year.........................          47          47          47
    ----------------------------------------------------------------------------

        New budget authority (gross), detail:
          Mandatory:

    60.27   Appropriation (trust fund,
              indefinite)...................          52          52          52
    ----------------------------------------------------------------------------

        Change in unpaid obligations:
    72.40 Unpaid obligations, start of year:
            Obligated balance, start of year          96          68          65
    73.10 Total new obligations.............          35          52          52
    73.20 Total outlays (gross).............         -60         -55         -53
    73.45 Adjustments in unexpired accounts.          -3
    74.40 Unpaid obligations, end of year:
            Obligated balance, end of year..          68          65          64
    ----------------------------------------------------------------------------

        Outlays (gross), detail:
    86.97 Outlays from new mandatory
            authority.......................           8          13          13
    86.98 Outlays from mandatory balances...          52          42          40
                                               ---------   ---------  ----------
    87.00   Total outlays (gross)...........          60          55          53
    ----------------------------------------------------------------------------

        Net budget authority and outlays:
    89.00 Budget authority..................          52          52          52
    90.00 Outlays...........................          60          55          53
    ----------------------------------------------------------------------------

        Memorandum (non-add) entries:
    92.01 Total investments, start of year:
            U.S. securities: Par value......          13          15          15
    92.02 Total investments, end of year:
            U.S. securities: Par value......          15          15          15
    ---------------------------------------------------------------------------

                              [Dollars in millions]

                                            1999         2000        2001
    Distribution of budget authority by
        account:
      Gifts.............................          27          27          27
      Contributions, Indian health
        facilities......................          25          25          25
    Distribution of outlays by account:
      Gifts.............................          24          20          24
      Contributions, Indian health
        facilities......................          36          35          29

        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      1999 actual   2000 est.   2001 est.
    ----------------------------------------------------------------------------
    11.3  Personnel compensation: Other than
            full-time permanent.............           2           2           2
    12.1  Civilian personnel benefits.......           1           1           1
    21.0  Travel and transportation of
            persons.........................           1           2           2
    22.0  Transportation of things..........           1           2           2
    25.2  Other services....................           2           3           3
    25.3  Purchases of goods and services
            from Government accounts........           1           2           2
    25.4  Operation and maintenance of
            facilities......................           2           3           3
    25.5  Research and development contracts           5           8           8
    25.7  Operation and maintenance of
            equipment.......................           4           6           6
    26.0  Supplies and materials............           2           3           3
    31.0  Equipment.........................           1           1           1
    32.0  Land and structures...............           4           5           5
    41.0  Grants, subsidies, and
            contributions...................           9          14          14
                                               ---------   ---------  ----------
    99.9    Total new obligations...........          35          52          52
    ---------------------------------------------------------------------------

                                  Personnel Summary

    ----------------------------------------------------------------------------
    Identification code 75-9971-0-7-551      1999 actual   2000 est.   2001 est.
    ----------------------------------------------------------------------------
    1001  Total compensable workyears: Full-
            time equivalent employment......          61          61          61
    ---------------------------------------------------------------------------

                         OFFICE OF THE INSPECTOR GENERAL

    General and special funds:

                           Office of Inspector General

        For expenses necessary for the Office of Inspector General in
    carrying out the provisions of the Inspector General Act of 1978, as
    amended, [$31,500,000] $33,849,000. (Department of Health and Human
    Services Appropriations Act, 2000, as enacted by section

    [[Page 476]]

    1000(a)(4) of the Consolidated Appropriations Act, 2000 (P.L. 106-113).)

                   Program and Financing (in millions of dollars)

    ----------------------------------------------------------------------------
    Identification code 75-0128-0-1-551      1999 actual   2000 est.   2001 est.
    ----------------------------------------------------------------------------

        Obligations by program activity:
    00.01 Direct program....................          29          31          34
    09.01 Reimbursable program..............          14          22          23
                                               ---------   ---------  ----------
    10.00   Total new obligations...........          43          53          57
    ----------------------------------------------------------------------------

        Budgetary resources available for obligation:
    21.40 Unobligated balance available,
            start of year...................           1           1           1
    22.00 New budget authority (gross)......          43          53          57
                                               ---------   ---------  ----------
    23.90   Total budgetary resources
              available for obligation......          44          54          58
    23.95 Total new obligations.............         -43         -53         -57
    24.40 Unobligated balance available, end
            of year.........................           1           1           1
    ----------------------------------------------------------------------------

        New budget authority (gross), detail:
          Discretionary:

    40.00   Appropriation...................          29          31          34
          Spending authority from offsetting
              collections:

