[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)
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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........
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Program and Financing (in millions of dollars)
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Identification code 75-9911-0-1-554 1999 actual 2000 est. 2001 est.
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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
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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
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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
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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
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[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)
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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
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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)
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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
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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
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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).)