    68.00   Offsetting collections (cash)...          24          22          23
    68.10   From Federal sources: Change in
              receivables and unpaid,
              unfilled orders...............         -10
                                               ---------   ---------  ----------
    68.90     Spending authority from
                offsetting collections
                (total discretionary).......          14          22          23
                                               ---------   ---------  ----------
    70.00   Total new budget authority
              (gross).......................          43          53          57
    ----------------------------------------------------------------------------

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

    72.40   Obligated balance, start of year           3          -3           5
    72.95   From Federal sources:
              Receivables and unpaid,
              unfilled orders...............          14           4           4
                                               ---------   ---------  ----------
    72.99     Total unpaid obligations,
                start of year...............          17           1           9
    73.10 Total new obligations.............          43          53          57
    73.20 Total outlays (gross).............         -58         -45         -58
          Unpaid obligations, end of year:

    74.40   Obligated balance, end of year..          -3           5           4
    74.95   From Federal sources:
              Receivables and unpaid,
              unfilled orders...............           4           4           4
                                               ---------   ---------  ----------
    74.99     Total unpaid obligations, end
                of year.....................           1           9           8
    ----------------------------------------------------------------------------

        Outlays (gross), detail:
    86.90 Outlays from new discretionary
            authority.......................          40          49          54
    86.93 Outlays from discretionary
            balances........................          18          -4           4
                                               ---------   ---------  ----------
    87.00   Total outlays (gross)...........          58          45          58
    ----------------------------------------------------------------------------

        Offsets:
          Against gross budget authority and outlays:

    88.00   Offsetting collections (cash)
              from: Federal sources.........         -24         -22         -23
          Against gross budget authority only:

    88.95   From Federal sources: Change in
              receivables and unpaid,
              unfilled orders...............          10
    ----------------------------------------------------------------------------

        Net budget authority and outlays:
    89.00 Budget authority..................          29          31          34
    90.00 Outlays...........................          34          23          35
    ---------------------------------------------------------------------------

        The Office of Inspector General (OIG) identifies and recommends
    actions to correct fraud, waste, and abuse in HHS administered and
    assisted programs and operations through audits and investigations.

        In addition to the discretionary resources appropriated to the OIG,
    the Health Insurance Portability and Accountability Act of 1996 makes
    available mandatory funding for use by the OIG to combat Medicare fraud
    and abuse through a coordinated Health care fraud and abuse control
    (HCFAC) program with the Department of Justice. The following table
    shows total funding resources for the OIG:

                              (In millions of dollars)

                                             1999 actual   2000 est.   2001 est.
    Budget Authority:
      Discretionary appropriations..........          29          31          34
      Mandatory (HCFAC Account).............         100         124         124
                                               ---------   ---------  ----------
          Total.............................         129         155         158
    Outlays:
      Discretionary appropriations..........          34          23          35
      Mandatory (HCFAC Account).............          84         124         124
                                               ---------   ---------  ----------
          Total.............................         118         147         159

        This schedule reflects estimated distribution of mandatory funds
    from the HCFAC account in FY 2001. Actual FY 2001 distribution will be
    determined by the Secretary of HHS and the Attorney General.

                   Object Classification (in millions of dollars)

    ----------------------------------------------------------------------------
    Identification code 75-0128-0-1-551      1999 actual   2000 est.   2001 est.
    ----------------------------------------------------------------------------

          Direct obligations:

    11.1    Personnel compensation: Full-
              time permanent................          16          18          20
    12.1    Civilian personnel benefits.....           4           4           5
    21.0    Travel and transportation of
              persons.......................           2           2           2
    23.1    Rental payments to GSA..........           2           2           2
    25.3    Purchases of goods and services
              from Government accounts......           4           4           4
    31.0    Equipment.......................           1           1           1
                                               ---------   ---------  ----------
    99.0      Subtotal, direct obligations..          29          31          34
    99.0  Reimbursable obligations..........          14          22          23
                                               ---------   ---------  ----------
    99.9    Total new obligations...........          43          53          57
    ---------------------------------------------------------------------------

                                  Personnel Summary

    ----------------------------------------------------------------------------
    Identification code 75-0128-0-1-551      1999 actual   2000 est.   2001 est.
    ----------------------------------------------------------------------------
        Direct:
    1001  Total compensable workyears: Full-
            time equivalent employment......         275         285         306
        Reimbursable:
    2001  Total compensable workyears: Full-
            time equivalent employment......          56          93          90
        Allocation account:
          Total compensable workyears:

            Full-time equivalent employment:
    3001      Full-time equivalent
                employment..................         882       1,054       1,143
    3001      Full-time equivalent
                employment..................          60
    ---------------------------------------------------------------------------

                    Allocations Received From Other Accounts

        Note.--Obligations incurred under allocations from other accounts
    are included in the schedules of the parent appropriations as follows:
    Health Care Financing Administration: ``Health Care Fraud and Abuse
    Control Account.''

                          GENERAL FUND RECEIPT ACCOUNTS

                               (in millions of dollars)

    ----------------------------------------------------------------------------
                                             1999 actual   2000 est.   2001 est.
    ----------------------------------------------------------------------------
    Offsetting receipts from the public:
      75-310700  Federal share of child
        support collections.................         868         851         850
        Legislative proposal, subject to
          PAYGO.............................                                  22
                                               ---------   ---------  ----------
    General Fund Offsetting receipts from
     the public.............................         868         851         872
    ---------------------------------------------------------------------------

                               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 Develop

    [[Page 477]]

    ment, the United Nations International Children's Emergency Fund or the
    World Health Organization.
        Sec. 203. None of the funds appropriated under this Act may be used
    to implement section 399L(b) of the Public Health Service Act or section
    1503 of the National Institutes of Health Revitalization Act of 1993,
    Public Law 103-43.
        Sec. 204. None of the funds appropriated in this Act 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 Executive Level II.
        Sec. 205. [None of the funds appropriated in this Act may be
    expended pursuant to section 241 of the Public Health Service Act,
    except for funds specifically provided for in this Act, or for other
    taps and assessments made by any office located in the Department of
    Health and Human Services, prior to the Secretary's preparation and
    submission of a report to the Committee on Appropriations of the Senate
    and of the House detailing the planned uses of such funds.]
    Notwithstanding section 241(a) of the Public Health Service Act, such
    portion as the Secretary shall determine, but not more than 1.6 percent,
    of any amounts appropriated for programs authorized under the PHS Act
    shall be made available for the evaluation (directly or by grants or
    contracts) of the implementation and effectiveness of such programs.

                               (transfer of funds)

        Sec. 206. Not to exceed 1 percent of any discretionary funds
    (pursuant to the Balanced Budget and Emergency Deficit Control Act of
    1985, as amended) which are appropriated for the current fiscal year for
    the Department of Health and Human Services in this Act may be
    transferred between appropriations, but no such appropriation shall be
    increased by more than 3 percent by any such transfer: Provided, That
    the Appropriations Committees of both Houses of Congress are notified at
    least 15 days in advance of any transfer.
        Sec. 207. The Director of the National Institutes of Health, jointly
    with the Director of the Office of AIDS Research, may transfer up to 3
    percent among institutes, centers, and divisions from the total amounts
    identified by these two Directors as funding for research pertaining to
    the human immunodeficiency virus: Provided, That the Congress is
    promptly notified of the transfer.
        [Sec. 208. Of the amounts made available in this Act for the
    National Institutes of Health, the amount for research related to the
    human immunodeficiency virus, as jointly determined by the Director of
    the National Institutes of Health and the Director of the Office of AIDS
    Research, shall be made available to the ``Office of AIDS Research''
    account. The Director of the Office of AIDS Research shall transfer from
    such account amounts necessary to carry out section 2353(d)(3) of the
    Public Health Service Act.]
        Sec. [209] 208. None of the funds appropriated in this Act may be
    made available to any entity under title X of the Public Health Service
    Act unless the applicant for the award certifies to the Secretary that
    it encourages family participation in the decision of minors to seek
    family planning services and that it provides counseling to minors on
    how to resist attempts to coerce minors into engaging in sexual
    activities.
        [Sec. 210. The final rule entitled ``Organ Procurement and
    Transplantation Network'', promulgated by the Secretary of Health and
    Human Services on April 2, 1998 (63 Fed. Reg. 16295 et seq.) (relating
    to part 121 of title 42, Code of Federal Regulations), together with the
    amendments to such rules promulgated on October 20, 1999 (64 Fed. Reg.
    56649 et seq.) shall not become effective before the expiration of the
    42 day period beginning on the date of the enactment of this Act.]
        Sec. [211] 209. None of the funds appropriated by this Act
    (including funds appropriated to any trust fund) may be used to carry
    out the Medicare+Choice program if the Secretary denies participation in
    such program to an otherwise eligible entity (including a Provider
    Sponsored Organization) because the entity informs the Secretary that it
    will not provide, pay for, provide coverage of, or provide referrals for
    abortions: Provided, That the Secretary shall make appropriate
    prospective adjustments to the capitation payment to such an entity
    (based on an actuarially sound estimate of the expected costs of
    providing the service to such entity's enrollees): Provided further,
    That nothing in this section shall be construed to change the Medicare
    program's coverage for such services and a Medicare+Choice organization
    described in this section shall be responsible for informing enrollees
    where to obtain information about all Medicare covered services.
        [Sec. 212. (a) Mental Health.--Section 1918(b) of the Public Health
    Service Act (42 U.S.C. 300x-7(b)) is amended to read as follows:
        ``(b) Minimum Allotments for States.--With respect to fiscal year
    2000, the amount of the allotment of a State under section 1911 shall
    not be less than the amount the State received under section 1911 for
    fiscal year 1998.''.
        (b) Substance Abuse.--Section 1933(b) of the Public Health Service
    Act (42 U.S.C. 300x-33(b)) is amended to read as follows:
        ``(b) Minimum Allotments for States.--Each State's allotment for
    fiscal year 2000 for programs under this subpart shall be equal to such
    State's allotment for such programs for fiscal year 1999, except that,
    if the amount appropriated in fiscal year 2000 is less than the amount
    appropriated in fiscal year 1999, then the amount of a State's allotment
    under section 1921 shall be equal to the amount that the State received
    under section 1921 in fiscal year 1999 decreased by the percentage by
    which the amount appropriated for fiscal year 2000 is less than the
    amount appropriated for such section for fiscal year 1999.''.]
        Sec. [213] 210. Notwithstanding any other provision of law, no
    provider of services under title X of the Public Health Service Act
    shall be exempt from any State law requiring notification or the
    reporting of child abuse, child molestation, sexual abuse, rape, or
    incest.
        [Sec. 214. Extension of Certain Adjudication Provisions.--The
    Foreign Operations, Export Financing, and Related Programs
    Appropriations Act, 1990 (Public Law 101-167) is amended--
                (1) in section 599D (8 U.S.C. 1157 note)--
                        (A) in subsection (b)(3), by striking ``1997, 1998,
                and 1999'' and inserting ``1997, 1998, 1999, and 2000''; and
                        (B) in subsection (e), by striking ``October 1,
                1999'' each place it appears and inserting ``October 1,
                2000''; and
                (2) in section 599E (8 U.S.C. 1255 note) in subsection
        (b)(2), by striking ``September 30, 1999'' and inserting ``September
        30, 2000''.]
        [Sec. 215. None of the funds provided in this Act or in any other
    Act making appropriations for fiscal year 2000 may be used to administer
    or implement in Arizona or in the Kansas City, Missouri or in the Kansas
    City, Kansas area the Medicare Competitive Pricing Demonstration Project
    (operated by the Secretary of Health and Human Services under authority
    granted in section 4011 of the Balanced Budget Act of 1997 (Public Law
    105-33)).]
        [Sec. 216. Of the funds appropriated for the National Institutes of
    Health for fiscal year 2000, $3,000,000,000 shall not be available for
    obligation until September 29, 2000. Of the funds appropriated for the
    Health Resources and Services Administration for fiscal year 2000,
    $450,000,000 shall not be available for obligation until September 29,
    2000. Of the funds appropriated for the Centers for Disease Control and
    Prevention for fiscal year 2000, $500,000,000 shall not be available for
    obligation until September 29, 2000. Of the funds appropriated for the
    Children and Families Services Programs for fiscal year 2000,
    $400,000,000 shall not be available for obligation until September 29,
    2000. Of the funds appropriated for the Social Services Block Grant for
    fiscal year 2000, $425,000,000 shall not be available for obligation
    until September 29, 2000. Of the funds appropriated for the Substance
    Abuse and Mental Health Services Administration for fiscal year 2000,
    $200,000,000 shall not be available for obligation until September 29,
    2000. Such funds delayed by this section shall be available for
    obligation until October 15, 2000.]
        [Sec. 217. Study and Report on the Geographic Adjustment Factors
    Under the Medicare Program. (a) Study.--The Secretary of Health and
    Human Services shall conduct a study on--
                (1) the reasons why, and the appropriateness of the fact
        that, the geographic adjustment factor (determined under paragraph
        (2) of section 1848(e) (42 U.S.C. 1395w-4(e)) used in determining
        the amount of payment for physicians' services under the Medicare
        program is less for physicians' services provided in New Mexico than
        for physicians' services provided in Arizona, Colorado, and Texas;
        and
                (2) the effect that the level of the geographic cost-of-
        practice adjustment factor (determined under paragraph (3) of such
        section) has on the recruitment and retention of physicians in small
        rural States, including New Mexico, Iowa, Louisiana, and Arkansas.
        (b) Report.--Not later than 3 months after the date of the enactment
    of this Act, the Secretary of Health and Human Services shall submit a
    report to Congress on the study conducted under subsection

    [[Page 478]]

    (a), together with any recommendations for legislation that the
    Secretary determines to be appropriate as a result of such study.]
        [Sec. 218. Withholding of Substance Abuse Funds. (a) In General.--
    None of the funds appropriated by this Act may be used to withhold
    substance abuse funding from a State pursuant to section 1926 of the
    Public Health Service Act (42 U.S.C. 300x-26) if such State certifies to
    the Secretary of Health and Human Services that the State will commit
    additional State funds, in accordance with subsection (b), to ensure
    compliance with State laws prohibiting the sale of tobacco products to
    individuals under 18 years of age.
        (b) Amount of State Funds.--The amount of funds to be committed by a
    State under subsection (a) shall be equal to 1 percent of such State's
    substance abuse block grant allocation for each percentage point by
    which the State misses the retailer compliance rate goal established by
    the Secretary of Health and Human Services under section 1926 of such
    Act, except that the Secretary may agree to a smaller commitment of
    additional funds by the State.
        (c) Supplement not Supplant.--Amounts expended by a State pursuant
    to a certification under subsection (a) shall be used to supplement and
    not supplant State funds used for tobacco prevention programs and for
    compliance activities described in such subsection in the fiscal year
    preceding the fiscal year to which this section applies.
        (d) Enforcement of State Expenditure.--The Secretary shall exercise
    discretion in enforcing the timing of the State expenditure required by
    the certification described in subsection (a) as late as July 31, 2000.]
    \1\
        \1\ The Administration proposes to delete this provision and will
    work with the Congress to address this issue.
        [Sec. 219. None of the funds made available under this title may be
    used to carry out the transmittal of August 13, 1997 (relating to self-
    administered drugs) of the Deputy Director of the Division of Acute Care
    of the Health Care Financing Administration to regional offices of such
    Administration or to promulgate any regulation or other transmittal or
    policy directive that has the effect of imposing (or clarifying the
    imposition of ) a restriction on the coverage of injectable drugs under
    section 1861(s)(2) of the Social Security Act beyond the restrictions
    applied before the date of such transmittal.]
        [Sec. 220. In accordance with section 1557 of title 31, United
    States Code, funds obligated and awarded in fiscal years 1994 and 1995
    under the heading ``National Cancer Institute'' for the Cancer Therapy
    and Research Center in San Antonio, Texas, grant numbers 1 C06 CA58690-
    01 and 3 C06 CA58690-01S1, shall be exempt from subchapter IV of chapter
    15 of such title and the obligated unexpended dollars shall remain
    available to the grantee for expenditure without fiscal year limitation
    to fulfill the purpose of the award.]
        [Sec. 221. Not later than January 15, 2000, the Secretary of Health
    and Human Services shall transfer $20,000,000 from the appropriation in
    this Act for ``National Institutes of Health--National Institute of
    Allergy and Infectious Diseases'' to the appropriation in this Act for
    ``Centers for Disease Control and Prevention--Disease Control, Research,
    and Training''.]
        Sec. 211. Funds provided in Public Law 106-31 under the heading,
    ``Refugee and Entrant Assistance,'' shall be available until expended,
    remain subject to the first and second provisos under that heading, and
    are available for costs of assisting in the resettlement of refugees and
    entrants--
            (1)(A) under section 412(b)(3) of the Immigration and
        Nationality Act, and 45 CFR 400.205 and 45 CFR 400.207;
            (B) under 45 CFR 400.203(b) and 45 CFR 400.204(b), to maintain
        the period of time-eligibility in effect under 45 CFR 400.211 as of
        the end of the preceding fiscal year; and
            (C) under section 412(c)(1) of the Immigration and Nationality
        Act and section 7 of Public Law 99-605 (8 USC 1522 note) in the
        event of refugee arrivals in excess of those anticipated in the
        annual consultation under section 207(d) of the Immigration and
        Nationality Act; and
            (2) under section 501(a)(1) of the Refugee Education Assistance
        Act of 1980 for costs comparable to costs specified in paragraph
        (1): Provided, That an unanticipated mass migration of eligible
        populations may be considered for purposes of paragraph 1(C) to be
        comparable to refugee arrivals in excess of those anticipated in the
        annual consultation under section 207(d) of the Immigration and
        Nationality Act. (Department of Health and Human Services
        Appropriations Act, 2000, as enacted by section 1000(a)(4) of the
        Consolidated Appropriations Act, 2000 (P.L. 106-113).)